Nota’s Universal Health Insurance

I read Tom Cotton’s Repeal & Replacement of the Affordable Care Act (sic) and you can, too by clicking this link for the pdf.

I have been chewing on my suggestion that people work on market-based ideas to make insurance cheaper, less government-centric, and still eliminate the barriers which have prevented universal coverage. I hate the gov’t option in all of its’ iterations. Single-payer, hybrid pseudo-fascist/corporatist, repeal & replace but keep the gov’t involved. My plan is fairly simple and – I believe – meets the standard of market-based & eliminating barriers.

Allow companies to sell insurance anywhere in the United States.

Tort reform to reduce expenditures on frivolous lawsuits.

Tax credits to people who opt for private insurance over eligible govt plans.

Tax credits to anyone who opens an HSA.

(Dollar-for-dollar) Tax deduction for each dollar spent by an insurance company in the legitimate care of those deemed uninsurable (high-risk/pre-existing conditions), or who live below the poverty line (including ins co’s who subsidize the difference to keep the premium affordable).

Dollar-for-dollar tax deduction for all providers of healthcare, who perform work on patients who default on the bill.

No mandate, but a tax incentive for maintaining health insurance on you, your spouse, and each of your children.

Tear it apart, please.

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21 Responses to Nota’s Universal Health Insurance

  1. fasttimes says:

    i read the whole thing, but if i was a huffpo psoter i would have said

    “stopped reading at “Tort reform to reduce expenditures on frivolous lawsuits.”

    i agree completely on that point though. that would/could help solve a lot of issues. in fact we should probably have the rule that if you sue and lose, you have to pay the other sides expenses and vice versa.

  2. R.D. Walker says:

    This feels a little like what you said about vaccines… I am interested but not enough to invest the mind-share necessary to do it justice. Sorry.

    • notamobster says:

      This is mental masturbation. The govt is always going to be involved in the health insurance industry, but I’m trying to find some way to not accept that single payer is where we end up.

  3. Gregg says:

    Why keep anything other than catastrophic insurance?
    Expand health care savings/spending accounts, no cap, deposits from your employer are pre tax and not taxed. Any money pulled from the account for a non health care purpose is taxed at twice the normal rate. Money used for health care is not taxed.

    Reduces costs by removing the middleman, increases people’s involvement in their own healthcare, keeps the .gov out of it.

  4. Bman says:

    It’s not just insurance that is the problem, it’s the whole cost of healthcare in general that obviously contributes to high insurance costs.

    I don’t know the solution. When I shattered my wrist, my insurance was billed $41,000. I had to pay a little over 4k out of pocket. I kept wondering, if I didn’t have insurance, if the true cost would’ve been 45k. If I could pay cash, would the hospital say, “That will be $45k, Sir”, or, would it be more like “That will be $16k, Sir.” My point is it is my belief that hospitals will charge insurance companies as much as possible, thus, driving up costs for all. That’s why you hear the joke that it cost $10 a pill for Tylenol at a hospital. It really isn’t that far off. That’s why I started bringing my own from home.

    • R.D. Walker says:

      You got it. I remember when my son was 16 and bent up the fender on his car. All we had on it was liability but, thinking the other driver’s insurance would pay, he took the car around for estimates from the Allstate approved shops.

      Low bid: $4,100

      The insurance didn’t pay. It was going to have to be out-of-pocket. Took it around to the small shops that just do cash business. Low bid: $1,600.

      There you go.

      • R.D. Walker says:

        Matter-of-fact, when that same son was 30 years old and the father of three, he negotiated a huge cash-up-front discount on his vasectomy. The doctors don’t like the insurance either.

        • fasttimes says:

          insurance in the health field and student loans in education are almost purely what has caused the inflated prices.

    • notamobster says:

      I use the word insurance to refer to insurance, unlike the govt and most others who use the word healthcare to refer to insurance.

      Obamacare isn’t healthcare. Healthcare is the product/services offered by practitioners of the medical arts.

      Insurance is risk-management by aggregating premiums ahead of time, to protect against financial loss.

      The two words don’t mean the same thing but they are often used interchangeably. I try not to do that.

      I understand those things, but again, my intent here is to try and understand some way of making health insurance universal without having the govt control individuals or industries.

  5. rj says:

    I dont know, back in the day with 6 kids, we went to a family doc for just about anything that required a doc outside of an emergency.

    At the end of the visit, he gave mom a bill, she either paid immediately or half then and half at the end of the month.

    When he retired about 20 years ago he said mom still owed 1600.00 for my oldest sister birth or broken arm (not sure which) when she was 6. Sis is 4 years older than me, I’m 55.
    So he was either wrong or carried that balance on his books quite a while.
    Not sure how they ended up settling it, mom swore it had been paid.

  6. rj says:

    Either way Nota, good ideas. Now if ya can sell it to congress.

  7. TN-Cat says:

    Great post. I like it.
    I would love to see them keep it simple.
    1) health insurance and all health care tax deductible.
    2) buy insurance from any state
    3) allow catastrophic insurance policies again
    4) healthy savings accounts pretax
    For the destitute, establish strict guidelines to enroll in Medicare. The rest allow donations to 501c as tax deductible donation charities.

    Done.

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