I don’t think that any solution which retains deductibles or other out-of-pocket costs can address the moral issue of health access, and outcomes, being a function of economic resources. Therefore, a truly fully-paid system is needed (it could come from single-payer, or legislation governing insurer practice.)
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Because of what's coming at us in the future with complete genetic knowledge of illness potential for everyone, from the time they are born, I think we may even need an amendment to the Constitution to guarantee healthcare as a right rather than a privilege just for those fortunate enough to have good genes.
The fact that you can be deprived of your life by being denied healthcare is already unconstitutional. The right to life is guaranteed (except for state executions). The Federal government is responsible for the welfare of its citizens. If its citizens are dying because they are denied healthcare--care that is readily available--the Federal government has the responsibility to resolve the problem, if at all possible.
Last edited by shoelace; August 18,2009 at 8:03am.
Reason: clarity
The first question is one - should people be responsible for themselves or should the state take care of them?
And the second question - if the state is responsible for something like healthcare, then wouldn't that mean that the state does have the right to dictate lifestyles that affect health since they are footing the bill?
And for Dlion - still playing around with envisioning single payor. I still think it is a terrible idea - maybe just on principle but still mulling it around in my head. The only plus I have come up with so far is no litigation. Who are people going to sue??
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