I thought that the MARKETPLACE in a capitalistic society set wages and prices???
Supply and Demand -- NOT the "wealthy people"...
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In point of fact, the wealthy people tend to own the companies that set the wages and prices. Of course if those wealthy people ignore market forces, they have a tendency to stop being in a position to set wages and prices....
You maybe didn't think of this but you're ALREADY paying for those people you look down on whether they're on crack or not. See, all those "free clinics" and emergency rooms full of poor people who get "free" care?
Who do you think is paying for that now? (hint: you, Mr. Tax Payer.)
Emergency Care is the most expensive and least-effective care there is.
The taxpayer isn't paying for a good number of free clinics. There are several churches which run such, notably the Seventh-Day Adventists.
As for Emergency Care -- yes. When an "immediate care" clinic opened near where I went to college, and took the common ailment cases which had been going to the emergency room, the per capita spending for health care in the town plunged dramatically: instead of a bill of $700 just for being in the ER, plus costs of whatever was done, people got bills of $50, plus costs that were lower because the doctors weren't as stressed so they didn't charge as much, and their malpractice insurance was lower, and they didn't have to employ an extra doctor or two just to do triage.... So the typical cost of a visit for care you needed sudden;y without warning but wasn't really an ER issue went from about $1000 to $100.
As a result, bills for hospital visits dropped across the board.
A little slower, insurance rates there went down.
This is why I kept writing to my congresscritters as well as to Obama saying that the bill should have provided for the establishment of "immediate care" clinics all over the map. Of course that would require more doctors, so I recommended strong incentives for establishing new medical schools.
Those two are measures, BTW, that good Republicans should support, because both would increase competition, which tends to improve efficiency and effectiveness, due to -- don't hold your breath -- market forces.
So to me, the bill that was passed was a wimp-out.
Because the lowest-cost way for you to deal with that person is medical treatment. It is cheaper for you to send someone to rehab than to pay for them to be arrested, pay deductibles when they break into your house, pay with your life when they're on a meth-induced paranoia trip.
It isn't just compassion that should motivate you to give your fellow citizen a second chance, it is also your own greed. Health care is cheaper than any alternative. Addicts don't just go and efficiently die somewhere to save you money. In their own despair, they cause lots of expensive mayhem for you, my fellow taxpayer.
By the way, some very good research has been done by Dr. Gabor Maté on the path to addiction. Check it out
http://www.drgabormate.com/
I have a friend who just got out of prison. He gets off telling me about people he was in with. Here are some interesting ones:
Burg I: guy caught stealing from a pharmacy to get medicines for his daughter
" : guy lifted medications from a doctor's office because he couldn't afford the prescriptions
Assault w. deadly: guy shot & injured a store owner after lifting a backpack full of medical supplies for his kid because he couldn't afford a doctor
Distributing (drugs): guy's wife was self-medicating with marijuana for pain because they couldn't afford the powerful prescription drugs the doctors ordered; he couldn't afford the weed, either, so he turned to dealing
Sex abuse (felony): jobless guy turned to prostitution to pay his gf's baby's doctor (ER) bills; got caught taking a minor as a "client", and under the law it's never, ever the minor's fault
My view of this whole thing shifted substantially from hearing these accounts. I know my friend isn't making them up; he's not that bright. And the last one is just too bizarre for anyone I know to have imagined!
So it isn't just addicts; there are hurting people out there who are desperate, and they will steal, sell drugs, or sell their bodies to help themselves or people they love.
I think the hilarious thing is that my state's Attorney General is suing the federal government over this on the basis that "you can't force citizens to buy a product", even though anyone who drives a car in Florida is forced to buy auto insurance. The point being that it's not an unheard of demand. And isn't this the same sort of system that many Republicans said they wanted in the beginning of this debate? Where you're strong-armed into buying from the private-sector cronies. The only way to achieve any meaningful reform is overhauling the system, and going single-payer.
Yeah, the argument is that forcing people to buy health insurance is equivalent to forcing them to buy a car. There may be some merit in that, but the stronger argument is that as the law stands, it may be requiring states to cough up money as part of the deal. That's called an "unfunded mandate", which the courts have tossed out at pretty much every turn.
At any rate, it's statistically in everyone's best interest to have access to at least basic and emergency health care for everyone. The problem is that this bill treats some of the problems but merely strengthens others, and may actually make some people worse off than before. It fails to pull market forces into the effort, instead just crowning the existing players, and that's a huge fault. In so doing it ignores one of the biggest issues, which is the limited supply of doctors (a number controlled by the AMA).
It's extremely sad, and pathetic, that this takes so long to get fully implemented. During that period, no one is likely to take a look at the glaring weaknesses in this law and address them.