posted on Sep, 25 2017 @ 06:59 PM
a reply to: carewemust
As I'm sure you're aware though, you can't have a system that both covers sick people and doesn't cost healthy people additional money. Either you
have low/no costs for healthy people and tell the sick people they're on their own, or you average the costs out, which means healthy people pay out
of pocket for something they aren't getting.
An insurance system is not going to work.
I'm all for health care reform, we desperately need it. Insurance isn't how we're going to fix that though, it simply cannot work as a concept as
primary care. Insurance can only work as a system when catastrophic costs are rare. These days however, just about everyone lives long enough to
develop a serious illness. Catastrophic costs are no longer rare, they're virtually guaranteed for everyone.
That's why I think the only path forward is single payer. Probably combined with some reforms for drug manufacturers to bring the cost of name brand
medicines down. Alternatively, I think Japan has some good ideas... but I would still prefer an actual single payer system.