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Message   BOB ACKLEY    ALL   Health care   December 17, 2018
 4:31 PM *  

There are two problems with health care in this country.  One is that 
there isn't (and never has been) enough of it to give everyone what they 
want.  The other problem is that everybody wants the best care available 
and nobody wants to pay for it.

People, particularly those on the political left, complain very loudly 
about the high cost of health care and blame greedy doctors and 
corporations.  They are, of course, wrong.  If one makes a time line 
beginning in about 1960 and plots the inflation rate and the cost of 
health care, one will find that health care starts to rise faster than 
inflation in the late 1960s and rises increasingly steeply until today.

What happened?  In a word:  Medicare.  Medicare does not and never has 
paid the cost of health care for the elderly.  At first, providers just 
billed the patients or their estates for the charges that Medicare didn't 
pay, so people complained to their congresscrooks and congress made that 
"balance billing" illegal.  So those unpaid charges go into general 
overhead as bad debt - which they are - and are allocated to everybody 
else's bills, just as businesses do with loses due to theft, bad checks, 
etc.  Currently, Medicare is paying about twelve percent of the amounts 
billed to it for patient care (i.e. if the bill is $100, Medicare pays 
$12).

The (probably oversimplified) problem with Obamacare is that if an 
insuror has to pay out $100 in claims and the premiums and government 
subsidy cover only $90 of that cost, it isn't going to take long for that 
insuror to get out of the business - which many if not most have done and  
more will do.  This will leave the government as the sole provider of 
health insurance in the country - which is what the socialists have 
wanted all along.  Note that if the government controls your health care, 
it controls you.

Then we will have the providers having to spend $100 to provide care for 
a patient, and being reimbursed $12 by the government health insurance 
program.  Which will quickly drive providers out of business.  One cannot 
be treated at a hospital that's closed.

When health care becomes unavailable, or if long waiting times come 
about, those who can afford to go elsewhere to obtain care will do so; 
and providers who don't want to work under some bureaucrat's thumb will 
go elsewhere and provide it there
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