Forced enrollment vs individual choice in the health care debate
By Sen David Vitter Posted in Congress — Comments (19) / Email this page » / Leave a comment »
Last week was the third week of the Senate Freshmen Republican’s health care initiative and I went to the floor to talk about individual choice in health care.
Each American family has its own unique needs and concerns as they relate to health care, and I believe it is clear that the government should be providing incentives for these families to choose to enroll in a plan that most fits their needs, instead of forcing people to enroll in health care plans.
Congress should be pushing for reform that provides families with a wide array of choices, not advocating for compulsory insurance coverage laws that would place a bigger burden on those middle-class families who are in the most need of assistance in obtaining access to medical care. This is the first step toward a government-run, ‘one size fits all’ health care system, and that is something that would send health care down the wrong path in our country.
This week, the initiative continues with a discussion on medical liability reform.
I beg you to keep our health care system about individual choice and not government mandates.
It will be up to you, Senator, and others in the minority to draw the line in the sand and keep us away from the abyss that is nationalized health care.
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Just a typical, small town, white girl...
As a military dependent, don't you get government funded healthcare? In my opinion, you and your husband are earning it, but it is government supported, controlled healthcare nonetheless.
...I think that there is a difference between health care imposed by government fiat and health care offered as part of a recruitment package. Whether it's large enough to matter is another issue, and one I'll have to think about.
Moe
PS: I've also heard enough stories about military health care to suspect that many of the families wouldn't mind finding an alternative vendor.
The Fuzzy Puppy of the VRWC. I've been usurped!
if providing a healthcare stipend that military families can use with any healthcare provider and any hospital would improve service and potentially reduce costs to the taxpayers.
benefit quit a bit in the last twenty years.
The retirees have really been screwed, but they have fought back and won.
I'd love a stipend where we could participate in something like what civil service employees have.
Tri-Care is embarrassing. When I opt out of the military treatment facility, my provider gets paid medi-care level re-imbursements for seeing me and my children. I am ashamed at how little they receive for taking care of our nation's finest and their families.
On the plus side, for now, the drug program is good. I only paid $3.00 as a co-pay at a local pharmacy. I could have used the base pharmacy, but it was just easier and more convenient to use a local pharmacy.
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Just a typical, small town, white girl...
and they make great clients because they know exactly what they want and they are willing to pay for it.
Now also found at The Minority Report
Just like commissary, BX, etc... It is a consolation for the salary he gets. About 30-40% less than he would in the civilian sector.
Yes, it is government (DOD) funded. We can use the military treatment facility if available or elect one of the other Tri-Care options. I use Tri-Care prime as an option any time I can opt out of using the military treatment facility.
I have been a military dependent of some sort all but 6 years of my life, so I know the system well.
While there are certainly capable providers, I hate this system. God help us all if the government ever gets to control all health care.
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Just a typical, small town, white girl...
but the mandates that get added into the policies that are available. Some states are worse than others, but every state has mandates for conditions that must be covered, how they get treated, etc. This just adds to the ballooning cost of health insurance.
We need to work on eliminating these mandates too.
Now also found at The Minority Report
Most of the "choice" plans I've seen floating around are tax deductions of some enormous amount which works well if you have an enormous amount of money already, but doesn't help the people who are least likely to get covered currently.
for active duty as well as retired vets in areas where there are no bases. The military healthcare provider went bankrupt here several years ago here which resulted in hospitals and doctors suing active duty as well as retirees. There was minimal support - plenty of folks lost thousands of dollars, as well as had their credit rating effected.
Don't believe the politicians when they promise affordable reasonable care on a national basis - it won't work, it can't work. Healthcare is too important to have the government involved.
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"Enlightened statesmen will not always be at the helm." -- James Madison
MassHealth Mandated Coverage is turning into a painful financial wringer for my family and my small business. We pay $1,800 a month to cover three people, $21,600 a year. This year that's been just about the difference between staying in business and going out of business.
How can you run a business when you can't afford to pay for the insurance the state forces you to buy?
If you think that the premiums for your 3 people are expensive, try paying for cancer treatment for one of them out of pocket. That would bankrupt your business in a jiffy.
As long as we keep giving sloppy wet kisses to doctors and ohter medical professionals who get to continue to raise their prices beyond the rate of inflation, by subsidizing special interest groups with government money for medical care, the rest of us pay the bill.
And cleary the worst possible thing is to expand the subsidies as Clinton, Obama, or Romney would have us do.
End subsidies now!
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"If we want to take this party back, and I think we can someday, let’s get to work." – Barry Goldwater
My parents have Tri-Care. They seem quite happy with it. They both have had a couple of major surgeries each and paid nothing. All they got was a "receipt" of payment, which totalled well over $250,000 for one operation. They retired to the Ozarks and travel to Springfield MO for treatment. I don't know enough about the system to know if they are just lucky or if the system really works well.
Here in California, our 70% Democratic Legislature is busily trying to add yet more mandates for health plans. The latest "critical need" is acupuncture coverage. Single men here must buy maternity coverage. Everyone must have coverage for substance abuse and mental health. And, of course, we can't buy from an out of state vendor.
Help us, please.
"Here in California, our 70% Democratic Legislature is busily trying to add yet more mandates for health plans. The latest "critical need" is acupuncture coverage. Single men here must buy maternity coverage. Everyone must have coverage for substance abuse and mental health. And, of course, we can't buy from an out of state vendor."
And that, of course, is a good example of part of what we hate about the whole subject of "government health."
"An unarmed man can only flee from evil, and evil is not overcome by fleeing from it.“--Jeff Cooper. From Bill Coffey's collection of military quotations
Being able to purchase health insurance from out of state isn't going to be the panacea to lower health care costs that conservatives think it is.
I can buy other types of insurance from out of state but they're not particularly cheap. There is national competition in telephone long distance providers and Internet Service providers, but rates aren't so cheap that poor folks can afford them easily either.
Medical care is inherently expensive. Market competition can reduce overhead and profit margins but it can't reduce costs that much.
Fred Thompson suffered from lymphoma. Treatment for lymphoma can cost $100,000 per year. Bill Clinton had a quadruple bypass for his heart. There's no inexpensive way to treat those conditions.
If you really want to reduce costs, doctors will tell you that the best way is aggressive prevention strategies, chief of which is aggressive screening.
Right now, and I can tell you this from personal experience, many health care providers won't pay for such screening tests as colonoscopies even though doctors recommend those for patients at my age. I had to pay for my colonoscopy out of pocket: over $1,000.
Aggressive screening can lower health care costs over the long run. There was a report in the news just last week that the death rate from prostate cancer has declined in the U.S. four times faster than in Britain, due to the aggressive screening tests (PSA blood test, etc.) done here in America. But insurers will often refuse to pay for them because they're trying to save money in the short term even at the expense of the long term.
I don't see any way to fix that without Government mandates.
I shouldn't have been so indirect. My comments were primarily directed at the lack of choice, either for those who want to access other insurers or for those who want to choose either more or less coverage.
Prevention is great. Colonoscopies can detect pre-cancerous polyps before they become dangerous.
If you live long enough, you have a good chance of developing some kind of cancer. Once you get past smoking and morbid obesity, there isn't any preventive behavior that is known to work for all, AFAIK.
Cancer treatment is very expensive. It is also much more effective than the similarly expensive treatments of 40 years ago.
"An unarmed man can only flee from evil, and evil is not overcome by fleeing from it.“--Jeff Cooper. From Bill Coffey's collection of military quotations
Here is a comment by someone who actually knows something about Health Care:
I have been a practicing physician for over 30 years and have worked as a Private Practitioner and as a County, State, and Federal government physician for much of the time. It was my great honor and privilege to serve U.S. Veterans for many years. I will now state unequivocally that federal government health care is inferior. The level of bureaucratic stupidity in these government organizations is unbelievable.
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or has this not been brought to the floor yet?
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