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Cost of universal health care in California bigger than state's budget

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11–20 of 85 posts

Re: Cost of universal health care in California bigger than state's budget

#11
Separate from the cost debate, the bill is labeled a "job killer," I assume because of all the insurance and related jobs lost.

Which would be bad for the people losing their jobs, but they're only employed because they work for an arguably unnecessary middle-man industry. There's no "right" to those jobs, and if we can find a way to deliver health care, as opposed to health insurance, to close to everyone, we should figure that out, regardless of insurance jobs.

Re: Cost of universal health care in California bigger than state's budget

#12
post #11

Separate from the cost debate, the bill is labeled a "job killer," I assume because of all the insurance and related jobs lost. Which would be bad for the people losing their jobs, but they're only employed because they work for an arguably unnecessary middle-man industry. There's no "right" to those jobs, and if we can find a way to deliver health care , as opposed to health insurance , to close to everyone, we shou…

Yep, health care administrators--this century's buggy whip makers, telephone sanitizers, ...

Re: Cost of universal health care in California bigger than state's budget

#13
post #11

Separate from the cost debate, the bill is labeled a "job killer," I assume because of all the insurance and related jobs lost. Which would be bad for the people losing their jobs, but they're only employed because they work for an arguably unnecessary middle-man industry. There's no "right" to those jobs, and if we can find a way to deliver health care , as opposed to health insurance , to close to everyone, we shou…

How many are in state anyway? I'd of thought most of the middle men would be parts of large companies located in cheaper states.

Re: Cost of universal health care in California bigger than state's budget

#14
post #5

TLDR; $400 billion total, $200 billion is currently spent on subsidies and medi-cal, $150 billion is already spent by employers. The state would need to "find" ~$50 billion or ~$1,300 per resident more to fully fund this. Personally, this seems like a relative bargain and some modest extra taxes should offset the difference. Article reads pretty poorly and sensationalist. Not to mention that the missing amount is les…

Yeah, the headline is sensationalist. With the current spending factored in, it's really not that bad. A big enough tax on fast food could probably cover it, with the added bonus of decreasing the amount needed. If that doesn't work, then there are a lot of programs they can cut that are less important than healthcare.

> A big enough tax on fast food could probably cover it

Exactly this kind of statement is what worries some about universal healthcare. I highly support single payer, universal healthcare. But statements like this undermine the cause by feeding fuel to the idea universal healthcare will inherently lead to more government intrusion into your personal decisions.

Re: Cost of universal health care in California bigger than state's budget

#16
post #11

Separate from the cost debate, the bill is labeled a "job killer," I assume because of all the insurance and related jobs lost. Which would be bad for the people losing their jobs, but they're only employed because they work for an arguably unnecessary middle-man industry. There's no "right" to those jobs, and if we can find a way to deliver health care , as opposed to health insurance , to close to everyone, we shou…

Both the military and the private health insurance industry are Keynesian jobs programs first, their stated purposes second.

Re: Cost of universal health care in California bigger than state's budget

#17

Earlier quoted context omitted.

Yeah, the headline is sensationalist. With the current spending factored in, it's really not that bad. A big enough tax on fast food could probably cover it, with the added bonus of decreasing the amount needed. If that doesn't work, then there are a lot of programs they can cut that are less important than healthcare.

> A big enough tax on fast food could probably cover it Exactly this kind of statement is what worries some about universal healthcare. I highly support single payer, universal healthcare. But statements like this undermine the cause by feeding fuel to the idea universal healthcare will inherently lead to more government intrusion into your personal decisions.

Like it or not, it's already done with cigarettes, alcohol, marijuana, gasoline, and a ton of other stuff.

These type of taxes are the only way I'm in favor of government healthcare programs. Cigarettes, alcohol, and junk food directly increase medical costs, and people who indulge (and over indulge) in those things should be partly responsible for those increased costs.

Re: Cost of universal health care in California bigger than state's budget

#18
post #5

TLDR; $400 billion total, $200 billion is currently spent on subsidies and medi-cal, $150 billion is already spent by employers. The state would need to "find" ~$50 billion or ~$1,300 per resident more to fully fund this. Personally, this seems like a relative bargain and some modest extra taxes should offset the difference. Article reads pretty poorly and sensationalist. Not to mention that the missing amount is les…

In addition, they don't provide a figure for the amount of money that individuals put toward health care, only the amount that their employers contribute.

Considering that most employers don't fully cover health insurance (relying on employee payroll deductions to make up the difference) and that many people pay directly out of their own pockets for insurance, I wonder if there'd be a shortfall at all.

Re: Cost of universal health care in California bigger than state's budget

#19
If your universal health care system is some variant of "single payer", which is what I think is proposed here, then the fact that it is really expensive is largely irrelevant, and for a really obvious reason: You may be paying a lot of money for government funded health insurance, but you are not paying all that money to a private health insurer like you are now.

Essentially you are just writing a check to the government rather than a private company.

Re: Cost of universal health care in California bigger than state's budget

#20

Isn't that a given? I mean, do people not realize that the money has to come from somewhere? Of course it's going to be insanely expensive to insure everybody. Edit: I'm not arguing against Single Payer, I'm just surprised that this is something so shocking an article was written (and then upvoted) about.

> I mean, do people not realize that the money has to come from somewhere?

If You read some of the above comments, you'll see that the money is already coming from "somewhere", that Medicare and Medicaid already cost more than what Japan spend per capita, or that $400bln may be half of what is currently being collectively.

https://news.ycombinator.com/item?id=14398948 https://news.ycombinator.com/item?id=14398974

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