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> I first started thinking about this during the debate over what would become the ACA. The rhetoric was filled with this idea that people want choice in their
by collinmanderson 7y ago
> I first started thinking about this during the debate over what would become the ACA. The rhetoric was filled with this idea that people want choice in their medical care: people want control.
> No! People want good health care. If they don’t trust systems to provide them good health care, if they don’t trust their providers to understand their priorities, then choice is the fallback: it’s how you work the system when the system isn’t working for you. And it sucks! Here you are, in the middle of some health issue, with treatments and symptoms and the rest of your life duties, and now you have to become a researcher on top of it? But the politicians and the pundits could not stop talking about control.
- swagasaurus-rex 7y agoI would want to choice not to place my physical and financial health in the hands of profiteering insurers, but that's currently the only reasonable choice we (people in the U.S.) have.
- nostrademons 7y agoThat's not true. There are a significant number of non-profit health insurance companies, insuring a majority of the total market: https://www.firstquotehealth.com/health-insurance-news/non-profit-health-insurance https://www.firstquotehealth.com/health-insurance-news/non-p...
- ummonk 7y agoHaving not-for-profit tax status doesn't mean they aren't profiteering.
- nostrademons 7y agoIf you're worried about that you should be worried about government profiteering as well. Particularly since a very common failure mode of publicly-funded services is for the government to give the contract to friends of the bureaucrats who administer the program. If that's forbidden, a common failure mode is to give the administrator position itself (and usually, a fat salary) to friends of those in charge.
- maxxxxx 7y agoWhen you compare the US situation with other western countries your number one fear should be with US private insurances, private or not.