3 ms·
> offtopic rant, but on the subject of politics; to me it seems underhanded to pursue experimental federal programs eg for healthcare- why not demonstrate it wo
by arrosenberg 6y ago
> offtopic rant, but on the subject of politics; to me it seems underhanded to pursue experimental federal programs eg for healthcare- why not demonstrate it works in a few test states.. wouldn't california love to pass something like that? if only there were a way to pass the buck to the federal government for the homeless...
Some states have scoped this out, and Vermont passed a law to pursue it. The problem has to do with financing (individual states can't print money) and the freerider problem, which isn't about the homeless, so much as more...libertarian states paying all of their diabetics to move to California to get treated.
- rtkwe 6y agoIt's a bit extreme sounding but cities do this with homeless people today, some places will give out one way bus tickets to move homeless people to another city. [0] Even without a Machiavellian "muahaha we'll ship all our sick people to X" good cheap healthcare will attract sick people to a state. It was a problem with the ACA where if enough healthy people weren't paying in [1] insurance companies could go belly up from having to cover sicker people they could previously refuse. That's why there was an individual mandate and a backstop for companies that lost too much money on plans. [0] https://www.theguardian.com/us-news/ng-interactive/2017/dec/20/bussed-out-america-moves-homeless-people-country-study https://www.theguardian.com/us-news/ng-interactive/2017/dec/... [1] In the case of a single state doing a single payer system it's older or simply sicker people who may make less money because of chronic debilitating illness.