4 ms·

I'm not sure I would want to go there. "People of means" already pay greater taxes which support government programs. If you think they are not paying enough,

by mc32 5y ago

I'm not sure I would want to go there. "People of means" already pay greater taxes which support government programs. If you think they are not paying enough, raise their taxes, but avoid double taxation. In other words, I don't think just because I would pay $1000 for a broken arm means I would agree that Bezos should pay $100,000,000 for the same. It would make no sense. It would make sense to close his tax loopholes. Sure.

arcticbull 5y ago
Sorry for the unintentionally charged and hence confusing language there. I just meant via progressive taxation. Something like the Ontario Health Premium [1] which ranges from $0 per year if your taxable income is $20,000 or less, to $900 per year if your taxable income is more than $200,600. I agree and also do not want what you outlined! :) I strongly suspect that a socialized medical program in the US would not actually cost individuals any more than they're paying now - it's just that the cost they're paying is hidden behind employer paid premiums. That's just a private tax. [1] https://www.ontario.ca/page/health-premium https://www.ontario.ca/page/health-premium
- mc32 5y ago
  Ok. Yes, that makes sense.
- zaroth 5y ago
  I think a great way to do this would be for the government to enter the market with a fixed enrollment and a lottery system. They can run the program for 3 years for 100,000 people and transparently report all their findings and we can see how it went.
- b9a2cab5 5y ago
  > I strongly suspect that a socialized medical program in the US would not actually cost individuals any more than they're paying now The definition of progressive taxation means this is not the case for anyone making more than 100-150k, given current tax brackets. Medicare already is 1/3 of the federal budget and I can assure you someone making low 6 figures definitely pays more in tax than 3x $900.
  - arcticbull 5y ago
    > Medicare already is 1/3 of the federal budget and I can assure you someone making low 6 figures definitely pays more in tax than 3x $900. Well the first step is redirecting all the premiums paid by employers on behalf of employees into the federal pot. That should net ~$5500 per taxpayer or an additional ~$1.8T per year. That will sort out the bulk of it with no additional cost visible to individuals.
    - b9a2cab5 5y ago
      That is not the plan put forth by Medicare for All advocates. There is a strong undertone of income redistribution in progressive proposals for single payer. I would also expect that if the government was taking that money my health benefits would be at least as good as they are now. And I don't think that will be the case. When I was a kid there was a period where I was on California MediCal and I distinctly remember getting glasses with _super_ thick lenses because all MediCal would pay for was the cheapest frames and lenses.
      - arcticbull 5y ago
        > That is not the plan put forth by Medicare for All advocates. I'm almost 100% confident it is. That money is currently being paid on behalf of individuals to insurers. Take the insurers away that money either goes to individuals and gets taxed, or gets sent directly to the feds. Either way it's a no-op. > There is a strong undertone of income redistribution in progressive proposals for single payer. Healthcare is the great equalizer. It's not insurance - everyone needs it and everyone will use it. There's not really a strong correlation between more spend and better outcomes past a certain point. Except in the rarest of cases you can't cure cancer with fat stacks. What offering healthcare does is give low income folks the opportunity to found companies without the fear of death. It dramatically reduces the burden on all businesses and especially small businesses by killing a massive cost center. > I would also expect that if the government was taking that money my health benefits would be at least as good as they are now. And I don't think that will be the case. Every healthcare system that ranks above America's is single payer or two-tier socialized. MediCal is set up to be punitive to the poors like all Medicaid programs. A Medicare system isn't. There's a reason not a single AARP member is advocating for eliminating Medicare. What getting everyone on the system does is it makes the political class beholden to the needs of the individuals. I watched Donald Trump in front a group of older folks literally hug a flag and say he'd do whatever it took to keep the Democrats away from their Medicare. That doesn't sound like a system itching to be upturned does it? Socialized medicine is no more a partisan issue in most countries than a socialized fire department or sidewalks.
- kwhitefoot 5y ago
  > a socialized medical program in the US would not actually cost individuals any more than they're paying now But think of all those insurance company employees who would be out of work!

by mc32 5y ago

arcticbull 5y ago

Sorry for the unintentionally charged and hence confusing language there. I just meant via progressive taxation. Something like the Ontario Health Premium [1] which ranges from $0 per year if your taxable income is $20,000 or less, to $900 per year if your taxable income is more than $200,600. I agree and also do not want what you outlined! :) I strongly suspect that a socialized medical program in the US would not actually cost individuals any more than they're paying now - it's just that the cost they're paying is hidden behind employer paid premiums. That's just a private tax. [1] https://www.ontario.ca/page/health-premium https://www.ontario.ca/page/health-premium

mc32 5y ago
Ok. Yes, that makes sense.
zaroth 5y ago
I think a great way to do this would be for the government to enter the market with a fixed enrollment and a lottery system. They can run the program for 3 years for 100,000 people and transparently report all their findings and we can see how it went.
b9a2cab5 5y ago
> I strongly suspect that a socialized medical program in the US would not actually cost individuals any more than they're paying now The definition of progressive taxation means this is not the case for anyone making more than 100-150k, given current tax brackets. Medicare already is 1/3 of the federal budget and I can assure you someone making low 6 figures definitely pays more in tax than 3x $900.
- arcticbull 5y ago
  > Medicare already is 1/3 of the federal budget and I can assure you someone making low 6 figures definitely pays more in tax than 3x $900. Well the first step is redirecting all the premiums paid by employers on behalf of employees into the federal pot. That should net ~$5500 per taxpayer or an additional ~$1.8T per year. That will sort out the bulk of it with no additional cost visible to individuals.
  - b9a2cab5 5y ago
    That is not the plan put forth by Medicare for All advocates. There is a strong undertone of income redistribution in progressive proposals for single payer. I would also expect that if the government was taking that money my health benefits would be at least as good as they are now. And I don't think that will be the case. When I was a kid there was a period where I was on California MediCal and I distinctly remember getting glasses with _super_ thick lenses because all MediCal would pay for was the cheapest frames and lenses.
    - arcticbull 5y ago
      > That is not the plan put forth by Medicare for All advocates. I'm almost 100% confident it is. That money is currently being paid on behalf of individuals to insurers. Take the insurers away that money either goes to individuals and gets taxed, or gets sent directly to the feds. Either way it's a no-op. > There is a strong undertone of income redistribution in progressive proposals for single payer. Healthcare is the great equalizer. It's not insurance - everyone needs it and everyone will use it. There's not really a strong correlation between more spend and better outcomes past a certain point. Except in the rarest of cases you can't cure cancer with fat stacks. What offering healthcare does is give low income folks the opportunity to found companies without the fear of death. It dramatically reduces the burden on all businesses and especially small businesses by killing a massive cost center. > I would also expect that if the government was taking that money my health benefits would be at least as good as they are now. And I don't think that will be the case. Every healthcare system that ranks above America's is single payer or two-tier socialized. MediCal is set up to be punitive to the poors like all Medicaid programs. A Medicare system isn't. There's a reason not a single AARP member is advocating for eliminating Medicare. What getting everyone on the system does is it makes the political class beholden to the needs of the individuals. I watched Donald Trump in front a group of older folks literally hug a flag and say he'd do whatever it took to keep the Democrats away from their Medicare. That doesn't sound like a system itching to be upturned does it? Socialized medicine is no more a partisan issue in most countries than a socialized fire department or sidewalks.
kwhitefoot 5y ago
> a socialized medical program in the US would not actually cost individuals any more than they're paying now But think of all those insurance company employees who would be out of work!