4 ms·

Because you'll get the same issue as with the homeless, people from other states will come over to mooch on the better services. This has to be handled at a nat

Because you'll get the same issue as with the homeless, people from other states will come over to mooch on the better services. This has to be handled at a national level in order for it to succeed.

beaeglebeached 3y ago
[flagged]
- forgingahead 3y ago
  Is "treatment" really the right word? Sounds like they're just exploiting them to sell invasive, irreversible surgeries that cause even more longer-term mental health damage.
  - beaeglebeached 3y ago
    Everytime I call it something else a dogpile appears accusing me of not being a medical doctor and how dare I commit the malpractice of deciding it is not treatment. Then come varying studies, which depending on persuasion are gamed in either direction by tweaking the constraints. Easier to not have the debate.
rayiner 3y ago
Legally, I’m not sure that’s true. I think discriminating against out of staters for health insurance could well meet the compelling interest standard of Shapiro v. Johnson, similarly to how states are allowed to discriminate against out of state students for public universities. And if it were challenged, I suspect the current Supreme Court wouldn’t be so inclined to further extend the broad “right of travel” found in Shapiro. Putting that aside, the theoretical prospect that states would have to accommodate out of state moochers doesn’t seem to be the actual reason that the California and Vermont universal healthcare efforts failed. It seems like those programs failed because voters don’t want to pay for it.
briHass 3y ago
If they're homeless, they aren't 'paying' into a single payer system, regardless of it being at the State or Federal level. People that pay little to no taxes 'mooching' off the taxpayer funded services is exactly the concern of many that oppose universal healthcare. Considering many large companies self-insure their employees' healthcare, it seems unlikely that simply expanding the scope of who is covered is going to make the whole plan work.

Because you'll get the same issue as with the homeless, people from other states will come over to mooch on the better services. This has to be handled at a national level in order for it to succeed.

beaeglebeached 3y ago

[flagged]

forgingahead 3y ago
Is "treatment" really the right word? Sounds like they're just exploiting them to sell invasive, irreversible surgeries that cause even more longer-term mental health damage.
- beaeglebeached 3y ago
  Everytime I call it something else a dogpile appears accusing me of not being a medical doctor and how dare I commit the malpractice of deciding it is not treatment. Then come varying studies, which depending on persuasion are gamed in either direction by tweaking the constraints. Easier to not have the debate.

rayiner 3y ago

Legally, I’m not sure that’s true. I think discriminating against out of staters for health insurance could well meet the compelling interest standard of Shapiro v. Johnson, similarly to how states are allowed to discriminate against out of state students for public universities. And if it were challenged, I suspect the current Supreme Court wouldn’t be so inclined to further extend the broad “right of travel” found in Shapiro. Putting that aside, the theoretical prospect that states would have to accommodate out of state moochers doesn’t seem to be the actual reason that the California and Vermont universal healthcare efforts failed. It seems like those programs failed because voters don’t want to pay for it.

briHass 3y ago

If they're homeless, they aren't 'paying' into a single payer system, regardless of it being at the State or Federal level. People that pay little to no taxes 'mooching' off the taxpayer funded services is exactly the concern of many that oppose universal healthcare. Considering many large companies self-insure their employees' healthcare, it seems unlikely that simply expanding the scope of who is covered is going to make the whole plan work.