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John Negri of Altoona, Pennsylvania, photographs his wife and daughters at the gravesite location believed to be of Anna Nicole Smith's son Daniel, at Lakeview Memorial Gardens in Nassau, Bahamas February 25, 2007. REUTERS/Hans Deryk
But the problem is that if each of us purchases insurance for ourselves, insurance will be more costly. One reason: Because administrative costs per person are higher when you enroll people as individuals rather than enrolling larger groups (think what it costs to enroll all municipal workers as one group and what it costs if they were enrolled one at a time). Another reason: Because insurers will want to be compensated for the increased risk that those who sign up are individuals who are likely to need medical care who are not balanced off by others of lower risk – the problem of “self selection” in the absence of the law of large numbers. Furthermore, insurers will make it difficult, if not impossible, for persons with pre-existing conditions to enroll. After all, insurers are there to maximize returns for their stockholders, not to solve the social problem of universal insurance and access to health care.
Let me add that the “new” system would not solve the fairness problem. Today, higher income people get a bigger tax benefit as a consequence of our not taxing the value of the employer payment for premiums. But under the new system, the deduction would be worth more the higher your tax bracket. If you think of the value of the deduction as a subsidy to help you buy health insurance, it’s a subsidy of $0.00 if your family income is so low that you owe no taxes, a maximum of $2,250 (you won’t get much health insurance for your family for $43 a week) if you’re in the 15% bracket, and $5,250 if you taxable income is over $336,550 which puts you in the 35% bracket. So the rich still get more help than others.
Nor would “spending your own money” lead to lower prices and costs. Think of the consequences as the utilization of preventive care services decrease and early diagnoses are replaced by postponement of physician visits and later diagnoses. The President wants to tear down the house, but he’s not substituting a more efficient, fairer, and more comprehensive house that all of us could enter.
"[w]e have made it clear to all nations that if you harbor terrorists, you are just as guilty as the terrorists, you are an enemy of the United States, and you will be held to account."
when you go to the very difficult question of dealing with sanctuaries in sovereign states, you're dealing with a problem of our sense of international obligation, fair play."
Give me one example of a disabled combat soldier who was made to pay recuopment on his/her bonus and I will retract.