Re: America's Affordable Health Choices Act of 2009 - Part 2 - Deathers vs. Commies
Government isn't taking over health care however. What its doing is expanding access generally for low income people, and also putting in some rules so that insurers can't pick and choose only the healthiest people to give insurance to.
I realize that - but they are requiring people to buy health care, and then turning around and giving lots of people the money they'll use to buy it with. The end result is the same - the government is using tax dollars from A to provide free health care for B. "Free" here in the sense that B doesn't pay for it, obviously.
Philosophically you seem to be saying nobody gets Medicare/Medicaid. I completely disagree that the elderly should be responsible for their own health insurance and if they can't get any or afford it too bad if that is indeed what you're trying to say.
Well, philosophically, I think that is a good goal. But I'm also a pragmatist and I DON'T have a problem with the government looking out for the general welfare. Society probably is better off with some sort of public health option for seniors - and enough better off that it justifies the costs.
But try this thought experiment: in 1970 (about when Medicare was enacted), the life expectancy of a 65 year old (age of eligibility) was about 13 more years. In 2004, the life expectancy of a 65 year old was about 17 years. (life expectancy data from
here) Then, according to
this, spending per beneficiary in 1970 was less than $2,000 (in 2008 dollars) while now it is more than $10,000 per beneficiary. So even if you attribute that 4 year increase in life expectancy ENTIRELY to Medicare (which is of course, ridiculous), that's a 5-fold increase in spending per beneficiary to extend the life expectancy by a mere 4 years. And from
here, "Medicare spending for beneficiaries in their last year of life is on average four times greater than for all other beneficiaries." So a huge chunk of the costs clearly don't extend lives - they're spent on people who are already dying. How much better off does this drastically increased spending on minor increases in life expectancy REALLY make society? Is this REALLY something we should be devoting our limited resources to?
I love(d) my grandparents as much as the next guy, and I hope my one remaining grandfather is around for many more years. And if he gets to a point where he can't afford good health care, I would absolutely do everything *I* could to help him out financially. But I wouldn't send federal agents over to YOUR house to demand money from you at gunpoint to pay for it, which is exactly what Medicare does.