Re: Hey Massachusetts! Coakley or Brown?
I could live with a Swiss system. Oh wait - I do!
For those not familiar:
1) Very basic insurance is mandatory and companies are required to offer it to everyone. They are allowed to set different premiums by age and region, but no other factors. If the price of the plan (typically ~$300 per month per person) exceeds 8% of the family's income, they get a subsidy from the govt. It is widely assumed that insurance companies at best break even on the basic insurance.
2) There also some subsidized services available for people with disabilities, etc, who routinely need care beyond the basic insurance.
3) Companies are then allowed to sell supplemental insurance above and beyond the basic care. They can price these pretty much however they want - age, location, pre-existing conditions, etc. A very free market, and this is how the companies stay in business.
For all of the above cases, you have an annual deductible and other out-of-pocket fees. Also, interestingly, you pay for every single doctor's visit up front, so you see exactly how much it costs, and then you get reimbursed for the part your insurance covers. Pretty sobering to see those 000's stacking up...
4) Private doctors. There are enough filthy rich people in Switzerland that a fair number of people just walk into the office, plunk down cash, and get whatever care they want. Bully for them. Bastiches!