TrumpCare: Single Payer Health Care Is On Its Way

If you want to know what is coming in health care, follow the money. I’m predicting that Trump and Republicans will expand Obamacare into a national health care system run by one private firm with a new name. That will happen because it is the only Republican alternative.

The money is not hard to follow. Insurance is about spreading he risk. When the risk is focused on fewer insured, each person pays more. Think of an auto insurance pool that included only people who had convictions for driving while drunk. Obamacare has too many sick people in it because Republicans will not require healthy people to enroll.

The only choice Trump Republicans have is to require healthy people to sign up for health insurance even if they don’t want to.  They need to disguise what they are doing so it does not look like the Obamacare it is.

Republicans will enthusiastically endorse mandatory sign up of healthy people. They will claim this not socialized medicine because a private corporation will be running the program. This corporation will have the power to tamp down prices of drugs, hospitals and lab tests because it will keep some of the saving and perhaps rates to the insured will stop rising as fast.

Idealistic Republicans who see this as a disguise for socialized medicine will be quickly muzzled. They will be no match for billionaires and corporate presidents who will be running things.

What will Trump name his socialized medicine program? “Tremendous Health Care” perhaps.

 

25 Responses

  1. Matt Noah

    “Opponents of the Affordable Care Act have denounced it bitterly for more than six years, so it is not surprising that, despite the program’s successes, public opinion about it would be divided.”

    … despite the program’s successes …

    Four words to speak a monstrous lie. By any measure of success, the ACA has been a complete and utter failure. Whether it is nuns’ having to pay for contraception they will never use and double and triple digit increases in premiums, all the way up to losing your doctor, etc.

    1. Matt 6:49 By any measure of success, the ACA has been a complete and utter failure.

      I can guarantee you, some nuns need birth control medicines. It treats ailments in addition to birth control. Plus, there are probably as many nuns who are sexually active as there are priests. There are some.

      1. entech

        Sexually active nuns, Jon, how dare you suggest such a thing. They are so far moved from we normal, base, sheep that they probably do not even know what it means. They are only qualified to give advice to girls that are.

        nun to young lady, I think we should talk about your sex life, OK, what do you want to know 🙂

    2. Love thy neighbor

      Maybe if nuns started using birth control/hormones their rates of breast, uterine and ovarian cancer wouldn’t be so un-godly high. I don’t like paying for tax breaks for churches (71 billion per year in US) anymore than you like paying for birth control.

  2. The Julius Project

    “The only choice Trump Republicans have is to require healthy people to sign up for health insurance even if they don’t want to.”

    What? The individual mandate is ALREADY a requirement under the ACA. The only way around this is to not pay income tax, because that is where the penalties are levied. If one doesn’t do their taxes, they cannot then be tracked or penalized for not buying into the system.

    ALL citizens are ALREADY required to have health insurance. The healthy and the unhealthy alike.

    The question then, using your premise is this: Who are all these healthy people then that are not currently identifiable through the IRS?

    It is the unemployed and the illegal, along with their respective dependants.

    I think so often, Jon, you just put things in print so you can have the next days’ available post…and the facts of the matter be damned. Put some time and consideration of thought into what you are saying, because the premise of this post is not based on fact.

    The Individual Mandate originated with Obama and his party.

    1. Juluis 8:36 It is the unemployed and the illegal, along with their respective dependants.

      Exactly–all need to be rolled into one pool to make insurance for all work. Perhaps you did not read the link.

      I think someone who posts here would be distressed at “dependants”. 🙂

      1. The Julius Project

        How are you going to make illegal aliens purchase health care? Or the homeless for that matter?

        I am no fan of the mandate. I believe it is un-American.

        1. Julius 6:06 How are you going to make illegal aliens purchase health care? Or the homeless for that matter? I am no fan of the mandate. I believe it is un-American

          If there was a law that what the Good Samaritan in the Bible did was expected of everyone, that would be in your view “un-American” as well. If we could set aside politics for a bit and face certain facts it would be helpful. The fact is our healthcare costs are rising even what we pay in our insurance it not all of it. More healthcare costs are hidden in our taxes. The “Amercian” thing to do is provide health care at the lowest possible cost. That is single payer and regulation of costs and drugs. Like LP wrote, we are already paying for illegal aliens, homeless and drug addicts. That you don’t want them in your insurance is folly because you are already paying for them. It’s just that you are paying more than you should.

          1. entech

            Jon, interesting that the Governor said others would be welcome. Been searching but can’t find any one else that actually celebrates Christmas as such. The nearest is probably Islam that has a great deal of reverence for Jesus as the word of God and son of the Virgin Mary. However like the Jews, Muslims hold that God is one, a unity not a trinity, and any talk of the son of God is close enough to blasphemy.
            Actually “the atheist”is possibly the only one that has any interest and that is to see it as a private thing and not suitable for Government support when so many other equally valid views are in the public arena.

          2. entech 6:34 Jon, interesting that the Governor said others would be welcome. Been searching but can’t find any one else that actually celebrates Christmas as such.

            Displays would not celebrate Christmas per se, but might publicize their holy days or even their website. The crazy thing about the crèche and the Freedom From Religion parody poster is this. The reporter told me the crèche material came from some national Christian group, she told me the name and I have forgotten, that will ship the material to anyone who will get it displayed in a public building. So, it was not about local interest. The counter display, of course, also came from a national group, Freedom From Religion Foundation. The FFRF shadows the other group to find out where is sent the baby Jesuses and finds someone who will display the parody of baby Jesus. Both groups could just spend their money buying gifts for poor kids.

  3. Jinx

    Julius–Sorry to burst your bubble, but Romney’s health plan for Massachusetts when he was Gov. included an individual mandate. The ACA was modeled after Republic Gov. and he said the individual mandate was necessary for the success of the plan. He was right.

  4. Matt Noah

    If you like waiting in line at the DMV or DOT for licenses, plates, etc. then government control of healthcare will result in the same horrendous experience. In the DMV case, it is just a waste of time. In the healthcare case, it could mean death, disability or long lines for basic service.

    1. Matt 10:07 I just scheduled my annual physical. The Dr. is a standard family medicine guy. Six weeks out. The current system is frustrating. What would one be like if it were a national single payer run by Aetna? Maybe we will find out.

  5. John

    The sky is not falling.The sun will rise tomorrow. There is no heaven or hell. No angels, and I feel fine.The ACA will get many tweaks as it should have all along and it will constantly need them as we go along. The credit will all go to the gop but so what?

    1. Matt Noah

      Minnesota just had their annual ACA open enrollment and re-enrollment. Rate increases were astronomical. Minnesota came close to falling to the Donald. When Minnesota falls that hard, something is up .

      1. Matt 7:34 Minnesota just had their annual ACA open enrollment and re-enrollment. Rate increases were astronomical.

        There are millions of people who think they do not need health insurance. Many of them have been healthy. They calculate they will buy insurance after they are sick. If they were in the pool rates would be lower.

  6. Juan Ruiz

    The first clue that ACA was going to be a disaster, beyond the fact that everything the government touches turns to excrement, was Pelosi saying “We have to pass it to see what’s in it.” Perhaps its only benefit was pushing Dorgan, Conrad, and Pomeroy out of Congress.

    1. entech

      “Every thing the government touches”, I saw a cartoon in a paper a few years ago, it was about the legalisation of Marijuana which was being discussed at the time. The punch line, “keep the government out of it they make hash of everything”.

      1. Juan Ruiz

        I remember for decades people laughed at NORML, saying marijuana would never be legalized. What people never seemed to get is that if government gets a cut, all is legal.

        1. entech

          The story goes that when Faraday was demonstrating electro-magnetic induction to the Prime Minister, I think Disraeli at the time he was asked very interesting but what good is it, your last sentence reminds me of the answer. “Some day it will be used for something you can tax, then you will have your answer”.

  7. LP

    Everyone forgets, the ACA doesn’t help the poor or uninsured get health care, they get it and always have. The ACA is here to help the caregivers and insurance firms financially.

    1. Big Sur

      I’ve been in health care since 1965 and have this comment for you: bullshit!

      Cough up your credentials and experiences …

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