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Barack Obama  |
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Rob Kailey is a working schmuck with no ties or affiliations to any governmental or political organizations, save those of sympathy.
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Sat Jul 18, 2009 at 12:02:07 PM MST
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| I try to avoid posting too much on what I actually think on health care reform because my opinion doesn't really matter much (1 of 300,000,000 syndrome, we'll call it). But the DeLong framework strikes me as interesting, partly because it looks like something I suggested some time ago.
If we're serious over the long-term about health, cost reduction, and financial security, some mix of - universally provided (and heavily pushed) primary care through a NHS model
- HSAs funded through refundable tax credits with auto-deposits into retirement accounts if money is unused and
- a single-payer high deductible insurance system that insures everyone against financial ruin in the face of accidents.
would work pretty well. Biggest dangers here are that the primary care system would either be narrowed too far or expanded too much, but the principles of it make a ton of sense to me. They did years ago and they still do.
Of course, I haven't really thought through how this system would integrate with the ideas of health homes and other innovations beyond the fee-for-service structure that we're now discussing. It is possible (and quite believable) that the bills being discussed in Congress are better than this little system that I dreamed up at the age of 22.
As noted above, my opinion doesn't mean much, so I'll keep advocating for the Baucus/Obama/Kennedy/House framework that also strikes me as pretty smart, just as I would probably be advocating for single-payer if it had the momentum right now. Mark T called me malleable in comments as though it was an insult. I'm taking it as a compliment. |
| Matt Singer :: A (Mostly) Meaningless Post on Health Care |
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