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echo: all-politics
to: MIKE POWELL
from: ALLEN PRUNTY
date: 2017-04-08 18:49:00
subject: Republican Opposition To

  Re: Republican Opposition To
  By: Mike Powell to Bill McGarrity on Wed Mar 29 2017 04:34 pm

 MP> I know it has its problems, but a lot of money has been spent on getting
 MP> it to where it is. I would rather see them improve it and that money not
 MP> be wasted.

I do lean towards the Conservative side, but as you have said there has been a
lot of money spent on it... but that does not necessarily mean that the money
was spent on the right things.  What a lot of people don't understand is how
insurance is based on risk management.

For instance the biggest liberal complaint with women was that Men pay a
disporportionate amount for their health insurance than men do.  Women have a
disporprionate risk than men do... their "reproductive" systems have much more
to go wrong with it than the male system, plus the cost of childbirth.  I can
understand childbirth expenses being charged porportionally towards the
man/woman family unit, but many children are now born to females who either
don't know who the father is or choose not to list one on the birth
certificate.

The risk is far greater to insure a female than a male just on this alone. 
Females are more likely to have certain cancers than males... but the answer
was to "equalize" the expense between male/females and spread it out to the
young healthy by forcing everyone to have health insurance.

Unfortunately this did not happen... to equalize the male/female cost of
healthcare, somehow the price for men was raised and the ladies are saving
nothing.  By forcing younger healthy people to get health insruance to offset
the costs of the sick and old it should have lowered health care... but it
didn't.

By eliminating risk and pre-existing conditions someone can theoretically go
sign up for health insurance the day that they are diagnosed with cancer and
then have all their bills paid for.  That's not what risk management is
designed to do.  The insurance companies are further forced to pay out for
pre-existing conditions that have long went untreated.  Suddenly more people
had serious conditions paid for (and I'm all about everyone having a right to
have their health screened) because of screening for health that was delayed
for a long time.

Our own state should be a beacon of how the ACA has failed.  All major
insurance companies except for Anthem has pulled out of the ACA market for out
state.  Our state had a sudden epidemic of lung cancer... Kentucky is the state
that has the HIGHEST number of smokers.  Our state has been one of the higest
states to tap the medical system for care.

While I agree, we should "fix" whenever possible the question is not if it
should be fixed... but if it CAN be fixed.

I think that we have reached a point where it just can't be fixed... and the
only solution at this point since the populace is now mostly given free
healthcare through Medicaide is to scrap it and move towards a single payer
system.  I know this is not the conservative mindset, but the damage has been
done to such a degree I don't think we can ever return to a true risk managment
based system.

Allen

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