Nobel-prize winning economist, Ronald Coase, explains Obamacare by comparing it to farming. Farming doesn't seem too hard to understand, right?
If one farmer's cattle tramples his neighbor's crops, is it the cattle owner's fault? Coase says there are two ways to look at this situation. If the law requires fencing to keep the cattle off the neighbor's land, there are fencing costs imposed on the cattle farmer. If the law says he can let his cattle roam free, there is the social cost of possibly trampling his neighbor's crops. Either way, he pays a price.
When it comes to healthcare, if the law says everyone must purchase healthcare, those that get sick are in essence "fencing their land." They are being responsible for their own costs.
Currently, those that get sick cannot afford to pay, and go to the emergency room, are treated, and the cost is passed on to everyone else. This is the social cost Americans are burdened with today.
Would you want your neighbor's cattle stomping around on your crops? That's essentially what is happening today with healthcare. Every American should be outraged at the costs being passed down to them and be in full support of Obamacare.
The Supreme Court case about Obamacare is calling the legislation a violation of civil liberties. Hogwash! "All the highfalutin' talk of the precious liberties at stake is an irrelevant, if highly effective, distraction," say authors Kevin Caves and Einer Elhauge.
So, who should the healthcare mandate fall on? The insured paying for the uninsured, as it is now? Or on individuals being personally responsible?






Comments: 45
That doesn't carry a lot of weigh anymore.
Nobel Prize Winner aside, cattle, fences and food crops, has got to be the worst analogy I have ever heard in my life on any subject of debate.
Every American should be outraged at the costs being passed down to them and be in full support of Obamacare.
My sentiment exactly !!!
Well, I didn't make it up but it does make sense.
Both the left and right agree Obamacare needs to be repealed, it's just that the right says repeal it all at once, the left says do it one waiver at a time, based on how much genuflecting you do The Great and Powerful Emperor Zero.
Excuse me, but am I to assume/understand from your comment that you would let a person with an illness or an injury go untreated because they are poor, indignant and/or living in poverty and thereby, can not pay for the needed medical services ?
If yes, what kind of ethical logic is that, better still, what kind of humanity is that, even more to the point, what kind of person are you? Do you really believe that such an attitude as you are displaying here on Gather News with your heartless comment, is morally acceptable in any civilized society ?
Further, from your statement, I would also be led to assume that there is no one in your family and/or among your close friends who are one of the 18 million people who are currently out of work and thereby, having to depend on social programs for their daily needs. Again, I must also assume there are none who are indignant, none which are senior citizens living on a fixed income, none which are living below the estab lished poverty level ? Such would mean and/or lead one to also assume, that all of your family and close friends are financially able to pay out of pocket for any illness and/or injury which may befall them. (hard for me to believe, knowing how prevalent and wide spread poverty is today)
Do you not personally know or know of, any indignant or poverty level person or people ? If no, then you are either living in Mitt Romney's neighborhood or you must be a total recluse and/or a person who shuts his eyes to that which he does not want to see.
The last report by the HHR Agency flatly stated, that one (1) out of every five (5) children live below the poverty level and are not assurred of having a meal to eat on any given day. Even with all the social programs we now have there are children and senior citizens who die each day because they do not receive proper medical treatment and you, if you were to have your way, would have even more people put into the same situation of death and dispair.
It would seem that as an American, even if you do not like ideological Liberal minded people and/or the President of the United States, as is somewhat apparent by the tone of your written comment, you would still have feelings of pity for those who are far less fortunate in life than you.
So, the cost of insurance for an individual is LESS under Obamacare that it would be without it. I simply don't believe otherwise, based on my experiences with the healthcare system to date.
Further, I would also pose the question, if Christianity was the basic foundation of our country and was a basic part of it's citizen's moral ideology, I would ask, what foundation does our country rest upon today and what is the moral character of our people ??????????
I am of the belief that our country was established on the premise that we did not want to pay taxes to England since we had no representation in/on his Majesty's Lord High Court.
I guess that could be considered as enlightenment philosophy, kinda like, half a dozen of one or six the other, whichever is the more enlightened reasoning to the individual.
As to the idea that our country was founded on Christianity, I don't consider that as being BS, only as being Religious dogmatic rhetoric, spoken to make one feel good about their faith.
(1) Obamacare includes a tax on makers of medical devices. Even if they can afford the tax, they are likely to pass on the cost directly or indirectly to the people who need their products. Consequently, those in need of the devices will see the costs of their health care go up in one area.
(2) The New England Journal of Medicine surveyed doctors and found that a significent percentage of them would consider quitting their profession if Obamacare is approved. I suspect that most of them will not actually do so, but considering how many people are reaching their retirement age and approaching the end of their lives, when medical care becomes more important (a large percentage of medical expenses are incurred during the last year of a person's life), the last thing any government should be doing is passing a bill that may cause fewer people to become family physicians. You do not reduce the supply when the demand becomes greater.
(3) Obamacare does not do anything to reform our malpractice laws. One big expense for doctors is malpractice insurance. If you can make frivolous malpractice suits less likely, you will reduce the cost of their insurance and some of that savings will eventually be passed on to patients.
(4) Most diseases (more than 60%) result from inappropriate human behavior and Obamacare does not do a great deal to cause people to change their lifestyles for the better. If the people in his administration had any sense, they would realize that the costs associated with health care in America could be dramatically reduced at very little cost, which would then make it possible for insurers to eventually reduce their premiums. All the administration needs to do is produce many really good public service announcements stressing the importance of eating foods that are high in fiber. Public service announcements were very influential in getting people to stop smoking: Before they were utilized more than 50% of American men smoked; now that figure is somewhere in 20% - 25% range.
(5) The bill does not really address the question of whether indemnity insurance with riders will be considered sufficient coverage. Many people really need nothing more than indemnity insurance and one or two good riders. The issue of indemnity insurance is important because health insurance is and will continue to be far more expensive than indemnity insurance for people past the age of fifty. I, for example, can save more than $150 a month by having indemnity insurance in lieu of health insurance.
1) Provides coverage for people with a pre-existing condition
2) Developed the National Prevention, Health Promotion and Public Health Council to promote healthier living and lifestyle choices (BTW - This negates your point #4)
3) Allows dependents to be on their parents' insurance till age 26
4) Prevents insurance companies from setting a lifetime limit on insurance coverage
5) Insurance companies cannot drop you for being sick
6) Medicare coverage is extended to small, rural hospitals
7) No copays for preventative care
8) Women's Preventive Services – including well-woman visits, support for breastfeeding equipment, contraception and domestic violence screening – will be covered without cost sharing.
9) And a slew of regulations to keep insurance companies from screwing over their insureds.
The government has for a long time had these grand ideas about how it is going to make people eat healthier food. As a result, we see what percentage of vitamin A is in this product and what percentage of vitamin C is in that one. We see which frozen food product has lots of calcium and which provides us with some magnesium. In a country like Japan, where I lived for eleven years, the people don't get anywhere near the amount of nutritional information on their products that we get. Consequently, Americans should be eating much healthier food than the Japanese. Right? Wrong! The Japanese have one of the healthiest diets in the world, one that is much healthier than ours!
Second, I do not think that turning a 26-year-old ADULT into a DEPENDANT is such a great thing. If I could afford medical insurance and pay for my education at a very expensive private university (George Washington University), someone today should be able to do the same. Medical insurance for young people is far less expensive than it is for older people.
Third, if you eliminate lifetime limits on coverage, only the really big insurers will survive. Also, very few people would be willing to start up a new insurance company because they know AIDS-related, COPD-related, and cancer-related expenses over a long period of time could decimate them. Blue Cross/Blue Shield would love your business ideas! All their competitors would probably go belly up!
Fourth, "a slew of regulations" is not necessarily a good thing. Regulations are usually the result of aggressive lobbying by one company that wants to prevent its competitors from capturing part of its market. I suggest that you read some works by economist George Stigler. Every single regulation he studied was the result of one company's lobbying the government in an attempt to stifle competition. Do you know who was behind the effort to demonize eggs and cholestorol? Kelloggs, the cerealmaker.
I could go on and on, but I have a feeling that your mind is made up and you will not change it no matter what you read.
I don't necessarily think a 26 year old should be considered a dependant or that regulations are always a great thing.
I do believe that everyone should have healthcare coverage and should not have to worry about how they are going to pay for it. People should not have to make the decision about whether to pay their mortgage or stay alive by getting a medical procedure. It's morally wrong.
You can't regulate people's morals though either.
I still think Obamacare is a good first step to getting the inflated medical costs in this country under control. Is it perfect, no.
But do I think the whole thing needs repealed? Hell no.
We've got to start somewhere.
So, insurance companies should only cover healthy people? And when they get cancer or aids, they should die if they cannot afford coverage? That is NOT the purpose of insurance.
That's why we pay a monthly premium for insurance. What about the healthy people who pay their premium for decades and never even use 1/10 of the benefits? The insurance companies should be smart enough to figure out what they need to charge as a premium to cover everyone's healthcare within the pool -- and believe me they ARE smart enough to figure this out. There are complex algorithms used to calculate every type of insurance premium.
Knowing that, how could an insurance company lose money?
What is moral about insurance companies and banks making record profits while more people fall below the poverty line?
What is moral about banks sidestepping the controls of Dodd-Frank (meant to decrease their huge bonuses and profit margins to equal things and regulate their haphazard hedging that almost caused a financial collapse) by adding additional fees passed on to consumers to make up the difference? The banks executives are unwilling to just make a decent living, they want to remain elitists. To keep their status, who is getting hurt? The middle class.
The middle class can't be squeezed much more in this country. There's hardly any juice left there.
An insurance company could lose money the same way any other company does. It charges too high a price for the service it provides and then loses customers. After losing those customers, it no longer can make a profit. Once it cannot turn a profit, it either goes into debt, goes bankrupt (if the situation is really bad), or sells its business to a competitor.
Companies go out of business all the time. Why do you think insurance companies are any different? If the insurance business was without financial risks and nobody ever failed, you would see more people starting such companies?
"What is moral about insurance companies and banks making record profits while more people fall below the poverty line?"
What is moral about the government forcing insurance companies and banks to surrender a large portion of their profits to solve problems they did not create? When a single woman gets pregnant three or four times out of wedlock and the result is that she ends up in poverty, the insurance companies and banks certainly should not be penalized. The person (or persons) who should pay the price are the guys who impregnated the woman.
Also, record profits means record gross profits. It does not mean record profit margins. Many companies that show huge gross profits on their balance sheets actually have very small profit margins. Fast food restaurants often make much money, but their profit margin is small. Consequently, their room for error is small. This year they might make $120,000,000,000 even though their profit margin is only 2% because they sell a zillion burgers. But two years later they could lose the same amount if the public decides that the new fast food place has better burgers.
What you don't seem to realize is that each company has to make lots of money when the going is good in order to stay in business when the economy tanks. Another problem is that businesses are often cyclical in nature because they are seasonal. Think about some little local landscaping business in Connecticut that makes its money by mowing lawns, weeding, pruning, .... It may make way too much money for your liking in spring, summer, and early fall, but what will happen to it in early January when half of the state is covered with five inches of snow? It has to make much money during its peak seasons in order to survive when it has no work and no income during the winter.
I believe the healthcare costs are inflated. I also believe the numbers we are given (for annual nationwide insurance premiums, provider costs -- especially provider costs, medication costs, etc.) are wrong. I think the insurance companies can absorb the cost.
It reminds me of the Dodd Frank bill -- that puts a lot of much needed regulation on Wallstreet. It also took away some of the fees that contribute to the record profits that banks were making. The banks can absorb that and lower their executive bonuses by a few hundred thousand. But instead, they impose additional fees on the consumer to make up the difference. The government smacked their hand and they turn around and hit the consumer over the head with a bat. This is why the Occupy Movement believes the rich get richer and the poor get poorer. The banks should not have been allowed to add those fees. They should take their punishment and move on. But instead, the bullies that they are, they pass the punishment on to the consumer. It's crap!
http://www.psychologytoday.com/blog/wired-success/201103/are-americans-getting-dumber
The President should be smarter than anyone else in the country. He's making the decisions that affect us all. He should also be surrounded by equally intelligent people to advise him in all areas of running the country.
I believe his intelligence is yet another reason the right hates him so much. Humans hate and fear what they don't understand.
So, the goal is to address the uninsured, those with pre-existing conditions, etc. and those of us with jobs and health insurance through our employers don't see a change. I know I have not. Other than my employer setting up a high-option plan and a low-option plan. I have to send in a blood sample and fill out a questionnaire to get on the high-option plan with a slightly lower premium.
Personally, I think healthcare costs are inflated and we aren't shown the REAL numbers. The doctors charge these HUGE bills --- of course Medicare isn't going to pay that! It's inflated to 3 or 4 times the actual cost of the services provided.
Then the insurance companies make a deal with the provider and pay them usually about half (or so it seems on some of the statements I've seen). The whole billing system is what needs reformed. Then over half of the Obamacare legislation is obsolete.
And you can get your medical bills paid if you walk into the welfare office and give them some kind of sob story that you're unemployed, desolate, depressed...I don't know what they say but I know one 18 year old who attempted suicide by taking their whole bottle of anti-depressants. They got a $20,000 hospital bill after their stomach was pumped and that person went to the welfare office and got the whole bill paid. Just like that.
I've never been so fortunate (or unfortunate) to have any of my bills paid either.
I feel that this legislation will, hopefully, eliminate the working person from getting a huge medical bill with no health insurance and getting it paid at the welfare office.
The case I described is because of a stupid choice. But many people are one legitimate accident away from either losing everything or walking into the welfare office to get the bill paid. It has to stop.
I also wonder, if it legitimately costs that much, why the huge difference in reimbursement?
And this is also a great example of the costs being passed down by someone who cannot or does not pay (in this case Medicare) to the paying insured (you or me). The doctor's office undoubtedly charges more for other things to recoup some of that loss, right?
So, if everyone had insurance -- that actually paid for their services -- it's more fair than having someone else's costs passed down to the paying customers, don't you think?