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View Full Version : The "Public Plan" Exists and It Doesn't Work



patriot45
07-23-2009, 11:32 AM
Well, well, how come I've never heard of this (http://townhall.com/columnists/TarrenBragdon/2009/07/23/the_public_plan_exists_and_it_doesnt_work?page=ful l&comments=true)? Probably cause I don't live in Maine!
Seems like they should be reporting what a fiasco this is.


What’s new in Washington, D.C. is old news in Maine. While Congress debates the merits of government-run plan as part of the Democrats’ health reform package, in Maine we are in year four of our state-level public plan experiment. It has been a costly failure.

Public-option advocates, including President Obama, House Speaker Nancy Pelosi and Senator Ted Kennedy, allege this type of health care reform will cover millions of uninsured Americans, reduce health care costs, and improve the quality of care available to American families.

In Maine, we were promised these same results a few years ago when Democratic Governor John Baldacci first proposed Dirigo Health, the first state-level universal health plan to pass in this decade. The core strategy was its government-run public plan called DirigoChoice, which took effect in 2005. Dirigo, Maine’s state motto, is Latin for “I Lead.”

Dirigo passed in 2003 with bipartisan support, based on promises made by the governor and other supporters of this big government overhaul. At that time, legislators and the public were assured the taxpayer-funded government-run plan would cover all 128,000 uninsured Mainers by 2009. Taxpayers were also promised that Dirigo would pay for itself by through savings government would create within Maine’s health care system and that funding for the program would never require new taxes or tax increases. Sound familiar?

Today, the year in which every uninsured Mainer was to be covered by this public-option plan, just 9,600 people are enrolled in DirigoChoice. Only 3,400 of those were previously uninsured at enrollment—a scant three percent of the total number of Mainers without health coverage. The remaining 6,200 Dirigo enrollees have moved from private health care coverage to the taxpayer-funded government plan. This high level crowd-out for Dirigo mirrors national figures for Medicaid and SCHIP.

To achieve these pathetic outcomes, Dirigo has cost state taxpayers $155 million over the past four years - a lot of money for a state with 1.3 million people. DirigoChoice’s premiums have skyrocketed 74 percent in four years – four times faster than state employees’ health premiums. DirigoChoice benefits have been slashed, with coinsurance increasing 20 to 30 percent). And the program has been closed to new enrollees for nearly two years. So much for reaching the uninsured.

To fill its funding gap, yet another promise was broken.

Read on (http://townhall.com/columnists/TarrenBragdon/2009/07/23/the_public_plan_exists_and_it_doesnt_work?page=2)

satanica
07-23-2009, 11:34 AM
Is it working in any of the other G-7 nations ?

Sonnabend
07-23-2009, 11:36 AM
Is it working in any of the other G-7 nations ?

Since when has government intervention been anything less than a total screwup?

Ranger Rick
07-23-2009, 11:37 AM
No.

patriot45
07-23-2009, 11:37 AM
Is it working in any of the other G-7 nations ?

Maine is a state. And apparently its not working in Maine.

PoliCon
07-23-2009, 11:40 AM
Doesn't work in the UK either if a guy has to use pliars to yank 13 of his own teeth because he can't get a GHS dentist . . . .

satanica
07-23-2009, 11:43 AM
Since when has government intervention been anything less than a total screwup?

It's already working ... http://www.photius.com/rankings/healthranks.html

To claim it can't work, when it IS working is absurd.

Sonnabend
07-23-2009, 11:45 AM
It's already working ... http://www.photius.com/rankings/healthranks.html

To claim it can't work, when it IS working is absurd.

"The nine most terrifying words in the English language are: 'I'm from the government and I'm here to help.'" - Pres. Reagan.

patriot45
07-23-2009, 11:47 AM
It's already working ... http://www.photius.com/rankings/healthranks.html

To claim it can't work, when it IS working is absurd.

From your link, blarch. Do try to keep up, its a failure everywhere.


The World Health Organization's ranking of the world's health systems was last produced in 2000, and the WHO no longer produces such a ranking table, because of the complexity of the task.

Ranger Rick
07-23-2009, 11:48 AM
No it's not:

http://freemarketcure.com/

satanica
07-23-2009, 11:51 AM
"The nine most terrifying words in the English language are: 'I'm from the government and I'm here to help.'" - Pres. Reagan.

"Reagan taught us deficits don't matter" -Cheney

Sonnabend
07-23-2009, 11:58 AM
"Reagan taught us deficits don't matter"

That's former Vice President Cheney to you, DUmmie.

Gingersnap
07-23-2009, 12:01 PM
All of the European nations are reexamining their current health care models because the existing models are unsustainable. Most of those countries actually have a sort class system when it comes to health care. Indigent people and the chronically poor are treated by the government. Working class people and most of the middle classes chose some health care from the government but use private insurance (when allowed) or cash payments to foreign clinics for other services. Wealthy people all purchase health care privately.

The best government model I have seen so far is in Singapore:


There are mandatory health savings accounts: "Individuals pre-save for medical expenses through mandatory deductions from their paychecks and employer contributions... Only approved categories of medical treatment can be paid for by deducting one's Medisave account, for oneself, grandparents, parents, spouse or children: consultations with private practitioners for minor ailments must be paid from out-of-pocket cash..."

"The private healthcare system competes with the public healthcare, which helps contain prices in both directions. Private medical insurance is also available."

Private healthcare providers are required to publish price lists to encourage comparison shopping.

The government pays for "basic healthcare services... subject to tight expenditure control." Bottom line: The government pays 80% of "basic public healthcare services."

Government plays a big role with contagious disease, and adds some paternalism on top: "Preventing diseases such as HIV/AIDS, malaria, and tobacco-related illnesses by ensuring good health conditions takes a high priority."

The government provides optional low-cost catatrophic health insurance, plus a safety net "subject to stringent means-testing."

This model has a lot of built in incentives to curb needless use by the "worried well" as well multiple options for treatment depending on the individual's wishes. You spend your account in a way that makes sense to you.

satanica
07-23-2009, 12:05 PM
All of the European nations are reexamining their current health care models because the existing models are unsustainable. Most of those countries actually have a sort class system when it comes to health care. Indigent people and the chronically poor are treated by the government. Working class people and most of the middle classes chose some health care from the government but use private insurance (when allowed) or cash payments to foreign clinics for other services. Wealthy people all purchase health care privately.

The best government model I have seen so far is in Singapore:



This model has a lot of built in incentives to curb needless use by the "worried well" as well multiple options for treatment depending on the individual's wishes. You spend your account in a way that makes sense to you.


If I posted this view I would be called a "socialist pig"

They spend 1.3 of GDP ...we spend almost 15%

I also support a strong public option plan. I am happy we agree.

Gingersnap
07-23-2009, 12:35 PM
If I posted this view I would be called a "socialist pig"

They spend 1.3 of GDP ...we spend almost 15%

I also support a strong public option plan. I am happy we agree.

How do you know that they don't think I'm a socialst pig? LOL!

Luckily, I don't care. While I personally prefer to keep government out of my life entirely as much as it is possible, if we are going to discuss any kind of government intervention in health care, I'd prefer this kind of approach.

I particularly like the individual accounts. If you are the kind of person who just has to drag themselves to the doctor for every cold and cough - you can do it but you'll pay. If you are the kind of person who avoids the doctor aside from necessary treatment, you'll have more money to spend on better accommodations or extras if you do need inpatient treatment. :)

satanica
07-23-2009, 12:38 PM
How do you know that they don't think I'm a socialst pig?

I can promise you that nearly EVERYBODY here thinks you are a socialist that wants to destroy the American way.

We don't need to ask ...you and I already know their views.

Gingersnap
07-23-2009, 12:39 PM
I can promise you that nearly EVERYBODY here thinks you are a socialist that wants to destroy the American way.

We don't need to ask ...you and I already know their views.

Not me, I'm happily non-psychic. :p

satanica
07-23-2009, 12:41 PM
Not me, I'm happily non-psychic. :p

"psychic"

They are posting their views in the threads on the forum.

No need to be 'psychic' ...just read a little.

Gingersnap
07-23-2009, 12:56 PM
They are posting their views in the threads on the forum.

Excellent! My nefarious plan to Mod a "discussion" board appears to be working. :)

satanica
07-23-2009, 01:06 PM
Excellent! My nefarious plan to Mod a "discussion" board appears to be working. :)

Ya ...right.

As the other mods call me stupid. http://www.conservativeunderground.com/forum505/showthread.php?p=160467&posted=1

BadCat
07-23-2009, 01:10 PM
Ya ...right.

As the other mods call me stupid. http://www.conservativeunderground.com/forum505/showthread.php?p=160467&posted=1

She would too, but she's a lady.