health care

Improved Health Bill

"Repealing" Obamacare is only a first step.

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The House repealed Obamacare!

OK, they didn't really—but they passed a bill that repeals some bad parts of it, like the individual mandate tax, medicine cabinet tax, flexible spending account tax and health savings account withdrawal tax. Good.

Now the Senate will create its own bill and ask the Congressional Budget Office if the House bill will save money.

But Obamacare was so bad, I fear these changes are just Band-Aids on a collapsing system. Instead, the Senate should pass my seven-point plan:

1. Repeal Obamacare, all of it.

With premiums soaring and insurers pulling out of Obamacare, let's start from scratch with something better.

2. Repeal all regulations and tax breaks that encourage people to buy group insurance instead of paying for health care directly.

Insurance is sometimes needed, but insurance is a terrible, bureaucratic way to pay for things. If we pay our own bills, competition will explode and prices will drop.

3. Abolish Medicare.

This won't happen, I know. We old people love Medicare; it makes so much health care seem free. We are also more likely to vote, and math-challenged activists from groups like AARP convince old people that no cuts are needed.

But that's a lie. Medicare and Social Security are unsustainable. They will bankrupt America. Then few of us will get help we desperately need.

Since politicians won't touch these "entitlements," we'll have to keep them for those already in the system. But phase out everyone younger! Liberate people to shop around, so we can all benefit from price competition and new treatments.

4. Abolish Medicaid.

Why force poor people into one government-run bureaucracy? Ideally, private charity will take care of those who cannot pay for themselves. If you don't believe that will happen, give the poor money or vouchers and let them decide which things to spend it on.
The poor have a wide range of preferences just like the rest of us. We give people food stamps—but we didn't create a single food-provision bureaucracy. Medicaid's one-size-fits-all rules help the poor less than they help bureaucrats and crony businesses connected to government.

5. Don't punish private spending.

If an employer buys your health care, it's tax-free, but the feds take a huge cut. End that, so that individuals buy their own insurance. Pushing them into group plans is not fair. It also distorts the economy by locking people to their jobs. Moving toward individual Health Savings Accounts would be a step in the right direction.

Better still, end rules that restrict private care. Instead of celebrating those who try to provide health services, government wraps them in red tape. Set them free to do good works.

6. End government subsidies for hospitals.

Hospital prices skyrocketed once the government started subsidizing them and dictating how they must operate.

No matter how much business hospital owners and managers lose because of unhappy (or dead) customers, they'll remain stagnant as long as they can keep sucking up government money and as long as government rules make their decisions for them.

7. End government subsidies for scientific research.

People think we need government for "basic research," but they're wrong. The profit motive isn't perfect, but when the market funds research, you get more innovation—like faster mapping of the human genome.

The sad truth is that the National Institutes of Health has become like every other bureaucracy. Most grants go to researchers like my older brother, Tom. He's brilliant, but he's 75.

NIH's risk-averse grant evaluators feel safer giving money to applicants with long track records. But most innovation comes from young people. Mark Zuckerberg was 19 when he started Facebook. Apple's Steve Jobs was 21. Google's Larry Page and Sergey Brin were 22.

People assume the NIH research brings us most new treatments and drugs, but that's not true either. To quote my brother from this winter's issue of National Affairs, "Three separate analyses concluded that 85 percent of the drugs approved by the FDA since 1988 arose solely from research and development performed within … industry."

We are safer if we free the market.

COPYRIGHT 2017 BY JFS PRODUCTIONS INC.

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  1. I sometimes think there must have been some weird magic escaped in the world when Jimmy Carter deregulated trucking and the airlines. Everything else seems like a downbound train rushing to add more and more regulation, as if each new regulation translates directly into votes.

    I’d love to get government out of healthcare insurance and provisioning. But it’s just a pipedream, as much as getting the government out of any area of daily life.

    1. I’m making over $7k a month working part time. I kept hearing other people tell me how much money they can make online so I decided to look into it. Well, it was all true and has totally changed my life.

      This is what I do..,..,.,.,.. http://www.webcash10.com

  2. Add Stossel to the growing list of anti-government goobers.. Repeal, wave a magic wand and free markets will allow you to write a check for a heart transplant. But that’s ANTI-market, all you can get by hating government.

    Gubmint haters seek to destroy, not create. Repeal don’t replace. But even that means ELECTING A CONGRESS! Which they also ridicule. Will they do all this as a dictatorship, run by their 1% of the population? Who knows?.

    Liberty lovers BUILD and CREATE, which here means restoring the free market we had until LBJ, for the poor. First learn what the market OUTCOMES were, THEN how to restore that.

    We had UNIVERSAL TREATMENT ? for anyone who couldn’t pay, provided by Charity Hospitals financed by a charities, individuals and collection plates. We say progressives confuse coverage with treatment, but Stossel ignores treatment entirely. The entire private infrastructure will magically reappear. Just get rid of government, which is WHY progressives are kicking our ass.

    Liberty lovers work to RESTORE private charities, which requires rebuilding infrastructure, which requires THOUGHT and PLANNING. We need to transition dollars, paced to the needs of rebuilding, Repeal can’t do that. Or anything.
    .
    Progressives are the ONLY ones CLAIMING they can deliver what people want, and have ALWAYS been willing to pay for. So they’ll keep kicking our ass. Because we have NOTHING. Now read Stossel again on Medicaid.

    1. Huh. Half your paragraphs praise private charities, ie a market solution, the other half want government.

      Then there’s the all caps.

      Your weird.

      1. It’s not so much the lack of direction that bothers me about its posts. Only the compulsive need to capitalize/bold random words. Very distracting habit for already goofy posts. But it adds character to the internet i suppose.

        1. capitalize/bold random words

          They aren’t random words. And it’s a VERY common technique. They mean emphasis in typed words, which is the same as verbally emphasizing spoken words.

          That means if you were reading this paragraph aloud, you’d apply voice emphasis to the capitalized words.

          “Liberty lovers BUILD and CREATE, which here means restoring the free market we had until LBJ, for the poor. First learn what the market OUTCOMES were, THEN how to restore that.”

          There are three ways to do this. Italics is the most common in the printed word, boldface is less common. . I’m sure you understand the italics here.

          “Some think the emphasis should consist of reversing the letters of fhe word. but the correct way is to emphasize the letters of that word.

          But those italics, typed into a text box like this requires typing seven extra characters for each word or phrase — computer code, so readers don’t see the added characters. In typed forums like this, we often see CAPS, because it’s much faster and easier.

          In typesetting and web design, italic is even CALLED emphasis — like the verbal it simulates.

          Perhaps you may be new to this type of online forum. Any questions?

      2. I’m callng you out

        NO paragraph … and not a single word … “wants government.”
        .
        Who are you to defy the will of the people .. and the known outcomes of a free market?
        You authoritarians are why progressives are kicking our ass.

        1. Scarecrow — called out as a bullshitter …. FAILS TO SUPPORT HIS AGGRESSION AND BULLYING.
          Just another thug

          (boldface for obvious reasons)

    2. Hihn, for the love of God get back on your meds.

      1. Bully!

      2. Hihn, for the love of God get back on your meds.

        I am deeply sorry,
        It was never my intention to violate your safe zone and trigger you. I never imagined there’d be any precious snowflakes on this site.

      1. Count them, just above you.

        1. You talking about the gold you extract from your nostrils before typing your next bitch-fit?

          1. (boldface in response to aggression by a serial stalker)

            before typing your next bitch-fit?

            YOU just threw a bitch fit, chump. (smirk) I’m an adult. I type content.and iideas.
            Unless assaulted;.

            I use boldface in defense of aggression, and to draw attention to me ridiculing you.

            (Red Rocks — has been stalking me for months — mayl now throw ANOTHER bitch-fiit, ridiculing that I had humiliated him.. denying what is in plain sight. He threw a bitch-fit (snicker) .. while stating my “next” bitch-fit when I had done NONE. Cyber-bullies are often also psychos.

            QUICK-SCAN THE THREAD. IS THIS HIS FIRST COMMENT? DID ANYONE MENTION HIM?
            SO WAS THIS AN UNPROVOKED ATTACK?

            You talking about the gold you extract from your nostrils before typing your next bitch-fit?

            Is HIS unprovoked attack one definition of AGGRESSION?
            Is it BULLIES who initiate aggression?
            Are you laughing that anyone would launch aggression. on a libertarians website! (or are you unaware of the Non Aggression Principle that he just shit all over?)

            Is this response in self-defense of :”aggression” by a “bully” … and is “extracting gold from my nostrils” an assault you’d expect from an adult … or from a 12-year-old (who giggles when he types that stuff)?

            Will he now PUNISH me for giving him backtalk? Then also becoming a thug?
            And if he does punish me, read again the next line.
            Bellowing Blowhard,

            1. [Calls other people snowflakes]
              “Help! I’m being assaulted by mean words on the Internet! NAP! NAP!”

              1. [Calls other people snowflakes]
                “Help! I’m being assaulted by mean words on the Internet! NAP! NAP!”

                Dumbfuck denies the existence of verbal aggression and cyber-bullying. Because cyber-bully

            2. “POOR ME I’M SO OPRESSED!! I HAVE TO WHINE ABOUT STALKERS BECAUSE I’M SUCH A MEWLING CANDY-ASS WHILING USING UNSOURCED LINKS AND SELF-REFERENTIAL POSTS AS CITATIONS OF EVIDENCE!!”

              1. Behold the asshole — DEFENDING his right to launch aggression as a bully

                “POOR ME I’M SO OPRESSED!! I HAVE TO WHINE ABOUT STALKERS BECAUSE I’M SUCH A MEWLING CANDY-ASS WHILING USING UNSOURCED LINKS AND SELF-REFERENTIAL POSTS AS CITATIONS OF EVIDENCE!!”

                Just how fucking stupid can he be?

                Well ….. (laughing) … Linking to PROOF that he’s an lying sack of shits is …. wait for it ,. “self-referential?”

                Translation.
                1) I jam it up his ass.
                2) He denies it
                3) I link to the proof.
                4) “Self-referential” …. BECAUSE I jammed it up his ass.!!!

                HE BRAGS ABOUT BAITING AND INCITING .,.. WHILE DENYING HE’S A BULLY … BOTH AT THE SAME TIME!!! (sneer)

                Does he claim Jews were “whining” about …. Auschwitz? (shudder)

            3. Will he now PUNISH me for giving him backtalk? Then also becoming a thug?

              ::Backtalks as SOP, screeches like a harpy when the same is done to him::

              1. i’M CALLING OUT RED ROCKS AS A LIAR. AGAIN.

                Will he now PUNISH me for giving him backtalk? Then also becoming a thug?

                yesssss! (he can’t help himself, have pity)

                Will he now PUNISH me for giving him backtalk? Then also becoming a thug?

                ::Backtalks as SOP, screeches like a harpy when the same is done to him::

                PROVE IT you pathetic piece of shit.
                (kneeing you in the balls is NOT screeching)

                Now TWO bulllies PROVEN as liars — Red Rocks and Scarecrow.
                The Authoritarian Mind shouts down dissent — like Hitler’s Brownshirts and tyrants throughout human history. The militant self-righteous

                1. PROVE IT you pathetic piece of shit.
                  (kneeing you in the balls is NOT screeching)

                  Hihnsanity REEEEEEEEEEs some more, everyone! He spends all day shitposting, but he sure does entertain with his autistic screeching!!

                  (skips away guffawing)

                  1. CALLED OUT AD A LIAR … RED ROCKS FOLDS LIKE A CHEAP SUIT

                    (skips away guffawing)

                    Coward skips away from proving his aggression and bullshit.

                    BULLY: ” Backtalks as SOP, screeches like a harpy when the same is done to him::

                    PROVE IT you pathetic piece of shit.
                    When did I do it?

                    (posted in defense of repeated aggression and lies by a cowardly serial stalker and bully)

                    1. “WATCH ME AUTISTICALLY RESPOND TO EVERY POST BECAUSE I CAN’T HELP MYSELF REEEEEEEEEEEEEEE!”

                      (charlestons away giggling)

                    2. “WATCH ME AUTISTICALLY RESPOND TO EVERY POST BECAUSE I CAN’T HELP MYSELF

                      We’ve noticed. (lol)

                      All these assaults are because I called the snowflake out as liar, in his unprovoked assault


                      https://reason.com/archives/201…..nt_6841899

                      RED ROCKS : ” Backtalks as SOP, screeches like a harpy when the same is done to him::

                      PROVE IT you pathetic piece of shit.
                      When did I do it?

                      Piece of shit REFUSES to prove assault.
                      REPEATED aggressions for calling him out as a liar. ALSO because he can’t help it?

                    3. Can’t we, for the love of God, just stop feeding this thing?

                    4. Tell that to the psychopathic aggressor. It began way back here.

                      https://reason.com/archives/201…..nt_6840877

                      Four assaults — all based on lies.
                      And punishing me for … self-defense.

                      Also blame Reason, the only major political website that refuses to monitor its comments, the only Safe Space for cyber-bullies. They SAY they’re defending free speech … by leaving their visitors defenseless against the Thought Police/

                    5. All these assaults are because I called the snowflake out as liar, in his unprovoked assault

                      “WORDS ARE VIOLENCE REEEEEEEEEEEEEEEEEEEE! I’LL HAVE TO RESPOND TO THIS POST TOO BECAUSE I HAVE NO SELF CONTROL REEEEEEEEEEEEEEEE. SOMEONE MIGHT SEE ME NOT GET IN THE LAST WORD ON THE INTERNET REEEEEEEEEEEEEEEEEEE.”

                      (hops away snickering)

                    6. I’LL HAVE TO RESPOND TO THIS POST TOO BECAUSE I HAVE NO SELF CONTROL

                      You also lack a conscience.

                      All these assaults are because I called the snowflake out as liar, in his unprovoked assault

                      “WORDS ARE VIOLENCE

                      Uhhh, no, Sluggo.

                      “Help! I’m being assaulted by mean words on the Internet! NAP! NAP!”

                      Dumbfuck denies the existence of verbal aggression and cyber-bullying. Because cyber-bully

                      Still more verbal aggression
                      1) Launch personal attack stating a lie (three times)
                      2) Called out as liar. “Prove it.” (three times)
                      3) Punish for calling him out as a liar (8 times)
                      RAGING bullies be psycho.

    3. The entire private infrastructure will magically reappear.

      I would submit this country’s various black markets are evidence that private infrastructure wants so badly to appear that it does so even when government isn’t removed from the equation. There’s nothing magical about it. I have no doubt treatment options will be there.

      1. The entire private infrastructure will magically reappear.

        I would submit this country’s various black markets are evidence that private infrastructure wants so badly to appear that it does so even when government isn’t removed from the equation.

        How many black market charities, hospitals, churches and physicians do you estimate exist now?

        I have no doubt treatment options will be there.

        Perhaps if you understood what the infrastructure consisted of … and that it originally required over 50 years to be created the last tiime? And from where will consumers get the money? Without disturbing current care?

        For example, there is now little or no correlation between charity hospitals and physicans versus where Medicaid patients are being treated now. So we have to shift millions of patients, and unknown numbers of staff and equipment. Will you just wave your hand and say “the free marker will handle it” (which took over 50 years for a MUCH easier task originally) And if that’s your answer, what percentage of voters will believe you?

      2. Oh, I’m sure that folks with cancer would look forward to the “black market” treating them …

    4. “…have ALWAYS been willing to pay for.” Aaah. That explains the $20T national debt.

      http://www.usdebtclock.org/

      1. “…have ALWAYS been willing to pay for.” Aaah. That explains the $20T national debt.

        Who told you that the national debt was created by private charities?
        And that we now have universal treatment?
        And why did you believe them?

  3. No John, we won’t go bankrupt – but our living standards may deteriorate so much – for a while – that it will be painful to many – but bankruptcy is the wrong description. The federal government cannot run out of money – we have fiat currency system.

    The risk is harmful inflation – i.e. hyperinflation. Will our currency soon be worth so much less that a loaf of bread will cost $100? I doubt that will happen in John’s lifetime, or mine, or pretty much any adult reading Reason online. We have lots of deflationary and disinflationary forces going on now – and have had for a while. Also, let’s think about how much value the dollar has lost in the past 100 years – while living standards have improved dramatically.

    John would do better if he’d learn the proper operational framework of our monetary system. Then he’d be in a better position to make policy suggestions that will hopefully, in the long term, not significantly harm our living standards (or impede the gradual progress of improving living standards). That’s really the challenge – not “bankruptcy”.

    1. lol. look out! the MMTers are here.

      tell me more about your magic money from the sky.

      1. tell me more about your magic money from the sky.

        (lol) He spoke AGAINST inflation, even hyperinflation!! (Murray always was a retard)

      2. I’ve moved past the MMT group, but what they do get right is the fact that the federal government cannot run out of money. As I’ve tried to communicate – hyperinflation may happen one day – and it would be awful – but the printing presses (so-to-speak) won’t stop creating more currency. No magic required.

    2. When Chinese currency starts looking better than US dollars, they most certainly can run out of money.

      1. You’re not grasping the operational reality of our system. Hyperinflation may happen – and it would be awful, but that is not the same as running out of money.

    3. Actually hyperinflation would definitely bring back American jobs, so the Trumpists should like it!

  4. Stossel is right–except with respect to subsidies for group insurance. True health insurance should pay for fortuitous events, which means that an unregulated insurer would not insure someone with a significant pre-existing condition without excluding the condition or charging a premium that covers the foreseeable cost of that condition. But there is no way politically to have a world in which people with significant pre-existing conditions do not get the care they need, which means that someone needs to pay for it. The way to solve this problem is to expand the tax treatment of guaranteed-issue policies necessary for employers under ERISA to group policies issued to members of organizations if they are guaranteed issue, but to leave the parameters of coverage unregulated. Organizations like AAA, churches, fraternal organizations could sell health insurance, much like AARP already sell Medi-gap policies. Under such a scheme, a person who belongs to a number of organizations could choose the policy they wanted from the organization they choose with the policies options most suitable for them. Their pre-existing condition would be baked into the cost, much like it is for an employer-sponsored plan. Premiums would be higher than for an individually underwritten plan, but the tax subsidy would make offset higher costs for most folks.

    1. It’s possible to buy reinsurance on individuals, not just the insurance pool.
      We launched that in the late 80s, when I was on a school board.
      Most boards in that part of Ohio had self-insured plans for the vast majority of expenses (cash no insurance) with reinsurance over a certain amount for the entire group, Hypothetically, if the employer budgeted $1 million of risk, they cash reimburse all claims up to $1 million, and “reinsurance” would “insure” claims above the million.

      A new and better alternative popped up where we could reinsure individual employees. If only one employee went over an individual amount, we’d get the overage reimbursed for that one employee, even if the group total stayed under the hypothetical $1 million. I’m still researching if we could use that same mechanism for high-risk pre-existing. conditions. For reinsurance, the group pool is a group of employers, not a group of employEES. This spreads the risk a lot wider.

  5. As a libertarian I sort of agree with the points. From an ideological perspective. But as someone who knows a tiny bit of marketing, it’s terrible. None of them will ever pass. Besides, you can’t manage with seven bumper sticker slogans what took over more than a century to get into. We need to change directions before we pull the poor off of the life support that the government has force them to become dependent on.

    This is why the libertarian movement can’t have nice things, because it keeps going around advocating throwing the poor and sick out into the snow.

    1. Bringing the costs back down to earth will make it available to the masses, sort of like how it used to be before the regulatory state took over. Stossel even threw in the suggestion of a voucher, since food stamps prove that it can work without inflating costs too much.

      You’re right, though, that he needs to emphasize that point if he wants to sell the argument outside of the choir. Most people don’t understand economics and don’t realize just how much lower costs could be in an unmolested industry, and how incredibly beneficial that would be for the poor and middle class.

    2. Brandybuck makes sense
      Microaggressor respondes with vapid, mindless slogans, proving Brandy correct!
      SWEET!

  6. It has been a fundamental mistake to try to “fix” the ACHA with only one bill. The correct approach would have been to introduce two bills, the first a straight up repeal. The second a replacement. By combining them into one bill, the result is a failure of the bill, which has the effect of re-enacting the ACHA.

    1. But the dumbfucks would screw up the second bill, fail to pass it, and destroy trhemselves even more than they did.
      They know that. So why does your authoritarian mind fail to grasp “they need enough votes?”
      Today’s libertarians think slogans and theories are by themselves enough to transform the world — thereby witlessly CAUSING us to repeatedly get our ass kicked.

  7. Oh my, can I hire Stossel to be my opponent in a Congressional election?

  8. opt out. refuse to buy health insurance until you can buy exactly what you want and get value for your dollar. If disaster strikes, make payments to hospital and doctors instead of insurance companies. I pay as I go. I will never buy until I can get what I want at a reasonable price. This is the Libertarian position.

    1. I pay as I go. I will never buy until I can get what I want at a reasonable price

      Are you rich? Or still in high school?

      This is the Libertarian position.

      Only the anti-gummint ones, who live in a fantasy land of memorized slogans and soundbites.
      And/or the ones who can pay for a medical “disaster: out of pocket. (But we don’t favor only the rich)

      (Non-libertarians browsing the site: We suffer blowhards just like the other tribes. If you disagree, that’s fine. Ask questions. If it sounds bat-shit crazy, it probably is, but is definitely NOT libertarian.

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