Saturday, November 28, 2009

Health Care Muse

Just thinking on health care reform...

I believe it is going to result the same way that compulsory education has. The public option may very well result with the poorest people on those rosters. Whereas the relatively affluent will elect to pay for premium insurance plans with better features, just as more affluent people now spend money to send their children to better schools. Some people will work harder or save more, so that their families are not relegated to neighborhood clinics where people might experience substandard care from less than professional providers. The market will continue to reward private insurance companies who pay for the the best service providers and give superior customer service.

People will continue making decisions about where to live based on the quality of schools, but also on the quality of the public health infrastructure. Ten years after universal health care is in place, this disparity will become evident. Nevertheless, reforming the reform will prove difficult because public health care employees will have unionized, as public school teacher did, and the electorate will have become use to another tax on their incomes or property.

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