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badgenome said:
ratchet426 said:

Wait, how exactly is the Affordable Health Care Act an "entitlement?"

Here's how.

Oh man, you've really lost form there.

So, what you're saying is that low wage people who would never be able to afford the full price of decent health insurance, many of who indeed would not even get a good policy if left to their own devices are seeing that they are entitled to a subsidy for their insurance. The fact there's a differential amount of subsidy depending on how the insurance policy is established (own or through employer) doesn;t change the fact that there's a subsidy. It's redistributive govt spending either way.

However, without that entitlement what you're faced with is the state paing the full cost of their health care because they are using the "free" service through ERs that the state is obliged (or perhaps feels obliged) to provide. So that's redistributive spending too. It just looks slightly different.

So either the state pays a proportion of a low wage person's / family's health insurance, or they pay the full cost of their ongoing ER visits (status quo). Or there are other costs related to people who don't seek medical treatment at all.

Personally I prefer subsidised health care over subsidised health insurance because the tax dollars go directly into the health care system rather than to insurance companies. This means tax dollars are being used for treatments and diagnostics and equipment and facilities rather than profits for shareholders in insurance companies ahnd executive boni.

So in one respect subsidies for health insurance are more like an insurance company "entitlement" programme than an entitlement programme for low wage families. So the redistributive spending is actually taking from the middle class and giving to the uber-rich. I always new Obama was a closet Republican. The people who actually believe in the vitues of a true public helath system (I believe there are at least 3 of them in the USA) hate Obamacare as much as the tea party, only for slightly different reasons.



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