SpokenTruth said:
massimus said:
You couldn’t afford your economics on a state budget, you need endless federal debt and control to sustain your vision. It’s why Cali hasn’t gone single payer yet. They have the power to do so but the cost would collapse them.
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Sorry but single payer is actually cheaper than our current system.
The reason Cali, and any state, is having a difficult time going single payer is multi-faceted. First, the state would need to consolidate any Medicaid, Medicare and SS into the plan and that requires the president to sign off on (which he won't do). Even if they just wanted to retain the already taxed money for those entitlements within the state they would still need federal approval. The other problem is that it would take a massive chunk out of the insurance industry which, as to be expected, is fighting like hell to prevent single payer because of that (they already paid millions to Cali politicians to vote against previous bills). A lot of people would lose their insurance based jobs - which is one of the bigger deterrents to going single payer for most people.
Back to the costs. Why are costs high to start with? Insurance. Insurance always drives up the cost of the very product or service it insures. I'll give a brief example to illustrate. Torrence Memorial Medical Center in LA charges insurance companies $135 per blood test but they only charge $16 to a patient if they pay out of pocket and that's still a profit. This is common for all hospitals, doctors, pharmacies, etc...in the US because they know insurance will pay it. And sometimes, by law, the insurance companies have no means to bargain for lower costs. Single payer would very much be cheaper. We just lack the political will and long term planning to make it happen.
Or do you really think prescription medications in the US actually cost 100x more here than in Canada, Europe, Asia, etc....?
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LOL Cheaper for who? If you sacrificed the state budget maybe lol. Most politicians these days don't even know what the term "spending cut" means. It's going to be 400 billion annually forever? That will never change or go higher? Cali is pulling in about 2 and half trillion a year, you just have to find a way to steal it. What's 400 billion of it, right? It's for a good cause. Cali's entire state budget is like 200 billion. Time to siphon those gas tanks.
That's a very large chunk of the California economy and that's just the attempt at a new policy. Based on what, CBO guesses? I just read something about the millionaires in California fleeing because the taxes are crazy. If the rich aren't paying the tax then who will? Businesses? They will move too. California is lucky that it's such a beautiful place. It's probably the only thing keeping people there.
So do it, tack it on the bill and use it as a tax credit until they are officially exempt from the federal tax. I want to be exempt from federal taxes like social security and I don't want single payer. They are going bankrupt anyways, something needs to be done with those regardless. They were supposed to be in an untouchable lock box but they blew the lid off of that shit years ago to pay for failing, stupid policy. It's going to be broke by the time it's my turn to collect. I shouldn't be forced into that shit deal.
Who is currently stopping Cali on a federal level? The insurance companies don't have any authority over a state. The whole paid for politicians thing is a joke. I don't buy into that simple protestor bullshit lol. They did the same thing with the NRA. I hate politicians as much as anyone else but "insurance companies bribing politicians" is highly illegal and needs evidence. Singling out one lobby proves nothing and there are limits to what they can do. Literally everything is lobbied, even foreign countries lmao. Oh no collusion! Maybe the the lobbies like them because they actually agreed on things before hand. I know that's crazy... Can you name one vote that flipped because of a lobby? "He was going to vote this until X bribed him with illegal favors". I can't think of any lol. Marco Rubio was against gun rights until the NRA donated like 10k to his campaign lmao. MURDERER!
Also the federal government took over the insurance companies so that kinda falls on its face from the get go. The health insurance lobby is the federal government and it's a disaster. It's the cost dude, it's crazy. California isn't some little Scandinavian country run on oil, it's the 5th largest economy in the world lol. I say go for it, I just don't want to bail them out on a federal level... Annually. I'm not saying we don't need better insurance in general, I'm saying single payer isn't something I want. I don't want some utility worker that doesn't give a shit, I want a doctor. I don't want DMV healthcare lol.
There is nothing wrong with cheaper generic pills and insurance. I'm not saying we can't be better but that particular route is stupid in my view. Those aren't the only 2 options lol. I'm not against states trying all kinds of different things out but leave the federal level alone. It's not built for that. ACA is a massive failure and made shit worse. Let's states handle their own shit.