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PostPosted: Mon Oct 26, 2009 6:33 am 
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Saw this on both Hot Air and now Instapundit. I'm just going to go ahead and quote Instapundit's comment since he sums it up nicely:

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It’s like they’re just telling a bunch of lies to justify a power-grab or something.


I don't think anyone here is naive enough to think politicians don't lie. My question is are they doing it purely for a power grab or is it more a case of "we have to tell these lies for the greater good". I suppose it's a matter of just how cynical you are ;)

http://news.yahoo.com/s/ap/20091025/ap_ ... _insurance

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FACT CHECK: Health insurer profits not so fat

WASHINGTON – Quick quiz: What do these enterprises have in common? Farm and construction machinery, Tupperware, the railroads, Hershey sweets, Yum food brands and Yahoo? Answer: They're all more profitable than the health insurance industry.

In the health care debate, Democrats and their allies have gone after insurance companies as rapacious profiteers making "immoral" and "obscene" returns while "the bodies pile up."

Ledgers tell a different reality. Health insurance profit margins typically run about 6 percent, give or take a point or two. That's anemic compared with other forms of insurance and a broad array of industries, even some beleaguered ones.

Profits barely exceeded 2 percent of revenues in the latest annual measure. This partly explains why the credit ratings of some of the largest insurers were downgraded to negative from stable heading into this year, as investors were warned of a stagnant if not shrinking market for private plans.

Insurers are an expedient target for leaders who want a government-run plan in the marketplace. Such a public option would force private insurers to trim profits and restrain premiums to compete, the argument goes. This would "keep insurance companies honest," says President Barack Obama.

The debate is loaded with intimations that insurers are less than straight, when they are not flatly accused of malfeasance.

They may not have helped their case by commissioning a report that looked primarily at the elements of health care legislation that might drive consumer costs up while ignoring elements aimed at bringing costs down. Few in the debate seem interested in a true balance sheet.

But in pillorying insurers over profits, the critics are on shaky ground. A look at some claims, and the numbers:

THE CLAIMS

_"I'm very pleased that (Democratic leaders) will be talking, too, about the immoral profits being made by the insurance industry and how those profits have increased in the Bush years." House Speaker Nancy Pelosi, D-Calif., who also welcomed the attention being drawn to insurers' "obscene profits."

_"Keeping the status quo may be what the insurance industry wants their premiums have more than doubled in the last decade and their profits have skyrocketed." Maryland Rep. Chris Van Hollen, member of the Democratic leadership.

_"Health insurance companies are willing to let the bodies pile up as long as their profits are safe." A MoveOn.org ad.

THE NUMBERS:

Health insurers posted a 2.2 percent profit margin last year, placing them 35th on the Fortune 500 list of top industries. As is typical, other health sectors did much better — drugs and medical products and services were both in the top 10.

The railroads brought in a 12.6 percent profit margin. Leading the list: network and other communications equipment, at 20.4 percent.

HealthSpring, the best performer in the health insurance industry, posted 5.4 percent. That's a less profitable margin than was achieved by the makers of Tupperware, Clorox bleach and Molson and Coors beers.

The star among the health insurance companies did, however, nose out Jack in the Box restaurants, which only achieved a 4 percent margin.

UnitedHealth Group, reporting third quarter results last week, saw fortunes improve. It managed a 5 percent profit margin on an 8 percent growth in revenue.

Van Hollen is right that premiums have more than doubled in a decade, according to a Kaiser Family Foundation study that found a 131 percent increase.

But were the Bush years golden ones for health insurers?

Not judging by profit margins, profit growth or returns to shareholders. The industry's overall profits grew only 8.8 percent from 2003 to 2008, and its margins year to year, from 2005 forward, never cracked 8 percent.


The latest annual profit margins of a selection of products, services and industries: Tupperware Brands, 7.5 percent; Yahoo, 5.9 percent; Hershey, 6.1 percent; Clorox, 8.7 percent; Molson Coors Brewing, 8.1 percent; construction and farm machinery, 5 percent; Yum Brands (think KFC, Pizza Hut, Taco Bell), 8.5 percent.

___

Associated Press writer Tom Murphy in Indianapolis contributed to this report.

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PostPosted: Mon Oct 26, 2009 7:37 am 
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I don't think it's so much lying as the unstated belief that profit is at best unnecessary and at worst, immoral. This goes double with any product or service that people deem a "necessity". Despite claims not to be opponents of the market or free enterprise, any buisness-related issue always contains at least a token level of condemnation of "profit". The left tends to ignore the fact that "profit" is what keeps the buisness running at all, and it is not simply money being horded in a Scrroge McDuck-like money vault or in executive paychecks, but ais what keeps the retirement, savings, and investments of the middle class and even many working poor healthey.

Look at the adjectives used: "Immoral" and "obscene" profits. There is clearly no mathematical formula that will tell us when profits are immoral or obscene, and the users of such words are not even being pressed for their own definition which, while subjective, could at least be submitted to the public for a test of reasonability. They don't because few people would really call 8% or 6% profits "obscene" or "immoral". No, they rely on the total subjectivity and vagueness of the claim, and of pressed on it would probably claim that any profit made on healthcare is obscene if not everyone has it or some such nonsense.

Of course, taken to its logical extreme, doctors should be wards of the state, held in prisons, and payed a few cents an hour at most, but no one's going to reduce the argument to absurdity in public that way, unfortunately.

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PostPosted: Mon Oct 26, 2009 8:01 am 
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Diamondeye wrote:
I don't think it's so much lying as the unstated belief that profit is at best unnecessary and at worst, immoral. This goes double with any product or service that people deem a "necessity". Despite claims not to be opponents of the market or free enterprise, any buisness-related issue always contains at least a token level of condemnation of "profit". The left tends to ignore the fact that "profit" is what keeps the buisness running at all, and it is not simply money being horded in a Scrroge McDuck-like money vault or in executive paychecks, but ais what keeps the retirement, savings, and investments of the middle class and even many working poor healthey.

Look at the adjectives used: "Immoral" and "obscene" profits. There is clearly no mathematical formula that will tell us when profits are immoral or obscene, and the users of such words are not even being pressed for their own definition which, while subjective, could at least be submitted to the public for a test of reasonability. They don't because few people would really call 8% or 6% profits "obscene" or "immoral". No, they rely on the total subjectivity and vagueness of the claim, and of pressed on it would probably claim that any profit made on healthcare is obscene if not everyone has it or some such nonsense.

Of course, taken to its logical extreme, doctors should be wards of the state, held in prisons, and payed a few cents an hour at most, but no one's going to reduce the argument to absurdity in public that way, unfortunately.


Although, that last scenario (prisoner doctors forced to work for the State) is ultimately the result of their claim that any profit made as a result of healthcare being obscene in the context of non-universal coverage.

The other liberal tactic is the quasi-strawman label. What I mean by that is calling inevitable shortages (inevitable in the capacity that universal plans must obey "economic laws" as all other activities) "death camps", when in fact, shortages in service could lead to people dying. But people already die all the time from such things; for example, we could all lay down every cent we make and use it to keep a person in a hospice alive on life support, keep a cancer victim alive longer than natural etc. This is entirely possible. But there's only a finite amount of resources at disposal no matter how much effort we put forth(we can't conjure items out of the nether) so eventually, there comes a point when our ability to artificially extend the capacity of someone's life (ultimately, that is the goal of all health care) runs out. Yet, the subjectivity for users of the "death camp" argument would not claim this to be greedy or immoral in the same way they oppose profits in healthcare. That is ridiculous, because there's no natural or strict delineation between the two, other than said subjecitivty.

What I like most about certain posters arguments for a universal system around here is that they explain the process of how its going to improve healthcare using the economic equivalent of Cartoon Physics. Other times they just say what will happen and declare it will by fiat.

I work in a public utility, another heavily regulated industiry (regulated triply so: because it's a utility, because there's work safety matters (read OSHA) and because there are nuclear safety issues (NRC) one that provides a service considered a "necssity". I can tell you that learning how the business side of things work, that it's seriously a burden. As utility prices continue to be regulated, profits stay marginal and utlities are reliant upon government grants and loans to open new facilities (also expensive because getting a license to operate requires a stamp from a certain large industrial supplier of general plant equipment *cough* sounds like a near racket, no?) meaning capacity overall for the nation is reduced, the delivery quality is reduced, and the plant has trouble retaining personnel because they can't pay decent salaries for the extreme amount of hours and work required.

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PostPosted: Mon Oct 26, 2009 8:18 am 
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Although, that last scenario (prisoner doctors forced to work for the State) is ultimately the result of their claim that any profit made as a result of healthcare being obscene in the context of non-universal coverage.


that's what I meant by the "logical extreme".

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PostPosted: Mon Oct 26, 2009 8:29 am 
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I tend to think it is more calculated. In terms of the argument being structured for maximum effectiveness.

I am sure it is possible or even likely that people like Nancy Pelosi or Barack Obama feel ANY profit in the healthcare industry is in fact obscene but they are also savvy enough to know that using a vague term will make it sound like the standard boogeymen (old, rich white males) are sitting somewhere in a room full of money smoking cigars and laughing while putting their feet up on uninsured cancer patients (who are orphans by the way).

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PostPosted: Mon Oct 26, 2009 9:29 am 
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And who is going to invest in healthcare or insurance companies that are not allowed to turn a profit?

Oh, right, the taxpayer...

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PostPosted: Mon Oct 26, 2009 9:54 am 
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Diamondeye wrote:
I don't think it's so much lying as the unstated belief that profit is at best unnecessary and at worst, immoral.



Do you have any actual evidence to show that this is actually an overall belief? There are people that think profit *for healthcare* is just as immoral as a for profit police force might be, but that's not the same thing as saying that profit in and of itself is immoral and unnecessary.

Margins only tell a part of the story. Actual earnings have a lot to do with it as well. However, this goes to show that the industry is pretty inefficient.All the more reason to nationalize it, imo.

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PostPosted: Mon Oct 26, 2009 10:01 am 
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You are saying you want to nationalize a system to make it effecient? Who is more likely to be effecient? An organization that if it doesn't perform effeciently, doesn't make a profit or operates a net a loss or one that no matter how it performs, it can just get more funding from taxpayer revenues?

Also, why should DE have to provide evidence? He prefaced that statement with "I think".

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PostPosted: Mon Oct 26, 2009 11:15 am 
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Monte wrote:
Margins only tell a part of the story. Actual earnings have a lot to do with it as well.


Not really. Profit margins are what is important. When you are talking about a huge company, the earnings may be large, but they need to be split between a whole bunch more shareholders/investors.

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However, this goes to show that the industry is pretty inefficient.All the more reason to nationalize it, imo.


And you think the government would be more efficient? /boggle


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PostPosted: Mon Oct 26, 2009 11:23 am 
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Monte wrote:
Margins only tell a part of the story. Actual earnings have a lot to do with it as well.


Gross revenue has absolutely nothing to do with the health of a company, only the size. And that only indirectly.

Monty wrote:
However, this goes to show that the industry is pretty inefficient.

Net profit has no causal relationship with efficiency, nor vice versa. They are correlated, but correlation does not equal causation.

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PostPosted: Mon Oct 26, 2009 11:39 am 
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In my experience, liberals believe that the claimed low profit margins of health insurers are lies. That the companies are making them up by doing things like diverting their massive earnings to executive pay and various investment plans like 401ks to disguise how much they really make.

As far as efficiency, far-left liberals also pretty much 100% believe that the public option will cost nothing in the long run. I am not making this up, they think that private insurance is making so much of a killing and hiding their profits that the public option will pay for itself by not doing this.


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PostPosted: Mon Oct 26, 2009 11:41 am 
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As to the OP, I used to think that the call for public healthcare by pols came from a desire to provide for those who didn't have it in conjunction with a belief that more gov't was the answer to all of society's ills.
As time passed, and I listened to the arguments, I've come to the belief that it is almost completely the latter, in conjunction, I see that a desire for gov't control for its own sake is also present.
The final proof of this, for me, was the juxtaposition of a town hall in Sun City where a great majority the seniors present (it was Sun City after all) expounded the virtue of Medicare Advantage, as it provided more choice for the citizen at no additional cost - with Obama stating his desire to take away payments to insurance providers under Medicare Advantage because it was "wasteful" spending that would be used to fund more gov't healthcare. I was struck by the strangeness that defunding a program that works and is cost-efficient in relation to Medicare itself would be a part of paying for a system that has no history of cost-efficiency. The only answer I could see was that the desire for centralized power had overridden all else.

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PostPosted: Mon Oct 26, 2009 11:49 am 
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Xequecal wrote:
As far as efficiency, far-left liberals also pretty much 100% believe that the public option will cost nothing in the long run. I am not making this up, they think that private insurance is making so much of a killing and hiding their profits that the public option will pay for itself by not doing this.


Even in the face of the fact that the current method of funding it would require cutting Medicare and raising taxes now while benefits wouldn't start for years to come? I guess I shouldn't be surprised.

Glad you made it back X.

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PostPosted: Mon Oct 26, 2009 12:09 pm 
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Vindicarre wrote:
Even in the face of the fact that the current method of funding it would require cutting Medicare and raising taxes now while benefits wouldn't start for years to come? I guess I shouldn't be surprised.

This is the part that cracks me up. They start taxing immediately to pay for this, but services don't start for almost 4 years. So basically 10 years of taxes go toward 6 years of service. What happens after that?

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PostPosted: Mon Oct 26, 2009 12:11 pm 
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Vindicarre wrote:
Even in the face of the fact that the current method of funding it would require cutting Medicare and raising taxes now while benefits wouldn't start for years to come? I guess I shouldn't be surprised.

Glad you made it back X.


I've recently become very disillusioned with the liberal position on health care. Nobody wants to be even remotely honest on what public health care is, it has to be better than private health care in every conceivable way with no drawbacks. The CBO actually has a public option proposal out that they say could turn a profit, but it's based on charging premiums comparable to private insurance and paying Medicare rates. I'm sure every doctor in the country just loves that idea, and it's really irritating that CNN and the other news sites refuse to call them on this. Of course, if you try to point this out, you get one of two responses:

1. You're lying, the CBO wouldn't distort **** like this.
2. Boo hoo, the poor surgeons with $300k/year salaries will get less money. I feel SO sorry for them, they'll have to drop down to only owning four luxury cars.


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PostPosted: Mon Oct 26, 2009 12:36 pm 
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Xequecal wrote:
I've recently become very disillusioned with the liberal position on health care. Nobody wants to be even remotely honest on what public health care is, it has to be better than private health care in every conceivable way with no drawbacks.


The truth on this issue (and many others) is in fact untellable:

viewtopic.php?f=8&t=528&p=9782&hilit=truth#p9782

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PostPosted: Mon Oct 26, 2009 12:51 pm 
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Xequecal,

Would you expound a bit on your thoughts? After reading what you wrote, I suspect that I don't fully understand.

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PostPosted: Mon Oct 26, 2009 2:14 pm 
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Monte wrote:
Do you have any actual evidence to show that this is actually an overall belief? There are people that think profit *for healthcare* is just as immoral as a for profit police force might be, but that's not the same thing as saying that profit in and of itself is immoral and unnecessary.


We saw oil companies being castigated for excess profits when oil prices were at their extreme high. We constantly hear about the banking and investment industry and their desire to make profit leading us down the econonomic road we're on, despite the fact that poor regulation was as much or more to blame. Yes, there's plenty of evidence. It's easy to find liberals complaining about buisness making too much money.

If you're looking for a study that somehow captures beliefs about profit, no, you probably won't find one, but that's the sort of thing people don't admit to actually thinking often because it sounds so absurd when actually confonted with the truth of it.

Even if people only think profit for healthcare is immoral, that's just as absurd a belief. It still leads, in its most extreme form, to doctors as slaves. I don't know how anyone thinks we're suppsoed to ahve decent healthcare if no one makes any money doing it.

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Margins only tell a part of the story. Actual earnings have a lot to do with it as well. However, this goes to show that the industry is pretty inefficient.All the more reason to nationalize it, imo.


This makes no sense. Aside from the fact that the percentage of profit indicates how much margin the industry has for change in conditions, regardless of earnings in absolute numbers, it makes no sense to complain that "margins only tell part of the story, actual earnings matter as well" and then claim that the industry is inefficient and should be nationalized. What you're saying amounts to "well they make a ton of money even though they have a small profit margin, but they're not making enough money to be efficient, so we ought to nationalize them." Really? We should nationalize them so they don't make any porofit because they aren't making enough profit?

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PostPosted: Mon Oct 26, 2009 2:42 pm 
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Squirrel Girl wrote:
Xequecal,

Would you expound a bit on your thoughts? After reading what you wrote, I suspect that I don't fully understand.


Public health care is more "efficient" in the sense that it probably raises the average life expectancy. Private health care focuses care on people who are older, because they generally have a lot more money. But if you took those same healthcare dollars and gave them to younger people, the average life expectancy will go up because you'll get a lot more years of life out of giving health care to a 20-year old vs. an 80-year old. Even if you bake in a ton of government inefficiency, the diminishing returns involved in giving health care to the really old pretty much requires public health care to be better on average.

Now, this is morally dubious, as you're essentially stealing money from the wealthy older people and handing it to the poor younger people, telling the old that their time is up and they should die. But if you think human life is the most important thing to preserve the most of, you'll be fine with this. I just wish people would be honest about it, and stop making up total garbage like that the only reason we can't insure everyone in the country for $100/month each is because CEOs are too greedy and their pay is too high.

The thing that's got be really pissed off about liberals is so many of them think that the wealthy owe them something, just because they're wealthy. Not only that, they think that the rich people should be happy to pay for their health care, their welfare, or whatever the **** else. Not deal with paying it grudgingly as an obligation to society, because lets face it, every society has to have taxes and some of those will be distributed unevenly. But that they should cheerfully hand their all money to the poor for no other reason than because they have money. And that anyone who feels even the slightest bit hesitant is a greedy fascist not worthy of life.

Some people even straight up told me that those hypothetical wealthy 80-year olds should be content with allowing themselves to die so their fortune can be divided by the government amongst the younger to keep them alive, and that an 80-year old that wants to live longer than that is greedy and selfish. More and more examples were brought in, and I just couldn't believe how arrogant it was. Someone trotted out some kind of weird tax plan that actually said we should finance all these social programs by taxing all income above $250,000 annually at 90% or even 100%. Most agreed that anyone who demands to make more than this is a greedy bastard that doesn't deserve it anyway.

I wish I could link the forum thread where I was called a murderer, baby killer, rape-victim hater, fascist, every slur under the sun for even daring to challenge this. But it's since been moved to their graveyard where you have to register to be able to view it, and I really don't want to sponsor any forum invasions. But I absolutely couldn't believe how arrogant and spiteful everyone was. These were college-educated people my age and the vast majority of them despised the wealthy on general principle.


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PostPosted: Mon Oct 26, 2009 4:08 pm 
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Rafael wrote:
You are saying you want to nationalize a system to make it effecient?


Well, yes. Medicare is incredibly efficient, having a tiny overall cost in terms of administration compared to private companies, and no need to make a profit at all. It's more efficient than any of the private companies out there. Frankly, I think they should simply remove the age restriction on medicare and allow anyone under the current age of enrollment to pay a premium for benefits.



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Also, why should DE have to provide evidence? He prefaced that statement with "I think".


He shouldn't, but his thought is pretty weak, in my opinion. It's very much an unprovable generalization. And in a way in impugns the integrity of those who believe that profiting from other people illness *is* immoral by assuming they think *all* profit is immoral.

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Monte wrote:
Rafael wrote:
You are saying you want to nationalize a system to make it effecient?


Well, yes. Medicare is incredibly efficient, having a tiny overall cost in terms of administration compared to private companies, and no need to make a profit at all. It's more efficient than any of the private companies out there. Frankly, I think they should simply remove the age restriction on medicare and allow anyone under the current age of enrollment to pay a premium for benefits.


Medicare? Efficient?

Lol.

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Yes, Medicare is significantly more efficient in terms of overhead cost. Medicare operates at about 3% total administrative costs, while private companies have about 30% total costs including their profit. Medicare is about 10 times more efficient than private companies.

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Xeq, private health care focuses on older people because it's older people that are willing to pay for it in the first place. I suppose I could get full medical coverage that pays for two doctor's visits a year, but that's a waste of my money. I need one visit every two years. In a two year span, I'd be paying the insurance premiums for three doctor's visits that I don't need. **** that.

And if I'm not willing to pay the money to send myself to a doctor twice a year, I'm sure as hell not willing to pay the money for you to see one.

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Monte wrote:
Yes, Medicare is significantly more efficient in terms of overhead cost. Medicare operates at about 3% total administrative costs, while private companies have about 30% total costs including their profit. Medicare is about 10 times more efficient than private companies.



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Xeq, your post is just shocking to read. Seriously. And kind of insulting, really. Liberals I know do believe that the rich should be taxed more than the poor, because the rich enjoy more of the benefits of our social contract than anyone else. However, I don't think you can take anyone seriously who promotes a 90% tax rate for anyone over 250,000 a year. Sounds like internet posturing, to be honest.

And frankly, it's not about stealing from the rich, unless we want to say that the military and the police are the same thing. They aren't, and neither is health care. It's everyone's obligation, just like the military and police are everyone's obligation.

I don't want the rich to be exclusively taxed to fund health care. I do think that the rich are the least likely to be harmed by a small tax increase. However, I also think premiums should be paid by those that can pay them. And it looks like that's the way this legislation is shaping up.

No one serious is talking about letting grandma go at 80. No one serious, anywhere.

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It feels like all the people who want limited government really just want government limited to Republicans.
---The Daily Show


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