Dave wrote:
Requiring insurance coverage for first dollar loss is unique to health care insurance when comparing to any other type of insurance. Requiring no deductable or copay to so called preventative procedures and birth control is also not insurance.
So you're being pedantic? :)
I guess, we can all have different ideas about what insurance is, so here - lemme whip out ...the dictionary again.
Merriam-Webster wrote:
a : the business of insuring persons or property
b : coverage by contract whereby one party undertakes to indemnify or guarantee another against loss by a specified contingency or peril
c : the sum for which something is insured
2: a means of guaranteeing protection or safety
So if you're saying that ACA isn't insurance because it's not "implemented" the same way as most other insurance policies then OK, but that's a pretty narrow definition if you ask me... but this is coming from someone who buys "insurance" in casino games - LOL.
One point however... about the statement I highlighted in your quote...
Going with Webster's second definition... I see the provision of free birth control as insurance against a larger population of wellfare recipients and preventative procedures as being insurance against potential epidemics. I consider both of these things as potential threats to my own well-being.
Dave wrote:
Further, government managed anything is clearly less cost effective than non-government managed.
Can you qualify that? Because the evidence I've seen suggests the opposite. I'll have to go back and find the sources but I read that the average overhead for medical insurance is 20% where the overhead for Medicare is only 5%. Not only that but ACA makes it VERY clear that one of the reasons the public option can guarantee lower rates because the administrators will be paid much less than the industry average (which is typical of the government anyway)
Dave wrote:
The only place, in my opinion, where government should be actively involved in providing goods and services are where it is necessary for them to do so - thinks like national defense, public safety and protection of private and public properties.
OK... I'm going to forward an argument here. Again, I will warn you that I am about to discuss an original idea that doesn't fit into any of the canned liberal arguments you may have heared before, so please keep your mind open.
Again... 21st century. Not the 19th century when our constitution was authored... I believe the "spirit" of the constitution is timeless, but some of the details are outdated. Of course the authors were insightful enough to recognize this potential which is why the authors were intentionally vague on the details while providing the Judicial Branch with the power to "interpret" so as to make the Constitution adaptable to the times.
That being said... one of the ugly aspects of the 21st century is the advances in biotechnology and it's potential for military applications. We are already at the point where designed micro-organism are promising destructive properties that far surpass anything we have in our arsenals that people typically classify as weapons and this destructive potential comes at a fraction of the cost, it's delivery systems can be virtually undetectable AND... missles, tanks, ships, jets, soldiers, satellites, artillery and every last pound of ordinance is useless in our defense against it.
If we are going to provide for our common defense in the 21st century we HAVE to get over this ridiculous attachment to the details of a 240 year old document and realize that medical facilities may soon be our most effective line of national defense against threats that simply did not exist in 1789. I therefore put forth the notion that healthcare, including mandatory assessment and vacination will be a critical part of our national defense.
So, just understand how I might feel when confronted with that old argument that healthcare should not be a concern for the federal government. To me that statement makes as much sense as the Constitutional provisions for the defense against non-exisitent Indians.
Times change. The founders of this nation understood that. Why, oh why can't today's so-called "Constitutionalists"? In a nation of 314 million v***s t***smiting bodies, yes... Healthcare IS a national concern and free preventative treatment IS a form insurance.
Now, I'm not nessesarily saying that a national medical defense system has to be provided by the government. But I'm not the one saying that traditional military forces have to be provided by the government either. But since everyone just assumes that the government should provide for our defense just because the Constitution says so then what basis do we have for discriminating against what could well be the most effective defense weapon we have?
My opinion is that any private sector defense system, military OR medical has the potential danger of being bought out... maybe even by the enemies. As long as the system is economically driven that will be a risk. So maybe keeping our defense systems tied to the government and therefore (theoritically) accountable to the people is a good idea.
In summary: I think it's time for people to get over their old saggy arguments, come to terms with today's realities and realize that providing for the common defence and promoting the general Welfare in the 21st century means healthcare is now a Constitutional concern.
(Huh... I think I just heard a muffled applause from the graves of Hamilton, Adams and Jefferson)
;)