Mandatory Health insurance? Is it a solution to health care?

Nurses Activism

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I am a pre-nursing student, and am looking at issues surrounding current healthcare. What has recently caught my eye is the controversy over mandatory health insurance, and I have recently read some articles on the issue that have alarmed me. My first thought is that the government has no right to force me to buy a product I have no choice but to purchase, but my second is that it might have positive effects especially for those who are denied care due to health related issues. However, I cannot accept this as a solution to the healthcare predicament; there must be another way to go about this.

As a future nurse, I am concerned on how, if it comes to be, mandatory health insurance will affect my job and taking care of patients. In one of the articles I read from the Los Angeles Times, it said high deductibles discourage patients from getting preventative treatment. I can only assume that making it a requirement to get health care will drive up prices insanely. In the same article it was also stated that in Massachusetts a couple in their fifties with one child had to pay $767 a month for the bare bones plan and that did not include prescription drug coverage. Will people really seek care or treatment, and can they afford it, at those prices? I believe it is wrong to make someone pay so much for healthcare; it may pay my future salary but is it worth it? Health insurance companies are businesses, that I understand, but they need to be taking care of their customers and fulfilling their purpose so that I as a future nurse do not feel the repercussions of not being able to do my job and help persons in need just because their insurance company does feel like paying. In my honest opinion, when I pay insurance I feel like I'm paying for nothing at all--insurance, yeah right, I cannot even be insured that my insurance will cover anything and I am told that is how they all are. How can people get proper health care this way I ask you?!

I understand that to people who cannot get coverage it may seem like a god-send, I have a friend who had cancer and now cannot find anyone to insure her. She is one person who truly needs health insurance to get preventive treatment and cannot get it due to health insurance policies. It does not make sense to not insure people who are the most in need of healthcare. If they pay their rate (a decent one hopefully), they should get care and they should be able to purchase from at least someone. What a good solution may be is to make it illegal for insurance companies to deny coverage to people who need it. So what if they lose money, people need to be more important than a paycheck. If the government wants to stick its nose in the business of private citizens then they most certainly can bug the health insurance industry into lower rates and better premiums. If people did not have to pay so much and the insurance companies could be counted on for their purpose then, perhaps more people would seek health care treatment more often and therefore be healthier, happier individuals.

Part of the solution to the uninsured is bringing people into the system....There are a variety of ways to accomplish this goal.

Assuring equality of health care access is hardly equality of results....

The Commonwealth fund has proposed a real solution to contain health care inflation:

A policy of guaranteeing health insurance for all combined with selected savings options yields savings in national health expenditures of $1.5 trillion over 10 years. This represents an extremely large amount of resources that could be available to address other societal needs or wants, either within the health system or elsewhere. Moreover, an environment in which affordable health care is available, markets operate with better information, and payment reform offers potential for even greater savings, can produce dynamic, synergistic gains over the longer term. The first-order estimates are thus likely conservative compared with the potential gain over time.

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C. Schoen, S. Guterman, A. Shih, J. Lau, S. Kasimow, A. Gauthier, and K. Davis, Bending the Curve: Options for Achieving Savings and Improving Value in U.S. Health Spending, The Commonwealth Fund, December 2007

Retrieved from http://www.commonwealthfund.org/publ...?doc_id=620087 on 12/28/2007.

Specializes in ICU M/S Peds Home Health.
Assuring equality of health care access is hardly equality of results

Its not? Then what is it,then?

Its a process of redistributing wealth from those that have and make money to those that do not with the goal of creating the result that everyone recieves the same level of care/access.

What and where is the incentive for individual achievement?

I know... the slippery slope is a fallacy... BUT... whats next?

You and the Pnhp state that the "profit" in health care is what corrupts the system...

So the next thing is groceries... everyone needs those too; right? The profits that are involved in the delivery of groceries make them unaffordable...So why don't we nationalize those as well...

You get the picture.

NOT everyone who gets assistance has a cadillac, nor can everyone afford insurance.

Not to mention people WITH health insurance who are barely scraping by..and these people do not have a cadillac, an escalade or a lexus either. Nor are they allowed TCA (temporary cash assistance), no WIC, they do have free and/or discounted prescription medications and have to pay a high deductible and a co-pay whenever they do see their physician(s).

I really care less what anyone states or claims... The ability to improve one's station in life is there for everyone. The problem is that everyone wants the easy way... they don't want to go without the toys, or widgets or gadgets or the high end clothes...

I have to agree with some of this. I work with the medicaid population and yes, there are some who have gotten their GED's, going to college and doing without. Then there is the majority of my clients who well, most do not work, ...they have gigantic large screen tv's plastered in their living room, they have more than basic cable, some have have designer clothing, rent high end cars, ipods, cell phones, get their nails done & their hair. Now mind you, I have nothing against those things, but if you are 2-3 months behind in paying your elec or gas bill, then you NEED get to your priorities straight.

Should there be exceptions where the government steps in and helps out? Sure. But they should be exceptions.

Agree.

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...There is no perfect way to provide health care for the entire population of the United States. Any structure that we create will by its nature be large and prone to bureaucratic snafus.

There are always going to be limits on resources and hard decisions: Should an insurance pool cover liposuction for an actor who needs to lose 10 pounds for a starring role? (Probably not.)

Should it pay for the same treatment for a morbidly obese person who is at risk of heart failure? (Probably so.)

Should an 80-year-old person get a kidney transplant while a 23-year-old is left waiting? (I don't know; do you?)

But I do know that if you leave those decisions in the hands of people who will make more money if they choose one path, then the path of one of the most important public policy issues in the nation will be selected on the basis of greed. That's the fundamental flaw in our health care system. ...

http://www.sfbg.com/printable_entry.php?entry_id=5320#

Specializes in Med Surg, Tele, PH, CM.

Having health insurance should be a responsibility, not a choice, so I am watching Mass. with great interest - they have a mandatory insurance law. I know people who have insurance available and do not purchase it because the bi-weekly premium can buy them a couple cartons of cigarettes. WHen these folks get sick, they go to the ER for care. They run up a bill that never gets paid (more cigarettes). If they are admitted, they really run up a bill, which also never gets paid. In an effort to help hospitals who have to treat these deadbeats, they receive government assistance, which ultimatly comes out of the pockets of guess who? You and me...... This arguement reminds me of the motorcycle enthusiasts who think no one should tell them they have to wear a helmet. If I had a dime for every paraplegic I have taken care of because they were not wearing a helmet, or a seatbelt, I wouldn't have to work. And once again, guess who picks up the bill??????

Specializes in Med Surg, Tele, PH, CM.

Lizzy - I also work with the Medicaid population, but lets be fair here... Most of these goodies that you describe are not purchased by our patients, they are gifts (or aquisitions) from admirers.......

Lizzy - I also work with the Medicaid population, but lets be fair here... Most of these goodies that you describe are not purchased by our patients, they are gifts (or aquisitions) from admirers.......

Ahhhh, so we agree.

Specializes in ICU M/S Peds Home Health.
Ahhhh, so we agree.

so they beg or steal mone, cigs or booze? I don't understand?

so they beg or steal mone, cigs or booze? I don't understand?

I was referring to something else. Not sure what the above remark is about, that was mentioned by someone else.

Specializes in Med Surg, Tele, PH, CM.
Mandatory healthcare for WHO? For the ones who can afford it? What about the ones who can't afford it? The ones who live from paycheck to paycheck just trying to buy milk and bread for their babies?

How are these people going to afford it?

This is just all hype. You can't get blood out of a turnip.

Most of the people I have known who choose not to pay insurance premiums do so because they have other things to do with their money - like cigarettes, and Starbucks, and ceramic nails. Health insurance is on the bottom of the list of priorities for many, especially if their children are covered by CHIP.

Under HR 676, a family of three making $40,000 per year would spend approximately $1600 per year for health care coverage.

It would be a payroll deduction like medicare.

Or payable similar to income tax for thosewhose income is from investments.

All people with an income would pay in.

Then when they or their children are sick or injured they will be cared for as needed.

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