Affordable Care Act |the Healthy Subsidizes the Unhealthy

Submitted by Bentley

Everyone should read this article. I remember saying, at the start of the health care debate in the US that resulted in the Affordable Care Act (ACA) that this should be taken into account. In fact, when I was at CEP (I left CEP in 1993) I proposed to an insurance agent that healthy individuals should be rewarded and that equipment used to maintain and promote healthy lifestyles should be subsidised under health insurance plans.

 

Affordable Care Act is the biggest transfer of health in the history of the…

By John Foley

The healthy should not be forced to subsidize health insurance for the unhealthy.

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86 Comments on “Affordable Care Act |the Healthy Subsidizes the Unhealthy”

  1. Simple Simon July 9, 2017 at 12:04 AM #

    @Kevin July 8, 2017 at 12:16 PM ““What does society owe Westley? What does society owe the alcoholic? The drug addict? The chain smoker? The Type 2 diabetic? The motorcyclist? The mountain climber who knowingly engages in a dangerous hobby?”

    What does society owe the big guts politician?

    What does society owe the poor rakey yard fowl?

    Like

  2. Hal Austin July 9, 2017 at 2:39 AM #

    Simple Simon,
    You are living up to your name, and there is no real need for further dialogue. One point however, if a shopkeeper, or any one else for that matter, kills someone in premeditation, that is murder in any common law jurisdiction.
    End of story and end of conversation.

    Like

  3. Artax July 9, 2017 at 3:38 AM #

    millertheanunnaki July 7, 2017 at 5:11 PM #

    “How about going a bit further and impose a ‘FAT TAX’ (F T) on all fast food sales? The ‘F T’ can be imposed as a specified percentage (say 5 %) of all sales made from each fast food outlet and collected via the existing VAT regime with necessary adjustments.”

    “Let the consumers of fast foods from those highly profitable chains of ‘fat’ distributors pay in advance for their future health care cost expected to be provided by the State.”

    @ millertheanunnaki

    Yes, Miller, government “imposing a ‘fat tax’ on all fast food sales” sounds like an excellent idea. But there are implications of that action that politicians will contemplate.

    They burden the owners of fast food outlets with an additional 5% tax as you suggested, thereby increasing overall taxes to 22.5% (VAT 17.5% + FT 5% = 22.5%), resulting in corresponding increases in prices.

    Let’s examine this situation using Chefette as an example. There is an additional 5% increase in prices of that restaurant’s products, resulting in a decrease in sales over the long-term. A continued decrease in sales forces Haloute to reduce his employees to the point where he has to close 10 of the 15 or so Chefettes and 200 people waiting in the “bread line” as a result.

    There are similar occurrences at KFC, where the owners are forced to close 8 of their 12 outlets. Gray “Pizza Man Doc” Brome, who has only 3 outlets remaining of the 7 he previously owned, is now totally “wiped out of business.” Chicken Barn, Burger King, Granny’s in Oistins, Subway, Bubba’s, Lucky Horseshoe and all the other fast food outlets decide to “lay off” employees resulting in an additional 1,500 joining the ranks of the unemployed.

    Then government has to consider the effect of the tax on FDI and may have to offer concessions on other taxes to encourage foreign investment, creating an uneven playing field for the outlets that remain (and causing Bizzy Williams to cry and shout victimization again).

    The investment analysts for Wendy’s, McDonalds, Dairy Queen and other “international brands” seeing the trend in Barbados relative to the closure of fast food outlets, may conclude investing in the island is not a lucrative venture.

    John Boyce is concerned about NCD, and rightly so. But could you imagine him telling his constituents, and by extension Barbadians, not to buy food from the Oistins Food Court or fried chicken livers, necks and gizzards from Granny’s Restaurant (which are located in the heart of his constituency)?

    ………..or Col. Jeffrey Bostic discouraging people from buying the popular liver cutters from Pink Star in Baxter’s Road?

    ……….or Santia Bradshaw saying not to buy souse from George in the Pine (out dey by CBC and a popular liming spot for politicians)?

    ……….or Mara Thompson advocating the closure of the Souse Factory in St. John?

    What about fried chicken livers, necks, gizzards, fish, chicken and pork chops from the village shops or “the small man black man trying to make a dollar” in the various constituencies?

    Can you imagine politicians on the campaign trail trying to solicit votes, going into the village rums shops and refusing to buy alcoholic beverages, fish cakes, chicken, souse, pork chops, etc for constituents and buy milk instead?

    Although what I mentioned above may sound simplistic or silly, correlate it to the issue of squatting. People have been squatting in zone 1 areas for years, despite the authorities expressing concern about contamination of the water supply. Now we have Jamaicans and Guyanese squatters telling their relatives and friends about “free” land in Barbados and encouraging them to come here to squat on the old dump site at Rock Hall, St. Philip.

    The politicians are not prepared to do anything about this issue, lest they lose votes in the process, as is evidenced by Adriel Brathwaite, who in response to questions relative to the Rock Hall squatters, said he was aware of the situation and have friends living there. The illegal squatters remain to this day.

    Politicians know that introducing a health levy is the easiest and simplest method of tackling the NCD problem, because of political expediency, they are not prepared to be proactive.

    Government needs to be serious about NCDs and other health issues.

    Like

  4. Artax July 9, 2017 at 3:56 AM #

    David July 7, 2017 at 4:12 PM #

    “So there is the need for the State to intervene when individuals renege on their responsibility. Given the trending of NCDs in Barbados Houston we have a problem.”

    @ David

    For reasons of political expediency, politicians will continue to talk shiite about NCD, but are not prepared to thoroughly deal with the issue.

    Consider, for example, an owner of 20 fast food outlets in Barbados making financial contributions to political parties and his parliamentary representative and providing a few jobs at his outlets on the parliamentarian’s behalf, or providing refreshments for annual conferences, constituency branch meeting and Christmas parties…………… do you actually believe politicians would sincerely tackle the NCD problem?

    The easiest way out for them is to introduce a health levy.

    Like

  5. David July 9, 2017 at 8:27 AM #

    Joseph Another aspect to consider is the quality of care we provide. Audits show that the quality of our primary care is dismal, both public and private sector. Shouldn’t we be addressing this? No point paying more for something that’s broken – we need to fix it first. I’ll attach links to the evidence below though these are scientific articles. A read of the results section of the abstract will show how often GPs are performing basic and critical aspects of care for hypertensive and diabetic patients over a two year period.

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    · Reply ·

    Joseph  https://bmcresnotes.biomedcentral.com/…/1756-0500-3-316

    Are primary care practitioners in Barbados following hypertension guidelines? – a…

    bmcresnotes.biomedcentral.com

    Like

  6. Artax July 9, 2017 at 10:43 AM #

    Trump’s father, Fred Trump, was among 7 men arrested in June 1927 during a KKK meeting.

    In 1973, the Justice Department sued the Trump Management Corporation for alleged racial discrimination against black people looking to rent apartments in the Brooklyn, Queens and Staten Island boroughs of New York City.
    And agian in 1976, the Justice Department sued the Trump Management Corporation again for allegedly discriminating against black applicants by telling them apartments weren’t available.

    Trump implied that Federal Judge Gonzalo Curiel, who was presiding over a class action suit against the for-profit Trump University, could not fairly hear the case because of his Mexican heritage.

    “Donald Trump built his political brand on racist conspiracy theories and rode to the White House on a wave of reactionary white rage, stoked by his demagogic campaign against Muslims, Hispanic immigrants, Black activists and assorted foreigners.”

    Since winning the election, Trump has picked top advisers and cabinet officials whose careers are checkered by accusations of racially biased behavior.

    Trump’s chief strategist and senior counselor, Steve Bannon, was was executive chairman of Breitbart, a news site that Bannon dubbed the “home of the alt-right” ― a euphemism that describes a loose coalition of white supremacists and aligned groups.

    Attorney General Sen. Jeff Sessions has been accused of making racially insensitive comments, which caused the Senate, in 1986, to confirm his nomination as a Federal Judge.

    Treasury Secretary, Steve Mnuchin, faced allegations of profiting from racial discrimination.

    In April 2017, Trump invited and met with known racist musician Kid Rock at the White House. Trump has also met with other known racists such as Sarah Palin and musician Ted Nugent.

    Former USA president Barrack Obama may have had his faults and made mistakes similarly to every other human being.

    However, in my opinion, by repealing and criticizing Obama’s policies, Trump is on a campaign to make it appear as though because Obama is African American, he was the worse President the USA. He was criticizing “Obamacare” without presenting any alternatives, only making generalized statements.

    And what is sickening is the fact that, although his history is there for all to read, we have black people trying to defend the racist pig, Donald Trump.

    Like

  7. Sargeant July 9, 2017 at 6:54 PM #

    The Nation is reporting that DPP Charles Leacock who has been the subject of Hal Austin’s ire has passed, Hal will have to look for another piñata to swing at.

    Like

  8. Simple Simon July 9, 2017 at 8:38 PM #

    @Hal Austin July 9, 2017 at 2:39 AM “there is no real need for further dialogue. One point however, if a shopkeeper, or any one else for that matter, kills someone in premeditation, that is murder in any common law jurisdiction. End of story and end of conversation.

    Are you trying to silence me???

    Lol!!!

    According to your story it is not clear that there was premeditation. And if an honest jury is not certain beyond a reasonable doubt then they cannot convict.

    But it was you, not me, who referred to verminous Chinese shopkeepers [were there 2 gunmen then?] and people with Hitlerian attitudes like yours are only too willing to first call other humans vermin, and then to exterminate them.

    I will not join you.

    You really need to get over the fact that Brittania no longer rules the waves, and will not rule the waves again in your lifetime nor yours.

    Greece was once a great power. No more.

    Rome was once a great power. No more.

    Egypt was once a great power. No more

    England was once a great power. No more.

    Get used to it.

    Get used to living on your small unimportant island in the cold north Atlantic.

    Like

  9. Vincent Haynes July 10, 2017 at 7:48 AM #

    Chuckle……..America was once a great power.soon to be no more.

    Like

  10. Well Well @ Consequences Observing Blogger July 10, 2017 at 9:21 AM #

    Hals brainwash is total, a miserable existence, i have seen it many times before in Caribbean people who spent 40, 50, 60 years in UK ...its irrevocable.

    they leave the earth in that mental condition.

    never a pretty sight.

    Like

  11. Vincent Haynes July 12, 2017 at 8:47 AM #

    Interesting….

    http://www.bbc.com/news/world-us-canada-40577858

    Like

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