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[quote=Anonymous][quote=Anonymous]

Fellow republican here who has been engaged in the "entitlement mindset" discussion.

In general I don't believe "a program organized by the federal government" is the right solution - it is the solution of last resort. I'm open to the argument that federally managed healthcare is indeed now the solution of last resort, but I've not yet see any convincing arguments. People who describe universal healthcare systems of other countries paint rosy images but does not acknowledge the short comings of those systems, such as UK's system being so inadequate as to necessitate secondary private insurance, or that Japan in general only provides palliative care for terminal illnesses.

That said, I too support some type of universal catastrophic coverage program that is centrally managed. A catastrophic coverage provides a "last resort" type protection between the affected families and absolute financial ruin.

As for decoupling insurance and employment - unfortunately I am not sure how this can be accomplished. Employers offer subsidized health insurance as part of the employees' compensation package. If a decoupling were to occur, what would that look like? Would employers be barred from providing health insurance coverage to their employees? If so, then what happens to the money that was previously spent by companies to subsidize health plans - it was more or less equally applied to all employees, so would employers then be required to pay some amount to employees in lieu of this benefit? Kind of like a health insurance voucher?

That employers are willingly offering insurance programs for their employees is in reaction to natural market forces: a group of people is organized together and creates a risk pool. I am not sure that there are any other ways that risk pools are naturally formed like this. [/quote]

OP here- there is so much wrong with your argument but here is the problem with voting for Republicans:

Lofty ideas are just that- lofty ideas.  An incomplete solution has been implemented, Obamacare.  You say costs are out of control- that’s not because of Obamacare, that is an existing problem that has actually been slowed by Obamacare- again Obamacare has slowed the increase in medical costs.  My insurance was getting significantly more expensive every year before Obamacare, and has not since Obamacare was implemented.  I am a regular middle class person and my healthcare is from a regular office job.

And again, what is the point of a debate without legislation?  We have total Republican government control- if they aren’t coming up with healthcare solutions now they never will.

Give me a reason not to vote for a Democratic ticket across the board, especially with my circumstances.[/quote]

Not sure where the disagreement is. I was talking about things in general and you are focused on your specific situation, an anecdote. It does not follow that there is a broad general problem associated with voting for Republicans because you in particular have benefited from Obamacare. There were plenty wrong with Obamacare, which is why during the 2016 election the Republicans ran on repealing and replacing Obamacare while few Democrats made vocal defense of it.

I too am very frustrated with the Republican lack of success with repealing Obamacare in whole, it's part of the reason that Republicans are now on the defensive with regards to healthcare issues. I can point fingers and say that grand standing you-know-who ruined it for the rest of us, but I'm not going to dwell on that. If Republicans had put forward a good solid plan then they would not have depended on a 1-vote margin to get things done.

I'm not here to tell you how to vote, but to debate the merit of ideas. I also don't like the concept of voting based on one issue, but I understand that people have different priorities and respect their individual choice. I think what we can agree on is that people should make every effort to vote, we may disagree on the issues but I hope every one of us exercise our duty to vote, and that is not a lofty idea. [/quote]

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