Trump

I Finally Understand US Health Policy

The following exchange occurred during an interview of President Trump with journalists of the NYT:

HABERMAN: That’s been the thing for four years. When you win an entitlement, you can’t take it back.

TRUMP: But what it does, Maggie, it means it gets tougher and tougher. As they get something, it gets tougher. Because politically, you can’t give it away. So pre-existing conditions are a tough deal. Because you are basically saying from the moment the insurance, you’re 21 years old, you start working and you’re paying $12 a year for insurance, and by the time you’re 70, you get a nice plan. Here’s something where you walk up and say, “I want my insurance.” It’s a very tough deal, but it is something that we’re doing a good job of.

President Trump presides over the health-care experience of millions of Americans. Does his answer scare anyone else as much as it scares me?

Uwe Reinhardt is a professor of political economy at Princeton University.

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Remarklj
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Remarklj

Time to get rid of the “insurance” thing. If we make the political decision that we want to pay for all care for all people, there is no risk to insure against. All that matters is controlling the commitment of resources – not money, but actual human and material resources – so that other important things are not left undone for lack of real estate or brainpower. We do that in part by controlling utilization, which means a combination of co-pays and committees. Co-pays can be effective, but they do have less effect on the rich than the poor. OTOH,… Read more »

William Palmer MD
Member
William Palmer MD

What we are trying to do in health care is to help people who are not fortunate. They are not feeling well and are poor. We are habitually accustomed to thinking that the financial tool of “insurance” is the only way to fix this need. Alas, this is only one way to help the unfortunate. There are other ways. After all, insurance is a sort of monetary game where we trying to estimate the risk of something happening, and then by knowing what our payoff has to be to satisfy the expectation, we go through a mathematical game to figure… Read more »

William Palmer MD
Member
William Palmer MD

You can’t have the mean household with an income of 56,000 subsidizing households with four times the federal poverty limit which is 47,900–97,000 ( one to four household members). This is like we are subsidizing the person in the mirror.

Why would you design something like this?

BobbyGvegas
Member

I posted the “health care” excerpt from his NY Times interview on my KHIT.org blog. ‘”The Presidential Oaf of Office”: __ President Trump just gave the New York Times a bizarre, on-the-record, audio-recorded interview (the one during which he threw his Attorney General under the bus, insulted the FBI, and threatened Special Prosecutor Mueller). From the health care segment of the transcript: TRUMP: Hi fellas, how you doing? BAKER: Good. Good. How was your lunch [with Republican senators]? TRUMP: It was good. We are very close. It’s a tough — you know, health care. Look, Hillary Clinton worked eight years… Read more »

BobbyGvegas
Member

The most powerful man on earth. https://www.youtube.com/watch?v=Elhyo-_fR0E

Matthew Holt
Editor

Hey–he said he was going to make it cheaper! $12 a year is cheap even by the “It’s the Prices, Stupid” standards. Almost reasonable. Could Mr Trump tell me where to sign up?

zamishka
Member

This is why Congress, and not the President, presides over the health experience of millions of Americans. Whether that’s an improvement is a separate debate.