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10 March 2017 @ 05:44 am
Accurately representing millions of voters  
For years we heard that Paul Ryan was one of the smart Republicans. He would present some complex economic plan, and the Very Serious People would praise it, except for a few spoilsports like Paul Krugman who would actually read it and demonstrate that it made no sense.

Now, as Charles Pierce and many others have pointed out, Ryan has proclaimed that insurance cannot work if healthy people have to pay more to subsidize the sick, which is the way insurance always works.

He is nowhere near alone. Many, many people who get one vote each used it to rid themselves of the scourge of Obamacare only to discover to their shock that doing so would coincidentally remove the ACA that is keeping them alive. (It’s international: “Let’s vote ourselves out of the European Union. OK, now let’s find out what the European Union is.”)

I really don’t want them to lose their health care. Nature punishes stupidity, but the purpose of society is to be less unforgiving than nature. In fact, I’d like all of us to have a real national health system like the first world does, and the worst that would befall the Trump trusters is the galling realization that the colored and the queers have it too.
Arlie Stephens: pic#6301806ertla on March 11th, 2017 06:21 am (UTC)
This confusion is not remotely new. Lots and lots of so called "insurance" plans have limitations on the total they will ever pay. On the other hand, they proudly cover routine expenses. That's the exact opposite of insurance.

American health insurance combines
- a large powerful group negotiating what providers will be paid. So you get a lower price even when still meeting your deductible.
- rationing/death panels, aka bureaucrats interfering with treatment choices and disallowing those they deem too expensive
- a kind of enforced savings plan for medical expenses.
- some aspects of actual insurance, in some plans
- a way of assigning different treatment based on class/socioeconomic status, Different insurance plans result in sending people with the same crisis to different ERs, with different availability of the better treatments, And of course no insurance means "stabilize but don't attempt to fix it"

The whole things is seen most clearly in the context of health insurance for pets, except that the socioeconomic class aspects don't apply there.

Edited at 2017-03-11 06:21 am (UTC)