Here I am 45 yo, 140 lbs 5’5″, cholesterol levels good, bp is good, no history of cancer or heart problems in the family. And yet, my fat friend who is 5’2″, weigh 350 lbs, has problems like you cannot believe with her feet, ankles, knees etc… has job and pays 450 a month for minimal health care. She has high bp, cholesterol levels out of whack, migraines, etc… I am self employed and cannot afford minimal health care packages because of a pre-existing condition – depression. BTW, the actuaries for my family put them all well over the age of avergage mortality for Americans. This is capitalism at it’s worst. Why can’t I have the same single payer insurance that congress Has?

I hear you.

So I guess I am meant to divest myself of a farm which is a livelyhood, should or rather when illness returns.

But you all in your ivory towers have your insurance…..

but the reality is that there is no way to profit in caring for sick, unemployed people. Like police, fire, defense, and welfare, there is no way to provide a costly, vital, necessary public service without taxing others.

That is, I’m afraid, the ugly truth!

If you don’t want healthcare reform now, when? We’ve been needing reform since the Clinton’s brought that fact to the nation over 13 years ago. Private healthcare insurance does not work. Most likely we are going to need some combination of government-run and private health insurance companies.

While we wait healthcare costs skyrocket, waiting time to see doctors and Nurse practitioners lengthen, the time health practitioners are allowed to spend with patients diminishes and more people become unable to afford quality care.

Are you saying Obama doesn’t believe his own rhetoric?

Nope. Obama is correct. The costs of following the conservative plan of doing nothing will far exceed the costs of trying something.

I have no expertise in the area of macroeconomics but given that the costs are going to occur whoever pays or is responsible, then I don’t see the advantage of having a government option for people who already have insurance.

You don’t see a benefit for your insurer competing with a government plan? Conservative love to broadly talk about the efficiencies of the private sector and the free market, but the reality is that there is no way to profit in caring for sick, unemployed people. Like police, fire, defense, and welfare, there is no way to provide a costly, vital, necessary public service without taxing others. The only way private health insurers can profit is by denying coverage. It doesn’t take any expertise to recognize that.

For people who do not, it might beat the emergency room but I am not convinced that utilization patterns will change as quickly as the administration hopes.

You’re convinced that people would rather wait in a crowded emergency room than go to their doctor’s medical office? Sure, there will always be irresponsible folks who will wait for things to get so bad that they have no choice than to go to the ER. Utilization patterns may take time to change because for generations, our society has said that only lucky folks with a good employer deserve medical attention. But I think most people who have health insurance become more aware of how to get the most out of their benefits.

BTW, Warren, do you know how much your employer pays for your healthcare plan? What is your plan if you become too sick to remain employed? Have you shopped around for private insurance? Can you honestly say the current, free market system works? We’re basically all in the same boat and most of us are at risk of economic devastation if we face a major health emergency.

I’m no expert in macroeconomics either, but it seems that our overall economy would improve if employees and small business owners (the real engine to our economy) didn’t have the burden of wondering whether they will have affordable access to health care.

I don’t know the answer – but something must change. Like you Warren I am suspicious of anyone who tlaks a take it now or never program but in this case, since we have watched the effects of deteriorating health in our population and watched costs rise to the point of being out of reach for most then we have an issue.

I have no expertise in the area of macroeconomics but given that the costs are going to occur whoever pays or is responsible, then I don’t see the advantage of having a government option for people who already have insurance. For people who do not, it might beat the emergency room but I am not convinced that utilization patterns will change as quickly as the administration hopes.

I shop for my employer’s healthcare plan annually and have watched the insurance plans double our premiums while diminishing coverage. I also noticed that an increasing number of our customers carry health care collections on their credit reports. Health care collections are so common that our screening vendor suggests that we disregard these. I think many employees (including myself before I was tasked with paying the bill) are clueless as to what their employers are actually paying for their health plan.

The president was elected to reform health care. Conservatives had eight years to propose their own health care plan and even now have failed to propose their own plan — other than tired rhetoric. Denying women the right to make their own health care choices would seem to be a desperate conservative tactic.