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Sunday, November 08, 2009
Debra J. Saunders :: Townhall.com Columnist
D.C.'s 'Failure To Launch' National Health Care Policy
by Debra J. Saunders
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Besides, a law that would make insurers cover healthy young adults is far less onerous than other congressional provisions, such as the requirement that health care providers cover cancer patients at no extra cost. Ditto restrictions on what they can charge older Americans.

Joshua B. Gordon of the fiscal watchdog group The Concord Coalition, sees "very minimal federal budget implications" -- as there are advantages to adding "young and healthy people" to the ranks of the insured. "It actually saves costs in a way," he added -- a point that has been made by elected failure-to-launch boosters.

It's true that 1 in 3 young American adults lacks health care coverage -- and Washington should try to pass laws to correct the situation. But don't tell me it's practically free. As Geoffrey Sandler testified for the American Academy of Actuaries last year, "Although young people age 19 to 25 generally have lower claims costs than other age groups, increasing coverage to this group will increase claims."

And don't act as if there is something noble about failure-to-launch provisions -- when they do nothing for young adults who have no parents or whose parents don't have health insurance.

"It's a way to get people to have coverage, but without the federal government picking up the tab," noted Zuckerman. But that does not mean there is no cost -- only that employers or employees will have to pay the added cost.

This is where a proposal by the Senate Finance Committee, chaired by Sen. Max Baucus, D-Mont., to sell low-premium, high-deductible "young invincibles" policies to young adults comes in handy. As Time Magazine reported, such policies "do not constitute full coverage." But if crafted correctly, Zuckerman told me, "the young-invincibles plans could be a good option."

And not just for the sons and daughters of the middle class. It makes no sense, but the so-called caring members of Congress want to avoid the path that paves strong incentives for young-invincibles to take charge of their health care. Instead, they're pushing the "failure to launch" model.

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Bad Albino Bob
'
If everyone had to pay as they went, people would exert market forces on the health care system. The system would have to be efficient and competitive. With the great majority of the bills met by a third agent, either government and insurance, there is no such pressure.
'
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Pay_As_You_Go is great for the wealthy and the invulnerable. But if you have an unexpected and catastrophic illness or accident .. what would you do ? Take out a Health Care Loan of a couple of 100's of Thousands of dollars.

I think one of the major flaws in our overall system is the fee-for-service setup. I believe that Doctors in all honesty will say they major problem is tort reform and defensive medicine.. but would never admit to the obvious -- Fee-For-Services gives them an incentive to do more expensive, if not necessarily required or even better procedures, because it pulls in more money...

Case in point --- are some surgical back procedures which have been found to be no more effective and in some cases more harmful than other tried and true non-invasive procedures. Yet these surgeries have become the norm.

We all love our personal doctors.... but our Doctors can be greedy too. I have ---I had-- a dermatologist who always required that I make a formal appt just to get a prescrip refilled --- for some ingrown hair med. After a while I caught on that he made $105 per visit just to write me a refill of $10 med.

rickssg
"
No, Washington should not try to pass laws to "correct" this situation. Why do so many people assume that people not having coverage is automatically a bad thing? I can easily afford coverage for myself and my family, yet I have seriously considered cancelling my policy and paying all expenses out of pocket
"
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Then you sir are irresponsible.... If you where single I would think less so.... But you have a family and you are thinking about what... ?

Health Insurance is for more than just Age-Related illnesses. You could have a serious accident, or this Flu which effects the younger folk, you wife could have complications during child birth.
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