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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 4:43 pm 
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Joe Orr Road Rod wrote:
Governments are no less greedy than corporations.


More so in MANY cases.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 4:46 pm 
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Joe Orr Road Rod wrote:
rogers park bryan wrote:
ZephMarshack wrote:
leashyourkids wrote:
This is economics. We want the best and the brightest to become doctors. It's nice to say "fuck doctors", but once reality sets in, you'll realize you don't want Bert from the local watering hole performing your triple bypass surgery. We can act like money and economics shouldn't factor into these things, but they do.

I hope you have this same energy about incentives mattering when right-wing education reformers propose making the job of teaching worse and expect learning outcomes to not only not go down, but actually improve.

It kinda seems like anything that might help people with less money is met with : THE ECONOMICS WILL NEVER WORK


Is it that it couldn't work or those of us who don't NEED the help don't WANT them to work?

Or do we just not have enough resources in general and some people are just fucked?



I think we have the resources but to have those we also need motivations. Liberals often seem ignorant of human nature. Governments are no less greedy than corporations.

That's true, but really you're just saying it's the NEED vs WANT thing with haves and have nots. Good answer.

Second sentence seems unnecessary.

Aren't you a self described liberal anyway?


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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 4:51 pm 
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Joe Orr Road Rod wrote:
ZephMarshack wrote:
leashyourkids wrote:
This is economics. We want the best and the brightest to become doctors. It's nice to say "fuck doctors", but once reality sets in, you'll realize you don't want Bert from the local watering hole performing your triple bypass surgery. We can act like money and economics shouldn't factor into these things, but they do.

I hope you have this same energy about incentives mattering when right-wing education reformers propose making the job of teaching worse and expect learning outcomes to not only not go down, but actually improve.


I get your point, but doctors aren't negotiating with the government. And I'm gonna guess you don't want a doctor who has killed ten previous patients and is protected by a union to perform your heart surgery.

The point still completely stands though. Incentives either matter for the attractiveness of a job or they don't.

Maybe if becoming a doctor is less attractive under a system more akin to the rest of the developed world, we can just asset that we'll continue to get people going into medicine "for the love of the job" since that's the same magical mechanism ed reformers always resort to when it comes to teachers.


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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 4:53 pm 
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ZephMarshack wrote:
Joe Orr Road Rod wrote:
ZephMarshack wrote:
leashyourkids wrote:
This is economics. We want the best and the brightest to become doctors. It's nice to say "fuck doctors", but once reality sets in, you'll realize you don't want Bert from the local watering hole performing your triple bypass surgery. We can act like money and economics shouldn't factor into these things, but they do.

I hope you have this same energy about incentives mattering when right-wing education reformers propose making the job of teaching worse and expect learning outcomes to not only not go down, but actually improve.


I get your point, but doctors aren't negotiating with the government. And I'm gonna guess you don't want a doctor who has killed ten previous patients and is protected by a union to perform your heart surgery.

The point still completely stands though. Incentives either matter for the attractiveness of a job or they don't.

Maybe if becoming a doctor is less attractive under a system more akin to the rest of the developed world, we can just asset that we'll continue to get people going into medicine "for the love of the job" since that's the same magical mechanism ed reformers always resort to when it comes to teachers.


Teachers aren't close to as important as doctors. Sorry - they're just not.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 4:57 pm 
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leashyourkids wrote:
Teachers aren't close to as important as doctors. Sorry - they're just not.
I didn't suggest that anywhere though. I merely made a point about incentives mattering for job attractiveness. Perhaps you agree though that right-wing ed reformers simply do want more D-students going into teaching by making the job less attractive?


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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 4:58 pm 
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Joe Orr Road Rod wrote:
Governments are no less greedy than corporations.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 4:59 pm 
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leashyourkids wrote:
ZephMarshack wrote:
Joe Orr Road Rod wrote:
ZephMarshack wrote:
leashyourkids wrote:
This is economics. We want the best and the brightest to become doctors. It's nice to say "fuck doctors", but once reality sets in, you'll realize you don't want Bert from the local watering hole performing your triple bypass surgery. We can act like money and economics shouldn't factor into these things, but they do.

I hope you have this same energy about incentives mattering when right-wing education reformers propose making the job of teaching worse and expect learning outcomes to not only not go down, but actually improve.


I get your point, but doctors aren't negotiating with the government. And I'm gonna guess you don't want a doctor who has killed ten previous patients and is protected by a union to perform your heart surgery.

The point still completely stands though. Incentives either matter for the attractiveness of a job or they don't.

Maybe if becoming a doctor is less attractive under a system more akin to the rest of the developed world, we can just asset that we'll continue to get people going into medicine "for the love of the job" since that's the same magical mechanism ed reformers always resort to when it comes to teachers.


Teachers aren't close to as important as doctors. Sorry - they're just not.


Now you did it.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 5:00 pm 
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rogers park bryan wrote:
Joe Orr Road Rod wrote:
rogers park bryan wrote:
ZephMarshack wrote:
leashyourkids wrote:
This is economics. We want the best and the brightest to become doctors. It's nice to say "fuck doctors", but once reality sets in, you'll realize you don't want Bert from the local watering hole performing your triple bypass surgery. We can act like money and economics shouldn't factor into these things, but they do.

I hope you have this same energy about incentives mattering when right-wing education reformers propose making the job of teaching worse and expect learning outcomes to not only not go down, but actually improve.

It kinda seems like anything that might help people with less money is met with : THE ECONOMICS WILL NEVER WORK


Is it that it couldn't work or those of us who don't NEED the help don't WANT them to work?

Or do we just not have enough resources in general and some people are just fucked?



I think we have the resources but to have those we also need motivations. Liberals often seem ignorant of human nature. Governments are no less greedy than corporations.

That's true, but really you're just saying it's the NEED vs WANT thing with haves and have nots. Good answer.

Second sentence seems unnecessary.

Aren't you a self described liberal anyway?



I have a hard time describing myself that way anymore. I'm not even sure what it means.

But I don't think so much wealth concentrated in so few hands is healthy or that it can continue without something blowing. I just think any real answer has to align with human nature. There's a reason communism sounds great but doesn't work.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 5:01 pm 
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ZephMarshack wrote:
leashyourkids wrote:
Teachers aren't close to as important as doctors. Sorry - they're just not.
I didn't suggest that anywhere though. I merely made a point about incentives mattering for job attractiveness. Perhaps you agree though that right-wing ed reformers simply do want more D-students going into teaching by making the job less attractive?


I honestly doubt that. I think they simply have a different - but honest - philosophical perspective than you do.

Regarding incentives, we can agree on the lack of quality teachers available. Most teachers are also public employees with set salaries. Do we want the same for doctors?

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 5:10 pm 
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leashyourkids wrote:
ZephMarshack wrote:
leashyourkids wrote:
Teachers aren't close to as important as doctors. Sorry - they're just not.
I didn't suggest that anywhere though. I merely made a point about incentives mattering for job attractiveness. Perhaps you agree though that right-wing ed reformers simply do want more D-students going into teaching by making the job less attractive?


I honestly doubt that. I think they simply have a different - but honest - philosophical perspective than you do.

Regarding incentives, we can agree on the lack of quality teachers available. Most teachers are also public employees with set salaries. Do we want the same for doctors?

In the U.S. -
Medscape, a subsidiary of the medical information website WebMD, has released its 2015 Physician Compensation Report . The data in the report come from more than 19,500 doctors in 26 specialties who responded to Medscape's annual survey with information on their compensation for 2014. The average primary care doctor made $195,000; the average specialist made $284,000.

In Canada (2014-2015)
The average gross pay for a doctor sits at $339,000. Keep in mind, the amount varies based on doctors’ specialties though: family physicians make about $271,000 while medical specialists make about $338,000 and surgical specialists earn $446,000.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 5:22 pm 
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leashyourkids wrote:
ZephMarshack wrote:
leashyourkids wrote:
Teachers aren't close to as important as doctors. Sorry - they're just not.
I didn't suggest that anywhere though. I merely made a point about incentives mattering for job attractiveness. Perhaps you agree though that right-wing ed reformers simply do want more D-students going into teaching by making the job less attractive?


I honestly doubt that. I think they simply have a different - but honest - philosophical perspective than you do.

Regarding incentives, we can agree on the lack of quality teachers available. Most teachers are also public employees with set salaries. Do we want the same for doctors?

And I think people who want medical care akin to most of the rest of the developed world simply have a different, but honest philosophical perspective than you do. That of course did not prevent the "just the facts, ma'am" reporting on human nature about how likely quality of care is to suffer under such a move.

Regarding incentives, if we agree that lack of quality of teachers are available, what do you think the likely impact on that is from firing hundreds of thousands of the "bad apples" not doing a good enough job under ed reformer standards, eliminating tenure and job security entirely, and minimizing benefits available by crushing those no good public unions?


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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 5:33 pm 
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Where do you want your kidney transplant done- the U.S. or Ecuador?

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 5:41 pm 
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leashyourkids wrote:
ZephMarshack wrote:
Joe Orr Road Rod wrote:
ZephMarshack wrote:
leashyourkids wrote:
This is economics. We want the best and the brightest to become doctors. It's nice to say "fuck doctors", but once reality sets in, you'll realize you don't want Bert from the local watering hole performing your triple bypass surgery. We can act like money and economics shouldn't factor into these things, but they do.

I hope you have this same energy about incentives mattering when right-wing education reformers propose making the job of teaching worse and expect learning outcomes to not only not go down, but actually improve.


I get your point, but doctors aren't negotiating with the government. And I'm gonna guess you don't want a doctor who has killed ten previous patients and is protected by a union to perform your heart surgery.

The point still completely stands though. Incentives either matter for the attractiveness of a job or they don't.

Maybe if becoming a doctor is less attractive under a system more akin to the rest of the developed world, we can just asset that we'll continue to get people going into medicine "for the love of the job" since that's the same magical mechanism ed reformers always resort to when it comes to teachers.


Teachers aren't close to as important as doctors. Sorry - they're just not.

Let teachers write prescriptions. It's really not that hard of a problem to solve.


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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 6:54 pm 
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Joe Orr Road Rod wrote:
But I don't think so much wealth concentrated in so few hands is healthy or that it can continue without something blowing. I just think any real answer has to align with human nature. There's a reason communism sounds great but doesn't work.

Gotta agree with this, especially that the path we're on cannot continue unabated and that communism doesn't work. People my age and younger (especially younger) say they feel failed by capitalism, but we're all still human beings and therefore we like havin' stuff. But it's not wrong to say you feel failed by the drastic upward redistribution of wealth we've experienced. Capitalism still works, it just needs its boundaries redefined from time to time to save it from itself. Right now, it appears that healthcare needs to be outside those boundaries. Communism won't work, the libertarian shithead paradise won't work, and eventually the status quo won't work, but we do need a significant readjustment.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 6:56 pm 
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leashyourkids wrote:
Regarding incentives, we can agree on the lack of quality teachers available. Most teachers are also public employees with set salaries. Do we want the same for doctors?

I believe most doctors would be private employees whose largest client is the federal government. You know, like Raytheon. Betcha don't hate Raytheon.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:03 pm 
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Curious Hair wrote:
leashyourkids wrote:
Regarding incentives, we can agree on the lack of quality teachers available. Most teachers are also public employees with set salaries. Do we want the same for doctors?

I believe most doctors would be private employees whose largest client is the federal government. You know, like Raytheon. Betcha don't hate Raytheon.


Do you really want doctors to see their "client" as the federal government, or would you prefer that doctors have a personal relationship with their patient?

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:17 pm 
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Then it sounds like you're arguing that there should be no health insurance at all, lest doctors care more about dealing with Blue Cross than with patients, and that people should directly pay all their bills themselves. Okay. Maybe go back to the old days of country doctors where you couldn't afford to pay in cash so you just baked him a year's worth of pies. They might still do that in Peotone.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:23 pm 
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Curious Hair wrote:
Then it sounds like you're arguing that there should be no health insurance at all, lest doctors care more about dealing with Blue Cross than with patients, and that people should directly pay all their bills themselves. Okay. Maybe go back to the old days of country doctors where you couldn't afford to pay in cash so you just baked him a year's worth of pies. They might still do that in Peotone.


No. I was simply pointing out your odd use of words. Maybe that isn't what you meant. I've said for a long time that private health insurers serve no purpose.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:32 pm 
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leashyourkids wrote:
Curious Hair wrote:
Then it sounds like you're arguing that there should be no health insurance at all, lest doctors care more about dealing with Blue Cross than with patients, and that people should directly pay all their bills themselves. Okay. Maybe go back to the old days of country doctors where you couldn't afford to pay in cash so you just baked him a year's worth of pies. They might still do that in Peotone.


No. I was simply pointing out your odd use of words. Maybe that isn't what you meant. I've said for a long time that private health insurers serve no purpose.


I'm just saying that under a single-payer system, doctors would not be employees of the hated government, they would just be paid by it as they're currently paid by multiple insurers. Republican goons feast on these campfire ghost stories of hospitals becoming DMVs where well-meaning surgeons have been replaced by over-officious fat black women on infinite lunch breaks, because that's what The Government is to people who live in McHenry County and vote Republican. That's why we have "Medicare for All" as the name for single-payer, because it's something people like and something people can understand. It's not "government healthcare," it's healthcare where the government picks up the check.

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Last edited by Curious Hair on Wed Aug 01, 2018 7:34 pm, edited 1 time in total.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:34 pm 
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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:35 pm 
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Thank you for your thoughtful response to where I said I didn't want communism because it doesn't work and people don't really want it.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:42 pm 
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Curious Hair wrote:
Joe Orr Road Rod wrote:
But I don't think so much wealth concentrated in so few hands is healthy or that it can continue without something blowing. I just think any real answer has to align with human nature. There's a reason communism sounds great but doesn't work.

Gotta agree with this, especially that the path we're on cannot continue unabated and that communism doesn't work. People my age and younger (especially younger) say they feel failed by capitalism, but we're all still human beings and therefore we like havin' stuff. But it's not wrong to say you feel failed by the drastic upward redistribution of wealth we've experienced. Capitalism still works, it just needs its boundaries redefined from time to time to save it from itself. Right now, it appears that healthcare needs to be outside those boundaries. Communism won't work, the libertarian shithead paradise won't work, and eventually the status quo won't work, but we do need a significant readjustment.



Yeah, so many of these "communists/socialists" are phony. Victor Davis Hanson wrote this about universities the other day:

"In the 1980s, the universities embraced two antithetical agendas, both costly and reliant on borrowed money. On the one hand, campuses competed for scarcer students by styling themselves as Club Med–type resorts with costly upscale dorms, tony student-union centers, lavish gyms, and an array of in loco parentis social services. The net effect was to make colleges responsible not so much for education, but more for shielding now-fragile youth from the supposed reactionary forces that would buffet them after graduation.

But if campus materialism was at odds with classroom socialism, few seemed to notice. Instead, the idea grew up that one had no need to follow concretely the consequences of his abstract ideology. Or even worse, one’s hard-left politics — the louder and more strident the better — became a psychological means of squaring the circle of denouncing the West while being affluent and enjoying the material comforts of the good life."

I couldn't help but think of Ocasio-Cortez.

It's like Ike Reilly's "Commie Drives A Nova":

https://www.youtube.com/watch?v=078hF6TnK0M

I have a friend who considers herself a socialist. The other day she said, "If we all like what LeBron is doing, then why aren't we all socialists?" I don't like to get into beefs with my friends so I didn't say anything, but my immediate thought was that nobody was forcing LeBron to do what he's doing. I mean, we all like sex, but nobody wants to be held down and raped in the ass. Not to get all Objectivist like some loon from the Ayn Rand Institute, but the force of government is a critical component of socialism/communism.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:46 pm 
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Curious Hair wrote:
Thank you for your thoughtful response to where I said I didn't want communism because it doesn't work and people don't really want it.


Idk what to tell you. I am not with you on the Medicare for all idea. I haven’t yet seen the sensible explanation I demand. Note I did. It say I am against in theory. Just that your pie in the sky desire needs more work.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:47 pm 
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Curious Hair wrote:
It's not "government healthcare," it's healthcare where the government picks up the check.


Ultimately, I don't believe that there is really a distinction.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:49 pm 
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The issue with communism is that the haves/ruling class makes the decisions for the commune. Meet the new boss, same as the old boss.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:50 pm 
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Joe Orr Road Rod wrote:
Curious Hair wrote:
It's not "government healthcare," it's healthcare where the government picks up the check.


Ultimately, I don't believe that there is really a distinction.


Yeah the government would never coerce behavior because they pick up the check.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:51 pm 
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pittmike wrote:
Curious Hair wrote:
Thank you for your thoughtful response to where I said I didn't want communism because it doesn't work and people don't really want it.


Idk what to tell you. I am not with you on the Medicare for all idea. I haven’t yet seen the sensible explanation I demand. Note I did. It say I am against in theory. Just that your pie in the sky desire needs more work.

What is your ideal healthcare system? Obamacare? Obamacare with public option? Everyone just does whatever and if they can't afford good insurance they're dicked?

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:51 pm 
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pittmike wrote:
Joe Orr Road Rod wrote:
Curious Hair wrote:
It's not "government healthcare," it's healthcare where the government picks up the check.


Ultimately, I don't believe that there is really a distinction.


Yeah the government would never coerce behavior because they pick up the check.


You have that now.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:53 pm 
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Terry's Peeps wrote:
pittmike wrote:
Joe Orr Road Rod wrote:
Curious Hair wrote:
It's not "government healthcare," it's healthcare where the government picks up the check.


Ultimately, I don't believe that there is really a distinction.


Yeah the government would never coerce behavior because they pick up the check.


You have that now.


And it would get worse.

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 Post subject: Re: Medicare for all
PostPosted: Wed Aug 01, 2018 7:54 pm 
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pittmike wrote:
Terry's Peeps wrote:
pittmike wrote:
Joe Orr Road Rod wrote:
Curious Hair wrote:
It's not "government healthcare," it's healthcare where the government picks up the check.


Ultimately, I don't believe that there is really a distinction.


Yeah the government would never coerce behavior because they pick up the check.


You have that now.


And it would get worse.


It's already horrible.

At least everyone would have coverage.

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There is not a damned thing wrong with people who are bull shitters.


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