Thursday, April 5, 2012

Down the Insurance Rabbit Hole - NYTimes.com

Down the Insurance Rabbit Hole - NYTimes.com:

Justice Antonin Scalia subsequently expressed skepticism about forcing the young to buy insurance: “When they think they have a substantial risk of incurring high medical bills, they’ll buy insurance, like the rest of us.”

May the justices please meet my sister-in-law. On Feb. 8, she was a healthy 32-year-old, who was seven and a half months pregnant with her first baby. On Feb. 9, she was a quadriplegic, paralyzed from the chest down by a car accident that damaged her spine. Miraculously, the baby, born by emergency C-section, is healthy.

Were the Obama health care reforms already in place, my brother and sister-in-law’s situation — insurance-wise and financially — would be far less dire.
But, if Republicans have their way, even this is in danger, from Matther Yglesias via Slate:

“I’m not concerned with the very poor. We have a safety net there,” Romney told CNN. “If it needs repair, I’ll fix it.”

There's a certain logic to that position. Except that if you read Romney's policy agenda what he appears to think about the social safety net for the poor is that it should be drastically curtailed. He proposes the following five points:
  • Immediately cut nonsecurity discretionary spending by 5 percent.
  • Reform and restructure Medicaid as block grant to states.
  • Align wages and benefits of government workers with market rates.
  • Reduce federal workforce by 10 percent via attrition.
  • Undertake fundamental restructuring of government programs and services.
In other words he wants to cut the safety net, cut the health care part of the safety net, muck around with the federal workforce, and then cut the non-health care part of the safety net. To further clarify, he states that he "will immediately move to cut spending and cap it at 20 percent of GDP" while increasing defense spending. Which is to say he wants to cut social safety net spending. What's more "as spending comes under control, he will pursue further cuts that would allow caps to be set even lower so as to guarantee future fiscal stability," thus cutting social safety net spending even further.


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