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August 21, 2009


Of course, if it's left up to the states, you can be pretty sure that Texas would not be one of them. Even if Texas did set up an exchange, very few if any of the insurance companies would be likely to join in. Even at that, it wouldn't address the fundamental problem, which is that the fee-for-service model under which we compensate medical care is fundamentally flawed. I suggest reading this article from "The New Yorker" about medicine in McAllen and the Valley: http://www.newyorker.com/reporting/2009/06/01/090601fa_fact_gawande

Lots of legislation comes through with neat little titles, most of which are rather ironic in that they have little to do with the subject of the bill. This one is a little better than average, but to call it the "Patient Choice Act" is a little disingenuous, since the patient getting a choice relies on the choices of state legislatures (controlled by special interests) and insurance companies (the special interests in control) before patient choice ever comes into the equation.

Swalkerttu, the New Yorker article doesn't add anything useful to the discussion. Surely everyone knows by now that the current health care delivery system has some flaws. Unfortunately, there is no perfect solution.

As for an exchange in Texas, the state already has one. It's called the Texas Health Insurance Pool.

Sounds to me like just another menu of insurance companies and their rates, which is already available to anyone on the web.

It seems that the ones mostly in opposition to a government health care plan are those who have Medicare, which is a government run health care plan. I have also noticed quite a number of town hall meeting protestors who have said they have health care benefits subsidized by the government, but they don't want to have to pay higher taxes for others to have that benefit.

I think the bottom line is fear of chaning anything, even though people know we need changes.

Lou, the difference from the present would be the prohibition of denials for preexisting conditions plus the larger pool to spread the risk.

The people on Medicare are afraid that the funds to pay for some treatment they might need down the road will be redirected to pay for other aspects of the larger government program.

You are right, there does seem to be a fear of change, especially in this case when there's no confidence that the change will be for the better.

It depends what you wantTop bnfeeit coverIntermediate bnfeeit coverBasic coverWho it is to cover, single, couples, single parent, family. And if you want optional extras, such pregnancy and birth etc, and if you want to pay a excess fee or not. I am Medibank private member, with just Blue ribbon extra's and no hospital cover.

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