• R and R

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    • These 2 stories:

      Insurance market reform without a mandate equals …
      Why Medicaid isn’t even bigger.

      Get a little off the goal, the goal is, I think, not really to get people on health insurance but to 1. Get them to get any good diagnostic and preventive care proven to improve health on net and 2. enable access beyond that to necessary care which might be expensive .

      This would change the focus of the articles. I assume that for the medicaid issue anybody eligible for medicaid will get my second type of care because the hospital will sign them up so that so they can get paid. The problem is that they may miss out on the first type of care but that is a smaller easier to address problem IMO. An article on the above subject that does not mention this leaves me with more questions than it answered.

      Similarly with the first article, if non poor people get good diagnostic and preventive care it is not clear that paying after the fact sans insurance is bad. They can set up a payment plan after the treatment or whatever and the more people pay after the fact the more the system will bend to accommodate them and devise ways to ensure payment. So the question is how do we get people to get the early diagnostic care that will save lives and money. Again an article on the subject that does not mention that leaves me with more questions than it answered.