How do you deal with funding? State taxes can't rise to the same levels at federal income taxes
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you say can't like it's a law of nature; if you wanted to decentralize healthcare you would also want to decentralize the associated taxes
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Does eithe reduce the actual costs?
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And I mean not just end user costs, I mean total healthcare spend/per person, regardless of payer
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it could cost the same and still be an improvement b/c no national conversations every time you wanna fix this or that part of it
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The civil rights peeps will scream when red states remove x portions, and the country divides further into 2 realities?
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yes, at first, but ideally divide it into 50 realities
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What about by metro-mega-region? Not constitutional, but we can all dream...
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wouldn't u just run into the same issues we already have w medicaid
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maybe the issues we have w medicaid would be easier to solve in smaller units than for the entire usa at once
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the fed govt has little to do w the administration of medicaid, the state basically has full autonomy to run it
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the state doesn't collect the money that pays for it tho, right? that's feds?
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the feds provide matching funds for whatever services the state decides to administer
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…https://kaiserfamilyfoundation.files.wordpress.com/2013/05/mrbadministration.pdf … this explains p much everything re how medicaid is administered
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That defeats the purpose of health-care reform, though, which is to aggregate ever-more power and influence into the hands of the state.
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(I know)
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This is the funny thing about when people say the US should adopt Canada's system, because ours is provincial, not federal.
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Classic MA trying to make the whole country work like it does.
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So much authorized quackery reigns supreme in muh official allopathic medical culture. So called costs in many ways financially hyperreal.:b
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