indeed one big lesson of the ACA is that neoliberal Dems are not at all good at designing or implementing these type of Rube Goldberg systems, see here https://www.peoplespolicyproject.org/2018/04/04/fixing-the-aca-exchanges-only-makes-them-worse/ …https://twitter.com/jdcmedlock/status/1218637973253607424 …
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Prikaži ovu nitHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi
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It would make since if Biden was actually pushing Dutch health care but instead pushing a more complex and untested idea clearly insufficient off the bat. No one is pushing copying an actual alternative.
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my general sense is that to make these hodgepodge systems work you have to regulate the absolute piss out of everyone involved, and boy the American state is not great at that
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it sucks and we should just have free at point of service
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indeed it seems the biggest lesson with the Dutch experience is "avoid complicated-ass private-state mixed systems, it just makes the problems even harder to solve"
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combing Medicare & Medicaid, expand it to 250% fpl and under 26s, plus public option buy in that is also available to employers. But again, let's not prejudge the unknowable
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Because the difference between "as good as the Dutch" vs. "as good as M4A" isn't worth the 20 years it would take to primary, outargue or otherwise deal with the people in the Dems who would rather vote for a Dutch system.
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but this isn't the position of M4A advocates. we say aim as high as possible and take what you can get when it comes time to count votes. pre-compromising one's initial ask only makes the resulting product even worse
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Have we learned nothing from the dual experiences of Medicaid expansion and the ACA marketplaces
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And Dutch insurers have a tiny *fraction* of the freedom to screw around with networks and cost-sharing as do ACA insurers. To transition to Dutch system would be a MASSIVE political battle, make ACA fight look like child's play.
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Čini se da učitavanje traje već neko vrijeme.
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