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	<title>Comments on: A Compromise Proposal On Financing Health Reform</title>
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	<link>http://healthaffairs.org/blog/2009/10/30/a-compromise-proposal-on-financing-health-reform/</link>
	<description>The Policy Journal of the Health Sphere</description>
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		<title>By: Steven Cosby</title>
		<link>http://healthaffairs.org/blog/2009/10/30/a-compromise-proposal-on-financing-health-reform/comment-page-1/#comment-31355</link>
		<dc:creator>Steven Cosby</dc:creator>
		<pubDate>Mon, 02 Nov 2009 16:36:14 +0000</pubDate>
		<guid isPermaLink="false">http://healthaffairs.org/blog/?p=2661#comment-31355</guid>
		<description>I enjoy the &quot;card carrying economist&quot; opening. 

However, I have heard time and time again that workers who receive their health care through their employers do so at the expense of lower wages.  If the price of food and water increases then the masses of workers will demand higher wages. If the price of health care increases would not the same occur?  This is where reasonable and prudent people disagree on how much health care is a necessity and how much is a luxury.

Prospective payment mechanisms that purchase all the health care one can conceive  verse insurance purchased for the &quot; just in case&quot; scenario are two options that are appear to be at odds with one another.  Individuals should purchase financial tools that protect them from large financial losses. 

Federal and State legislators have mandated too many illnesses and benefits to financial mechanisms that were intended just to be insurance or for the just in case.

Finally, we do not need more taxes or more income into our already bloated and wasteful system.  There is enough money existing in the sytem already. We just need a lot more efficiency.  And since our doctors prescribe 90% of all health care here lies our solution or failure.</description>
		<content:encoded><![CDATA[<p>I enjoy the &#8220;card carrying economist&#8221; opening. </p>
<p>However, I have heard time and time again that workers who receive their health care through their employers do so at the expense of lower wages.  If the price of food and water increases then the masses of workers will demand higher wages. If the price of health care increases would not the same occur?  This is where reasonable and prudent people disagree on how much health care is a necessity and how much is a luxury.</p>
<p>Prospective payment mechanisms that purchase all the health care one can conceive  verse insurance purchased for the &#8221; just in case&#8221; scenario are two options that are appear to be at odds with one another.  Individuals should purchase financial tools that protect them from large financial losses. </p>
<p>Federal and State legislators have mandated too many illnesses and benefits to financial mechanisms that were intended just to be insurance or for the just in case.</p>
<p>Finally, we do not need more taxes or more income into our already bloated and wasteful system.  There is enough money existing in the sytem already. We just need a lot more efficiency.  And since our doctors prescribe 90% of all health care here lies our solution or failure.</p>
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		<title>By: Dan Smith</title>
		<link>http://healthaffairs.org/blog/2009/10/30/a-compromise-proposal-on-financing-health-reform/comment-page-1/#comment-31298</link>
		<dc:creator>Dan Smith</dc:creator>
		<pubDate>Fri, 30 Oct 2009 21:12:52 +0000</pubDate>
		<guid isPermaLink="false">http://healthaffairs.org/blog/?p=2661#comment-31298</guid>
		<description>Your idea may be workable, but may not be comprehended by the average worker.  Nevertheless, one thing I learned is that businesses do not pay taxes.  Any added costs are passed on through to their customers or absorbed by paying their workers less.  So in the end, it is the people associated with these businesses who share the added costs.  Why not be upfront with the people and just implement a state healthcare sales tax.  Since they are going to pay for universal healthcare one way or the other.  There is no need to hide or futher confuse the problem of paying for universal healthcare.  The sales tax could exclude food and medicine to spare the poor.  

A sales tax would be progressive.  The more money a family makes and spends, the more tax they would pay.  This would spread the healthcare tax across the maximum number of people in proportion to their income who are going to pay for univeral healthcare one way or the other.  You might as well know upfront your contribution to universal healthcare.  If the Federal Government wants to pick-up some of this cost, the government could give you a tax deduction for a portion of this tax.  I would prefer that each state administer a plan for its disadvantaged. I don&#039;t believe that the Federal Government should take over our healthcare system for a number of reasons.  However, a state healthcare sales tax would prevent any tax shifting from one state to give to another that Washington is known to do.</description>
		<content:encoded><![CDATA[<p>Your idea may be workable, but may not be comprehended by the average worker.  Nevertheless, one thing I learned is that businesses do not pay taxes.  Any added costs are passed on through to their customers or absorbed by paying their workers less.  So in the end, it is the people associated with these businesses who share the added costs.  Why not be upfront with the people and just implement a state healthcare sales tax.  Since they are going to pay for universal healthcare one way or the other.  There is no need to hide or futher confuse the problem of paying for universal healthcare.  The sales tax could exclude food and medicine to spare the poor.  </p>
<p>A sales tax would be progressive.  The more money a family makes and spends, the more tax they would pay.  This would spread the healthcare tax across the maximum number of people in proportion to their income who are going to pay for univeral healthcare one way or the other.  You might as well know upfront your contribution to universal healthcare.  If the Federal Government wants to pick-up some of this cost, the government could give you a tax deduction for a portion of this tax.  I would prefer that each state administer a plan for its disadvantaged. I don&#8217;t believe that the Federal Government should take over our healthcare system for a number of reasons.  However, a state healthcare sales tax would prevent any tax shifting from one state to give to another that Washington is known to do.</p>
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		<title>By: uberVU - social comments</title>
		<link>http://healthaffairs.org/blog/2009/10/30/a-compromise-proposal-on-financing-health-reform/comment-page-1/#comment-31293</link>
		<dc:creator>uberVU - social comments</dc:creator>
		<pubDate>Fri, 30 Oct 2009 18:49:03 +0000</pubDate>
		<guid isPermaLink="false">http://healthaffairs.org/blog/?p=2661#comment-31293</guid>
		<description>&lt;strong&gt;Social comments and analytics for this post...&lt;/strong&gt;

This post was mentioned on Twitter by Health_Affairs: Blog A Compromise Proposal On Financing Health Reform http://bit.ly/3NHx7I...</description>
		<content:encoded><![CDATA[<p><strong>Social comments and analytics for this post&#8230;</strong></p>
<p>This post was mentioned on Twitter by Health_Affairs: Blog A Compromise Proposal On Financing Health Reform <a href="http://bit.ly/3NHx7I.." rel="nofollow">http://bit.ly/3NHx7I..</a>.</p>
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		<title>By: John Ballard</title>
		<link>http://healthaffairs.org/blog/2009/10/30/a-compromise-proposal-on-financing-health-reform/comment-page-1/#comment-31292</link>
		<dc:creator>John Ballard</dc:creator>
		<pubDate>Fri, 30 Oct 2009 18:37:06 +0000</pubDate>
		<guid isPermaLink="false">http://healthaffairs.org/blog/?p=2661#comment-31292</guid>
		<description>How about uncoupling group insurance from taxes altogether? 
For that matter, uncoupling  ALL insurance premiums from taxes altogether?
 
Maybe &quot;beneficiaries&quot; would wake up to the real costs of health care when private sector stock dividends, insurance sales commissions, advertising dollars, and extravagant corporate compensation packages for staying and golden parachutes for leaving are all included in their health care bills.  

Non-medical expenses are not the same as medical expenses.  Should I repeat that? No one seems to be hearing...
NON-MEDICAL EXPENSES ARE NOT THE SAME AS MEDICAL EXPENSES. 

And the millions funding political campaigns coming from lobbyists do not originate with lobbyists. Every dollar can be traces to someone&#039;s insurance premium, which they foolishly imagines has something to do with their health.

Here&#039;s an excellent analysis from the American Enterprise Institute for someone to study. 

http://www.aei.org/outlook/21921

I would say AEI has respectable conservative credentials. I haven&#039;t dig around at CATO but I bet someone over there would also find the idea of uncoupling insurance and taxes to be an attractive, If politically impossible idea. 

Until we get there, I have no problem with the &lt;i&gt;resource-guzzling tax for rich people&lt;/i&gt; you mentioned. When I learned that a fourth of the nation&#039;s assets were under the control of the top one percent of the population I quit worrying about hurting either their feelings or their revenue streams. (The really obscene part is that most of that group likely pay no income taxes anyway,  with lifestyles supported by tax-exempt sources and trusts. I wouldn&#039;t know. I&#039;m a product of the great unwashed.)

(Please excuse my thinly-veiled sarcasm. I&#039;m still smarting over the latest Congressional Sausage product.  It&#039;s the fattest accumulation of &lt;i&gt;quid pro quos&lt;/i&gt; of recent vintage.)</description>
		<content:encoded><![CDATA[<p>How about uncoupling group insurance from taxes altogether?<br />
For that matter, uncoupling  ALL insurance premiums from taxes altogether?</p>
<p>Maybe &#8220;beneficiaries&#8221; would wake up to the real costs of health care when private sector stock dividends, insurance sales commissions, advertising dollars, and extravagant corporate compensation packages for staying and golden parachutes for leaving are all included in their health care bills.  </p>
<p>Non-medical expenses are not the same as medical expenses.  Should I repeat that? No one seems to be hearing&#8230;<br />
NON-MEDICAL EXPENSES ARE NOT THE SAME AS MEDICAL EXPENSES. </p>
<p>And the millions funding political campaigns coming from lobbyists do not originate with lobbyists. Every dollar can be traces to someone&#8217;s insurance premium, which they foolishly imagines has something to do with their health.</p>
<p>Here&#8217;s an excellent analysis from the American Enterprise Institute for someone to study. </p>
<p><a href="http://www.aei.org/outlook/21921" rel="nofollow">http://www.aei.org/outlook/21921</a></p>
<p>I would say AEI has respectable conservative credentials. I haven&#8217;t dig around at CATO but I bet someone over there would also find the idea of uncoupling insurance and taxes to be an attractive, If politically impossible idea. </p>
<p>Until we get there, I have no problem with the <i>resource-guzzling tax for rich people</i> you mentioned. When I learned that a fourth of the nation&#8217;s assets were under the control of the top one percent of the population I quit worrying about hurting either their feelings or their revenue streams. (The really obscene part is that most of that group likely pay no income taxes anyway,  with lifestyles supported by tax-exempt sources and trusts. I wouldn&#8217;t know. I&#8217;m a product of the great unwashed.)</p>
<p>(Please excuse my thinly-veiled sarcasm. I&#8217;m still smarting over the latest Congressional Sausage product.  It&#8217;s the fattest accumulation of <i>quid pro quos</i> of recent vintage.)</p>
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