Healthcare

Who says you can’t have it all?

Here is a state where marajuana is legal, you don’t need a permit to buy a gun and helmets are not required when riding a motor cycle. 

And still many people think they can afford a single-payer health system like this so they have a petition to put it on a ballot. 

Under the plan, Coloradans would still pick their own providers, but the new system would pick up all the bills. There would be no deductibles, and fewer and smaller copays.


Are people really and truly that naive? Well yes they are. At a time when the “experts” are telling us the problem with costs is that people don’t have enough skin in the game when it comes to paying for health care, there are still people who believe the problem with health care is health insurance. 

After all, isn’t it clear a system that “picks up all the bills” would also be “affordable.”

  

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Categories: Healthcare

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3 replies »

  1. As best as I can tell, looks like they will ration care by limiting reimbursements – probably leading to a flight by providers who can move their practices elsewhere, and a curtailment of access to match the level of reimbursements. Next to flee will be capital since the hospitals and medical equipment manufacturers will be priced at a level where they cannot recover their costs. Again, that will be a modest decline, in terms of access, until a year or two of experience is in the books – then someone will stop operations and it will look like PPACA Co-op land!

    But, the erosion will be very interesting as employers relocate their headquarters out of the state. That is because Colorado employers would pay 7% and employees would pay 3% in payroll taxes. While that seems a good buy for someone making $30,000 a year for a family of four ($3,000 a year), not so good a buy for someone earning $100,000 a year who is single ($10,000). It will look like the idiots in Maryland where there was a millionaires tax, and then the state had a dramatically smaller number of millionaires next year. It will look like Illinois and Connecticut, where they increased the income taxes, and employers threatened to leave – some did – but others were bought off by state tax preferences.

    The really funny part is that they project the tax will raise $25 Billion. And, perhaps it will (though I doubt it). If it does, based on Census Bureau statistics, that is about $4,500 for each resident. However, what about the illegal aliens. That will reduce the per-capita revenue to under $4,000. You’ll see another funny trend – where Colorado hospitals and providers will become experts at practicing medical tourism – bringing people in from the other 50 states, reaping medical coverage reimbursements, and sticking taxpayers with the bill.

    Then, of course, anyone and everyone who has a significant medical expense, and who does not have coverage, will relocate to a Colorado hospital. Perhaps it will take six months to establish residency, but until then, they can simply continue their existing coverage, or they can become an illegal alien (what we used to call uncompensated care).

    It’ll be great. Make mine a westward facing window… on a high floor, please! Coverage with a view of the Rockies.

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