Take just about any government program and costs are estimated over a ten year period using, by necessity, many assumptions. Costs and feasibility of any program vary greatly based on those assumptions … and the assumptions rarely prove valid.
Before developing your position for or against any proposal, look at the assumptions and then think for yourself.
This applies to just about anything, but as an example, look at a few current assumptions related to various healthcare proposals:
✔️ The government will “negotiate” (or set) hospital and provider reimbursement rates significantly below what private insurers pay.
✔️ The government will charge “actuarially fair premiums,” which cover 100% of provided benefits and administrative costs.
✔️ Employers will pay no more than they current pay for worker health benefits.
✔️ Drug prices will be set at international levels.
✔️ There will be little or no changes in the use of services by patients
✔️ New taxes can be borne by a small segment of the population
✔️ Future costs (including fraud) can be managed without oversight, controls, limits, or scrutiny of health care provided.
✔️ Costs can be managed by turning patients into consumers through price transparency?
Considering all the variables, projections for changes in our health care system go from saving trillions to adding trillions to the federal deficit.
Assumptions often do not consider the impact of human behavior, so I apply a the reality check otherwise known as common sense.
For example, can you provide all health care at no cost at the point of service without changes in patient and provider behavior? [🤦🏻♂️] Can you manage health care spending while at the same time exercise no oversight over the type and frequency of services provided?
Did subprime lending and near zero down payment requirements in the quest to push home ownership work as assumed? 🤔
When promises sound too good to be true, they unusual are. When you are promised something for nothing, it may have a high cost. When nobody talks about the possible consequences, beware.