Quote:
Originally Posted by Villages Kahuna
And it wouldn't surprise me at all if the cost to the native Americans covered by the program is zero. The the $4 billion cost wouldn't even be offset by any premium revenue. Of course, the quality of care and the "scale up" questions remain open issues if something like this is to be considered as a "public option".
On the first question, if it's good enough for the native Americans, it surely shouldn't have to be materially upgraded to cover the 40-50 million who have been scraping by with no healthcare insurance at all.
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Indeed!
It's a lot easier (and cheaper and faster) to ramp up an existing operation with a history of labor ratios, logistics, procurement management and all the other business facttors, than it is to reorganize from one business model to another.
Granted, it's not a sexy solution, but it's building on 55 years of services delivery, with the basic organizational infrastructure already trained and in place.
And no lobbyist or party hack gains an advantage at taxpayer expense.....