We have a govt run healthcare system. The VA. When one looks at what horrible treatment the VA provides, it should be a very clear picture of what happens when a bloated bureaucratic government runs healthcare.
I work in healthcare. The affordable health care act did not make healthcare affordable for most of the middle class. Our rates went UP, not down. Reimbursement rates for providers, as a whole, went down. When people spend years and years and hundreds of thousands of dollars to become a doctor, they do so with the expectation that their work and investment will pay off in the future. By limiting that you will drive the best and brightest into other fields. My local PCP HATES his job now. He said he wanted to treat patients, not spend 1/2 of his office budget and 1/3 of his time dealing with compliance forms and bureaucratic government overreach, while at the same time watching his income plummet.
What about the poor? They had Medicaid.
Healthcare in this country became a problem WHEN THE GOVERNMENT GOT INVOLVED. Healthcare costs jumped when Medicare and Medicaid were created. Just like skyrocketing tuition came about from government guaranteed student loans. When people are spending money that isn't theirs, there is zero reason to be conscious of cost.
Insurance is designed to be a parachute, to keep people from losing everything they have. Instead we have out of control expenses because no one wants to pay any out-of-pocket expenses anymore. Before Medicare and Medicaid were enacted, people paid a much higher percentage out of pocket, but then again, we weren't being charged $78 for an aspirin because that's what Medicare, Medicaid, or one of the insurance companies deemed was market value.
Costs are out of control because prices are set by the market. What we have is not the free market, what we have is a hellish trap between the insurance companies and the providers.
And of course, being in healthcare, I know that an overwhelming amount of money is spent on issues that are PREVENTABLE. Am I expected to pay for someone's health issues that are a direct result of their lifestyle choices? We have morbidly obese people come in every day with Type 2 diabetes and heart disease, and they want a magic pill that will make the feel better, but they will NOT stop eating crap, and they will NOT exercise. They CAUSE their health problems, and you want ME to pay for that? Then the other HUGE health care expense is treating those who are on death's door. At what point to we look at someone like my wife's 87 year old grandmother, who has been bedridden for 2.5 years (after a stroke) and decide that while we should certainly make her comfortable, that spending 1/2 million dollars to treat her, when every provider says "She CANNOT get better"?
I will be the first to admit that the liberal mindset sounds great in theory. Everyone chips in, does what they are supposed to do, and we all live better lives.
That simply is not reality. You can say "how cynical" but it is the TRUTH, no matter how you spin it. When you take away people's personal responsibility, you bring an entire society to the lowest common denominator. That is what happens when "the state" runs things. Government is the most corrupt and inept facet of our society. We should be shrinking government and limiting the power of government, not putting it in charge of everything.