That's not what I meant. He said he'd repeal Obamacare. "Sabotaging Obamacare" sounds a lot like repealing it.
I think most who cared enough about healthcare for it to be a point wanted "repeal and replace". I have very little skin in the game and I want it
replaced more than repealed. Hell, I'd settle for some laws just fixing the major problems.
The republicans haven't come up with a viable replacement yet, and I think that is why it hasn't been successfully repealed.
Meanwhile, people have to live in the system, so it's like throwing sand in the engine of your only car because you wanted a better car. Making the existing car worse, without providing the new one, isn't helping the person.
I guess I wasn't clear. What I meant was, make it so there's a maximum percentage insurance companies government can use for administration and profit on ANY program or service. Government is horrible at getting the best bang for our bucks with duplication of administrative services, fraud, waste, abuse, affirmative action bidding, pork barrel projects, etc.
I just got done telling you that that was a bad idea because it simply encourages larger spending to match the desired overhead(and profit), didn't I?
I'd prefer to just actually empower the OMB to fight fraud, waste, and abuse.
It's not "losing Healthcare", it they'll be pissed if they have to pay for their own.
At our costs, why wouldn't they be pissed? It's cheaper to fly to the Bahamas and take a vacation for a couple weeks to get a hip replacement than it is to get it done at home, and that's including the flights and expense of the vacation!
And in many cases, with our increased costs, it becomes a case of if you are lower income, you can't afford it
period. As in the recommended treatment exceeds your income entirely. Should we let such people die from lack of treatment? Become disabled? In continuous pain? Etc...
In many cases, their medical condition amounts to a moderate disability that limits their ability to work(not prevents, limits), and being marked as disabled and going on medicaid is difficult and can take years.
Insurance (was) just that.
As a note, I agree with you. I only call it "insurance" because that is what people recognize. Often I'll call them "healthcare plans". Because they're not insurance.
Allstate doesn't cover you taking your car in for an oil change. State Farm doesn't cover needing new tires. USAA doesn't pay when you need to replace your brakes. But all pay (if you have insurance) to get your car repaired AFTER an accident, if you had their insurance BEFORE the accident.
A better analogy might be windshield replacements. Some insurance companies pay for them because it is a "Safety issue", some don't. Most wave the deductible and pay for having small cracks repaired completely.
The idea is that paying for the preventive service is cheaper than paying for the treatment later.
And it doesn't help that the insurance companies have arranged to be the "cheaper" method of getting various forms of healthcare, so doing it alone will often get you higher prices even if you are paying cash.
There are also problems. If it worked more like car insurance, my father wouldn't have to maintain coverage during his cancer treatment - the insurance he had when it was discovered would have to pay for all treatment for that cancer.
If the insurance companies want to have their cake about pre-existing conditions, they should have to eat all of it - that means that if you had insurance when the condition was discovered/developed, then that insurance has to pay for it.