A National Health Exchange

Wednesday, August 12, 2009

Jacob Hacker, professor of political science at Yale, and Georganne Chapin, president and CEO of Hudson Health, debate plans for a national health care exchange.


Georganne Chapin and Jacob Hacker

Comments [17]

hjs from 11211

why don't u have your own army.
this is about economies of scale. a good government program could cut the costs.
why not have profit making armies. because some things should not be for profit, like my illness and death.

Aug. 14 2009 01:31 PM
Guido from westchester

longstreet, how many grannies would die if they were all forced to pay for their health insurance themselves? And while we're at it, why should we educate your children? Pay for it yourself. And fix those potholes too.

Aug. 14 2009 10:47 AM
longstreet from NYC area

To "envious cheapskates" I'll add poor debaters. Try to compare apples to apples.
Compelling others to pay for your wish list of government items is antithetical to freedom.
Lay out the cash yourselves if you want health insurance. It's a "choice," after all. You don't have to have it if you don't want it. I don't have to help you pay for it, either.
And perhaps the illegal alien population could hit up their own country for coverage instead of leeching off of (to them) foreigners. Just a thought. Our nation is bankrupt, after all.
Insurance is regulated by each individual state. It's one of the last vestiges of federalism. If NY wants to do things its own way, a la Massachusetts, they can. (Perhaps NY could model its health care reform model on its wildly successful medicare program, which as we all know is spectacularly well-run.)

Aug. 12 2009 09:21 PM
Eugenia Renskoff from Williamsburgh, Brooklyn

Hello, All I know is that I am not insured and I need to have a doctor take a look at my back. It has been hurting me every single day for a year now and Tylenol and/or exercise do not help. It should not be a question of doctors doing business. If they want my business, why not see me as a human being in need of medical attention? Eugenia Renskoff

Aug. 12 2009 04:19 PM
JP from The Garden State

Janet from East Village,

The highways I have to drive on are falling apart and are dangerously in disrepair. The public transportation system has more riders then its ever had. Yet it can only pay for half its budget from rider’s fees. And the majority of schools (private or public) in this country are sub par at best compared to the rest of the world. Police forces all over this country struggle with internal corruption and racism on a daily basis. The majority of Americans don’t have access to “clean water”. You list all really good examples of services I pay for that we all get ripped off from. Although most of them are predominantly locally funded and get very little federal help if any at all. Name one national program that we all can use that actually works well for all equally and is not taken advantage of. You cant because it does not exist. That’s why I don’t support a public plan. Major overhaul of the healthcare is a different story.

Aug. 12 2009 12:08 PM
Lori from Montclair, Nj


I paid for two wars that I don't agree with! You find it MORE objectionable to pay for health care for fellow Americans than to pay for a war that accomplished little and killed many?

That said, I haven't heard one clear explanation about how this plan might work and I am not at all convinced that it will reduce costs. I agree with the need to cover all Americans but these proposals sound unsustainable and ill conceived (any with too many giveaways to lobbyists). And, yes, I am one of the ones who will pay for it. (vs. many of the people who call in supporting the plan but it won't cost them one penny more in taxes)

Aug. 12 2009 11:36 AM
Janet from East Village

Does "you want it, you pay for it" apply equally to other services that I assume JP and longstreet use to at least some degree -- public transportation, the highway system, police force, schools, clean water? -- the list could go on. A national health care system is the answer, but unfortunately is not what we're going to get.

Aug. 12 2009 11:36 AM
jawbone from Parsippany, NJ

[3] uos from queens --

Whoohoooo! Our Soylent Green advocate!

Aug. 12 2009 11:35 AM
jawbone from Parsippany, NJ

BTW, NOT ocvering undocumented workers will be just a great idea during any pandemic.

Just the perfect public health approach....

Aug. 12 2009 11:33 AM
jawbone from Parsippany, NJ

C'mon, Mr. Hacker (SP?)--

Medicare for All,,,with a robust private option.

Only thing which will work which keeps private insurance.

Aug. 12 2009 11:32 AM
hjs from 11211

why do i have to pay for a trillion dollar war (in iraq) while my country is falling apart. will u finally be happy when this country is counted as part of the third world?

how many kids have u adopted? how many kids with down's syndrome are in your life? how many times have u been pregnant?

Aug. 12 2009 11:30 AM
Laurie from Tribeca

The entire model of "insurance" no longer fits. When this model first developed it was basically to protect against the unlikely need for catastrophic care, NOT for routine care. Now that we have chronic conditions with life long medical costs it is not an "insurable against" set of financial contingencies that need to be funded. We need health care, not insurance.

A single system would fit the set of problems better as well as equalizing the cost among all.

Aug. 12 2009 11:29 AM
JP from The Garden State

longstreet from NYC area,

“You want it, you pay for it” Yes, I agree 100%, you should pay for it. In fact, everyone should have to pay out of pocket for their insurance. Once everyone is paying for their own insurance and they realize how ridiculously expensive it is, they will be rioting in the streets!!! Socialized medicine is not the answer. Massachusetts is a prime example of that. No reforms in spending and its an absolute mess right now. We don’t need socialized medicine. We need very drastic reform to rope in the insanity. If we don’t, your employer will inevitably dump the health care costs on you. Think about it...

Aug. 12 2009 11:18 AM
Laurie from Tribeca

In what sense is this an "exchange"? It sounds lie a plain old retail store.

Aug. 12 2009 11:12 AM
uos from queens

grind up the poor, sick and old, feed them to the whales!

the whales bring pleasure to all our lives, while the poor, sick and old just drain our resources.. that we can devote to whales!

a feeding tube and breathing machine do not constitute living. sometimes we just got to cut the chord. sorry grandma.

Aug. 12 2009 10:38 AM
longstreet from NYC area

A novel idea: if YOU want something, YOU pay for it. Why must I always pay for the gov't programs Dems want?
Do any of you loyal Dems ever stop to consider that you're always trying to choke liberty in the US by forcing your fellow countrymen to pay for things you want?
Why doesn't it ever stop, either?
I'm thisclose to concluding that modern-day Dems, as typified by our President, are little more than envious cheapskates.

Aug. 12 2009 08:47 AM
Ed Helmrich from Larchmont, NY

Congresswoman Nita Lowey gave an over-the-phone town hall meeting last night. Clearly she has just listened to the summaries presented by the administration. She just gave the party line. For example, when asked about tax payer abortion funding, she said that abortion is not mentioned in the bill. True, but it doesn't have to be: if it's not mentioned, it can be put in. Two amendments to keep the bill abortion free were voted down by narrow margins in committee.

Aug. 12 2009 08:18 AM

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