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We have so few players in our insurance market, and combined with the low competition, outside of the Portland market, for hospitals I just don't see how it will work.
Some positions of his I take issue with: 1) That increased IT spending will lower costs. -Seriously, is he so unaware of how much spending insurance companies spend on IT? I write insurance software, and the gains in productivity through software over the last ten years has been amazing. Workers are carrying much higher loads and fraud has been dramatically reduced. Document imaging and storage are the norm, and cross-software package communication is rapidly becoming the norm as well. This is one industry that knows its IT. Having worked with the government on software, I feel safe saying the government won't help here.
2) That opening federal health insurance to those without access to private insurance will fix things. -The problem is often not that people don't have access to insurance through work, but that it's too damned expensive. This is a loophole you can drive a truck through.
3) Guaranteed eligibility -A joke. You can guarantee eligibility, doesn't mean your rates will be the same. And 'fair rates' is nice, but isn't a plan, it's a wish.
I do agree with some parts of his plan like drug re-importation. That earns a big hell yeah. In any other area, if theres a cheaper option elsewhere, the government doesn't say 'oh no, you cant buy that'. It's anti-capitalist for the government to do so.
And this 'National Health Exchange'? Without details, it seems like a big shipment of fail.
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