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Paying for Health Care

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Eruname
Post subject: Re: Paying for Health Care
Posted: Wed 22 Jul , 2009 5:45 pm
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Thank you sf. :)

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vison
Post subject: Re: Paying for Health Care
Posted: Wed 22 Jul , 2009 6:05 pm
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This just slays me. The fear, terror, loathing, and paranoia of people opposed to some sort of government involvement in health care! The hordes are at the gates!!!!!!!!!!!!!

It's simple. We Canadians have government-provided health insurance. We do not have state-employed doctors or rationed procedures. I can go to any doctor I want. My doctor is in private practice. He is allowed privileges at the publicly funded hospitals - the hospitals are mostly funded through provincial sales taxes. In BC the provincial sales tax is 5 1/2 %.

This is a good but admittedly not perfect system.

It's really screamingly funny - like almost ironic :D - that the very people shrieking in terror over SOCIALIST medicine often benefit from state-provided medical care: the military and all your congressmen and senators.

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Wilma
Post subject: Re: Paying for Health Care
Posted: Wed 22 Jul , 2009 6:32 pm
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Yes Vison is right we can see any doctor. My sister sees a specialist where there only 4 or 5 of in all of Canada. People from the east in the Maritimes actually fly out to see her.

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Cenedril_Gildinaur
Post subject: Re: Paying for Health Care
Posted: Wed 22 Jul , 2009 7:28 pm
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sf wrote:
There is nothing in that which says the Tenth Amendment can be used to prohibit the health care bill.
Well, it doesn't say "the government cannot provide health insurance", true, but it does say that anything not granted is forbidden. It is not granted.

I know syllogisms aren't your strong suit, which is why you don't see it, but it is in there. It's not granted, therefore it's forbidden. Article 1 Section 8 clauses 1 and 18 (excluding 2 through 17) do not grant it, therefore by the mystical power of syllogism (it's mystical because any process you don't understand is reading tea leaves) it is forbidden.

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sauronsfinger
Post subject: Re: Paying for Health Care
Posted: Wed 22 Jul , 2009 7:32 pm
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The Supreme Court - whose opinion is the only one that carries the force of law - seems to not share your interpretation of those sections of the Constitution. Your opinion does not carry the force of law. Its fine that you have one. Its a free country. But it means nothing in terms of what Congress and the President can enact into law.

The same objection you have was heard on a host of other issues when Congress enacted and the President signed programs into law. The list would include Social Security, Medicare, Medicaid, regulation of the airwaves through the FCC, many Great Society programs and countless others. If you were correct in your interpretation of the Tenth Amendment and Article I, Section 8, we would not have any of those programs in the nation. And clearly we do have them despite right wing challenges over the many years.

This should clear it up.

http://www.answers.com/topic/general-welfare-clause
Quote:
Article I, section 8 of the U. S. Constitution grants Congress the power to "lay and collect Taxes, Duties, Imposts, and Excises, to pay the Debts and provide for the common defense and general Welfare of the United States." Since the late eighteenth century this language has prompted debate over the extent to which it grants powers to Congress that exceed those powers specifically enumerated in the Constitution. The precise meaning of the clause has never been clear, in large part due to its peculiar wording and placement in the Constitution.

The confusion about its placement arises because it makes up a part of the clause related to Congress's spending power, but does not specify if or how it affects that power. For example, through use of conditional appropriations, Congress could in theory use its power to spend as a tool to regulate areas otherwise reserved to the states. This raises the issue of the extent to which Congress may achieve indirectly, through its power to "spend for the general welfare," that which it cannot legislate directly under the Congress's powers enumerated in Article I, section 8.

At the time the Constitution was adopted, some interpreted the clause as granting Congress a broad power to pass any legislation it pleased, so long as its asserted purpose was promotion of the general welfare. One of the Constitution's drafters, James Madison, objected to this reading of the clause, arguing that it was inconsistent with the concept of a government of limited powers and that it rendered the list of enumerated powers redundant. He argued that the General Welfare clause granted Congress no additional powers other than those enumerated. Thus, in their view the words themselves served no practical purpose.

In his famous Report on Manufactures (1791), Alexander Hamilton argued that the clause enlarged Congress's power to tax and spend by allowing it to tax and spend for the general welfare as well as for purposes falling within its enumerated powers. Thus, he argued, the General Welfare clause granted a distinct power to Congress to use its taxing and spending powers in ways not falling within its other enumerated powers.

The U. S. Supreme Court first interpreted the clause in United States v. Butler (1936). There, Justice Owen Roberts, in his majority opinion, agreed with Hamilton's view and held that the general welfare language in the taxing-and-spending clause constituted a separate grant of power to Congress to spend in areas over which it was not granted direct regulatory control. Nevertheless, the Court stated that this power to tax and spend was limited to spending for matters affecting the national, as opposed to the local, welfare. He also wrote that the Supreme Court should be the final arbiter of what was in fact in the national welfare. In the Butler decision, however, the Court shed no light on what it considered to be in the national—as opposed to local—interest, because it struck down the statute at issue on Tenth Amendment grounds.

The Court soon modified its holding in the Butler decision in Helvering v. Davis (1937). There, the Court sustained the old-age benefits provisions of the Social Security Act of 1935 and adopted an expansive view of the power of the federal government to tax and spend for the general welfare. In Helvering, the Court maintained that although Congress's power to tax and spend under the General Welfare clause was limited to general or national concerns, Congress itself could determine when spending constituted spending for the general welfare. To date, no legislation passed by Congress has ever been struck down because it did not serve the general welfare. Moreover, since congressional power to legislate under the Commerce clause has expanded the areas falling within Congress's enumerated powers, the General Welfare clause has decreased in importance
this too will help clarify the position of the Court on the Tenth Amendment

http://en.wikipedia.org/wiki/Tenth_Amen ... nstitution
Quote:
Forced participation or commandeering
The Supreme Court rarely declares laws unconstitutional for violating the Tenth Amendment. In the modern era, the Court has only done so where the federal government compels the states to enforce federal statutes. In 1992, in New York v. United States, 505 U.S. 144 (1992), for only the second time in 55 years, the Supreme Court invalidated a portion of a federal law for violating the Tenth Amendment. The case challenged a portion of the Low-Level Radioactive Waste Policy Amendments Act of 1985. The act provided three incentives for states to comply with statutory obligations to provide for the disposal of low-level radioactive waste. The first two incentives were monetary. The third, which was challenged in the case, obliged states to take title to any waste within their borders that was not disposed of prior to January 1, 1996, and made each state liable for all damages directly related to the waste. The Court, in a 6–3 decision, ruled that the imposition of that obligation on the states violated the Tenth Amendment. Justice O’Connor wrote that the federal government can encourage the states to adopt certain regulations through the spending power (i.e., by attaching conditions to the receipt of federal funds, see South Dakota v. Dole), or through the commerce power (by directly pre-empting state law). However, Congress cannot directly compel states to enforce federal regulations. In 1997, the Court again ruled that the Brady Handgun Violence Prevention Act violated the Tenth Amendment (Printz v. United States, 521 U.S. 898 (1997)). The act required state and local law enforcement officials to conduct background checks on persons attempting to purchase handguns. Justice Scalia, writing for the majority, applied New York v. United States to show that the law violated the Tenth Amendment. Since the act “forced participation of the State’s executive in the actual administration of a federal program,” it was unconstitutional.
[edit]Commerce clause
According to the Tenth Amendment, the government of the United States has the power to regulate only matters delegated to it by the Constitution. Other powers are reserved to the states, or to the people (and even the states cannot alienate some of these). The Commerce Clause is one of the Article 1 Section 8 powers specifically delegated to Congress and thus its interpretation is very important in determining the scope of federal legislative power.
In the twentieth century, complex economic challenges of the Great Depression triggered a reevaluation in both Congress and the Supreme Court of the use of Commerce Clause powers to maintain a strong national economy.
In Wickard v. Filburn (1942), in the context of the Second World War, the Court ruled that federal regulations of wheat production could constitutionally be applied to wheat grown for "home consumption" on a farm--that is, wheat grown to be fed to farm animals or otherwise consumed on the farm. The rationale was that a farmer's growing "his own wheat" can have a substantial cumulative effect on interstate commerce, because if all farmers were to exceed their production quotas, a significant amount of wheat would either not be sold on the market or would be bought from other producers. Hence, in the aggregate, if farmers were allowed to consume their own wheat, it would affect the interstate market in wheat.
In Garcia v. San Antonio Metropolitan Transit Authority (1985), the Court changed the analytic framework to be applied in Tenth Amendment cases. Prior to the Garcia decision, the determination of whether there was state immunity from federal regulation turned on whether the state activity was "traditional" for or "integral" to the state government. The Court noted that this analysis was "unsound in principle and unworkable in practice," and rejected it without providing a replacement. The Court's holding declined to set any formula to provide guidance in future cases. Instead, it simply held "...we need go no further than to state that we perceive nothing in the overtime and minimum-wage requirements of the FLSA ... that is destructive of state sovereignty or violative of any constitutional provision." It left to future courts how best to determine when a particular federal regulation may be "destructive of state sovereignty or violative of any constitutional provision."
In United States v. Lopez 514 U.S. 549 (1995), a federal law mandating a "gun-free zone" on and around public school campuses was struck down because, the Supreme Court ruled, there was no clause in the Constitution authorizing it. This was the first modern Supreme Court opinion to limit the government's power under the Commerce Clause. The opinion did not mention the Tenth Amendment, and the Court's 1985 Garcia opinion remains the controlling authority on that subject.
Most recently, the Commerce Clause was cited in the 2005 decision Gonzales v. Raich. In this case, a California woman sued the Drug Enforcement Administration after her medical marijuana crop was seized and destroyed by Federal agents. Medical marijuana was explicitly made legal under California state law by Proposition 215; however, marijuana is prohibited at the federal level by the Controlled Substances Act. Even though the woman grew the marijuana strictly for her own consumption and never sold any, the Supreme Court stated that growing one's own marijuana affects the interstate market of marijuana. The theory was that the marijuana could enter the stream of interstate commerce, even if it clearly wasn't grown for that purpose and it was unlikely ever to happen (the same reasoning as in the Wickard v. Filburn decision). It therefore ruled that this practice may be regulated by the federal government under the authority of the Commerce Clause.
[edit]




from CG
Quote:
I know syllogisms aren't your strong suit,
Are those found in Article III or VI? Or maybe one of the Amendments? My copy of the Constitution does not cover them but it is at least ten years old.

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ellienor
Post subject: Re: Paying for Health Care
Posted: Wed 22 Jul , 2009 8:12 pm
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Quote:
The Commerce Clause is one of the Article 1 Section 8 powers specifically delegated to Congress and thus its interpretation is very important in determining the scope of federal legislative power.
You know, CG, you are just sticking mulishly to reading the literal text of the Constitution. However, the first thing that you learn as a law student is that the *literal* reading of a law (i.e., a statute) or a Constitutional provision, is not the answer to "what does it mean?" The process of common law is where judges decide what the literal statement means. Almost invariably it means consulting the legislative history (detailed notes with respect to the intent of the drafters and records of the debate in the legislative body) and then consulting all the other lawsuits that have dealt with that provision, where the judge in that earlier case has had to decide what it means, given a particular set of facts. Stare decisis and all that stuff, you know? The judge NEVER starts from the place where he says, "well, let's see here, let's read the darned thing...Oh! that's what it means!" and makes his decision. :P

Yet this is what you are doing with the Constitution. Reading the literal words. Ignoring the judicial precedent AND the fact that the Constitution ITSELF says that the Supreme Court is to decide what it means. So you are ignoring a specific provision of the Constitution in ignoring the Supreme Court's interpretation of the Commerce Clause. :roll:

And by the way there is no "legislative history" for the Constitution. The Drafters specifically declined to make any, so that the Courts were less constrained and better able to adapt the document to situations that occurred many years later and were never considered by the Drafters. See the Federalist Papers.

Can you please stop going on about the 10th amendment now? :roll:

And if you want to start going on about the perils/pitfalls of common law, this is the system of jurisprudence that was handed down to us from England which goes back to the Magna Carta in 1066--a system that has served us pretty well. So if you don't like it, maybe there's some Sharia law system or something that you might like better. :suspicious:


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yovargas
Post subject: Re: Paying for Health Care
Posted: Wed 22 Jul , 2009 10:33 pm
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Why should I value a judge's decision over the Constitution itself?


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Eruname
Post subject: Re: Paying for Health Care
Posted: Wed 22 Jul , 2009 10:40 pm
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Because things change over time. The US is obviously not the same as when the Constitution was drafted.

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ellienor
Post subject: Re: Paying for Health Care
Posted: Wed 22 Jul , 2009 10:53 pm
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Quote:
Why should I value a judge's decision over the Constitution itself?
Because the Constitution itself provides for particular Judges (i.e., justices of the Supreme Court) to be the arbiter of the meaning of the Constitution. Can't. Really. Ignore. Parts. You. Don't. Like.

And because we are a common law country, and thus judges interpret law.

Move to continental Europe if you don't like it: it is civil law there, not common law. No more pesky activist judges. :)


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yovargas
Post subject: Re: Paying for Health Care
Posted: Wed 22 Jul , 2009 11:24 pm
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Erunáme wrote:
Because things change over time. The US is obviously not the same as when the Constitution was drafted.
That doesn't mean you ignore the Constitution, that means you change it. That's what amendments are for.
ellienor wrote:
Quote:
Why should I value a judge's decision over the Constitution itself?
Because the Constitution itself provides for particular Judges (i.e., justices of the Supreme Court) to be the arbiter of the meaning of the Constitution. Can't. Really. Ignore. Parts. You. Don't. Like.

And because we are a common law country, and thus judges interpret law.

Move to continental Europe if you don't like it: it is civil law there, not common law. No more pesky activist judges. :)
The Constitution says a President has to be 35 years old. Shall I ask the Supreme Court what that really means? :scratch:


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sauronsfinger
Post subject: Re: Paying for Health Care
Posted: Thu 23 Jul , 2009 12:54 am
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Quote:
Why should I value a judge's decision over the Constitution itself?
I only taught this stuff for 34 years but I learned that the Constitution was words on paper and did not speak, talk or explain itself. As Ellienor has properly explained, that job is left to the US Supreme Court.

Maybe I am wrong. Find a copy of the Constitution... lay it out on the table ... talk to it and ask it questions and see what answers you get. The Constitution is not able to do those things.

Again, Ellienor explained it perfectly. Someone has to interpret the Constitution and that is the job of the US Supreme Court.

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Riverthalos
Post subject: Re: Paying for Health Care
Posted: Thu 23 Jul , 2009 6:01 am
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yovargas wrote:
The Constitution says a President has to be 35 years old. Shall I ask the Supreme Court what that really means? :scratch:
If you wish, but the Constitution isn't always so explicit. One of the reasons it's stood for so long is it is inherently flexible. The writers knew they were being vague on many points. That's why they specifically handed clarification and interpretation duties off to the Judicial Branch.

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Eruname
Post subject: Re: Paying for Health Care
Posted: Thu 23 Jul , 2009 8:30 am
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yovargas wrote:
Erunáme wrote:
Because things change over time. The US is obviously not the same as when the Constitution was drafted.
That doesn't mean you ignore the Constitution, that means you change it. That's what amendments are for.
But the Constitution hasn't listed out how to handle every single little detail forever. The drafters couldn't forsee steam engines, elecricity, telephones, airplanes, television, space travel or the internet. But haven't all those things involved the government somehow? We need judges to apply the law to the current situations.
Quote:
The Constitution says a President has to be 35 years old. Shall I ask the Supreme Court what that really means? :scratch:
Srsly?

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yovargas
Post subject: Re: Paying for Health Care
Posted: Thu 23 Jul , 2009 11:25 am
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Erunáme wrote:
yovargas wrote:
Erunáme wrote:
Because things change over time. The US is obviously not the same as when the Constitution was drafted.
That doesn't mean you ignore the Constitution, that means you change it. That's what amendments are for.
But the Constitution hasn't listed out how to handle every single little detail forever. The drafters couldn't forsee steam engines, elecricity, telephones, airplanes, television, space travel or the internet. But haven't all those things involved the government somehow? We need judges to apply the law to the current situations.
"The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people."

If it is decided that the fed. gov. should be able to regulate, say, food and drugs or bandwidth, then you add it to "the powers delegated to the United States by the Constitution". That's the legal process our Constitution laid out. Until that happens, I remain highly dubious of the legality of such regulations.


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Eruname
Post subject: Re: Paying for Health Care
Posted: Thu 23 Jul , 2009 12:02 pm
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Or those are being regulated for the general welfare of the people which can be done on a national level and legally. The wikipedia link above outlined some of that.

Or do you seriously believe we have loads of illegal programs/regulations being run by the government and nobody happens to notice?

Wish we had more lawyers around.

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Voronwë_the_Faithful
Post subject: Re: Paying for Health Care
Posted: Thu 23 Jul , 2009 1:53 pm
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Erunáme wrote:
Or those are being regulated for the general welfare of the people which can be done on a national level and legally. The wikipedia link above outlined some of that.

Or do you seriously believe we have loads of illegal programs/regulations being run by the government and nobody happens to notice?

Wish we had more lawyers around.
I think you are doing a darned good job of explaining it yourself, Eru.

Where there is no ambiguity or conflict with other constitutional provisions (e.g., the President needs to be 35 years old), there is no need for interpretation by the courts. But where there is ambiguity, or tension between different provisions in the document, that is where the courts are needed to interpret what those provisions mean in a particular circumstance, at a particular time.

In this case, the tension is between the "general welfare" provision of Article I, section 8, and the tenth amendment reservation of rights to the states. In most situations, there is no one correct answer to which provision should prevail, which is why judges disagree (hence the fallacy of John Robert's umpire calling balls and strikes metaphor).

One other correction: it's not actually true that the Constitution states that the justices of the Supreme Court had the power to interpret it, as Ellie said. It doesn't actually say that anywhere. Rather, John Marshall interpreted the document as saying that in Marbury v. Madison in 1803, thus taking for the court tremendous new powers. And despite the fact that the constitution doesn't explicitly state that the justices interpret what it means, that interpretion has never been seriously questioned since then.


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ellienor
Post subject: Re: Paying for Health Care
Posted: Thu 23 Jul , 2009 3:37 pm
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Quote:
as Ellie said. It doesn't actually say that anywhere. Rather, John Marshall interpreted the document as saying that in Marbury v. Madison in 1803, thus taking for the court tremendous new powers. And despite the fact that the constitution doesn't explicitly state that the justices interpret what it means, that interpretion has never been seriously questioned since then.
Whoops. Should know better than to state things in an area of law I haven't thought about since Con Law class and not check up on them. How could I have forgotten Marbury v. Madison? :roll:

Thanks Voronwe.


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sauronsfinger
Post subject: Re: Paying for Health Care
Posted: Thu 23 Jul , 2009 4:52 pm
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In fact the entire decision in Marbury vs. Madison and the assumption by the Court of the power of Judicial Review illustrates just how vague the wording of the Constitution is regarding the powers of the Court. It is worth noting that several individual states already gave their Supreme Courts the power of judicial review before it was declared in the Marbury case.

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Cenedril_Gildinaur
Post subject: Re: Paying for Health Care
Posted: Tue 28 Jul , 2009 3:11 pm
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Erunáme wrote:
Because things change over time. The US is obviously not the same as when the Constitution was drafted.
Then the constitution ought to be changed to reflect that. The authors knew that they couldn't foresee everything which is why they included an amendment process.

Ignoring the constitution because "things change over time" leads to the tinpot dictator wanna-bees of the country to set up their own little depotisms where each piss-ant can have an ant-hill to piss form, and then while they are pissing on us they have the nerve to tell us its actually raining.
Erunáme wrote:
Or do you seriously believe we have loads of illegal programs/regulations being run by the government and nobody happens to notice?
Yes, actually. And people have noticed but politicians favor an expansive reading, and the politicians appoint fellow politicians as judges. The system worked well enough with the three branches competing until they discovered they could get more from us by working together against us.

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It is a myth that coercion is necessary in order to force people to get along together, but it is a persistent myth because it feeds a desire many people have. That desire is to be able to justify hurting people who have done nothing other than offend them in some way.

Last edited by Cenedril_Gildinaur on Tue Feb 30, 2026 13:61 am; edited 426 times in total


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Cenedril_Gildinaur
Post subject: Re: Paying for Health Care
Posted: Tue 28 Jul , 2009 3:17 pm
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So, now that this has been successfully derailed into an argument that those who actually want to stick to the constitution are archaic fuddy-duddies who aren't enlightened enough to ignore the constitution for noble causes, let's examine two key factors in this healthcare debate.

1. People refer to socialist medicine as free. It's not free. Someone is paying for healthcare. Either it is the person using it or it is someone else, but if a doctor goes home at the end of the week with a paycheck and the hospital makes enough money to keep the lights on then someone, somewhere, is paying. Socialist medicine simply means that the healthcare bill is spread out among the taxpayers in general instead of at the point of service. It's not free though.

2. Because healthcare is not in unlimited supply, it is therefore rationed by some means, whether in a free market system or in a socialist system, or in a hybrid system like the one we have now. One means of rationing is by prices. Another means of rationing is by waiting lists, which vison told me actually do exist in Canada. The difference between a free market healthcare system and a socialist healthcare system is what method of rationing is chosen.
yovargas wrote:
Cenedril_Gildinaur wrote:
What I'm proposing is something completely different from what we have now...
Which is?
Instead of saying "we have high prices, let's have the government pay them" we should find out why the cost of health care has risen faster than inflation. Then we treat the cause instead of the symptom.

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It is a myth that coercion is necessary in order to force people to get along together, but it is a persistent myth because it feeds a desire many people have. That desire is to be able to justify hurting people who have done nothing other than offend them in some way.

Last edited by Cenedril_Gildinaur on Tue Feb 30, 2026 13:61 am; edited 426 times in total


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