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	<title>Comments on: Wyden-Bennett (again)</title>
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	<link>http://www.ordinary-gentlemen.com/2009/08/wyden-bennett-again/</link>
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		<title>By: Ryan</title>
		<link>http://www.ordinary-gentlemen.com/2009/08/wyden-bennett-again/#comment-16884</link>
		<dc:creator>Ryan</dc:creator>
		<pubDate>Mon, 10 Aug 2009 19:47:48 +0000</pubDate>
		<guid isPermaLink="false">http://www.ordinary-gentlemen.com/?p=7274#comment-16884</guid>
		<description>The Netherlands and Germany both have large roles for employers in the health insurance market.  I will agree that it&#039;s not quite the same as our system, but an employer-based system is not unheard of.

We do agree that removing the employer from the equation has a lot going for it, though.</description>
		<content:encoded><![CDATA[<p>The Netherlands and Germany both have large roles for employers in the health insurance market.  I will agree that it&#8217;s not quite the same as our system, but an employer-based system is not unheard of.</p>
<p>We do agree that removing the employer from the equation has a lot going for it, though.</p>
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		<title>By: Mark Thompson</title>
		<link>http://www.ordinary-gentlemen.com/2009/08/wyden-bennett-again/#comment-16883</link>
		<dc:creator>Mark Thompson</dc:creator>
		<pubDate>Mon, 10 Aug 2009 19:43:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.ordinary-gentlemen.com/?p=7274#comment-16883</guid>
		<description>But I would argue HR3200 doesn&#039;t even move us in the direction of any of those other countries.  Yes, it may or may not include a mandate, and yes it will move in the general direction of universal coverage, but it also reinforces the single aspect of our existing system that most differentiates us from all other Western democracies (the employer-based nature of our system).  It is not far-fetched at all to believe that HR3200 will just worsen a lot of the worst elements of our system.</description>
		<content:encoded><![CDATA[<p>But I would argue HR3200 doesn&#8217;t even move us in the direction of any of those other countries.  Yes, it may or may not include a mandate, and yes it will move in the general direction of universal coverage, but it also reinforces the single aspect of our existing system that most differentiates us from all other Western democracies (the employer-based nature of our system).  It is not far-fetched at all to believe that HR3200 will just worsen a lot of the worst elements of our system.</p>
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		<title>By: E.D. Kain</title>
		<link>http://www.ordinary-gentlemen.com/2009/08/wyden-bennett-again/#comment-16882</link>
		<dc:creator>E.D. Kain</dc:creator>
		<pubDate>Mon, 10 Aug 2009 19:40:16 +0000</pubDate>
		<guid isPermaLink="false">http://www.ordinary-gentlemen.com/?p=7274#comment-16882</guid>
		<description>Well I can&#039;t argue there - to some degree.</description>
		<content:encoded><![CDATA[<p>Well I can&#8217;t argue there &#8211; to some degree.</p>
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		<title>By: Ryan</title>
		<link>http://www.ordinary-gentlemen.com/2009/08/wyden-bennett-again/#comment-16880</link>
		<dc:creator>Ryan</dc:creator>
		<pubDate>Mon, 10 Aug 2009 19:37:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.ordinary-gentlemen.com/?p=7274#comment-16880</guid>
		<description>I think the basic point is *it doesn&#039;t matter*.  Pick one out of a hat, if you like.  They&#039;re *all* better than ours!  We have, among the major Western democracies we&#039;re talking about, the worst, cruelest, most ineffective, most inhumane, most immoral system already.  The beauty of deciding whether to support something like HR 3200 (let alone single-payer or a Netherlands system or what-have-you) is that anything would be an improvement.</description>
		<content:encoded><![CDATA[<p>I think the basic point is *it doesn&#8217;t matter*.  Pick one out of a hat, if you like.  They&#8217;re *all* better than ours!  We have, among the major Western democracies we&#8217;re talking about, the worst, cruelest, most ineffective, most inhumane, most immoral system already.  The beauty of deciding whether to support something like HR 3200 (let alone single-payer or a Netherlands system or what-have-you) is that anything would be an improvement.</p>
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		<title>By: E.D. Kain</title>
		<link>http://www.ordinary-gentlemen.com/2009/08/wyden-bennett-again/#comment-16877</link>
		<dc:creator>E.D. Kain</dc:creator>
		<pubDate>Mon, 10 Aug 2009 19:34:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.ordinary-gentlemen.com/?p=7274#comment-16877</guid>
		<description>See, but that&#039;s just a very nonsensical thing to say - I mean, which should we adopt?  The Netherlands or the UK?  Canada or Germany?  Their systems are entirely different from one another.  The Netherlands system is as different from the UK system as it is from the US system.  You can&#039;t just say that we should adopt some &quot;median&quot; system because that&#039;s simply not possible, or practical.  

Now - the only thing I think you can adopt is the attitude or the position that there should be, somehow, universal health insurance.  That&#039;s one agreed-upon starting point that most Western European nations share.  Beyond that, though, the implementation and success varies widely.  In fact, I&#039;ve argued for a system much more like that of the Netherlands.  Why is that radical whereas arguing for something more akin to the UK or Canadian systems (not that HR3200 is either of those) sane or rational or what-have-you?

Implementation is everything.  If we implement health care reform poorly it could become very expensive with very poor results.  That&#039;s what I&#039;m worried about.  I&#039;m also pro-reform as I see the current system as wholly unsustainable.</description>
		<content:encoded><![CDATA[<p>See, but that&#8217;s just a very nonsensical thing to say &#8211; I mean, which should we adopt?  The Netherlands or the UK?  Canada or Germany?  Their systems are entirely different from one another.  The Netherlands system is as different from the UK system as it is from the US system.  You can&#8217;t just say that we should adopt some &#8220;median&#8221; system because that&#8217;s simply not possible, or practical.  </p>
<p>Now &#8211; the only thing I think you can adopt is the attitude or the position that there should be, somehow, universal health insurance.  That&#8217;s one agreed-upon starting point that most Western European nations share.  Beyond that, though, the implementation and success varies widely.  In fact, I&#8217;ve argued for a system much more like that of the Netherlands.  Why is that radical whereas arguing for something more akin to the UK or Canadian systems (not that HR3200 is either of those) sane or rational or what-have-you?</p>
<p>Implementation is everything.  If we implement health care reform poorly it could become very expensive with very poor results.  That&#8217;s what I&#8217;m worried about.  I&#8217;m also pro-reform as I see the current system as wholly unsustainable.</p>
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		<title>By: Ryan</title>
		<link>http://www.ordinary-gentlemen.com/2009/08/wyden-bennett-again/#comment-16875</link>
		<dc:creator>Ryan</dc:creator>
		<pubDate>Mon, 10 Aug 2009 19:29:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.ordinary-gentlemen.com/?p=7274#comment-16875</guid>
		<description>Erm... I mean, &quot;Leaving aside the degree to which those places have systems differing from one another...&quot;</description>
		<content:encoded><![CDATA[<p>Erm&#8230; I mean, &#8220;Leaving aside the degree to which those places have systems differing from one another&#8230;&#8221;</p>
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		<title>By: Ryan</title>
		<link>http://www.ordinary-gentlemen.com/2009/08/wyden-bennett-again/#comment-16874</link>
		<dc:creator>Ryan</dc:creator>
		<pubDate>Mon, 10 Aug 2009 19:28:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.ordinary-gentlemen.com/?p=7274#comment-16874</guid>
		<description>That&#039;s a very strange way to think about the scientific method.  However imperfect it may be to assume that what works elsewhere would work here, it remains the case that people who share much of our cultural heritage and most of our assumptions about what is good, etc., have these systems and get better results than we get with ours.

What&#039;s really kind of odd - and maybe it&#039;s not &quot;conservative&quot; or maybe it is (who cares?) - is this idea that a set of ideas that work in Canada, Britain, France, Germany, the Netherlands, Sweden, Norway, Denmark, and so on would definitely not work here because we&#039;re so incredibly different.  That&#039;s just preposterous.

(Leaving aside the degree to which those places have different systems than we do, it remains the case that bills like HR 3200 would move us closer to the median European model than we are now.  Which, I would argue, is basically the only relevant issue here.)</description>
		<content:encoded><![CDATA[<p>That&#8217;s a very strange way to think about the scientific method.  However imperfect it may be to assume that what works elsewhere would work here, it remains the case that people who share much of our cultural heritage and most of our assumptions about what is good, etc., have these systems and get better results than we get with ours.</p>
<p>What&#8217;s really kind of odd &#8211; and maybe it&#8217;s not &#8220;conservative&#8221; or maybe it is (who cares?) &#8211; is this idea that a set of ideas that work in Canada, Britain, France, Germany, the Netherlands, Sweden, Norway, Denmark, and so on would definitely not work here because we&#8217;re so incredibly different.  That&#8217;s just preposterous.</p>
<p>(Leaving aside the degree to which those places have different systems than we do, it remains the case that bills like HR 3200 would move us closer to the median European model than we are now.  Which, I would argue, is basically the only relevant issue here.)</p>
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		<title>By: E.D. Kain</title>
		<link>http://www.ordinary-gentlemen.com/2009/08/wyden-bennett-again/#comment-16868</link>
		<dc:creator>E.D. Kain</dc:creator>
		<pubDate>Mon, 10 Aug 2009 19:23:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.ordinary-gentlemen.com/?p=7274#comment-16868</guid>
		<description>How do you know it &quot;works fine&quot;?  Because it works, to some degree, elsewhere?  Aren&#039;t there many, many systems that &quot;work fine&quot; in other countries?  What is &quot;conservative&quot; about saying this hodge-podge of policy ideas will &quot;work fine&quot; as opposed to any of these others?  What is tried and true about this system in America where we have neither tried it or proven it to be true?</description>
		<content:encoded><![CDATA[<p>How do you know it &#8220;works fine&#8221;?  Because it works, to some degree, elsewhere?  Aren&#8217;t there many, many systems that &#8220;work fine&#8221; in other countries?  What is &#8220;conservative&#8221; about saying this hodge-podge of policy ideas will &#8220;work fine&#8221; as opposed to any of these others?  What is tried and true about this system in America where we have neither tried it or proven it to be true?</p>
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		<title>By: Dave Hunter</title>
		<link>http://www.ordinary-gentlemen.com/2009/08/wyden-bennett-again/#comment-16866</link>
		<dc:creator>Dave Hunter</dc:creator>
		<pubDate>Mon, 10 Aug 2009 19:21:12 +0000</pubDate>
		<guid isPermaLink="false">http://www.ordinary-gentlemen.com/?p=7274#comment-16866</guid>
		<description>Yeah, whatever.  The point I&#039;m trying to make is that I always thought the word &quot;conservative&quot; was used to describe people who preferred safe and tested approaches to government, as opposed to crazy new schemes that more purely advance an ideology.

The reason state-sponsored single-payer health care appeals to me is that versions of it seem to have had pretty decent and steady results in other countries.  And it&#039;s a lot cheaper then what we have going on in America.  That&#039;s about all I need to hear.  

I don&#039;t particularly understand how you can have &quot;principled objection&quot; to a policy that basically works fine  and still call yourself conservative.  Aren&#039;t you just an ideologue when you cross that line?</description>
		<content:encoded><![CDATA[<p>Yeah, whatever.  The point I&#8217;m trying to make is that I always thought the word &#8220;conservative&#8221; was used to describe people who preferred safe and tested approaches to government, as opposed to crazy new schemes that more purely advance an ideology.</p>
<p>The reason state-sponsored single-payer health care appeals to me is that versions of it seem to have had pretty decent and steady results in other countries.  And it&#8217;s a lot cheaper then what we have going on in America.  That&#8217;s about all I need to hear.  </p>
<p>I don&#8217;t particularly understand how you can have &#8220;principled objection&#8221; to a policy that basically works fine  and still call yourself conservative.  Aren&#8217;t you just an ideologue when you cross that line?</p>
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		<title>By: Michael Drew</title>
		<link>http://www.ordinary-gentlemen.com/2009/08/wyden-bennett-again/#comment-16634</link>
		<dc:creator>Michael Drew</dc:creator>
		<pubDate>Fri, 07 Aug 2009 23:36:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.ordinary-gentlemen.com/?p=7274#comment-16634</guid>
		<description>Would that Republicans were as reasonable as you are.  Unfortunately, the salient incentives work on a much quicker turn-around.</description>
		<content:encoded><![CDATA[<p>Would that Republicans were as reasonable as you are.  Unfortunately, the salient incentives work on a much quicker turn-around.</p>
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