Under the assumption that profit-making insurance is not an appropriate mechanism to pay for an arbitrary and variable proportion of healthcare costs, that leaves us with a government controlled single payer system to pay for all healthcare costs. How to fund a single payer? A national collection system is needed. But we have one. It funds Medicaid and Medicare. We need to expand it to cover all health costs. And we have to figure out who pays, and how much.
Consider that, if you want water, you must go to where the water is. If you want vegetables, you must go to a place that has vegetables, a farm or market. If you need air, you can’t find it under water. If you need money, you have to go where money lives. But you can’t rob a bank, so you have to get it from where those who have it, hide and protect it.
To put it another way, since the problem is that a large, and growing larger, proportion of the people in the country cannot afford to pay for their ever-growing healthcare costs, there must be a progressive system of collecting the money to provide care for all. Higher percentages of income must be tithed by those that have it, so that those that don’t may live.
It’s fair to think of this in consideration of value to society. People who “earn” millions of dollars per year are certainly not worth thousands of times what those who labor, at two or three jobs, are worth to society. Those who live on inheritances, and the appreciation of them, are not worth much to society either. My personal view is that one good librarian, or one good home builder, is worth as much as the best ever shortstop, or hedge fund manager, and much more than someone who was just given wealth. We all aspire to make more money, but only those already having a great deal of it have the chance to make that next million. The guy at the bottom has a limited chance at making that next thousand, let alone million.
Some readers will automatically, as they’ve been taught for most of a century, say that this is all socialism. So are roads and bridges. So is drinkable water. So are fire and police protection. So are power and communications grids. This is just another thing that real people need and cannot provide by themselves.
If you don’t like the IRS funding the healthcare system, then consider a very small tax on financial transactions. Wall Street is very much against that. Are you? Your politicians are against whatever Wall Street is against. In 2011, the average U.S. Senator’s net worth was $14 Million. The average U.S. Representative’s was $6 ½ Million. Their wealth has been growing even bigger since then. These are the people who construct and enact healthcare laws. Do you think they care about your healthcare bills and availability? Think about this stuff. Most of us are not wealthy, and healthcare costs in this country are higher by far than in other advanced countries. I’ll bet our politicians have a lot of investments in healthcare insurers and providers. I’ll also bet they get a lot of donations from them to aid in buying your votes.