d8dd05 here, and yes you're right in your declension of how the hierarchy has been set up. It results in a Catch-22 due to how ingrained insurance is into the financial sector. Like I said, insurance is a tool of finance just like a mortgage or investment is a tool of finance. They all function on some kind of risk-reward, or risk transfer, or indemnity principles. They're not hard principles to understand, but they are easy principles to fuck up and break - like the ACA tried to do.
At its core, the ACA tried to turn insurance into medical welfare, and exactly what anyone with a modicum of experience in the field would have predicted happened: the carriers pushed the cost of those plans onto all other existing insureds and made record profits. They're still making record profits. Premiums will NEVER go back to pre-ACA levels. That was just a landmark opportunity to hike, and they did it all legally with the only real consequence being Obama scolding them a little and A LOT of insureds getting pissed. But not like they could drop coverage, lol….
…They made that illegal. TheRideNeverEnds.jpg
I mostly post on Vidme now. I haven't made anything political for a while, but I do know a lot about insurance(s) of all kinds. I figured I would try to share. Again, the main point is Insurance and Medical Welfare are two very, very different things.
You're talking about ?
I could go through each point and talk about them, but let me just skip to the end rather than get into a bunch of detail that might require further explanation. Some of this is summarized for brevity:
What would be fully inline with NatSoc is if the government owned the entirety of the medical sector, or at the very least, was the primary payer of healthcare claims. Consider that right now, the government pays (very roughly) about 50% of all medical expenses (kff.org/other/state-indicator/total-population/?currentTimeframe=0&sortModel={"colId":"Location","sort":"asc"}).
The government controls its costs by dictating to the provider what they will pay for a given medical good / service. This is government-side price fixing for goods / services. Now consider if the government was the sole payer of healthcare claims (and they almost got this with the ACA indirectly) they would dictate the price of nearly every medical good or service within the entire economy.
At this point, any provider (Hospital, Doc, etc) is a de-facto employee of the government, since the government controls the prices of all (or the majority) of their goods and services. As it exists right now, the private sector pays about 55-60% of healthcare claims (see link above under "employer" or "other"). Private parties negotiate whatever they want to pay for goods and services. Sometimes this is vastly more than the government would pay by thousands of percent. Sometimes it is less, but not as often. *Typically* private plans are more lucrative for providers.
Point to this being, for a "Nat Soc" solution to healthcare, you would again need to have government takeover of the medical economy. The way I point out (becoming the primary or sole payer of healthcare claims and dictating prices through force of law OR just being the majority payer and having unfair bargaining power) is basically a "soft" takeover, but it's a takeover nonetheless. Consider that people at the private commercial carriers are very, very aware of this, and hence it is why they took the steps they did around the ACA.