Ann there is a lack of logic in your argument, which basically states that there are evils in a Federal mandate to purchase health insurance but not a state mandate.
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As Rick Santorum has pointed out, states can enact all sorts of laws -- including laws banning contraception -- without violating the Constitution.
That document places strict limits on what Congress can do, not what the states can do. Romney, incidentally, has always said his plan would be a bad idea nationally.
States have been forcing people to do things from the beginning of the republic: drilling for the militia, taking blood tests before marriage, paying for public schools, registering property titles and waiting in line for six hours at the Department of Motor Vehicles in order to drive.
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There's no obvious constitutional difference between a state forcing militia-age males to equip themselves with guns and a state forcing adults in today's world to equip themselves with health insurance.
Yes Ann, states do pass all sorts of laws that the Constitution doesn't directly tell them that they can't do.
However these laws can be taken to the Supreme Court (a Federal function) to have them declared unconstitutional.
Your example of militia age guns vis-a-vie health insurance was almost comical in its over reach.
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It would not be a 2,000-page, trillion-dollar federal program micromanaging every aspect of health care in America with enormous, unresponsive federal bureaucracies manned by no-show public-sector union members enforcing a mountain of regulations that will bankrupt the country and destroy medical care . .
Yes, Ann, what you described would be a monster.
Now take 50 much smaller monsters and look at their total. It would probably be a bigger monster.
State level Medicaid is not an example of how things should get done.
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A governor can't repeal the 1946 federal law essentially requiring hospitals to provide free medical services to all comers, thus dumping a free-rider problem on the states.
It was precisely this free-rider problem that Romneycare was designed to address in the only way a governor can. In addition to mandating that everyone purchase health insurance, Romneycare used the $1.2 billion that the state was already spending on medical care for the uninsured to subsidize the purchase of private health insurance for those who couldn't afford it.
Ann, here I have a question.
Do you consider the same subsidy occurring at a Federal level to be unacceptable socialism, but not at a state level?
People who cannot afford medical care also in most cases, can not afford health insurance premiums.
I do not think that anybody would like to deny life-saving medical care to people if they can not afford it.
If there are state level subsidies for people to purchase insurance, and to re-imbuse hospitals, it requires state tax monies to pay for it.
The people still pay.
As Bruzilla has accurately pointed out, and which I am painfully aware of, the mandated health care plans do nothing to reduce the cost of medical care in this country.
It does nothing to reduce the cost of unnecessary tort law cases, which enrich lawyers.
It does nothing to reduce too high administrative costs.
It does nothing to reduce the excessive profits on pharmaceuticals, much of which is at the retail level.
It does nothing to reduce the corruption in the nursing home and hospice industry.
Increased competition by insurance companies across state lines would reduce premium costs.
With a combination of free enterprise, sacrificial giving and close monitoring of medical practices, there would be quite an improvement
without government running the show.
Ann, you stated that the federal government has made a mess of things.
That's true.
But it is also true that state governments can make quite a mess of things.
Is a state bureaucrat any less of a bureaucrat then a Federal bureaucrat?
In your argument Ann, you take a position that government should do it,
so long as it is state governments, not the Federal government.
I find that to be a specious argument.
Sorry.