"Nope. The cost of compliance from the business community is HUGE. Blue Cross / Blue Shield of MI started processing medicare claims and determined that about 30% of the fraud that they caught was previously being paid by the feds."
Fraud and administrative costs are two different things.
"Accountable? I can change insurance companies if I don't like BCBS. Can you change IRS agencies? Can you get a different EPA organization?"
I can get a different Senator or Congressperson. And again, there will always be private insurers, covering what the market needs.
"I don't know... but I would rather see money spent on trying to figure that out BEFORE they waste a trillion bucks"
So by your own admission, you don't know if your tirade about too much testing is costing closer to 3% or 30%?!?
"For a 100,000 new paper-pushers at the fed level, then you have to have 100's of thousands more to GENERATE the paper... and computer systems to process them, and more and more and more... gov't systems NEVER decrease the amount of paperwork."
Then it shouldn't be considered, not unless there's an entire overhaul. Unless you're talking nominal paperwork, and not per capita paperwork. Of course the workload will increase on the gov't level. It should more than decrease that amount on the private level, or we're not realizing the efficiencies we must have to survive.
"Rationing, such as closing hospitals, getting rid of MRI machines and other such expensive technologies, and paying doctors less. This paying less to doctors will in turn attract people that are not the top of their class into medicine. Those will find other careers that pay better."
They may have to, as we may no longer be able to afford the best and the brightest. As someone who's familiar with this sector, you certainly see the megatrends of the baby boomer retirement, and what it will do to the health care delivery system in the US. Rationing is coming, whether we like it or not. We simply can't afford the current level of health care throughout the boomer retirement years. Too many will be using, and too few paying for it. Couple that with what medical inflation will really be (as demand spikes but supply doesn't), and we're in for a disaster.
"[however, adding millions of undereducated and poorly employed people to the system will not make it better in any fashion]"
Yes, it will. By providing free preventive care, it will increase the overall health of the general population, cut down on expensive ER visits, give doctors an inroad to discuss healthier habits, and nip incredibly expensive procedures in the bud, all of which should affect the bottom line.
"The plan of nationalized care, by your own admission, will not prevent rationing."
We're in for rationing, one way or another.
"So, a system that doesn't solve the problem..."
I disagree: it covers more, for less.
"...significantly harms the existing system..."
Again, disagree. Improves the system by moving more from cure to prevention.
"...adds trillions of dollars to the national budget..."
While, ideally, subtracting trillions from the costs of businesses. Again, if this is going to cost MORE per capita, it's not worth it.
"...and will arguably increase the number of people who die..."
No proof for that.
"Citizens will have to be more responsible for their own behavior and the consequences. Drinking, drug use, sexual behavior, exercise and eating better would all be controlled by cost. Just as the cost of your auto insurance goes up if you drive drunk, have lots of accidents and get tickets. Let the markets help in pushing people to act better, instead of scraping a bad system and replacing it with a worse system."
That could certainly be part of it. And it's a good idea. Let's put everything on the table.