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Not all people will receive same level of care under any health system

To The Daily Sun,

This is part two of my response to Suzanne Allison’s letter on health care (Aug. 23)).

Let me make some predictions for you if this country goes to single-payer health care based on our current quasi-socialized system and those of other countries that have single payer (total government funded, socialized) health,care:

1. People will still die although covered under government health care.

2. Pretty much the same percentage of people will be unhealthy under the new care.

3. Beneficiaries from no income to mid-middle income will receive very basic care while the well-to-do will still get “Cadillac” health coverage by paying outside the system or going offshore and paying out-of-pocket.

4. Choice of hospital, doctor or care ... ha! ... what planet are you living on? What kinds of fairytales have you been raised with?

5. The “savings obtained from replacing today’s inefficient, profit-oriented, multiple insurance” will be put right back in the pockets of those paying for their policies and not towards the single payer system.

6. Government mandates of entitlement for business to cover employees will now become an outright tax, requiring the vote of the House and Senate and presidential signature. If passed, businesses will AGAIN start to move offshore, reduce work forces, raise prices or close down. I don’t know if you get it or not ... the main purpose of a business is to make a profit, not to support a government or population. There is no such thing as too much profit. If there is insufficient profit to effort, zero or negative profit companies will do the above.

7. Without the incentive of profit, medical research will dwindle to that funded only by the government and donations. Government funding for research will decrease as the cost of care increases and more and more new “expensive” procedures and drugs are deemed unnecessary, wasteful or experimental.

8. More government regulations will be put on pharmaceutical companies covering types of drugs and caps on cost of drugs in order to keep health care cost down. This will kill any incentive the companies have to research new drugs. 

9. Health insurance companies, private hospitals, the most talented doctors, medical equipment companies, pharmaceutical companies and other health related industries will move offshore. Hugh U.S. related job losses will occur along with tax revenues from both the companies and worker’s salaries.

10. The government will be forced to build, staff and administer its own hospitals and care facilities to compensate for the private ones that will be closing as you reduce or take away their profits. They will be staffed with mostly inexperienced and incompetent doctors as they will work for a fraction of pay scale of the good doctors. Taxes will increase substantially to cover this new addition necessary to keep services available. The failing VA will roll into this system as the funding from that system will be needed to keep the single payer alive and there will be no need for redundant facilities.

11. The smartest students in our country will flock to other professions as the pay scale of doctors and other medical professions dwindles under government control.

12. Taxes on all Americans will increase expediently effecting mostly the poor and middle class and will cause a decrease in those peoples standard of living. It will also continue to drive down the amount of income that the middle class invest in their retirement which has always dropped down in relation to increased taxes/fees and cost of living.

13. Government financial workers will be the main and final decision makers on what procedures and care you will be allowed to get, they have to as they are responsible for controlling cost as part of their job. Health care rationing will become not only a reality but the norm in order to keep cost down.

14. The cost of the single-payer system will quickly top even that of our current system as the government mishandles funds by re-appropriating, borrowing on never-to-be-repaid IOUs, legal and illegal diversions and the ever present fraud. If you need some homeland examples just open your eyes and take a good hard look at U.S.P.S., SNAP, Medicare, Medicaid, Tricare, SCHIP, TRICARE, VA , Social Security, etc. Not that any of these programs are a bad idea...I just can’t find one for an example that is successful in terms of the financial cost, administration of and obtaining the intended benefits.

Is true market based health care, that which the government only mildly regulates for safety only, a perfect system? No, but it far out performs any social system. How do you “fix” health care? First you need to come back to reality and understand that you are not going to change human nature or bend and shape reality. The market-based system will not cover everyone, but will create the infrastructure of the best health care known and advances in medicine that, left to the open market, will drop in cost drastically in relation to supply and demand. Not everyone will have the same level of care under any system ... period. The means to cover the uninsured should be separated from the market based system and then you look how to solve increased or total coverage. Keep in mind that points 1, 2, 4, 13 and 14 above will always apply to a system funded AND run by a government.

Dave Nix

  • Written by Edward Engler
  • Category: Letters
  • Hits: 247

Republican majority doesn't understand state government financing

To The Daily Sun,

In the August 30 edition of The Laconia Daily Sun, Rep. Marc Abear (R Meredith & Gilford) listed the dire consequences attending on the 2017 Belknap County budget and how they portend a 40 percent tax increase for 2018. He should know, he’s the one who created the budget, not only creating the situation he says will exist in 2018, but also messing with the revenue side by counting $290,000 from HB-413 which wouldn’t have added any money to the treasury, and which, in any event, didn’t pass.

The situation with HB-413 offers a glimpse into the lack of understanding of how financing government works on the part of the majority of the Republicans on the Belknap County Convention. HB-413 was a bill that restored part of the state contribution to the police, fire and teachers portion of the N.H. Retirement System. The 2010 O’Brien legislature had eliminated the 25 percent contribution on behalf of all members of the system. Rep. Abear and his colleagues assumed the bill restored the contribution to ALL employees and was going to be paid to the county. Only some employees in the Sheriff’s Department and Department of Corrections would have been affected, and the effect of it would have been that the expense to the county for the employer share of the NHRS contribution would have been reduced. They didn't seem to understand this, as well as the fact the Finance Committee had retained the bill and it could not have passed during 2017.

Another bone of contention is the so-called “Undesignated Fund Balance.” I’ll deal with that in a future piece. If I tried to explain it here, the readers’ eyes would glaze over.

I want to thank Reps. Lang, Maloney, Spanos, Fields and Fisher who stood with me in opposing Rep. Abear’s budget proposal.

Rep. David O. Huot


  • Written by Edward Engler
  • Category: Letters
  • Hits: 338