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Hawaii's Exchange to be Shuttered
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Quote:At this point in the game the focus has to become cost control. Pandora box is open there's no going back so we've got to curve the rapid increase in the cost of healthcare or the system will bust under the pressure of debt. As much as I hate it I just don't see how we can curve cost without nationalizing massive amounts of the healthcare industry. That's been the problem all along you can't mandate participation and then ignore the markets inability to control cost. Once participation is mandated it's only a matter of time until you have to nationalize the product or the cost will outgrow demand at accelerated rates.I don't think the idea was to use this as a bridge to single payer. I think they wanted single payer, knew there was no way they could push that through so just did something to try to help the lowest of the low. We are seeing that immediate impact for the middle and upper has not been well received. Time will tell whether that remains a trend or is just the immediate impact. I don't think the system will be socialized nearly as soon if ever as you predict. You are right that something needs to be done about the costs in general. That SHOULD have been the first thing done rather what we got now. |
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