Mary O'Neil Mundinger
Dean

Mary O'Neil Mundinger

Mary O'Neil Mundinger is the dean of the Columbia University School of Nursing.

Require insurance; reform Medicare

The myth continues that health reform starts with removing barriers to sick people getting insurance. This will raise premiums, many insured will drop their coverage and premiums will rise further. Only the requirement that everyone carry insurance will allow lower prices for everyone. Starting small could work but the first thing would be to reform Medicare to ensure the right care at the right time for a condition requiring that care (commercial insurers do this now.) Only then can we have the savings to move forward.

By Mary O'Neil Mundinger  |  February 4, 2010; 9:52 AM ET Save & Share:  Send E-mail   Facebook   Twitter   Digg   Yahoo Buzz   Del.icio.us   StumbleUpon   Technorati  
Previous: Communicator in Chief | Next: First insure those in need!

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I'm all for requiring everyone to carry insurance. I don't buy the argument that "some people are too poor" to purchase it... just recover it from their tax rebate (eventually). If they can't pay, just skip a year of paying and keep track. When times are better, they'll pay it back. Until that time, they'll have continuous healthcare! Afterall, we want you alive to pay your bill. ;-)

Also, I don't buy that "more people = cheaper overall costs." I don't see evidence of economies of scale. Wouldn't it be diseconomies of scale?

Posted by: ahowl7mx | February 16, 2010 2:17 PM
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