The Amazing Maze of US Health Care » Pay according to ability

Amazing seems a most appropriate word to describe the financing and delivery of health care services in the United States of America.
James L. McGee, CEBS--On Health Care Reform

Pay according to ability

I think 6% of income is too high. I don’t think it should be based on income. It makes more sense to base it on age, just like younger drivers pay more for car insurance, it makes sense that older people pay a little more.

This comment was offered in a conversation at the web site, Change.org in response to a post by Gillian Hubble.

I can’t disagree more.

Premiums absolutely should be based on income and absolutely should not be based on age.  I say that not just because I am in the 60+ age bracket and you likely are not.  I say that because of my 25+ years in employee benefits.  However, I do agree that there should be a penalty for delayed enrollment similar to what Medicare Part B imposes.

When you come right down to it, the whole health care debate boils down to two issues.  How do you expand health care coverage and how do you pay for health care.

Expanding coverage is important because it spreads the risk among the sick and the healthy equally.

Make it straightforward and uncomplicated

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