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Re: women and medicare

By: Cactus Flower in ALEA | Recommend this post (0)
Fri, 13 Nov 15 5:41 AM | 111 view(s)
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Msg. 17564 of 54959
(This msg. is a reply to 17559 by DigSpace)

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"We must decide soon whether an individuals costs for access to medical care is to be determined at birth, or not."

All that you say is exciting. But I am not sure this question isn't already resolved just based on things we can already figure.

We can already diagnose many diseases at birth and we have already made the choice to cover such people. We - hopefully - don't burden a kid born with CP with massive medical bills. That's the person the insurance we all pay is there to cover. Fortunately, those who are not sick don't cost much. So the money we pay goes to those who need it.

The point of a decent health insurance system is to share the costs across the population so that those unlucky enough to be sick don't also get disproportionately exposed to cost.

This is the model every advanced economy has chosen. Finally, after Obamacare. We do so without regard to a person's state of health. Previously, of course, the US system sought to discriminate between those who are well and those with existing conditions. Essentially it was a health insurance system that was designed to exclude people with health problems. Which was not just nasty. It turns out it was also costly.

The only health payment variable you usually see in a modern, caring and efficient economy is based on a person's income.

The nice thing about most sorts of medicine is that they are not something most people want to consume more than they have to. The tendency to demand medical care amongst the healthy is not great.


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The above is a reply to the following message:
Re: women and medicare
By: DigSpace
in ALEA
Thu, 12 Nov 15 10:42 PM
Msg. 17559 of 54959

"We don't yet know which child will be born w/ some terrible afflection so sharing risk is inderstandable."

That 'truth' is rapidly vanishing. I don't know if semiconductors still obey 'Moore's Law' with but bioinformatics, the granularity of the data, the cost of the data, the ease and speed of the data and the cost of the infrastructure all are changing exponentially.

We are comfortable in the area of being able to do a complete individual genome for $1000. $100 is on the very near horizon. The current physical-exam/workup for life insurance for a middle aged male likely exceeds that considerably. The lipid panel, CBC, normal poke and prod by a professional.

What you speak of is heading towards a pin-prick of blood from every newborn, a complete genome analysis, and risk profiling before the new human is a week old. Moreover, as the genomes become increasingly available the database grows and with it the ability to assign outcome probabilities at the individual level for traits that had long been much too complex to define (multi-gene traits with mixed dominance and a touch of epigenetic maternal imprinting just to keep it interesting).

This capacity is not sci-fi. It is here, now. We must decide soon whether an individuals costs for access to medical care is to be determined at birth, or not. Gender is just the stone-age observable manifestation of that, but it is/can/will go much deeper.

And finally, as a mater of logic, you support covering pre-existing conditions, certainly gender is pre-existing.


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