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re: EBC Book #1 - Economics in One Lesson by Henry Hazlitt

Posted on 6/14/17 at 4:09 pm to
Posted by RedStickBR
Member since Sep 2009
14577 posts
Posted on 6/14/17 at 4:09 pm to
Also, since you mentioned it, can anyone think of any more perfect example of focusing on the short-term effect / effect on special groups (as compared to the long-term effect / effect on all groups) than the ACA?

Its proponents sold it to the people based on the latter, but now openly defend it based on the former. It's a textbook example. Granted, I realize you can't reduce everything to dollars and cents (e.g. if you give a homeless man your coat, there is a certain non-quantifiable value associated with that act). And the ACA proponents of course draw on this theme when they talk about the underprivileged and those with pre-existing illnesses.

But the solution to solving problems for the few is not to cause new problems for everyone else. There had to have been a better solution than the ACA.
Posted by GregYoureMyBoyBlue
Member since Apr 2011
2963 posts
Posted on 6/14/17 at 8:25 pm to
quote:

Also, since you mentioned it, can anyone think of any more perfect example of focusing on the short-term effect / effect on special groups (as compared to the long-term effect / effect on all groups) than the ACA?



100% agree.

Maybe not specifically ACA related, but to expand on your ST vs LT point within healthcare, the creation of medicare and medicaid eventually led to medicare advantage plans, which are some of the best examples of public private partnerships and entrepreneurship i've seen. Unfortunately, It took from 1965 when Lyndon Johnson created medicare to the early 2000's for the government to better instill competition within the segments, but since then companies have been created, funded, and grown based on a shared savings model with these two populations of patients. Public entities can't figure out how to give better care and lower costs, so they partner with entities/entrepreneurs that have better capital allocation models, assume the financing risk of a certain subset of patient population for a per member per month fee (PMPM), and share the savings created by better care coordination and quality of care for these two "expensive" parts of the HC ecosystem. Win-win for public and private sector.
This post was edited on 6/14/17 at 8:32 pm
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