Active Users:520 Time:02/03/2026 03:57:43 AM
Would you rather have 50 insurance companies with different pay structures or 1? Roland00 Send a noteboard - 14/10/2011 02:14:23 AM
Would you rather have 50 insurance companies with different pay structures or 1? Which would you think is less or more complicated? Medicare will become less efficient run via the states.

How would Medicare run via the states work if you are outside the state border (such as grandma visiting the kids on christmas and she got in a car accident.)

---------------------------------

On social security it is less of an efficiency issue but more on a trust and security issue. You could do one or two things with social security

1) Federal government collects the money and the state spends it. If this is done the process will become more politicized and more risk prone.

2) State government collect the money and the state spends it. If this is implemented there will be more confusion on what your benefits are and how much money is being taken out of your paycheck. Furthermore what would happen if you move from 1 state to another?
Reply to message
States and Federal Government - 13/10/2011 05:08:14 AM 613 Views
No. - 13/10/2011 05:59:07 AM 398 Views
Re: No. - 13/10/2011 07:07:14 AM 388 Views
Re: No. - 13/10/2011 01:59:58 PM 377 Views
Economy of scale applies to every private bureaucracy, but not government ones. - 13/10/2011 06:53:44 PM 370 Views
of course economy of scale applies just like diseconomy of scale - 13/10/2011 10:38:45 PM 453 Views
And both are a function of size rather than government. - 14/10/2011 11:08:53 AM 469 Views
This is a ridiculous claim - 13/10/2011 09:44:35 PM 372 Views
you can do it with block grants - 13/10/2011 06:13:48 AM 361 Views
Believing the states can't do it, is not the same as saying the states will be less efficent or more *NM* - 13/10/2011 06:42:34 AM 149 Views
That is a BS argument - 13/10/2011 02:08:23 PM 365 Views
Medicaid is already state-managed - 13/10/2011 06:22:54 AM 464 Views
Yep, You're correct. - 13/10/2011 06:53:38 AM 383 Views
I think you just pinpointed my basic problem with vouchers. - 13/10/2011 06:36:58 PM 423 Views
Ah, Tricare - 13/10/2011 10:07:59 PM 385 Views
I pretty much agree with this - 13/10/2011 02:03:04 PM 367 Views
No I do not believe they do could do Medicare or Social Security more effectively *NM* - 13/10/2011 06:41:03 AM 152 Views
Care to elaborate? *NM* - 13/10/2011 06:55:21 AM 176 Views
Would you rather have 50 insurance companies with different pay structures or 1? - 14/10/2011 02:14:23 AM 381 Views
If programs to ensure federal citizen rights were divided among the states it would invite disparity - 13/10/2011 06:50:02 PM 458 Views
<Type Random Subject Here> - 13/10/2011 09:55:04 PM 384 Views
Because some things do not matter much with geography and culture - 14/10/2011 02:20:04 AM 362 Views
Yet again I must disagree - 14/10/2011 05:04:43 AM 388 Views
I agree, it's not necessarily that the need itself changes... - 14/10/2011 09:06:19 AM 350 Views
The first thought that came to mind..... - 13/10/2011 08:55:36 PM 379 Views
I disagree - 13/10/2011 09:49:15 PM 438 Views
Except when its time to retire.... - 14/10/2011 04:03:22 PM 355 Views
Absolutely not *NM* - 14/10/2011 10:55:01 AM 183 Views

Reply to Message