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.)
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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?
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?
States and Federal Government
13/10/2011 05:08:14 AM
- 571 Views
No.
13/10/2011 05:59:07 AM
- 357 Views
Re: No.
13/10/2011 07:07:14 AM
- 346 Views
Re: No.
13/10/2011 01:59:58 PM
- 337 Views
Economy of scale applies to every private bureaucracy, but not government ones.
13/10/2011 06:53:44 PM
- 327 Views

you can do it with block grants
13/10/2011 06:13:48 AM
- 316 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
- 129 Views
Medicaid is already state-managed
13/10/2011 06:22:54 AM
- 419 Views

I pretty much agree with this
13/10/2011 02:03:04 PM
- 323 Views
It may still be a better option though, but I wouldn't consider it a likely great success story
13/10/2011 09:23:16 PM
- 409 Views
No I do not believe they do could do Medicare or Social Security more effectively *NM*
13/10/2011 06:41:03 AM
- 134 Views
Care to elaborate? *NM*
13/10/2011 06:55:21 AM
- 157 Views
Would you rather have 50 insurance companies with different pay structures or 1?
14/10/2011 02:14:23 AM
- 335 Views
If programs to ensure federal citizen rights were divided among the states it would invite disparity
13/10/2011 06:50:02 PM
- 396 Views
<Type Random Subject Here>
13/10/2011 09:55:04 PM
- 333 Views
Because some things do not matter much with geography and culture
14/10/2011 02:20:04 AM
- 315 Views
Yet again I must disagree
14/10/2011 05:04:43 AM
- 334 Views
Think about fire, how much need will Alaska have for fire trucks? *NM*
14/10/2011 12:30:05 PM
- 131 Views
Some issues are exclusively local and best handled there, as are some resources.
14/10/2011 11:22:46 AM
- 339 Views
The first thought that came to mind.....
13/10/2011 08:55:36 PM
- 335 Views
Depends on the state and its legislators, doesn't it? But, generally, no. *NM*
14/10/2011 06:50:13 PM
- 134 Views
Pick your rapist and tell me why it makes a damn bit of difference. *NM*
15/10/2011 05:06:50 PM
- 142 Views