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Vermont is probably out of the way and tiny enough for that not to be an issue, not to mention it's about the 10th most expensive state to live in. However, it's certainly possible if a larger more accessible (cheaper, more central to lots of low income earners) left leaning state like Illinois (for example) implemented a good single payer system selection bias would be a non-trivial issue. Moving a state or two over and getting the same low paying job you would have in WI, OH, IN, and so on is hardly an insurmountable task even for low earners.Bicyclops posted:And I think my answer is that uprooting one's entire life to temporarily obtain Vermont residency is not a realistic solution for almost anyone in a position where they're lacking adequate healthcare; it is a self-correcting "problem." I agree for Vermont for the reasons above, but you really can't just wave your hands and ignore issues like that in general. Putting it as a problem in scare quotes ignores that you actually do need to pay the bills at the end of the day- and even left leaning states like Illinois and CA aren't very eager to raise taxes. Considering this Vermont thing is probably half a decade away at best it doesn't seem like a waste of the threads time to explore issues of single payer being implemented on a state by state basis. Maybe there will be no problems. Thing is, if there are and its implementation is a failure you can kiss any chance of it getting national play goodbye for a long time. Most countries that have excellent welfare and Single Payer systems get around such things by having extremely rigid immigration laws; moving from state to state is much easier relatively and there could certainly be some problems that arise from that. Bicyclops posted:This is the "If they don't like the bigoted homophobia of their state, why don't they just move?" argument transported to healthcare, with the bizarre twist that this time it's posited as a bad thing. No, it's not like that at all, what an utterly bizarre thing to bring up. enbot fucked around with this message at 22:07 on Apr 26, 2014 |
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Apr 26, 2014 22:04
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