New, Improved Obamacare Program Released On 35 Floppy Disks
- Thread starter Michael
- Start date
LOL, unfortunately Michael facts are not your friends.
Are you denying there are more homeless children in NY than at any time since the last Great Depression the Federal Reserve caused?
With respect to you claim, I have yet to see any credible proofs. As usual I have seen unsupported allegations. I have yet to see you provide and credible proofs. Back in The Great Depression they didn’t count homeless people for starters so where are the homeless numbers coming from? Additionally, there are more people living in New York now than during The Great Depression. As usual you are not using the correct metric. The correct metric would be the percentage of homeless children, not the absolute number of homeless. Twenty two thousand out of a population of several million really is not that many.
The unemployment rate during The Great Depression was north of 25%. The current unemployment is only 7%...big difference.
Joe,
You do understand the Federal Reserve is dumping nearly $100 billion into the 'recovery' each and every month - bailing out the top 1%?
You do understand that there's been an explosion in part-time low-end unskilled work in the USSA?
You do understand that the Federal Reserve takes the lion share of the blame for this mess - specifically GreenSpoon.
You do understand that when the 'stimulus' finally ends, and it will, so does this mirage of a 'recovery'.
Why do you think the Federal Reserve "Chairman" pulled back from tapering a few weeks back. They can't tapper. We're on QEternity. We'll continue to misallocate capital until there is no more capital. Welcome To Amerikkka. Land of the Tax Cattle.
Now, let's sink this f*cker.
As for ObamaCare, it'll be a wonderful legacy - right up there next to Slum Housing Projects and Public Schools with 47% functional illiteracy rates.
Nearly Half Of Detroit's Adults Are Functionally Illiterate
Eserver.org: Illiterate America -- A Third of the Nation Cannot Read These Words
Don't worry Joe, once the Public Unions ensure a "Fair Wage" for "Public Servants" with 13 month vacation pay, and once we get the quotes system, the bureaucracies, the power-trips and all those Functional Illiterates working at your neighborhood Public Hospital - the LAST thing that will be priority at your local Public Hospital will be healthcare. See, this is how it goes. Given 1 in 5 are misdiagnosed as it is, leading to jumbo-jets worth of dead and/or dying patients PER WEEK right now - you might want to start thinking more like 1 in 5 will be properly diagnosed once things are said and done.
Yes, I do hope you're around in 15-25 years to enjoy the fruits of ObamaCare.
You do understand the Federal Reserve is dumping nearly $100 billion into the 'recovery' each and every month - bailing out the top 1%?
You do understand that there's been an explosion in part-time low-end unskilled work in the USSA?
You do understand that the Federal Reserve takes the lion share of the blame for this mess - specifically GreenSpoon.
You do understand that when the 'stimulus' finally ends, and it will, so does this mirage of a 'recovery'.
Why do you think the Federal Reserve "Chairman" pulled back from tapering a few weeks back. They can't tapper. We're on QEternity. We'll continue to misallocate capital until there is no more capital. Welcome To Amerikkka. Land of the Tax Cattle.
Now, let's sink this f*cker.
As for ObamaCare, it'll be a wonderful legacy - right up there next to Slum Housing Projects and Public Schools with 47% functional illiteracy rates.
Nearly Half Of Detroit's Adults Are Functionally Illiterate
Eserver.org: Illiterate America -- A Third of the Nation Cannot Read These Words
Don't worry Joe, once the Public Unions ensure a "Fair Wage" for "Public Servants" with 13 month vacation pay, and once we get the quotes system, the bureaucracies, the power-trips and all those Functional Illiterates working at your neighborhood Public Hospital - the LAST thing that will be priority at your local Public Hospital will be healthcare. See, this is how it goes. Given 1 in 5 are misdiagnosed as it is, leading to jumbo-jets worth of dead and/or dying patients PER WEEK right now - you might want to start thinking more like 1 in 5 will be properly diagnosed once things are said and done.
Yes, I do hope you're around in 15-25 years to enjoy the fruits of ObamaCare.
It’s not like we haven’t’ been down this road umpteen times before Michael. The Fed is bailing out everyone with quantitative easing. It’s keeping the economy moving and reducing unemployment while keeping prices stable.
And where is your evidence to back up your claim that there has been an “explosion in part-time, low-end unskilled work in the USA? You can legitimately blame Greenspan for many things, but The Great Recession isn’t one of them.
LOL, you are going to be surprised when QE ends and the economy doesn’t fall apart per your prognostication. And the Fed chairman didn’t pull away from anything. He has been quite clear about many things including QE.
Well unfortunately for you we have successful examples of Obamacare. So we know the model works better and more efficiently that our pre-Obamacare healthcare system.
1) Actually, no - we don't. Unless you think a 1 in 5 misdiagnosis is a 'success'? Is that what you think? Unless you think higher costs and lower quality is 'successful'. Tell me Joe, when there's an obesity epidemic, and a person has paid in around $2000 a year for 30 years, has Type II diabetes, multiple prescriptions and a couple cardiovascular surgeries - HOW exactly does this 'industry' sustain itself? $60K isn't going to cut the mustard. AND there's plenty of mustard.
Take a look around princess - see all that fat, it doesn't come cheap.
We COULD have fair affordable high quality healthcare in a true FREE MARKET. One where competition between insurance companies and healthcare providers act to provide a fair price of healthcare. Unfortunately we don't live in a free-market. You people don't want to be free. AND I QUOTE: "What? You want to be free to die in the street?". This is how perverted your notion of civil society is. You don't want to live in a civil society, with civil liberty. Nope. Civility isn't a very good fit for you. You want to live in the jungle. Thus, we have to lose our Civil Liberty and Person Privacy and become a poorer less prosperous nation.
2) Will it be more efficient compared to the State Regulated mess that is healthcare? This may be true in the short term - if there's ANY SEMBLANCE of INCREASED competition. Given how unbelievably the State f*cked up the healthcare market in the USSA it's a wonder if it could make it any worse. But, it will. One foot in front of the other. Your chances of being misdiagnosed and given inappropriate disease care (and/or outright murdered) are 1 in 5. A few jumbo-jets worth of patients find this out each and every week. Let's flash forward another 15-25 years of ObamaCare. *News Flash* Public Hospital Unions across the country strike due to unfair labor laws that prevent functionally illiterate Public School graduates from having the Economic Opportunity to work in good paying jobs for the gubermint's Public Healthcare System - the last jobs left in the USSA. There's Joe along with all the Progressives waving their signs "Hitlery for Dictator". Funkally Ititer Worky-Time Too!!!
If 1 in 5 are misdiagnosed NOW, I imagine it'll be 1 in 5 that are properly diagnosed then. Our Public Hospitals will be as horrible as Public Housing and as useless as Public Schooling. This IS going to happen. I do hope ObamaCare sticks nice and tightly to the Progressive wing of the Authoritarian Party.
The reason why we have 1 in 5 being misdiagnosed? State regulations of the Healthcare industry. This is what the State does. F8cks everything up. Just take a good look at the two wars we lost in the ME at a cost of $8.5 TRILLION. Thank the GODS that money was TAXED and BONDED out of the USSA and not left in the hands of the working middle-class (what's left of it). Not that the State regulations would allow them to do much with it anyway - other than consume at Walmart of Costco - like good little Tax Cattle.
And the worse thing, if you could actually make sense of the squiggles, is your arguing we must LOSE more of our Civil Liberties to have affordable Healthcare. Freedom is Slavery for the Joe's of the world. We are no longer FREE to negotiate our own healthcare on our own terms. Just one in a million other freedoms we've lost and will continue to hemorrhage right along with our personal privacy. This is the Amerkkka circa 2014. A pathetic shadow of itself. Where the rich pillage the poor at their leisure and the poor just hope to hop on the SlumLord ladder. Or maybe get a job flipping houses to their functionally illiterate neighbors. Thank God we have The Federal Reserve perverting our society for us. What a wonderful world you leave for your children.
Oh, and Joe, blowing another stock market and property bubble isn't creating wealth. It's misallocating wealth. It's perverting society. It's why mothers shovel their children into day supervision facilities and then off their entire educational responsibilities to Public Schools instead of one parent remaining at home and *GASP* parenting their children. Thanks to the Federal Reserve destroying our entire monetary system and with it our entire way of life - children get a prescription pill and a rotation of Day Supervisors in and our of their lives instead of a mother. But, we do get to live with SlumLords - how nice.
So, do enjoy the extremely regulated unfree-markets, the Federal Reserve bank notes that fiat currency that substitute for money, the loss of personal privacy and oh, the wonderful overly expensive State-Run ObamaCare.
Write4U
Valued Senior Member
Michael, it seems our entire Nation depends on Obamacare, or mnore properly named, "The Affordable Care Act" and you are predicting doom and gloom.
Answer me this, are we so stupid that we cannot come up with a Universal Healthcare Plan, when most of Europe have functional and successful models?
Are you now living in a better country that those European Socialists? The statistics show we are woefully falling behind in all areas of civilization. And you blame Obamacare? Give me a break.
You want to see Capitalism look to Energy exploration and extraction, oil spills at land and in the oceans, look to fracking the soil below your house without your consent, look to coalmines collapsing, sinkholes, flammable tapwater, look at the diamond industry. Did you know that diamonds are one of the most abundant minerals on earth? You get to see just enough to keep prices high. A diamond is forever.
Answer me this, are we so stupid that we cannot come up with a Universal Healthcare Plan, when most of Europe have functional and successful models?
Are you now living in a better country that those European Socialists? The statistics show we are woefully falling behind in all areas of civilization. And you blame Obamacare? Give me a break.
You want to see Capitalism look to Energy exploration and extraction, oil spills at land and in the oceans, look to fracking the soil below your house without your consent, look to coalmines collapsing, sinkholes, flammable tapwater, look at the diamond industry. Did you know that diamonds are one of the most abundant minerals on earth? You get to see just enough to keep prices high. A diamond is forever.
That is not the same as health care costs being higher - your claim was not high insurance premiums, but higher costs for health care.michael said:
Taking a look at your PBS link, then, we find again something not quite to the point - we read that people in Massachusetts spend more on health care because they are wealthy and can afford extra procedures, longer hospital stays, etc. That, again, is not the same as health care costing more - your claim. People are buying more of it, is all.
What it is, instead, is a counterexample to your repeated contention that competition between for-profit delivery setups and similar market forces would drive down health care costs - not in Massachusetts. And nowhere else either, of course - that's never happened, and in capitalistic theory never would happen without government intervention (there's no market as such).
if the free market for health care is so good why are the for profit private hospitals the worst worst paitent out comes most money spent on administration costs? the simple answer is the market is the problem. and people like you who treat profit as god are the problem
Write4U
Valued Senior Member
And we come full circle to my proposition that Healthcare and Profit are mutually exclusive. And in the triangle of illness-insurance-healthcare, only the insurance industry, the administrative part which has nothing to do with patient care is profitable. And therefore uneccessary.
It's not a matter of being 'stupid' or not being stupid. East Germans were not any more 'stupid' than West Germans. There's a rational explanation for why socialism is economically less efficient and over time erodes the capital in society. As for the USSA being Europe - you may want to take a look at Greece, Italy, Spain and Portugal. Those 'successful' European States are closer to the mark.
As for giving up more civil liberties in an inane attempt to use the State's Government to use Force Americans *for the "Good of Americans") to buy healthcare goods and services in yet another idiotic attempt to redistribute capital - that will fail. Not on day one - although, they're so incompetent it almost looks like it will. No, it'll take some time for the State to erode the"healthcare" capital that is in place. But, it will. Over time Public Healthcare in the USSA will look as bad as Public Housing, be as safe as Public Roads and as useful as Public School. Probably 15-25 years.
The US Government wasted $8.5 trillion dollars incompetently losing another two more wars - that'll be nothing compared to what It's going to waste on ObamaCare.
You're babbling again. Capitalism is one necessary facet of a free prosperous economy. We also need free-markets (which we do not have in healthcare), sound money (which we do not have in the USSA), private property rights (which ObamaCare violates) and law (which the Amerikkkan government pretty much violates at will - including this legal farce that is ObamaCare).
Let's see, when CONgress voted on Obamacare it was 381,517 words - a staggeringly bloated bill even by the US Government's pathetically low standards it sets for itself. It's now a whopping 10,535 page document. Nearly 97% LARGER than the Bill which was voted on by our "Representatives" in our wonderful "Republic". In addition, the bill has spawned dozens of new agencies - and each of these are writing new parts of the bill to be written into it in the future by other career bureaucrats. Thus, our unelected, overpaid, bureaucratic rulers have polished this turd at a furious pace ADDING ~ 12 MILLION new words to the final Obamacare regulations. Of which, no one knows top from bottom. Add to this, if you go to the farce that is the ObamaCare website, if you're under 50, you're quoted as if you're 27. Which is a meaningless price to someone 47. But if you're 75, you're quoted at age 51. Gee, at a price tag of $1 billion - what a wonderful example of fascism and nepotism.
I don't have to wonder, I know ObamaCare will be a total disaster. It's very sad that a lot of healthy children will have to die because you can't figure out how to poop in a free society. Just like the children being left to die in public housing slums. Just like the children graduating as functional illiterates from public schools. Just like the children being dropped off at Public voucher daycare from 6 weeks old so that mother can have some 'me time'. Just wait for the public unions and the quota systems - we have a long ways down to go. Another 15-25 years. Oh, and by 'we' I mean 'you'. You want it, you're going to get it. So, do enjoy your ObamaCare.
As an aside, you didn't answer the 5 questions I posited in the other thread, the one where freedom gives you constipation.
No, healthcare and profit are not mutually exclusive. Why don't you explain why profit is good in a free-market and then explain the role of insurance. AND you can cap it off by talking about what money is versus currency.
But don't worry, you're going to see the effects of non-profit healthcare.
You're wrong. The LAST place you would want to have surgery is in a Public Hospital.
Left and Right wings of The Authoritarian Party
Obamacare is a case of Progressive Left-wing Stathiest's of the Authoritarian Party using the State to Force and Coerce young healthy adults into subsidizing their babyboomer grandparent's healthcare. So, here's a good example of the Right-wing of the Authoritarian Party using the State to Force us to live with 'regulations' (for our 'safety' of course) which just so happens to prevent women from choosing elective abortion. You know, because women are too f*cking stupid to organize with their doctors in a clinic under the law that protects property rights (their bodies) and using sound money - nope. Voluntarism is just too much for the Amerikkkan breed of Tax Cattle. Hell, we can't even take a poop without the State standing next to us in the toilet. Like little helpless children we need our Nanny to wipe our arses for us.
So, here we have a case of Conservative Right-wing Theocrat's of the Authoritarian Party using the State's legal obligation to enact Force against innocent adult "Citizens" for 'the god damn good of society'. Life in the USSA is really no different than living under any other dictatorial rule - Theocracy, Republic or otherwise.
[video=youtube;5WwnFGqU1sI]http://www.youtube.com/watch?v=5WwnFGqU1sI[/video]
The State never stops growing - ever. It will grow and grow and grow until it consumes society like a parasite feeding off a host ultimately kills that host. The State IS that parasite. You are it's Host. It's Government is run by the Authoritarian Party - - within which there are differing views on how to employ State-Force against the Citizen-Host's they feed off. Want to know why your life isn't all that great? The parasite is killing you. Slowly - but surely.
Obamacare is a case of Progressive Left-wing Stathiest's of the Authoritarian Party using the State to Force and Coerce young healthy adults into subsidizing their babyboomer grandparent's healthcare. So, here's a good example of the Right-wing of the Authoritarian Party using the State to Force us to live with 'regulations' (for our 'safety' of course) which just so happens to prevent women from choosing elective abortion. You know, because women are too f*cking stupid to organize with their doctors in a clinic under the law that protects property rights (their bodies) and using sound money - nope. Voluntarism is just too much for the Amerikkkan breed of Tax Cattle. Hell, we can't even take a poop without the State standing next to us in the toilet. Like little helpless children we need our Nanny to wipe our arses for us.
So, here we have a case of Conservative Right-wing Theocrat's of the Authoritarian Party using the State's legal obligation to enact Force against innocent adult "Citizens" for 'the god damn good of society'. Life in the USSA is really no different than living under any other dictatorial rule - Theocracy, Republic or otherwise.
[video=youtube;5WwnFGqU1sI]http://www.youtube.com/watch?v=5WwnFGqU1sI[/video]
The State never stops growing - ever. It will grow and grow and grow until it consumes society like a parasite feeding off a host ultimately kills that host. The State IS that parasite. You are it's Host. It's Government is run by the Authoritarian Party - - within which there are differing views on how to employ State-Force against the Citizen-Host's they feed off. Want to know why your life isn't all that great? The parasite is killing you. Slowly - but surely.
Write4U
Valued Senior Member
Profit IS good in a free market. Unfortunately healthcare is not a free market. And profit in a forced market , such as a monopoly IS bad.
AND I see no relevance between healthcare and the definition of a legal contract.
I hope so, if we are able to make it run like all those other countries with "modern universal medical delivery systems".
btw. There is no law says that a health insurance company must be a for profit corporation. The administration of an Insurance system can function quite well in a non-profit mode. Social Security is one example and Medicare seems to function just fine (please spare me the lectures).
50% of the cost of medicine is hidden in the profit made on the administrative end of healthcare, which has nothing to do with providing healthcare at all. It's paperwork, recordkeeping, you know plain old fashioned bookkeeping. As long as Personnel has a living wage, have access to modern equipment and pleasant working conditions, they don't care if the guy on top makes a lot of money . This was the Kennedy (Clinton) Doctrine,
How prophetic that very last sentence is.
You complain about restrictions and how things are going to pot under a p-rogressive agenda., but the situation we find ourselves in now is not a result from progressive agendas, on the contrary, we are in this mess because we gave the International Trade and Enforcement too much power.
Eisenhouwer warned against this very situation, the power of the military industry, which is financed (forced) by the taxpayer, IOW, the tax payer does not do the chosing, an small group of people with unimaginable resources does. And that is not this president and his current cabinet and the execution of his constitunional duties, which btw, seem to be turning the economy around, albeit slowly. And now has taken steps to provide health insurance for all permanent residents of the US.
Are you going to complain about "verbal negotiations" with Iran and other interested parties in regard to the "nuclear question", a lot of money involved!
In the interest of using terminology correctly, I think we should refer to 'profit' as sound-money made by free people in a free society and 'spoils' as fiat-currency made by well connected people in a Fascist State.
Yes, I agree, unlike when excess Profits are made, excess Spoils are not a good sign. The healthcare industry is awash in excess spoils.
I'm not sure of your point here.
Putting the word 'modern' and 'universal' in front of medical delivery systems is just adding adjectives.
Healthcare goods and services are never universal - anywhere. Those with good connections will always have access to the best. I know of physicians who regularly scan themselves in ultra-modern fMRI to look for any abnormality. These machines are maxed out - yet they seem to find time; for themselves. I know of physicians who prescribe themselves all sorts of medication, that they most certainly do not need (and I personally think it dangerous, but whatever). People with connections will use those connections. If you knew of a great doctor and your child needed care - you damn well would pull any and every string to get the 'best' care for your child. Not 'universal care' but the 'best of the best' care. This is human nature. It's perfectly normal and if violence isn't used, moral behavior.
What we do not want as a goal is 'Universal' - it doesn't exist. There are only so many fMRI machines. What we want is a free-market because then the poor will get pretty good healthcare, much much better than any 'Universal' healthcare scheme can provide. And healthcare will not be a burden on society. Will the ultra wealthy have access to better stuff? Maybe. They probably have better gaming rigs, smart phones, cars and food options. But the poor, even in semi-free nations like the USSA, have decent pcs, smarts phones, cars and food options. The poor in the USSA live better than the middle class of most of the rest of the world.
Free-markets, with sound money, law, private property rights and NAP will ensure that the fairest possible distribution of limited resources is made to happen.
This is true. But a company that doesn't make profit will eventually go bankrupt as it spends it capital reserves. It also will have no capital to invest and making a better hospital. Profits are NEEDED as the base capital to maintain and improve quality. If not then you're just barely treading water. ANY misstep and down you go.
Come on! You don't think this would vanish in a FREE MARKET with fierce competition?!? Of course new ways of doing business would develop, ones that cut the fat in a big way. 50% is a hell of a lot of economizing. Once regulations are removes - hell, 90% of that fat instantly vanishes.
The Federal Reserve was sold to the American people as a means to make society 'equal' through 'science' (ie: Progressive policies). It can't and it didn't. Economics was sold as a hard-Science, when it's anything but. It's a form of psychology - at best. When Americans gave up on freedom and liberty infavor of progressive income tax and redistribution - the seeds were sown. DO you really think Americans believed there'd be a general income tax? Nope. They thought the 'rich' would have to pay 'their fair share' - what they got was the rich using the State to maintain their wealth while the poor have never worked harder for less. It's now normal in many parts of the country to put your infant into daycare from 6 weeks old. These children often ONLY bond with a daycare supervisor, who often leaves for another job - again, and again and again. These children are then told there's something wrong with them and put on anti-depressants with UNKNOWN consequences. While it's hard to see how the Federal Reserve and the State is destroying our society - they are. The 1% used the Fed to bail itself out while the bottom 99% were left with the bill. THAT is the role of the Federal Reserve.
You may think ObamaCare is going to provide you with good affordable healthcare, I promise you this isn't going to happen without a high cost - and probably won't happen WITH a high cost. There is a cost to everything - and it will be paid. Whether it's children never bonding with their parents because they lived their childhood in a day supervision center or an ignorant illiterate school system, the price will be paid one way or another. Australia has one of the best perinatal care health services in the world (maybe the overall best - this is because the State knows it's economical to pay for childcare, in a FREE MARKET this would be the role of insurance companies). Many Australians are working day in and day out for the 'Free' healthcare. The State has cut education to the bone. The Government pretty much sells citizenship outright, as well as assets and land - you'll find the 'throw a prawn on the barbie' is now 'sorry mate I have to drop me kids off at day supervision and get back to the office - see you next year'. Luckily for AU, there's a lot more minerals to sell along with plenty of Asians wanting to buy their way into AU citizenship, or just become landlords and rent to AU kids. I find that to be perverse. Asians who never set foot in AU buy property in AU, become Landlords and rent back to the children of AU - all so the State can give out goodies as it tries to buy off an ignorant populace that thinks goods and services are magically bestowed by the State as it grows them on eucalyptus trees like leaves. AU is no longer the "Lucky Country" - Aussies do NOT have an easy life any longer. And as their manufacturing goes down the gurgler, they'll see the limits of selling off minerals and land for shiny beads.
I'm not sure of your point here. The Pentagram wasted $8.5 TRILLION dollars losing two MORE wars due to it's outright incompetence. The Government is totally incompetent in ALL things it does - including adminstrating healthcare or waging war on drugs, Muslims, privacy, etc.... Hell, most Americans think we won WWII. Everyone else would credit the Russians.
It is IMPOSSIBLE to pull back now. Impossible. There is NOTHING ANY politician can do to reduce the role of the State. You can look upon this conversation as academic. Just look at Walker in WI. He asked Public Servants to pay a bit more towards their own pensions and to take a little less. A tiny ask. Why did he ask this? Because if not the State would have to sell more BONDS on the children of WI and THEY'D have to pay for their grandparents bills. This is not fair to those children who did not have a say (or as we like to call it a "VOTE). Talk about hypocrisy in the USSA - Land of the Tax Cattle. Do you have any idea how many death threats his children received?! Oh, those lovely-oh-so-nice Public "Servants" tracked his children down, and sent photos of them to Walker telling him how they'd be murdered - describing how they'd be gutted. Not just a few letters - HUNDREDS of letter were sent to him. His entire family's life was constantly receiving death threats. Including relatives and their children. BUT what was the story we heard? The big bad Koch brothers donated some money towards his campaign. Guess what, I'll take my chances with the Koch brothers - at least with them I can choose not to have anything to do with them. So, there are no politicians that can push back this tide of entitlement. It's done. Over. Nothing to do now but watch as this f*cker sinks.
That's it. There is no other option. Just refuse to have anything to do with the State (as is legally possible) strengthen your community, raise your children peacefully and to think logically and let the State implode in on itself as it sinks into a vomit-pile of it's own State-regulated shit.
The ACA is a rightwing authoritarian program, straight from the Heritage Foundation and Mitt Romney's political agenda. Abortion is not a left-right issue.Michael said:
I too think that Obamacare will malfunction - it relies on free market competition to control costs, and there is no such market in basic medical care delivery.michael said:
That's why it's important to describe it accurately, so the underclockers will not somehow come up with the notion that this awkward and abusive setup is some kind of "leftwing" notion. The entire program here was invented to prevent and forestall a national movement toward seriously considering single payer health insurance, a leftwing idea that was proving attractive to everyone who got a serious look at, for instance, Wellstone's setup, or the notion of expanding Medicare. It should be clearly described as such - something invented to prevent socialized medicine from getting political traction in the US.
And it's not me who can't figure out how to run a free market sewer system in a large city - it's you, along with everybody else on the planet for all of recorded history, and every modern theorist considering the matter in abstract. Any more than you or anyone can set up a free market in basic health care delivery - the necessary physical situation does not exist and cannot exist. The beneficiaries do not have the necessary information and are not paying the costs. This is in the nature of disease and trauma and physical malfunction.
In a free market system the poor will get whatever health care the rich provide out of charity. In the past, this has meant that the poor receive little or no modern health care.michael said:
The consequences of this rebound on the the rich, of course - increase prevalence of communicable disease, lower quality of labor and military defense and loss of other benefits of a healthy general population, that kind of thing (no man can be an island, even if the land is diseased) - but the rich have proven in the past to be able to endure such things as long as their afflictions are visibly less than those of the poor.