Beyond "health-care-for-all" being a cushy campaign promise (which is broken by the way) the bottom line as stated by President Obama is this:
This is a fact that both parties agree upon. If nothing is done then Medicare/Medicaid will eventually go bankrupt. In order to fix the problem (that the federal government created) both Democrats and Republicans claim that we need more regulation (ie; more federal control) the argument is simply what, and how much, to control....the costs of Medicare and Medicaid are on an “unsustainable” trajectory and if there is no action taken to bring them down, “the federal government will go bankrupt... “Because if we don't do this, nobody argues with the fact that health care costs are going to consume the entire federal budget...” (linked here)
I think both parties are on shaky ground. If the Democrats really believed what they say they do (that everyone should have access to affordable health care) then they should push for a "robust public option" after which they should press for a similar global mandate in the UN (Hello, billions around the world do not have health care). If Republicans really believed in limited government, then they should call for the abolition of Federal Medicare/Medicaid.
My simple (and Tenth Amendment friendly) proposition is this:
1. Congress would turn the control of Medicare/Medicaid -- along with associated revenues received via FICA taxes -- over to the respective states.
2. Over a ten year period Congress would phase out the receipt, and payment, of all Medicare/Medicaid related FICA taxes.
3. If states wanted to maintain coverage of their citizens, they could ramp up their state taxes as the Federal Government taxes were phased out.
Nothing in the United States Constitution prohibits states from providing "socialized-medicine" to their citizens. If states want ramp up, or down, the health care coverage of their citizens they are free to do that on a local level. This would allow everyone to get the type of local health-care coverage they want. If people don't like the coverage in their state then they could move to a different state.
What are your thoughts on this issue?
* For additional information on this subject check out "Sorry, But The Problem With Medicare Is That It Is Un-Constitutional!" and "Health Care “Debate” A Total Scam, Phony War, As Demicans, Republicrats Ignore Most Important Questions"
** "Mandated Health Insurance Benefits and State Laws" at the "National Conference of State Legislatures" website.
*** This solution could also work for Social Security.