this post was submitted on 18 Nov 2025
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If private insurance companies are lobbying to prevent Medicare for All because they'd lose their business, then make them the claims processors. Like, the government pays the bill, but the carrier process the claim as a contractor to the government. That way they can still be publicly trades and still keep their profit margin, and people still get guaranteed healthcare. They'd even be able to keep what they've killed in previous profit, and they'd not have to be the source of funds for actual claims.

Since there are a few companies, maybe we could even use a regional distribution of the populace for who has which card on their wallet. So maybe the east coast has Blue Cross Blue Shield, the west coast has Aetna, and the central states have Kaiser?

This way everyone wins: heal insurance keeps in business and still makes money; the people have healthcare; and the government improves the lives of its population, has fewer bankruptcies, and can tax the revenue of its contactors like they do with their current contractors.

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[–] tornavish@lemmy.cafe 23 points 4 days ago (1 children)

The US won’t get that for decades if ever. The insurance companies, the pharmaceutical companies, medical manufacturers, etc etc, will never willingly lose their trillions. They will kill people like Boeing killed John Barnett.

[–] Sunflier@lemmy.world 3 points 4 days ago (1 children)

Well, if you look at what I wrote, the companies would keep their business and relationships. They'd just transfer the fundamental guarantee over to the government.

This could be a boon to the medical field because those who couldn't afford health insurance can now get care. That means more medication is consumed, more beds are filled, all while insurance companies keep a business model where they still make profit without the risk of paying the costs of care.

[–] tornavish@lemmy.cafe -2 points 4 days ago (1 children)

Won’t happen. More likely is preexisting conditions will be an issue again. Rolling back America, every day.

[–] Sunflier@lemmy.world 0 points 4 days ago* (last edited 4 days ago)

Well, that couldn’t be unilateral like it is now because of the 5th Amendment, which requires due process. The 5th Amendment specifically states in relevant part:

No person shall . . . be deprived of life, liberty, or property, without due process of law.

Healthcare insurance seems like an ecconomic liberty interest to me.

On top of that, the government is actually insentivised to ensure its populace recieves coverage. As I said in my origional post, ensuring healthcare would mean fewer bankruptcies. Also, the government isn't insentivised to deny coverage like the privately-traded insurance providers because the government doesn't have a profit margin to improve for its share price.