Los Angeles Times

Self-care and single-payer

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Re “Single-payer’s selfish critics,” column, Feb. 21

David Lazarus left out an important factor in considerin­g whether to support single-payer healthcare: self-care.

If people, including the parents of young children, do not take care of themselves and instead indulge in drugs, alcohol, dangerous activities, behavior that leads to obesity and more, which they are entitled to do, why should I pay for that behavior and the predicable consequenc­es?

The traditiona­l American ideal of self-determinat­ion is giving way to a national safety net under everybody. You know what that is called.

Don’t confuse common sense with “selfishnes­s.” Jerry Hawk San Marino

I agree that “Medicare for all” might work better than our current system, but there is no guarantee. Government seems to work better when it collects and disperses money (Social Security) than when it provides a service (the DMV).

Moving toward the German model of universal healthcare is certainly better than adopting a nationaliz­ed system as in Great Britain. However, it lacks the benefits of Medicare Advantage, which is already in full use in this country.

Medicare Advantage employs for-profit insurance companies, which induces some competitio­n but puts a lid on profit as a percentage of premium revenue. Utilizing a system that is already in place would certainly ease some of the issues of transformi­ng from our current system to one with more government control.

I believe that if you start with the objective of providing quality affordable healthcare to everybody rather than establishi­ng a single-payer system, you might yield much better results.

Kevin Minihan Los Angeles

Everyone should read Lazarus’ column and see how easy it is to explain what single-payer would be. For the consumer, what could be better and easier than to pay on a progressiv­e scale for our health insurance, just as we do with our taxes?

With single-payer, there would be no premiums, no deductible­s and no other similar costs paid by the consumer. There would be no fear of an out-of-network charge putting you in financial jeopardy.

In what kind of society do we want to live? A healthier population free from the stress of our current insurance system would be more productive, less stressed and, who knows, possibly more law-abiding.

Diane Welch Cypress

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