It sounds to me like the administration is looking for raw material they can put into commercials to run in districts that oppose Obama's plans.
Particularly with the 20-30 second requirement. Who can say anything other than "great plan, Mr. President" in just 20 to 30 seconds? I'd love to add my two cents, but I don't think I could squeeze it into less than a few minutes. Well, let's see...
"This healthcare plan sucks."
Well, that was easier than I expected. I had a lot more to say, but when I write, I try to write things so that the audience can understand what I am saying, and sometimes you know you just can't say anything.
I think we'd be a lot better off to pass a law that medical providers must present the cost of any service or treatment in advance. Any time I ask for prices in advance, I find great deals, like the oral surgery I once needed. I got an x-ray, some time with the doctor when he discussed what he was going to do, then the actual surgery on another day which involved at least 30 minutes of work by the doctor and a couple of assistants, plus some pain drugs, and a follow-up appointment a week later just to make sure it was healing correctly. Total cost: $300
Compare that to some lab work I had done recently which I didn't check the price of because the government was paying for it. (I would have simply not bothered otherwise, which isn't to say it wasn't a real problem, just that long-term chronic fatigue isn't something anyone can afford to investigate without insurance.) I had some blood drawn for some tests, a chest x-ray, and an EKG. Some time later I got a letter in the mail indicating that the government paid $1200 for those services. I was only there for ten minutes. X-rays are just photographic film and an x-ray tube, and an EKG isn't that complex either, both technologies have been around at least a hundred years. ...but the real kicker was that they charged $50 for a venipuncture.
Insurance is just a band-aid. The problem is that people spend without knowing how much, because they accept medical services without asking about the cost, assuming the intake person in the E.R. can even give you any answers. Insurance puts the costs up-front, and to keep premuims low, insurance companies force doctors to not waste so much money, but they also allow people to seek medical care when they really don't need it since it won't cost very much and they've already paid for it anyway, and that raises the costs back to what they would have been anyway. The end result is that your monthy premium costs more than oral surgery and it doesn't even come with a dental plan.
Despite my intense hatred for libertarians, I really think this is one issue where the free market can do a lot of good, if only the rules are changed so that the free market has some means by which to affect people's decisions. Passing a law that requires people to buy insurance only gives them a half-ass solution that was already available to them anyway, and it removes the solution of simply buying insurance for extreme situations and using the "shop around for a lower price" solution for more common needs, which is always going to be cheaper than buying insurance for everything.
As for Obama's fucked up idea of requiring insruance to cover pre-existing conditions, how about we do something sane like require insurance to cover post-existing conditions? If I get cancer while I have medical insurance, it will pay for my treatments, but only as long as I continue to pay the premiums. Imagine if homeowners insurance worked that way. One day your house burns down, which causes you to miss a few days of work, so your boss fires you because he's a prick, and now you can no longer pay your homeowner's insurance. Well, too bad, now they're no longer going to pay the contractors rebuilding your house.
It's retarded. Any illness that occurs when someone has coverage should be covered, no matter how long the treatments take. Insurance companies want it both ways, both the illness and treatment must occur while covered. It makes sense that only one should be required, but where Obama got the idea that the treatment should be the one required to occur during the coverage period, I have no idea.
Yes, that won't fit in a 30 second video. As I recall, the earlier google-moderated text discussions also had character limit too small to post anything really meaningful.
His modus operandi became evident when he ignored the highly voted Internet town hall topic of legalizing marijuana.
I would have ignored that too. It's popularly was likely the result of an incredibly poor moderation system and a narrow age range of the moderators. There was a time I would have been all for legalization of marajuana myself. That was before I noticed it had turned a lot of my friends into uninteresting people who can't do anything besides seek out more weed and never want to go outside because it's always either too hot, too cold, too bright, or too dark. I still can't say I think it should be entirely illegal, since there are some people who simply can't do anything with their lives anyway, and we might as well let them enjoy their miserable lives, but I definately wouldn't like to see it available to anyone under 21. ...or, well, fuck, you know they'll buy it for minors, so fuck it, no one can have any.
Anyway, that moderation system really sucked hard.
When people went to the site, it gave them the most popular suggestions to moderate first, asking a question like "do you agree with this comment?" The result was that the first suggestions posted, regardless of what they were, were the first to receive moderation, and since the bar of approval was set low, they mostly received positive moderation. The moderation sorting was partially based on the absolute number of approvals, rather than just percentage of approval, and so these first comments remained the first comments even if their overall percentage of approval became somewhat less than comments with fewer total approvals. The result was that people came to the site, mostly voted yes on the already most popular items, and eventually left after reading 20 or so. Comments made after the first 15 minutes the site was open had little chance of being read by anyone, let alone being voted to the top, since even if 9 people out of 10 happened to like it, that didn't rank it above the 800 people out of 1000 who liked one of the first comments.
To find what people really cared about, comments presented for moderation should have been chosen at random. Every comment would receive votes that way. People also should have been able to vote only on comments they were randomly presented so that no one could post a link to one in a message forum of particular interests, thereby misrepresenting its overall popularity. The moderation question should have been something like "is this one of the ten most important issues that Barack Obama needs to address?" People can agree that a lot of ideas are good, but we can't do everything, and in particular, the plan was only to consider the top ten comments anyway, and so asking that any random good idea be approved, rather than only the best and most important, was entirely inappropriate. Finally, the ranking should have been based purely on percentage of approval, since assuming a random sampling, the specific number of approvals is irrelevant, and they should all be about the same anyway, so long as they're smart enough to keep the voting open for some time after the comment period is closed.
However, apparently just to look web-savy, Obama likes to do everything with existing tools, regardless of how much they suck. Why do it correctly when you can just use Google Moderator instead? If the administration really cares what people think, they can certainly find better ways to collect that information. I'm sure there's a competent programmer somewhere who can put together a public comment and voting system that produces useful results. Hell, I would think that pulling random people off the street would yield more accurate results. ...and since when do we care what people think anyway? Shouldn't we do what's best? Sure, the majority of people hate the idea of homosexuals enjoying marriage, but this country was founded on the idea that the government doesn't have the right to do every damn thing a simple majority of people happen to ask for. So nevermind what people want. What's the best way to solve the healthcare crisis? Do we require everyone to buy private insurance, or might it be better to simply make it easier for the free market to do its thing by putting an end to the pratice of allowing people to provide services without first providing an estimate of the cost of those services? Resturants provide menus with prices. Repair men provide estimates.
Car repair...that's something else. There's a place in town that makes all kinds of money on people who show up and get repairs without asking for estimates from other mechanics. It's only illegal to charge for more hours of work than were actually performed. There's no law against having a ridiculous hourly rate. Some people do compare estimates and have their repairs done elsewhere, but that's not a problem since they still make a lot of money on people who don't know any better. It's really sad, and it'd be even worse if people were in the habit of not asking for any estimate at all, but instead just having the repairs done and receiving the bill later. Then they wouldn't even have to have an affordable hourly rate. Just cleverly ask for name of employer when accepting the car, make sure not to bill more than $3000, then when they can't pay, take them to small claims court and have it deducted from their pay check.
Kind of remindes me of a hospital, actually. You know that's why they ask for the name of your employer, right? From the very beginning they plan on having to take you to court to receive payment, yet they still don't bother to provide any sort of estimate so that you can realize you're about to spend more than you can afford. It almost sounds like a scam, doesn't it? I'm sure they don't intend it as a scam, but it says a lot that our country has a major problem with people going into debt as the result of a process that looks a lot like a scam.
What would fast food cost if prices never appeared on menus and all the cashier had to say was "I don't know, I just put your order in the computer and it doesn't print out the bill until after you've finished your meal." At that point they are free to charge whatever they want since you no longer have a choice. So what's the solution? Should we requiring people to buy fast food insurance or make sure people take note of the price before it's too late to back out of the transaction? Which option is more likely to result in less expensive fast food that every american can afford?
Oh, wait, it doesn't matter if they can afford it, we'll just make them buy it anyway. Problem solved. ...and fuck Slashdot. First it complains of an invalid session key, probably because I spent longer writing this post than they expect anyone to spend writing a post. So I copy and paste into a new form. Now it's bitching that I've tried to post only 15 seconds after clicking "reply." Fuck programmers who think they're smarter than me. "Ooh, this douche is trying to post with an invalid session key." "Ooh, look, now he's trying to paste something entirely irrelevant into a discussion. I can tell because there's no way he wrote a meaningful comment that quickly. I'm so smart!"