Definitions: private, cooperative, and universal health care

March 29, 2020

The foundation of any insurance program is this: Individuals put money into a common fund, to be used by any of those individuals in case of specified circumstances.

WITH PRIVATE HEALTH INSURANCE, YOU PAY
*Your contribution to the common fund
*Administrative costs (managers, clerks, accountants, etc.)
*WHATEVER THE OWNER AND STOCKHOLDERS DECIDE THEY CAN TAKE FROM THE COMMON FUND AS THEIR “PROFIT”

WITH PRIVATE HEALTH INSURANCE, YOU RECEIVE
*Payment for your health care, according to what you and the owners have agreed to in a contract

WITH COOPERATIVE HEALTH INSURANCE, YOU PAY
*Your contribution to the common fund
*Administrative costs (managers, clerks, accountants, etc.)

WITH COOPERATIVE HEALTH INSURANCE, YOU RECEIVE
*Payment for your health care, according to what you and the owners have agreed to in a contract

UNIVERSAL HEALTH CARE
It is like cooperative insurance, but it also covers people who, for reasons beyond their control, have not contributed to the common fund. Universal health care may be owned by government. It must be overseen by government. Most universal health care programs adjust contributions based on ability to pay, rather than on the extent of coverage as with other types of insurance.

Obviously, any kind of insurance can work satisfactorily or it can be abused and corrupted. The results depend on the good faith and competence of the managers and overseers. Ultimately, the contributors themselves must see that good managers and administrators are hired and held accountable. In the case of government programs, the people who are represented must also see that honest and good-faith representatives are elected and held accountable on a regular basis.

Mary Ann Lesh

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