How would you replace/fix ObamaCare?

[🦀🎂🦀🎂]

* put all funds currently spent on Medicaid etc into researching medication for immortality
* no need to spend any more on medicine after we all live forever

[🦀🎂🦀🎂]

Yeah guys, as fun as randomly attacking fat people is; it's hardly a productive or efficient way to reduce healthcare costs or obesity...

[🦀🎂🦀🎂]

The way to resist the effect of obesity on healthcosts is to attack its root causes: the overuse of sugar, the promotion of shoddy advice, the lack of time for people in poverty to prepare food for their families etc. Overwraught and moralistic plans (but what if their was a fat tax?) have no real effect at the end of the day, beyond making people feel superior.

Sure, we can go down the 'attack teh FATTIES lol!!!!' route, but it is rather stupid at the end of the day. First it boosts the craven and idiotic ideology of 'fat=unhealthy, skinny=healthy' (which is largely a construct of the insurance industry, rather than medical science). I, for example, have exactly 'correct' BMI but I have no doubt that a lot of people who cross the threshold of BMI are very much healthier than me.

It is very much more efficient to treat people the same, however much you feel they 'did this to themselves'.

[🦀🎂🦀🎂]

Of course, we all cost a lot in the end. Perhaps we should be paying people to get fat and smoke so they die prematurely and won't burden the NHS and social care with their elderly frail bodies?

[🦀🎂🦀🎂]

At the end of the day, we all use the system a lot when we, err, age and die. I'm very uneasy about the idea of carving everybody up into high-risk and low-risk categories - to me it rather betrays the entire point of public insurance, that pools everybody in a collective net.

The reason I oppose targeting the overweight in particular is its crudeness. The obesity crisis is a societal problem and not an indivividual one, and attempts to attack obesity through shame based tactics is doomed to fail. It only helps the hacks and spivs that run bulls*** programs like Weighteatchers, cosmetic surgeons and the fad diet industry. Targeting the individual in a world where people are literally encouraged to be overeat fructose products and sit in offices all day (and then constantly yo-yo in weight, and get stuck in desperation trying to get out of the cycle) is foolishness.

(And of course then the merely 'overweight' get lumped in with the obese, a blurring which is fantastically appalling.)

[🦀🎂🦀🎂]

Yeah well of course you don't care about doing anything useful, you're a libertarian.