Pay As You Go

Many people, especially Republicans, wonder about the need for health insurance in the first place. Wouldn’t it just make sense to pay as you go, whipping out the credit card for routine doctor visits?

This sounds ridiculous when considering serious illnesses, but it may make sense in any system for small things. When a sty in my eye became infected I realized I had the perfect opportunity to test out “the system,” to the extent there is one, to see how pay-as-you-go might work.

The short version: I got sick and don’t have insurance. We all have our adventures.

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Starts With an Idea

When Martin Shkreli was arrested the internet erupted with a dark sense of joy. Finally, the most hated pharmaceutical and finance guy in America was going to get justice – if not for raising the price of drugs 5,000% but for an unrelated ponzi scam.

This came up during People’s Economics, the discussion groups which represented a kind of “Barataria Live”. Our section on High Finance asserted that the complex and overlarge finance system inherently encourages this kind of bad behavior, which is to say that any regulation or law you might write is irrelevant compared to the kind of damage guys like Shkreli can do before they are caught.

Two interesting thoughts came out of this and subsequent discussions which provide logical ways for us to get past this problem and move to a better future. And there may be more.

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