this post was submitted on 05 Apr 2025
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I want to know why I'm wrong- because this question has been eating at me for years- and I secretly blame the Democrats for all of the health insurance problems.

Why can't California and New York bind together in an interstate compact, and create medicare for all of their citizens?

California and New York have GDP's above most other countries in the world. In general, democrats hold majorities. Tell me why I shouldn't blame the democrats for:

  1. Doing Obama care half assed, when something like 80% people wanted a public option.

  2. Not just doing it themselves. For instance even NYC by itself has a GDP above Denmark, and NYC is filled to the brim with the super rich.

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[–] dylanmorgan@slrpnk.net 17 points 2 days ago* (last edited 2 days ago) (4 children)

ITT: people who don’t understand that Medicaid is not Medicare, and that means-testing means a service isn’t “for all.”

Editing to add: Medicaid is funded mostly by the federal government, 69% vs 31% funding from the state. So even if it wasn’t means-tested (one has to have an income below a certain amount, or be disabled to a certain degree before qualifying) it would not meet OP’s definition, a single payer health insurance system funded by the state.

To answer OP’s question, a state funded single payer health insurance program would likely run afoul of the Commerce Clause of the constitution which states the federal government has jurisdiction over interstate commerce. UHC, Aetna, and other nation-wide insurance companies would absolutely sue over the state programs interfering with their right to conduct interstate commerce, and they would almost certainly win, even without a hard right SCOTUS like the current one.

[–] Zonetrooper@lemmy.world 7 points 2 days ago (2 children)

Also, people who are just going, "eh, fuck the commerce clause, the states should just do their own thing!" totally forgetting the absolute shitshow this would unleash, both from private companies and conservative states.

[–] AA5B@lemmy.world 1 points 2 days ago

Yeah but we’re clearly no longer using the Constitution

[–] dylanmorgan@slrpnk.net 3 points 2 days ago

Yeah, look at any number of things (including Medicaid implementation) that have been left up to the states and what a complete dumpster fire they are.

[–] FireTower@lemmy.world 3 points 2 days ago

The conservatives justices (if you buy into the whole conservative/liberal justices thing) would 100% be eager to up hold a state healthcare law if it meant getting to strike down Wickard v. Filburn and allocating more power to the states.

But thanks for being at least one person in this thread who appreciates that Medicare and Medicaid are not synonyms.

[–] xor@lemmy.dbzer0.com 2 points 2 days ago

that’s crazy, it in no way affects interstate commerce to provide a service for free…
affecting interstate commerce would be something like having racially segregated restaurants

[–] barneypiccolo@lemm.ee 0 points 2 days ago

That was then, this is now. The Nazis don't respect the law, nor court decisions, and do whatever the fuck they want. The law no longer exists, and states can do anything they want. If the serial killing insurance companies want to sue over interstate commerce, then the states can simply prohibit them from doing business in the state - problem solved.

Besides, who cares if they sue? Ignore them, ignore the decisions (unless its a win), and do what serves the PEOPLE, not the corporations. Then raise the state corprate taxes to 100% of revenues.

Fuck the corporations, fuck the Sociopathic Oligarchs who own them, and any MAGA Nazi traitor that supports them. They are the enemy, and we have no obligation to do anything that serves their interests in the slightest way.