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Young people and healthy people end up paying more for something they don't need as often. as older people and sicker people. that's not one of them. that's, core to any insurance, national insurance system or nonnational insurance system we can conceive of. >> carl, it becomes very clear in your piece that you prefer, you would prefer a single payer system. certainly, as i would. many others would. your problem in this market, at $30 t you c $30,000, you cannot afford $1,800 in premiums. and then that is just if you never get sick and never use the health care system at all. if you use the he...

Would pay under the private health insurance you could buy into medicare and medicare could be expanded for everybody. everybody is paying into the system. it is self sustaining. >> actually. in fairness, we did something very much like that in vermont. we actually did something much better than a single payer in vermont. in the sense everybody under 18 in our state has the health insurance through medicare and medicaid. essentially what we did what you are suggesting and more. there should have been a public option. a single payer. we don't. we have to live what we have. until it can get bett...

Insurer probably going to get up, be healthy, go to bed, and healthy. the question is on the days you are not. carl is picking up on a pin the that he doesn't make in the article. under at fothe act, you can do something, decide not to buy health insurance. when you get sick, wait a couple months. having paid the mandate you can get insurance currently which an insurer would never give you because you would have gotten sick. you can game the system in certain ways more effectively, post-obamascare than you could before. the thing will cost you, be a free rider, a jerkish thing to do. you can d...

Be a much bept erbetter system. one thing in the op-ed, carl, struck me a lot. one thing you criticize the system for doing. young people are paying too much, in order to subsidize as you immrip heply older sicker p. one of the interesting things people miss in the single payer conversation that happens much more in a single payer system than in this kind of one. the higher deductible and age rating, a young person can pay a third of an older person. that allows you to subsidize older folks less. in a true single payer system, the ones we typically talk about everybody is paying the same into ...