[zghst]

Usually children are heavily vaccinated, not adults. However, the costs of vaccines are usually covered by insurance. Additionally the federal gov't provides a program called CHIP that ensures millions of children (8.9 million kids covered 2016) in lower income households receive proper immunization.

[tryingagainbro]

That leaves or left a nice chunk out of it, the middle class (pre- Obama care at least). Also let's not forget that a lot of immigrants come in USA with patchy vaccination history.

[zghst]

Also if you look at the people who make up the uninsured, most uninsured are quite eligible for coverage either through an ACA tax cut, employer-sponsored insurance, or Medicaid eligibility.

The largest chunk of uninsured, based on a study by the Kaiser Family Foundation, are "undocumented immigrants" with an estimated 5.4 million uninsured. The remainder of those who aren't able to obtain health insurance (not to be confused with health care, which any individual can obtain by going into an emergency room or free health clinic) have either a coverage gap (2.6 million) or their income is too high to obtain a subsidy (3.0 million).

[tryingagainbro]

"Most," "largest chunk" etc don't really work in real life. My idea was for the government to give free (essential) vaccines to everyone, no ID /questions asked. It makes $$ sense.

[zghst]

Legally, the government cannot give out vaccines with no questions asked, no ID. Every asset the government distributes must be accountable. We must keep a immunization record (usually in the patient's possession) of who and when, along with records on the health care provider's end for compliance.

Say someone experiences an adverse reaction to a vaccine (which does happen) and wants to sue the hospital; no questions asked means that the medical provider did not do a proper assessment of the patient, leaving that professional legally liable to damages.

[sp332]

That's interesting, and it's a good argument for the money to come from the government and not insurance companies. When it's a public health issue, you want make sure everyone is covered.

[zghst]

I definitely agree with you. I'm very much in favor of an optional single payer solution, consolidating the various programs down into one.

The issue is that doing so will put millions in the insurance industry out of work. It becomes more than a public health issue, and very much so that looks to eliminate a industry that has wide power to retaliate through various strategies.

Not to mention, single payer is a quite resource intensive strategy that will require extensive capital to start versus spending now for more coverage through a program.

Because of this, single payer may never come to America through federal means.

[zghst]

The middle class make up the majority of 155 million Americans covered by employer-based coverage. Immigrants that come into the country (legally) are required by law to have received or receive vaccinations listed by the gov't.

Health and preventing health issues is not the responsibility of the government, but individual.

[tryingagainbro]

Health and preventing health issues is not the responsibility of the government, but individual.

Sure, says who? USA takes "26 percent of gross domestic product" in taxes http://www.taxpolicycenter.org/briefing-book/how-do-us-taxes... , so the govt can't just take. And USA pays for liver transplants, disability and loss in productivity.

Not to mention that US made healthcare its business with Obamacare.

>>Immigrants that come into the country (legally) are required by law to have received or receive vaccinations listed by the gov't.

For $10 the Sudan (++++) authorities will give you any vaccination record the US Embassy requires

[zghst]

For my first point, I infer that you know your body and lifestyle best. Education exists to help people avoid preventable conditions (which are leading of health problems) and there isn't any reason why an individual should be compelled to seek the advice of a medical professional other than their own volition.

Sudan has recently experienced 15 deaths due to a botched vaccination. In countries like Sudan, workers may not be properly trained, there are less legal protections, and doctors are much more time-resource bound, leading to rushed care.

[pkaye]

When you immigrate to the US, there are vaccination requirements already.