Ok Garud... we get it, you think you have found a new schtick...
So, you wont/cant answer my question?
Ok Garud... we get it, you think you have found a new schtick...
Yes?
Then you should know why a significant number of people would want to be under that system.
Then you should know why a significant number of people would want to be under that system.
Democrats used reconciliation to pass the ACA .. and they could have used reconciliation to pass HR 676 / S 703 instead.
... and anyone who is self pay gets a discount also.
And why did they use reconciliation?
To bypass obstructionist Republican filibusters.
then you are getting ripped off, self pay in Florida always gets a discount. I was self pay for a while and I have lots of clients who are self pay.Say what? WTF you talking 'bout, willis? I've never recieved a discount from a doctor because I was paying. You're gonna need to provide a citation for that claim or I'm calling bullshit
Ever been to the VA?
Medicare for all Americans would have been a much easier sell.
Say what? WTF you talking 'bout, willis? I've never recieved a discount from a doctor because I was paying. You're gonna need to provide a citation for that claim or I'm calling bullshit
but how much would it have cost to buy?.......
I agree with you that the ACA would have been better for removing the "over 65" and it would have been better with a single payer system and it would have been better with price controls but the practical reality was that it would have not have passed through the legislature and it would not have become law and we would be back to where we were before the ACA with little hope and any substantive change in the immeadiate future.Health Care Reform: Remove Over 65 from Medicare
Obamacare, aka The Affordable Care Act signed into law by President Barack Obama in 2010, is said to have some 1,147,271 words in the bill’s language. I have just two words that would dramatically change and fix our health care system for good. Remove “Over 65″ from current law regarding Medicare.
While the benefits of reforms in Obamacare far outweigh those of our previous health care system, I must admit it could have been even better. Since the law is now in jeopardy with a potential partisan Court ruling in July, perhaps we should start talking about this two-word plan.
With Americans paying directly from their paychecks like they already do with Medicare, we know that the costs of medical services would be spread out, and dramatically less for everyone. With one single coverage provider, essentially a government insurance company, taking profits out of the equation, additional cost savings would be seen by all. Paul Krugman said it best:
The great advantage of universal, government-provided health insurance is lower costs. Canada’s government-run insurance system has much less bureaucracy and much lower administrative costs than our largely private system. Medicare has much lower administrative costs than private insurance. The reason is that single-payer systems don’t devote large resources to screening out high-risk clients or charging them higher fees. The savings from a single-payer system would probably exceed $200 billion a year, far more than the cost of covering all of those now uninsured.
http://thenevadaview.com/3452/health-care-reform-remove-over-65-from-medicare/
The healthcare debate is not over .. and the solution has always been right in front of us.
Not if you implement cost controls.While I agree that would have been the smarter play vs. Obamacare, keep in mind that it is the private sector that subsidizes those 'lower costs' of Medicare. You put everyone on Medicare type insurance and you will see what the true costs are.
Not if you implement cost controls.
But....But.... But, ya, people might get better access to health care.... but then how would my Doctor afford his multi-million dollar house on the water? How would he be able to afford to take Tuesdays and Thursdays off for golf? How would pharmaceutical sales representatives drive BMW's as a company car?
It will cost a lot less than the average we pay now.
Medicare For All Cost Per Person
Cost per person in the U.S. = $8,233 (from October 2012 OECD report)
You don't know what you're talking about. Medicare doesn't pay $.20 on the dollar. Medicare is like any other insurance program. It pays X percent (depending on the plan) and you pay the balance. Many public practices recieve the majority of their income from medicare payments. Medicare does have some cost control aspects.It would result in a severe shortage of doctors. Medicare reimburses doctors for around 20 cents on the dollar (if that). If we expand Medicare to everyone, doctors would probably end up making less than $40K/year.
That depends on the plan and the cost but you're essentially correct. Typical Plan B Medicare pays 80% of the Medicare approved cost and the patient pays a 20% copay for things like Doctors visits and 100% for diagnostic and lab costs. Out of pocket costs can be greater if the physician does not accept Medicare but most clinics/phyisicans make up for that by increased volume.I believe your numbers are reversed... I am pretty sure it is about 75-80 cents on the dollar... not 20
Again, that's an exageration and has little to do with the shortage of primary care physicians in this country. The shortage of primary care physicians has far more to do with the quasi monopoly the AMA has on the profession.Perhaps you are unaware the there has been a shortage of doctors in this country for a decade.
Obamacare does nothing to address that, in fact, it explodes it .. Medicare for all Americans / HR 676 / S 703 does.
Medicare supports Graduate Medical Education.
Physicians for a National Health Program has submitted highlights of S703:
Patients go to any doctor or hospital of their choice.
The program is paid for by combining current sources of government health spending into a single fund with modest new taxes amounting to less than what people now pay for insurance premiums and out-of-pocket expenses.
Comprehensive benefits, including coverage for dental, mental health, and prescription drugs.
While federally funded, the program is to be administered by the states.
By eliminating the high overhead and profits of the private, investor-owned insurance industry, along with the burdensome paperwork imposed on physicians, hospitals and other providers, the plan saves at least $400 billion annually – enough money to provide comprehensive, quality care to all.
Community health centers are fully funded, giving the 60 million Americans now living in rural and underserved areas access to care.
To address the critical shortage of primary care physicians and dentists, the bill provides resources for the National Health Service Corps to train an additional 24,000 health professionals.
http://www.healthcare-now.org/whats-single-payer/s-915hr-1200/s-703