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Old 05-12-2017, 11:03 PM
 
23,260 posts, read 16,070,454 times
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Quote:
Originally Posted by BugsyPal View Post
You will never get Congress much less a majority of the American public behind any such scheme.


Expanding Medicare to make it a de facto universal health coverage scheme would require a vast sum of funding, and not all of it could be raised via PAYO (Pay As You Go) without a HUGE injection of federal funds which come from taxes. We already had vast numbers of Americans and the GOP with them in refusing any sort of individual mandate (along with taxes in support), so what makes you think their minds would be changed by expanding Medicare?


Medicare as it is faces financial shortcomings as persons are living longer and thus receive benefits for twenty, thirty or more years. This versus the historical of retiring at 65 and likely being dead by 75.
I'm sure we will get the American public behind making medical an universal health coverage scheme. The so called Affordable Heathcare Act was dying a slow death even before Trump rose to power, with high premiums and extremely high deductibles. While Americans are living longer, an increasing amount of young people are just not going to get coverage through their jobs.
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Old 05-13-2017, 08:09 AM
 
Location: Manhattan
20,147 posts, read 26,435,766 times
Reputation: 9029
Quote:
Originally Posted by BugsyPal View Post
Good start, but more needs to be done.


NYC's municipal hospital/healthcare system is bloated, inefficient, financially insolvent, and needs to be drastically overhauled. More so as the nature of healthcare is changing nationwide as focus turns to less inpatient care as opposed to outpatient and or ambulatory services.

Perhaps a plaque is called for? It will happen now that antibiotics are good for sheiss. (And vaccines not much better)
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Old 05-15-2017, 06:48 AM
 
Location: New Jersey
6,043 posts, read 6,082,943 times
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Quote:
Originally Posted by BugsyPal View Post
You will never get Congress much less a majority of the American public behind any such scheme.


Expanding Medicare to make it a de facto universal health coverage scheme would require a vast sum of funding, and not all of it could be raised via PAYO (Pay As You Go) without a HUGE injection of federal funds which come from taxes. We already had vast numbers of Americans and the GOP with them in refusing any sort of individual mandate (along with taxes in support), so what makes you think their minds would be changed by expanding Medicare?


Medicare as it is faces financial shortcomings as persons are living longer and thus receive benefits for twenty, thirty or more years. This versus the historical of retiring at 65 and likely being dead by 75.
I would say raise FICA tax to pay for it and allow individuals and organization to ditch their overpriced private sector coverage and they would come out ahead. You can't argue with the bottom line...whether people think it's socialism or not, money talks and BS walks. The private insurance industry is the problem. I don't think the government should be helping anybody pay for their groceries or apartment but this is one case where I think more government intervention is needed. There's a reason why all the other first world countries do it that way.
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Old 05-16-2017, 09:04 AM
 
Location: Manhattan
20,147 posts, read 26,435,766 times
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Quote:
Originally Posted by UrbanAdventurer View Post
I would say raise FICA tax to pay for it and allow individuals and organization to ditch their overpriced private sector coverage and they would come out ahead. You can't argue with the bottom line...whether people think it's socialism or not, money talks and BS walks. The private insurance industry is the problem. I don't think the government should be helping anybody pay for their groceries or apartment but this is one case where I think more government intervention is needed. There's a reason why all the other first world countries do it that way.

I think keeping the FICA/Medicare percentages as they are and just eliminating the upper cap so that ALL income (including investment income and capital gains) is subject to the Medicare tax rate will raise enough to pay for Universal Medicare. Remember too, the costs of Medicaid disappear and no hospital will be forced to do charity work.

Last edited by Kefir King; 05-16-2017 at 09:43 AM..
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Old 05-16-2017, 04:30 PM
 
Location: New Jersey
6,043 posts, read 6,082,943 times
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Unless I'm reading it wrong, there already is no annual income cap on the Medicare part of FICA. but it is only a measly 2.9%. (1.45% employee paid and the other half employer contribution).

Social security part of FICA is capped at $117,000 and I've been saying THAT cap needs to be lifted or removed entirely if they want to fix the broken social security. (Lol, its only "broken" if you don't want to fix it.)
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Old 05-16-2017, 04:56 PM
 
18,284 posts, read 11,673,706 times
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Quote:
Originally Posted by UrbanAdventurer View Post
Unless I'm reading it wrong, there already is no annual income cap on the Medicare part of FICA. but it is only a measly 2.9%. (1.45% employee paid and the other half employer contribution).

Social security part of FICA is capped at $117,000 and I've been saying THAT cap needs to be lifted or removed entirely if they want to fix the broken social security. (Lol, its only "broken" if you don't want to fix it.)


Why is there a cap on the Federal Insurance Contribution (FICA) tax? | Investopedia


https://www.shrm.org/resourcesandtoo...-tax-2017.aspx
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Old 05-17-2017, 04:07 AM
 
Location: New Jersey
6,043 posts, read 6,082,943 times
Reputation: 4757
2nd paragraph of your first link there sir.
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Old 05-17-2017, 05:59 AM
 
1,721 posts, read 705,796 times
Reputation: 1033
The greatest country in the world doesn't think healthcare is a right.

Makes not a lick of sense.

The only way we move to a single payer system is if the GOP and greedy insurance companies fall off the face of the earth.

It's not happening
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Old 05-17-2017, 06:03 AM
 
1,721 posts, read 705,796 times
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Then again the voters of this country want coal mine jobs back that killed their spouses, parents and children from black lung disease.

You just can't fix stupid. I say let trumpcare kill them all (shrugs)

In terms of lay offs, technology is changing everything. Our government needs to invest in education more than ever because labor work is diminishing. Too bad that won't happen either
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Old 05-18-2017, 10:06 AM
 
Location: Manhattan
20,147 posts, read 26,435,766 times
Reputation: 9029
Why is there a cap on the Federal Insurance Contribution (FICA) tax? | Investopedia


Because the rich don't like to pay taxes and their money buys enough political clout so they don't have to.\

Quote:
Quoting Cheyenne: In terms of lay offs, technology is changing everything. Our government needs to invest in education more than ever because labor work is diminishing. Too bad that won't happen either
Cheyenne,
Watch the movie (streaming on Netflix) THE MEASURE OF A MAN for a fairly realistic, hopeless, and nearly comic view of education/retraining's role in "solving" the problems of labor's diminishing place in the world .


The movie is in French but probably more applicable here than there.
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