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Medicaid isn't any less expensive and its not skewed towards any one age demo.
So your theory doesn't hold up.
Medicare does have high costs but you also have to remember that it underpays ......so the payments it makes are only a fraction of the actual cost, which more than evens out the fact that the elderly consume more care. For example, Medicare pays only $49 for an office visit billed at $70, per the Medicare approved reimbursement schedule, but the average office visit actually costs $85-100. So doctors lose money on Medicare patients and have to recoup those losses on the non-Medicare patients.
I'm a primary care doc and take Medicare. In my low COL area and lean practice, I can make decent money with Medicare. Private carriers pay about the same +/- maybe 10%. I and most docs can't just raise the price on private pay patients very easily. Most of our fees are preset.
I'm a primary care doc and take Medicare. In my low COL area and lean practice, I can make decent money with Medicare. Private carriers pay about the same +/- maybe 10%. I and most docs can't just raise the price on private pay patients very easily. Most of our fees are preset.
For specialists the above might not apply.
Yah, my point of reference is California. We're at the high end of everything in regards to costs, across the board, so here the disparities and impacts will be the most pronounced.
Our providers also have preset fee schedules.
Hey, I was going to PM you this question, but you don't have PM enabled....As a tangent, what would be the impact on you if there was a law that limited you to charging a maximum of 15% over the actual "costs of service"? Could you stay in business? Is that enough profit in your practice for you? Ie, if the costs of service are 500K, you could bill max of only 575K, so your "profit" on the practice is $75K, assume that's your "net" and not your gross or EBITDA number.
And the rest of our younger, healthier population will not need near the intensity, complexity, and frequency of HC related expense as our Medicare population.
The Democrats call it Medicare-for-All which sounds like Medicare remains and everyone else is added in.
It doesn't.
Medicare, Medicare Advantage Plans, Medicaid, Tricare, all employer and union-sponsored health plans go away and are replaced by one government-run plan.
That may not sound bad, but the plan will cover all RESIDENTS of the US, not just citizens, for everything from annual exams to nursing home care.
With 22M illegal immigrants (according to 2018 Yale University report) and counting plus 320M citizens, this will be hugely expensive.
When the inevitable rationing happens (just like England), seniors will be at the end of the line for treatments.
If you’re rich, you’ll go outside the government plan and private pay for good care, just like Kate Middleton did for her births. The rest of us will stand in line.
Not to worry, dems grants sucking scientific herd just announced the world will end in 12 years due to global warming. Millions will die.
employers are offering healthcare to employees and the UE rate is at an all time low, so that should lift some of the burden on medicare.
Be sure to vote for a democrat to ensure illegal aliens are covered under medicare.
Even when Obama was asked about who the ppaca covered, he corrected himself and gave a number of 11 million less, subtracting the amount of illegal aliens from who would be covered by the ppaca. of course 11 million illegals was a super conservative estimate...consistent with grossly underestimated costs and numbers the government always gives.
The day Medicare ends is the day all politicians will be voted out. And, Medicare only covers 90 days of LTC/Rehab after a hospitalization, not custodial LTC forever.
Illegals already get free care. Fix that problem first. Then work on whether Americans and residents should get subsidized healthcare.
Illegals should not be eligible for our health care plan once we finally get one. Democrats will have to accept the fact that illegals who never paid into the system, and affordable health care cannot co-exist. You only get it if you're a US citizen.
Granting free health care to 20 million people that shouldn't even be here? What could possibly go wrong? Meanwhile millions of veterans who challenged their lives in our military are homeless. Sad, beyond sad. Maddening.
The GOP has already told us that they are going after SS and Medicare.
.
No, your comment is the false narrative. The GOP realizes that the SS & Medicare systems are doomed to financial failure as they stand and the system needs to be revised.
Although I'm personally a "small govt type," even I have to admit that SS & Medicare taxes are much too low to support the system as it stands. (We also need to separate SSDI from the retirement system--that's what's killing it. We have way too many lazy bums with "bad backs" who only contribute for 5 yrs then reap benefits for the next 60 yrs, while honest workers contribute for 50 yrs and are lucky to live for 20 yrs after retirement.)
A better system would have each individual's personal contributions go into an individual investment account. We could require a $20/ month conribution be collected from birth to age 18. (The Dow has averaged a gain of 5.5%/yr for the pat 140 yrs). After age 18 no more contributions would be made-- just "let it ride."... At age 65 there would be ~$2.5 Million (!!!) in the account....Under the current system, an individual receives no more than ~$500,000 IF he lives to be 85....I'd call that a pretty crappy system. Why are libs so worried about saving it?
BTW- that $2.5 Million could be used for retirement, medical expenses and any remainder left to heirs also.
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