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We can't do single-payer unless or until we are forced into it. Lending a big hand there are these Republicans hell-bent on making sure that Obamacare as structured doesn't work. They and their corporate backers seem not to have figured out what the next step would be in the event that this one doesn't get the job done.
As for the safety net (as expanded and reinforced by ARRA), the article reaffirms what's been observed all along on smaller scale bases.
We can't do single-payer unless or until we are forced into it. Lending a big hand there are these Republicans hell-bent on making sure that Obamacare as structured doesn't work. They and their corporate backers seem not to have figured out what the next step would be in the event that this one doesn't get the job done.
As for the safety net (as expanded and reinforced by ARRA), the article reaffirms what's been observed all along on smaller scale bases.
Corporate backers?
You think Walmart wouldn't love a single payer system?
As for Obamacare, while a few sectors of the healthcare industry may not benefit from the ACA, insurance companies are a huge beneficiary - pay a tax if you don't buy private insurance!
Hopefully all this is just a step towards a single payer system.
Corporate backers? You think Walmart wouldn't love a single payer system?
Everyone would love a single-payer system. Lower costs and better outcomes. What's not to like? But not everyone supports the idea. Remember the cries of "We can't compete against a public option"? Plenty of people hate PPACA simply because it was Obama who got it passed. Many of them also hate SS simply because it was FDR who got it passed. These haters are predictbaly Republicans. Who are predictably backed and funded by corporatists.
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Originally Posted by zombocom
As for Obamacare, while a few sectors of the healthcare industry may not benefit from the ACA, insurance companies are a huge beneficiary - pay a tax if you don't buy private insurance!
We need to get from Point-A to Point-B. Point-A is a given. It is what it is. If we show no respect at all for Point-A, millions of people who depend every day on getting vital health care will start to fall through the cracks. That isn't good. The Point-A players have to be protected along with everyone else as we slowy set sail for far off Point-B. There isn't any throwing people overboard in this game. They can only disembark of their own free will at some scheduled port of call.
Quote:
Originally Posted by zombocom
Hopefully all this is just a step towards a single payer system.
Well, everyone else has ended up there in some degree or other.
I read that most countries with single payer spend less per person than our government already spends. That means if our medical system were as efficient, we could cover everyone, with no tax increase and little need for private coverage.
Single payer went out the political door with Hillary attempt when Bill Clinton was president.Most backers then started the present ACA planning when it failed.Lacking any real support now to revisit especially since ACA was passed into law. It might be modified as time passes but not changed overall.
I read that most countries with single payer spend less per person than our government already spends. That means if our medical system were as efficient, we could cover everyone, with no tax increase and little need for private coverage.
You can't even pay for Medicare with your current tax system. There is simply no mathematically way to cover everyone without a tax increase. As it stands, you need to triple Medicare taxes just to provide coverage for seniors without borrowing money, but that will end up harming the economy (jobs). How much would you have to raise taxes to cover everyone?
Franz Knieps: There was no single lever we used for cost containment. Instead, we implemented a large number of minor measures to stabilize the health system’s income and expenditures. In the past 20 years, our overriding philosophy has been that the health system cannot spend more than its income. Virtual budgets are also set up at the regional levels; these ensure that all participants in the system—including the health insurance funds and providers—know from the beginning of the year onward how much money can be spent.
Location: RI, MA, VT, WI, IL, CA, IN (that one sucked), KY
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Quote:
Originally Posted by pvande55
I read that most countries with single payer spend less per person than our government already spends. That means if our medical system were as efficient, we could cover everyone, with no tax increase and little need for private coverage.
And they get better results. U.S. spends the most per person, doesn't cover everyone with all that expenditure, and depending on the criteria we're in the mid 20s to late 30s in outcomes. RIDICULOUS.
You can't even pay for Medicare with your current tax system. There is simply no mathematically way to cover everyone without a tax increase. As it stands, you need to triple Medicare taxes just to provide coverage for seniors without borrowing money...
Medicare covers more than just seniors, Medicare payroll tax rates have not changed since 1986 (can you imagine that?), and those payroll taxes only fund Part-A coverage of in-patient hospital costs and surgical procedures. Part-A is in financial surplus and will continue to be into the late 2020's even if we do nothing. All out-patient costs and procedures are in the realm of Part-B which is funded by a combination of subscriber premiums ($105-$335 per month depending on income) and federal general revenues (such as income taxes, estate taxes, customs duties, and so forth).
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Originally Posted by lycos679
...but that will end up harming the economy (jobs).
When you push on a balloon, the point on which you push is depressed while the rest of the balloon magically expands. The common error of ignoring the inevitable consequences of an action is a very good way to misunderstand that action entirely. No context = no sense.
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