Quote:
Originally Posted by markg91359
The Congressional Budget Office has studied various ideas. Its believed that if we levy a tax of 35% against the "cadillac health insurance plans" I've mentioned in previous posts, we'd raise about $50 billion a year. This combined with taxes on tobacco and those households earning $250,000 or more per year should net another $30 billion a year. The rest of the savings about $10 billion could be saved by a few administrative reforms to Medicare and Medicaid streamlining billing and such.
|
Once those taxes on the "cadillac plans" take effect, the tax revenue will quickly fall off. Between people that simply opt to not go with those plans due to the increased taxes and the "new plans" that could dodge the taxes while the government audits them to find out if they are cadillac plans... if we are depending on more than 55% of that $90 billion on those revenues. Ultimately, the tax shortfalls on the cadillac plans will lead to tax increases on those making less than 250K.
While the cost estimates could be way off, I'm more concerned about the quality of care.
Consider that currently Medicare pays less for treatments than many other private insurers do. Doctors simply have to take those payments and offer treatment. Sometimes the doctors are accepting 50% less for their services and treatments rendered.
Some might feel that this means that doctors are simply overcharging for their services. While their might be some truth to that, doctors start their career 10+ years later than most other professionals, come out of college saddled with hundreds of thousands in education debt, have ridiculous high insurance premiums to cover sue-happy patients, and are on the clock nearly 24/7 for emergencies.
No one in their right mind would accept a position such as that without proper compensation.
One factor that drives "the best" to the medical field is the promise of excellent compensation. Universities, medical schools and teaching hospitals weed out the non-hackers. They weed out the candidates that would be more prone to prescribe conflicting medications, that could sever some artery during a critical emergency procedure, and that would misdiagnose patients.
What happens to the failures? I have no idea. But, when there is a shortage of doctors because the next generation of prospective medical students switch their subjects of study to a more monetarily rewarding career, those "would-be failures" will now populate our doctors' offices; misdiagnosing us, improperly prescribing medications and slipping up with their scalpels.
Note that I said
one factor. I'm sure that many doctors love what they do and are just glad that they are paid handsomely for it. But, we are all human. Take away the pay and there are only so many "Mother Theresas" out there willing to do a thankless job.