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First we'd have to destroy the economy, divide the nation into warring factions and dismantle the armed forces....we are well on our way to fullfill socialist version of the the Karl Ichan refrain as applied to political ideology, 'obliterate, not rebuild'.
Jesus, you make it sound like the apocalypse.
This kind of dramatic attitude of making an ordeal out of everything is why we can't have nice things.
Yes, there'd be some degree of a tax increase, but it wouldn't need to be as much as is commonly thought if the US didn't spend more than the next 7-10 nations on the military industrial complex, and incarcerate 25% of the world's prisoners. Oh, and legalized the sale of certain drugs, which would bring in more sales tax revenue.
Higher-income earners do not, as there's NO income cap on the Medicare tax.
Could be. But Medicare is still a bargain if you can even find a private HC carrier at age 65. If you have medical issues, and most do have them, good luck to you!
I'm definitely feeling less generous to retirees. Close that funnel when they've spent their contribution and tell them to start paying for their own insurance.
Contribution plus compounded interest. Frankly, I'd like to have ALL of that back. I'll get a MUCH better deal self-insuring.
I'm definitely feeling less generous to retirees. Close that funnel when they've spent their contribution and tell them to start paying for their own insurance.
Plus, we have already seen how good (tongue in cheek) Uncle Sam is with handling health care with the disastrous O Care and the V.A.
"If you don't learn from history, you will repeat it".
Universal healthcare systems are not static. All are tweaked annually and periodically reformed.
The ACA legislation is 6 years old this month. Since then, no alternative or improvement has gained any traction within Congress due to politics. Just the ability for catastrophic plans could make a huge difference for many people.
The Republican front runners are hell bent on repealing the ACA. Trump has made it clear he " will replace it with something wonderful that will take care of everyone and the government will pay for it". He's a tad weak on the details beyond allowing insurers to compete across state lines.
There's no federal law that precludes insurance from being sold across state lines. It's a state issue. A few states allow it but there's no interest due to differences in state laws and regulations and networks.
The ACA only requires insurers to cover " Essential Services". Beyond that it's left up to the state. No two states have the same requirements. Some don't require outpatient surgery to be covered. Each state determines which medications need to be covered which can be problematic if one needs X and it's not a covered medication in one's state.
Some states have more competitive healthcare systems than others and this is a factor in premiums, state to state and within state.
Some states have healthier ( typically defined as less fat) populations than other states and this too is a factor of premiums.
It is my understanding that interstate commerce laws could prove problematic, too.
Nope. Not adequate. I would be SIGNIFICANTLY better off if I had invested all my Medicare contributions over the past several decades and self-insure myself.
Nope. Not adequate. I would be SIGNIFICANTLY better off if I had invested all my Medicare contributions over the past several decades and self-insure myself.
Ah the retrospectascope is so handy! Too bad so many of us don't have a good idea about our future health or HC costs. My wife and I are medical, and we knew when we were younger about our future risk potential for HC disasters. We have stayed well ensured, easily passed our costs in, and my costs have gone down now that I've joined Medicare Jan .1. Hers will go down in 5 years.
Ah the retrospectascope is so handy! Too bad so many of us don't have a good idea about our future health or HC costs.
That's what actuaries are for.
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