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Location: Live:Downtown Phoenix, AZ/Work:Greater Los Angeles, CA
27,606 posts, read 14,615,202 times
Reputation: 9169
Quote:
Originally Posted by MPowering1
Even then.
It's why I've never gotten COBRA when I've changed jobs. I've just gone uninsured for the 30 to 90 day period in the new job. Not ideal, but much cheaper
When the Fed Gov decides what treatments everyone can receive and what they'll pay for it, you get a VA-type scenario. Even the private medical practices and hospitals would have to accept low reimbursement payments. How many will stay in business under wholesale reimbursement reductions?
I commented, above.
Does not Medicare decide what treatments it covers and how much it will reimburse providers, today? There are good reasons why those who can afford it, have Medigap insurance.
Teaching hospitals are required to accept Medicare reimbursements because they accept Federal Subsidies for Resident programs. Non- teaching hospitals are not under the same obligation, yet most, if not all, accept Medicare reimbursements. The majority of those who go inpatient are enrolled in Medicare.
No medical practice is required to accept Medicare reimbursements. Most do and most cap the number of Medicare patients and/ or give higher priority to those with private insurance because they are reimbursed at higher rates and can balance bill patients.
As an aside, patient experience with the VA system is highly variable, by location and patient. Media, regardless of leaning, tends to report only the dark side of VA.
Most people are happy with their current health care, so there isn't enough political demand to move to Universal Health Care. If you're already happy with something, you're hesitant to change. In other words, don't fix what isn't broken. Probably the average political office holder is among the most happy.
Because we're not as progressive or caring about our citizens as we pretend to be. There's too much money to be made with insurance companies, big pharma and politicians.
Both of which are choices deliberately made. No one forced either conundrum upon your country.
No one said anyone did. But until the US Fed Gov opts OUT of those choices, we can't afford more/better government services for US citizens and LEGAL permanent residents. Simple as that.
Bears repeating, and I encourage anyone who doubts this to refer to the SSA's own website and check out the Fleming v Nestor page, where your government tells you, in not a single uncertain term that they can, anytime and for any reason, change, alter or abolish Socialist Security and Mediwelfare, should the whim but merely strike them.
They tell you flat out - you are owed nothing, you have invested nothing, you have no right to benefits or payments, none of it. It is a tax and spend welfare program, period, the end.
Don't believe me, don't believe middle-aged mom...go ask the freaking government at their own SS administration source. They'll be more than happy to bust you over the noggin with the truth.
Hell, it even tells you this in your annual SS benefits statement. "This is an estimate, not a guarantee, and is based on current law which may change at any time and for any reason, blah blah" Right there, in your statement, black and white.
And what is the biggest difference between the poly clinic model and the US hospital cartel system? For people not familiar with Mircea's repeated posts on the subject, I'll give you a hint. One does not allow local and regional monopolies and one does. Guess which is which, and then which model (monopoly vs competition) has lower costs.
A Congress majority and POTUS could eliminate SS and call it a day.
Those who seem to favor abolishing SS, usually have an expectation that their payroll taxes would be refunded. The Federal Government has no, zero, zip obligation to refund a dime.
Most countries expect people to pay x% of their income towards healthcare. The government picks up the shortfall.
There are caps.
Near everyone, everywhere, complains about the ever increasing cost of healthcare. Many do however, take comfort that well at least it's not as costly as is in the US.
Again, in the US, there is no cap on the Medicare tax.
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No one forced either conundrum upon your country.
