Quote:
Originally Posted by serger
FYI: HC expenditures - 4 trillion a year. 20% of gdp.
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actually it is slightly more than that
cost of actual CARE...not insurance, but the nuts and bolts of actual care....over 5 trillion a year
under M4A/singlepayer/UHC the employer contribution goes away...laying those costs squarely on the minority of taxpayers
while I don't care for HC being employer sponsored (ties people to a job)..I certainly don't want to see the 80 million taxpayers get soaked with a 50K bill
If people and politicians "
think" the M4A will do wonders, cut costs, and have unicorns dancing in the streets...then why not do it in steps
there is no guarantee M4A could lower any costs or overhead
it will cost an additional 4.1 trillion yearly (according to the CBO)..even Bernie said an ADDITIONAL 4.1 trillion to our budget...and increasing yearly with inflation
with all the denial of service that medicare has...with the staggering cost to the taxpayer
why not take it in steps
why go for mount Everest, when you can do the Rockies first
what we could do is... revise the current medicare
and SS systems...yes we could do that
how about (assuming passing this idea into law in 2020) lower the age for medicare to 60 starting 2020...…....(as most who want to retire don't because medicare is stuck at 65) adjust the cost factor (payroll tax) by 1% (1% is not going to hurt many peoples take home)...revise the formulary so there are less denials of service (too include knee and spinal disc replacements that currently medicare denies because the person is "too old"))....then analyze the cost before next step of lowering to 55 in ten years..then also increase the payroll tax from the new 2% to 2.5% or 3%...(based on the analysis of cost). revise the medicare benefit chart so doctors get their fair share, and so patients get less denial of care
take SS raise the FULL retirement age to 72, (prorated as) those entering the workforce (turning 18) in 2020 FRA is 68..those entering the workforce in 2026 is 69...entering 2032 is 70...etc 6 year steps
raise payroll from 6.2% to 7%...lower the reduced age of retirement (currently 62) to match the new eligibility age for medicare
this would fix the problem of people still working at 55/60 because of health ins...they would retire if they could get medicare….this would also get you a better idea of the overall cost to revise it even more in the future
it makes more sense than to abolish "private insurance" and shoot your whole load on a pipe dream, especially with politicians like Warren not even wanting to admit that the middleclass WILL see a big tax increase
----edit for additional thought-----
OR...another avenue of approach could be UBI...
The concept of UBI is certainly a nice thing....and it is certainly the smartest, most logical of all the wild ideas of the fascist liberals
for example:
I work, have a wife, and my daughter turns 18 (still in high school) next month
and even though I make 70k/yr a extra 3k/month (3 people over 18 in the household) would be a great thing......especially if it is like welfare (not taxed)
and it answers the problem of affordable medical care..affordable education...affordable childcare...and student loans debts...…...how you say?
well let's look at a example...
I work, have a wife, 4 kids and my oldest daughter turns 18 (still in high school) next month and even though I make 70k/yr...……..
UBI would be an extra 3k/month (3 people over 18 in the household)……….
that's 1k for my daughter PER MONTH for college (local CC is offering 500 per semester)
that's 1k for daycare/school activities/wife's student loan PER MONTH
and 1k more for a health insurance Cadillac plan (I pay 600/month) so that takes care of my family premium
imagine that...UBI out does bernies/beth/Harris's plans of M4A/free college/free daycare/studentloan payoff
the problem with UBI is currently the math on how to pay for it..... it is off by a little....
there are 257 million people in the USA over 18
if we "give" $1000/month to each of those 257 million , that is 257 billion monthly, or 3.08 trillion annually
yang's idea of a 10% VAT will earn about 900 billion.... so that is a 2.184 trillion deficit....
that 2.184 trillion ANNUAL deficit has to be addressed
now if we exempt seniors (those already getting SS) that brings it down to 212 million people to get 1000/monthly (212 billion monthly or 2.544 trillion annually....
still a 1.644 trillion annual deficit based on Yang's 10% VAT
now if it eliminates all welfare (actual welfare and section 8 and food stamps and wic and a few others) (which it CAN NOT..it wont happen) that is about 600 billion...…
so we still have a 1 trillion annual debt additional to the current 1t annual deficit
like I said..I think the UBI plan is certainly better that any of the others that the democrats are offering
so what say you Serger…… do Medicare in steps... or a UBI....
but don't shoot the whole economy on one pipe dream of "free dis and dat and de uder ding"
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