Tired of the rat race....

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   / Tired of the rat race.... #41  
I guess I'm just confused. Doesn't Medicare work? I won't be on it until next year, but my Mother and my nearly 100-year-old Mother-in-law have not had any problems getting the care they need. My wife is a home health physical therapist, and 85% of the patients she sees are on Medicare. There are some limits, such as the number of visits she can make to a patient's home, but they are reasonable and prudent. There don't seem to be any delays, and the quality of care seems to be excellent. Isn't Medicare basically a government program? I know it's administered by different private companies in different states, and is probably closer to a "single payer" program.

the key is, everyone is accepted, everyone pays approximately the same rates, supplemental programs are low in cost, and nobody seems to suffer under it.

My naive idea is simply to put everyone on Medicare from birth. We're all paying something towards it, now. If we, or our employers, paid the same amount we are now paying for private coverage into the Medicare plan, there should be plenty of money to cover it. Private insurance cost employers something like $243 Billion in 2001, the last year I could find figures. It's bound to be a lot more, now. Add in government health coverage and private policies like mine, and the total is probably somewhere above $600 Billion. the latest figure I could find for all health care spending is $617 Billion.

Think of the savings if indigent people and other without insurance (currently over 40 Million people), could get preventative care, and if people stopped using emergency rooms for their primary care doctors, as so many indigents now do.

Just because other countries have failed to set up a good system doesn't mean we have to follow suit. We already have some of the best health care in the world; it just isn't equally available to all of our citizens. Whether we know it or not, we're already paying for the care of uninsured indigents because the cost of health care to the private insurance companies is raised to cover the non-payers. That's kind of stupid, because the uninsured wait until they have no other choice to get care, and it always ends up being more expensive.

Of course, the best way to guarantee that cheapskate politicians don't cut the delivery of care is to elect liberals (oops, I blew my non-political stance, but I couldn't help it).
 
   / Tired of the rat race.... #42  
OkeeDon,

Regarding healthcare systems, the best idea I can think of is to have private, competing insurance companies that have a government mandated profit margin. Sound far fetched? /forums/images/graemlins/grin.gif

My understanding is that this is how NC Blue Cross Blue Shield works. They state limites there profit, I think its 5%. The company has been trying to get out of this and going public so that the executives make some big money. Somehow, the state saw through the smoke screen the company put out and prevented them from going public....

It sure seems like Medicare works from what I have seen with my grandparents but it sure is costing.

Regarding your particular Insurance problem, a new law was passed that went into effect January of 2004. I thinks its called a Health Savings Account. In the program if you have a high deductable insurance policy, I think its $5,000 for a family, you can get a HSA. The HSA is like an IRA in that money paid in is tax free as is money that is taken out for health care bills. Money paid into the account WILL pass over to the next year if it is not used this year. There is another similar program and if you don't use the money you loose it.

FYI,
Dan McCarty
 
   / Tired of the rat race.... #43  
Just to clarify the only reason and I emphasize the ONLY reason Medicare works is because every working adult in the USA is paying for it. Not for their own care, as currently the system will be bankrupt in the next 5-10 years, but for the care of the elderly. And now the prescription drug program will make that bankruptcy date even closer even with every man, woman, and working child paying for it. Medicare doesn't work by a long shot. Also many doctors and hospitals and NOT participating providers for Medicare because the reimbursement is so poor and there is a pile of paperwork with it. Not even to mention the (&$#%(^%( rules associated with giving care. And now with the latest HIPPA rules and regulations to come it's getting to be a joke to say the least.
 
   / Tired of the rat race....
  • Thread Starter
#44  
I can say with confidence that this issue has many hours of debate in it, I being neck deep in this industry in CT and very tired of ALL the shinanigins,find it hard to believe that the industry as a whole(medical Insurance in particular)have gotten to the point we are in now-my opinion is it all boils down to simple greed-there are a few folks making truckloads of money in this industry, I find it hard to believe the large inusrance companies cant affor to pay benefits. I dont feel the govmnt can do the best job but they may(just may) do better than what we have now-
 
   / Tired of the rat race.... #45  
OkeeDon,

So there you have the reality of the situation. Medicare semi-works now, certainly better than any full blown National Health System that's in existence, but it is financially strapped. It caters to only a segment of the population and if it is extended to cover all it will become a money pit. The only way to finance it is to increase the contributions and taxes of every working individual in the country but no politician is going to increase them sufficiently to cover the shortfall, not if they want to stay in office, so the system spirals into underfunded stagnation ... it can't afford to keep up with expensive technological advances and it ceases to work. The only way to escape the system and receive premium health care is with supplemental private health insurance ... Catch 22. You end up paying higher contributions to the government for an ailing system that doesn't work and still end up paying the insurance companies.

I agree with you in as much as every individual should have access to good healthcare and that it shouldn't be left to the insurance companies to decide who gets it but, as I said previously, it'll take someone a lot smarter than me to come up with a system that'll work, be fair and not be financially crippling to those who have to pay for it.
 
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