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Wed Jan 2, 2013, 01:46 PM

Why do Dems keep buying into this narrative that Medicare is the problem? It is bullshit and Dems..

need to start educating that the real narrative is the underlying costs of Medicare is a reflection of the underlying costs and increase in costs to the overall health system.

If you don't solve the costs and costs increases of the underlying health industry then all you are doing is transferring people who can barely afford it. You are just shifting costs that are still existing and increasing back unto the elderly and vulnerable not solving the underlying problem. It's like blaming the costs of rising auto insurance premiums on the insurance companies who are passing the costs along to customers when everyone is out driving drunk, texting, speeding and getting into horrific car accidents as the problem for the increased premium costs.

Medicare has much lower administrative costs per $100 dollars given back in benefits compared to the private insurance industries.

My girlfriend just ordered a medicine that costs $610 in the US from a Canadian pharmacy where she paid $220. These are the kinds of solutions we must be looking at (Medicare ability to buy drugs in bulk) along with means testing for upper income people.

There is also the plain old fact that there will be many more elderly as the Boomers retire who need Medicare and that is inevitably going to require increase in funding even if all the other problems I just wrote about (and many I didn't) are solved.

Dems need to (I say MUST!) take control of this narrative and educate the public as to what is really happening. If we do not do this then Republicans will be achieving what they really want to achieve: getting rid of the New Deal and and Johnson reforms.

Dems need to getting a new narrative working on their side. How could this be done?: Obama needs to take the lead!

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Arrow 19 replies Author Time Post
Reply Why do Dems keep buying into this narrative that Medicare is the problem? It is bullshit and Dems.. (Original post)
DuaneBidoux Jan 2013 OP
Jackpine Radical Jan 2013 #1
leftstreet Jan 2013 #6
DuaneBidoux Jan 2013 #9
Hassin Bin Sober Jan 2013 #7
Jackpine Radical Jan 2013 #18
SugarShack Jan 2013 #11
Jackpine Radical Jan 2013 #19
Harmony Blue Jan 2013 #2
phleshdef Jan 2013 #3
Harmony Blue Jan 2013 #4
DuaneBidoux Jan 2013 #5
No Compromise Jan 2013 #10
nenagh Jan 2013 #12
Gregorian Jan 2013 #8
Igel Jan 2013 #13
el_bryanto Jan 2013 #14
markpkessinger Jan 2013 #16
Doctor_J Jan 2013 #15
Sgent Jan 2013 #17

Response to DuaneBidoux (Original post)

Wed Jan 2, 2013, 01:49 PM

1. As long as Medicare is for the elderly only,

it will continue to be expensive because we geezers are the most costly large group there is to insure. The solution is to expand MC to cover everyone. Suddenly we'd be spending 10% or so of GDP on health care rather than the 18% that we now spend.

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Response to Jackpine Radical (Reply #1)

Wed Jan 2, 2013, 02:16 PM

6. +1 Single Payer National Healthcare NOW

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Response to leftstreet (Reply #6)

Wed Jan 2, 2013, 02:38 PM

9. Yeah..hate to say it but good luck with that.

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Response to Jackpine Radical (Reply #1)

Wed Jan 2, 2013, 02:25 PM

7. It's part of America's tradition of privatize the profit and socialize the losses.

I've been paying, one way or another, in to private health insurance for 30 years. Hardly ever used it. What do I have to show for it? Nothing. Now that I am aging and am more likely to use it, do I get credit for being a healthy "good" customer? Not a chance. They would just as soon toss me over to Medicaid if I got really sick and unable to work. Or toss me to medicare when I REALLY need insurance.

I would rather pay in to and strengthen a program that will ALWAYS be there for me, young or old, when I need it.

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Response to Hassin Bin Sober (Reply #7)

Wed Jan 2, 2013, 05:54 PM

18. And then to scuttle out from under paying

their fair share of the losses.

This country needs single-payer so badly…

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Response to Jackpine Radical (Reply #1)

Wed Jan 2, 2013, 02:44 PM

11. Let us all pay into Medicare!!!

 

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Response to SugarShack (Reply #11)

Wed Jan 2, 2013, 06:31 PM

19. We already do, of course.

But we should be paying in as a replacement for private insurance.

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Response to DuaneBidoux (Original post)

Wed Jan 2, 2013, 01:50 PM

2. Current deficit is driven by defense spending

in the future it will be portions of Medicare that will drive the deficit. Most people simply need to realize this point.

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Response to DuaneBidoux (Original post)

Wed Jan 2, 2013, 01:54 PM

3. I don't know any Dems who aren't saying exactly what you just said.

At least in terms of the underlying problem being the cost of healthcare itself. Anytime I've heard a Democrat talk about how Medicare is going to become the biggest driver of the deficit, they say so under the premise that its because of the rising cost of healthcare.

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Response to phleshdef (Reply #3)

Wed Jan 2, 2013, 01:58 PM

4. It is complicated but yes the rising cost of healthcare is part of it

AC act starts to address this somewhat but more work needs to be done.

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Response to phleshdef (Reply #3)

Wed Jan 2, 2013, 02:15 PM

5. Many may being saying it but we don't have control of the narrative and that's what is needed.

So we are saying it but the message is not getting through.

So let me rearrange the question: how can we get control of the narrative and put into the public consciousness the narrative I laid out?

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Response to DuaneBidoux (Reply #5)

Wed Jan 2, 2013, 02:43 PM

10. how can we get control of the narrative

 

yes-good question

They have the TV, but we have the internet and we won the election on the internet so the corporate media is becoming obsolete, but too slowly.

What can we do, right here at DU, to get control of the narrative.

Right now we are just watching the most moronic people in US history lead discussions on incredibly important issues,

meanwhile the vast majority while smarter than a US Congressman just sit idly by in horror at the slow motion train wreck.

Since we are smarter than them, I keep thinking, shouldn't we try to outsmart them, stop letting them get away with it.

It's like watching football, after you see they keep running the same play, you do something different to get around them.

Why can't we do that?

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Response to No Compromise (Reply #10)

Wed Jan 2, 2013, 03:29 PM

12. Agree...great question re the narrative.

I watched Ali Velchi on CNN last night, react to the stonewalling House Republicans ...

He was outspoken in condemning them and, IIRC, he named those he thought were responsible.

He grilled a House Republican finally saying.."Yes but, you had XXX months to work on this and get it right"...

As it looked like the Cliff Deal was lost... Ali kept saying..."don't they know the Asia markets open in 4 or 5 hours."

It was unfortunate for the Repubs to have CNN's Business Manager react to the House Stalling moves..with such angst and incredulity.

So....we Dems don't often get a break like that on CNN....

I'm hoping Sen Elizabeth Warren can help lead the way through the economic fog of talking points...

and the DUers who understand can lead the way.







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Response to DuaneBidoux (Original post)

Wed Jan 2, 2013, 02:31 PM

8. Here's a link to last nights discussion on this.

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Response to DuaneBidoux (Original post)

Wed Jan 2, 2013, 04:17 PM

13. The boomers are retiring.

That's going to be a huge increase in the number of people on Medicare.

Yes, costs per person are high. But even if you reduce the costs per person, the sheer number of people is increasing.

As that cohort ages, they will eventually die out. Until then, they'll require more and more services. Even if cost per service can be reduced, you still get a huge increase in the number of services provided.

Yes, costs are going to go up. But you have to distinguish between total costs, which are pretty much going to rise no matter what you do (unless you mandate costless drugs and minimum-wage health-care workers), and per person and per service costs.

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Response to DuaneBidoux (Original post)

Wed Jan 2, 2013, 04:19 PM

14. Means testing is problematic

If you make it a welfare program it gets easier psychologically and politically to kill.

Bryant

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Response to el_bryanto (Reply #14)

Wed Jan 2, 2013, 04:54 PM

16. Exactly! n/t

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Response to DuaneBidoux (Original post)

Wed Jan 2, 2013, 04:50 PM

15. Dems are very bad at messaging

either that or they want to cut Medicare as well. This was the problem with not including a Public Option with ACA. Once young people are included in Medicare, it will be perfectly fine.

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Response to DuaneBidoux (Original post)

Wed Jan 2, 2013, 05:00 PM

17. Did she pay cash?

Because in my experience, especially since the addition of Medicare Part D, most drug stores now have cash markups similar to physicians (ie a starting point for negotiating with insurance companies, not actual price). Walgreens list price on one of my medicines was $185, and my insurance company allowed $12.50.

If she is paying cash, she needs to sign up for a drug discount card if nothing else -- the best one by far (because they are tied into the drug companies' free / reduced drug programs) is http://www.pparx.org/.

At a minimum, shop the drug pricing -- it can vary dramatically. One drug I needed before I had insurance was $185 at Walgreens, and $20 at a neighborhood "discount" pharmacy.

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