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n2doc

(47,953 posts)
Fri Mar 18, 2016, 12:53 PM Mar 2016

Opinion: Medicare for all is the way forward

by Jack Bernard

I was both pleased and surprised to read Ken Zapp's oped regarding single payer. He is right on target.

The passage of the Affordable Care Act(ACA) was a positive from the standpoint of coverage. Although it has not met its goals, projections were that 9.1 million would be signed up via health insurance marketplaces and only 8.8 million were, the ACA still has been a major positive regarding access. And, if the Supreme Court had not gutted the Medicaid expansion provision in a strange politically motivated move, many more would be covered.

In any case, there are still tens of millions still uncovered. These are our friends and neighbors, hard working people who are employed by firms that do not provide health insurance.

Now for the negative side of the ACA: it is built on a rotten fiscal foundation, depending upon private insurance. As I wrote in various published letters and opeds when it was first passed, the ACA will cost taxpayers a lot more than predicted.

Insurers will only participate if they can make money, profits. Many are currently suffering huge loses due to adverse selection and are seriously considering withdrawal . In simple language, the sickest people are enrolling and the healthiest are choosing to opt out. Inevitably, premiums will go up due to financial pressures on the insurers which remain in the program.

Under Medicare for All, this obstacle is overcome. There is one insurer (the good old US of A) that covers everyone and can apply leverage to obtain lower prices. But, Medicare for All is not socialism, whereby provision of services is done by the government.

more
http://businessinsavannah.com/bis/2016-03-18/opinion-medicare-all-way-forward#

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Opinion: Medicare for all is the way forward (Original Post) n2doc Mar 2016 OP
If only edhopper Mar 2016 #1
Yeah, if only members of our party revbones Mar 2016 #3
If only we had a congress that would pass it. Amimnoch Mar 2016 #30
This notion of only putting forward programs Republicans will approve has got to go. highprincipleswork Mar 2016 #56
No, not republicans. Congress. Amimnoch Mar 2016 #65
I agree revbones Mar 2016 #66
it relieves the top dog of responsiblity for anything Skittles Mar 2016 #89
being able to,,,,, Cryptoad Mar 2016 #48
But you can use their refusal to rally voters that will help to throw them out... Human101948 Mar 2016 #57
u missed the point Cryptoad Mar 2016 #75
The point is that the ability of the public to pay their premiums for limited doctor visits, no DhhD Mar 2016 #99
We should vote for Bernie if only for this one issue yourpaljoey Mar 2016 #2
^ I can personally attest to this. eom StandingInLeftField Mar 2016 #10
Very true, speaking from experience. mountain grammy Mar 2016 #94
Medicare is 80 - 20 coverage with DURHAM D Mar 2016 #4
I don't think anybody is claiming Medicare is perfect... Wounded Bear Mar 2016 #6
Does anyone say we can't make Medicare better? Vincardog Mar 2016 #8
Wisconsin offers Badger Care and it is pretty awesome yourpaljoey Mar 2016 #16
Apparently we don't get that choice? GreenPartyVoter Mar 2016 #77
No just like we will have the same Congress forever/ nothing will ever change for the better. Vincardog Mar 2016 #79
Is their team mascot Eeyore? GreenPartyVoter Mar 2016 #81
Eyeore is cuter Hydra Mar 2016 #87
My Medicare coverage costs me $4,500 a year nichomachus Mar 2016 #14
It seems very few people that comment on Medicare have any idea how much paperwork is involved PoliticAverse Mar 2016 #26
I have Medicare coverage through Horizon in NJ...virtually no paperwork... Human101948 Mar 2016 #60
"Nonpartisan physicians group calls single-payer reform ‘the only effective remedy’ " kristopher Mar 2016 #78
My Medicare coverage is half that mountain grammy Mar 2016 #95
My private health insurance costs me $7200 a year kdmorris Mar 2016 #110
Low income people may qualify for Medicaid for that remainder Gormy Cuss Mar 2016 #19
Just think how many people would benefit if all that had to pay LiberalArkie Mar 2016 #21
That's part B Loudestlib Mar 2016 #22
You have confused Medicaid with Medicare. nt DURHAM D Mar 2016 #44
LOL wait, you think Medicaid has parts like A,B,C,D? Loudestlib Mar 2016 #51
No. You have confused DURHAM D Mar 2016 #53
This message was self-deleted by its author WillowTree Mar 2016 #85
"Part A is inpatient and it covers everything." Hardly! WillowTree Mar 2016 #86
Yeah, Isn't it great how Bernie's plan calls to repair this to provide full coverage including Kip Humphrey Mar 2016 #25
My Florida public school health insurance was far worse HockeyMom Mar 2016 #32
My point was that he just should of called it something DURHAM D Mar 2016 #59
And the ACA never did anything to close the Medicare donut hole. floriduck Mar 2016 #61
That would chnage with single payer. No deductibles at least eridani Mar 2016 #90
I Wondered About That LeFleur1 Mar 2016 #100
Sorry edhopper Mar 2016 #5
Posting an article in favor of medicare for all is HRC bashing? n2doc Mar 2016 #7
Not at all edhopper Mar 2016 #12
First of all we must DEMAND it! The people want it. Bernie will return the Government to the People. yourpaljoey Mar 2016 #15
WHAT DO WE WANT?? StandingInLeftField Mar 2016 #9
Explain to me how we get Medicare for all edhopper Mar 2016 #13
You have to start somewhere StandingInLeftField Mar 2016 #18
+1 nt Duval Mar 2016 #31
I am not against Bernie edhopper Mar 2016 #52
How about starting with values and a vision that inspires people? eridani Mar 2016 #92
She doesn't edhopper Mar 2016 #96
And that's why Repukes have beaten the crap out of us eridani Mar 2016 #103
because they were able to edhopper Mar 2016 #104
They got a Dem president to advocate for cuts in Social Security eridani Mar 2016 #105
I think we should advocate for single payer edhopper Mar 2016 #106
The road to any policy always starts with ADVOCATING for it eridani Mar 2016 #107
Hilary advocated for it edhopper Mar 2016 #108
She did nothing of the sort. "Managed competition" is not single payer. She has the public option eridani Mar 2016 #109
Somebody with the skill needs to put that message on King Leonidas of "300" fame's image Uncle Joe Mar 2016 #29
I understand compromise, but I'm fucking done with "pre-compromise" phantom power Mar 2016 #11
We must purge the Government of those who keep us from what we deserve yourpaljoey Mar 2016 #17
Deserve or need? MidwestTech Mar 2016 #23
I'm so in favor of not supporting anything the Republicans will not approve. highprincipleswork Mar 2016 #55
So you won't vote for Hillary if the nominee? edhopper Mar 2016 #67
The chance that Clinton could get a public option added is more likely because why? n/t eridani Mar 2016 #91
It won't happen either edhopper Mar 2016 #97
How exactly do you get there? Not legislatively, but that is a big prob too, but actually? Darb Mar 2016 #20
Reality not rainbows. appalachiablue Mar 2016 #28
Answer the questions. How do you do it? Darb Mar 2016 #33
Just because it costs more doesn't mean it's better. Spitfire of ATJ Mar 2016 #37
Nobody said that, me included. Darb Mar 2016 #39
Do you honestly believe the transition would be overnight? Spitfire of ATJ Mar 2016 #46
Kind of Trumpian there. Darb Mar 2016 #49
Are you a newbie to the concept of Medicare For All? Spitfire of ATJ Mar 2016 #70
WASSERMAN SCHULTZ, Can you SPELL It? Rid the party of corrupt predator politicians appalachiablue Mar 2016 #54
I don't care much for Debbie either. Darb Mar 2016 #63
They purposely made a massive corporate bureaucracy to create that very argument.... Spitfire of ATJ Mar 2016 #34
A plan of action would help the single payer proposals. Darb Mar 2016 #36
First thing you do is eliminate the age restriction on Medicare.... Spitfire of ATJ Mar 2016 #41
Not sure I follow exactly, but at least you are giving some effort. Darb Mar 2016 #43
Actually, what he's proposing costs a lot less.... Spitfire of ATJ Mar 2016 #69
Thank Richard Nixon for that. WhiteTara Mar 2016 #58
How do you unwind it? Darb Mar 2016 #64
By unwinding, do you mean WhiteTara Mar 2016 #68
I'd start by pushing Democrats into supporting it. Spitfire of ATJ Mar 2016 #73
There were charity hospitals too. Spitfire of ATJ Mar 2016 #71
Hospitals were also non profit. WhiteTara Mar 2016 #72
There are still idiots promoting fascism.... Spitfire of ATJ Mar 2016 #74
WE offer everybody Medicare eligable at birth. We fix the holes in coverage and make the payouts Vincardog Mar 2016 #80
We don't have to lay everyone off hellofromreddit Mar 2016 #83
The ACA made health care a responsibility of government.... Spitfire of ATJ Mar 2016 #24
It works well Shadowflash Mar 2016 #27
They are all different. None of them went from what we have in the USA Darb Mar 2016 #38
I don't know how we get there. Shadowflash Mar 2016 #42
In your opinion. Darb Mar 2016 #47
Leaving things like life and death Shadowflash Mar 2016 #50
Sander's Single Payer Plan starts on page 4. Plan includes tax information DhhD Mar 2016 #101
Single payer would save billions. zentrum Mar 2016 #35
Bloody hell. Else You Are Mad Mar 2016 #40
"promote the general welfare" So Far From Heaven Mar 2016 #88
I like the Medicare for All ,,,,, if Cryptoad Mar 2016 #45
USA! USA! We're #13! GoldenMean Mar 2016 #62
Probably a Medicare buy in or public option Buzz cook Mar 2016 #76
Too Rational To Rebut! n/t corbettkroehler Mar 2016 #82
HEALTHCARE FOR ALL IS A HUMAN RIGHT! MEDICARE FOR ALL! UNIVERSAL HEALTHCARE! Dont call me Shirley Mar 2016 #84
In 2007 Single Payer healthcare was a favorite dream of jwirr Mar 2016 #93
it should be more like "Medicaid for all" stupidicus Mar 2016 #98
Imagine the medical jobs alone, this would create. ConsiderThis_2016 Mar 2016 #102
 

revbones

(3,660 posts)
3. Yeah, if only members of our party
Fri Mar 18, 2016, 01:01 PM
Mar 2016

weren't concerned with trying to elect someone that is on the take to prevent single payer.

 

highprincipleswork

(3,111 posts)
56. This notion of only putting forward programs Republicans will approve has got to go.
Fri Mar 18, 2016, 03:47 PM
Mar 2016

I mean, what planet does this come from? It can't come from anyone who has successfully negotiated a raise or anything in life that wasn't guaranteed to begin with. Or could it? Have we forgotten what it is to go for what is right and correct instead of going for what the other side (mostly suffering from various forms of insanity and wrongful group thinking) will go for?

 

Amimnoch

(4,558 posts)
65. No, not republicans. Congress.
Fri Mar 18, 2016, 04:09 PM
Mar 2016

Republicans are only a part of congress. Getting all of their approval is impossible, and all of us know it. However, as happens with most bills, getting a few to cross over is possible (a large number of highly political bills get voted on down party lines, but the vast majority of bills have most of one party and cross-over votes).

Right now, unfortunately the majority of both chambers. Hopefully past November they'll only be the house and we'll have the Senate by 2-3 seats.

It's your side that keeps making the assertion that Hillary got virtually every Senate, and all but a handful of Representatives who are Democrats in Congress because they are "bought and paid for".

If that notion is wrong (which i feel it is) then they are endorsing Hillary because they are onboard with her plan, and/or feel she is the one to get her agenda done.

If the assertion is actually correct, then Senator Sanders plan is even more of a pipe dream, and you are wasting your time and energy until you change the landscape of congress.

As long as the Republicans ARE the majority of Congress, then yes the only plans that make sense in promoting are the ones where we can get the cross-over's needed.

NEITHER of our candidates will be terribly effective, and certainly won't get much progressive wise done as long as that reality continues. If WE give the next president a progressive congress, WE will have a progressive president. If we don't, then we'll have Hillary who will be marginally effective, and draw even more criticism for reaching across the aisl, or we'll have Sanders, whom I whole hartedly believe will be the single most ineffectual president in history.

You show me the Sanders movement to change the landscape of congress, and I'll feel the Bern with you.

 

revbones

(3,660 posts)
66. I agree
Fri Mar 18, 2016, 04:10 PM
Mar 2016

but I think it's deeper than just not wanting to fight. I think the reasons those policies are put forth are that the ones putting them forth want them. Otherwise, why would they start asking for the middle of the road and then get dragged off the edge to the right.

Cryptoad

(8,254 posts)
48. being able to,,,,,
Fri Mar 18, 2016, 03:19 PM
Mar 2016

to recognize the reality that a Red Congress is not going to pass a single payer is not the same as being on the take to prevent it.

 

Human101948

(3,457 posts)
57. But you can use their refusal to rally voters that will help to throw them out...
Fri Mar 18, 2016, 03:50 PM
Mar 2016

Start out with low expectations tends to be a self fulfilling prophecy.

DhhD

(4,695 posts)
99. The point is that the ability of the public to pay their premiums for limited doctor visits, no
Sat Mar 19, 2016, 11:54 AM
Mar 2016

real free health screening is rapidly approaching. Lets say in time for the soon to be here next Primary season. Many more are passing to age 27; no healthcare, no college and now to another imperialistic war in which we have no business being there in the first place. I see a future where Presidents will be primaried because voters see no future or are being prevented from having a future with TPTB. A $7.25/hour life is not sustainable. Let's see if $10.00 and hour comes about.

The Bern may take to the Bully Pulpit over the next 4 years in or out of the Oval Office.

yourpaljoey

(2,166 posts)
2. We should vote for Bernie if only for this one issue
Fri Mar 18, 2016, 01:01 PM
Mar 2016

Obamacare is a monstrosity that works well
for the insurance companies and not at all
for the vast majority of people forced into it.
I see a lot of people paying high premiums and getting
no care whatever.

DURHAM D

(32,610 posts)
4. Medicare is 80 - 20 coverage with
Fri Mar 18, 2016, 01:07 PM
Mar 2016

no drug plan. To cover the 20, get drugs, and pay the deductibles you still need private insurance.

So... when someone says Medicare for all I am certain they don't know what it really means.

Wounded Bear

(58,673 posts)
6. I don't think anybody is claiming Medicare is perfect...
Fri Mar 18, 2016, 01:15 PM
Mar 2016

it definitely needs some corrective action, not the least of which is to dump the Repubs in the House who refuse to fully fund it so doctors can get paid at levels that will attract them to take on Medicare patients.

Part D needs complete overhaul (I know, d'uh!) to stop the giveaway to Big Pharma.

In the end, the cheapest method is to cover everybody for everything (most elective surgeries excepted) and charge a minimal tax from incomes, both payroll and investment income. So, I support the concept of "Medicare for all" with some tweaks to make it truly a universal program.

nichomachus

(12,754 posts)
14. My Medicare coverage costs me $4,500 a year
Fri Mar 18, 2016, 01:49 PM
Mar 2016

Insurance companies are still involved, and the administrative paperwork is staggering. Those who say we just need a few tweaks either don't know what they're talking about -- or work for insurance companies.

PoliticAverse

(26,366 posts)
26. It seems very few people that comment on Medicare have any idea how much paperwork is involved
Fri Mar 18, 2016, 02:38 PM
Mar 2016

as I rarely if ever see it mentioned. Having watched my mother have to deal with it all I agree with
your "staggering" characterization.

 

Human101948

(3,457 posts)
60. I have Medicare coverage through Horizon in NJ...virtually no paperwork...
Fri Mar 18, 2016, 03:53 PM
Mar 2016

They send me a lot of paper but all I have to do is throw it in the file. And they've improved it this year by not requiring referrals for specialists.

kristopher

(29,798 posts)
78. "Nonpartisan physicians group calls single-payer reform ‘the only effective remedy’ "
Fri Mar 18, 2016, 05:10 PM
Mar 2016
Doctors group welcomes national debate on ‘Medicare for All’
Nonpartisan physicians group calls single-payer reform ‘the only effective remedy’ for nation’s continuing health care woes and urges focus on facts, not rhetoric


FOR IMMEDIATE RELEASE, January 22, 2016
Contact: Mark Almberg, PNHP communications director, (312) 782-6006, [email protected]

Physicians for a National Health Program, a nonprofit, nonpartisan organization of 20,000 doctors who support single-payer national health insurance, released the following statement today by its president, Dr. Robert Zarr, a Washington, D.C., pediatrician.

The national debate on single-payer health reform, or "Medicare for All," that has emerged in the course of the presidential primaries is a welcome development. But unfortunately a number of misrepresentations about single-payer national health insurance – and the prospects for its attainment – have crept into the dialogue and are potentially misleading the public.

Most of these misrepresentations, or myths, have been decisively refuted by peer-reviewed research. They include the following:

Myth: A single-payer system would impose an unacceptable financial burden on U.S. households.

Reality: Single payer is the only health reform that pays for itself. By replacing hundreds of insurers and thousands of different private health plans, each with their own marketing, enrollment, billing, utilization review, actuary and other departments, with a single, streamlined, tax-financed nonprofit program, more than $400 billion in health spending would be freed up to guarantee coverage to all of the 30 million people who are currently uninsured and to upgrade the coverage of everyone else, including the tens of millions who are underinsured. Co-pays and deductibles, which have been rapidly rising under the Affordable Care Act, would be eliminated. Further, the single-payer system’s bargaining clout would rein in rising costs for drugs and medical supplies. Lump-sum budgets for hospitals and capital planning would control costs even more.

A recent study shows 95 percent of U.S. households would come out financially ahead under an improved version of Medicare for all. The graduated, progressively structured tax burden would be based on ability to pay, and the heavy cost to average U.S. households of private insurance premiums, co-pays, deductibles, and many currently uncovered services would be eliminated. Patients could go to the doctor or hospital of their choice, and would no longer be restricted to proprietary networks. Multiple studies over a period of several decades, including by the General Accountability Office and the Congressional Budget Office, show that a single-payer system would provide universal coverage at a much lower cost, per capita, than we are spending now. International experience confirms it. Even our traditional Medicare program, which falls short of a true single-payer system, has much lower overhead than private insurance, and shows that publicly financed programs can deliver affordable, reliable care.

A single-payer system would also greatly diminish the administrative burden on our nation’s physicians and hospitals, freeing up physicians, in particular, to concentrate on doing what they know best: caring for patients.

Covering everyone for all medically necessary care is affordable; keeping the current private-insurance-based system intact is not.

Myth: The U.S. has a privately financed health care system.

Reality: About 64 percent of U.S. health spending is currently financed by taxpayers. (Estimates that are lower than this exclude two large sources of taxpayer-funded care: health insurance for government employees and tax subsidies to employers and individuals for purchasing private health plans.) On a per capita basis, the amount of government-funded health care in the U.S. exceeds the health spending of nations with universal health systems, e.g. Canada. We are paying for a national health program, but not getting it.

Myth: A single-payer system would overturn the gains won under the Affordable Care Act and provide inferior coverage to what people have today.

Reality: A single-payer system would go far beyond the modest improvements that the ACA made around the edges of our current private-insurance-based system and ensure truly universal care, affordability and health security. For example, H.R. 676, the Expanded and Improved Medicare for All Act, would guarantee coverage for all necessary medical care, including prescription drugs, hospital, surgical, outpatient services, primary and preventive care, emergency services, dental, mental health, home health, physical therapy, rehabilitation (including for substance abuse), vision care and correction, hearing services including hearing aids, chiropractic, durable medical equipment, palliative care, podiatric care, and long-term care. It would eliminate financial barriers to care like co-pays and deductibles and eliminate restrictive networks. It would end the steady erosion of job-based coverage under our current arrangements and disconnect insurance coverage from employment. H.R. 676 currently has 61 sponsors.

Myth: The American people don’t support single payer.

Reality: Surveys have repeatedly shown that an improved Medicare for All is the remedy preferred by about two-thirds of the population. A recent Kaiser Family Foundation survey yielded similar results, showing 58 percent of Americans support Medicare for All. A solid majority of the medical profession favors such an approach, as well, as do more than 600 labor organizations, and many civic and faith-based groups.

Myth: The goal of establishing a single-payer system in the U.S. is unrealistic, or “politically infeasible.”

Reality: It’s true that single-payer health reform faces formidable opposition, especially from the private insurance industry, Big Pharma, and other for-profit interests in health care, along with their allies in government. This prompts some people to conclude that single payer is out of reach and therefore not worth fighting for. While such moneyed opposition should not be underestimated, there is no reason why a well-informed and organized public, including the medical profession, cannot prevail over these vested interests. We should not sell the American people short. At earlier points in U.S. history, the abolition of slavery and the attainment of women’s suffrage were considered unrealistic, and yet the movements to achieve these goals were ultimately victorious and we now wonder how those injustices were allowed to stand for so long.

What is truly “unrealistic” is believing that we can provide universal and affordable health care, and control costs, in a system dominated by private insurers and Big Pharma.

We call upon our nation’s lawmakers and the political leaders of all political parties to heed public opinion and to do the right thing by acting swiftly to bring about the only equitable, financially responsible and humane cure for our health care ills: single-payer national health insurance, an expanded and improved Medicare for all.

Physicians for a National Health Program (www.pnhp.org) has been advocating for single-payer national health insurance for three decades. It neither supports nor opposes any candidates for public office.

http://www.pnhp.org/news/2016/january/doctors-group-welcomes-national-debate-on-‘medicare-for-all’

See also:
Government funds nearly two-thirds of U.S. health care costs: American Journal of Public Health study
Contrary to popular perceptions, taxpayers fund 64 percent of U.S. health care, more public dollars per capita than the citizens of other nations – including those with universal health programs

http://www.pnhp.org/news/2016/january/government-funds-nearly-two-thirds-of-us-health-care-costs-american-journal-of-pub

mountain grammy

(26,630 posts)
95. My Medicare coverage is half that
Sat Mar 19, 2016, 10:05 AM
Mar 2016

It's much simpler and covers far more than any private insurance I ever had. That's the case with everyone I know. Medicare for all is really the only solution that makes sense.

kdmorris

(5,649 posts)
110. My private health insurance costs me $7200 a year
Mon Mar 21, 2016, 07:00 AM
Mar 2016

And the administrative paperwork is just as staggering. I have to be my own billing company most of the time in order to get it paid. Every year they jack my premiums up more.

AND I have a $3000 deductible and the drug prices are stupid ($400 for ONE MONTH of Levemir - insulin).

I don't think anyone is saying that Medicare - AS IT IS NOW - is the utopia of medical care. Just that it can be better. And having the strength of the government behind us to negotiate could save us a hell of a lot of money.

Gormy Cuss

(30,884 posts)
19. Low income people may qualify for Medicaid for that remainder
Fri Mar 18, 2016, 02:00 PM
Mar 2016

Also, there's nothing preventing "Medicare for all" to be more comprehensive than the current Medicare, particularly when it comes to drugs. .

LiberalArkie

(15,720 posts)
21. Just think how many people would benefit if all that had to pay
Fri Mar 18, 2016, 02:26 PM
Mar 2016

was the $110 a month for basic coverage tough. They can then pick out a supplement to cover their copays etc. Part D was a joke because it did not allow medicare to negotiate for lower prices. If Medicare for all become the law, I for see the redrafting of Part D. Also the pool would be a lot larger with younger people in it.

Loudestlib

(980 posts)
22. That's part B
Fri Mar 18, 2016, 02:27 PM
Mar 2016

Part A is inpatient and it covers everything. These things very by state. I'm not sure you really know what it means.

Loudestlib

(980 posts)
51. LOL wait, you think Medicaid has parts like A,B,C,D?
Fri Mar 18, 2016, 03:33 PM
Mar 2016

The part B gap coverage changes from state to state. Medi-Cal for example covers everything for low income. Educate yourself...... n/t

DURHAM D

(32,610 posts)
53. No. You have confused
Fri Mar 18, 2016, 03:42 PM
Mar 2016

the state to state difference between Medicare and Medicare/Medicaid. You are the one who needs to learn the terms. Medicare does not change from state to state. But Medicare/Medicaid coverage does.

Response to Loudestlib (Reply #22)

WillowTree

(5,325 posts)
86. "Part A is inpatient and it covers everything." Hardly!
Fri Mar 18, 2016, 07:43 PM
Mar 2016

First there is a $1,288 deductible. That's per admission unless a full 60 consecutive days have elapsed since your last discharge from a hospital or skilled care facility. And the inpatient co-pays should you happen to be confined for more than 60 days in any benefit period are pretty serious and, should you be in for more than 90 days (could happen.......don't forget, this also includes a skilled nursing facility) the co-pays are a draconian $644 per day.

And not to be overlooked, you'll be responsible for 20% of your doctor's bills while you're inpatient, too (assuming you've already met the $166 Part B deductible, that is).

Kip Humphrey

(4,753 posts)
25. Yeah, Isn't it great how Bernie's plan calls to repair this to provide full coverage including
Fri Mar 18, 2016, 02:35 PM
Mar 2016

all prescription drugs (with negotiated prices for a change!), mental health, dental health, eye care - all without co-pays or deductibles and covering all Americans. It is what we need; it's great stuff!

Oh wait, you support Hillary so you don't know what Bernie's plans are or, perhaps, that he lays out how to pay for this great health-care (notice how I can call it health-care and not health insurance?).

 

HockeyMom

(14,337 posts)
32. My Florida public school health insurance was far worse
Fri Mar 18, 2016, 02:51 PM
Mar 2016

$350/month employee alone, $3,500 deductible, including DOCTOR visits, with a 50% co pay after deductible met. Medicare is a LOT less. Look up the deductibles alone. If I wanted a drug plan, that employer insurance was an extra $100 a month with a $400 deductible. Spousal alone coverage was an extra $400/month and children was $700/month. Add that extra
$100/month per family member for drug coverage also.

Minus the spouse and children, tell me how Medicare isn't better, especially for someone who doesn't USE their health insurance? I am totally understand, even as a Senior, how young adults feel they are being screwed by these crazy health insurance rates.

 

floriduck

(2,262 posts)
61. And the ACA never did anything to close the Medicare donut hole.
Fri Mar 18, 2016, 03:54 PM
Mar 2016

That adds a seriously high cost to the current Medicare plan, with medadvantage plans or not.

eridani

(51,907 posts)
90. That would chnage with single payer. No deductibles at least
Sat Mar 19, 2016, 05:28 AM
Mar 2016

Co-pays, if any would have to be worked out.

LeFleur1

(1,197 posts)
100. I Wondered About That
Sat Mar 19, 2016, 12:21 PM
Mar 2016

If you don't have a policy that picks up the charges Medicare doesn't pay you are in deep trouble. And the drug policy coverage, and there is no dental and very little coverage of eye tests. Medicare might sound good, but to those of us who have it, it's not that great. Better than nothing, but you must have another policy or you will be bankrupt if you get really sick.

Giving up Obamacare for Medicare as it is now would not be an improvement. And quite a premium is paid for Medicare. They take it out of SS.

Be sure you know what you are wishing for.

edhopper

(33,594 posts)
5. Sorry
Fri Mar 18, 2016, 01:11 PM
Mar 2016

but Bernie would no more be able to get this done than it was possible 8 years ago.
The Dems will have a slim majority in the Senate at best and a minority in the House.
Reality is this won't happen soon.

So stop the Hillary bashing like it's her fault.

edhopper

(33,594 posts)
12. Not at all
Fri Mar 18, 2016, 01:39 PM
Mar 2016

I was directing it at some of the replies that were swipes at Hillary.

I agree with your OP.

Sorry for the misunderstanding.

yourpaljoey

(2,166 posts)
15. First of all we must DEMAND it! The people want it. Bernie will return the Government to the People.
Fri Mar 18, 2016, 01:49 PM
Mar 2016

To begin we must begin.

9. WHAT DO WE WANT??
Fri Mar 18, 2016, 01:23 PM
Mar 2016
INCREMENTAL CHANGE!

WHEN DO WE WANT IT??

IN DUE TIME!!



Appropriated from the sig line of someone I admire.

edhopper

(33,594 posts)
13. Explain to me how we get Medicare for all
Fri Mar 18, 2016, 01:40 PM
Mar 2016

with a GOP House.

And explain to me how we get a Dem House before the 2020 Census.

18. You have to start somewhere
Fri Mar 18, 2016, 01:54 PM
Mar 2016

and Bernie in the Bully Pulpit is as good a start as I can imagine.

Edited to add:

Do I really need to point out the obvious? Return to the guiding principals of the Democratic party; educate young people; GOTV;

You know, maybe we need a crash-and-....... well, that would be against the TOS, so I'm not going there. People don't realize what they have until it's taken away from them.

edhopper

(33,594 posts)
52. I am not against Bernie
Fri Mar 18, 2016, 03:40 PM
Mar 2016

I like both candidates.

I just tire at hearing how much Bernie will do. Much of which is unrealistic.

eridani

(51,907 posts)
92. How about starting with values and a vision that inspires people?
Sat Mar 19, 2016, 05:33 AM
Mar 2016

How does Clinton get a public option with a GOP House?

edhopper

(33,594 posts)
96. She doesn't
Sat Mar 19, 2016, 10:24 AM
Mar 2016

in reality I don't think that happens until Dems can take the House.

I am not a Hillary or Bernie supporter. I would vote for either one.

I just have limited and i think realistic, expectations on what can be done.

eridani

(51,907 posts)
103. And that's why Repukes have beaten the crap out of us
Sat Mar 19, 2016, 09:25 PM
Mar 2016

They don't accept limitations on what they advocate for.

edhopper

(33,594 posts)
104. because they were able to
Sat Mar 19, 2016, 09:48 PM
Mar 2016

repeal Obamacare and privatize Social Security while ending abortion?

They have limits too.

eridani

(51,907 posts)
105. They got a Dem president to advocate for cuts in Social Security
Sat Mar 19, 2016, 10:02 PM
Mar 2016

And they get elected while still advocating for all that crap.

edhopper

(33,594 posts)
106. I think we should advocate for single payer
Sat Mar 19, 2016, 10:23 PM
Mar 2016

I just don't think it will happen. Not if Hillary or Bernie is Pres. Not with a Repuke House.

eridani

(51,907 posts)
107. The road to any policy always starts with ADVOCATING for it
Sat Mar 19, 2016, 10:31 PM
Mar 2016

Sander said something to the effect that if you demand a whole loaf, you might get half, but if you demand half you get nothing but crumbs.

eridani

(51,907 posts)
109. She did nothing of the sort. "Managed competition" is not single payer. She has the public option
Mon Mar 21, 2016, 04:21 AM
Mar 2016

--on her website, but has never bothered to mention it in forums or debates.

MidwestTech

(170 posts)
23. Deserve or need?
Fri Mar 18, 2016, 02:27 PM
Mar 2016

That is a tricky line.
We NEED comprehensive health care
We NEED better education for our children (that's another debate in itself what is better)
We NEED a way to live better...

What we deserve... I'm not sure I want what I deserve unless I know whose making that decision. Some may say I deserve ill. Some may say I deserve fortune. MANY across the world would say we are currently getting EXACTLY what we arrogant Americans deserve.

Deserve is a word to avoid.
The government isn't Santa Claus. it doesn't dole out what someone deserves. It doles out what is needed. Laws are needed. Clean water is needed. Clean air is needed. Safe food is needed. Affordable healthcare in one of the richest nations in earth history is arguably a need!

edhopper

(33,594 posts)
97. It won't happen either
Sat Mar 19, 2016, 10:26 AM
Mar 2016

I was answering the Hillary bashing, not supporting her over Bernie.

I like them both.

 

Darb

(2,807 posts)
20. How exactly do you get there? Not legislatively, but that is a big prob too, but actually?
Fri Mar 18, 2016, 02:05 PM
Mar 2016

So we put the health insurance industry out of business? Just shut them down? We lay off everyone that works in the Health insurance industry? What about HMOs like Kaiser-Permanente? They are not just an insurance company, they actually provide health care too. What do they do? Is their business model that they have worked on for decades and invested billions into infrastructure and employees just dismantled? How exactly? Do we just lay off those employees?

You see, it is simplistic to think that we could get there from here without huge upheaval from people and companies. How do you do it?

Spell it out for us that cannot see the rainbow.

 

Darb

(2,807 posts)
33. Answer the questions. How do you do it?
Fri Mar 18, 2016, 02:53 PM
Mar 2016

You either will not or can not answer. I would not want to switch from my insurance into medicare or medicaid. We worked hard to get what we have and now I am going to give that up for something less? Doubt it.

As for your ridiculous chart, it means nothing.

SPELL IT OUT!

 

Darb

(2,807 posts)
39. Nobody said that, me included.
Fri Mar 18, 2016, 03:03 PM
Mar 2016

How do you get from where we are to where you want to go? If you cannot propose a road map of how it would happen then you are wishing in one hand and ..........

 

Spitfire of ATJ

(32,723 posts)
46. Do you honestly believe the transition would be overnight?
Fri Mar 18, 2016, 03:17 PM
Mar 2016

Or that it hasn't been thought out by advocates for DECADES?

The Hillary campaign used to be for it until it became political ammo to claim it's "impractical".

Now you have Democrats acting like Medicare For All is the pipe dream of a bunch of hippies passing a bong.

 

Darb

(2,807 posts)
49. Kind of Trumpian there.
Fri Mar 18, 2016, 03:19 PM
Mar 2016

No need to explain how to us serfs, just sit tight, we will deliver, everything will be fine.

Got it.

appalachiablue

(41,153 posts)
54. WASSERMAN SCHULTZ, Can you SPELL It? Rid the party of corrupt predator politicians
Fri Mar 18, 2016, 03:42 PM
Mar 2016

who are working against the well being of the people they represent for starters. And lobbyists. She and others will be gone this year and in the next decade so we can rebuild the congress and legislatures with progressive public officials and support allies who will work for single payer and other necessary programs, finally.

 

Spitfire of ATJ

(32,723 posts)
34. They purposely made a massive corporate bureaucracy to create that very argument....
Fri Mar 18, 2016, 02:57 PM
Mar 2016

The same way they inflated the costs to claim it would be too expensive.

I'm old enough to remember when breaking your leg on a skiing vacation didn't mean you lost your house.

 

Darb

(2,807 posts)
36. A plan of action would help the single payer proposals.
Fri Mar 18, 2016, 03:00 PM
Mar 2016

Not just saying the Netherlands did it. How do we get from point A to point B? That is what needs to be proposed. A plan of how to do it. Without a plan the proposal is nothing more than a wish.

 

Spitfire of ATJ

(32,723 posts)
41. First thing you do is eliminate the age restriction on Medicare....
Fri Mar 18, 2016, 03:10 PM
Mar 2016

This provides a baseline of health care for all.

Republicans have made cuts in the Medicare for their corporate pals thus we have "Medicare Part D" where you pay to get meds that used to be free.

Don't kid yourself. Insurance companies see the end coming and are ready to transition away from denying health insurance claims for the sick to their traditional role of denying life insurance claims for widows and orphans.

 

Darb

(2,807 posts)
43. Not sure I follow exactly, but at least you are giving some effort.
Fri Mar 18, 2016, 03:15 PM
Mar 2016

It is a complicated transition to say the least. Nobody, me included, is going to go for worse coverage, worse service than they have now. That is the problem and a big one. Does what Bernie is proposing drag everybody down? Sure it might be better for those without insurance and little access to care, but what about the rest? How do you cover everybody and actually provide care?

 

Spitfire of ATJ

(32,723 posts)
69. Actually, what he's proposing costs a lot less....
Fri Mar 18, 2016, 04:32 PM
Mar 2016

Do you know there are doctors that have had to hire a secretary who's soul purpose is to argue with insurance companies so he can get paid?

I saw a notice to employees at a testing clinic that warned them not to take Blue Cross because they refuse to pay. Blue Cross used to be a member supported model like a credit union. Now it's "managed" by Anthem Inc. which is listed on the stock exchange.

WhiteTara

(29,719 posts)
68. By unwinding, do you mean
Fri Mar 18, 2016, 04:22 PM
Mar 2016

how do I know that? I was an adult during those years and before 1973, insurance was non profit. Nixon was a monster.

https://en.wikisource.org/wiki/Transcript_of_taped_conversation_between_President_Richard_Nixon_and_John_D._Ehrlichman_(1971)_that_led_to_the_HMO_act_of_1973:
Transcript of taped conversation between President Richard Nixon and John D. Ehrlichman (1971) that led to the HMO act of 1973:

http://thecriticalaye.com/2011/08/31/skyrocketing-health-care-costs-thanks-president-nixon/
Skyrocketing health care costs: Thanks President Nixon!

http://businesspractices.kaiserpapers.org/nixononkaiser.html
businesspractices.kaiserpapers.org

WhiteTara

(29,719 posts)
72. Hospitals were also non profit.
Fri Mar 18, 2016, 04:38 PM
Mar 2016

Universities did research and not for private corps. Republicans are a horror on every level and if we get another one this year we are in deep trouble...we will lose it all.

 

Spitfire of ATJ

(32,723 posts)
74. There are still idiots promoting fascism....
Fri Mar 18, 2016, 04:44 PM
Mar 2016

The idea of corporations running the government is still considered to be a good one in the Beltway.

Vincardog

(20,234 posts)
80. WE offer everybody Medicare eligable at birth. We fix the holes in coverage and make the payouts
Fri Mar 18, 2016, 05:17 PM
Mar 2016

Adequate so providers can and will accept the patients.
WE use the power market to negotiate reasonable prices for drugs and medical devices.
Anybody n the insurance industry is able to offer competing products.
Any provider can continue to offer their services as well.

 

hellofromreddit

(1,182 posts)
83. We don't have to lay everyone off
Fri Mar 18, 2016, 06:59 PM
Mar 2016
So we put the health insurance industry out of business? Just shut them down? We lay off everyone that works in the Health insurance industry? What about HMOs like Kaiser-Permanente? They are not just an insurance company, they actually provide health care too. What do they do? Is their business model that they have worked on for decades and invested billions into infrastructure and employees just dismantled? How exactly? Do we just lay off those employees?


A good fraction of the work done by the health insurance industry is work that will still need to be done--tracking of costs, gathering information about treatment and healthcare patterns, managing records, etc. It's mostly the competitive side stuff that will lose jobs--marketing and its associated research. So there will certainly be a cost to jobs, but nowhere near 100%.

As far as actual transition process, the first step would likely be in the reinsurance market. Health insurance providers are backed up by a reinsurance industry that will manage the expense of large claims. So, start by requiring insurance co's cover 100% of patient costs, then let them pass those costs through to their reinsurance, which would then bill to the government. You can establish that system transparently to patients--all they'll notice is zero bills. Once it's up and running, set some cost targets and begin making the necessary structural changes to meet them. Remove the division between insurance and reinsurance. Displace companies that also operate outside of healthcare, absorb companies that are exclusively healthcare. Unify billing and paperwork procedures, etc.

The plan would face inflated costs during the transition, but the trade off is no interruption of care.
 

Spitfire of ATJ

(32,723 posts)
24. The ACA made health care a responsibility of government....
Fri Mar 18, 2016, 02:33 PM
Mar 2016

Medicare For All makes health care a Right.

 

Darb

(2,807 posts)
38. They are all different. None of them went from what we have in the USA
Fri Mar 18, 2016, 03:01 PM
Mar 2016

in 2016, to single payer of some sort.

How do you get there?

Shadowflash

(1,536 posts)
42. I don't know how we get there.
Fri Mar 18, 2016, 03:12 PM
Mar 2016

But I can, for sure, tell you that electing someone who says it can't be done is NOT the correct first step.

 

Darb

(2,807 posts)
47. In your opinion.
Fri Mar 18, 2016, 03:17 PM
Mar 2016

Selling people uncertainty is not advisable. Change is difficult. Especially with things like life and death.

Shadowflash

(1,536 posts)
50. Leaving things like life and death
Fri Mar 18, 2016, 03:23 PM
Mar 2016

up to corporations who's FIRST priorities are profits, shareholder payments and CEO bonuses and who's SECOND priority is actual health care, is even MORE unacceptable.

DhhD

(4,695 posts)
101. Sander's Single Payer Plan starts on page 4. Plan includes tax information
Sat Mar 19, 2016, 12:34 PM
Mar 2016
https://berniesanders.com/wp-content/uploads/2016/01/Medicare-for-All.pdf

Recently the Clinton's tried to misled me by using the Ryan/Republican campaign talking points of the 2010 Primary and GE about Obama removing money from Medicare and shutting down both Medicare and Medicaid. No wonder I do not trust any of the Clinton's. In 2013, New Democrat Barack Obama tried to chain Social Security benefits so third way triangulation is untrustworthy also. Many Democrats were unable to ask Obama to campaign for them as Republicans were the ones that said no to chaining Social Security. New Democrats are not for single payer and they are not for sustaining Social Security as an insurance trust fund run by a single payer agency-the federal government.

Privatization is a Republican Nixonian way of service.


zentrum

(9,865 posts)
35. Single payer would save billions.
Fri Mar 18, 2016, 02:58 PM
Mar 2016

And our people would be healthier—which is good for the economy too.

It's clear our payment system is the way it is to swerve the interests of just a few CEO's of some mega-corporations. We have been sold completely down the river.

Else You Are Mad

(3,040 posts)
40. Bloody hell.
Fri Mar 18, 2016, 03:09 PM
Mar 2016

I just wish that saving lives via access to health care wasn't a political issue. I have no problem with my tax dollars going to pay for other peoples health insurance if it means that they don't have to be sick, suffer or die. Heck, you can raise my taxes to do so. We are bickering over whether one health care reform is better than the other. People are dying, are sick, going bankrupt because they spent all their money paying for their child's cancer treatments. Yet, the more important issue is what is the lowest tax haven we can allow to repatriate American corporations money. We are arguing how to defeat ISIS at billions of dollars a day!!!! That money could be spent saving lives.

Cryptoad

(8,254 posts)
45. I like the Medicare for All ,,,,, if
Fri Mar 18, 2016, 03:16 PM
Mar 2016

the poor have subsidies ,,,,,,, for "there are still tens of millions still uncovered. ", u has misframed them. by law they are those working poor in State without expanded medicaid whom work for companies that are too small to be required to furnish health insurance. Hopefully after this election we will be closer to fixing this of the Medicare for all. As long as Congress is Red , it aint happening

 

GoldenMean

(49 posts)
62. USA! USA! We're #13!
Fri Mar 18, 2016, 03:56 PM
Mar 2016

The UN's Happiest Nations poll came out.
The top 12 happiest nations have free health care
The only thing USA is #1 is military spending

Dont call me Shirley

(10,998 posts)
84. HEALTHCARE FOR ALL IS A HUMAN RIGHT! MEDICARE FOR ALL! UNIVERSAL HEALTHCARE!
Fri Mar 18, 2016, 07:04 PM
Mar 2016

Single Payer! Govrnment Run Healthcare! Not For Profit Healthcare! Medicare E!

Whatever you want to call it, it's a human right like air, water, food, clothing, shelter...

jwirr

(39,215 posts)
93. In 2007 Single Payer healthcare was a favorite dream of
Sat Mar 19, 2016, 09:17 AM
Mar 2016

most Americans. And when President Obama started trying to fulfill the dream it was still what we wanted. But we did not get it - either because the Rs would not let us or because the President had never intended to eliminate the insurance companies. I don't know which it was and it is too late to change that now.

What we have to do is work to change it in the future and Medicare for All. But we are not going to get this through if we get Hillary in without a big fight.

ConsiderThis_2016

(274 posts)
102. Imagine the medical jobs alone, this would create.
Sat Mar 19, 2016, 02:00 PM
Mar 2016

Why would anyone be against creating thousands of jobs in the medical career field. The demand is there, and from a supply and demand perspective, it's the crony capitalism that stand in the way, along with some other groups that will take a haircut, for various reasons as it relates to public / private matters.

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