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Right now, I have private insurance and Medicare....

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WCGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Aug-20-11 06:29 PM
Original message
Right now, I have private insurance and Medicare....
Still, the costs that I pay out of pocket, my deductible, without including the cost of the insurance or the cost of Medicare (sometimes people forget that their is a premium deducted from SS or SSI benefits), means I have shelled out, so far this year, $2,936.22.

Being that what we earn in take home, between the two of us, amounts to about $2,800 per month, you can see why any changes in my medical costs, or any change, for that matter, cuts into other expenses.

We shell out about 13% of our take home pay for medical expenses.

Now changing the CPI effects me in two ways. First, it will more than likely decrease my SSI check because the increase in the premium will more than likely be offset by any tick up, under the new way of calculating CPI, in my overall benefits. Second, more cost to the patient because of cutting the benefits paid by Medicare will be passed on to me.

The problem I have with all of this is that nothing that the Obama Administration has done will curtail the arbitrary increase in medical costs. I firmly believe that the medical industrial complex increases the price of all things related to medical treatment because they can. There is no real market reason why health care should be growing almost exponentially year after year.

For as long as I can remember, the buzz coming from the medical industrial complex has been that lawsuits are driving the cost of doing business, that the cost of conducting research is out of control and that all the new tests and procedures are extremely complicated and so naturally more expensive.

And we take it, accepting that medical costs will continue to rise on a rate that will double every ten years or so.

But the real reason that costs keep going up and up and up is because there are no real market pressure between the consumers and the providers. The insurance companies and the government, through Medicare and Medicaid, don't exert the correct market pressures. Add on people trying to keep grandma alive at all costs and that injects another non market input driving medical costs.

So, how do we get the market pressures back into the market place.

One way would be to scrap the profit margins for the insurance companies by getting them out of the equation. The best way to do that would be to have a single payer system where one voice speaks for all the people on the consumer side of the market equation.

All this tinkering around with changing CPI measurements is just folly that will only increase costs for the consumers via higher insurance costs or higher deductibles. Worse yet, not making all treatment available to all consumers.

Again, by not pushing hard for a single payer system, we are operating in la la land when it comes to containing medical costs.
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DesertFlower Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Aug-20-11 06:34 PM
Response to Original message
1. i agree. unfortunately the health care
industry lobbyists have a lot of power. i doubt whether i'll see singer payer in my lifetime. i'm 70.
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CaliforniaPeggy Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Aug-20-11 06:35 PM
Response to Original message
2. Your numbers show what an extreme mess all of this is.
Who is on our side?

It seems as though everyone has his hand in our wallet, taking away our hard-earned money, while we work like mad to get the benefits we supposedly are entitled to.

It's completely wrong.

And there's no end in sight...

It makes me really angry...

Recommended.



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Fumesucker Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Aug-20-11 07:06 PM
Response to Original message
3. The things DC is doing is only folly if you think it's designed to improve medical care..
Indeed, there is a great deal of evidence that improving medical care is the last thing on the politician's minds.

Rather, there is an arguable case that transferring individual wealth to big insurance, big pharma and big medicine is what the true aim of these measures is.

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WCGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Aug-20-11 07:19 PM
Response to Reply #3
4. There is certainly a lot of evidence to support what you say....
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DURHAM D Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Aug-20-11 07:21 PM
Response to Original message
5. Just curious - do you really think single payer
Edited on Sat Aug-20-11 07:25 PM by DURHAM D
(meaning a check from the government for reimbursement) has any way to put pressure on medical costs? Especially given that the Executive branch, Congress, and the WH are all in bed with the industry? Who (or what) is going to bring the pressure?

On Edit: Let me put it another way. Do you think the Insurance Commissioner (in most states they approve rate increases) actually help keep down the cost of homeowner's insurance? I don't.
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WCGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Aug-20-11 08:16 PM
Response to Reply #5
6. A single payer would allow all the pressure of the markets to
be directed instead of being all over the place...

The only other way to get that feedback would be to have a complete open market place where everything was up for grabs.

You know, poor people getting poor quality health care while the rich get the best.

That would be the only way to get the true market forces moving.

It would strengthen the market place because the people wouldn't be competing with each other for access to health care.
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Cleita Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Aug-20-11 08:25 PM
Response to Reply #6
7. Not only that it would bring jobs back here.
Many companies outsource because the countries they outsource to have national health care of some sort so they don't have to pay for it.
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DURHAM D Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Aug-20-11 08:36 PM
Response to Reply #7
8. If we could construct a single payer system it would have to
require funds from employers (and of course employees in the form of payroll deductions) in order to fund it. Individuals and employers will be paying for it one way or the other.
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Cleita Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Aug-20-11 08:40 PM
Response to Reply #8
9. They would but it would be proportional to what they
can afford and it would be far less that we are paying now due to the efficiency of the government running it. Look at what the average Canadian and Canadian business pays into taxes for their system and you will be stunned at how much cheaper it is than our system and it covers everyone. No one has to look for insurance, barter with the insurance companies and do the number of administrative tasks that businesses and unions have to do to cover employees. This is why some of our car manufacturing businesses relocated to Canada because of their Medicare. It cost them less.
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WCGreen Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Aug-20-11 08:53 PM
Response to Reply #9
10. Add my pretax costs into the mix and I have paid, already this year....
over $5,500 which as of now 11% of our gross income for the year.

That cost is static so that if someone was making twice as much as we are with the same health needs, they would be paying only about 5% of their total income toward health care...

See why we can't get a head in this type of situation.
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