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It'll be interesting to see what the pricing is and whether or not there is a way to get more doctors to accept Medicare patients. That's the kicker.
Feasible?
Nevada is flirting with the revolutionary idea of allowing any of its 2.8 million residents to purchase Medicaid, the state-run federal health insurance program for the poor, regardless of their income levels, age and health status.
At a time when the Trump administration and congressional Republicans are pressing for legislation in Washington to roll back and severely cut Medicaid coverage as part of the repeal of the Affordable Care Act, the Democratic-controlled Nevada State Assembly late last week passed a bill essentially offering “Medicaid access for all.”
The proposed new program would allow virtually anyone in need of health insurance --including lower-income people currently enrolled in the Affordable Care Act and receiving federal tax subsidies – to sign up.
continued:
http://www.msn.com/en-us/money/healt...cid=spartanntp
It'll be interesting to see what the pricing is and whether or not there is a way to get more doctors to accept Medicare patients. That's the kicker.
Supply and demand would likely work that out.
According to the article it looks like another case of we have to pass it to find out how it will work
There are no reliable estimates of how much people would have to pay in premiums to acquire Medicaid coverage under this system, or whether they would have to pay co-payments and other out of pocket costs.
Don't you mean Medicaid? Good luck with that sub-standard care. I couldn't read the rest of the article - I certainly hope Nevada pays for it themselves and not expect the federal government to pay.
It bothers me no end when people say "Medicare for all" - don't they know that many seniors buy (additional) Medicare Advantage or MediGap plans and prescription drug plans to supplement original Medicare? They fail to figure into the cost that these seniors supposedly contributed to it all their working lives (not just a one year premium cost) that we, under 65, would be subjected to in addition to the (over 65) Medicare contribution. And even with working life contribution, Medicare is still in financial trouble.
- "Promises, promises."
- Ernie "The Cat" Ladd
"I'll festoon my bedchamber with your guts"
- Me
Yeah, I meant Medicaid. Screw that up all the time.
Stop talking about Medicare...different animal.
Look... We're eventually going to a public option. Its inevitable as the current system and its associated costs are unsutainable.
- You'll play gettin' it done."
- Randolph Scott - "Ride The High Country"
disagree. BigInsurance is too powerful, owns more than enough legislators, esp Repugs, to block it.
Gotta agree with boots here. Lots of people dying isn't really a problem in this country IMO.
When insurance collapses because nobody can afford a basic premium, it will create a target rich environment for any plan that is cost effective. Legislators are certainly on the dole but consider them "rented". Public opinion turns and en bents feel the heat, they'll change their tunes like the cheap s they are.
Gerrymandering, voter suppression, and Kobach's suppression mafia hasn't gotten going yet, and $100Ms from the VRWC will keep sufficient Repugs in seats, even in minority, to block single payer/universal Medicare.
America is ed and un able.
And people want it even though they know it's unsustainable. They don't care about spending what we don't have, running up the debt or our children's/grandchildren's futures. Maybe I should switch to more bit coin, gold and real estate.
Ummmm...it's unsustainable because there is a point where premiums become unaffordable. Were damn near there now. You don't spend what you don't have in the private insurance world.
If rmt didn't have boilerplate am conservative radio talking points, she'd have nothing.
BigInsurance and the rest are doing great.
The top two quintiles can afford the ripoff for more years, can keep the $3T+ industry going, while the bottom 3 quintiles will go without insurance, or stay crushed into poverty or near poverty paying for ty insurance, untreated/undertreated chronic medical conditions, unwanted pregnancies, abortions (TX requires paying for tissue disposal), and 30%+ of income to pay rent. Repugs and Christian Taliban say it all God's will the poor people suffer and die because they are bad people.
Last edited by boutons_deux; 06-07-2017 at 11:15 PM.
I'm still waiting to hear from those of you who want single payer system to explain how we are going to get there from where we are now. Hopefully, I don't hear about how if Europe can do it, surely we can - if so, please explain which specialists will accept $95k end salary (what they earn in Sweden) with the way our educational system is - with undergrad and med school resulting in hundreds of thousands of $s in cost of attendance, how our legal system would have to be changed to accommodate people not suing our medical workers when they make mistakes. The whole irony of it is that most who advocate single payer probably also advocate $15 minimum wage - how do you reconcile $15/hr burger flippers with $48/hr brain surgeons. Who in the world will spend 12-15 years studying for that? And how is single payer going to work financially when the colleges, lawyers, doctors, nurses, physician's assistants, therapists, and technicians are compensated accordingly compared to the rest of the workers in the US? I guess we should all have to adjust down - how'd you all like that?
I guess one solution is to do something similar as our vegetable/fruit pickers - import third world health workers who are willing to work for much less to replace American health professionals who would not be willing to work for peanuts.
If Sweden's model (which you brought up) works, why not follow it? BTW, Sweden isn't New Zealand where you can't sue for malpractice, but it has a no-fault malpractice system that has worked well for them.
And $95k a year is a pretty damn good salary. Heck, about $130k puts you in the top 10 percent of earners in this country...
Especially when even mundane procedures cost a ton. That's why medical tourism, especially from Americans, has been growing a lot in recent years.
USA won't ever get to Medicare for all.
In fact, Ryan's life-long holy grail is to kill Medicare, along with Medicaid and Social Security.
And he has all Repugs and VRWC's $Bs supporting him.
America is ed and un able. And Repugs say the Bible supporting ing the bottom 4 quintiles, esp the the bottom quintile, because God doesn't love them, they are bad people.
When a country is owned and operated by billionaires, BigCorp
How the corporate sector is wrecking America’s health—and what to do about it
America’s health is in a crisis that has three parts.
The first is access: healthcare is far too costly for most Americans.
The second challenge is unhealthy lifestyles, especially America’s fast-food diet. America has the highest obesity rates of any high-income country in the world—nearly 40%.
The third challenge is the despair arising from working-class households falling further and further behind in incomes and jobs, with the associated behavioral consequences. As recent studies have shown, deaths rates have soared for working-class white, non-Hispanic Americans, especially around diseases related to falling incomes: suicide, substance abuse (including the shocking opioid epidemic), and depression.
Yet we would argue that all three of
these crises arise from an even deeper problem:
the corporate control of healthcare and politics more generally.
If we
add in the political power of Wall Street and the mega-rich campaign donors, we complete the picture.
We are getting what we pay for, or rather what the mega-rich and the lobbyists are paying for:
a health crisis that is driven by the preferences of the healthcare industry, the food industry, and the rich in general, who pay low taxes and tend to their own health needs in private while most Americans suffer the consequences.
https://qz.com/991032/how-the-corporate-sector-is-wrecking-americas-health-and-what-to-do-about-it/
Billionaires and BigCorp have ALL THE POWER, and they won't do anything good for anybody but themselves, and they won't yield that power, which is $Ts of cash.
So how do any of you dreamers plan, in actual steps, how to reduce the power of the billionaires and BigCrop?
America is ed and un able.
Socially politicked by s and preached by scammers into being "we = DIVIDED" and therefor "we = FALLING"
Last edited by boutons_deux; 06-10-2017 at 09:44 AM.
That's end salary - do you really think $95k a year is a good salary for a specialist? with the debt they ac ulated through the many years (12-14) of study? And that's pre-tax. Here's the salary ($100k) for a physician's assistant (much less a primary care doc, much less a specialist):
http://www1.salary.com/Physician-Ass...al-Salary.html
Here's a pediatrician's ($189k):
http://www1.salary.com/Pediatric-Physician-Salary.html
Surgeon - neurology ($570k):
http://www1.salary.com/Surgeon-Neurology-salary.html
Please tell me how you will convince current neurological surgeons to accept end salary of $95k for specialist (similarly scale down for pediatrician and PA).
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