Medicare for All, but especially for Insurance companies.

[Ambivalent1]

Sure insurance companies would be involved with the Medicare supplements and Medicare Advantage plans,

Nope. Insurance companies profit from straight up Medicare, and they would make even more with "Medicare for All".

I don't know what you're saying here because I have always knows insurance companies adjudicate claims for Medicare.

I thought you implied that insurance companies would not sell plans if there was Medicare for all and I was simply replying that they would still offer supplements and MAPD plans and the government still believes the MAPD's save Medicare money which they do not, actually costing them around 13-14% more than if Medicare just paid the claims that were adjudicated.

I don't know what you're talking about either. My point is that Medicare is farmed out to private insurance companies. It doesn't deny insurance companies their profits, it guarantees them.

Your point is patently false. Medicare consists Part A and Part B. Do your homework kid.

If you want to be correct it consists of Part A, B, C and D

Nope. C is basically a replacement and a relief from the confines of A and B. D is basically a supplement to Medicare.

 

[Mac1958]

Sanders is lying when he calls for "Medicare for All". He knows damn well he's actually saying "Single Payer", but he's playing a standard political semantic game. Most people don't have any idea how the Medicare system actually works.

I'm all for an expansion of the current Medicare/Medicare Supplement/Medicare Advantage system to all, with some tweaks. Free market competition and innovation. Foundational preventive/diagnostic services to keep long term care costs down. Take a massive cost monkey off the back of American businesses.

The "every man for himself" purists somehow don't realize that they're already paying higher premiums and fees to pay for those who don't pay anything. The ultimate result will be REAL Single Payer because these folks are afraid to (or don't have the capacity to) bend or collaborate.
.

 

[dblack]

Sanders is lying when he calls for "Medicare for All". He knows damn well he's actually saying "Single Payer", but he's playing a standard political semantic game. Most people don't have any idea how the Medicare system actually works.

I'm all for an expansion of the current Medicare/Medicare Supplement/Medicare Advantage system to all, with some tweaks. Free market competition and innovation.

Medicare is not free market competition. It's crony capitalism where profits depend primarily on a company's ability to lobby government.

Foundational preventive/diagnostic services to keep long term care costs down. Take a massive cost monkey off the back of American businesses.

Pushing health care onto employers was our first mistake. It's made us de facto slaves to our employers. Making ourselves de facto slaves to the government isn't an improvement.

The "every man for himself" purists somehow don't realize that they're already paying higher premiums and fees to pay for those who don't pay anything. The ultimate result will be REAL Single Payer because these folks are afraid to bend or collaborate.

The point isn't "every man or himself". It's freedom. I don't want to be coerced into supporting your favorite insurance scheme. Do you want to be coerced into supporting mine?

 

[Mac1958]

Sanders is lying when he calls for "Medicare for All". He knows damn well he's actually saying "Single Payer", but he's playing a standard political semantic game. Most people don't have any idea how the Medicare system actually works.

I'm all for an expansion of the current Medicare/Medicare Supplement/Medicare Advantage system to all, with some tweaks. Free market competition and innovation.

Medicare is not free market competition. It's crony capitalism where profits depend primarily on a company's ability to lobby government.

Foundational preventive/diagnostic services to keep long term care costs down. Take a massive cost monkey off the back of American businesses.

Pushing health care onto employers was our first mistake. It's made us de facto slaves to our employers. Making ourselves de facto slaves to the government isn't an improvement.

The "every man for himself" purists somehow don't realize that they're already paying higher premiums and fees to pay for those who don't pay anything. The ultimate result will be REAL Single Payer because these folks are afraid to bend or collaborate.

The point isn't "every man or himself". It's freedom. I don't want to be coerced into supporting your favorite insurance scheme. Do you want to be coerced into supporting mine?

Well, that's the argument. Interestingly, the right used to be FOR free market competition and innovation. Times change, I guess.

There's far more momentum towards Single Payer than away from it. All-or-nothing is one helluva risk to take, especially now, but we'll see.
.

 

[dblack]

There's far more momentum towards Single Payer than away from it. All-or-nothing is one helluva risk to take, especially now, but we'll see.

I don't understand what you're getting at here.

 

[Mac1958]

There's far more momentum towards Single Payer than away from it. All-or-nothing is one helluva risk to take, especially now, but we'll see.

I don't understand what you're getting at here.

I don't know how else to put it. There's a lot of energy, especially with younger voters, towards Single Payer. If that's where we end up, those who have been holding out for every-man-for-yourself health care will be wishing they collaborated and compromised and went with the Medicare/Medicare Advantage/Medicare Supplement system.
.

 

[dblack]

There's far more momentum towards Single Payer than away from it. All-or-nothing is one helluva risk to take, especially now, but we'll see.

I don't understand what you're getting at here.

I don't know how else to put it. There's a lot of energy, especially with younger voters, towards Single Payer. If that's where we end up, those who have been holding out for every-man-for-yourself health care will be wishing they collaborated and compromised and went with the Medicare/Medicare Advantage/Medicare Supplement system.
.

I certainly won't. The middle ground between socialism and capitalism is far worse the either extreme. I'm opposed to socialized health care, but it could be done sanely (something like what we've done with primary education).

Corporations colluding with government to fleece us isn't a better solution.

 

[Mac1958]

There's far more momentum towards Single Payer than away from it. All-or-nothing is one helluva risk to take, especially now, but we'll see.

I don't understand what you're getting at here.

I don't know how else to put it. There's a lot of energy, especially with younger voters, towards Single Payer. If that's where we end up, those who have been holding out for every-man-for-yourself health care will be wishing they collaborated and compromised and went with the Medicare/Medicare Advantage/Medicare Supplement system.
.

I certainly won't. The middle ground between socialism and capitalism is far worse the either extreme. I'm opposed to socialized health care, but it could be done sanely (something liek what we've done with primary education).

Corporations colluding with government to fleece us isn't a better solution.

Well, as I said, the right used to be about free market competition and innovation, and that has changed.

If there were no government involvement at all, and you had to go to the hospital, you'd be dealing with an unconstrained corporation.

What would you do, just heal yourself?
.

 

[dblack]

Well, as I said, the right used to be about free market competition and innovation, and that has changed.

Again, I don't know wha that means. But I'm not on the "right", so I guess I don't care.

If there were no government involvement at all, and you had to go to the hospital, you'd be dealing with an unconstrained corporation.

No, then we'd be free to tell the corporations to piss off.

There's something in the liberal mindset that has convinced them we must enslave ourselves to someone - that it's a choice between submitting to government or submitting corporations. I choose neither.

 

[Mac1958]

Well, as I said, the right used to be about free market competition and innovation, and that has changed.

Again, I don't know wha that means. But I'm not on the "right", so I guess I don't care.

If there were no government involvement at all, and you had to go to the hospital, you'd be dealing with an unconstrained corporation.

No, then we'd be free to tell the corporations to piss off.

There's something in the liberal mindset that has convinced them we must enslave ourselves to someone - that it's a choice between submitting to government or submitting corporations. I choose neither.

Okay, so with "freedom", health care providers are under no obligation to work with us, and we're under no obligation to work with them.

Health care providers will be "free" to collude and set prices at a point at which they only make a fat profit. Anyone who can't afford the insane prices can just go to a charity or just suffer. Or watch their kids suffer.

Hey, this sounds great.

Now, which choice (every man for himself health care or Single Payer) do you think would do better at the ballot box, and are you really willing to take that risk?
.

 

[dblack]

Okay, so with "freedom", health care providers are under no obligation to work with us, and we're under no obligation to work with them.

Health care providers will be "free" to collude and set prices at a point at which they only make a fat profit. Anyone who can't afford the insane prices can just go to a charity or just suffer. Or watch their kids suffer.

And anyone who wants to would be free to offer up a cheaper alternative.

Now, which choice (every man for himself health care or Single Payer) do you think would do better at the ballot box, and are you really willing to take that risk?
.

What do you mean "take that risk"? As I've said, either of those options is better than crony capitalism under a corporatist government.

 

[Mac1958]

Okay, so with "freedom", health care providers are under no obligation to work with us, and we're under no obligation to work with them.

Health care providers will be "free" to collude and set prices at a point at which they only make a fat profit. Anyone who can't afford the insane prices can just go to a charity or just suffer. Or watch their kids suffer.

And anyone who wants to would be free to offer up a cheaper alternative.

Now, which choice (every man for himself health care or Single Payer) do you think would do better at the ballot box, and are you really willing to take that risk?
.

What do you mean "take that risk"? As I've said, either of those options is better than crony capitalism under a corporatist government.

Okay, we'll see what we get.
.

 

[dblack]

Okay, so with "freedom", health care providers are under no obligation to work with us, and we're under no obligation to work with them.

Health care providers will be "free" to collude and set prices at a point at which they only make a fat profit. Anyone who can't afford the insane prices can just go to a charity or just suffer. Or watch their kids suffer.

And anyone who wants to would be free to offer up a cheaper alternative.

Now, which choice (every man for himself health care or Single Payer) do you think would do better at the ballot box, and are you really willing to take that risk?
.

What do you mean "take that risk"? As I've said, either of those options is better than crony capitalism under a corporatist government.

Okay, we'll see what we get.
.

Mostly likely what we'll get is a centralized feeding trough for rent-seeking corporations.

 

[debbiedowner]

Nope. Insurance companies profit from straight up Medicare, and they would make even more with "Medicare for All".

I don't know what you're saying here because I have always knows insurance companies adjudicate claims for Medicare.

I thought you implied that insurance companies would not sell plans if there was Medicare for all and I was simply replying that they would still offer supplements and MAPD plans and the government still believes the MAPD's save Medicare money which they do not, actually costing them around 13-14% more than if Medicare just paid the claims that were adjudicated.

I don't know what you're talking about either. My point is that Medicare is farmed out to private insurance companies. It doesn't deny insurance companies their profits, it guarantees them.

Your point is patently false. Medicare consists Part A and Part B. Do your homework kid.

If you want to be correct it consists of Part A, B, C and D

Nope. C is basically a replacement and a relief from the confines of A and B. D is basically a supplement to Medicare.

So technically:

The parts of Medicare (A, B, C, D) - Medicare Interactive

There are four parts of Medicare: Part A, Part B, Part C, and Part D. Generally, the different parts of Medicare help cover specific services.

• Part A provides inpatient/hospital coverage.
• Part B provides outpatient/medical coverage.
• Part C offers an alternate way to receive your Medicare benefits (see below for more information).
• Part D provides prescription drug coverage.

Most beneficiaries choose to receive their Parts A and B benefits through Original Medicare, the traditional fee-for-service program offered directly through the federal government. It is sometimes called Traditional Medicare or Fee-for-Service (FFS) Medicare. Under Original Medicare, the government pays directly for the health care services you receive. You can see any doctor and hospital that takes Medicare (and most do) anywhere in the country.

In Original Medicare:

• You go directly to the doctor or hospital when you need care. You do not need to get prior permission/authorization from Medicare or your primary care doctor.
• You are responsible for a monthly premium for Part B. Some also pay a premium for Part A.
• You typically pay a coinsurance for each service you receive.
• There are limits on the amounts that doctors and hospitals can charge for your care.

If you want prescription drug coverage with Original Medicare, in most cases you will need to actively choose and join a stand-alone Medicare private drug plan (PDP).

Note: There are a number of government programs that may help reduce your health care and prescription drug costs if you meet the eligibility requirements.

Unless you choose otherwise, you will have Original Medicare. Instead of Original Medicare, you can decide to get your Medicare benefits from a Medicare Advantage Plan, also called Part C or Medicare private health plan. Remember, you still have Medicare if you enroll in a Medicare Advantage Plan. This means that you must still pay your monthly Part B premium (and your Part A premium, if you have one). Each Medicare Advantage Plan must provide all Part A and Part B services covered by Original Medicare, but they can do so with different rules, costs, and restrictions that can affect how and when you receive care.

It is important to understand your Medicare coverage choices and to pick your coverage carefully. How you choose to get your benefits and who you get them from can affect your out-of-pocket costs and where you can get your care. For instance, in Original Medicare, you are covered to go to nearly all doctors and hospitals in the country. On the other hand, Medicare Advantage Plans typically have network restrictions, meaning that you will likely be more limited in your choice of doctors and hospitals. However, Medicare Advantage Plans can also provide additional benefits that Original Medicare does not cover, such as routine vision or dental care.

 

[dblack]

I don't know what you're saying here because I have always knows insurance companies adjudicate claims for Medicare.

I thought you implied that insurance companies would not sell plans if there was Medicare for all and I was simply replying that they would still offer supplements and MAPD plans and the government still believes the MAPD's save Medicare money which they do not, actually costing them around 13-14% more than if Medicare just paid the claims that were adjudicated.

I don't know what you're talking about either. My point is that Medicare is farmed out to private insurance companies. It doesn't deny insurance companies their profits, it guarantees them.

Your point is patently false. Medicare consists Part A and Part B. Do your homework kid.

If you want to be correct it consists of Part A, B, C and D

Nope. C is basically a replacement and a relief from the confines of A and B. D is basically a supplement to Medicare.

So technically:

The parts of Medicare (A, B, C, D) - Medicare Interactive

There are four parts of Medicare: Part A, Part B, Part C, and Part D. Generally, the different parts of Medicare help cover specific services.

• Part A provides inpatient/hospital coverage.
• Part B provides outpatient/medical coverage.
• Part C offers an alternate way to receive your Medicare benefits (see below for more information).
• Part D provides prescription drug coverage.

Most beneficiaries choose to receive their Parts A and B benefits through Original Medicare, the traditional fee-for-service program offered directly through the federal government. It is sometimes called Traditional Medicare or Fee-for-Service (FFS) Medicare. Under Original Medicare, the government pays directly for the health care services you receive. You can see any doctor and hospital that takes Medicare (and most do) anywhere in the country.

In Original Medicare:

• You go directly to the doctor or hospital when you need care. You do not need to get prior permission/authorization from Medicare or your primary care doctor.
• You are responsible for a monthly premium for Part B. Some also pay a premium for Part A.
• You typically pay a coinsurance for each service you receive.
• There are limits on the amounts that doctors and hospitals can charge for your care.

If you want prescription drug coverage with Original Medicare, in most cases you will need to actively choose and join a stand-alone Medicare private drug plan (PDP).

Note: There are a number of government programs that may help reduce your health care and prescription drug costs if you meet the eligibility requirements.

Unless you choose otherwise, you will have Original Medicare. Instead of Original Medicare, you can decide to get your Medicare benefits from a Medicare Advantage Plan, also called Part C or Medicare private health plan. Remember, you still have Medicare if you enroll in a Medicare Advantage Plan. This means that you must still pay your monthly Part B premium (and your Part A premium, if you have one). Each Medicare Advantage Plan must provide all Part A and Part B services covered by Original Medicare, but they can do so with different rules, costs, and restrictions that can affect how and when you receive care.

It is important to understand your Medicare coverage choices and to pick your coverage carefully. How you choose to get your benefits and who you get them from can affect your out-of-pocket costs and where you can get your care. For instance, in Original Medicare, you are covered to go to nearly all doctors and hospitals in the country. On the other hand, Medicare Advantage Plans typically have network restrictions, meaning that you will likely be more limited in your choice of doctors and hospitals. However, Medicare Advantage Plans can also provide additional benefits that Original Medicare does not cover, such as routine vision or dental care.

ie a centralize feeding trough for rent-seeking corporations.

 

[Ambivalent1]

I don't know what you're saying here because I have always knows insurance companies adjudicate claims for Medicare.

I thought you implied that insurance companies would not sell plans if there was Medicare for all and I was simply replying that they would still offer supplements and MAPD plans and the government still believes the MAPD's save Medicare money which they do not, actually costing them around 13-14% more than if Medicare just paid the claims that were adjudicated.

I don't know what you're talking about either. My point is that Medicare is farmed out to private insurance companies. It doesn't deny insurance companies their profits, it guarantees them.

Your point is patently false. Medicare consists Part A and Part B. Do your homework kid.

If you want to be correct it consists of Part A, B, C and D

Nope. C is basically a replacement and a relief from the confines of A and B. D is basically a supplement to Medicare.

So technically:

The parts of Medicare (A, B, C, D) - Medicare Interactive

There are four parts of Medicare: Part A, Part B, Part C, and Part D. Generally, the different parts of Medicare help cover specific services.

• Part A provides inpatient/hospital coverage.
• Part B provides outpatient/medical coverage.
• Part C offers an alternate way to receive your Medicare benefits (see below for more information).
• Part D provides prescription drug coverage.

Most beneficiaries choose to receive their Parts A and B benefits through Original Medicare, the traditional fee-for-service program offered directly through the federal government. It is sometimes called Traditional Medicare or Fee-for-Service (FFS) Medicare. Under Original Medicare, the government pays directly for the health care services you receive. You can see any doctor and hospital that takes Medicare (and most do) anywhere in the country.

In Original Medicare:

• You go directly to the doctor or hospital when you need care. You do not need to get prior permission/authorization from Medicare or your primary care doctor.
• You are responsible for a monthly premium for Part B. Some also pay a premium for Part A.
• You typically pay a coinsurance for each service you receive.
• There are limits on the amounts that doctors and hospitals can charge for your care.

If you want prescription drug coverage with Original Medicare, in most cases you will need to actively choose and join a stand-alone Medicare private drug plan (PDP).

Note: There are a number of government programs that may help reduce your health care and prescription drug costs if you meet the eligibility requirements.

Unless you choose otherwise, you will have Original Medicare. Instead of Original Medicare, you can decide to get your Medicare benefits from a Medicare Advantage Plan, also called Part C or Medicare private health plan. Remember, you still have Medicare if you enroll in a Medicare Advantage Plan. This means that you must still pay your monthly Part B premium (and your Part A premium, if you have one). Each Medicare Advantage Plan must provide all Part A and Part B services covered by Original Medicare, but they can do so with different rules, costs, and restrictions that can affect how and when you receive care.

It is important to understand your Medicare coverage choices and to pick your coverage carefully. How you choose to get your benefits and who you get them from can affect your out-of-pocket costs and where you can get your care. For instance, in Original Medicare, you are covered to go to nearly all doctors and hospitals in the country. On the other hand, Medicare Advantage Plans typically have network restrictions, meaning that you will likely be more limited in your choice of doctors and hospitals. However, Medicare Advantage Plans can also provide additional benefits that Original Medicare does not cover, such as routine vision or dental care.

You're simply making my point for me, thank you.

 

[Ambivalent1]

Sanders is lying when he calls for "Medicare for All". He knows damn well he's actually saying "Single Payer", but he's playing a standard political semantic game. Most people don't have any idea how the Medicare system actually works.

I'm all for an expansion of the current Medicare/Medicare Supplement/Medicare Advantage system to all, with some tweaks. Free market competition and innovation.

Medicare is not free market competition. It's crony capitalism where profits depend primarily on a company's ability to lobby government.

Foundational preventive/diagnostic services to keep long term care costs down. Take a massive cost monkey off the back of American businesses.

Pushing health care onto employers was our first mistake. It's made us de facto slaves to our employers. Making ourselves de facto slaves to the government isn't an improvement.

The "every man for himself" purists somehow don't realize that they're already paying higher premiums and fees to pay for those who don't pay anything. The ultimate result will be REAL Single Payer because these folks are afraid to bend or collaborate.

The point isn't "every man or himself". It's freedom. I don't want to be coerced into supporting your favorite insurance scheme. Do you want to be coerced into supporting mine?

"Medicare is not free market competition. It's crony capitalism where profits depend primarily on a company's ability to lobby government. "

Their "profits" depend on the rates they set.

 

[blenkins90]

So with private insurance companies, do they base their payments off of Medicare, or do they write their own policies on what they will cover and by how much?

 

[debbiedowner]

I don't know what you're talking about either. My point is that Medicare is farmed out to private insurance companies. It doesn't deny insurance companies their profits, it guarantees them.

Your point is patently false. Medicare consists Part A and Part B. Do your homework kid.

If you want to be correct it consists of Part A, B, C and D

Nope. C is basically a replacement and a relief from the confines of A and B. D is basically a supplement to Medicare.

So technically:

The parts of Medicare (A, B, C, D) - Medicare Interactive

There are four parts of Medicare: Part A, Part B, Part C, and Part D. Generally, the different parts of Medicare help cover specific services.

• Part A provides inpatient/hospital coverage.
• Part B provides outpatient/medical coverage.
• Part C offers an alternate way to receive your Medicare benefits (see below for more information).
• Part D provides prescription drug coverage.

Most beneficiaries choose to receive their Parts A and B benefits through Original Medicare, the traditional fee-for-service program offered directly through the federal government. It is sometimes called Traditional Medicare or Fee-for-Service (FFS) Medicare. Under Original Medicare, the government pays directly for the health care services you receive. You can see any doctor and hospital that takes Medicare (and most do) anywhere in the country.

In Original Medicare:

• You go directly to the doctor or hospital when you need care. You do not need to get prior permission/authorization from Medicare or your primary care doctor.
• You are responsible for a monthly premium for Part B. Some also pay a premium for Part A.
• You typically pay a coinsurance for each service you receive.
• There are limits on the amounts that doctors and hospitals can charge for your care.

If you want prescription drug coverage with Original Medicare, in most cases you will need to actively choose and join a stand-alone Medicare private drug plan (PDP).

Note: There are a number of government programs that may help reduce your health care and prescription drug costs if you meet the eligibility requirements.

Unless you choose otherwise, you will have Original Medicare. Instead of Original Medicare, you can decide to get your Medicare benefits from a Medicare Advantage Plan, also called Part C or Medicare private health plan. Remember, you still have Medicare if you enroll in a Medicare Advantage Plan. This means that you must still pay your monthly Part B premium (and your Part A premium, if you have one). Each Medicare Advantage Plan must provide all Part A and Part B services covered by Original Medicare, but they can do so with different rules, costs, and restrictions that can affect how and when you receive care.

It is important to understand your Medicare coverage choices and to pick your coverage carefully. How you choose to get your benefits and who you get them from can affect your out-of-pocket costs and where you can get your care. For instance, in Original Medicare, you are covered to go to nearly all doctors and hospitals in the country. On the other hand, Medicare Advantage Plans typically have network restrictions, meaning that you will likely be more limited in your choice of doctors and hospitals. However, Medicare Advantage Plans can also provide additional benefits that Original Medicare does not cover, such as routine vision or dental care.

You're simply making my point for me, thank you.

Who ultimately controls the 4 parts of Medicare?

 

[debbiedowner]

So with private insurance companies, do they base their payments off of Medicare, or do they write their own policies on what they will cover and by how much?

If you mean claims they base it off Medicare if it is a supplement.