The Democrats should have done the right thing the FIRST damn time and extended the Medicare / Medicare Supplement / Medicare Advantage system to all. An excellent, already-functioning blend of public funding and dynamic private competition.
Now we're going to end up with some kind of Frankenstein's ******* monster.
Thanks, "leaders".
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You're right, but even that would have pissed off a lot of people, who like me don't have to pay out much out of pocket for routine preventative exams and very rarely actually meet my deductible. I'd have to pay for medicare supplemenets, or face a real danger that me or mine would get something serious.
I'm not sure there was a good answer. In some ways, I think the dems original Obamacare that forced ALL states to expand Medicaid or lose all Medicaid dollars, was the right way to go, but the fine for not having HC should have been low, with more of the funding stream coming from the top 1%. They had 60 and they could have passed it.
Well, Medicare Advantage plans are closer to the PPO/HMO model, with some co-pays and deductibles, but have VERY low monthly premiums, from $0 to around $75. Medicare Supplements have higher premiums but cover pretty much EVERYTHING. And I'd be all for premium support where needed.
Right now we have seven (7) different delivery/payment systems: Group, individual, Medicare, Medicaid, VA, Worker's Comp and indigent care. That's ******* MADNESS. And worse, they don't communicate directly with each other. The inefficiencies are as bad as you'd imagine.
I think the answers are out there, but everyone is too busy screaming at each other.
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