Before I say what it is, letโs consider all the things Americans donโt like about health care – cost, availability, insurance companies, third-party involvement, high deductibles, premiums, etc.
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NOW, the challenge.
Tell us why you will or will not support a form of Medicare for All replacing all the payment systems currently in place, public, employer and private plans to be funded by a combination of employer and individual taxes, income based premiums and cost sharing at the point of service.
Time to stick your neck out – Goโผ๏ธ
Regarding the competitive marketplace: A funny line I heard at a conference: “Joe Namath doesn’t have a Medicare Advantage Plan”. And now I’m seeing Cal Ripken as a spokesman. Just the fact that these companies see the value in marketing such a basic need tells me there’s a problem here.
As long as itโs paid for Iโm with you on this one.
I have never been without health insurance. As a child I was covered by my dadโs group policy, as an adult I was covered by my employer’s plan, as a proprietor I paid for my own insurance. For a couple years I received help from the Affordable Care Act, as did some of my clients; it was a Godsend.
There are many people who donโt believe in having health insurance. I know one such non-believer who went to the emergency room with chest pains; fortunately it was not a heart issue. Like many in his situation, he never paid the bill.
The cost of these healthcare deadbeats is passed on to paying patients in the form of higher fees. I donโt think thatโs fair, but hey, healthcare providers ainโt charities.
My other issue relates to the employer/employee relationship. Future insurance premiums are a significant uncertainty, and employers donโt like that word. They try to transfer that uncertainty unto the worker bees, who also donโt like that word. M4A would help in this regard.
Youโre right on all counts. Right now employers say they are planning more cost shifting to workers in 2026 and it is expected there will be significant premium increases top to bottom, the worst in ACA plans.
It seems I managed to acquire a record of red arrows on this post.
Sorry folks, but many comments here reflect the general misunderstandings associated with how we pay for health care, the role of insurers and government in paying the bills.
I started working in health benefits in 1962 processing claims, managed self-funded and insured coverage for 45 years, was on the boards of directors of four health plans and helped negotiate physician contracts. I also investigated and resolved more claim appeals than I can recall.
Little of the generally held perceptions about how we pay for health care, what it costs and how insurance works is accurate.
What most people want when it comes to receiving and paying for healthcare is impossible to achieve.
high cost does not automatically equal higher quality
more health care is not necessarily better health care
more competition in health care is more counterproductive than beneficial
insurance profits are not a significant part of premiums, but more to do with contract volume
a significant percentage of health care is unnecessary
Americanโs wait for care too
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