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The New Coffee Room

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  3. The Two Tiered Health System

The Two Tiered Health System

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  • markM mark

    Sure but make the sliding scale more realistic. Based on current, over-inflated medical procedure pricing, that $40k should be more like $400k

    L Offline
    L Offline
    Loki
    wrote on last edited by
    #5

    @mark said in The Two Tiered Health System:

    Sure but make the sliding scale more realistic. Based on current, over-inflated medical procedure pricing, that $40k should be more like $400k

    Yeah that would cover over 99% of the population.

    CopperC 1 Reply Last reply
    • markM Offline
      markM Offline
      mark
      wrote on last edited by
      #6

      Yeah, $400k was a bit of a stretch. Start the scale at $85k and increase it, to a cap of about $225k. And then, perform annual COL adjustments.

      We are not living in the 1970s.

      JollyJ 1 Reply Last reply
      • L Loki

        @mark said in The Two Tiered Health System:

        Sure but make the sliding scale more realistic. Based on current, over-inflated medical procedure pricing, that $40k should be more like $400k

        Yeah that would cover over 99% of the population.

        CopperC Offline
        CopperC Offline
        Copper
        wrote on last edited by
        #7

        @Loki said in The Two Tiered Health System:

        @mark said in The Two Tiered Health System:

        Sure but make the sliding scale more realistic. Based on current, over-inflated medical procedure pricing, that $40k should be more like $400k

        Yeah that would cover over 99% of the population.

        https://www.gobanking.com/average-person-income-around-world/

        The average per capita income worldwide is $10,298, according to the World Bank

        1 Reply Last reply
        • markM mark

          Yeah, $400k was a bit of a stretch. Start the scale at $85k and increase it, to a cap of about $225k. And then, perform annual COL adjustments.

          We are not living in the 1970s.

          JollyJ Offline
          JollyJ Offline
          Jolly
          wrote on last edited by
          #8

          @mark said in The Two Tiered Health System:

          Yeah, $400k was a bit of a stretch. Start the scale at $85k and increase it, to a cap of about $225k. And then, perform annual COL adjustments.

          We are not living in the 1970s.

          Still unsustainable.

          The goal is to provide adequate medical care to as many people as possible and still not break the bank.

          “Cry havoc and let slip the DOGE of war!”

          Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

          1 Reply Last reply
          • MikM Offline
            MikM Offline
            Mik
            wrote on last edited by
            #9

            The other wrinkle here is that some large lower paying companies have made arrangements to offer health insurance to their workers. Costco, Starbucks, Walmart.... if we make the ceiling too high they will have no incentive to continue doing so. It's not a killer, but it certainly needs to be considered. What we are after is no one goes without healthcare.

            “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

            AxtremusA 1 Reply Last reply
            • MikM Mik

              The other wrinkle here is that some large lower paying companies have made arrangements to offer health insurance to their workers. Costco, Starbucks, Walmart.... if we make the ceiling too high they will have no incentive to continue doing so. It's not a killer, but it certainly needs to be considered. What we are after is no one goes without healthcare.

              AxtremusA Away
              AxtremusA Away
              Axtremus
              wrote on last edited by
              #10

              @Mik said in The Two Tiered Health System:

              The other wrinkle here is that some large lower paying companies have made arrangements to offer health insurance to their workers. Costco, Starbucks, Walmart.... if we make the ceiling too high they will have no incentive to continue doing so.

              It's past time to decouple healthcare from employment.

              Forget two- or three- or four-tiered healthcare system. Just go straight to single payer universal healthcare and be done with it.

              L CopperC 2 Replies Last reply
              • AxtremusA Axtremus

                @Mik said in The Two Tiered Health System:

                The other wrinkle here is that some large lower paying companies have made arrangements to offer health insurance to their workers. Costco, Starbucks, Walmart.... if we make the ceiling too high they will have no incentive to continue doing so.

                It's past time to decouple healthcare from employment.

                Forget two- or three- or four-tiered healthcare system. Just go straight to single payer universal healthcare and be done with it.

                L Offline
                L Offline
                Loki
                wrote on last edited by
                #11

                @Axtremus said in The Two Tiered Health System:

                @Mik said in The Two Tiered Health System:

                The other wrinkle here is that some large lower paying companies have made arrangements to offer health insurance to their workers. Costco, Starbucks, Walmart.... if we make the ceiling too high they will have no incentive to continue doing so.

                It's past time to decouple healthcare from employment.

                Forget two- or three- or four-tiered healthcare system. Just go straight to single payer universal healthcare and be done with it.

                There goes the subsidizers of healthcare. Employers pay so much more than Medicare and Medicaid. So you argue think of the administrative cost savings, well that wouldn’t touch the difference.

                Good luck with it.

                1 Reply Last reply
                • MikM Offline
                  MikM Offline
                  Mik
                  wrote on last edited by
                  #12

                  Yep. The employed insured have been subsidizing Medicare and Medicaid for generations.

                  “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                  1 Reply Last reply
                  • AxtremusA Axtremus

                    @Mik said in The Two Tiered Health System:

                    The other wrinkle here is that some large lower paying companies have made arrangements to offer health insurance to their workers. Costco, Starbucks, Walmart.... if we make the ceiling too high they will have no incentive to continue doing so.

                    It's past time to decouple healthcare from employment.

                    Forget two- or three- or four-tiered healthcare system. Just go straight to single payer universal healthcare and be done with it.

                    CopperC Offline
                    CopperC Offline
                    Copper
                    wrote on last edited by Copper
                    #13

                    @Axtremus said in The Two Tiered Health System:

                    @Mik said in The Two Tiered Health System:

                    The other wrinkle here is that some large lower paying companies have made arrangements to offer health insurance to their workers. Costco, Starbucks, Walmart.... if we make the ceiling too high they will have no incentive to continue doing so.

                    It's past time to decouple healthcare from employment.

                    Forget two- or three- or four-tiered healthcare system. Just go straight to single payer universal healthcare and be done with it.

                    That is a great idea if the goal is higher cost and lower quality for everyone.

                    But it makes a swell virtue signal.

                    Now that obamacare pays for insurance for anyone that doesn't have insurance and can't afford it there is no reason for single payer.

                    Except, higher cost and lower quality and the virtue signal.

                    1 Reply Last reply
                    • taiwan_girlT Offline
                      taiwan_girlT Offline
                      taiwan_girl
                      wrote on last edited by
                      #14

                      Taiwan has a single payer healthcare. Seems to work pretty well. I have not had to use too much, but I know growing up as a poor family, it helped us and continues to help my mother.

                      (NOTE: I know taiwan is very different from the US. Population (25 million vs. 300 million, cultural differences, etc.)

                      Some points on Taiwan healthcare

                      • the government spends only one percent of its health care budget on administration. In US, insurers spend 12 percent of their revenue on administration. And, administrative costs account for 25 percent of hospitals’ budgets.

                      • Patients’ medical records are all on one system. Taiwan uses a national electronic health records database.

                      • health insurance premium payments take the form of payroll contributions (5.17 percent of income)

                      • Progressive income taxes and additional taxes on lottery tickets and tobacco also help fund the Taiwanese health care system. And, the Taiwanese government imposes a copay of about $12 whenever people use the medical system, unless they are low-income. Taiwanese with greater incomes can buy private insurance to pay for services their public system does not pay for.

                      • Taiwan spends six percent of GDP on health care, as compared to 17.7 percent in the US.

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