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The New Coffee Room

  1. TNCR
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  3. Employers and private insurance pay 247% of Medicare per Rand Corp.

Employers and private insurance pay 247% of Medicare per Rand Corp.

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  • L Offline
    L Offline
    Loki
    wrote on last edited by
    #1

    https://www.rand.org/news/press/2020/09/18.html

    1 Reply Last reply
    • MikM Offline
      MikM Offline
      Mik
      wrote on last edited by
      #2

      Again, subsidizing all that free healthcare.

      “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
      • JollyJ Offline
        JollyJ Offline
        Jolly
        wrote on last edited by
        #3

        Cost-shifting.

        If Americans suddenly started looking at $400/month Medicare bills, they would understand.

        Medicare for all, is a bankrupting pipe dream.

        “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

        AxtremusA 1 Reply Last reply
        • MikM Offline
          MikM Offline
          Mik
          wrote on last edited by
          #4

          I doubt $400 a month would even begin to cover it.

          “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
          • CopperC Offline
            CopperC Offline
            Copper
            wrote on last edited by
            #5

            The idiots make "Medicare for all" sounds like some kind of magic, free healthcare.

            I paid into Medicare for 40 years and continue now paying a quarterly premium to the government plus an additional premium for medi-gap coverage.

            The Medicare I have is not free.

            1 Reply Last reply
            • taiwan_girlT Offline
              taiwan_girlT Offline
              taiwan_girl
              wrote on last edited by
              #6

              I think that national health care does have a place.

              Not sure exactly about Medicare for all, but I think Jolly is right. There would be cost shifting. Private insurers and employees would pay less, while others would pay more.

              1 Reply Last reply
              • MikM Offline
                MikM Offline
                Mik
                wrote on last edited by
                #7

                There are no “others”.

                “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
                • JollyJ Jolly

                  Cost-shifting.

                  If Americans suddenly started looking at $400/month Medicare bills, they would understand.

                  Medicare for all, is a bankrupting pipe dream.

                  AxtremusA Offline
                  AxtremusA Offline
                  Axtremus
                  wrote on last edited by
                  #8

                  @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                  Cost-shifting.

                  If Americans suddenly started looking at $400/month Medicare bills, they would understand.

                  Then let “them” see the bills, let “them” understand.

                  JollyJ 1 Reply Last reply
                  • AxtremusA Axtremus

                    @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                    Cost-shifting.

                    If Americans suddenly started looking at $400/month Medicare bills, they would understand.

                    Then let “them” see the bills, let “them” understand.

                    JollyJ Offline
                    JollyJ Offline
                    Jolly
                    wrote on last edited by
                    #9

                    @Axtremus said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                    @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                    Cost-shifting.

                    If Americans suddenly started looking at $400/month Medicare bills, they would understand.

                    Then let “them” see the bills, let “them” understand.

                    You don't have a clue, do you?

                    “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

                    taiwan_girlT 1 Reply Last reply
                    • JollyJ Jolly

                      @Axtremus said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                      @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                      Cost-shifting.

                      If Americans suddenly started looking at $400/month Medicare bills, they would understand.

                      Then let “them” see the bills, let “them” understand.

                      You don't have a clue, do you?

                      taiwan_girlT Offline
                      taiwan_girlT Offline
                      taiwan_girl
                      wrote on last edited by
                      #10

                      @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                      @Axtremus said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                      @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                      Cost-shifting.

                      If Americans suddenly started looking at $400/month Medicare bills, they would understand.

                      Then let “them” see the bills, let “them” understand.

                      You don't have a clue, do you?

                      I actually dont (and I mean that in a serious way). Isn't it kind of "zero sum"?

                      If there is national health care, the argument against it is that administration costs will go up? What else would go up?

                      JollyJ 1 Reply Last reply
                      • taiwan_girlT taiwan_girl

                        @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                        @Axtremus said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                        @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                        Cost-shifting.

                        If Americans suddenly started looking at $400/month Medicare bills, they would understand.

                        Then let “them” see the bills, let “them” understand.

                        You don't have a clue, do you?

                        I actually dont (and I mean that in a serious way). Isn't it kind of "zero sum"?

                        If there is national health care, the argument against it is that administration costs will go up? What else would go up?

                        JollyJ Offline
                        JollyJ Offline
                        Jolly
                        wrote on last edited by
                        #11

                        @taiwan_girl said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                        @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                        @Axtremus said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                        @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                        Cost-shifting.

                        If Americans suddenly started looking at $400/month Medicare bills, they would understand.

                        Then let “them” see the bills, let “them” understand.

                        You don't have a clue, do you?

                        I actually dont (and I mean that in a serious way). Isn't it kind of "zero sum"?

                        If there is national health care, the argument against it is that administration costs will go up? What else would go up?

                        Ok...About 68 million people have Medicare or Medicaid at a cost of approximately $1.2T (that's trillion, folks). So, if we cover 330,000,000 people...Well, you do the math...Granted, older people generate higher use, thus more costs.

                        My best guess would be $4T/year. That's roughly equal to the U.S. Budget of 2019. The whole budget.

                        I'll tell you what else would go up...doctor bills. Current Medicare reimbursement will not pay enough to keep most docs in business.

                        “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

                        taiwan_girlT 1 Reply Last reply
                        • JollyJ Jolly

                          @taiwan_girl said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                          @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                          @Axtremus said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                          @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                          Cost-shifting.

                          If Americans suddenly started looking at $400/month Medicare bills, they would understand.

                          Then let “them” see the bills, let “them” understand.

                          You don't have a clue, do you?

                          I actually dont (and I mean that in a serious way). Isn't it kind of "zero sum"?

                          If there is national health care, the argument against it is that administration costs will go up? What else would go up?

                          Ok...About 68 million people have Medicare or Medicaid at a cost of approximately $1.2T (that's trillion, folks). So, if we cover 330,000,000 people...Well, you do the math...Granted, older people generate higher use, thus more costs.

                          My best guess would be $4T/year. That's roughly equal to the U.S. Budget of 2019. The whole budget.

                          I'll tell you what else would go up...doctor bills. Current Medicare reimbursement will not pay enough to keep most docs in business.

                          taiwan_girlT Offline
                          taiwan_girlT Offline
                          taiwan_girl
                          wrote on last edited by
                          #12

                          @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                          @taiwan_girl said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                          @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                          @Axtremus said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                          @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                          Cost-shifting.

                          If Americans suddenly started looking at $400/month Medicare bills, they would understand.

                          Then let “them” see the bills, let “them” understand.

                          You don't have a clue, do you?

                          I actually dont (and I mean that in a serious way). Isn't it kind of "zero sum"?

                          If there is national health care, the argument against it is that administration costs will go up? What else would go up?

                          Ok...About 68 million people have Medicare or Medicaid at a cost of approximately $1.2T (that's trillion, folks). So, if we cover 330,000,000 people...Well, you do the math...Granted, older people generate higher use, thus more costs.

                          My best guess would be $4T/year. That's roughly equal to the U.S. Budget of 2019. The whole budget.

                          But, you cannot assume that people will not be paying for insurance. In Taiwan, there is a "national health insurance", but everybody still pays for it. Money is taken out of paychecks, employers contribute, etc.

                          Average US family cost for insurance is >$20,000USD. Multiply that by 85 MM families and that is almost USD $2 trillion.

                          I do not think that any national health insurance means that nobody pays for anything.

                          I'll tell you what else would go up...doctor bills. Current Medicare reimbursement will not pay enough to keep most docs in business.

                          That is something else I dont understand about the US health system. SE Asian is getting very big in "medical tourism". For example, a hip replacement in the US is maybe $30-40000 USD, while in Thailand it will be USD$8-12000, with no loss in quality. Where is that 3-4x higher cost due to? Admin? Salary? Inefficiency? Regulations? Better quality control? Insurance costs? All of the above?

                          I know some US insurance companies will encourage people to go to Thailand for pre-plan surgery. They can fly someone over, put them up in a 5* hotel, have the surgery and fly home, and still cost the insurance company less money.

                          1 Reply Last reply
                          • JollyJ Offline
                            JollyJ Offline
                            Jolly
                            wrote on last edited by
                            #13

                            I'm talking cost. $4T. That's a hard number, by more than one hard review of Sender's plan.

                            “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

                            taiwan_girlT 1 Reply Last reply
                            • JollyJ Jolly

                              I'm talking cost. $4T. That's a hard number, by more than one hard review of Sender's plan.

                              taiwan_girlT Offline
                              taiwan_girlT Offline
                              taiwan_girl
                              wrote on last edited by
                              #14

                              @Jolly said in Employers and private insurance pay 247% of Medicare per Rand Corp.:

                              I'm talking cost. $4T. That's a hard number, by more than one hard review of Sender's plan.

                              Is this number higher (and by how much) than the total insurance premiums + out of pocket payments that are paid by people.

                              As said above

                              Medicare = $1.2 trillion
                              Family Premium cost = $2 Trillion
                              Individuals not on family insurance = $?? (alot)
                              Out of pocket cost = $?? (alot I am sure)

                              Total = $??

                              Maybe the above is too simple a way to look at it. I am not saying you are incorrect that a national health insurance will be a lot higher. I am just curious as to how much higher and more important, WHY?

                              1 Reply Last reply
                              • CopperC Offline
                                CopperC Offline
                                Copper
                                wrote on last edited by
                                #15

                                It will just add a layer of cost, nothing will go away.

                                The national insurance will be terrible so we, who can afford it, will still purchase supplemental insurance. Just like now.

                                The question is why bother?

                                Everyone who wants insurance now has it.

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