Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

applegrove

(118,685 posts)
Sun Feb 3, 2019, 09:02 PM Feb 2019

We're already paying for 'Medicare For All,

We're already paying for 'Medicare For All,'

by John K. Herpel at the Sentinel Source

https://www.sentinelsource.com/opinion/letters_to_the_editor/we-re-already-paying-for-medicare-for-all-by-john/article_29420a45-fabb-5aec-b63c-dfcfb9fc7102.html

"SNIP.....

I am infuriated by the advocates of “Medicare-for-all.” They let their opponents yammer about how much it would cost, without pointing to the elephant in the room.

The elephant in the room is the for-profit health insurance industry. We Americans, whether employers or individuals, pay insurance companies billions of dollars used to advertise, to lobby, to cook up thousands of complex, unaffordable insurance “products,” to purchase politicians, to pay shareholders, to buy CEOs Ferraris, yachts and McMansions.

Remember, all this comes right out of the premiums you pay. Medicare doesn’t waste your money on this stuff. And Medicare doesn’t tell you which doctor to see.

Point is, the money (and lots more) is already there. Medicare-for-all would save billions of dollars — not to mention thousands of lives — by encouraging, rather than discouraging, earlier treatment, and by throwing out appalling and deadly “pre-existing conditions” nonsense. This isn’t “socialized medicine” — doctors and hospitals would remain private.

......SNIP"

21 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
We're already paying for 'Medicare For All, (Original Post) applegrove Feb 2019 OP
Americans already pay in taxes more for healthcare than the UK, plus they then Doodley Feb 2019 #1
Well and concisely put. K&R. c-rational Feb 2019 #2
Maybe the problem isn't the advocates Voltaire2 Feb 2019 #3
Of course. The key is that taxes would go up LESS than you would save in wasted premiums. Net save. PSPS Feb 2019 #4
Anyone want to guess what percentage a health insurance company makes in profit out of Hoyt Feb 2019 #5
Nurses in canada can make over $100,000. Take a walk around a hospital in canada applegrove Feb 2019 #6
You have a citation for that? And, I'm talking UK. Hoyt Feb 2019 #7
I live in canada. I talked to a nursing student 10 years ago. That is what applegrove Feb 2019 #8
About 2% according to United Health Care in 2018 riverine Feb 2019 #9
That's close, I was thinking around 3%. Let's say it's twice that, 6%, to include some other slop Hoyt Feb 2019 #10
The private insurance system drives Voltaire2 Feb 2019 #13
Not really. Medicare's administrative costs are much higher than the 2% that comes out of Hoyt Feb 2019 #14
Obligatory post area51 Feb 2019 #11
Well said. When the time comes Democratic candidates MUST point out these facts theophilus Feb 2019 #12
It's also way cheaper for employers IronLionZion Feb 2019 #15
You're not accounting for the fact that Medicare payment rates would have to skyrocket... MadDAsHell Feb 2019 #16
yes that will have to be addressed but here are a couple simple ideas questionseverything Feb 2019 #21
We pay twice as much per capita for crappy health care as Western Europe. McCamy Taylor Feb 2019 #17
You are smart. applegrove Feb 2019 #19
OMG! Did we get distracted? We are supposed to be eating our own McCamy Taylor Feb 2019 #18
Smart again. applegrove Feb 2019 #20

Doodley

(9,094 posts)
1. Americans already pay in taxes more for healthcare than the UK, plus they then
Sun Feb 3, 2019, 09:07 PM
Feb 2019

have to buy insurance, pay for copays, deductibles, and dental.

Voltaire2

(13,061 posts)
3. Maybe the problem isn't the advocates
Sun Feb 3, 2019, 09:30 PM
Feb 2019

for Medicare For All, who having been making this point as long as they have been advocating for it.

Maybe there is some reson why that message is not being broadcast?

PSPS

(13,601 posts)
4. Of course. The key is that taxes would go up LESS than you would save in wasted premiums. Net save.
Sun Feb 3, 2019, 09:31 PM
Feb 2019

But the media makes enormous revenue on insurance company ads, so they are loath to do anything to interrupt that cash flow, the same as political ads.

 

Hoyt

(54,770 posts)
5. Anyone want to guess what percentage a health insurance company makes in profit out of
Sun Feb 3, 2019, 09:37 PM
Feb 2019

a premium dollar? Hint, it’s nowhere near 20%.

Point is, I’m for universal coverage and Medicare-for-All is one way to do that. But the whole healthcare system will have to be restructured to make it affordable. As long as we pay a lot more to those in healthcare than other countries, it’s going to be tough.

Know any nurses, radiology techs, etc. How do you think the are going to take a 40% to 50% pay cut to be comparable to nurses in the UK, etc. What will the unions say? And, we haven’t even started talking about doctors, stand up MRI facilities for claustrophobic American consumers, private hospital rooms that most people demand, etc. oh, I’m fine with cutting CEO pay. Heck, eliminate it for all I care. That’ll save us 0.0000538%.

I want to hear a politician tell the truth on what it will cost us to get Medicare-for-All, and then commit to do that, the hell with what it costs. I’ll vote for them, but I’m betting any politician who does that won’t make the first cut in the primaries.

applegrove

(118,685 posts)
6. Nurses in canada can make over $100,000. Take a walk around a hospital in canada
Sun Feb 3, 2019, 09:52 PM
Feb 2019

to see the beautiful cars the doctors are driving. Fact is the competition to get into medical school in canada is very, very high because it is a calling.

applegrove

(118,685 posts)
8. I live in canada. I talked to a nursing student 10 years ago. That is what
Sun Feb 3, 2019, 10:08 PM
Feb 2019

nurses made then if they work at a hospital. I walked around the hospital a few times. I can't remember if I was taking my parents there or when I was there myself. Again, jaguars and other fine cars. This was one of three big hospitals in Ottawa. There are no private hospitals. This was a public hospital. Not in a rich area. Very pleasant place. My dad was very sick this fall and ended up in another hospital for a few days. Lovely service. The best computer technology to monitor him. He was out in three days. He is almost 89 and weighs 270. Health care is wonderful here. He is in a nursing home and the doctor there got us to stop him from eating too much sugar and his levels have gone down to healthy.

 

riverine

(516 posts)
9. About 2% according to United Health Care in 2018
Sun Feb 3, 2019, 10:11 PM
Feb 2019
UnitedHealth Group’s first quarter 2018 revenues grew 13.3 percent or $6.5 billion year-over-year to $55.2 billion.

First quarter earnings from operations grew $640 million or 18.8 percent year-over-year to $4.1 billion. Adjusted net earnings of $3.04 per share grew 28.3 percent.




https://www.businesswire.com/news/home/20180417005655/en/UnitedHealth-Group-Reports-Quarter-Results
 

Hoyt

(54,770 posts)
10. That's close, I was thinking around 3%. Let's say it's twice that, 6%, to include some other slop
Sun Feb 3, 2019, 10:34 PM
Feb 2019

insurance companies pay.

So we get rid of insurance companies and your premium goes down 6% a month — from say $700 to $658 a month. That’s an improvement for sure and worth doing. But I’m betting people are going to gripe just as much paying $658 as they do paying $700.

Point is not that’s it isn’t worth pursuing, but there is so many more things we are going to have to do, including sacrifices, to make the system truly affordable.

Of course, I’m not even considering how the government will come up with money for the systems and employees that insurance companies supply now to administer Medicare, Medicaid, etc., the money necessary to cover the 30 million that don’t have coverage, and more. With the will we can achieve a lot in 20 or 30 years, but we aren’t going to see any real savings in my lifetime. We’re fooling ourselves.

On the other hand, no better time to start than now, if we find someone to do it who isn’t playing politics with healthcare. Hillary Clinton came pretty close in 1990s, but she was crucified by both sides.

 

Hoyt

(54,770 posts)
14. Not really. Medicare's administrative costs are much higher than the 2% that comes out of
Sun Feb 3, 2019, 11:23 PM
Feb 2019

Medicare budget.

I’ve been for Medicare-for-All, actually Medicaid, since 1982. But, getting there is going to be painful and take quite awhile unless government ponies up a bunch of money upfront. Don’t see it happening with GOPer in control, or close to control.

theophilus

(3,750 posts)
12. Well said. When the time comes Democratic candidates MUST point out these facts
Sun Feb 3, 2019, 10:47 PM
Feb 2019

and move the discussion to what is best for all those who want affordable quality healthcare. It will probably not work to advocate moving everyone onto Medicare or Medicaid rolls. The enemy will paint it as "they are taking away your wonderful insurance!" It must be a choice. Even at a public option buy in there will be push back. They will say: "The quality will be poor". At the same time they will say: "This is unfair competition on the part of the government insurance." You can't have it both ways. Either Medicare is bad-- in which case people will not want it. Or.....Medicare is better and more affordable and this is the best for YOU. Who cares about the effing Insurance Companies. If they can't offer an affordable product then they must GO OUT OF BUSINESS! The important thing is to provide YOU with quality affordable healthcare. This is not a game.

The Democratic Party must have a clear strategy to pay for the insurance.

IronLionZion

(45,454 posts)
15. It's also way cheaper for employers
Mon Feb 4, 2019, 12:02 AM
Feb 2019

Medicare for all is the pro-business plan if you think about how it benefits the companies and organizations paying for their workers' health insurance



 

MadDAsHell

(2,067 posts)
16. You're not accounting for the fact that Medicare payment rates would have to skyrocket...
Mon Feb 4, 2019, 12:08 AM
Feb 2019

to make up for the loss of the much better paying commercial plans.

What Medicare for All consistently fails to account for is the fact that many providers accept Medicare and Medicaid patients ONLY because they have at least some commercial patients whose payments can subsidize the losses or razor thin margins of the government payers. You suddenly make those providers rely SOLELY on those anemic government payments and easily half are out of business in a year. You'd be handing the neocons those "wait lists" on silver platter.

Medicare for All? Absolutely.

Medicare for All with absolutely no plan for how to make the payment rates sustainable for the majority of providers? No thanks.

questionseverything

(9,656 posts)
21. yes that will have to be addressed but here are a couple simple ideas
Mon Feb 4, 2019, 05:49 PM
Feb 2019

we start subsidizing our best and brightest to become docs so they don't start their careers with huge debt

tax credits for providers

McCamy Taylor

(19,240 posts)
17. We pay twice as much per capita for crappy health care as Western Europe.
Mon Feb 4, 2019, 12:15 AM
Feb 2019

Plus, whenever people get old/sick/disabled they tend to go on Medicare either through age or disability meaning that all the sick people are already on Medicare and the privates get to cherry pick healthy workers and suck up their premiums while giving them nothing.

If people had Medicare from an early age--i.e. insurance they could afford to use that emphasized disease prevention--Medicare would not spend so much money paying for end of life care for people with dialysis, transplants, heart failure--because fewer of us would need dialysis, transplants and heart failure. Sadly, the Medical Industrial Complex likes all these severe chronic disease, because they make a bundle treating them.

McCamy Taylor

(19,240 posts)
18. OMG! Did we get distracted? We are supposed to be eating our own
Mon Feb 4, 2019, 12:16 AM
Feb 2019

not discussing matters of common interest. For shame.

Latest Discussions»General Discussion»We're already paying for ...