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flamingdem

(39,314 posts)
Sat Oct 31, 2015, 05:53 PM Oct 2015

Why Republicans are hell-bent on destroying Medicare

http://theweek.com/articles/585955/why-republicans-are-hellbent-destroying-medicare

One way you can identify politicians' sincere convictions is by looking at the things they do even when they know they're unpopular. There are few better examples than the half-century-long quest by Republicans to destroy Medicare.

As we move towards the 2016 presidential election, it's something we're hearing about yet again. Conservatives know the Democrats will attack them for it mercilessly, and they know those attacks are probably going to work — yet Republicans keeps trying. Which is why it's clear that they just can't stand this program.

When Medicare was being debated in the early 1960s, one of its most prominent opponents was a certain future president, who recorded a spoken word album called Ronald Reagan Speaks Out Against Socialized Medicine. In it, he said that if the bill were to pass, "We are going to spend our sunset years telling our children and our children's children what it once was like in America when men were free." He failed in that crusade, and ever since, conservatives have watched in pain as the program became more entrenched and more popular.

That popularity didn't happen by accident. Medicare is popular because it gives seniors something they crave: security. Every American over 65 knows that they can get Medicare, it will be accepted by almost every health care provider, their premiums will be modest, and it won't be taken away. On the policy level, the program is expensive, but that's because providing health care for the elderly is expensive. It's not because the program is inefficient; in fact, Medicare does an excellent job of keeping costs down. Its expenses for overhead (basically everything except health care) are extremely low, somewhere between 1 percent and 5 percent of what it takes in, compared to private insurance costs that can run from 10 percent to 20 percent and, in some cases, even higher. (See here for a good explanation of these figures.)
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Why Republicans are hell-bent on destroying Medicare (Original Post) flamingdem Oct 2015 OP
The biggest threat to Medicare, IMO SickOfTheOnePct Oct 2015 #1
The excerpt seems to deny that the problem exists. Jim Lane Oct 2015 #4
It's long past time sulphurdunn Oct 2015 #6
Going to single-payer isn't going SickOfTheOnePct Oct 2015 #8
Yes, sulphurdunn Nov 2015 #20
I don't know. My husband's doctor charges him $70.00 co pay per visit and charges Medicare 1monster Oct 2015 #10
So the visit itself is $350 SickOfTheOnePct Oct 2015 #11
Believe me, 15 minutes for the doctor to ask a few questions on 1monster Nov 2015 #17
Then call Medicare and ask what charge code he's submitting SickOfTheOnePct Nov 2015 #18
One co-worker told me his doctor of many years wanted $1600 payment to continue being his doctor. Thinkingabout Oct 2015 #2
Yep, concierge medicine SickOfTheOnePct Oct 2015 #3
Maybe we should consider different criteria for medical school admission... Human101948 Oct 2015 #5
I hadn't heard that SickOfTheOnePct Oct 2015 #9
Yes, I believe that is the main role of these self-annointed groups erronis Oct 2015 #13
Medicare for all lobodons Oct 2015 #7
They are greed-heads. No need for further analysis. WinkyDink Oct 2015 #12
Medicare saved my family from a crisis in 1966 mountain grammy Oct 2015 #14
You probably mean Medicaid. Medicare only pays for up to 100 days of nursing home care now pnwmom Oct 2015 #15
Medicaid was a long way off.. mountain grammy Oct 2015 #16
So the "why" is simply a matter of ideology, nothing else? Martin Eden Nov 2015 #19

SickOfTheOnePct

(7,290 posts)
1. The biggest threat to Medicare, IMO
Sat Oct 31, 2015, 06:11 PM
Oct 2015

is the low reimbursement rates. I have a few years until I'm eligible for Medicare, but my doctor recently stopped taking new Medicare patients, and no longer accepts assignment for his existing Medicare patients. That can be quite an additional cost for Medicare patients that stay with him.

 

Jim Lane

(11,175 posts)
4. The excerpt seems to deny that the problem exists.
Sat Oct 31, 2015, 07:20 PM
Oct 2015

According to the excerpt in the OP, seniors know that Medicare "will be accepted by almost every health care provider...." My understanding is that acceptance is already below that standard and is still dropping.

SickOfTheOnePct

(7,290 posts)
8. Going to single-payer isn't going
Sat Oct 31, 2015, 08:48 PM
Oct 2015

to gut the private healthcare industry. Medical practices are still going to be private entities.

 

sulphurdunn

(6,891 posts)
20. Yes,
Sun Nov 1, 2015, 10:05 AM
Nov 2015

and they'll being doing business with Medicare of competing to provide concierge services for a few very wealthy people.

1monster

(11,012 posts)
10. I don't know. My husband's doctor charges him $70.00 co pay per visit and charges Medicare
Sat Oct 31, 2015, 08:49 PM
Oct 2015

considerably more for the same visit. And Medicare pays. That doesn't seem so much like low disbursement to me.

SickOfTheOnePct

(7,290 posts)
11. So the visit itself is $350
Sat Oct 31, 2015, 08:56 PM
Oct 2015

It depends on what's being done as to whether or not that is low. If it's costing the doctor $340 to provide the service, then $350 is low.

I know that I was listening to a spokeswoman for Virginia Hospital Center a couple of years ago, and she said that they lost money on every single Medicare patient they treated, so they had to charge other insured patients more to make up for it.

1monster

(11,012 posts)
17. Believe me, 15 minutes for the doctor to ask a few questions on
Sun Nov 1, 2015, 12:38 AM
Nov 2015

how well the meds are working and whether any further symtoms have mafe their appearance yet hardly justifies that kind of fee.

SickOfTheOnePct

(7,290 posts)
18. Then call Medicare and ask what charge code he's submitting
Sun Nov 1, 2015, 05:54 AM
Nov 2015

The total charge for an office visit should be around $70, and you would only be responsible for 20% of that. If he's charging $350 for just an office visit, sounds like he's ripping off Medicare and you.

Thinkingabout

(30,058 posts)
2. One co-worker told me his doctor of many years wanted $1600 payment to continue being his doctor.
Sat Oct 31, 2015, 06:21 PM
Oct 2015

He is going to change doctor. There is still lots of fraud and unnecessary cost occurring in Medicare and those could be changed to payments to doctors and healthcare workers. This does not make Medicare a bad program.

 

Human101948

(3,457 posts)
5. Maybe we should consider different criteria for medical school admission...
Sat Oct 31, 2015, 08:06 PM
Oct 2015

The so-called "best and brightest" seem to be repugnant money grubbers.

I've also heard that the AMA limits the number of graduates to boost the salaries of doctors. Is that true?

erronis

(15,324 posts)
13. Yes, I believe that is the main role of these self-annointed groups
Sat Oct 31, 2015, 09:03 PM
Oct 2015

It isn't just AMA. Same for the dentists, any licensed professional.

Sure, they say they want to make sure that their members are properly trained and regulated. However, they don't like to be called out on regulation or auditing of how well they (the organization) or their members are doing.

They are mainly in it to make some bucks (a lot) and to prevent the governments from getting into the act. Of course the governments may not have the resources (need to hire medical professionals to police medical professionals), but the real reason is that the government _may_ be impartial.

This is another reason that the AMA (and others) rail against legal actions against their members. Too much open air and scrutiny is never a good thing. Hear them scream about tort reform and legal insurance. Bet they can't/won't put up the real figures on malpractice by all doctors/hospitals vs. malpractice cases brought and won.

The USofA is a totally broken system afa health care. Licensed plumbers, I don't know.

mountain grammy

(26,642 posts)
14. Medicare saved my family from a crisis in 1966
Sat Oct 31, 2015, 09:37 PM
Oct 2015

when my grandmother was rapidly approaching the need for nursing home care. Nobody in the family had the means to provide care or the room to take her in. Medicare passed, and soon my Bubie was residing in a good nursing home.. my mother visited daily after work, and the rest of the family at least once a week. The burden had been lifted.

pnwmom

(108,990 posts)
15. You probably mean Medicaid. Medicare only pays for up to 100 days of nursing home care now
Sat Oct 31, 2015, 09:57 PM
Oct 2015

and it used to be only a few weeks.

But Medicaid will pay the bills after a nursing home patient runs out of personal funds.

mountain grammy

(26,642 posts)
16. Medicaid was a long way off..
Sat Oct 31, 2015, 10:46 PM
Oct 2015

and Medicare paid for most of my grandmother's care.She died in 1969.

and, on edit, I guess it was Medicaid, which was passed before Medicare.. My husband just corrected me.. oops.

Martin Eden

(12,874 posts)
19. So the "why" is simply a matter of ideology, nothing else?
Sun Nov 1, 2015, 08:34 AM
Nov 2015

I always thought a good chunk of it was serving the interests of their corporate sponsors in the private insurance industry.

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