General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsU.S. is on fast track to health care train wreck - We need Medicare For ALL
Three seemingly unstoppable trends in America are on collision course: 1) the inventiveness of the promoters of medical technology; 2) health care insurers and providers excessive costs; and (3) the health care expectations of the American public.
America is sleeping as this collision draws nearer. As Winston Churchill warned us 70 years ago, democracies always seem to wake up 20 years too late. We believe that even if America awoke tomorrow, it would be too late to avoid many aspects of the coming collision.
But what an opportunity! If we spent what other developed nations spend on health care, we could balance the budget and fund a myriad of other important public needs.
In 2015 we spent $3.2 trillion on health care, which was $10,000 per person in the U.S., ($25,000 for a typical American family). This is 17.5 percentof the U.S. Gross Domestic Product (GDP). To put this in perspective, this is more than twice what most other developed nations spend on health care while insuring all of their residents. This year we are on track to exceed that amount with it being 18 percent of GDP.
. . .
The ideal health insurance system is one that: provides free choice of hospitals and doctors; provides insurance coverage to all at all times (i.e., not tied to an employer); is affordable and will remove all risk of medical bankruptcy. This system should have an administrative cost of less than 5 percent and have everyone in the risk pool, thus making premiums affordable. We have such a system now: Medicare covers all persons over 65, those on total disability, and all renal dialysis patients.
http://www.denverpost.com/2016/12/17/u-s-is-on-fast-track-to-health-care-train-wreck/
Horse with no Name
(33,956 posts)even working for hospitals in very conservative areas where the administration is 100% right wing batshit crazy.....they will tell you that if they lose Medicare funding...they will go out of business.
So not only will we lose healthcare for our seniors via fiat of taking away Medicare....we will lose healthcare for ALL due to lack of funding. You will see hospitals start closing in rapid fashion.
Wounded Bear
(58,658 posts)failure to expand Medicaid has forced many clinics and hospitals, especially in rural areas which are already underserved, to close their doors.
I know in my state, Washington-about as blue as they come voting wise-the medical gap is being closed by the Catholic Church, which is buying up hospitals and clinics at an alarming rate. That, of course, has serious ramifications on women's health.
Obamacare was supposed to expand Medicaid, and was blocked in many states by the Repubs. It also substantially buttressed Medicare, kind of in parallel.
If the Repubs start tinkering with any of that, it will have serious ramifications, like you say. That would certainly have a large ripple effect through the rest of the economy. Frankly, I think we're in for another deep economic downturn, perhaps before Trump escapes his first term.
Horse with no Name
(33,956 posts)I think that we are going to see more than a downturn. I expect it will be a full-blown depression. My job currently is constitutionally guaranteed. This won't affect me, but I expect that there is going to be a significant job loss in the healthcare industry.
Wounded Bear
(58,658 posts)in normal times I could say I don't care because I at least have a guaranteed income.
But the fucking Repubs are coming after that. This year's "COLA" was smaller than my rent increase. Next year, my mandatory Medicare deduction kicks in, assuming that's still there. I'm starting to feel like I'm out on a very weak limb, and there are lots of evil conservatives running around with hatchets and saws.