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Hey Congress Staff members read this about Healthcare---

Posted on 7/16/17 at 10:08 am
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 7/16/17 at 10:08 am
I know those staffers read and post at TD and I don't want to contribute enough money to Cassidy or Kennedy to actually talk to them so maybe one of the political wannabes will read this and pass it on.

quote:

As you know the government buys more than 50% of the healthcare in the US through various programs the biggest being medicare. It is this fact that causes healthcare cost to continue to rise greater than the rate of inflation.

Because medicare through law establishes a floor on the price of medical services and products no amount of negotiating by consumers or health insurance companies will lower the cost of healthcare. Providers that take medicare cannot sell their service at a lower cost to anyone else than they do to medicare. We should move to get the government out of the business of the direct purchasing of health care.

One way that I see to do this is to move medicare toward vouchers where medicare recipients can buy subscription healthcare services and drug deliveries removing the third party inefficiencies we have today. Give the medicare folks any savings they accomplish through shopping.

I know it is unrealistic to think we can change the entire system this week but I encourage you to advocate for at least an option for medicare people to have vouchers to use. This, I believe, will encourage providers to offer subscription plans and hopefully those plans will take off and give us a better pricing model for healthcare. Certainly making shoppers out of millions of American will lower cost and force efficiencies into the system we badly need.

Please do what you can to add such a measure to whatever bill the Senate comes up with.


Moving to a different pricing model for healthcare will do a lot to lower cost. If the republicans will just allow the vouchers as an option I think a subscription based pricing model will become reality. Certainly many in the provider business would appreciate the more predictable income flows a subscription plan would provide.

The realist in me knows the Senate is going to take care of the lobbyist and are not really concerned about you and I.

(Graham and Cassidy now want to block grant huge amounts to the states so people like John Bel Edwards can decide our healthcare. Ugh! If they have to do that please do away with the medicare floor so we don't have to compete so much with the government for services.)
Posted by TrueTiger
Chicken's most valuable
Member since Sep 2004
67651 posts
Posted on 7/16/17 at 10:10 am to
quote:

the realist in me knows the Senate is going to take care of the lobbyist and are not really concerned about you and I.


Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 7/16/17 at 10:18 am to
Trump too. He is going to sign whatever the congress passes.
Posted by GumboPot
Member since Mar 2009
118647 posts
Posted on 7/16/17 at 10:18 am to
This sounds like a really good idea.

quote:

The realist in me knows the Senate is going to take care of the lobbyist and are not really concerned about you and I.


This is correct.

Congress people do not write legislation. Lobbyists do. Congress people are salesmen for the lobbyists.
Posted by GumboPot
Member since Mar 2009
118647 posts
Posted on 7/16/17 at 10:19 am to
quote:

Trump too. He is going to sign whatever the congress passes.



Yep.
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 7/16/17 at 10:31 am to
If we moved to subscription based pricing and vouchers the democrats should be happy because it would be very easy to do something like single payer by giving the poor vouchers to buy healthcare much like the Section 8 I hate.
Posted by MorningWood
On the coast of North Mexico
Member since May 2009
2666 posts
Posted on 7/16/17 at 12:06 pm to
Same thing with college tuition.
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 7/16/17 at 12:14 pm to
You are exactly right. We should spin off all our colleges into private entities tomorrow and give vouchers to students.

Soon we are going have brick and mortar schools in the state that will need to be closed but no one will close them Even JBE fought to keep the obsolete SUNO open. Spin them off private and let them live off the vouchered students they attract and they will sort themselves out.
Posted by goatmilker
Castle Anthrax
Member since Feb 2009
64157 posts
Posted on 7/16/17 at 12:20 pm to
quote:

Trump too. He is going to sign whatever the congress passes.


Why must he?
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 7/16/17 at 2:05 pm to
He is going too but he doesn't have too. He is going to call it a "beautiful healthcare plan" and so on.
Posted by goatmilker
Castle Anthrax
Member since Feb 2009
64157 posts
Posted on 7/16/17 at 4:16 pm to
I disagree on the HC part. Nothing he has said lends me to think otherwise.

PS
The majority(I believe) that voted Trump in to office want the ACA repealed.

Period.
This post was edited on 7/16/17 at 4:18 pm
Posted by themunch
Earth. maybe
Member since Jan 2007
64587 posts
Posted on 7/16/17 at 4:22 pm to
quote:

The majority(I believe) that voted Trump in to office want the ACA repealed.



quote:

.
This post was edited on 7/16/17 at 4:22 pm
Posted by goatmilker
Castle Anthrax
Member since Feb 2009
64157 posts
Posted on 7/16/17 at 4:33 pm to


Posted by asurob1
On the edge of the galaxy
Member since May 2009
26971 posts
Posted on 7/16/17 at 4:55 pm to
quote:

The majority(I believe) that voted Trump in to office want the ACA repealed.

Period.


Nothing stopping them.

Except them.
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 7/16/17 at 6:59 pm to
Most in Congress just move from cocktail party to fund raiser to this and that and never really give serious thought to what they pass.
Posted by NC_Tigah
Carolinas
Member since Sep 2003
123779 posts
Posted on 7/16/17 at 7:15 pm to
quote:

Moving to a different pricing model for healthcare will do a lot to lower cost.
Yes!

If we went to single payer at medicare rates, US healthcare costs would still be twice the stated costs of other countries. Insurance adjustment/elimination at our current cost-point is just a pebble in the pond.

To get to a lower cost, we must aggressively reform tort and regulations associated with US Medicine. Sans that, high expense will continue.
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 7/16/17 at 9:20 pm to
Regulation and tort are a problem but NOTHING compared to the problem of a corrupt big government buying healthcare as we have now. Hundreds of millions are spent every year by providers to get bureaucrats to pay more for they services and products under medicare. Once the government has agreed to pay more we all by law have to pay more as provider who take medicare cannot charge private insurance companies less than they charge medicare.

Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 7/17/17 at 10:31 am to
We should not subsidize insurance companies but Trump and McConnell seem ready to do so.

Only Paul is right on this issue.
Posted by roadGator
Member since Feb 2009
139776 posts
Posted on 7/17/17 at 10:33 am to
I still don't understand how you think subscription based care will be cheaper.

What doctor is going to set up shop in the poor areas and get his with more services than can be paid for by subscription revenue?

No doctor will do that.
Posted by kingbob
Sorrento, LA
Member since Nov 2010
67000 posts
Posted on 7/17/17 at 10:33 am to
quote:


Only Paul is right on this issue.


That seems to be the case on most issues.
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