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re: Medicare for everyone.

Posted on 3/24/18 at 6:51 am to
Posted by Scruffy
Kansas City
Member since Jul 2011
78045 posts
Posted on 3/24/18 at 6:51 am to
quote:

Why would anyone go into training for over a decade and get 200k into student loan debt for a job that doesn’t pay well?
Because morons think that you immediately start making millions as a doctor the minute you get into medical school.

There is a microcosm of medicine that shows what would happen if the OP’s plan became reality.

Just look at family practice physicians. They rely heavily on Medicare/Medicaid and routinely have one of the lowest paying medical careers out there.

We are in dire need of family medicine physicians, but no one wants to go into the field.

Scruffy would wager that the “ratio of training and debt to future pay” plays heavily into the decision.

We also see it in pediatrics. You can’t actually “see” patients if you have a majority of Medicaid patients and you aren’t associated with a hospital. The numbers you have to see daily are extremely high due to the low return.

The private pediatricians that Scruffy knows either limits the number of Medicaid patients or doesn’t take any at all.
This post was edited on 3/24/18 at 7:21 am
Posted by Tarps99
Lafourche Parish
Member since Apr 2017
13420 posts
Posted on 3/24/18 at 7:20 am to
If Medicare is such a “great program” then why do most Medicare recipients enroll in a Medicare Advantage plan.

It’s because Medicare is another failing government program that people think throwing more money at the problem than fixing it. The same is true for Medicaid.

Mind you you Medicare Advantage plans are great for Seniors (if they are available as in some places the Healthcare market squeezed them out of business, in LA many of these plans are free with just the cost of your Medicare premium). They allow a private company manage the health care costs as opposed to traditional Medicare.

Most plans offer low copay as opposed to traditional Medicare which will barely pay anything. For example at a recent visit to a specialist I see, there was a sign that read the charge for a Medicare visit without supplemental insurance would be over 250 dollars.

But to cover an entire country with Medicare would be asinine without substantial increases in taxes.

I think California is proposing to do MediCal for all which is Medicaid, but I don’t think they have realized the full cost yet which could triple their annual budget.

But for less than what they are proposing to take over, they could probably provide private insurance policies for all.

I just wish someone could explain the entire medical cost and insurance scheme.

Procedure X actually costs 3,000 to perform, but the hospital has to bill 30,000 to insurance or Medicaid to get 3,000 while the patient also gets billed 30,000 and has to pay up to his policy deductibles which could be pretty high.

You can see why people are going medically bankrupt.
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