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re: Corporations like single payer because it keeps healthcare off the balance sheet

Posted on 7/19/17 at 6:17 am to
Posted by ALTiger
Alabama
Member since Nov 2009
3031 posts
Posted on 7/19/17 at 6:17 am to
I'm convinced a single payer system would be the beginning of the end for America. That is why republicans are against it. It's an entitlement that our country would never recover from
Posted by Crow Pie
Neuro ICU - Tulane Med Center
Member since Feb 2010
25419 posts
Posted on 7/19/17 at 6:31 am to
quote:

Do those companies cut health insurance for their retirees when they are Medicare eligible?

The company I work does.
What if the employee's spouse is not Medicare eligible and the spouse relies on the company for insurance??
Posted by Loserman
Member since Sep 2007
22004 posts
Posted on 7/19/17 at 6:40 am to
quote:

Since Medicare is running out of money in 2029 guess there will be huge tax increases.

Fine by me I will be retired before anybody has the guts to address it




I'll be dead by then so y'all have fun with that crap
Posted by Aubie Spr96
lolwut?
Member since Dec 2009
41287 posts
Posted on 7/19/17 at 7:57 am to
quote:

It just crushes middle class families.
Posted by IceTiger
Really hot place
Member since Oct 2007
26584 posts
Posted on 7/19/17 at 8:18 am to
quote:


Big business will be for it, Chamber of Commerce will be for it, libs will be for it. I think it will happen.


Do it at the state level where the responsibility belongs
Posted by Athanatos
Baton Rouge
Member since Sep 2010
8142 posts
Posted on 7/19/17 at 8:27 am to
People touting the free market as the solution to health care woes are delusional. There is not free market when you go to the only ER in 100 miles and get charged $10k for a CT scan. Medicare would only pay a few hundred dollars for the same scan.
Posted by Taxing Authority
Houston
Member since Feb 2010
57455 posts
Posted on 7/19/17 at 9:19 am to
quote:

Our healthcare costs are so high because we demand the latest and greatest technology as well as every life saving measure necessary for 90+ year olds and 30 week old babies
Drive by any hospital or medical center. Every one is expanding or hasn't expanded. The hospital I was born in has more than quadrupled in size, the towns population... hasn't grown.

And why shouldn't demand be surging? People don't pay for what they take, so there is no counter to over demanding unnecessary services. And there is no counter to providers to deliver unnecessary services.
Posted by Taxing Authority
Houston
Member since Feb 2010
57455 posts
Posted on 7/19/17 at 9:20 am to
quote:

I'm convinced a single payer system would be the beginning of the end for America. That is why republicans are against it.
Republicans don't give two ishts about America. Unless their campaigning for reelection.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 7/19/17 at 9:27 am to
quote:

Drive by any hospital or medical center. Every one is expanding or hasn't expanded. The hospital I was born in has more than quadrupled in size, the towns population... hasn't grown.


Because they are funneling profits back into the hospital to maintain a tax free status (show zero profits)

What's your point?

quote:

And why shouldn't demand be surging? People don't pay for what they take, so there is no counter to over demanding unnecessary services. And there is no counter to providers to deliver unnecessary services.


And how will a government single payer stop this? They are still a third party payer
Posted by Taxing Authority
Houston
Member since Feb 2010
57455 posts
Posted on 7/19/17 at 9:28 am to
quote:

There is not free market when you go to the only ER in 100 miles and get charged $10k for a CT scan. Medicare would only pay a few hundred dollars for the same scan.
ironic post. How do you think providers are covering those below-cost "few hundred dollar" Medicare and Medicaid patients?

Indeed there are hard limits on pricing freedom. But they are imposed both directly and indirectly by the government creating a large customer base at below market fixed prices.

It makes no sense to say: "government created market distortions so severe the only solution is to have government destroy the market out of existence."

Posted by Taxing Authority
Houston
Member since Feb 2010
57455 posts
Posted on 7/19/17 at 9:32 am to
quote:

What's your point?
My point is that you're correct. Consumer demand has expanded while simultaneously their appetite for paying for it has decreased.

I get your point about profits. And that certainly accounts for some of the lushness of the facilities. But those facilities aren't empty. They're being used.

quote:

And how will a government single payer stop this?
Huh? It won't. It'll only make it worse. People won't even face higher insurance rates for over use.

quote:

They are still a third party payer
My guess is advocates of single payer would say "it will be different this time!"
This post was edited on 7/19/17 at 9:34 am
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 7/19/17 at 10:49 am to
quote:

I get your point about profits. And that certainly accounts for some of the lushness of the facilities. But those facilities aren't empty. They're being used.


Of course they are being used. The hospitals aren't building more of the same thing (hospital beds). They are expanding into every sector of healthcare to continue to suck every ounce of reimbursement from a patient. Take Ochsner New Orleans for example. They just keep buying local hospitals until they dominate the market. They just built a massive rehab center so the patient goes straight from Ochsner hospital to Ochsner rehab.

quote:

Huh? It won't. It'll only make it worse. People won't even face higher insurance rates for over use.


I also think single payer government healthcare will be more expensive due to waste, corruption, and being too big to make the small changes necessary in each unique healthcare environment. Sorry, I guess I misunderstood you. I think we are on the same page

Posted by Taxing Authority
Houston
Member since Feb 2010
57455 posts
Posted on 7/19/17 at 11:57 am to
quote:

The hospitals aren't building more of the same thing (hospital beds).
Of course not. More admissions isn't where services are expanding. Consumers don't want to spend time in hospitals-doesn't mean they don't want imaging, outpatient procedures, tests out the wazoo, etc. the readmission reimbursement rules will only continue that trend.

quote:

Take Ochsner New Orleans for example. They just keep buying local hospitals until they dominate the market. They just built a massive rehab center so the patient goes straight from Ochsner hospital to Ochsner rehab.
There are a lot of things driving the MSP model. Fewer docs wanting to run their own practice, CMMS reimbursements, and ability to cost shift all play prominently into that market. The largest MSP here (BS&W) has expanded (and merged) because it increased their customer base. Gives them more paying customers to cost-shift MEDI PTs onto. If you're small, you can't do that. But eventually everyone's going to run out of "other people" to cover for them.

Honestly, I think some of the acquirees feel relieved they o longer have to deal with it all. Can't blame them.
Posted by Athanatos
Baton Rouge
Member since Sep 2010
8142 posts
Posted on 7/19/17 at 9:04 pm to
The cash price at a radiology clinic is closer to the Medicare price than the charge master price at an ER, so that should give some hint to the true cost.
Posted by Twenty 49
Shreveport
Member since Jun 2014
18866 posts
Posted on 7/20/17 at 12:44 am to
Who said it?

• "If you can’t take care of your sick in the country, forget it, it’s all over. ... I believe in universal healthcare,"

• "I would put forth a comprehensive health care program and fund it with an increase in corporate taxes, "

• "The Canadian plan also helps Canadians live longer and healthier than America. … We need, as a nation, to reexamine the single-payer plan, as many individual states are doing,"

Donald J. Trump

LINK
Posted by AUstar
Member since Dec 2012
17076 posts
Posted on 7/20/17 at 5:15 am to
I'm for free shite. I want my lifestyle paid for by the rich. The Tim Cooks and Jeff Beezos' of the world have enough money to pay for all of our healthcare, but let's not stop there. I want a fricking universal income. Zuckerberg himself said he wants a universal income, which I assume means he plans on opening his check book and shelling out a few billion. He could even house some of us peasants at his gazillion acre gated mansion in Hawaii.

I am not trolling. If the rich are WILLING to pay for my shite, I will happily accept it. I don't ever want to work again.
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