re: The American Healthcare System Is The Biggest Pile Of shite Ever Invented

Well power- I’m not an expert here- but I think socialized medicine would be marginally worse particularly with rationing, which as the friend of many people in BC I know is a colossal clusterfrick and costs a lot of lives. I’ve also been on visits with someone with a chronic issue on Medicaid and think her care was great. But that’s not a hip replacement- that’s monitoring and prescribing. The choice as I see it is failure or failure. What do you think? What is the solution?

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So what you want is the VA for everyone. Careful what you ask for.

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shite, just socialize the entire thing. Make doctors a govt employee making 150k, nurses 80k

If you look at these countries with "socialized" medicine you'll see they pay far less than our people make.

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PM, why do you suspect the very element that broke our system, would somehow be the solution if we doubled down?

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Why do you think I recommend doubling down on ACA?

I'm not in favor of that or anything close to that.

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We are dealing with the fallout of the last great leftist idea surrounding health insurance

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It was said at the time Obama signed the ACA, that the bill was meant to destroy health care so badly that we end up with single payer.

Worked just like it was planned.

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Why do you think it is? Arbitrary.

Insurance has nothing to do with medicine. Totally different.

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Because, as I've stated several times, it's a massive financial part of the medical system. Saying it's separate is like saying Fannie Mae is separate from the housing system. You really have to stretch imo.

In theory, perhaps it should have nothing to do with medicine. In practice, a lot of your medical treatment is going to be guided by insurance requirements. The doctors want to get paid too and that doesn't happen from denied claims rolling into self pay

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Between my employer and I we pay $1,500.00 a month for employee +1 kid.

Kid goes to dermatologist, co pay $65.00.
Dermatologist writes prescription "that the kid needs to start immediately", last Wednesday.

Pharmacy - The Rx is $245.00 but if we get prior authorization it's $35.00, OK get prior authorization.

Seven days later and 14 phone calls "still pending approval" .

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United Health Care?

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And people will fricking defend it to the death (literally) before they'll ever consider a universal healthcare plan because "that's socialism"

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We have universal healthcare, now. It's a mixture of private and socialist healthcare (the worst of both worlds). ACA/Medicare/Medicaid are socialist. Combining that with private insurance makes corruption inevitable. The ACA took what little competition and downward pressure on prices that was left, out of our healthcare system.

Now our healthcare lobbyists own our politicians and if they want a vaccine put on the schedule, or transgender care for minors, or ED medication for 80 year-olds, they get it added to the ACA plans. They NEVER do anything that will reduce revenue or costs.

Healthcare in the US is no longer the best in the world, but it is still, by far, the most expensive.

At this point, I think a government run system for everyone is inevitable. I think we should take all of the money we use for ACA supplements, Medicare, and Medicaid, and create a BASIC universal system. Everyone, including if you're retired, indigent, in the military, a member of Congress, a government employee, or just a citizen of this country, you would get the basic government plan for no charge.

If you want to choose your own doctor, get name brand drugs, have a private hospital room, go to the front of the line for an MRI, get the latest and greatest prosthetic device, try an experimental treatment, or whatever, you can get private gap insurance (through your employer or pay for it OOP) to upgrade your coverage.

The point of having a basic "free" plan is that we all understand that it is basic, no frills and is designed to keep costs low. Supplemental insurance would take the basic plan money and add to it to give better care.

If we did this, the lobbyists for the insurance companies would be lobbying congress to NOT cover non-essential services with the basic plan, so that people will buy insurance to cover those services. I would imagine there would be a shitload of different plans available, from Cadillac coverage to just prescriptions, to everything in between. People planning on having kids can opt for a plan that covers having a child, and so on.

The competition for the private side of the business will drive costs down. The no frills nature of the public side will do the same.

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#1 cause by the widest of fricking margins for personal bankruptcy in the United States is medical debt

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Me when I lie.
LINK

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If you believe that a system with universal healthcare produces that result then I don't know what to tell you.

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No.
"Universal" Healthcare solves the problem by not providing any care at all.

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The same would be true here.

Obamacare is working exactly how it was intended