Started By
Message
locked post

Why does “Medicare for all” require the illegality of offering plans that cover same stuff

Posted on 6/11/19 at 1:16 pm
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
69313 posts
Posted on 6/11/19 at 1:16 pm
I never quite got this

If the govt starts taxing people to pay for M4A, it’s not like a substantial amount of Americans would continue to buy private insurance. Why would someone not take advantage of something their taxes are going towards?

The amount of people would would buy their own extensive private insurance would be negligible. And providers would simply not be able to survive by only accepting this private insurance when 95%+ Americans are on govt plan

Why do so many health care policy makers fear such an implausible scenario where private insurance somehow hurts a m4a system?

Why does Canada ban plans that cover what the govt plan covers?
Posted by Quidam65
Q Continuum
Member since Jun 2010
19309 posts
Posted on 6/11/19 at 1:17 pm to
Because FedGov wants to collect all the money, AND CONTROL (translate: RATION) who gets care and who doesn't.
Posted by TrueTiger
Chicken's most valuable
Member since Sep 2004
67989 posts
Posted on 6/11/19 at 1:19 pm to
IDK

In France and England there is a private system right alongside the public one.

But as you stated, Canada had for a long time at least outlawed the private system.
I understand that the only 2 countries to abolish the private option were Canada and North Korea.
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
69313 posts
Posted on 6/11/19 at 1:21 pm to
I’m pretty sure in Europe it is illegal for health insurance companies to offer coverage for services that the govt plan already covers
Posted by TrueTiger
Chicken's most valuable
Member since Sep 2004
67989 posts
Posted on 6/11/19 at 1:23 pm to
That's what I understand.

I work with a Brit and he confirmed.
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
69313 posts
Posted on 6/11/19 at 1:24 pm to
But my question is why?

If 90%+ of population is on govt plan, private plans aren’t a threat
Posted by roadGator
Member since Feb 2009
140565 posts
Posted on 6/11/19 at 1:24 pm to
You can't control everyone if you allow them to opt out of the system.
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
422689 posts
Posted on 6/11/19 at 1:26 pm to
quote:

You can't control everyone if you allow them to opt out of the system.


basically this

upper-middle and upper class people would get monumentally better (and even more monumentally faster) care. can't have that in a government-dominated system
Posted by jmitc22
Brrrrr
Member since Jan 2007
1683 posts
Posted on 6/11/19 at 1:29 pm to
A plan of such a gigantic scope will only work if the risk pool is diverse enough. Basically you have to have enough healthy, low cost people paying in to offset the cost of those who require significant medical expenses. Allowing a private option would possibly lead to healthier people seeking alternatives based on price or coverage, thus throwing a financial wrench in the whole system
Posted by wutangfinancial
Treasure Valley
Member since Sep 2015
11125 posts
Posted on 6/11/19 at 1:30 pm to
A public system of that size has probably never been attempted before (maybe the China infrastructure strategy?). My guess is, they are expecting it to be run like a total clown show, and that could potentially drive people to a supplemental plan.
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
422689 posts
Posted on 6/11/19 at 1:30 pm to
quote:

A plan of such a gigantic scope will only work if the risk pool is diverse enough. Basically you have to have enough healthy, low cost people paying in to offset the cost of those who require significant medical expenses. Allowing a private option would possibly lead to healthier people seeking alternatives based on price or coverage, thus throwing a financial wrench in the whole system

this makes NO sense
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
69313 posts
Posted on 6/11/19 at 1:32 pm to
quote:


A plan of such a gigantic scope will only work if the risk pool is diverse enough. Basically you have to have enough healthy, low cost people paying in to offset the cost of those who require significant medical expenses. Allowing a private option would possibly lead to healthier people seeking alternatives based on price or coverage, thus throwing a financial wrench in the whole system




Those healthy, low cost people will still be paying the taxes to fund the single payer system though
Posted by roadGator
Member since Feb 2009
140565 posts
Posted on 6/11/19 at 1:34 pm to
It's the rule of large numbers and is related to risk.

It does make sense when underwritting a large group.

Now i will say that is impossible to accurately underwrite medicare for all.
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
422689 posts
Posted on 6/11/19 at 1:53 pm to
the underwritten population is still the same

the funding is still the same

private insurance would remove burdens from the system by taking patients off the rolls (while the funding remains the same)
Posted by roadGator
Member since Feb 2009
140565 posts
Posted on 6/11/19 at 1:56 pm to
Not necessarily. If you take out a bunch of people that can afford good private insurance you are taking out people who generally care about their health and see their doctors reguarly.


The lower part of our society has more issues including not being compliant and poor health behaviors.

You'd tip the scale.
Posted by the_watcher
Jarule's House
Member since Nov 2005
3450 posts
Posted on 6/11/19 at 2:24 pm to
quote:

If the govt starts taxing people to pay for M4A, it’s not like a substantial amount of Americans would continue to buy private insurance. Why would someone not take advantage of something their taxes are going towards?

They do not want “Medicare for all” they want government run healthcare for all. They say “Medicare” because that word polls better than government.

It would require physician pay and reimbursement to be cut by 40%. And everyone’s taxes to go up. Appointments would then be rationed by time since quality and price would be removed. If private insurance were to exist, providers would only accept private insurance.

Government run healthcare can’t survive in general but the disaster would be compounded if there were alternatives.
Posted by SlowFlowPro
Simple Solutions to Complex Probs
Member since Jan 2004
422689 posts
Posted on 6/11/19 at 2:36 pm to
quote:

Not necessarily. If you take out a bunch of people that can afford good private insurance you are taking out people who generally care about their health and see their doctors reguarly.

but even then, they will still have burdens and now those burdens are removed from the public system

quote:

The lower part of our society has more issues including not being compliant and poor health behaviors.

You'd tip the scale.

the scale is based off our total population regardless and the funding is based of taxing that population

your argument would only make sense if private insurance somehow removed resources from the public system (note: it wouldn't)
Posted by roadGator
Member since Feb 2009
140565 posts
Posted on 6/11/19 at 2:39 pm to
Poor people are more unhealthy. Take out the upper middle class and the rich and you'd not be able to fund claims.

That's why they don't want you to be able to buy the same insuarnce privately.

The actual cost of covering that population would be painful to see.
Posted by jmitc22
Brrrrr
Member since Jan 2007
1683 posts
Posted on 6/11/19 at 2:44 pm to
quote:

SlowFlowPro


I assumed that there would be a payment opt-out if you had private insurance. I guess you are assuming somewhat the opposite: that Medicare for all would be funded and paid through the existing structure where you don’t pay a premium, it just all comes from the government coffers
Posted by GoodOleBoy54
Member since Apr 2015
99 posts
Posted on 6/11/19 at 2:49 pm to
insurance* - I'm here all day if you need some more grammar hints. I know Florida fans are more concerned with kissing their cousins over primary education
first pageprev pagePage 1 of 2Next pagelast page

Back to top
logoFollow TigerDroppings for LSU Football News
Follow us on Twitter, Facebook and Instagram to get the latest updates on LSU Football and Recruiting.

FacebookTwitterInstagram