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hardnox604008
Advisor

saving the republic with medicare

As is beginning to come into focus for halfway thoughtful people, the real deficit problem is a health care cost problem and it really doesn't become a problem until a few years out and then increasingly so.

 

Anyway, Medicare pays, on overage, about 15% of the listed cost on a hospital's master charge sheet- private insurers maybe around 30% and the only people who actually pay the listed amount are thise who somehow fall through the cracks without insurance or insufficient insurance etc.

 

Sooo... if we were to begin offering the opportunity for people to buy into medicare to citizens 2 years earlier in life each year, within 10 years we'd have it down to 60 years and have a not insignificant portion of cost growth contained. Also, really no reason for anyone to pretend that a very slow and modest adjustment would kill their "businesses" (or the massive transfer of "GDP" that is US medicine)  although they will, of course, fight tooth and nail against this "creeping socialism to single payer."

 

Again, everyone really needs to read the Brill piece in TIME. This proposal is not mad ethere but is inspired by some of that discussion. As it says, while hospitals, docs et al whine about how they can't make a go on what medicare pays, why are there huge numbers of hospitals, clinics and medical practices being built all up and down Florida?

23 Replies
hardnox604008
Advisor

Re: saving the republic with medicare

Also, while the Brill peice is superb he does somehow manage to get all the way to the edge of he cliff and then turn chicken**bleep** aobut making the big jump to single payer.

Red Steele
Veteran Advisor

Re: saving the republic with medicare

please share the source where you found out that medicare pays "15% of listed costs" and private insurance pays "30% of listed costs".

 

Time magazine seems to be a good source for people that want to have an article they can read and believe that someone smarter than they are is telling them things they can repeat as gospel. Somewhat like people that are called "low information" voters that can have a politician tell them what they should think and support at the polls.

 

America is full of low information people. Nothing wrong with this...that is the nature of things. What is wrong is when low information becomes the basis for running a country.

r3020
Senior Advisor

Re: saving the republic with medicare


@hardnox604008 wrote:

As is beginning to come into focus for halfway thoughtful people, the real deficit problem is a health care cost problem and it really doesn't become a problem until a few years out and then increasingly so.

 

Anyway, Medicare pays, on overage, about 15% of the listed cost on a hospital's master charge sheet- private insurers maybe around 30% and the only people who actually pay the listed amount are thise who somehow fall through the cracks without insurance or insufficient insurance etc.

 

Sooo... if we were to begin offering the opportunity for people to buy into medicare to citizens 2 years earlier in life each year, within 10 years we'd have it down to 60 years and have a not insignificant portion of cost growth contained. Also, really no reason for anyone to pretend that a very slow and modest adjustment would kill their "businesses" (or the massive transfer of "GDP" that is US medicine)  although they will, of course, fight tooth and nail against this "creeping socialism to single payer."

 

Again, everyone really needs to read the Brill piece in TIME. This proposal is not mad ethere but is inspired by some of that discussion. As it says, while hospitals, docs et al whine about how they can't make a go on what medicare pays, why are there huge numbers of hospitals, clinics and medical practices being built all up and down Florida?


We were told Obama care was going to lower the cost of health care. Now the same people are telling us medicare will lower cost and improve care? Forgive me for being sceptical.

Democratforlife
Senior Contributor

Re: saving the republic with medicare

They are trying to save face with the low information voters.

Milligan Hay - Iowa d:^)
Veteran Advisor

Re: saving the republic with medicare


@Red Steele wrote:

please share the source where you found out that medicare pays "15% of listed costs" and private insurance pays "30% of listed costs".

 

Time magazine seems to be a good source for people that want to have an article they can read and believe that someone smarter than they are is telling them things they can repeat as gospel. Somewhat like people that are called "low information" voters that can have a politician tell them what they should think and support at the polls.

 

America is full of low information people. Nothing wrong with this...that is the nature of things. What is wrong is when low information becomes the basis for running a country.


Low information voters are the same as lazy voters.

 

Lazy voters sit on their hands and let despots gain control.

 

Despots seize the opportunity to become the central controlling force.

 

Central Controlling forces are the same as Dictatorships.

 

Dictatorships always lead to this..................

 

old man
Senior Contributor

Re: saving the republic with medicare

I find that following all the bills that I get is almost impossible, but my wife needed comsiderable care, she is OK now. I tried to follow my bills as good as I could. The combined payments for her by medicare and Blue Cross was less than 35 % of the billed amounts and this was accepted by Medicare and Blue cross.

Had we not had these, we would have been charged the 100%

Samnospam
Advisor

Re: saving the republic with medicare

Make it totally voluntary for all participants and I don't care what you do.

 

"Again, everyone really needs to read the Brill piece in TIME. This proposal is not mad ethere but is inspired by some of that discussion. As it says, while hospitals, docs et al whine about how they can't make a go on what medicare pays, why are there huge numbers of hospitals, clinics and medical practices being built all up and down Florida?"

 

Supplemental

 

The solution to the growth of costs way beyond inflation (like education costs)  is easy but very painful.  Ban collectivism except for true voluntary charity.  The moment people have to pay for it themselves the market corrects and can only charge what the public can bear.   

 

 

Nebrfarmr
Veteran Advisor

Re: saving the republic with medicare

I get a 15% discount, if I show my insurance card at a participating hospital.   That would mean they pay 85%, by my math, unless they get some extra under the table discounts, that I am not aware of.

 

More than anything, Hospitals need some sort of truth in billing accountability.   If you go to a mechanic, they are required by law, to tell you what they are going to charge you (example, $80 an hour shop and labor charge, plus parts, or possibly a flat rate of '$99 for a brake job).

However, a hospital, does no such thing.   If you ask what they charge, they say, Oh, it varies, depending on all kinds of factors'.   So you ask what factors, and they say, oh, depending on what medications are required, and how long the operation lasts, etc'.  So you ask them, if there is some sort of fee schedule.  Does the surgeon charge so much an hour?  So much an operation?  So much for setup, and then an hourly rate?   All you get is 'Ummmmm,  I can look into that' followed by no answers.  When you ask what the medication costs, they can't give you an answer there, either, but somehow the pharmacy can tell you the exact cost of pretty much anything they sell to you, outside the pharmacy.

Why is it, the last time I called a trucker, to haul some corn, and asked him his rate, he said (to the best of my memroy) $100 to show up, with a half hour allouwance to load, plus $50 per hour prorated loading fee after the first half hour.   From that add $2 a mile, after the first 5 miles.   Why is there no truth in billing, for doctors or hospitals?

 

old man
Senior Contributor

Re: saving the republic with medicare

One problem is that a person very seldom is in a position to negotiate, or even ask for a diclosure when you need a hospital.Like my daughter says, Eldery people need a strong advocate who will dig and speak up.