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#2175593
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@ubiquitin

“Medicare works”

Ok, here’s another important point of mine that you ignored. I mentioned earlier that Medicare is generally for people aged 65 and older. People that age grew up in a different era where they took more responsibility for their health. Once you start including the younger generations the costs will spiral out of control.

“here other countries manage. I see no reason why the US can’t manage soemthing similar.”

Again, it’s the culture ingrained nowadays in the US that life and health are practically worthless.

“The fact that something else was tried has nothing to do with this .”

To me it does- it proves that the US Government has no clue how to manage healthcare for those under 65.

“Sure
No premiums. taxes go up. Government pays for health costs.
Easy peasy
Same as medicare just for everybody”

That’s easier said than done. It’s like saying you can fit five elephants in a Volkswagen by putting two in the front and three in the back.

“I am nto sure what there is to address. But I’ll repeat it again so encourage people to care about their health.”

That’s not my problem and I have no idea how to go about doing it- it’s a horrible culture that they’ve been brought up in- if you’re trying to get a single payer system to work you need to first figure out how get people to take responsibility for their own health. That’s the first step.

“for the 21st? Time they shouldn’t survive. that is my plan.
How on earth are you still not getting this?”

You made it clear that you don’t like health insurance companies, you’ve made it clear that you don’t like it that CEOs make so much, you’ve made it clear that you don’t think companies need high paid CEOs to survive and you’ve made it clear that health insurance companies should be not-for profits with low paid CEOs- I don’t believe you’ve said that they should all be closed down.

“Take one day’s worth of the Ceo’s salary use it to pay my neighbor’s cancer treatment for 2 years (10,000 a month), the ceo will barely notice the missing money its not even a rounding wrror. And neighbor gets to live a few more years . I know I know “no sane person” would expect insurance company to shell out money just to gain few years (The rep practically told him that too) . and leshitascha I can’t blame them they have to make profit.”

The massive salaries that the CEOs make can not pay for all the claims that are denied (it’s not only your neighbor whose claims are getting denied). This is a problem with a for profit company (the health of the insureds should come first but the wallets of the shareholders have a higher priority) and I’d be all for a single payer system if there’s a chance that it’ll work.

“This is incorrect Medicare is very popular.
and by far the easiest company to deal with.”

Of course it’s easy to get them to give out other people’s money- those weren’t the issues I was having with them. One issue I was having with them was when I needed a response from a certain person regarding a report I needed to submit that was already overdue. She (and her supervisors) ignored my repeated calls, voicemails and emails for over a month. When I learned that she was hosting a webinar I joined and during the Q & A at the end I asked my question. She gave me the wrong answer and when I pointed it out based on guidance published by CMS she said she would look into it and get back to me. Despite numerous attempts to contact her (and her supervisors) I never heard back from them.

“what ? Seriously, What?”

What part don’t you understand- that a CEOs salary is based on his / her performance determined by the board or my idea what you could do if it bothers you?

“Again?
Sure. so encourage people to take more responsibility. You got me. I’m in.”

Yes, Again- until this issue is resolved a single payer system will not work.

“Sure.
firstly Medicare works so no reason to compare to ecucation which is less similar.”

As mentioned previously, Medicare works because it’s for a more responsible part of the population. Education is less similar but similar enough in that it’s failing because the people that it serves don’t take responsibility for themselves or their kids.

When I used to take my kids to the doctor for an ear infection I would make sure to follow the doctors directions and pick up the medication right away- aside from not wanting my kids to be in pain I didn’t want to have to pay the copayments for follow up visits. For people who don’t care about their kids (i.e. the ones who send them to public school, have no idea that their kid is failing every single subject and barely ever shows up to class) and aren’t concerned with a copayment- what incentive is there to follow the doctors recommendations? This attitude is one of the things that is going to break the system.

“Second all the government will be doing is paying the bills.”

If they keep paying all the bills (with no cost to the patient) what’s going to discourage someone with a paper cut from going to the emergency room, taking up a bed, wasting precious resources and having the government pay hundreds or thousands of Dollars- instead of them just going to Duane Reade and spending a few Dollars to get a box of Band-Aids? Eventually they’re going to have to do some denial of claims and then it’s going to be the government that decides who’s going to live and who’s going to die? Does it make you happier that it’s the government deciding and not some rich, greedy CEO?

“And I’m not sure how you think private medical insurance makes sure their clients are listening to doctors any more than Medicare does.”

That’s what copayments and deductibles are for- to discourage unnecessary follow-ups and encouraging the patient to follow the doctors directions. Besides- when people pay for things with their own money (i.e. health insurance premiums and private education) they tend to value it more.