The US Healthcare Mass Debate

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Tero
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Re: The US Healthcare Mass Debate

Post by Tero » Mon Apr 15, 2019 11:16 am

Trump holding health insurance hostage till 2021. Even our state, where Medicaid expansion passed, is holding that off for another year
“I thought New Mexico was going to go further than they did,” said Andy Slavitt, who ran CMS under the Obama administration and chairs the United States of Care, a nonprofit advising states on the public option.

New Mexico lawmakers ultimately feared the state couldn’t afford the program without federal funding. And they were wary of seeking funds from the Trump administration, which has indicated it's unlikely to approve a plan further expanding government-run coverage.

Even smaller efforts to advance a public option have run into obstacles. In Colorado, the legislature considered a pilot project allowing a few hundred middle-income residents to buy into the insurance plan for state employees. But the idea was shelved after lawmakers found the robust benefits offered to state employees would make the public option too expensive.

Time is running out this year, with many state legislative sessions already ending or wrapping in the coming weeks. State lawmakers are facing strong pushback from health industry groups, who'd likely see a hit to their revenues.
https://www.politico.com/story/2019/04/ ... es-1308730
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Re: The US Healthcare Mass Debate

Post by Tero » Wed Apr 17, 2019 10:05 pm

http://karireport.blogspot.com/ (:_funny_:)
http://esapolitics.blogspot.com/
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Re: The US Healthcare Mass Debate

Post by Tero » Wed Apr 17, 2019 10:08 pm

All-payer rate setting, as the system is known, shares the same goals of single-payer: it aims to increase efficiency and reduce insurer overhead in the health care system. Single payer does this by eliminating private plans for one government plan. All-payer rate setting gets there by setting one price that every health insurer pays for any given medical procedure.

"[All payer] has everything except the government-run plan," says Mark Pauly, a health economist at University of Pennsylvania. "In all-payer systems, the government uses Blue Cross and other insurers as their agent. For consumers its the exact same except for who they write their check for premiums to."
1) All-payer rate setting means one price for each medical procedure
2) What all-payer rate setting shares with single payer
Single-payer health care systems save money in two ways: reducing administrative costs and increasing the bargaining power of health insurers. This is true of all-payer rate setting systems, too.

First, single-payer systems buy in bulk — and can get discounts. When a government-run health plan negotiates with health care providers, they represent all of the country's citizens and can guarantee that hospitals will get a steady stream of patients. Insurers have more clout when they negotiate together. Much like Costco drops the unit price of goods when you commit to purchasing a lot (64 ounce jar of mayonnaise, anyone?), insurers should be able to get a better price this way.
https://www.vox.com/2015/2/9/8001173/al ... te-setting
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Re: The US Healthcare Mass Debate

Post by Brian Peacock » Tue May 21, 2019 12:37 am

So I was thinking: from a US perspective, is healthcare a right, a privilege, or a service?
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Clinton Huxley » 21 Jun 2012 » 14:10:36 GMT
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Re: The US Healthcare Mass Debate

Post by laklak » Tue May 21, 2019 2:13 am

It's a business designed to make money. Any service it provides is incidental.
Yeah well that's just, like, your opinion, man.

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Re: The US Healthcare Mass Debate

Post by Scot Dutchy » Tue May 21, 2019 7:52 am

Healthcare in America is pure big business. I agree lak and any service is pure by chance.
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Re: The US Healthcare Mass Debate

Post by Brian Peacock » Tue May 21, 2019 9:00 am

laklak wrote:
Tue May 21, 2019 2:13 am
It's a business designed to make money. Any service it provides is incidental.
Interesting. Businesses generate profit by selling things (goods and services) for more than it costs to produce and deliver them. I wonder what the average profit margin is for the business models of healthcare providers...?

But what I was getting at is not the business model, but the social concept or view of healthcare: right, privilege or service. Healthcare, after all, is not consumed in the same way burgers or accountancy are. A bit like legal services, healthcare services are sometimes something one might choose to use, and sometimes you might have no little or no choice but to use them. If you roll your car on the freeway do you have a consumer choice about whether the firebrigade should cut you out of the wreckage or whether an ambulance should take you to hospital, or whether you should be treated for your injuries when you arrive?
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Clinton Huxley » 21 Jun 2012 » 14:10:36 GMT
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Re: The US Healthcare Mass Debate

Post by JimC » Tue May 21, 2019 9:23 am

Civilised communities should make universal health care a basic right...
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Re: The US Healthcare Mass Debate

Post by Svartalf » Tue May 21, 2019 9:32 am

Who ever called Merkins civilized?
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Re: The US Healthcare Mass Debate

Post by Tero » Tue May 21, 2019 10:34 am

The business part of it works well for the wealthy. Those making 200 000 a year want to pay for it. If your doctor charges twice as much for knee surgery than the guy treating all Medicare patients, he must be better!
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Re: The US Healthcare Mass Debate

Post by Scot Dutchy » Tue May 21, 2019 11:51 am

JimC wrote:
Tue May 21, 2019 9:23 am
Civilised communities should make universal health care a basic right...
Well we do. (Well some). :smug:
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Re: The US Healthcare Mass Debate

Post by Sean Hayden » Thu May 23, 2019 5:11 pm

Yeah, gated communities!


:hehe:

I think most Americans would agree that everyone is entitled to healthcare, and that a lack of money shouldn't mean you miss out on treatments that could make your life better.

But many are convinced that healthcare systems like Canada's, and those in Europe, will result in even fewer people getting healthcare, and poorer quality of care for those that do still get it.
shut up

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Re: The US Healthcare Mass Debate

Post by Brian Peacock » Fri May 24, 2019 2:07 am

And we all know how told them that don't we?
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"It isn't necessary to imagine the world ending in fire or ice.
There are two other possibilities: one is paperwork, and the other is nostalgia."

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"This is how humanity ends; bickering over the irrelevant."
Clinton Huxley » 21 Jun 2012 » 14:10:36 GMT
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Re: The US Healthcare Mass Debate

Post by Tero » Fri May 24, 2019 2:31 am

Sean Hayden wrote:
Thu May 23, 2019 5:11 pm
Yeah, gated communities!


:hehe:

I think most Americans would agree that everyone is entitled to healthcare, and that a lack of money shouldn't mean you miss out on treatments that could make your life better.

But many are convinced that healthcare systems like Canada's, and those in Europe, will result in even fewer people getting healthcare, and poorer quality of care for those that do still get it.
Healthcare! Healthcare! Those Europeans have death panels! Whereas we Americans will spend a million on the last two weeks of our lives.
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Re: The US Healthcare Mass Debate

Post by Sean Hayden » Fri May 24, 2019 3:18 am

Well you can't spend a dime after it eh. Man, a million bucks and a week to live? Do I have to be over 70 too?
shut up

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