The rest of us keep them afloat by paying more to cover the lower costs imposed by Medicare, and the people who pay the most do so out of pocket. People with employer or private insurance based health care at least have them negotiating prices down. You sound shocked to hear the market subsidizes Medicare.
Yea it did come as a bit of a shock as it is the baseline and wasn't the case really just a few years ago. It looks like Hospitals are doing a lousy job adjusting to what they knew was going to be a flat line in Medicare revenue growth. Notably it cannot continue, but I'm not sure avoiding Medicare for All is the way of fixing this problem. Reducing IT costs looks like a big deal, administrative overhead is getting way too bloated and I can relate to that as I see that at my local institution.
Richard Anderson, the chief executive of St. Luke’s University Health Network, called the proposals “naïve.” Hospitals depend on insurers’ higher payments to deliver top-quality care because government programs pay so little, he said.
You're right, this obviously needs to be fixed.Although reading up on this a lot of it has to due with healthcare administrators playing a long term investment game that is backfiring on them now. They have a lot of overhead administratively and such that is burning them. Medicare for all could obviously be and would obviously have to be structured in such a way as to make hospitals whole.
Something people should remember, the bloat in the US Healthcare System is about 8% of GDP. So, there's no way to cut those costs without lots of people losing their jobs. That's politically uncomfortable. We're talking about a shift that's larger than entirely disbanding the American Military. But still, 8%! That's a lot!
It means that those people will be reassigned in the economy, and the economy itself will do better. But all of those people will suffer at least temporary bouts of poverty
I don't know about medicare/medicaid and hospitals, but I do have a little story of Badgercare and dentists.
So my kids were on Badgercare (just the kids, me and my wife don't qualify because of income) so I knew one dentist nearly an hour away accepted Badgercare as we had been there before. So I tried calling the local dentists to see if any of them closer to me accepted Badgercare. One that was closer to me accepted it, but the wait list at the time was several months long for children, adult wait list was at least 2 years, and told it may be even longer since they always take children first.
I call another one, and he didn't accept it and he didn't know of any dentist that did and then I don't remember exactly what he said after that, if it was because following the regulations of it are too difficult or he didn't think there were that much demand for it.
"Ok, I guess I'll go to x Dentistry in this other town, they accept it and said they deal with 3,000 patients a month."
His response after that was the first time I've heard a dentist stutter and be flabbergasted (could have been a receptionist I suppose, but it was a small dentist office in a small town).
Obviously the larger dentist office had more than 1 dentist, but still the demand is there. The dentists that don't accept it pick up the people who aren't using Badgercare, which is fine for the dentist if it keeps their schedule full.
Spoiler:
With Badgercare life was nice. It paid 100%, so I spent nothing (I still had to have primary insurance through employer, with Badgercare as secondary insurance, but my deductible was essentially $0 since Badgercare paid everything my insurance didn't cover when it came to the kids).
Sadly, change of insurance coverage went from the employer paying 80% of the premium instead of 70% so we no longer qualify since we have 'good' insurance (between choosing if we take insurance through my work or through my wife's work, despite the deductible being identical, Badgercare only looks at what % of the premium is paid for by the employer, and if either one of us could have taken insurance that paid 80%, it's considered we 'have good coverage').
So in additional to now paying all our kid's health and dental expenses (since we likely won't reach the deductible) we don't qualify for free/reduced school lunch for 3 kids, and at least one needing braces, I'd rather have the 'crappy' insurance.
I don't know about medicare/medicaid and hospitals, but I do have a little story of Badgercare and dentists.
So my kids were on Badgercare (just the kids, me and my wife don't qualify because of income) so I knew one dentist nearly an hour away accepted Badgercare as we had been there before. So I tried calling the local dentists to see if any of them closer to me accepted Badgercare. One that was closer to me accepted it, but the wait list at the time was several months long for children, adult wait list was at least 2 years, and told it may be even longer since they always take children first.
I call another one, and he didn't accept it and he didn't know of any dentist that did and then I don't remember exactly what he said after that, if it was because following the regulations of it are too difficult or he didn't think there were that much demand for it.
"Ok, I guess I'll go to x Dentistry in this other town, they accept it and said they deal with 3,000 patients a month."
His response after that was the first time I've heard a dentist stutter and be flabbergasted (could have been a receptionist I suppose, but it was a small dentist office in a small town).
Obviously the larger dentist office had more than 1 dentist, but still the demand is there. The dentists that don't accept it pick up the people who aren't using Badgercare, which is fine for the dentist if it keeps their schedule full.
Spoiler:
With Badgercare life was nice. It paid 100%, so I spent nothing (I still had to have primary insurance through employer, with Badgercare as secondary insurance, but my deductible was essentially $0 since Badgercare paid everything my insurance didn't cover when it came to the kids).
Sadly, change of insurance coverage went from the employer paying 80% of the premium instead of 70% so we no longer qualify since we have 'good' insurance (between choosing if we take insurance through my work or through my wife's work, despite the deductible being identical, Badgercare only looks at what % of the premium is paid for by the employer, and if either one of us could have taken insurance that paid 80%, it's considered we 'have good coverage').
So in additional to now paying all our kid's health and dental expenses (since we likely won't reach the deductible) we don't qualify for free/reduced school lunch for 3 kids, and at least one needing braces, I'd rather have the 'crappy' insurance.
This is another good case study of why our current system is trash. It creates all sorts of disincentives to getting private insurance and rewards not doing so in many cases.
Yes. I'm just highlighting that there's complications that need attending. It should be incredibly easy to build in a better use of people's time than the total waste they're doing now.
It’s time to reject the excuses we’ve heard for decades about why we can’t do more to help American workers.
Some people blame “globalization” for flat wages and American jobs shipped overseas. But globalization isn’t some mysterious force whose effects are inevitable and beyond our control. No — America chose to pursue a trade policy that prioritized the interests of capital over the interests of American workers. Germany, for example, chose a different path and participated in international trade while at the same time robustly — and successfully — supporting its domestic industries and its workers.
https://medium.com/@teamwarren/a-pl...879f4cfc7?source=---------2------------------
I'm honestly surprised that we have a major US presidential candidate talking about creating a national industrial and economic policy to support the domestic economy. It is almost like she read my mind regarding the US economy. Doubt this will get much sustained media attention - because the press has to do another puff piece on Pete "I can be evasive in eight languages" Buttiegieg.
https://medium.com/@teamwarren/a-pl...879f4cfc7?source=---------2------------------
I'm honestly surprised that we have a major US presidential candidate talking about creating a national industrial and economic policy to support the domestic economy. It is almost like she read my mind regarding the US economy. Doubt this will get much sustained media attention - because the press has to do another puff piece on Pete "I can be evasive in eight languages" Buttiegieg.
I've already donated to her as she is my choice thus far, but I don't think the USA is worthy of her. We've degenerated in the middle and lower classes so badly that we'd rather sit on our butts and complain than actually fix anything. Trump is the quintessential essence of whining and doing nothing.
https://medium.com/@teamwarren/a-pl...879f4cfc7?source=---------2------------------
I'm honestly surprised that we have a major US presidential candidate talking about creating a national industrial and economic policy to support the domestic economy. It is almost like she read my mind regarding the US economy. Doubt this will get much sustained media attention - because the press has to do another puff piece on Pete "I can be evasive in eight languages" Buttiegieg.
I've already donated to her as she is my choice thus far, but I don't think the USA is worthy of her. We've degenerated in the middle and lower classes so badly that we'd rather sit on our butts and complain than actually fix anything. Trump is the quintessential essence of whining and doing nothing.
Hipster moment, but looking through my email history, I was sharing her pre-politican lectures before she was a politician. Highly recommended to listen to those talks. They go a long way.
The first debate is in three weeks. Right now Warren is a single digit 4th in both NH and IA. Finishing out of the top two in both states will kill her chances.
Warren's biggest problem is that she is a college professor and talks like one. Zero pizzazz factor.
Our international competitors like China, Germany, and Japan develop concrete plans for promoting domestic industry and then make serious investments to achieve their goals. China’s Made in China 2025 plan aims to dominate advanced manufacturing in the coming decades using various incentives and “hundreds of billions of euros” in subsidies. Germany and Japan have also developed plans that identify long-term goals for domestic production and put real money behind achieving them.
This is a pretty straightforward idea. But outside of the defense context, the United States has nothing remotely like it.
You appear to be under the logical fallacy that since existing political structures are captured by the interests of corporate executives and Wall Street lobbyists there shouldn't be political structures.
Do you light a candle to a picture of Ayn Rand every night so that she'll ward you from the evil statist spirits?
We might get out of the corporatocracy we are stuck in? That would be terrible! Jesus if Coca Cola couldn't cause another million cases of diabetes in the next five years shareholders values might drop 3%!
Beto energies young people. Obama energized young people. Clinton didn’t. You can’t win the democratic election without a big turnout from younger voters.
That said: Hillary won the election as far as I’m concerned anyway considering not only did she win the popular vote but it wasn’t particularly close. (Almost 3 million IIRC)
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