Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

Donkees

(31,421 posts)
Thu Aug 31, 2017, 12:39 PM Aug 2017

Medicare for All: Leaving No One Behind

Excerpts:

Under Bernie’s plan, Americans will benefit from the freedom and security that comes with finally separating health insurance from employment. That freedom would not only help the American people live happier, healthier and more fulfilling lives, but it would also promote innovation and entrepreneurship in every sector of the economy. People would be able to start new businesses, stay home with their children or leave jobs they don’t like knowing that they would still have health care coverage for themselves and their families. Employers could be free to focus on running their business rather than spending countless hours figuring out how to provide health insurance to their employees. Working Americans wouldn’t have to choose between bargaining for higher wages or better health insurance. Parents wouldn’t have to worry about how to provide health insurance to their children. Americans would no longer have to fear losing their health insurance if they lose their job, change employment or go part-time. Seniors and people with serious or chronic illnesses could afford the medications necessary to keep them healthy without worry of financial ruin. Millions of people will no longer have to choose between health care and other necessities like food, heat and shelter, and will have access to services that may have been out of reach, like dental care or long-term care.

Simply put, Bernie’s plan will provide all Americans with the sense of freedom and peace of mind that comes from knowing you always have access to the health care you need.

Bernie’s plan would create a federally administered single-payer health care program. Universal single-payer health care means comprehensive coverage for all Americans. Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments. Patients will be able to choose a health care provider without worrying about whether that provider is in-network and will be able to get the care they need without having to read any fine print or trying to figure out how they can afford the out-of-pocket costs.

We outspend all other countries on the planet and our medical spending continues to grow faster than the rate of inflation. Creating a single, public insurance system will go a long way towards getting health care spending under control. The United States has thousands of different health insurance plans, all of which set different reimbursement rates across different networks for providers and procedures resulting in high administrative costs. Two patients with the same condition may get very different care depending on where they live, the health insurance they have and what their insurance covers. A patient may pay different amounts for the same prescription depending solely on where the prescription is filled. Health care providers and patients must navigate this complex and bewildering system wasting precious time and resources.

By moving to an integrated system, the government will finally have the ability to stand up to drug companies and negotiate fair prices for the American people collectively. It will also ensure the federal government can track access to various providers and make smart investments to avoid provider shortages and ensure communities can access the providers they need.

https://live-berniesanders-com.pantheonsite.io/issues/medicare-for-all/



1 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
Medicare for All: Leaving No One Behind (Original Post) Donkees Aug 2017 OP
I need to do more research on this but maybe some of you already know the answers tymorial Aug 2017 #1

tymorial

(3,433 posts)
1. I need to do more research on this but maybe some of you already know the answers
Thu Aug 31, 2017, 01:23 PM
Aug 2017

How is the disparity in reimbursement rates between commercial payers and Medicare addressed? Medicare pays less than commercial per designee and healthcare providers will experience a loss of revenue upon implementation of this plan. Unless Medicare increases reimbursement equal to the average of commercial fee schedules, how will facilities and providers maintain the same level of staffing and service offering? We already see consolidation of services in many areas (today under the current system) due to reduced reimbursement by payers compared with volume.

This is not a criticism on the concept of medicare for all I believe Health Care reform must happen. There should have been a public option associated with the ACA from the very beginning. It would have started the necessary changes required for the shift in coverage and payment.

This won't be as simple as just shifting coverage providers and service provisions. Many people will see their tax liability increase without an increase in income. Employers who no longer purchase plans for their employees will not transfer those monthly fees to their employee paychecks. Under this plan they will have their own tax liability increase. My wife and I struggle already and additional tax liability without income increase would hurt. I don't see the cost of living reducing with this change.


I'm sure my comments are going to piss off some people sorry. I just need to know a lot more about this before I can throw my support behind it. I understand Healthcare is a crisis in this country but there are practical matters to consider

Latest Discussions»General Discussion»Medicare for All: Leaving...