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Old 06-28-2011, 02:48 PM   #1
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Default How do you save Medicare?

Now don't go pulling a "VC" by doing what he always does, a hit and run job on the poster and never addressing the issue.

From Joe Lieberman "each medicare enrollee will consume 3 times the amount they have put into the system". The money to make up for the gap comes from the general fund and ends up being borrowed.

So how do you save a system that right now forces the unborn in America to pay for the old people?

Do you do nothing?

Do you confiscate all the wealth from seniors and use it to pay for the medical care for their peers?

Do you severely cap benefits?

Do you cap procedures?

Do you roll back to Medicare being only a safety net and only provide for the very poor?

Do you say the heck with it a scrap it all?

Like I said, let's have a discussion and not a VC hit job.
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Old 06-28-2011, 05:53 PM   #2
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You privatize the program, open it up to interstate competition and reduce benefits for those under 55.
Leaving those already on the dole alone, their gonna die soon anyway, considering how long it takes to get anything done using Medicare.

Better yet, just get the government out of the business of providing Medical assistance altogether.
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Old 06-29-2011, 05:58 AM   #3
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If you want to talk about "saving" medicare, ending it is not "saving" it. So ending medicare really should not be part of this discussion.

I'm pretty young, but I don't think the cost of medical care at this point in time was foreseen when the program was established. We can now do things like hip replacements, liver transplants, etc., that were only a dream not long ago.

A part of the solution would be to reduce medicare to payments only for actual medical care. That would mean eliminating things now covered by medicare like gym memberships, viagra, chiropracters, etc., with coverage only for hospital and physician services.

Copays and supplemental insurance could then be based on ability to pay. Ability to pay could reasonably include a test of assets. I know that sounds a little drastic, but we're talking about "saving" medicare. Someone with substantial income and assets might be permitted to opt out of medicare and be responsible for their own health care coverage.

Okay, that might not be a complete solution, but I think it's a start.
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Old 06-29-2011, 06:33 AM   #4
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entire medical industry would need to be overhauled
ridicilous amount of overbilling, double billing, fraud , waste, etc....
a dr gets capped with what he can bill,
so he refers his patient to several other drs/specialist
family practitioner that used to handle anything now turns into a medical broker farming out his patients
what used to take 1 visit, say $100,
now goes through several drs at costs of several hundred dollars
not to mention the tests and such drs need to do to cover themselves

one example with my mother on medicare and double billing
NYU cardio rehab division bill medicare $30k, bill was from NYU's rusk institute, which handles their cardio rehab,
NYU also billed exact same amount of $30k for same service under their NYU hospitals bill,
and medicare paid both, and $30k over billing on 1 instance
i contacted both, NYU, who said oops clerical error,
and medicare who really has no procedure for resolving such
to them it was paid and closed,

the whole system is loaded with so many problems patch work repairs wont work
really needs a overhaul across the medical industry
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Old 06-29-2011, 07:14 AM   #5
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Terasec, we always hear Medicare has the lowest overhead at only 2%. For some reason the government doesn't consider fraud as overhead. We also hear politicians say we could save X if we could end the fraud. Furthermore, remember Medicare refuses more procedures than any other private company.

It really is time to privatize Medicare. Get the government out of it. Medicare plus or advantage whatever they call it has become popular with seniors. Also graduated supplementing of the program. You make more than x you get nothing.

Sachi, I'm all for it. Turn Medicare into catastrophic coverage. Make 10k deductible. Majority of seniors own their own home and have wealth built up. They should pay that down before any assistance.
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Old 06-29-2011, 07:37 AM   #6
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Quote:
Originally Posted by Fieldmouse View Post
Terasec, we always hear Medicare has the lowest overhead at only 2%. For some reason the government doesn't consider fraud as overhead. We also hear politicians say we could save X if we could end the fraud. Furthermore, remember Medicare refuses more procedures than any other private company.

It really is time to privatize Medicare. Get the government out of it. Medicare plus or advantage whatever they call it has become popular with seniors. Also graduated supplementing of the program. You make more than x you get nothing.

Sachi, I'm all for it. Turn Medicare into catastrophic coverage. Make 10k deductible. Majority of seniors own their own home and have wealth built up. They should pay that down before any assistance.

problem with that
,
is what will private industry charge if they have to insure the most costliest of demographics?
please to keep costs down for senior citizens they will have to raise rates across the board,
will that be any different than what we have now?
also, even in private hands, industry itself remains the same, and thats the route of the costs and problem,
it doesnt fix the problem, just transfer the burden to someone else
these are our seniors we're talking about,
those that spent their lives working so you and I can have a better life, i am not gonna say F you to our seniors.
i will gladly make additional sacrifices so they do have to worry about paying for their healthcare.
I dont mind paying for their healthcare
i rather see everyone work at making it better,

problem with politicians
they all have their hands in the cookie jar,
like putting the criminals in charge of fixing jailhouse security
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Old 06-29-2011, 07:56 AM   #7
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Mr. Mouse, I'm sorry but I have to consider your posts to be non-responsive to the thread topic. You keep repeating, privatize, end it etc. That's not fixing it. A $10,000 deductible might be small change for some, but there are many people on medicare or who will be on medicare for whom that is a great deal of money. While some seniors may be still living in a substantial home with a considerable equity, which could be cashed out, those people are a minority. There are many people whose not very large home, a pension which decreases in value each year, and social security is all they have.

And once again, those of us who are younger do not resent the fact that we are being called upon to provide assistance to those older than us who provided us with life, a civilized world to live in, provided us with an education and the opportunities for a rewarding life. No they didn't give us a perfect world, but I doubt we will leave our children with a perfect world either.
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Old 06-29-2011, 08:03 AM   #8
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Quote:
Originally Posted by Terasec View Post
problem with that
,
is what will private industry charge if they have to insure the most costliest of demographics?
please to keep costs down for senior citizens they will have to raise rates across the board,
will that be any different than what we have now?
we have Medicare advantage right now and it's growing. Obama is the one who wants to take that off the table and give seniors less of a choice.
Quote:
also, even in private hands, industry itself remains the same, and thats the route of the costs and problem,
our problem is forcing doctors to treat anyone who walks through the door. Why?
Quote:
it doesnt fix the problem, just transfer the burden to someone else
these are our seniors we're talking about,
those that spent their lives working so you and I can have a better life, i am not gonna say F you to our seniors.
i will gladly make additional sacrifices so they do have to worry about paying for their healthcare.
I dont mind paying for their healthcare
i rather see everyone work at making it better,
sounds all righteous and such but it's not possible. Medicare is so far in debt, 70% of your salary would need to go to pay for it. Are you ready for that type of sacrifice?
Quote:
problem with politicians
they all have their hands in the cookie jar,
like putting the criminals in charge of fixing jailhouse security
well your right. It's called socialism. Socialism has never worked any where in the world. It has completely eaten every country from within. Look at Cuba. It was once a gem of a country. In comes Castro and they have to ration toilet paper today.

To quote a very famous person. The problem with socialism IS socialism. The problem with capitalism is capitalist. Big deference there.
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"I never said I was worth it. I only said I wouldn't do it for less " William F. Buckley Jr.
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Old 06-29-2011, 08:57 AM   #9
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Just a not here for everyone's information. Medicare Advantage is a supplement to medicare, not an alternative. It is designed to cover what medicare part A and Part B does not cover.
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Old 06-29-2011, 09:05 AM   #10
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Just a not here for everyone's information. Medicare Advantage is a supplement to medicare, not an alternative. It is designed to cover what medicare part A and Part B does not cover.
Sorry, I don't think you have that one right.

http://en.wikipedia.org/wiki/Medicare_Advantage
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Ronald Reagan: 'Everybody that is for abortion has already been born'

"I never said I was worth it. I only said I wouldn't do it for less " William F. Buckley Jr.
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