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Response to riverine (Original post)

Sat Jul 6, 2019, 02:23 PM

8. There are private doctors in UK and Canada. I'm sure they will always exist here.

Agree completely that details of MFA need to be explained. Problem is, I don't think anyone has the answers, and if they do, they don't want to be too specific for fear of ticking certain groups off.

Until a detailed plan is available, I think we ought to focus on getting everyone covered -- whether using subsidies, premiums for those who can afford it, and/or taxes -- under Medicaid, Medicare, private insurance, or a Public Option along the lines of Medicare and Medicaid.

A candidate running on Medicare-for-All, or tough chit unless you are rich enough to afford something else, is not going to appeal to most people until they are comfortable with the idea. The poor, disabled, medically poor, people who like government programs (like me), etc., will probably think it's a great idea compared to what we have now. On the other hand, I've seen a number of people on Medicare -- even on DU -- express concern about M4A impacting their current Medicare.

Those with employer healthcare will likely be reluctant to give it up for a government plan that might get treated like the ACA -- improvements when Democrats are in control, deterioration when GOPers are in control.

A Public Option -- with defined coverage -- along the lines of Medicare/Medicaid will be attractive to many (assuming the final plan is as good as we think), but one could still fall back on private insurance if dissatisfied after a try. Don't think it's going to be as cheap as people think, though, but there should be some improvement in cost and subsidies/taxes to help afford cost.

I respect Sanders' efforts in promoting M4A, but I don't trust his assumptions, cost estimates, how providers will respond, or even if patients are ready to make the sacrifices required to make it work.

The usual response is that other countries made it work. True, but most did it when health care was not particularly costly -- providers weren't paid exorbitant amounts; there weren't a lot of treatments and drugs; testing was minimal; there was no Alzheimer's because it was just called old age dementia; when you were old, there wasn't a host of medical providers ready to keep you alive right up until your (or your insurer's) last dime; there weren't nursing homes, you died at home in most cases; etc.

In 1960, healthcare was about 5% of our economy. Now, it's 17+%. That's a big ship to move without making big waves, maybe some tsunamis.

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