What’s really scary? Acting like nothing’s wrong with Medicare

If Medicare reform is on life support, it’s not because of a special election in upstate New York or the Senate’s rejection of the House GOP budget plan.

It’s because one side wants to air TV commercials of a dark-suited Republican pushing grandma off a cliff, while pursuing a path of neglect that would let her die bed-ridden and alone.

There can be no “hands off Medicare” policy. Either your hands are busy trying to fix the indisputably broken program, or your hands are holding it down, helping it collapse under its own unbearable weight.

Left-wing pundits gloated over the news Tuesday from New York’s 26th Congressional District, a longtime Republican stronghold won by a Democratic candidate on the single issue of “GOP’s killing grandma!” Time’s Joe Klein, appearing on MSNBC, called it “a victory for socialism.”

But Margaret Thatcher’s dictum that, with socialism, “eventually you run out of other people’s money” remains true. And with Medicare, “eventually” has arrived.

The main tax dedicated to Medicare, the hospital insurance portion of federal payroll levies, no longer covers even half of retirees’ health expenses. In this fiscal year and the next five combined, Medicare will cost more than the sum raised by the tax in its first 45 years of existence. The shortfall between 2011 and 2016 is nearly $2 trillion.

And if you haven’t heard, most other tax revenues are more than spoken for.

Medicare is so central to the nation’s budgetary problems, and yet so frightening to touch, that the past workweek for members of the world’s greatest deliberative body regarding the country’s most important business went like this: Vote nay to the House Republican budget plan; vote super-nay (97-0) to the president’s budget plan; hear the majority party’s leader say “it would be foolish” for his caucus even to propose its own budget; declare it quittin’ time and head home.

The political temptation to interpret the past week’s results as an excuse to punt again, while great, would be harmful. So harmful, in fact, that former President Bill Clinton was overheard telling Paul Ryan, the Wisconsin congressman who authored the GOP’s budget plan and Medicare-overhaul proposal, to keep pursuing reform (if not that particular proposal).

Other Democrats ought to pay attention. There is a reason virtually no public program for senior citizens is aging well, from Medicare and Social Security to the majority of pensions for state workers and, in metro Atlanta, many county and city retirement plans. They were designed for a different era, then robbed or neglected as the world changed around them.

All of which means salvaging them is transforming them.

There are many differences between this debate and the Obamacare debates, during which Democrats (wrongfully) labeled the GOP the “party of no” and which now may lead those same Democrats to declare turnabout is fair play.

First, reforming Medicare is fixing an existing entitlement, not adding a new one.

Second, Democrats’ carping about the GOP was purely cynical: Their hurdle to passing Obamacare was getting other Democrats on board, not the vastly outnumbered Republicans. Now, in divided government, the two parties have to work together or let things fester until 2013 or later.

But most important, there’s only so much life left in Medicare for politicians to squeeze out for their own benefit.

– By Kyle Wingfield

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138 comments Add your comment

Michael H. Smith

May 27th, 2011
6:12 pm

Kyle, I hope you linked to comments made by Bill Clinton concerning this topic?

Michael H. Smith

May 27th, 2011
6:21 pm

Another clip of Bill Clinton commenting on Medicare.

http://www.youtube.com/watch?v=-ZpKOA7vgHI

Defrocking Department

May 27th, 2011
6:29 pm

Will the real Bishop Eddie Long stand up and come out of the closet?

Michael H. Smith

May 27th, 2011
6:32 pm

MarkV

May 27th, 2011
6:56 pm

Kyle, you blame Democrats for not submitting a solution to the Medicare cost problem, but you ignore that the same is true for the Republicans. The only substantial proposal the Republicans have come up with is the Ryan plan, which is not a solution to Medicare costs, it is an abandonment of the Medicare idea.

Your Mom

May 27th, 2011
7:02 pm

Just as long as we keep cutting taxes on the top 2%.

oldguy

May 27th, 2011
7:24 pm

Interesting the Healthcare Plan is part of the solution you know the one Republicans lied about and
made it difficult to get a better plan passed. Does medicare need some attention you bet but doing away with it for those under 55 ics not the answer.

Michael H. Smith

May 27th, 2011
7:30 pm

As long as Democrats continue to lie about the Ryan plan they are the ones guilty of abandonment and a refusal to fix what will implode if left alone. As Clinton and Rivlin are both aware.

Fortunately and despite Clinton’s short comings he unlike so many other socialist Democrats, is not brain dead.

MarkV

May 27th, 2011
7:35 pm

Democrats do not lie about Ryan’s plan. Ryan is deceitful when he calls his plan a “reform of Medicare.”

Michael H. Smith

May 27th, 2011
7:40 pm

Democrats lie like wall-to-wall carpet and their claims are deceitful.

bxnyc

May 27th, 2011
7:50 pm

To Michael H Smith, in his desire to appease the right Bill Clinton put his foot in his mouth again, thus allowing narrow minded bigots to use it as fodder to claim democrats will compromise on their terms. NOT GOING TO HAPPEN. You can live down there in your world below the mason dixon line where 1930’s thinking is prevelant. Get a grip, the country has seen the republican smoke & mirrors and they dont like it, you will not only lose the presidental election in 2012 but possibly the house and never mind the media salivating over the senate you will lose. No matter what happens,once the president wins reelection he then can push his agenda (because he cant run again) and he will stymie the idiots who think they are smart.

Michael H. Smith

May 27th, 2011
7:52 pm

They’re throwing granny over the cliff say Democrats.

The Ryan plan says, for those 55 years and older, their Medicare does not change. Granny is kept safe and sound.

ND

May 27th, 2011
8:00 pm

What’s really scary is acting like there’s nothing wrong with exempting the richest Americans from paying taxes on the pretext that this will result in creating jobs, when there’s no attempt being made to ensure that the jobs in question are actually being created because of these tax breaks.

Michael H. Smith

May 27th, 2011
8:00 pm

bxnyc

Bill Clinton remains the smartest Democrat on planet earth. Now you get a grip. No… On second thought, don’t. I want obumer and as many democrat defeats as possible in 2012.

Moderate Line

May 27th, 2011
8:02 pm

First, reforming Medicare is fixing an existing entitlement, not adding a new one.

Second, Democrats’ carping about the GOP was purely cynical: Their hurdle to passing Obamacare was getting other Democrats on board, not the vastly outnumbered Republicans. Now, in divided government, the two parties have to work together or let things fester until 2013 or later.
++++
Fixing Medicare is the No. 1 issue. Bill Clinton brings up a good point. The Dem so far have offer no solution.

The government will probably be divided in 2013. Either party protecting the satus quo is going to ruin the country.

bxnyc

May 27th, 2011
8:03 pm

So Michael, which republican senator from the midwest accused the democrats of TRYING TO PULL THE PLUG ON GRANDMA? I’ll let you guess.(hint Grassley) As far as the often repeated talking point about 55 & older being safe, ryan conveniently forgets to say what happens to you once you pass the arbitrary age.I find it amazing that you selfish me first me next and me last thinkers dont see that this is a interdependentent society, Oh I forgot you dont like to share anything, least of all money.

Get Real

May 27th, 2011
8:06 pm

MarkV If you want to use the word “lie” in a sentence, it has to immediately be followed by the word “democrat”

Get Real

May 27th, 2011
8:08 pm

bxny…there are no words…other than have another tall glass of kool-aid

Michael H. Smith

May 27th, 2011
8:12 pm

First, reforming Medicare is fixing an existing entitlement, not adding a new one.

It is more like fixing an existing entitlement for those of 55 years and older and TRANSFORMING it to solvency for future generations of Americans under the age of 55. No one is going to kill Medicare or throw granny over a cliff.

Put Bill Clinton, Alice Rivlin, Paul Ryan and Senator Tom Coburn in a room together for a week and I’ll bet you’ll get legislation that transforms Medicare and Medicaid that is acceptable to all of us.

Get Real

May 27th, 2011
8:12 pm

“What’s really scary is acting like there’s nothing wrong with exempting the richest Americans from paying taxes”

I pay plenty…49% of the country pays ZERO in federal income tax, we wagon pullers are getting tired. I want my free ride in the wagon.

oldguy

May 27th, 2011
8:22 pm

ND’
do you live under a rock in Moldovia?? Tax breaks??!!??
The top 10% of wage earners pay 40% of all individual income taxes. They pay way more than any other group.
The bottom 50% of wage earners pays 3% of income taxes.
What do you want 100% ???
VAT Tax——the real answer you spend it you pay tax on it.

oldguy

May 27th, 2011
8:24 pm

p.s. I am retired and make less than $44,000.00/year.

SC

May 27th, 2011
8:27 pm

Rand Paul had a plan that would give us a surplus in 5 years.

Michael H. Smith

May 27th, 2011
8:28 pm

Yeah, I hear you John Get Real Gult and I DO FEEL YOUR PAIN but face it, some of us have to be the responsible adults in this childish gim’me gim’me socialist society. Altho, if we can’t turn things around soon the irresponsible others among us may even run out of our money and that of China too.

Where have you gone Iron Maggie… Coo, coo, ca-choo

oldguy

May 27th, 2011
8:30 pm

If my fellow Conservatives have any sense they will drop preposing any changes to Medicare. Let it fail (or rather bankrupt the Feds) Then the retards can worry about what happened. The US Public is too stupid to comprehend what is happening and the Demoncrats will play that to the end.

Michael H. Smith

May 27th, 2011
8:31 pm

Yeah, and soon I’ll feel your same pain too old guy. :)

JDW

May 27th, 2011
9:04 pm

Kyle, what you are ignoring is the fact that one of the main reasons Medicare is having problems today is the Duhbya led Republican backed drug program which they conveniently “forgot” to fund.

Funny how someone else always has to clean up those Republican “oversights”

Kiljoy

May 27th, 2011
9:44 pm

George Bush was never President. The Republicans did not control all three branches of government for six year! Alice still lives in wonderland and Kyle is cleaning up crumbs on the yellow brick road.

yuzeyurbrane

May 27th, 2011
11:02 pm

Kyle, you obviously have not read the Ryan bill. I suggest you do before pontificating over what it does and does not do. First, you are wrong in saying it would not effect those 55 and older. There is a very tiny line in the legislation that caps all entitlement spending if the deficit exceeds a certain % of GDP. Clever. The biggest entitlement programs are Medicare, Medicaid and Social Security. A cap means a reduction. And not only would it impact Medicare but Social Security as well and IT WOULD NOT EXEMPT THOSE 55 AND OLDER FROM CUTS. On top of this, as you probably do know, your Republican buds don’t even want to wait to enact this through the normal legislative process. Instead, is it 1 of their demands in exchange for raising the debt limit before we start defaulting on TBonds on Aug. 2. Blackmail is not the normal legislative process.

I could go on far beyond what anyone wants to read as to the other incorrect beliefs. For example, what Ryan have proposed is not just like the health insurance he receives as a member of Congress or even the exchange program that is part of the Healthcare Reform Act. It is a voucher pure and simple for an amount which the Budget Office estimates would leave most Seniors paying a majority of their health insurance premiums out of their own pockets. . . if they can find an insurer that will insure them. Medicare has been here almost 50 yrs. and therefore you don’t recall but maybe your Dad or a Grandparent may recall and inform you that the norm, under the private insurance plans that existed prior to that, was that they simply would not insure Seniors because it was not profitable for them. Seniors do get sick more often and it probably is not profitable for private insurance companies to offer any sort of quality insurance to them. Could this be the main reason Medicare is not profitable now? Could be because it is run more efficiently than most private health insurance programs. Does that make us a society want to throw grandma under the bus? The fact is Seniors are healthier both physically and fiscally because of Medicare (there are plenty of studies showing this) and live their final years with more dignity because of it. It is a good program for Seniors, their children, their grandchildren, Kyle’s Dad or a grandparent, and even eventually for Kyle if he is counting on savings from his newsman’s salary. Cuts should be made but not on the backs of the elderly and poor. Sacrifice should be shared (that means the wealthy). I am a Senior and I approve this message.

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yuzeyurbrane

May 27th, 2011
11:14 pm

Also, ditto and more for your comments on Social Security. It will have enough money from taxes and investment interest on its trust fund to pay all benefits for another 10 years; it has enough money from taxes, interest and cashing in the TBonds the Trust Fund has invested in ($2.5 trillion) to pay benefits at 100% until 2036 even making the most conservative of assumptions. According to some Budget Office estimates based on more economically optimistic assumptions, benefits could remain at 100% indefinitely beyond 2036. Even then it doesn’t just “go broke”. It would then pay out at 75% because of continuing tax revenues. Actuaries have determined that the average benefit is actually the equivalent of a virtually risk free $480,000 whole life policy. And to be sure it remains sound for another 75 years, some rather tiny modifications made now would do the trick. We should do this but don’t try to scare Seniors (and for that matter, young folks) with predictions of the sky about to fall. It’s simply dishonest which is not something I expect from you, Kyle. I am a Senior and I approve this message.

Truthbuster

May 28th, 2011
12:07 am

Being scarily partisan is OK…but ‘pants-on-fire’ falsehoods aren’t? Let me educate you re just some of Medicare/Medicaid reforms in Obama’s Patient Protection & Affordable Care Act (PPACA), since you obviously haven’t read it, visited its many program sites & know nothing about it..but like to wrongfully insult Obama/Dems:

1.Creating a competitive insurance market:
–2014 ACA Insurance Exchanges Will Rollout – will improve consumer bargaining power > lowers premium & health expenditures and creates consumer choices & higher quality options

2.Medicare expensive fee-for-service system wastes billions annually –
–Medicare “bundling”of payment for entire treatment needs or episodes of care, which may span multiple providers and settings, rather than for individual visits or procedures will reduce costs AND improve care co-ordination, quality & outcomes.

3. 15-30% of Health Services Rendered Are Unnecessary/Duplicated – $15B Wasted Annually
– New Patient-Centered Outcomes Research Institute charged with advanced comparative effectiveness research
–As of 2013, the new.ACA Independent Payment Advisory Board, will be charged with developing proposals to reduce per capita growth in Medicare spending & slow overall growth in national health expenditures
–New Center for Medicare and Medicaid Innovation focuses on service delivery and payment innovation,and is charged with developing cost-effective strategies for improving quality of US health care delivery & outcomes

4. Prevention is Key: 75% of US Health Expenditures Are Spent on Preventable Chronic Diseases, Prevent Disease & Contain Costs
–Medicare Preventive Services – ACA worked with insurers & providers to provide preventive care counseling, services, checkups & annual wellness exams free-of-charge to Medicare beneficiaries
–ACA-created interactive education & healthfinder service, healthfinder.gov, which provides prevention information, resources, tips targeted to individual needs
–The First Lady/HHS working on ambitious “Let’s Move” national program – Mission: Help Solve National Childhood Obesity Issue Within One Generation http://www.LetsMove.org
–$100 million ACA Grants to Create Healthier Communities
–HHS Consumer Education Campaign

5. ACA & Health Insurers – Eliminate Abuses – Reduce/Control Costs, Prevent Punitive Practices
Which Cause Financial Harm/Distress to Participants, Make HC Affordable
–ACA Patient Bill of Rights
–New ACA Regulation – Stops Arbitrary & Excessive Premium Hikes, Limit to -10% & Require Review/Approval: Major & Much Needed Cost-Cutting Initiative
–ACA law requires & regulates insurers to spend at least 80% of premiums on direct medical care and efforts to improve the quality of care (for individs & small groups) & 85% for large groups (usually 50 or more employees)
–ACA Pre-Exisiting Condition Insurance Plan – new plan option to insure consumers who were rejected from their plan on basis of pre-existing condition
–Curbing Insurance Cancellation – ACA law prevents insurer retroactive plan cancelation due to honest errors in applications
–$250 One-Time Tax Free Donut Hole RX Rebate
.
6.Medicare Fraud – Stop Fraud, Save Billions (over $4 billion retrieved in 2010)
–Medicare Fraud Strike Force
–Healthcare Fraud Prevention & enforcement Action Team (HEAT)
–www.StopMedicareFraud.gov
–Senior Medicare Fraud Patrol – senior volunteer program
–Heat Task Force In Your Area Program
–Consumer Ed: Fight Back Brochure, Stop Medicare Fraud Widget
–HEAT Blog

7ACA & Reducing Rx Drug Costs
–ACA program to make Medicare prescription drug coverage (Part D) more affordable for beneficiaries, by gradually closing the Donut coverage gap
–50% brand name Rx discount when Medicare plan participants hit the donut
–Program to increase incidence of electronic Rx prescribing & CPOE systems, which eliminate costs & consequences associated with medical, medication & prescription errors. Cost analysis of CPOE system at Brigham & Women’s hospital found net savings of $16.7 million over 10 years.

8. Improving Care, Safety & Costs of In-Hospital Health Care
–ACA Partnership For Patients: Better Care, Lower Costs – New Private-Public partnership
–Promoting increased hospitals adoption & use of checklists of evidence-based patient care interventions to decreases incidence of infections, eliminates costs of consequential extended hospital stay & treatments
–Limits how much a hospital or facility can charge a patient for hospital-acquired conditions > lowers patient costs & encourages hospital compliance with cost-saving infection & medical error avoidance strategies.
–Enhanced transitional care programs during 30 days after discharge from hospital > can avoid or lower costs associated with preventable re-admissions, a $16-$20 million annual cost for Medicare.
–Medicare Community-Based Transition Programs

dr. faith

May 28th, 2011
1:23 am

jesus is my co-pilot er co-payment….

Pizzaman

May 28th, 2011
1:33 am

Kyle how do you reconcile the Republican claims that ObamaCare cuts 500 million from medicare and the Ryan plan? Isn’t it true that the Ryan plan keeps that 500 million since it’s Republican sponsored subsidies to the insurance companies, Medicare C (also known as Medicare Advantage), and the pharmaceutical companies, Medicare D , the Bush drug plan. And isn’t it also true that even if the Ryan plan passed in it’s entirety it doesn’t even dent the national debt?
Your side needs to come up with the changes they’ve been crowing about since Nov. And oh yea! Where are the jobs. Its been 5 months!

Michael H. Smith

May 28th, 2011
4:36 am

Caps? Please! Look, there is a CAP on all government spending. It’s commonly called the DEBT CEILING. Try keeping things honest for a change.

BTW, it’s been two years and trillions of borrowed dollars spent, inflation already bearing down on us, unemployment remains well above 8%… so yeah, where are those jobs?!

I really do hope you Democrats continue your suicide march to defeat on this one. The American people are not as dumb as you would like to make them. They will get wise to the fact that all the Democrats are interested in fixing is the 2012 election, not the entitlements or American’s Medicare.
This is what Clinton sees (which is my reason for calling him the smartest Democrat on planet earth) that the rest of his belligerent asinine party is blind to; so keep marching lemmings and it will be the Democrats that go over that proverbial cliff in 2012 – not granny!

Michael H. Smith

May 28th, 2011
6:10 am

Medicare politicking won’t fix problem

…Rep. Ryan is right that Medicare needs fixing. The latest annual report of the Medicare trustees concludes the program is carrying $24.6 trillion in unfunded liabilities over the next 75 years. No amount of taxation alone can close a gap that wide. A combination of cost reduction, improved efficiency and increased revenues will be necessary.

President Obama’s tepid response is a proposal to create a 15-member appointed board to regulate the organization of health care services and to set prices for doctors, hospitals and other providers. Proponents of this model say it will lead to a more rational approach and a standard of care that reduces redundancy and price padding, while stressing preventive medicine.

Critics call it rationing of care.

In truth, however, both approaches will ration care. Republicans would control costs, and effectively ration care, by limiting the value of vouchers and therefore the quantity and quality of health insurance coverage that non-wealthy senior citizens can afford. President Obama would ration care through strong central control.

http://www.theday.com/article/20110528/OP01/305289958

DeborahinAthens

May 28th, 2011
6:12 am

Michael H. Smith, you toss out so many inaccurate statements that one has to assume you get your talking points from Sean Hannity and Rush Limbaugh. Obama’s health care plan works the kinks out of a lot of issues that impact Medicare. And all you Republicans can do is try to trash it. Everyone of you was screeching that it removed $500 billion from Medicare, pointing fingers and crying “Shame, shame!” and now you want Ryan’s plan which absolutely deconstructs Medicare. Do you not see the hypocrisy in that???? Ryan, Eric Cantor, Boehner all take a page from Dubya’s playbook by looking soulfully into the camera and intoning in condescending voices (like parents’ speak to an ignorant child) and repeating lies and half-truths over and over expecting that the American public will eventually have to accept said lies as the truth. We are not ignorant. We know the “entitlement” programs will have to be fixed. But to have Ryan tell us with a straight face that a pathetic voucher will be given to seniors that we can use to purchase insurance–saying that it is like the Congressional healthcare plan–is patently absurd! You can give us a voucher of $6000, $11,000. or $15,000 a year (a plan that really doesn’t upset me, by the way) but good luck on getting an insurance company to insure you when you are 65 and have had cancer, or have been diagnosed with Alzheimers. The American idiots that have voted for the Republicans buy into the lies, not realizing, or perhaps not caring, that the most money raised by candidates (look into Paul Broun’s campaign contributions especially) have come from insurance companies that are salivating at the chance to stop paying for our health care. By the way, I’ve worked since age 16 and am now 60, so, I have put hundreds of thousands of dollars into SS as well as Medicare and I would be happy just to get out of the system what I put into it–so vouchers don’t make me upset. But, since my husband has Parkinsons it is highly unlikely that anyone would insure him at any cost, given the out by the Republican plan.

Gerald West

May 28th, 2011
6:36 am

The posturing over Medicare cost containment ignores the fundamental problem: the unnecessary, outrageous cost of American health care.

Let’s revisit the health care issue! This time, let’s muster the courage to defy special interests and the wisdom to disregard myth and deception. We can reduce the cost of Medicare, Medicaid, and private health insurance by a few simple measures.

We can cut billions from prescription drug costs by banning consumer advertising of prescription drugs, and negotiating, rather than paying asking price for patented medical drugs that are not traded competitively. All other developed countries do this, with good results.

We can reduce the excessive costs of medical imaging by running the expensive MRI and CT scanners two shifts a day, seven days a week, instead of 9-5 weekdays only. Not only would we need only half the number of scanners, we would also reduce the work hours lost in getting patients to the clinics.

We can save billions of dollars and hours of aggravation by shifting private medical insurers from the front end of the medical payment system to the back end. A public utility (“option”), similar to Medicare Part B administration, would decide basic health care coverage and set premiums by age group. Insurance companies operating under contract as lowest cost bidders would provide the clerical processes for eligibility verification and claims payment. This would offer a reasonable alternative to private health care insurers, which are unnecessary, burdensome middlemen between patients and medical providers. For example, Medicare Part B administrative costs are about 6-8% of the provider payments, private insurers administrative costs 10-15%.

Michael H. Smith

May 28th, 2011
7:35 am

Remind me DeborahinAthens, wasn’t it you I had to correct on the Democrats defeating the re-importation of drugs?

And, I really haven’t tossed out inaccurate statements but if you want to get beyond playing your usual wortheless politics and actually work towards something sensible, I’ll over look your incorrect ASS-umptions.

Buzz G

May 28th, 2011
7:42 am

Obama has this habit of sticking his head in the sand. But that’s OK, because most of his voters do the same.

dagnabit

May 28th, 2011
7:45 am

Michael K. Smith is why I’ve quit reading these blogs.

Michael H. Smith

May 28th, 2011
7:47 am

By the way, I’ve worked since age 16 and am now 60, so, I have put hundreds of thousands of dollars into SS as well as Medicare and I would be happy just to get out of the system what I put into it–so vouchers don’t make me upset.

Oh and BTW, I second the notion but FAT CHANCE THAT WILL HAPPEN WE ARE DEADLOCKED into the system.

If I could get NON-PROFIT member owned and operated co-ops with with a few perks like re-importation and bulk purchase of drugs and medical devices the way I’d like them… HO, good bye federal government

Michael H. Smith

May 28th, 2011
7:51 am

Yeah, dang that Michael “K” Smith!

BTW, when you stopped reading these blogs, is that like canceling your already canceled subscription to this paper? :lol:

independent thinker

May 28th, 2011
7:54 am

It is people like Kyle that are ubnable to see how the Republicans purposely ruined Medicare under Bush. Please explain to your red neck narrow minded pinhead base and FauxNews/Limbaugh listeners what Bush’s Medicare Advantage program is -basically a Medicare grab by private insurance companies of the Medicare pie with 14-15% profits and vote buying give aways to seniors like gym memberships. What insurance company would ever pay for that???????????????????
The we get the other vote buying scheme of the Repubs- medicare part D -free drugs with no concessions like the VA on bulk purchases from Big Pharma. Instead you get a parade of unneccessary drugs being advertised for seniors on TV. This vote buying scheme got Bush reelected in 2004 and WAS COMPLETELY UNFUNDED. Yeah the Repubs break the piggy bank and then call the other side socialists just like EMTALA passed under St. Ronnie- free emergency room treatment to any breathing person who shows up. Who is paying for that? Isn’t that pure socialism???????????????????????????????????????????????????????????????????

Michael H. Smith

May 28th, 2011
7:55 am

add to 7:47 am

And, good bye private sector insurance companies for the most part too!

carlosgvv

May 28th, 2011
8:16 am

Our Military is run by the government so, we have a socialist Military. And, we constantly say our Military is the best in the world. Do those of you who hate Socialism think our Military is bad?

Michael H. Smith

May 28th, 2011
8:22 am

carlosgvv, if you like Socialism so much, you know there are purely socialist and full blown communist countries you can become a citizen of and live in.

Cutty

May 28th, 2011
8:27 am

I would give republicans more respect regarding the Ryan plan if they didn’t use the savings from Medicare to give even more tax breaks to the rich. That has proven time and again not to work, but that’s the only page in their playbook.

Cutty

May 28th, 2011
8:30 am

Oh yeah, and where was this article Kyle when teapublicans were screaming about death panels?? Seems like both parties try and use fear to their advantage. The average American is too intellectually inferior to see it.

MIltonMan

May 28th, 2011
8:48 am

Libtards and their scare tactics. Worrisome part is that is what works with the stupid ones in South Fulton, Atlanta, DeKalb, Clayton, etc.

wampum

May 28th, 2011
8:52 am

Damn right turnabout is fair play. If we paid per capita what “socialist” countries paid for healthcare we’d be swimming in surplus. We have a healthcare cost crisis fueled by a profit driven wall street model of doing business. Only solution is to nationalise healthcare and provide universal coverage. Republicans created this “crisis”. What a shame it’s biting them in the a$$.

Gator Joe

May 28th, 2011
9:11 am

Kyle,
You and the rest of Right repeatedly display your ignorance by repeatedly saying “Obamacare.” The Republicans in Congress, most of who will never have to worry about healthcare for themselves or their families, are more concerned with protecting the profits of “health insurance companies” (an oxymoron if there ever was one) and the pharmaceutical industry. Kyle, if you are blessed to reach the age of Medicare and Social Security, you will not refuse those benefits, just like the rest of hypocrites on the Right.

Kevin Fodor

May 28th, 2011
9:13 am

Hey, I’m 54…I’m gonna be there soon..But, I know one thing when I see it:

We don’t have the money.

Now, you can play politics with “grandma TV ads” until the money runs out. Or…you can do something about it.

Politicians on both sides of the fence have known this for at least 20 years. But neither side would touch it. Why? Just read some of these “I’ve got mine”-style comments here.

Let me be more frank…FDR and LBJ are dead. The systems they created, though well intended, are pushing the nation toward bankruptcy. There should be a Medicare system, and there should be Social Security. But these two programs, as currently designed need reform. And they need it now.

The sooner all of us grow up, and act like adults here, the easier it will be to solve the problem.

Vito Danelli

May 28th, 2011
9:14 am

What a great transcriber of the GOP Talking Points Kyle is. How does the process work, Kyle? Is there an early morning conference call with Karl Rove, Frank Luntz, and Dick Morris where you and your fellow shill scribblers get your writing assignment? Of course it’s not a coincidence that there are other “columns” on the Ryan Medicare plan that are making the same points you are. I particularly like the new moniker that’s going around to dub the Ryan plan “VoucherCare”.

carlosgvv

May 28th, 2011
9:20 am

Michael H. Smith

That is not what I asked. Do you or don’t you think we have a good socialist Military?

Michael H. Smith

May 28th, 2011
9:26 am

carlosgvv, what you inferred is what you were actually asking and no, we should become a socialist state because our military is the best in the world and it is completely owned-control by the government. Your logic is really bad, even worse than your use of conflated/apples-to-oranges comparisons.

Independent

May 28th, 2011
9:37 am

I believe in fixing Medicare. The problem is that the Republicans have thrown out the window the one option that I believe needs to be used to fix Medicare: raise Medicare taxes. I am 53 years old and I have planned for my retirement, but those plans don’t include having to come up with an extra $300 – 400 per month to supplement the voucher that Ryan wants to give me for my “medicare” insurance. The system should work the way it was intended. However, the costs of medical coverage have gone up 15-20% evry year for twenty years while payrolls have stayed flat and the Medicare insurance part of payroll taxes is locked. Those taxes should have been adjusted to keep up with the costs of medical care. Now we need a big increase in Medicare taxes. Will that hit poor workers harder, sure, but they will be reaping the benefits when they retire.

Independent

May 28th, 2011
9:39 am

Sam – good answer. We can have “death panels”

Michael H. Smith

May 28th, 2011
9:39 am

Kevin Fodor, you are exactly right, though, I ain’t got mine – the federal government that can’t pay our bills without borrowing money has 100% of it.

Sam

May 28th, 2011
9:40 am

Lets face it. Some will have to die. It will pay to save your own money and be independent of handouts.

Michael H. Smith

May 28th, 2011
9:50 am

Rationed healthcare is a “death panel” by default. Both sides have their own particular versions of it in the proposals they have offered thus far.

Independent

May 28th, 2011
9:52 am

There are always two ways to fix an budget imbalance – cut expenses or raise revenues. If your household budget is short, you have two options, cut your spending or get a second job, it just depends on your priorities. If cutting your spending means that your kids won’t have enough to eat, most people would go the route of getting that second job.

The same with Medicare. I believe it is a good, important program that Americans have come to believe in, respect, and count on. We don’t need to snatch it out from under people’s feet. I am sure there are some minor savings where cuts can be made from waste and fraud, but the main problem with Medicare is that the taxes paid in are less than half of what gets paid out. We need to increase the Medicare payroll tax to make it sustainable.

Now I am only talking about the Medicare tax. Do I believe in raising the Social Security tax to make it sustainable? No. It had its tax increase years ago. Do I believe in a general tax increase for the main budget? Not necessarily, though I believe these tax increases should not be “off the table”. I think serious cuts in all budgets are necessary, but it again comes down to priorities. If you won’t cut the military budget, then you had better accept tax increases to pay for it.

Truth Be Told

May 28th, 2011
9:59 am

@bxnyc May 27th, 2011 7:50 pm

You are billiant!!!! I agree with you 100%.

Truth Be Told

May 28th, 2011
10:03 am

Truth Be Told

May 28th, 2011
9:59 am
@bxnyc May 27th, 2011 7:50 pm

Oooops

You are BRILLIANT!!!! I agree with you 100%.

carlosgvv

May 28th, 2011
10:07 am

Michael H. Smith

That is precisely the kind of convoluted in denial answer I expected from you. If I don’t like our kind of Govt. I will stay and try to change it from within. Unlike you, I do not have a “cut and run” mentality.

azazel

May 28th, 2011
10:10 am

What i s scary — is the failure to recoggnize that medicare is more of an entiltlement for the american medical diseaseare complex, than anything else ,since disease and sickness is profitable the entire logic of this issue must hange focus towards creating a socirty of healthrather than a culture of sickness, hard to do because of the subsidies and revenues that papers like this one get lto push poison food — check your cupons. Disease=profits wellness not.

[...] not developing the weapons systems we need to face 21st century threats, and that’s because Medicare, Medicaid and Social Security are sucking up all the resources.  (And let us remember that those are borrowed and printed resources, not cash in the [...]

Michael H. Smith

May 28th, 2011
10:16 am

We need to increase the Medicare payroll tax to make it sustainable.

That alone will not work, even with budget cuts it will still fall short. The cost curve of healthcare has to be bent. Government alone cannot do it nor can the private sector alone do it. Both will continue to produce the same failures. When government can’t do it and the private sector is too costly to do it, what has been the chosen path in this country – either for profit or non-profit member owned co ops. I favor non-profit member owned co ops, with, if I must concede to the term “certain socialists” or “exclusive market privileges”, like public funding for individuals in a variety of forms, use of existing government healthcare infrastructure since we do actually own it, purchasing rights to re-imported drugs and in bulk same for medical devices, plus a great deal more I don’t feel up to typing out. The only area left to private sector insurers would be non-basic healthcare and major medical.

jconservative

May 28th, 2011
10:18 am

“It’s because one side wants to air TV commercials of a dark-suited Republican pushing grandma off a cliff…”

Politically that is a pretty good commercial. It makes the Ryan Medicare Plan a glorified “death panel”.

Look any action taken by Congress will be political. It is amusing that both sides use pure politics to try and carry the day, then bitch when the other side does the same.

Congress has the Constitutional duty to provide for revenue and provide for the spending of that revenue. Congress getting the job done is not the fundamental problem here.

The fundamental problem is that we have a nation that has grown to expect big government services without the need to pay for those services.

And, on a different topic, we have not wavered in our belief that the US should be the most powerful military nation in the world, except we do not want to pay for it.

Bottom line if one side takes its pet off the table then the other side will take its pet off the table.

As of today both sides have taken their pets off the table. So nothing gets done except the maneuvering for the 2012 elections.

Folks we been doing this for over 200 years. We will get this done. We will get it done when we have a compromise between the contending parties. And we will have a compromise when the constituencies of both parties say it is OK to compromise.

.

azazel

May 28th, 2011
10:22 am

disease illnesss and injury should not be ‘free’ market commodities

Left wing management

May 28th, 2011
10:27 am

“Libtards and their scare tactics. Worrisome part is that is what works with the stupid ones in South Fulton, Atlanta, DeKalb, Clayton, etc.”

Ah, so it’s all about racial resentment here, is it?

C’mon, MiltonMan, tell us what you really think. Come on out with it.

Michael H. Smith

May 28th, 2011
10:30 am

Yeah and that is the kind of ignorant convoluted retort I expected from you, carlosgvv. The military does not serve the same functions as an economy or economic system. Want to see what can happen when a military functions as an economy in a socialist communist country, then look at North Korean.

And before you do something dumb like reply with: Well… well… just look at China!
Yeah, and China is more capitalist than we are in ways.

Independent

May 28th, 2011
10:45 am

Michae H. Smith writes “The latest annual report of the Medicare trustees concludes the program is carrying $24.6 trillion in unfunded liabilities over the next 75 years. No amount of taxation alone can close a gap that wide.”

According to my math, that works out to be an unfunded liability of $320 billion per year (about twice the cost of the Iraq/Afganistan war allocation tis year). If you divide the total income in the U S of approximately 8 trillion dollars, that comes to an increase of 4% over your current tax. This is also assuming that income in the United States NEVER rises. If it rises (almost inevitable) over the next 75 years, the increase is a lot less than 4%

Doesn’t seem like a lot to pay to have guaranteed medical coverage after 65, even if those numbers are all correct.

azazel

May 28th, 2011
10:46 am

what do you call it when profits increase in direct relation to your disease burden? and who/what gets those profits only a capitalist society could even imagine to profit from diseased citizens

Michael H. Smith

May 28th, 2011
10:46 am

Okay, jconservative, cram it down your throat government healthcare goes off the table, private sector healthcare or nothing else goes off the table. Now that the Rs and the Ds are gone, what is left other than what we have tentatively agreed to in the past as a possible viable compromise?

Bart Abel

May 28th, 2011
11:14 am

Krugman had a good analogy: think of Medicare as a footbridge that is deteriorating and will eventually become unsafe. You could propose structural repairs to fix its faults; Ryan doesn’t do that. Instead, he proposes knocking the bridge down and replacing it with trampolines, in the hope that pedestrians can bounce across the stream.

There are two ways of scrutinizing the Republican Medicare privatization plan. The first is to emphasize its needless cruelty towards seniors. Ryan wants to shift costs onto seniors and use the savings for tax cuts while pretending to care about a debt crisis. The other is that Paul Ryan’s numbers don’t add up. The combination of the two makes this proposal worthy of the trash heap.

The question isn’t why the Democrats would treat this scam as such. The question is why the media isn’t doing the same.

Michael H. Smith

May 28th, 2011
11:23 am

The question isn’t why the Democrats would treat this scam as such.The question is why the media isn’t doing the same.

The answer is that the Democrat’s scam isn’t really any better and the media is playing both side to profit from it all.

Mitzymy

May 28th, 2011
11:39 am

It is tough to get people to accept changes in anything. I know this from experience, especially older folks. Every 3 years when we went to negotiate new contracts, the employees were most concerned about the changes rather than the annual raises we would get. They always would say, it worked fine for this long, why did they have to change it. That is the same about Medicare. The people who have been using it for a while see no reason to change it, no matter how many figures you throw at them. There have been so many rip offs by doctors and hospitals, that something has to change, but not to get rid of it for a voucher plan, which would be too confusing for a senior. My brother was in the hospital last month for three days, and although he did not have surgery, they still charged him over $29,000. All he did was lay in the bed, eat, and take medicine. The doctor came in for 10 minutes and charged $250.00 each day. Something has to change this rip off.

hoads

May 28th, 2011
11:58 am

Truthteller has all the Democrat talking points down, but the truth–not so much.

1.Creating a competitive insurance market:

Obamacare effectively ends free market health insurance. It dictates benefits and institutes price controls. Private insurers currently follow the lead of Medicare in reimbursement policies such that government legislated restrictions, requirements and even reimbursement levels for Medicare are adopted by private insurers. There is a reason the AHIP supported Obamacare–they are happy to have government impose its rationing schemes so that they can then follow suit–increasing their bottom lines.

2.Medicare expensive fee-for-service system wastes billions annually –

“Bundling” of payments is a method to mandate rationing at bedside such that medical providers are incentivized to WITHHOLD medical treatment and government can escape the public backlash that ensues. Obamacare is imposing “Accountable Care Organizations” into the healthcare system which will be like HMOs on steroids and makes health care providers jump through all kinds of hoops to get reimbursements for their services–kind of like teachers who teach to a test.

Already, Medicare’s own studies have not shown ACOs to be effective at reducing costs.

3. 15-30% of Health Services Rendered Are Unnecessary/Duplicated – $15B Wasted Annually

There is no doubt that our healthcare system is in need of reforms that generate efficiencies but this claim that 15-30% of healthcare is unnecessary/duplicated is ludicrous on its face. This is a number derived from academia (Dartmouth Atlas of Healthcare) and much of their conclusions have been challenged because of their shoddy scientific methods. No matter, this gives cover for the government’s quest to impose price controls and restrictions to medical care. This number is in addition to the 3-10% amount bantied about for waste fraud and abuse. HELLO!!!!!!! This is what happens with central planning. EPIC FAIL

Yet, Obamacare further centralizes medical decision making with its rationing board –the IAPB Independent Advisory Payment Board) where an unelected, unaccountable, president appointed group of 15 will determine what medical services will be covered under Medicare/Medicaid. Yea, they try to preempt this with words like “evidence based” but, a cursory look at research the government uses for its “scientific rationales” is often loosely based upon scientific principles and more often used to push an agenda.

4. 4. Prevention is Key: 75% of US Health Expenditures Are Spent on Preventable Chronic Diseases, Prevent Disease & Contain Costs
Another lie perpetrated by supporters of Obamacare. Yes, healthy habits make for healthier individuals, but healthy habits cannot be imposed or instilled by healthcare providers–everyone must take responsibility for themselves. Yet, Obamacare tries to tell us that if we increase visits to doctors for well visits, free vaccinations, mammograms and other preventive screening–that will reduce the costs of obesity, smoking, chronic diseases yet studies demonstrate that ensuring everyone receives all recommended preventive care screenings and interventions will increase the overall cost of healthcare.

Don’t fall for this ruse—watch the other hand. Preventive care is CHEAP per capita. So while Obamacare mandates “free” preventive care, actual medical treatment will be restricted because that’s where the money is. 5% of the population expends 49% of healthcare dollars. So while the majority healthy people can feel good about getting their free exams, the minority sick, elderly, disabled will find their access to medical treatment limited and rationed.

5. ACA & Health Insurers – Eliminate Abuses – Reduce/Control Costs, Prevent Punitive Practices
Which Cause Financial Harm/Distress to Participants, Make HC Affordable

Here’s about the only thing in the ACA that everyone agrees upon–and it amounts to maybe 10 pages within the 2000+ pages of the ACA. It’s the other 1900+ pages that are going to bite us in the butt.

6.Medicare Fraud – Stop Fraud, Save Billions (over $4 billion retrieved in 2010)

Estimates for fraud range from 3-10%. How much fraudulent reimbursement do you think happens within private insurance? Virtually, nil Again–this is a direct result of government failure. Proponents of Medicare for all like to throw out Medicare “efficiency” at like 4%, but once you add in the fraud–(and the rent, expenses, taxes as paid by health insurers ) and Medicare is LESS efficient overall. BTW, Blue Cross/Blue Shield handles Medicare’s billing/reimbursement services.

Essentially, Medicare (and Medicaid as well) administration is underfunded and does not devote enough resources to fraud prevention.

7ACA & Reducing Rx Drug Costs
Another least controversial part of ACA. Again, watch the other hand. Obamacare closes the donut hole yet, will increasingly limit access to expensive drugs even if studies prove they work. (See UK’s NICE)

8. Improving Care, Safety & Costs of In-Hospital Health Care
Promoting increased hospitals adoption & use of checklists of evidence-based patient care interventions to decreases incidence of infections, eliminates costs of consequential extended hospital stay & treatments
–Limits how much a hospital or facility can charge a patient for hospital-acquired conditions > lowers patient costs & encourages hospital compliance with cost-saving infection & medical error avoidance strategies.

This is another mixed bag for Obamacare. On the one hand, everyone agrees gross negligence should not be reimbursed. However, Medicare is instituting programs that withholds reimbursements to providers for wound infections post surgery, urinary tract infections related to urinary catheters to name a couple. This will have the effect of health care providers reluctant to care for the sick and elderly who are more prone to hospital acquired infections in the first place.

Obamacare does nothing to offer real healthcare reform. In fact, it doubles down on an already failed system and attempts to issue top down mandates, restrictions,price controls and rationing to bring down costs. Why? Because statists just want control of 17% of our economy. They want unionized healthcare workers who will vote for more government at every turn. They want to end the US dominance in medical technology and innovation because we have too many old people. They want to spread healthcare dollars as thinly as possible across the population so that government is front and center in the lives of everyone. OBAMACARE will destroy our already teetering healthcare system and will then step in to “save the day” with more and more government controls of medical care. We need LESS government in healthcare, not more. More competition/less government is a proven recipe for reducing costs.

Uncle Billy

May 28th, 2011
12:11 pm

Medicare is not a problem all by itself. It is a part of the overall problem of the excessive cost of health care in the USA. We spend from 50% to 100% more per patient on health care in the US than any other highly developed country. There is no evidence that the quality of the care is better than theirs. The solution is not to shift costs from Medicare to its beneficiaries. That does nothing to control costs, but it may make decent care unaffordable for many older people. The Affordable Care Act contains many provisions aimed at reducing the cost of care especially in disseminating information about the most effective treatments. Right now there are many medical treatments which do the patient no good or even harm the patient. (The Republicans used these provisions to claim that “death panels” would be set up and that we would “pull the plug on Grandma.” So, complaining about demagoguery by Republicans seems disingenuous at best.)
Health care is something that few would deny to those who are sick, just as education is something that few would deny to those who cannot afford it. So, one way or another care is provided. I believe that it was during the Reagan Administration that emergency rooms were, by law, prohibited from denying care to those who have no money and no insurance. Our whole health care system is too inefficient and too expensive. The Ryan plan would do nothing to make it less expensive or more efficient. If it is such a good plan why does he delay enactment of it for 10 years? Clearly he hoped that current and near term beneficiaries would not care about what would presumably not affect them. Perhaps he was wrong. It should also be noted that most of the money saved under his plan goes to cut the top income tax rate from 35% to 25%, not to reducing the deficit.
Kyle Wingfield should learn something about a subject before he writes about it.

Steve

May 28th, 2011
12:14 pm

First of all, the poor and middle class pay MORE taxes than the wealthy when you consider that the wealthy are only paying 15% on capital gains and the rest of us eat up most of our income on sales, local, and other taxes. Fed taxes are only one chunk of revenue.

Secondly, the American public WANTS social security and medicare. Let’s reform them, cut waste, and bring in more revenue. I am completely fed up with the wealthy getting tax breaks when we can’t balance our budget. I’m talking people with three resort homes, boats, more money than they know what to do with, while the country tanks.

Thirdly, conservatives need to realize that YOU handed us this mess with trillion dollar failed wars, lowered taxes on the wealthy, deregulating the banking and housing industries. Then you blame Obama because he hasn’t fixed it in 2 years after Reagan and Bush 2 damage???

2% of this country is manipulating the rest of us via wedge issues, lies, and distortions. The truth is – we need to go back to the Eisenhower years of middle class prosperity when the regressive tax system worked. We had revenue, we had prosperity at ALL LEVELS, even the wealthy.

Left wing management

May 28th, 2011
12:18 pm

Uncle Billy: “The Ryan plan would do nothing to make it less expensive or more efficient. If it is such a good plan why does he delay enactment of it for 10 years? Clearly he hoped that current and near term beneficiaries would not care about what would presumably not affect them”

Exactly.

azazel: “only a capitalist society could even imagine to profit from diseased citizens”

The elephant in the room that people like Kyle Wingfield — and Paul Ryan — want at all costs to make sure we don’t stop to look at. And these are some of the same people who also claim to defend the Christian religion? It’s the most grotesque distortion of anything resembling a Christian notion of charity – or any other for that matter – to have an entire health system that’s driven by the profit motive.

Michael H. Smith

May 28th, 2011
3:24 pm

LWM if there is no profit to be made in treatment of the sick do you really think you will be able to find a doctor anywhere? Have drugs? Hospitals?

Face it, even in communist countries that have a single-payer socialized medical system people still make money or profit from treating the sick. So this idea of only capitalists would dare think of making money or profiting from some sick persons disease is a load of HOOEY.

And, I don’t want any doctor treating me to get paid fifty cent on the dollar of their fee, which is about what Obama has as an answer for controlling the price of medical treatment or what will be half@$$ treatment. I want full treatment from a doctor who is getting full pay for his or her services. That MD behind their name costs a hell of a lot of money and their sweat equity, which some medical school and professor also made a profit.

Let me know when you and azazel start working for nothing, okay?

Meanwhile I want to get fully paid, I’m not settling fifty cent on a dollar’s worth of my labor and I don’t expect anyone else to do such a foolish thing, not even a person dumb enough to actually do it whether they are Christian or Atheist.

Steve

May 28th, 2011
3:45 pm

Michael H. Smith

Talk to people in Canada who love their health care system and are not filing for bankruptcy whenever a tragic accident or illness strikes their family, and then check out how much better their economy is compares to ours, overall.

We pay more per capita per person for “healthcare” in this country then in any other prosperous western nation, and our costs continue skyrocket while insurance companies rake in profits. Similar to how gas prices are high and oil company CEOs are rolling in the dough.

Why are you conservatives in bed with the rich, who care nothing about the 98% rest of us who are not wealthy but work our butts off to make ends meet?

Question Man

May 28th, 2011
7:13 pm

What’s also really scary? Isn’t it acting like federal revenues do not need to be enhanced to reduce the deficit and enable a political compromise?

Michael H. Smith

May 28th, 2011
7:50 pm

Steve

It is becoming a bore when people assume they have all the facts that I don’t, think they have me pegged as they’ve lucidly envisioned and think me to have never seen or experienced tragic accidents or serious illness as have they, personally or in their family and the difficulties of struggling to meet financial obligations forthwith, even when under the worst emotional strains of the circumstances they can present. I suppose it would not be nearly as dreadful if only such individuals of enormous imaginations, only superseded by the need of altruism, to at least once have something interesting to offer as an alternative to the failures provided under the drab absolute confines of socialism or capitalism, government or enterprise, oh why not just have it good ol’ hemlock or arsenic to speed things up a bit?

Please don’t give me “either, or” ultimatums that I’ve rejected completely out of hand as “neither, nor” solutions to the problem.

MrLiberty

May 28th, 2011
10:51 pm

During the Obamacare debate the republicans acted as though there was nothing wrong with our current medical system too. They clearly are delusional about the corrupt, protectionist, government manipulated system because they are bought and paid for by the medical lobby and the insurance lobby. It seems like Ron Paul has been the only republican consistently calling for a return to a free market in medicine, insurance, drugs, freedom, liberty, etc. as the only solution that will work. He of course has always been right, but heaven forbid any other republicans paid attention or got enough of an education or developed any principles to stand with him.

G

May 28th, 2011
11:00 pm

Fact is Social Security would be fine if the all money taken from the fund used for other purposes through the years would be returned. I don’t hear exactly where you come down on the Medicare issue. But if you’re a young republican, why not KILL IT for say 30 years, and after the boomers are all dead reinstate it in it’s present form for your own benefit.

Mongo

May 28th, 2011
11:45 pm

One easy way to fund Medicare and Social Security would be to make all earned and unearned income subject to FICA taxes with no cap. Since it’s a flat tax, everyone would be taxed at the exact same percentage rate with no exemptions. Everyone pays their fair share. The best thing is that it’s a voluntary tax. If you want to pay less taxes, make less money.

Lou

May 29th, 2011
2:31 am

Yes, there SHOULD be a “hands off Medicare” policy. Cutting half of the handouts the United States gives to other countries would go a long way toward saving Medicare. The needs of the citizens of this country should come before the needs of other countries. What the US gives to Israel alone is obscene. Since when must our citizens suffer in order for our tax dollars to go toward supporting other countries?

Michael

May 29th, 2011
6:09 am

Name a major, industrialized country other than the United States that does NOT provide for the health care of its citizens. What makes the U. S. exceptional in this regard is that, in the guns and butter debate, here the guns always win. Stop feeding the endless war machine, stop subsidizing rich people and rich corporations, and stop sticking it to the poor and what’s left of the middle class. Reform Medicare? You bet! Make it available to anyone who needs it.

Lil' Barry Bailout

May 29th, 2011
7:12 am

wampum: Republicans created this “crisis”. What a shame it’s biting them in the a$$.
——–

Wrong. Democrats created Medicare and lied about it’s long term costs. Now their failed program is biting America’s fiscal condition in the a$$. Wasn’t your Idiot Messiah’s Obozocare supposed to fix all this? Yet another Democrat failure.

Lil' Barry Bailout

May 29th, 2011
7:14 am

Gator Joe: Republicans in Congress, most of who will never have to worry about healthcare for themselves or their families, are more concerned with protecting the profits of “health insurance companies”
———-

If folks find health insurance to be a ripoff, they don’t have to buy it.

Bill

May 29th, 2011
7:34 am

We need to slowly, methodically, but surely shift our spending priorities. This means that over time, we spend less and less on the military (why do we need twice the military capacity of the rest of the globe?). If we only did the, and cut taxes, there would be a huge negative effect on the economy and jobs. Politicians talk a lot about defense, but it is really about jobs for their districts. So, instead of tax cuts, we should shift this money to where the demand and the need is – health care, which will fix medicare, and create jobs at the same time.

Michael H. Smith

May 29th, 2011
8:19 am

Fact is, G, Social Security may NOT be fine EVEN if all the money taken from the fund used for other purposes through the years WAS returned.

I basically agree with what you are saying in this segment of your comment but for the fact that – First, Social Security is a “ponzi scheme”, this alone is enough to spell disaster – Secondly, it is one of the WORST designed investment plans I’ve ever been a part of in my life, considering the percentage of return paid on the use of our money – Thirdly, and to your point, we have dishonest brokers- our politicians in Congress – working on their own behalf’s, serving their own interests rather than ours controlling our investment – trust – funds.

The only good answer to fixing Social Security is to once and for all restructure this PONZI scheme into a viable investment plan under the control of new management which excludes those old “dishonest brokers” and their “sticky fingers” from robbing us blind – namely, our federal government.

As to the closing segment of your comment why not kill this PONZI scheme for 30 years until after the boomers are dead… Well, that is kinda what FDR had in mind when he came up with this “bait n’ switch” PONZI, with death of the recipients taking place rather than the life of his ripoff scheme doing the dying.
At that time the retirement age was 65 years of age but the majority of people were only living to the age of 60 years. Then more money was being collected than was being paid out, there was a surplus to support both government and the PONZI . The problems came in when people began to live longer, the population grew faster then declined, so the results are what we now have with the outlook of one working person paying benefits to three retirees. Fortunately for our dishonest brokers, since they can’t produce a ready made population of new SUCKERS to pay off the old DUPES taken into the PONZI, these Berni Madoffs’ – our dishonest brokers – can print money in the name of untold future generations of new SUCKERS which yet do not exist and simply hand them the debt they owe that was created for them, so our “dishonest brokers” could keep the PONZI alive and pay off all the old SUCKERS and old DUPES that were previously fleeced of their money to finance false promises made to get re-elected, wars and whatever other goodies our dishonest brokers fancied.

You ask why not kill it for thirty years in hopes that will prove sufficient to cover the this deceptive PONZI?

Perhaps, G, we should better ask the victims of Bernie Madoffs’ PONZI scheme why not just kill it for 30 years until the recipients die off as FDR planned and steal from a generation of people their life’s substance ?

“Man looks in the abyss, there’s nothing staring back at him. At that moment, man finds his character. And that is what keeps him out of the abyss.”

Lou Mannheim – from the movie Wall Street

Johnny Angel

May 29th, 2011
8:24 am

How utterly deceitful of you, Kyle.

carl

May 29th, 2011
8:25 am

Bigtime lefty liberal here. I agree Medicare is heading towards insolvency. But to scrap it so the wealthiest Americans can have another tax cut? Or mutate it into something Blue Cross Blue Shield can profit from? Nope and nope. And to hear Republicans whine about Democrats playing “mediscare” or the wrongness of having a “hands-off medicare” policy is just laughable. Hypocritical, but laughable. Sad part is so many sheep will buy into these arguments so the richest can be a bit richer.

Michael H. Smith

May 29th, 2011
9:03 am

Let me get this straight, even liberals agree Medicare is heading towards insolvency but they want to “do nothing” in a “Hands-off-Medicare” policy?

WHOA! Talk about throwing granny over the cliff ?! Yeah, that may just be so.

Now, “Granny”, is sitting strapped into her unattended Medicare wheelchair that is rolling downhill out of control headed towards the proverbial death cliff, with a poster attached to her wheelchair over her gray haired head that reads:

HANDS-OFF-POLICY!
Do Nothing

under signed – Your Do Nothing Democrats

Like that reverse-engineered spin I’ve just put on your “Hands-off-Medicare” policy of “Do Nothing”, libs? I’ll bet this take-off on your MediScare ad will play like pure hell with my boomer generation.

Keep it up. Go ahead and make my 2012 election.

Johnny Angel

May 29th, 2011
9:08 am

Keep it up. Go ahead and make my 2012 election.

Gladly.

Michael H. Smith

May 29th, 2011
9:15 am

Thanks, I’ll gladly take it. :)

Bill

May 29th, 2011
10:19 am

Michael Smith,
“it is one of the WORST designed investment plans I’ve ever been a part of in my life”

Social Security is not, and never was an investment plan. That might explain part of your disappointment. It was not designed to maximize every individual outcome, but to provide a positive outcome for society.

If that is socialism, I am all for it.

Bill

May 29th, 2011
10:21 am

Micheal Smith,

I believe that I offered an alternative to doing nothing. How do you think the majority of Americans would respond if you asked them : should we spend less on the military and shift that money to healthcare?

independent thinker

May 29th, 2011
10:26 am

For those pinheads who believe the garbage about the US having the best health care system in the world here is the World Health Organization’s ranking of every country that has better health care
system than the US free enterprise (make everyone rich but the patient)model which the Repubs espouse as holy gospel:

1 France
2 Italy
3 San Marino
4 Andorra
5 Malta
6 Singapore
7 Spain
8 Oman
9 Austria
10 Japan
11 Norway
12 Portugal
13 Monaco
14 Greece
15 Iceland
16 Luxembourg
17 Netherlands
18 United Kingdom
19 Ireland
20 Switzerland
21 Belgium
22 Colombia
23 Sweden
24 Cyprus
25 Germany
26 Saudi Arabia
27 United Arab Emirates
28 Israel
29 Morocco
30 Canada
31 Finland
32 Australia
33 Chile
34 Denmark
35 Dominica
36 Costa Rica
37 United States of America
So much for free enterprise health care.

Left wing management

May 29th, 2011
10:50 am

MHS: “LWM if there is no profit to be made in treatment of the sick do you really think you will be able to find a doctor anywhere? Have drugs? Hospitals?”

You’re reducing the notion of making a decent wage to making a ‘profit’, a “return on investment” and other such obscenities.

The fact that in our time it’s so difficult not to make this mistake indicates the stranglehold the capitalist logic has on our public services.

The health of citizens is a basic necessity of life and profiteers have no business in the basic delivery of that necessity. The only ROI here is the health of actual human beings, which of course the profiteers have no interest is. Let them go elsewhere in search of their gravy train. Let them seek it on Casino Wall St.

Just Saying..

May 29th, 2011
11:07 am

Death panels! Unplug Grandma! People who live in glass Houses…

Mary Elizabeth

May 29th, 2011
11:15 am

Please read the following information, entitled: “CBO: Seniors would pay much more for Medicare under Ryan plan.”

http://www.kaiserhealthnews.org/Stories/2011/April/06/CBO-Seniors-Pay-More-Medicare-Ryan-Plan.aspx

Fund Medicare, as it presently is, by cutting tax subsidies to corporations, raise taxes somewhat, esp. by letting Bush tax cuts for wealthy expire, cut fraud and waste in current Medicare.

Look outside the given “box” for answers; the “box” is microscopic looking only at “saving” Medicare by providing vouchers. Shift focus from Medicare cuts to cuts in military budget and cuts in tax subsidies to corporations and let Bush tax cuts expire for all.
.

Bart Abel

May 29th, 2011
11:30 am

RE: “What’s really scary? Acting like nothing’s wrong with Medicare”

I’m frustrated with the headline of this article. Of course Democrats aren’t pretending like nothing’s wrong with Medicare. Nothing could be further from the truth.

The health care law that passed last year is expected to be so effective at reducing the cost of Medicare that the Congressional Budget Office estimates that it will reduce the deficit by $1 trillion in the out years. It does this by phasing out the expensive and inefficient subsidies to private insurers, cracking down on waste, fraud and abuse, and modifying the payment formula so providers begin to paid for outcomes rather than procedures. The new health care law also established the Independent Payment Advisory Board to reduce costs and restrain the growth of Medicare spending. Republicans want to repeal all these cost saving measures.

In addition, Democrats want to allow the government to use its bargaining power to negotiate lower drug prices for Medicare beneficiaries. Republicans won’t allow it.

Democrats also wanted a public option which would allow anybody to buy into Medicare to allow premiums from healthy people to offset the cost of Medicare for sick people. More cost sharing or “pooling of risk” would drive down the cost of Medicare for all. Republicans won’t allow this either.

Whether you like the new health care law or not, whether you like the proposals that weren’t able to be included in the health care law or not, nobody should pretend that Democrats are acting like nothing is wrong with Medicare. In fact, Obama’s repeatedly made the argument for passing the health care law to reduce the growth of medicare (”cost curve”) over time.

Ironically, Republicans retook the House last year, in part, because they ran claiming that Democrats cut Medicare benefits (remember death panels) and that Republicans would save it. Talk about bait-and-switch.

Michael H. Smith

May 29th, 2011
11:31 am

Yeah, okay, Bill, if that is what you believe fine. I simply know differently and better than to accept what you said.

Michael H. Smith

May 29th, 2011
11:39 am

LWM

How you think making a decent wage is possible without making profits?

Good look on forcing doctors to do your biding in treating the sick at no profit to pay them a decent wage, when already Medicaid patients cannot find a doctor to treat them because the doctors are being forced to take less than a decent fee – I mean, wage.

Michael H. Smith

May 29th, 2011
11:42 am

I’m frustrated with the headline of this article. Of course Democrats aren’t pretending like nothing’s wrong with Medicare. Nothing could be further from the truth.

At least you got that much right.

PS. Off to do some slave labor before my Master kicks my… you got the picture, back to the honey-do list. :)

Alan

May 29th, 2011
11:46 am

Michael Smith – you want war bubba? Hell we will bring it right to the front door of your double wide, and I promise you, YOU WILL LOOSE!

Michael H. Smith

May 29th, 2011
12:03 pm

In that case I have nothing to worry about, Allen – I don’t have a double wide! :lol:

Michael H. Smith

May 29th, 2011
12:23 pm

In addition, Democrats want to allow the government to use its bargaining power to negotiate lower drug prices for Medicare beneficiaries. Republicans won’t allow it

Yeah, if that is true, then why did YOUR DEMOCRATS defeat a Democrat amendment sponsored by Senator Brain Dorgan (D). Oh you should have heard Senator Frank Lautenberg spouting the BUSH mantra nearly word for word to defeat the re-importation of prescription drugs. I mean, you gotta give to your guy Frank Lautenberg, libs. He does a better impersonation of BUSH than George Dubya can do of himself.

And, Obama gave the right to bargain away in a deal he made with BIG PHARMA!

Wake up people, when it comes to dealing with BIG PHARMA we only have a very few that will stand up for us. People like Ron Paul (R) and the former Senator Dorgan (D).

You want to talk about foreign aid wrongly given, then why do we Americans have to pay high prices for our drugs, just so people in other countries that probably hate us, can get their drugs on the cheap? Angry yet? Still don’t want to make any changes?

Michael H. Smith

May 29th, 2011
1:30 pm

More cost sharing or “pooling of risk” would drive down the cost of Medicare for all.

Neither will your Democrats allow individuals in the states to form, independent of absolute Federal Government ownership and control, non-profit member owned and controlled healthcare insurance Co Ops with all the elements I have written about in the past. Which one of those elements is the re-importation and bulk purchasing of prescription drugs and medical devices. It is in both of these areas where the highest profit margins exist.

When your Democrats give-up federal ownership and control of the entitlements to the individuals in the same fashion as the federal government now allows individuals to manage their own IRA’s and, AND, enacts a Constitution amendment that does two things: 1) Fully funds the entitlements before one penny more can be appropriated for any other government spending, including the operation of the federal government itself 2) Shall produce a balanced budget which only allows for deficit spending to pay for war or natural disasters, then I might have a reason to believe the “dishonest ponzi brokers” of the past have stop dealing dishonestly with respects to our future and that of our posterity.

Kyle Wingfield

May 29th, 2011
1:42 pm

(not-so) independent thinker: The WHO study that came up with those rankings has been roundly criticized as a pseudo-intellectual, ideological sham that had nothing to do with measuring actual quality of health care.

See here for an excellent overview: http://www.commentarymagazine.com/article/the-worst-study-ever/

The article includes explanations like this:

“According to WHO, ‘Financial fairness is best served by more, as well as by more progressive, prepayment in place of out-of-pocket expenditure. And the latter should be small not only in the aggregate but relative to households’ ability to pay.’

“This matter-of-fact endorsement of wealth redistribution and centralized administration should have had nothing to do with WHO’s assessment of the actual quality of health care under different systems. But instead, it was used as the definition of quality. For the authors of the study, the policy recommendation preceded the research. Automatically, this pushed capitalist countries that rely more on market incentives to the bottom of the list and rewarded countries that finance health care by centralized government-controlled single-payer systems. In fact, two of the major index factors, Health Distribution and Responsiveness Distribution, did not even measure health care itself. They were both strictly measures of equal distribution of health and equal distribution of health-care delivery.”

Bart Abel

May 29th, 2011
2:05 pm

Kyle’s link above goes to Commentary Magazine’s site. In the “About Us” section of this site, it describes itself as “the flagship of neoconservatism.” It seems to me that this criticism of the World Health Organization study as a “pseudo-intellectual endorsement of wealth redistribution” is more of a reflection of Commentary Magazine’s bias than the WHO’s.

Their problem with the WHO study seems to be, in part, that it measures whether poor and middle class people have equal access to quality health care. Maybe it’s just me, but I believe that most reasonable people would consider such assess to be a good thing and worth factoring into such rankings. Having the best quality health care in the world doesn’t mean much if a significant portion of the population can’t access it.

I Report (-: You Whine )-: Thee Magnificent!!! mmm, mmmm, mmmmm! Just sayin...

May 29th, 2011
3:34 pm

KABUL, Afghanistan – Nine NATO service members were killed Thursday in Afghanistan, including seven U.S. troops among eight who died when a powerful bomb exploded in a field where they were patrolling on foot, officials said.

Back in the days when Bushie was the prezident, the next paragraph in yon story would have been something like this-

Bush refused to give them body armor, blaaaaaaaaaaaaaaaahhhhhhhh. Their mommies had to have a bake sale just so their sons could have bullets, blaaaaaaaaahhhhhhhh. WWWAAAAaaaaaaaaahhhhhhhhhhhh, ew.

But now that obozo is, uh, “in charge-”

Last year, the Pentagon provided $495 million to buy 34 tethered surveillance blimps that give troops a bird’s eye view of certain areas and sent in more unmanned surveillance aircraft so route-clearance patrols would have the benefit of full-motion video. The Pentagon also delivered more than 5,000 hand-held bomb detectors, improved training and sent additional equipment to Afghanistan to counter the threat.

Bark, bark, lap doggies.

Lil' Barry Bailout

May 29th, 2011
4:33 pm

Bart Abel
May 29th, 2011
11:30 am
—————————

If your Idiot Messiah’s Obozocare plan is such a great idea, why is Medicare scheduled to collapse in twelve or thirteen years?

Idiot Messiah: Liar. Failure.

Lil' Barry Bailout

May 29th, 2011
4:35 pm

BTW, I learned today that my Dad’s health care plan was discontinued thanks to Obozocare. Whatever happened to “if you like your plan, you can keep it”?

Idiot Messiah: Liar. But we knew that.

MarkV

May 29th, 2011
4:44 pm

Kyle, regardless of the validity of the WHO study ranking, you cannot deny that the US spends much more per capita for health care without achieving a correspondingly better health than many countries with universal health care.

Michael H. Smith

May 29th, 2011
5:38 pm

The federal government cannot force a doctor to treat you without agreeable just compensation and the federal government is broke, has no money. Now how is your federal broke government which has no money that cannot pay its’ bills without borrowing money from China going to guarantee you access to anything, when China can one day up and say, no more loans?

From each according to their ability, to each according to their need: Until you run out of “access” to other people’s money.

The federal government is one of the worst managers of money per capita in the world: Them I should trust with my “safety net”? :roll:

MarkV

May 29th, 2011
7:21 pm

The whole talk about federal government being broke, cannot pay bills, is a worst manager of money, etc., is a claptrap used only to force decisions favorable to a certain section of the population. The government is us, all the people, and each of us wants certain things to be done by the government we have elected, but we just want to pay only for what each of us wants.

Michael H. Smith

May 29th, 2011
9:03 pm

Like $14 trillion dollars of debt is claptrap invented to force government to favor paying it bills and the need to borrow more money to repay borrowed money and continue to operate is claptrap? It is in very point of fact, being broke, unable to pay bills, a government repaying borrowed money with more borrowed money, because that government cannot control its’ spending addiction, which only the worst mangers of money in the world would ever allow to happen is in all honestly an UNTRUSTWORTHY government.

Lil' Barry Bailout

May 29th, 2011
9:27 pm

A balanced budget is favorable to all segments of society except for parasites and government workers.

Jefferson

May 29th, 2011
9:49 pm

Medicare has a funding problem, fund the program and the Americans that pay for it will be happy.

Michael H. Smith

May 29th, 2011
9:57 pm

Nothing like being forced to pay the bills created by the mental-illness of spendthrifts!

Can’t we just put them away in communal asylums somewhere as a matter of serving the public good, give’em all the Kool-Aid their kidneys can stand, put plastic protective covers over all the bedding and let’em weave baskets for the rest of their lives in order to keep their hands off other people’s money. I mean, wouldn’t this be a humane cost efficient method of treating a terminal fiscal disease.

Michael H. Smith

May 29th, 2011
10:05 pm

Medicare has a funding problem called a Congress that over-promises more than is fiscally possible to deliver.

Michael H. Smith

May 29th, 2011
10:37 pm

Remember Obama’s use of the Postal Service as an example when he was pushing ObamaCare off on the public?

Um, how’s the Postal Service doing these days, Mr. Obama?

Left wing management

May 29th, 2011
10:59 pm

A balanced budget is favorable to all segments of society except for parasites and government workers.

Pfft.

C’mon. You don’t care about a “balanced budget”. If you did, you’d acknowledge what you know is true, which is that we could essentially take care of our fiscal problems by merely returning to the tax rates of the Clinton years.

MarkV

May 29th, 2011
11:09 pm

Who gets the money spent by the government? Mostly Americans. The problem of the deficit and debt is mosty that the government gives people the money they have requested, but does not take enough from them to cover those expenses. I bet all those people who complain about government spending too much would complain even more if the government did not support programs they benefit from.

Jefferson

May 29th, 2011
11:36 pm

Medicare taxes have not kept pace with medical cost increases. Blame the medical industry not the taxpayer, they pay — they want the service. What you are scared of is solving the problem. Look who is getting rich on medicine, there is the only place to hold the line on cost increases. Private insurance enriches too many, that’s why is costs so much and is killing its golden goose.

Michael H. Smith

May 30th, 2011
8:28 am

Gee, I wish the federal government would start cutting programs just so I could find something to complain about. Let me know when the federal government has been cut by 90%, then I’ll start complaining about the 10% of federal government I actually need being threatened by the anti-government anarchist.

Michael H. Smith

May 30th, 2011
8:57 am

Look at the profits for each sector of the medical industry and you’ll find the real demon is not private insurance.

Who Is Making the Biggest Profits From U.S. Healthcare? You Might Be Surprised . . .

…“Pharmaceutical companies have a profit margin of 16.4 percent,” Newman reports, “seventh highest of the 215 industries that Morningstar tracks.”

…When you add in the cost of drugs administered in a hospital, a nursing home, or in a doctor’s office –plus the cost of the many medical devices that drug-makers now sell—you find that their share of the $2.6 trillion pie rises to 16%. And if anything, those devices—ranging from stents to artificial knees—are even more over-priced than the drugs.)

Prescription-drug makers are not the only companies turning a nice profit on our health care, other industries with profit margins well above the 2.2 percent median for all U.S. industries include: healthcare information (9.4 percent), home healthcare firms (8.5 percent), medical labs (8.2 percent), and generic drug-makers (6.5 percent).

http://www.healthbeatblog.com/2009/08/who-is-making-the-biggest-profits-from-us-healthcare-you-might-be-surprised-.html

Michael H. Smith

May 30th, 2011
9:28 am

No matter which way the debate goes on Medicare I’ll probably be locked into it because of my age. But if I could get vouchers, have an enhanced version of health savings account, have a healthcare Co Op similar to Group Health Cooperative in Seattle, Washington here in Georgia to join, which would be allowed to buy re-imported drugs and medical devices, with bulk purchase privileges, and some State of Georgia sponsored funding such as from gaming and sin taxes, I would drop traditional Medicare, ObamaCare and the federal government ownership, control-dependency of my healthcare, like a hot rock burning my hand to take a Ryan voucher!

Reading assignment for inquiring minds:

Group Health Cooperative

http://www.ghc.org/

independent thinker

May 30th, 2011
12:11 pm

as pointed out by Bart Abel @2:05 pm yesterday, Kyle is referencing a highly conservative commentary on the WHO report. Yes it does not strictly look at longetivity, infant mortality and other health factors for its assessment. What it did find is what everyone actually agrees on and that is that is we have the most expensive health care system per capita in the world and the least efficient. I believe that is why even Newt and the Repubs wanted to push through a federal single payer system in the early nineties,
Here are the factors the WHO study evaluated that Kyle and the right wing find so offfensive:

In designing the framework for health system performance, WHO broke new methodological ground, employing a technique not previously used for health systems. It compares each country’s system to what the experts estimate to be the upper limit of what can be done with the level of resources available in that country. It also measures what each country’s system has accomplished in comparison with those of other countries.

WHO’s assessment system was based on five indicators: overall level of population health; health inequalities (or disparities) within the population; overall level of health system responsiveness (a combination of patient satisfaction and how well the system acts); distribution of responsiveness within the population (how well people of varying economic status find that they are served by the health system); and the distribution of the health system’s financial burden within the population (who pays the costs).”"

If one looks at out health care system as a cost of GDP go to
Life Expectancy vs Health Care Spending in 2007 for OECD Countries. The data source is http://www.oecd.org.
For half of the cost per GDP , Japan has a higher life expectancy. Do you really think that letting private insuarance regulate the cost of health care with employers taking unlimited deductions for contributions that we can ever have a less costly system?

Independent

May 30th, 2011
1:21 pm

Medicare taxes only cover half of Medicare expenses. Medicare Pard D is 25% of Medicare expenses. Medicare Pard D was never paid for: no new taxes were incorporated when it was rolled out. The people receiving Medicare Pard D never paid any extra to receove it. That is one-half of the problem there. Either do away with Medicare Pard D or up taxes to cover it.

killerj

May 30th, 2011
2:34 pm

Golly Gee Whiz,and just how many illegals are on the bus?many factors including using your tax money instead of what it is intended for plays a big part my friend.Go Tea Party.

Michael H. Smith

May 30th, 2011
7:11 pm

The united nations is not what most people consider a centrist organization. Certainly the UN and its’ agencies are no gatekeepers of gospel truth.

It is also very doubtful that Newt and the Republicans desired, let alone were pushing for a single payer system in the ’90s, since HilaryCare was single payer system and they all opposed it furiously.

Japan faces major problems which will challenge their single payer system in the way the US now faces with our entitlements – aging population. Very doubtful Japan will be able to maintain its single payer system without making drastic reductions in services or going to a hybrid form of single payer as now the UK is undertaking with its nationalized healthcare system. Which is not to say a hybrid mix of single payer/ private insurer is bad, considering that is exactly what Switzerland has as a system and it appears to work very well for the Swiss. But, then again, that is in reality some of what the U.S. has had since the advent of Medicare, Medicaid and SCHIP, though, the US system is not nearly as good a model when compared to the Swiss.

However, the Swiss model could be replicated with the government portion replaced by Healthcare Co Ops like the one found in Seattle Washington. With a few tweaks including various forms of revenue streams other than depending solely on taxation, the Group Health Cooperative model could be improved. Likely at lowered costs, increased coverage with less exposure to the political risk of cuts or loss of services or care.

Lil' Barry Bailout

May 30th, 2011
7:55 pm

Jefferson: fund the program and the Americans that pay for it will be happy.
————————

Sure…who doesn’t like free stuff paid for by others?

People who aren’t parasites, that’s who.