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Valued Social Butterfly
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Re: CBO's 1st General Analysis of a Single Payer Health System like Medicare-for-All

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@Olderscout66 wrote:

House Democrats need to take a very close look at the German system.

It uses private insurance companies

It has many different levels of coverage above the basic that is provided to all

It is VERY popular with the patients AND the care providers.

It's cost per patient is less than $4,500/year (vs +$8,500 in the US)

Health care costs have been increasing at 2.5% or less for the last 10 years

It ranks 5th in the World in overall patient outcomes (vs 11th for USA)

 

In short, it already answers a great many GOPer "concerns" with universal coverage - Single Payer health care...

 

(but don't let the GOPers know it's "foreign".)


Your cost are a little outdated - but whatever.

It is not so much the Healthcare system but how it is put together in the regulatory area.  If you do not know what you are missing - you never know it is even available.

 

I am not disputing that the Germans do not have a good system - I agree, they do.   As far as I know, Germans like their system, they feel like they get what they need and it is more economical than ours.   However, The Federal Joint Committee, is the German controllers of benefits and this is how they do it -

The Federal Joint Committee [ Gemeinsamer Bundesausschuss (G-BA) ] - Decisions on Healthcare Benefit...

 

You see, it is the control of what is covered and how, that I think Americans will have a problem with and I can give many examples.  Not just American patient - providers and patient advocate group too would have a hard time accepting that an agency that makes healthcare benefit decision, basing these decisions on what is the best for the money, might not agree with their views.

 

 

 

 

 

* * * * It's Always Something . . . Roseanne Roseannadanna
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Re: CBO's 1st General Analysis of a Single Payer Health System like Medicare-for-All

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CBO's 1st General Analysis of a Single Payer Health "INSURANCE" System like Medicare-for-All

 

Medicare is health insurance for our over 65. Medicare-for-All is simply that health insurance expanded to include everyone.That begs the question.

 

Why Medicare-for-All?

 

Our national company provided health insurance system is in a death spiral. The Heritage Foundation said their market-place Obamacare program would fix that.  They lied.

 

Medicare-for-All is simply a suggested replacement for our failing private health insurance mess.

 

 

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Re: CBO's 1st General Analysis of a Single Payer Health System like Medicare-for-All

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@GailL1 wrote:

CBO - May 2019 - Key Design Components and Considerations for Establishing a Single-Payer Health Car...

 

If You might be interested -

 

At a Glance

Some Members of Congress have proposed establishing a single-payer health care system in the United States to ensure that virtually everyone has health insurance. In a typical single-payer system, people enroll in a health plan oper-ated by the government, and the receipts and expenditures associated with the plan appear in the government’s budget.

 

This report describes the primary features of single-payer systems, and it discusses some of the design considerations and choices that policymakers will face as they develop proposals for establishing such a system in the United States. The report does not address all of the issues involved in designing, implementing, and transitioning to a single-payer system, nor does it analyze the budgetary effects of any specific proposal.

 

Some of the key design considerations for policymakers interested in establish-ing a single-payer system include the following:

How would the government administer a single-payer health plan?

Who would be eligible for the plan, and what benefits would it cover?

What cost sharing, if any, would the plan require?

What role, if any, would private insurance and other public programs have?

Which providers would be allowed to participate, and who would own the hospitals and employ the providers?

How would the single-payer system set provider payment rates and purchase prescription drugs?

How would the single-payer system contain health care costs?

How would the system be financed?

 

For each question, this report discusses various options and provides a qualitative assessment of the trade-offs they present.

 

 


It makes some good reading but few will understand it. We have people who understand this subject and could give us a good health care system. A good start was made with the ACA, and that can lead to steps toward the final system. There will be nothing done to improve health care for all in the USA as long as Trump and the far right are in power. If you want to improve health care step one is to end Trump, and his far right wing supporters. If you want to waste a lot of time read and talk about the this report as it serves no useful purpose except to deflect from a Dictator taking final power in the USA.

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Re: CBO's 1st General Analysis of a Single Payer Health System like Medicare-for-All

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House Democrats need to take a very close look at the German system.

 

 

Another consideration is how much taxpayers subside the current system and how are we going to pay for future unfunded liabilities.

 

 

Sooner or later the credit card is going to hit it's limit.

 

 

Better to just deal with it now.

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Re: CBO's 1st General Analysis of a Single Payer Health System like Medicare-for-All

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Message 5 of 10

House Democrats need to take a very close look at the German system.

It uses private insurance companies

It has many different levels of coverage above the basic that is provided to all

It is VERY popular with the patients AND the care providers.

It's cost per patient is less than $4,500/year (vs +$8,500 in the US)

Health care costs have been increasing at 2.5% or less for the last 10 years

It ranks 5th in the World in overall patient outcomes (vs 11th for USA)

 

In short, it already answers a great many GOPer "concerns" with universal coverage - Single Payer health care...

 

(but don't let the GOPers know it's "foreign".)

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Re: CBO's 1st General Analysis of a Single Payer Health System like Medicare-for-All

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Some of the key design considerations for policymakers interested in establish-ing a single-payer system include the following:

•How would the government administer a single-payer health plan?

•Who would be eligible for the plan, and what benefits would it cover?

•What cost sharing, if any, would the plan require?

•What role, if any, would private insurance and other public programs have?

•Which providers would be allowed to participate, and who would own the hospitals and employ the providers?

•How would the single-payer system set provider payment rates and purchase prescription drugs?

•How would the single-payer system contain health care costs?

•How would the system be financed?

==========================================================

Good questions and it shows it will not be easy to instigate and maintain.
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Treasured Social Butterfly
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Re: CBO's 1st General Analysis of a Single Payer Health System like Medicare-for-All

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@jimc91 wrote:

For the folks that have or had a top shelf complete package through their company a single payer plan really leaves a lot to be desired.  For a good example of how well (pun intended) look at the VA Medical System and talk to some veteran that have service connected issues or diseases.  The final results will be bureaucrats making decisions for patients and doctors.  The long and short of it will be an overall shortage of services.  This is nuts to me.  Why in the world Obama wanted to destroy the best health care system in the world for the sake of 40K people.  We could have simply purchased a plan for them and bingo... They would have access to the same care the rest of us have had.

 

IMO Of course...

 

 


Our health care system has “never” been the best in the world. Not by any measure.

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Re: CBO's 1st General Analysis of a Single Payer Health System like Medicare-for-All

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And I have a single answer to all the questions.

Do the job of research. many countries have already a single payer  system, and don't try to re invent the wheel.

Research as to what has worked what needs to work  in a country before they institute a  single payer system.

Research and  choose the best option for this  country. there are many intelligent individuals in the Insurance companies, in the medical professors in in the Pharmaceutical profession that will be able to help and provide many ideas on how a single payer will work in the US.

the people in congress know as much as I do about implementing a single payer. so please don;t ask them.

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Re: CBO's 1st General Analysis of a Single Payer Health System like Medicare-for-All

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For the folks that have or had a top shelf complete package through their company a single payer plan really leaves a lot to be desired.  For a good example of how well (pun intended) look at the VA Medical System and talk to some veteran that have service connected issues or diseases.  The final results will be bureaucrats making decisions for patients and doctors.  The long and short of it will be an overall shortage of services.  This is nuts to me.  Why in the world Obama wanted to destroy the best health care system in the world for the sake of 40K people.  We could have simply purchased a plan for them and bingo... They would have access to the same care the rest of us have had.

 

IMO Of course...

 

 

VIMTSTL
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CBO's 1st General Analysis of a Single Payer Health System like Medicare-for-All

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Message 10 of 10

CBO - May 2019 - Key Design Components and Considerations for Establishing a Single-Payer Health Car...

 

If You might be interested -

 

At a Glance

Some Members of Congress have proposed establishing a single-payer health care system in the United States to ensure that virtually everyone has health insurance. In a typical single-payer system, people enroll in a health plan oper-ated by the government, and the receipts and expenditures associated with the plan appear in the government’s budget.

 

This report describes the primary features of single-payer systems, and it discusses some of the design considerations and choices that policymakers will face as they develop proposals for establishing such a system in the United States. The report does not address all of the issues involved in designing, implementing, and transitioning to a single-payer system, nor does it analyze the budgetary effects of any specific proposal.

 

Some of the key design considerations for policymakers interested in establish-ing a single-payer system include the following:

How would the government administer a single-payer health plan?

Who would be eligible for the plan, and what benefits would it cover?

What cost sharing, if any, would the plan require?

What role, if any, would private insurance and other public programs have?

Which providers would be allowed to participate, and who would own the hospitals and employ the providers?

How would the single-payer system set provider payment rates and purchase prescription drugs?

How would the single-payer system contain health care costs?

How would the system be financed?

 

For each question, this report discusses various options and provides a qualitative assessment of the trade-offs they present.

 

 

* * * * It's Always Something . . . Roseanne Roseannadanna
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