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Perhaps it's easier to bill Medicare than private insurance, because at some point Medicare will actually pay for the work that physicians have already done? Mo

Perhaps it's easier to bill Medicare than private insurance, because at some point Medicare will actually pay for the work that physicians have already done? Most doctors would be happy to return to the old patient-pays-on-the-day-of-treatment model, and health care costs would be much lower, but in that case some provision would have to be made for poor people.

simion314 6y ago
A good solution for US problems is easy to fine, you create a competent team, you analyze 5 different countries with good health care systems(for ex you could have 10 scenarios and you analyze what happens and how much it costs). You make some decision and maybe reduce the possible implementation from 5 to 3 or 3, you then do some calculations on how much money is saved and how much people will have to pay. You create some educational/informational materials and then vote on it or do a referendum. But you need politicians to take this serious, have them nominate specialists int he team that will do the analysis and accept the conclusions and promise not to change their mind in 4 years. From what I read the current system is a lose=lose for both poor and rich and only a small number of people benefit.
- jessaustin 6y ago
  We've been hoping for politicians to easily find this good solution for at least 30 years now. At this point we can safely say that's not going to happen. The system we have does not "fix" itself. The fact that we can clearly see who is stealing most of our money makes the problem harder to solve, not easier. The moment a credible threat of improvement arises (e.g. Hillary in 1993 or Obama in 2009) the insurance industry pulls out all the stops, blasting Capitol Hill with the combined volume of a thousand wailing lobbyists. Even if we could somehow overpower the insurers, we shouldn't underestimate the usefulness of a completely insecure workforce and consumer base to other sectors of the capitalist cabal. USA at its current size can't solve any of its real problems. There are too many brake levers installed within easy reach of too many cronyist assholes. Just look at this COVID-19 shitshow. After California leaves and takes a few other western states with them, New Mexico and half of Texas join "old" Mexico, much of New England tries to join Canada and then just go their own way when Canada won't take them, Florida is inundated, etc... perhaps the rest of us might have a chance to better arrange the crumbs with which we're left. We'll certainly be less of a danger to the Middle East...

simion314 6y ago

A good solution for US problems is easy to fine, you create a competent team, you analyze 5 different countries with good health care systems(for ex you could have 10 scenarios and you analyze what happens and how much it costs). You make some decision and maybe reduce the possible implementation from 5 to 3 or 3, you then do some calculations on how much money is saved and how much people will have to pay. You create some educational/informational materials and then vote on it or do a referendum. But you need politicians to take this serious, have them nominate specialists int he team that will do the analysis and accept the conclusions and promise not to change their mind in 4 years. From what I read the current system is a lose=lose for both poor and rich and only a small number of people benefit.

jessaustin 6y ago
We've been hoping for politicians to easily find this good solution for at least 30 years now. At this point we can safely say that's not going to happen. The system we have does not "fix" itself. The fact that we can clearly see who is stealing most of our money makes the problem harder to solve, not easier. The moment a credible threat of improvement arises (e.g. Hillary in 1993 or Obama in 2009) the insurance industry pulls out all the stops, blasting Capitol Hill with the combined volume of a thousand wailing lobbyists. Even if we could somehow overpower the insurers, we shouldn't underestimate the usefulness of a completely insecure workforce and consumer base to other sectors of the capitalist cabal. USA at its current size can't solve any of its real problems. There are too many brake levers installed within easy reach of too many cronyist assholes. Just look at this COVID-19 shitshow. After California leaves and takes a few other western states with them, New Mexico and half of Texas join "old" Mexico, much of New England tries to join Canada and then just go their own way when Canada won't take them, Florida is inundated, etc... perhaps the rest of us might have a chance to better arrange the crumbs with which we're left. We'll certainly be less of a danger to the Middle East...