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Today the overseers of Social Security and Medicare due to the recession and falling tax revenues.  Medicare is already pulling in less tax revenues than it pays out in benefits and will no longer be able to pay 100% of benefits in less than 8 years.  It seems that these programs would need to either increase tax rates or cut back benefits to be sustainable.  At the same time, many Americans are calling for , which means that the government alone would set up a health insurance system that pays all medical claims and negotiate rates with care providers.  Essentially, people are clamoring for universal healthcare, but how much would it cost?  Here are some of my thoughts on the issue.

First of all, I agree that healthcare expenses are  quite ridiculous in America.  If you ever get an itemized bill from a hospital where you were treated you would see that some small items such as bandaids are charged at exorbitant rates.  If you have adequate insurance from your workplace then the out of pocket expenses are not so bad.  For example, I will be paying $100 total for my upcoming delivery and hospital stay.  However, if you do not have good insurance having a baby could cost tens of thousands of dollars.  One of my friends said that a doctor was in her room for about half an hour while she was delivering her baby, and in the itemized bill she got the charge for that service was over $3000.  It is really no surprise to me that unexpected medical expenses are the number one cause of .

The biggest problem I see with the current system is that there is not much transparency in how much each hospital and care provider charges for various services.  Every care provider sets their own price for the uninsured and then another set of prices for each insurer they deal with.  There is pretty much no way for a consumer to get a decent discount without going through an insurer.  Basically, there is this extra layer of medical insurance consumers have to wade through.  Consumers are forced to shop between medical insurers, and not medical servicers and the priorities of medical insurers and medical servicers are vastly different.  Medical insurers do not want to pay for claims if they don’t have to, and so they have an incentive to reject applicants who need care the most.  As a result,medical insurance is prohibitively expensive for those with existing conditions or need constant care.

So what happens if the government takes over the healthcare system completely?  If that happens consumers will not have the choice of choosing between insurers and the government will have to negotiate prices with the care providers.  It would cut down a lot of overhead, but  it may not cost less than the current system for the individual consumer and here is why. Currently most people in America have some form of employment sponsored private insurance that costs very little out of pocket. Even without an employer, there are high deductible plans available with low premiums for most healthy people that individuals can choose from.   Some young healthy individuals even skip health insurance to save money because they have the choice to do so.    However, if we switch to a completely government based system it would be paid out of taxes, and there would be no choice but to pay it.   Currently Medicare is 2.9% of payroll, and it is not enough to insure just  the elderly and disabled.  It is estimated that Medicare taxes needs to be nearly 7% of payroll to be sustainable.  Just imagine if the program has to cover everyone in the United States and you will see that the tax may be well over 10% of someone’s pay.  Do you currently pay 10% of your yearly income on medical insurance?  I certainly don’t, and I think most people don’t.

I think a better way to healthcare reform is to let consumers have more transparency into the costs of services and allow a bit of comparison shopping.  I know how much it costs to fix my car, so why can’t I know how much it costs to remove a mole? It is possible that some people do not need insurance if they just want some basic preventive services that can be provided by care providers directly at reasonable rates provided that they stay healthy.   Insurers also shouldn’t be able to reject or price gouge patients based on existing conditions because everyone should get the care they need.  Perhaps universal healthcare could work here, but  many more relatively healthy people will have to pitch in much more money than before, and they won’t have a choice in the matter.  Once such a system is in place it would also be very difficult to remove, and it would only get more expensive as people live longer lives.

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canadian pharmacy cialis genericon 05.13.09 at 5:57 am

You pay a lot more than you realize–you just never see the money because your employer doesn’t run it through your paycheck. It just pays a lot more for your insurance than what it withholds. Crappy employers roughly match their employee’s contributions to insurance. Good employers cover three-quarters or more of the total cost of insurance.

You can probably find out how much your insurance actually costs. They’re allowed to charge their actual cost (plus a small fee) to people who keep their insurance under COBRA. So, find out what they charge employees who leave for COBRA coverage and that’s very close to what they’re actually paying. (In my case, COBRA coverage would have been almost seven times what I was paying through payroll deduction. Fortunately, I found private coverage that was only four times as much.)

Add that to deductibles and copays and I bet most families do pay 10% of their income for medical care. (And don’t forget that you’re currently paying for the elderly, indigent and disabled separately. A single-payer system includes them–so you should subtract from your calculation the taxes you’re currently paying to cover them.)

canadian pharmacy cialis genericon 05.13.09 at 9:43 am

It is true that the medical/health care industry’s cost is increasing. However, I cannot help but place my finger on the underlying fact to medical cost — our health. People are paying much money because they are unhealthy and they are only getting unhealthier on the average. I am amazed to this day, that not a single article I have read, and I read quite a bit, points this out or at least attempt to point somewhere near it.

It is unreasonable for us to solve the “health care problem” by throwing money at it. We solve it by re-considering what it means to be healthy and act on such knowledge.

canadian pharmacy cialis genericon 05.18.09 at 9:33 pm

I think the word is “rationing”.. but no politician dare to mention this word which is worse than evil

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