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Thu Jun 27, 2019, 06:50 AM

 

On healthcare, I wonder if the MFA-ACA improvement

Debate will become more nuanced as the field gets winnowed down? It's so hard to break through right now, due to limited time at the mic, that candidates have to distill their views down to a pretty basic "support or oppose" position on MFA. I am a proponent of single payer, always have been, but I feel like we will need to have an intervening step between our current situation and getting where we need to be. Medicare as the public option, letting wage earners buy in for their dependents when it makes sense, giving a good public option to entrepreneurs, farmers, small business owners, etc. I just think folks with good insurance through work will, at a minimum, need to see a public system function for awhile, rather than just forcing them in on day 1.
If I were to vote in a presidential
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Reply On healthcare, I wonder if the MFA-ACA improvement (Original post)
MontanaFarmer Jun 2019 OP
genxlib Jun 2019 #1
Sherman A1 Jun 2019 #2
Meadowoak Jun 2019 #3
MontanaFarmer Jun 2019 #4
Meadowoak Jun 2019 #5

Response to MontanaFarmer (Original post)

Thu Jun 27, 2019, 07:04 AM

1. This is spot-on my position

 

A single leap into MFA would be very challenging for a host of reasons.

More importantly, I don't think there is anyway to get it enacted. Anyone who believes otherwise has a short memory. The resistance to the ACA (and ultimate backlash) was a fraction of what this would be.
If I were to vote in a presidential
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Response to MontanaFarmer (Original post)

Thu Jun 27, 2019, 07:07 AM

2. MEDICARE FOR ALL

 

Access to quality healthcare is one of the most important factors in overall well being, and yet America is one of the few industrialized nations not to provide healthcare for all of its citizens. Instead, we have a private healthcare system that leaves millions uninsured and bankrupts even some of those who do have health insurance. At the same time, our cost of care is higher than in almost any other industrialized country while providing worse outcomes. The Affordable Care Act was a step in the right direction, providing funds to states to innovate while expanding Medicaid substantially. However, it didn’t address the fundamental issues plaguing our healthcare system:

Access to medicine isn’t guaranteed to all citizens
The incentives for healthcare providers don’t align with providing quality, efficient care
This must change.

Through a Medicare for All system, we can ensure that all Americans receive the healthcare they deserve. Not only will this raise the quality of life for all Americans, but, by increasing access to preventive care, it will bring overall healthcare costs down.

With a shift to a Medicare for All system, costs can also be controlled directly by setting prices provided for medical services. The best approach is highlighted by the top-ranked Cleveland Clinic. There, doctors are paid a flat salary instead of by a price-for-service model. This shift has led to a hospital where costs are visible and under control. Redundant tests are at a minimum, and physician turnover is much lower than at comparable hospitals.

Doctors also report being more involved with their patients. Since they’re salaried, there’s no need to churn through patient after patient. Instead, they can spend the proper amount of time to ensure that each patient receives their undivided attention and empathy.

Outside of a shift to a Medicare for All system, we can look to the Southcentral Foundation for another important shift necessary in the way we treat patients: holistic approaches. At this treatment center for native Alaskans, mental and physical problems are both investigated, and, unsurprisingly, the two are often linked. By referring patients to psychologists during routine physicals, doctors are able to treat, for example, both the symptoms of obesity and the underlying mental health issue that often is related to the issue. The referral also leads people with issues they may otherwise try to bury – sexual abuse, addictions, or domestic violence issues – to bring them up with a doctor so that they can be addressed.

By providing holistic healthcare to all our citizens, we’ll drastically increase the average quality of life, extend life expectancy, and treat issues that often go untreated. We’ll also be able to bring costs under control and outcomes up, as most other industrialized nations have.

Finally, being tied to an employer so that you don’t lose your healthcare prevents economic mobility. It’s important that people feel free to seek out new opportunities, and our current employee-provided healthcare system prevents that.

https://www.yang2020.com/policies/medicare-for-all/
If I were to vote in a presidential
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Response to MontanaFarmer (Original post)

Thu Jun 27, 2019, 07:28 AM

3. I'm for single payer. I had a good healthcare plan provided by my

 

Employer (blue cross). I could never afford to use it, even when I was really sick. The copays and deductibles were beyond what I could afford. The few times I went to the Dr., As soon as they saw I had good coverage, they would order a barrage of unnecessary tests. It was an 80/20 plan, and my 20 percent would end up being thousands of dollars, because I went in for a simple cold. We need to take the profit out of healthcare. We would be a healthier nation as more people wouldn't avoid going to the Dr.
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Response to Meadowoak (Reply #3)

Thu Jun 27, 2019, 07:49 AM

4. I basically agree with your take on single payer.

 

Private insurance sucks, in most cases. However, it's what people know, and my point is simply that people will resist, sometimes fiercely, giving that up until they have a chance to see how Medicare works for their colleagues buying into it. If it's not done in steps, IMO, the political reality of it is that it likely won't happen at all.
If I were to vote in a presidential
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Joe Biden

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Response to MontanaFarmer (Reply #4)

Thu Jun 27, 2019, 08:01 AM

5. I remember having to lie and say I didn't have insurance, because the bill

 

Would be $100 without insurance, $2000 with insurance. But I totally agree with your post.
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