Medicare/Medicaid poll!

TW

I'll take your poll. I say an emphatic no. It has been my experience that government based healthcare is going to be a part of the future, whether the government is subsidizing private companies like a medicaid HMO or as a secondary payor source.

My experience has been that the general public has no idea what the difference is between a the divisions of health insurance. Why choose an indemnity plan over an HMO? You see figures before you when open enrollment comes around, but how does that translate to when you need it in the hospital? Basic example. Most large companies have cut out payment for basic medical/surgical supplies. This is gauze, tape, irrigation, incontinence supplies. For people that have chronic issues this is a huge expense.


If you can explain to me the difference between a full secondary policy verses a supplemental policy in terms of payment across the healthcare spectrum and tell me where cuts should be made ill be happy to debate you

Same as if you can site specific differences between the Medicaid regulations between state to state and also the impact that it has on the continuity of care for patients. Then I'll be happy to debate this too.
 
Fifty years ago MDs drove Buicks, today all of them drive Mercedes.

Fifty years ago almost every MD shared a building with other MDs, and shared a receptionist. Almost every MD had one nurse assistant. Today every MD has a large staff.
 
Last edited by a moderator:
The large staff is needed to manage the insurance and government bureaucracy.

Cut Medicare/Medicaid or don't, makes zero difference. The USA is so deeply in debt that there isn't enough money in the world to pay it off.
 
The large staff is needed to manage the insurance and government bureaucracy.

Cut Medicare/Medicaid or don't, makes zero difference. The USA is so deeply in debt that there isn't enough money in the world to pay it off.

LOL. We've been this deep before and paid it off within a generation. We aren't paying this off because YOU don't want to. That's the only reason at all.
 
Delusional much?

Nope. Actually knowledgable on the subject. Look up the debt from WW2 and the fact that it would have been paid off in full by the mid 80's had Reagan not fiddled with the taxes. And as recently as 1999 we were running an excess. We could pay of this debt rather easily if we wanted to.

I want to.

You don't.

It's that simple.
 
Nope. Actually knowledgable on the subject. Look up the debt from WW2 and the fact that it would have been paid off in full by the mid 80's had Reagan not fiddled with the taxes. And as recently as 1999 we were running an excess. We could pay of this debt rather easily if we wanted to.

I want to.

You don't.

It's that simple.

If we had 'excess', why didn't the debt go down:confused:

Answers I will accept:

1. We never had a surplus

or,

2. The unified budget included the social security surplus.
 
Nope. Actually knowledgable on the subject. Look up the debt from WW2 and the fact that it would have been paid off in full by the mid 80's had Reagan not fiddled with the taxes. And as recently as 1999 we were running an excess. We could pay of this debt rather easily if we wanted to.

I want to.

You don't.

It's that simple.
That sounds like a shallow misunderstanding of history and economics.

We owe China $1.5 trillion and they have no reasonable expectation of us ever paying them back. They are not stupid. They are working on a plan to get the money, and the plan will leave the yuan replacing the dollar as the world's reserve currency.

China is in the process of accumulating enough gold to back their currency with it. We aren't. We let France, Spain and others buy 2/3 of the gold in Ft. Knox in the '60s and '70s, because we were too dumb to know the broader implications of allowing them to redeem dollars for gold. All to manipulate our currency so all the printing of fiat paper money wouldn't be so inflationary, and we could plunge the government into as much debt as we wanted. It didn't work.
 
Fifty years ago MDs drove Buicks, today all of them drive Mercedes.

Fifty years ago almost every MD shared a building with other MDs, and shared a receptionist. Almost every MD had one nurse assistant. Today every MD has a large staff.


What? Where are you getting this information?
 
Nope he's not. Do you really think every MD has a large staff? Or do they share a staff pool with their group?

You don't give a shit what I think.

Johnson is self-admittedly older than dirt, his account of the MDs of old matches my Grammie and Grampie's account. That is all that matters to me.
 
I know nothing about politics or economics. But speaking as an extremely selfish person who will be partaking of medicare sooner rather than later, I say no...
 
You don't give a shit what I think.

Johnson is self-admittedly older than dirt, his account of the MDs of old matches my Grammie and Grampie's account. That is all that matters to me.

I'm not disputing that.

I'm disputing his account of MDs today.
 
Fifty years ago MDs drove Buicks, today all of them drive Mercedes.

Fifty years ago almost every MD shared a building with other MDs, and shared a receptionist. Almost every MD had one nurse assistant. Today every MD has a large staff.

Well yeah.
Try and find a Mercedes dealer outside of a big, big city in 1962.

Large staffs are needed because MD's are forming bigger groups now since payments are less and more strung out. The need the economies of scale.
 
yep

The large staff is needed to manage the insurance and government bureaucracy.

Cut Medicare/Medicaid or don't, makes zero difference. The USA is so deeply in debt that there isn't enough money in the world to pay it off.

I agree
 
Well yeah.
Try and find a Mercedes dealer outside of a big, big city in 1962.

Large staffs are needed because MD's are forming bigger groups now since payments are less and more strung out. The need the economies of scale.

Well, what gets lost in here is the fact that larger physician groups tend to offer better patient care through improved coordination of resources.
 
Back
Top