Wow, I go offline for a while, and look what happens
OK, here we go ...
maytag wrote:...And let charitable institutions do the work they are good at? And let the existing programs work to catch the rest?
I'd like a more precise answer: Are you in favor of denying ER medical service to those without insurance and sending such individuals to charitable organizations for their care? In Massachusetts 361,128 uninsured people visited an Emergency Room in 2005. Nationally, 55% of ER care is uncompensated, more than $40B in 2004. No charity is capable of supporting this burden. This is why we have only a few choices in fixing this mess. Dumping the poor and uninsured on "charitable institutions" is not one of them.
maytag wrote:Why do you think the government has the right (let alone the responsibility) to determine how much the hospital charges for a procedure?
The federal government does this today for VA, Medicare and Medicaid. Your state government does this today for several categories of insurance, including auto, homeowner and more. My state government does this today for hospital procedures because Marylanders gave them that right at the ballot box.
Kent124 wrote: If you are truly convinced what a great deal US debt is you should sell everything and buy US treasuries.
That's precisely what governments around the world are doing every day. Ask yourself this, "Why are they buying T-bills with a yield near zero?" The answer is that US currency is the safest place to put cash. You may think we're on the brink of ruin, but the Saudis, Chinese and lots of other people don't think so. Certainly, sovereign investors are always looking to dilute their risks, but the US is the only place big enough to accept those massive investments. If China put one-tenth of their US Treasury investment in pounds Sterling, Great Britain would be ruined by inflation.
TX82FIAT wrote:As a CPA I will tell you that you can not compare a for profit liquidity ratio to the Federal debt and national worth. ...OK, I'm really not even sure how to respond to such a crazy statement as unfunded liability does not count. Please give me examples of significant takeaways in entitlement programs, future benefits repealed or restructured that you have seen in your life. A future promise will cost what it is projected to cost or more. Lets make statements grounded in reality.
How's this?
http://slge.org/wp-content/uploads/2012 ... -FINAL.pdf States, cities and counties across the country are re-negotiating defined-benefit plans. They're re-negotiating COLAs, retirement age, contribution amounts, etc. etc. And the dollar amounts of these "unfunded liabilities" aren't really all that large, in the general scope of things.
3% is the national average. Today. Like Houston, New York (and most if not all of California
) are negotiating then downward. You probably see this happening to yourself. That $10 prescription copay in 2010 is probably now $20. If Congress desired, they could repeal Medicare Part D tomorrow, and $1T of "unfunded liabilities" would go off the books.
TX82FIAT wrote:...Carry on and don't change anything. No, we are in serious trouble and we are too blind too see it! We simply can not afford healthcare!
I'm advocating serious change to our healthcare system, the topic of my original post. I'm saying that the existing method of dealing with uninsured sick people is unsustainable. Bill Freaking Gates could not afford to subsidize the present system. "We simply can not afford healthcare"? No, we cannot afford healthcare the way we're now doing it.
CajunMike wrote:Medicare is great for seasoned citizens but it is a government program that holds providers hostage and can destroy an entire industry. It simply is too powerful now and if everyone was on it it would be obamacare on steroids. I've got a vast amount of experience in Medicare from the provider side. Its not all roses and in fact regulatory changes nearly decimated the nursing home industry in the late 90s. Medicare for all is the last thing I would choose.
You've got me there; I don't have any of your expertise on this side of the argument. I'd like to read more on this position, do you have any links?
But
somebody has to exert downward pressure on healthcare costs, and it sure isn't going to be hospitals, physicians or insurance companies, who make more money with every unnecessary procedure and test. The consumer certainly isn't, as long as he (fallaciously) thinks somebody else is paying for it.