r/FluentInFinance • u/The-Lucky-Investor • 13d ago

“Medicare for All” would save the U.S $5.1 Trillion over 10 years Discussion/ Debate

https://www.commondreams.org/news/2018/11/30/easy-pay-something-costs-less-new-study-shows-medicare-all-would-save-us-51-trillion
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u/thicckar 13d ago

Wow. Do you have any insight into how medicare is viewed by the medical side? Like nurses, doctors and admins?

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u/soggybonesyndrome 13d ago

I have no problem taking care of adult Medicaid patients despite the disaster problems they often show up to my doorstep with.

However, after I pay my expenses in private practice, I lose money on that patient’s surgery. Therefore, I only reserve one Medicaid patient slot in clinic a month. I literally cannot afford to do more than that.

Medicare is approaching the same territory.

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u/bellj1210 13d ago

that is depressing.... but single payer hopefully solves that- since if it all comes from the same place- why would the hospital feel the need to charge as much for the facilities to do the surgery.

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u/soggybonesyndrome 13d ago

Relying on the govt to pay me enough to pay my expenses and make a profit is not something I’m optimistic about considering govt insurances are becoming a losing game as stated above. I am seriously considering going cash pay only. I know what my skills are worth and it for damn sure isn’t what the government thinks my skills are worth.

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u/thicckar 13d ago

Yeah I can understand the desire of medical professionals to not support this system as they get paid so much higher than pretty much every other country. Thank you for sharing your insight

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u/soggybonesyndrome 13d ago edited 13d ago

Our schooling can incur 250k-500k of debt, followed by less than minimum wage (not an exaggeration) for 3-7 years of on the job training to the tune of 60-100hr weeks. Not an apples to apples comparison my friend.

Let me also add, the increased US MD salaries you see quoted are for proceduralists who bust their ass to practice at a high volume. No one does that in socialized medicine, hence the long wait times etc. And why would they? It’s not incentived to work harder in that system.

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u/thicckar 13d ago

That training and debt sounds similar to equivalent prices back home in India. I don’t think you shouldn’t get compensated well. Wait times aren’t too much better here in the USA though, even though I know Canada and Britain do have longer wait times for specialists.

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u/bellj1210 12d ago

if you have the customers that will follow you if you go cash only- then have at it. Like every industry- if there is a large customer, someone will figure out a way to do it cheap enough and make up for it in volume.