r/FluentInFinance 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/JDHPH 13d ago

This always seemed so anti-competitive to me. A trained physician should be able to start up their private practice/clinic to compete for patients. Just like any other business model, serving its customer base through transparent competition.

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u/Bob_Wilkins 13d ago

Transparent competition. What a quaint concept. That era vanished after 1980 and won’t see the light of day again. Certainly healthcare is an expensive mess. The AMA was firmly against socialistic government medicine back when Truman proposed it in the late ‘40s. Medicare in the ‘60s turned out to be a huge money grab. Now that Managed Care has taken over the Medicare, and increasingly Medicaid, markets, healthcare is funded largely by the government, although made more expensive due to Administrative Loss Ratios going to the Managed Care Firms. Medicare is the most efficient payor of healthcare in the US, with all the benefits and few of the drawbacks of private insurance (the energy expended on private insurance appeals is ridiculous).

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u/Rooboy66 13d ago

My healthcare Econ prof Nancy Wolff said the VA was the most efficient payor if I recall … but, crap, that was 30+ yrs ago. She advised Hillary’s healthcare panel in the 90’s

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u/1DirkDigglerTheMan 13d ago

Efficient, Quality, or Speed. Choose one. Just not Speed or Quality.