Originally posted by snowdragon
I'm still waiting to see how we deliver better/faster/cheaper in healthcare.....all in the same system across the USA....(hint it won't work as well as we want.)
It just so happens that I go to work both sides of this conversation.
Costs were much lower, paperwork was quicker (standard forms and processes helps immensely with the administrative cost and time suck), standard operating procedures much more consistent, records more contiguous and well-maintained, and medical best practices required to be followed under Medicare compared to the non-Medicare plans.
For all the problems, bloatedness, and corruption that comes with Medicare, it's still far better in all of the following ways than the current non-Medicare market:
1. Better access to healthcare
2. Lower costs
3. Higher quality
4. Better consistency in our healthcare
I had the fee-schedules in my hand. I got to see the negotiated rate, the Usual and Customary Rates, and the required medical best practices (determined by a board of actual highly qualified medical doctors, not your local PCP in some rural town). Many times, I would see prescriptions for drugs that were contraindicated from licensed PCPs and other type of medical doctors. Because the system had enough medical best practices in it that the information would come down through the system to stop pharmacies from issuing drugs to patients that might kill them or harm them.
A universal healthcare system would allow medical records to be far better maintained which is much better for diagnoses, prognoses, treatment plans, quality of care, and consistency of care even if you move from place to place. This is considered one of the larger cost-wastes and harmful care areas that we can improve.
When you look up the costs for healthcare, less than 2% is from medical lawsuits. That's not where the major costs are. It's in the administrative costs and inefficiency costs. Both of which are greatly reduced under a universal option (which we have, already).
The average current holder of medicare paid "...(Parts A and B)...a total of $7,620 out of pocket for healthcare expenses this year.
...
Some of this amount comes from Medicare premiums, and some includes various costs such as prescription medications. In addition, total healthcare costs vary considerably by age and overall quality of health."
https://www.fool.com/retirement/2017/02/05/heres-the-average-americans-annual-medicare-bill.aspx
And it should be known that current medicare holders are the most costly of medical care recipients in the US.
Guess what the national average was in 2014, 3 years prior? $8,045
Guess what it is, now? over $11,000.
https://www.studentdebtrelief.us/news/average-healthcare-cost/
Do you understand that?
Their (medicare holders) out of pocket costs, despite belonging to the most costly group of medical care recipients, are still less than the average American's. 😐
Let's put it into better perspective.
People my age almost never use medical care. We don't need it. In fact, most people between 16 and 44 don't use hardly any medical care. But almost half of the population is in that age range.
So here we have this massive amount of cost for everyone and a bit more than half don't really use medical care. Meanwhile, we have a system (medicare) which costs less than the average American pays.
Do you understand my point? I'll make it simpler:
We could greatly drive down the average cost, per person, by simply expanding Medicare for all, as it is already done. That's just doing a blanket expansion to everyone. And we'd save trillions (trust me: I did that math and adjusted for inflation).
That's without implementing the major cost savings ideas brought up by you and others such as requiring higher out of pocket costs for the must used, low-cost services (such as PCP visits).
I'm all for healthy debate. But there is no healthy debate to be had. The solutions are obvious from a pure objective math-based view. Republicans and Democrats should be on board with this because it saves Americans and Businesses trillions of dollars. It makes us far more competitive. It gives the American people more money to spend and will boost our economy massively. This is the most capitalistic thing we could do right now as an American people.