On Friday, October 14, 2016 at 9:47:14 PM UTC-7, Bill Shatzer wrote:
> hal lillywhite wrote:
> >> One word: Medicare.
>
> > Expensive to the taxpayers and restricts treatment.
>
> -Every- insurance company restricts treatment.
But free enterprise insurance allows choice of which plan and which treatments are to be
restricted. Government likes one size fits all (or one size fits nobody)
> > An example of why
> > government should not meddle in health care.
>
> >> Oh alright, three words: Medicare, Social Security.
>
> > Had I put my 15-16% SS money in a private account, I'd have more money today.
>
> Two points. Or rather three.
>
> 1) The combined SS/HI rate has only been that high since 1980. Prior to
> that you would have been putting away considerably less if you were
> matching the SS rates.
Less, but I'd not consider it considerably less. I'd still have more.
> 2) SS is not exclusively a retirement plan - it's a retirement plan plus
> an insurance plan.
Insurance is also available through the private sector.
>Fully a third of social security recipients are -not-
> retirees; they are disabled workers and the spouses and children of
> disabled or deceased workers. This would have been of real benefit had
> you been run over by a bus at, say, age 30 before you had an opportunity
> to amass significant funds in a retirement IRA or the like.
Or if you wanted to claim that a bad back made it impossible for you to work, even if
you had no bad back but knew that it is nearly impossible to prove that you are
capable of working. And there are people who retire to other countries, then acquire a
bunch of new “dependents” and we have no way of knowing if those dependents really
exist, or if they are really dependent. That part of SS is badly abused, to the detriment
of the rest of us.
> 3) You can't outlive social security. Any privately amassed pot of money
> can run out if you live too long
Not so. You can live off the income if you have enough. Plus there are annuities available
that last as long as you do.
> (Personal aside: My sister died at age 24 some six weeks after the
> birth of her second child. Social Security survivors benefits were
> about all that allowed my brother in law to hold the family together and
> raise and educate the two kids.)
You, and especially her husband and children, have my sympathy. That is a tough row to hoe
even without the financial problems. Though again, private insurance is available.
…
those programs are relatively scandal free.
>
> >> Unlike say Volkswagen or Wells Fargo.
>
> > Two examples? Two? Out of all the private enterprises out there?
>
> You should have little difficulty coming up with additional examples.
>
> Off the top of my head, I'll give you a head start: Enron, Countrywide,
> Bernie Maddoff. AIG, Lehman Brothers, Silverado S&L, Takata, Michael
> Milken ..... You take it from there.
Still a miniscule part of the private sector. And some of them (eg. Countrywide) benefited from an
unholy alliance with government officials so the scandal was hardly just private enterprise.
…
> >> Not if you've got a pre-existing condition, you can't. At least you
> >> couldn't before the Affordable Care Act.
>
> > Which in general is reasonable. Now, many young people are not buying
> > insurance since they know they can do it if they develop a chronic condition.
>
> Provided they get sick during an open enrollment period. If they miss
> that opening, it's a year before they can apply.
>
> In the meantime, they're paying a yearly penalty for being uninsured.
Which of course misses the point. The point is that those who live providently and buy
insurance when they don't need it end up subsidizing those who do not buy until they
need it. The penalty hardly makes up for that.
eg. Joe refuses to buy insurance for ten years, then develops a chronic disease. Jim bought insurance
before he needed it, starting just when Joe needed his. Jim pays a good chunk of Joe's medical bills.
> > That puts the burden on the rest of ratepayers to cover those free-loaders.
> > The people who buy insurance when they are healthy get ripped off.
>
> >> And CMS seems to be doing a pretty good job of administering Medicare
> >> for the entire country,
>
> > It is another layer of bureaucracy on top of the insurance companies, that
> > adds expense, even if they do a good job. And I'm not convinced they are doing
> > all that great.
>
> CMS deals only with medicare payments. Insurance companies aren't
> involved. If you opt out of Medicare and go with one of the Medicare
> Advantage programs, you're dealing with the insurance company sponsoring
> you're particular program and CMS isn't involved.
But there is still the overhead of government costs. Let's dispense with the fiction that
government support does not cost us, it does. Every government employee needs to be paid,
gets benefits, and has to have a place to work, same as in the private sector.