On Wed, 18 Aug 2021 17:36:55 -0400, J. Clarke
Extended to non-oldsters, it could be caused to lose the subsidy until
those choosing it reach the magic age. This would make it easier to
compete -- if the other plans are, in fact, more efficient.
And, yes, you have to have a Plan D (or equivalent). Every year I get
a notice from my FEHB plan that it qualifies as a Plan D equivalent.
And I /think/ non-medical eye (ie, 'scripts for glasses and the
glasses themselves, generally) and dental care is still not covered.
Keep in mind the main point: that having a single-payer system does
/not/ necessarily cut the insurance companies out the the market. They
would just have to focus on supplemental polices, dental care, and
Plan D.
>As for Medicaid, it works in CT but the choice of physicians is very
>limited and they aren't very good (very nearly killed me once by not
>talking to each other, in the _same_ practice). I had to give up my
>good Russian dentist for one of the strip mall walk-in places--the
>walk-in place wasn't actually terrible but it _was_ clearly a
>production line.
When our State, some time back, decided to require "pain care
physicians" to /actually write a care plan for each patient/, a large
percentage of them vanished overnight. Seems that all they wanted to
do was write 'scripts at so much a pop. As many as possible, as fast
as possible. Actually acting like /doctors/ was not in their game
plan.
This dumped a lot of long-term pain sufferers onto Medicaid, and
resulting complaints led to a local newspaper investigating and
documenting that the Medicaid drug-of-choice, Methadone, had a
well-known tendency (when used long-term) to build up and kill the
patient. This raised enough of a stink to cause the State to allow
other drugs to be used instead.
Our Medicaid tried something else at one point: it restricted
Emergency Room visits. The idea was that anybody who was in the
Emergency Room more than a given number (and not as small a number as
a suspicious person might expect, either) of times per month needed to
find a Primary Care Physician to go to instead. How well that worked I
have no idea.