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Pearls Before Swine: Pre-existing Condition

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Lynn McGuire

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Aug 17, 2021, 2:48:30 PM8/17/21
to
Pearls Before Swine: Pre-existing Condition
https://www.gocomics.com/pearlsbeforeswine/2021/08/17

And people think that Single Payer is going to fix all this. Ha ! Oh
yeah, we are headed there.

Lynn

J. Clarke

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Aug 17, 2021, 5:12:55 PM8/17/21
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God save us.

Once the do-gooders figure out that their "free" medical actually
costs something, we'll all be looking back on the good old days.

pete...@gmail.com

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Aug 17, 2021, 5:14:14 PM8/17/21
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Having spent many years living in countries with single-payer systems:
Yes, I think it would "fix all this".

But I despair of the US ever doing it correctly. They will try to keep the
insurance companies profitable somehow, for those juicy, juicy campaign
contributions.

Note that hybrid systems can exist, in the UK, 10-20% of medical care is
covered by private insurance.

pt

J. Clarke

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Aug 17, 2021, 7:58:01 PM8/17/21
to
On Tue, 17 Aug 2021 14:14:12 -0700 (PDT), "pete...@gmail.com"
<pete...@gmail.com> wrote:

>On Tuesday, August 17, 2021 at 2:48:30 PM UTC-4, Lynn McGuire wrote:
>> Pearls Before Swine: Pre-existing Condition
>> https://www.gocomics.com/pearlsbeforeswine/2021/08/17
>>
>> And people think that Single Payer is going to fix all this. Ha ! Oh
>> yeah, we are headed there.
>
>Having spent many years living in countries with single-payer systems:
>Yes, I think it would "fix all this".

Read the comments on the Washington Post. There are people who would
do exactly what conservatives expect and use it as a means of social
control. Didn't wear your seat belt? No coverage. Didn't wear a
mask? No coverage. Didn't take your pills? No coverage. Fell off a
mountain? No coverage. Coverage only for socially approved medical
conditions.

>But I despair of the US ever doing it correctly. They will try to keep the
>insurance companies profitable somehow, for those juicy, juicy campaign
>contributions.

That is not the concern. The concern is that whichever party has a
one vote majority tries to impose its will on the other. Democrats
get one vote, they stop coverage for any consequence of taking the
tiniest risk. Republicans get one vote, they stop coverage for any
consequence of engaging in sex or being not white.

After a while nothing is covered and we're back where we started from,
only with a huge tax increase that was intended to pay for the medical
service that is not being delivered. So we end up having to buy
insurance _and_ pay the tax.

Kevrob

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Aug 17, 2021, 8:09:20 PM8/17/21
to
It isn't "single-payer." It would be upwards of 150 million people paying for
more than 330 million.

--
Kevin R

pete...@gmail.com

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Aug 17, 2021, 11:20:52 PM8/17/21
to
On Tuesday, August 17, 2021 at 7:58:01 PM UTC-4, J. Clarke wrote:
> On Tue, 17 Aug 2021 14:14:12 -0700 (PDT), "pete...@gmail.com"
> <pete...@gmail.com> wrote:
>
> >On Tuesday, August 17, 2021 at 2:48:30 PM UTC-4, Lynn McGuire wrote:
> >> Pearls Before Swine: Pre-existing Condition
> >> https://www.gocomics.com/pearlsbeforeswine/2021/08/17
> >>
> >> And people think that Single Payer is going to fix all this. Ha ! Oh
> >> yeah, we are headed there.
> >
> >Having spent many years living in countries with single-payer systems:
> >Yes, I think it would "fix all this".
> Read the comments on the Washington Post. There are people who would
> do exactly what conservatives expect and use it as a means of social
> control. Didn't wear your seat belt? No coverage. Didn't wear a
> mask? No coverage. Didn't take your pills? No coverage. Fell off a
> mountain? No coverage. Coverage only for socially approved medical
> conditions.

My personal experience trumps ignorant paranoid speculation. No such
controls are imposed in any country that has single payer systems. Such
claims are ignorant scaremongering by people with no actual knowledge.
I'm disappointed that you've fallen into such ignorant, ludicrous beliefs.

> >But I despair of the US ever doing it correctly. They will try to keep the
> >insurance companies profitable somehow, for those juicy, juicy campaign
> >contributions.
> That is not the concern. The concern is that whichever party has a
> one vote majority tries to impose its will on the other. Democrats
> get one vote, they stop coverage for any consequence of taking the
> tiniest risk. Republicans get one vote, they stop coverage for any
> consequence of engaging in sex or being not white.

The British, with the NHS, gets about twice the bang per buck as the US
does. Please look at the actual facts of how single payer really works,
currently, in the real world, rather than make up bogeymen to scare
people.

Honestly, your claims are at flat-earther levels of incorrect.

Pt

Alan Baker

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Aug 18, 2021, 1:22:42 AM8/18/21
to
I've had a right biceps tendon since birth...

...but BC's single-payer system paid for it just fine.

Alan Baker

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Aug 18, 2021, 1:23:46 AM8/18/21
to
On 2021-08-17 4:57 p.m., J. Clarke wrote:
> On Tue, 17 Aug 2021 14:14:12 -0700 (PDT), "pete...@gmail.com"
> <pete...@gmail.com> wrote:
>
>> On Tuesday, August 17, 2021 at 2:48:30 PM UTC-4, Lynn McGuire wrote:
>>> Pearls Before Swine: Pre-existing Condition
>>> https://www.gocomics.com/pearlsbeforeswine/2021/08/17
>>>
>>> And people think that Single Payer is going to fix all this. Ha ! Oh
>>> yeah, we are headed there.
>>
>> Having spent many years living in countries with single-payer systems:
>> Yes, I think it would "fix all this".
>
> Read the comments on the Washington Post. There are people who would
> do exactly what conservatives expect and use it as a means of social
> control. Didn't wear your seat belt? No coverage. Didn't wear a
> mask? No coverage. Didn't take your pills? No coverage. Fell off a
> mountain? No coverage. Coverage only for socially approved medical
> conditions.
>
>> But I despair of the US ever doing it correctly. They will try to keep the
>> insurance companies profitable somehow, for those juicy, juicy campaign
>> contributions.
>
> That is not the concern. The concern is that whichever party has a
> one vote majority tries to impose its will on the other. Democrats
> get one vote, they stop coverage for any consequence of taking the
> tiniest risk. Republicans get one vote, they stop coverage for any
> consequence of engaging in sex or being not white.

Weird that you can't point to anywhere that has ever happened in reality...

Alan Baker

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Aug 18, 2021, 1:25:28 AM8/18/21
to
Well put.

J. Clarke

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Aug 18, 2021, 2:01:16 AM8/18/21
to
On Tue, 17 Aug 2021 20:20:50 -0700 (PDT), "pete...@gmail.com"
<pete...@gmail.com> wrote:

>On Tuesday, August 17, 2021 at 7:58:01 PM UTC-4, J. Clarke wrote:
>> On Tue, 17 Aug 2021 14:14:12 -0700 (PDT), "pete...@gmail.com"
>> <pete...@gmail.com> wrote:
>>
>> >On Tuesday, August 17, 2021 at 2:48:30 PM UTC-4, Lynn McGuire wrote:
>> >> Pearls Before Swine: Pre-existing Condition
>> >> https://www.gocomics.com/pearlsbeforeswine/2021/08/17
>> >>
>> >> And people think that Single Payer is going to fix all this. Ha ! Oh
>> >> yeah, we are headed there.
>> >
>> >Having spent many years living in countries with single-payer systems:
>> >Yes, I think it would "fix all this".
>> Read the comments on the Washington Post. There are people who would
>> do exactly what conservatives expect and use it as a means of social
>> control. Didn't wear your seat belt? No coverage. Didn't wear a
>> mask? No coverage. Didn't take your pills? No coverage. Fell off a
>> mountain? No coverage. Coverage only for socially approved medical
>> conditions.
>
>My personal experience trumps ignorant paranoid speculation. No such
>controls are imposed in any country that has single payer systems.

That's nice. Which of those countries has two and only two political
parties?

>Such
>claims are ignorant scaremongering by people with no actual knowledge.
>I'm disappointed that you've fallen into such ignorant, ludicrous beliefs.

Yeah, yeah, and Trump's a saint.

>> >But I despair of the US ever doing it correctly. They will try to keep the
>> >insurance companies profitable somehow, for those juicy, juicy campaign
>> >contributions.
>> That is not the concern. The concern is that whichever party has a
>> one vote majority tries to impose its will on the other. Democrats
>> get one vote, they stop coverage for any consequence of taking the
>> tiniest risk. Republicans get one vote, they stop coverage for any
>> consequence of engaging in sex or being not white.
>
>The British, with the NHS, gets about twice the bang per buck as the US
>does. Please look at the actual facts of how single payer really works,
>currently, in the real world, rather than make up bogeymen to scare
>people.

That's the British. This is not Britain.

>Honestly, your claims are at flat-earther levels of incorrect.

Your reassurances are flat-earther levels of ignorant of US politics.

Leif Roar Moldskred

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Aug 18, 2021, 2:12:00 AM8/18/21
to
When it comes to the issue of "pre-existing conditions" a single payer
system _would_ fix it.

--
Leif Roar Moldskred
It's not pre _treatment_, it's pre _insurance_.

J. Clarke

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Aug 18, 2021, 10:26:35 AM8/18/21
to
On Wed, 18 Aug 2021 01:11:55 -0500, Leif Roar Moldskred
<le...@huldreheim.Home> wrote:

>In rec.arts.sf.written Lynn McGuire <lynnmc...@gmail.com> wrote:
>> Pearls Before Swine: Pre-existing Condition
>> https://www.gocomics.com/pearlsbeforeswine/2021/08/17
>>
>> And people think that Single Payer is going to fix all this. Ha ! Oh
>> yeah, we are headed there.
>>
>
>When it comes to the issue of "pre-existing conditions" a single payer
>system _would_ fix it.

Only if the politicans who create it agrew that it should fix it. If
the government is running it it is going to be dominated by politics,
just like everything else the government runs.

I want to see the government make Medicare and Medicaid both work and
work efficiently. If they can't do that then why should the rest of
us suffer from their incompetence?

Leif Roar Moldskred

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Aug 18, 2021, 10:35:21 AM8/18/21
to
In rec.arts.sf.written J. Clarke <jclarke...@gmail.com> wrote:
> On Wed, 18 Aug 2021 01:11:55 -0500, Leif Roar Moldskred
> <le...@huldreheim.Home> wrote:
>>
>>When it comes to the issue of "pre-existing conditions" a single payer
>>system _would_ fix it.
>
> Only if the politicans who create it agrew that it should fix it.


No. With a single-payer system there are no pre-existing conditions
because there are no insurance agreements for conditions to be "pre"
to.

"Pre-existing conditions" is only a concern when dealing with health
insurance. In a single-payer system there is no health insurance (at
least, health insurance is not an _important_ factor.) So, no
'pre-existing conditions'.

--
Leif Roar Moldskred
Words _do_ mean things, you know.

Scott Lurndal

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Aug 18, 2021, 10:44:58 AM8/18/21
to
They do work efficiently. Much more efficiently than the
private system currently in place (2% overhead for medicare
vs 13+% (and much higher before the PP-ACA) overhead for private insurance).

So, using your argument, the private insurers are the incompetents.

https://www.politifact.com/factchecks/2017/sep/20/bernie-sanders/comparing-administrative-costs-private-insurance-a/

J. Clarke

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Aug 18, 2021, 10:51:08 AM8/18/21
to
On Wed, 18 Aug 2021 09:35:15 -0500, Leif Roar Moldskred
<le...@huldreheim.Home> wrote:

>In rec.arts.sf.written J. Clarke <jclarke...@gmail.com> wrote:
>> On Wed, 18 Aug 2021 01:11:55 -0500, Leif Roar Moldskred
>> <le...@huldreheim.Home> wrote:
>>>
>>>When it comes to the issue of "pre-existing conditions" a single payer
>>>system _would_ fix it.
>>
>> Only if the politicans who create it agrew that it should fix it.
>
>
>No. With a single-payer system there are no pre-existing conditions
>because there are no insurance agreements for conditions to be "pre"
>to.

You are assuming that the politicians will set things up the way that
_you_ think that they should be set up.

>"Pre-existing conditions" is only a concern when dealing with health
>insurance. In a single-payer system there is no health insurance (at
>least, health insurance is not an _important_ factor.) So, no
>'pre-existing conditions'.

A single payer system _is_ health insurance. It's just that there's a
single insurer, the government, that can make any stupid rules it
wants to.

Alan Baker

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Aug 18, 2021, 11:04:15 AM8/18/21
to
On 2021-08-18 7:26 a.m., J. Clarke wrote:
> On Wed, 18 Aug 2021 01:11:55 -0500, Leif Roar Moldskred
> <le...@huldreheim.Home> wrote:
>
>> In rec.arts.sf.written Lynn McGuire <lynnmc...@gmail.com> wrote:
>>> Pearls Before Swine: Pre-existing Condition
>>> https://www.gocomics.com/pearlsbeforeswine/2021/08/17
>>>
>>> And people think that Single Payer is going to fix all this. Ha ! Oh
>>> yeah, we are headed there.
>>>
>>
>> When it comes to the issue of "pre-existing conditions" a single payer
>> system _would_ fix it.
>
> Only if the politicans who create it agrew that it should fix it. If
> the government is running it it is going to be dominated by politics,
> just like everything else the government runs.

Show any place in the world where they don't agree.

>
> I want to see the government make Medicare and Medicaid both work and
> work efficiently. If they can't do that then why should the rest of
> us suffer from their incompetence?

Why should the rest of you suffer so that medical insurance companies
can make billions?

Alan Baker

unread,
Aug 18, 2021, 11:05:11 AM8/18/21
to
On 2021-08-18 7:51 a.m., J. Clarke wrote:
> On Wed, 18 Aug 2021 09:35:15 -0500, Leif Roar Moldskred
> <le...@huldreheim.Home> wrote:
>
>> In rec.arts.sf.written J. Clarke <jclarke...@gmail.com> wrote:
>>> On Wed, 18 Aug 2021 01:11:55 -0500, Leif Roar Moldskred
>>> <le...@huldreheim.Home> wrote:
>>>>
>>>> When it comes to the issue of "pre-existing conditions" a single payer
>>>> system _would_ fix it.
>>>
>>> Only if the politicans who create it agrew that it should fix it.
>>
>>
>> No. With a single-payer system there are no pre-existing conditions
>> because there are no insurance agreements for conditions to be "pre"
>> to.
>
> You are assuming that the politicians will set things up the way that
> _you_ think that they should be set up.

You keep failing to show any place where it has been set up as you suggest.

>
>> "Pre-existing conditions" is only a concern when dealing with health
>> insurance. In a single-payer system there is no health insurance (at
>> least, health insurance is not an _important_ factor.) So, no
>> 'pre-existing conditions'.
>
> A single payer system _is_ health insurance. It's just that there's a
> single insurer, the government, that can make any stupid rules it
> wants to.

And yet, you cannot show this actually happening.

Jonathan

unread,
Aug 18, 2021, 11:37:28 AM8/18/21
to
Ya those without health insurance should just continue
to go-crawl-into-a-corner-and-die.

Health insurance? What do these spoiled Americans
gonna want next?, jobs, food and shelter?

AND health insurance too? The Horror!

What's this country coming to when you can't stick it
to the poor and sick anymore?

In 2018 there were 18.2 million fewer uninsured people
in the U.S. than when the ACA became law.
https://www.commonwealthfund.org/publications/issue-briefs/2019/aug/who-are-remaining-uninsured-and-why-do-they-lack-coverage



--
BIG LIE From Wiki - "The German expression was coined by Adolf Hitler
when he dictated his 1925 book Mein Kampf, to describe the use of a lie
so *colossal* that no one would believe that someone "could have the
impudence to distort the truth so infamously."
https://en.wikipedia.org/wiki/Big_lie

Jonathan

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Aug 18, 2021, 11:45:33 AM8/18/21
to
On 8/17/2021 7:57 PM, J. Clarke wrote:
> On Tue, 17 Aug 2021 14:14:12 -0700 (PDT), "pete...@gmail.com"
> <pete...@gmail.com> wrote:
>
>> On Tuesday, August 17, 2021 at 2:48:30 PM UTC-4, Lynn McGuire wrote:
>>> Pearls Before Swine: Pre-existing Condition
>>> https://www.gocomics.com/pearlsbeforeswine/2021/08/17
>>>
>>> And people think that Single Payer is going to fix all this. Ha ! Oh
>>> yeah, we are headed there.
>>
>> Having spent many years living in countries with single-payer systems:
>> Yes, I think it would "fix all this".
>
> Read the comments on the Washington Post. There are people who would
> do exactly what conservatives expect and use it as a means of social
> control. Didn't wear your seat belt? No coverage. Didn't wear a
> mask? No coverage. Didn't take your pills? No coverage. Fell off a
> mountain? No coverage. Coverage only for socially approved medical
> conditions.



“The great citizens of a country are not those who bend the knee
before authority but rather those who, against authority if
need be, are adamant as to the honor and freedom of that
country.” 

“…if freedom is regressing today throughout such a large part
of the world, his is probably because the devices for enslavement
have never been so cynically chosen or so effective, but also
because her real defenders, through fatigue, through despair,
or through a false idea of strategy and efficiency, have turned
away from her.” 

Albert Camus, Resistance, Rebellion, and Death






>
>> But I despair of the US ever doing it correctly. They will try to keep the
>> insurance companies profitable somehow, for those juicy, juicy campaign
>> contributions.
>
> That is not the concern. The concern is that whichever party has a
> one vote majority tries to impose its will on the other. Democrats
> get one vote, they stop coverage for any consequence of taking the
> tiniest risk. Republicans get one vote, they stop coverage for any
> consequence of engaging in sex or being not white.
>
> After a while nothing is covered and we're back where we started from,
> only with a huge tax increase that was intended to pay for the medical
> service that is not being delivered. So we end up having to buy
> insurance _and_ pay the tax.
>
>> Note that hybrid systems can exist, in the UK, 10-20% of medical care is
>> covered by private insurance.
>


Paul S Person

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Aug 18, 2021, 12:23:31 PM8/18/21
to
On Tue, 17 Aug 2021 14:14:12 -0700 (PDT), "pete...@gmail.com"
<pete...@gmail.com> wrote:

Nonsense.

Medicare is a single-payer system for old folks.

There is a flourishing market for supplemental and other related
plans.
--
"I begin to envy Petronius."
"I have envied him long since."

Paul S Person

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Aug 18, 2021, 12:24:05 PM8/18/21
to
On Tue, 17 Aug 2021 13:48:25 -0500, Lynn McGuire
<lynnmc...@gmail.com> wrote:

Ignoring, of course, the ACA ban on "pre-existing conditions".

Paul S Person

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Aug 18, 2021, 12:27:11 PM8/18/21
to
On Tue, 17 Aug 2021 20:20:50 -0700 (PDT), "pete...@gmail.com"
<pete...@gmail.com> wrote:

>On Tuesday, August 17, 2021 at 7:58:01 PM UTC-4, J. Clarke wrote:
>> On Tue, 17 Aug 2021 14:14:12 -0700 (PDT), "pete...@gmail.com"
>> <pete...@gmail.com> wrote:
>>
>> >On Tuesday, August 17, 2021 at 2:48:30 PM UTC-4, Lynn McGuire wrote:
>> >> Pearls Before Swine: Pre-existing Condition
>> >> https://www.gocomics.com/pearlsbeforeswine/2021/08/17
>> >>
>> >> And people think that Single Payer is going to fix all this. Ha ! Oh
>> >> yeah, we are headed there.
>> >
>> >Having spent many years living in countries with single-payer systems:
>> >Yes, I think it would "fix all this".
>> Read the comments on the Washington Post. There are people who would
>> do exactly what conservatives expect and use it as a means of social
>> control. Didn't wear your seat belt? No coverage. Didn't wear a
>> mask? No coverage. Didn't take your pills? No coverage. Fell off a
>> mountain? No coverage. Coverage only for socially approved medical
>> conditions.
>
>My personal experience trumps ignorant paranoid speculation. No such
>controls are imposed in any country that has single payer systems. Such
>claims are ignorant scaremongering by people with no actual knowledge.
>I'm disappointed that you've fallen into such ignorant, ludicrous beliefs.

You are describing Republicans.

>> >But I despair of the US ever doing it correctly. They will try to keep the
>> >insurance companies profitable somehow, for those juicy, juicy campaign
>> >contributions.
>> That is not the concern. The concern is that whichever party has a
>> one vote majority tries to impose its will on the other. Democrats
>> get one vote, they stop coverage for any consequence of taking the
>> tiniest risk. Republicans get one vote, they stop coverage for any
>> consequence of engaging in sex or being not white.
>
>The British, with the NHS, gets about twice the bang per buck as the US
>does. Please look at the actual facts of how single payer really works,
>currently, in the real world, rather than make up bogeymen to scare
>people.

20 or so years ago, /Consumer Reports/ noted that even Americans with
premium health plans believed the system was broken. What the pandemic
has revealed is, of course, that there is no "system", just a bunch of
independent private enterprises with a few non-profits mixed in.

>Honestly, your claims are at flat-earther levels of incorrect.

Well, it /looks/ flat ... sorta.

Paul S Person

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Aug 18, 2021, 12:32:03 PM8/18/21
to
Then you shouldn't have any problem with Medicare being opened up to
everyone. Being so inefficient and restrictive, it would, of course,
be out-competed by the insurance companies competing with it.

Medicaid is something else entirely. For one thing, the States
administer it, so the efficiency varies.

Lynn McGuire

unread,
Aug 18, 2021, 1:45:16 PM8/18/21
to
On 8/18/2021 11:27 AM, Paul S Person wrote:
...
> 20 or so years ago, /Consumer Reports/ noted that even Americans with
> premium health plans believed the system was broken. What the pandemic
> has revealed is, of course, that there is no "system", just a bunch of
> independent private enterprises with a few non-profits mixed in.
>
>> Honestly, your claims are at flat-earther levels of incorrect.
>
> Well, it /looks/ flat ... sorta.

"Every generation has its geniuses"
https://www.gocomics.com/alley-oop/2021/08/10

Lynn


J. Clarke

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Aug 18, 2021, 2:31:17 PM8/18/21
to
There is no system that is so poorly implemented that the government
cannot make it worse.

Lawrence Watt-Evans

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Aug 18, 2021, 4:03:14 PM8/18/21
to
It works just fine for me, here in Washington. I had excellent
insurance for decades, thanks to my wife's empoyment, but my
experience with Medicare has been EVEN BETTER. Kaiser Permanente
Mid-Atlantic didn't make house calls.


--
This email has been checked for viruses by Avast antivirus software.
https://www.avast.com/antivirus

J. Clarke

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Aug 18, 2021, 5:36:59 PM8/18/21
to
Medicare doesn't "compete". You are forced to pay for it and having
paid for it when you become eligible some of it is subsidized 100%, so
other insurers can't compete on price. But important parts of it
_are_ private insurance and only partially subsidized if at all. And
among other things it doesn't negotiate drug prices.

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.


Paul S Person

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Aug 19, 2021, 12:53:01 PM8/19/21
to
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.
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