Does the government set pricing & thus strip the ability to control profit margins away from providers or is there going to be regular negotiations such as there is now with insurance companies? BTW, I am including medical equipment providers in these questions.
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Now, about funding this. Of course, you can roll together the funds that are already used for Medicare, Medicaid, and the VA. However, Medicaid is partially paid for by individual states. How do you propose that money getting to the federal government?
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Also, while private insurance premiums will no longer be required and instead can be replaced with taxes to employers, employees and those that have individual insurance,
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but how do you close the gap of the co-insurance, deductibles and co-pays (unless you plan to keep the structure of co-insurance, co-pays and deductibles, like Medicare) and all those who are not paying for any insurance right now because they do not have any?
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Right now if seniors cannot afford Medicare, they are switched to Medicaid. Will you have a tiered system like this for those who cannot afford the out-of pocket costs if the system is like Medicare?
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How do you ensure coverage of women's health care like abortion and birth control if the federal government is in control? How do you get rid of the Hyde Amendment permanently and prevent ideologues from stripping birth control from the coverage?
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All is dependent on a Congress that is amenable to writing abortion coverage into law and eliminating the Hyde Amendment . We are going the wrong way on this right now, obvs, so what I am proposing in all of this would require a flip of Congress. We will get none of it ...
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uh-huh. And when Congress flips again and we have put everything in the hands of the federal government, what prevents them from stripping away the protections for women?
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You may think I am completely against single payer. That is not the case. It's just that unintended consequences can be extremely devastating, and shifting our entire system to a completely and totally different one will have many. What I bring up are just the more obvious ones.
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Once you have taken such a massive step, there will be no going back, because the current system will be entirely dismantled. Being blind to pitfalls is not acceptable.
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Totally understand. The current healthcare system isn’t safe. The ACA isn’t safe. A muliltiplan system isn’t safe. None of it is safe if we don’t get and keep Congress
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It's a lot harder to dismantle when people realize how much better their lives are. That's why they haven't been able to get rid of ACA. They have to sneak and do it.
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I understand what you're saying. I just have my bar at death. If the change will bring more death than the current system, then I don't want it. If it's less.....
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