The problem with Medicare/Medicare solutions to health care problem is the current reimbursement rates for physicians, hospitals, and care facilities. These rates were set decades ago and are extremelly low. As much as I hate to agree with the Repugs, they do have a point here. Medical facilities can simply not operate as buisnesses by taking only medicare/medicade. We will lose quality people that will not want to enter the profession due to the huge costs of medical school/malpractice insurance and no way to ever pay it back. I am completely on board for health care reform (single payer or public option) but it can not be done effectivley through Medicare/Medicade until the reimbursement rates are fixed otherwise your quality of care will go down signficantly.

by ethanmorton on 12/17/2009 12:57:34 PM EST

Say something like Medicare + 5%. The obvious point is that we can adjust reimbursement rates (and get rid of fee for service BTW) and still have a much less costly program. The whole point is that Medicare has incredibly low administrative costs because there is no CEO looking to buy another mansion, no private jet, no lavish corporate headquarters, no marketing or advertising, no shareholders and no lobbyists handing out money.

It's common sense we're talking here. Another benefit Cenk didn't mention is that this would rescue Medicare, which was only struggling because it had the oldest/sickest population which is not how an insurance pool is supposed to work. Oh, and Medicare Part D bars negotiating drug prices. That would be critical to fix at some point as well.

by Tom Hanc on 12/17/2009 01:31:41 PM EST

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