Tuesday, November 15, 2016

Dismantling Obamacare A Better Alterative

What dismantling It Does
A 2015 report from the Congressional Budget Office showed a $137 billion net increase to the deficit over the next 10 years if it goes away. There could be up to 24 million being uninsured by 2024. Businesses with less than 25 full-time employees won’t get tax breaks of up to 50% for the cost of their employees health insurance. Funding for Medicare was extended another 12 years-- that would go away.

A Better Alternative; National Healthcare For Everyone
The problem with Medicare are the elderly which incur the most expenses at their age. Mostly the groups who signed up for Obamacare are the ones who would spend more then they have to for paying the fines for not doing so because they are young. Expanding Medicare into becoming a national healthcare system seems like it could be a win-win for everyone. I have a few ideas how this could work. * I don't think there is an employer who wouldn't be thrilled to unload the costs they pay for healthcare insurance and the headaches it causes them providing these for their employees. Relieving them of this burden would mean they could either reduce their administrative benefits staffing or having to pay for an outside firm to administer them. In return.. suppose we fund national healthcare by increasing employers taxes by fifty cents for every dollar they will save. This puts money both in the fund and company's pockets. A win-win for both.

* I don't care how young and healthy anyone is there will come a time either because of a car accident, a tumble on a ski slope or whatever they will need medical services. I don't think it would be unreasonable to require a certain percentage of their paychecks go towards a national program (much like it already does). The current withholding rate is 1.45% for employee and another 1.45% by the employer. I see two problems with this under the current system. (1) The employers are being hit double. One for current healthcare costs. The other long after an employee may have left their employment. (2) The worker is paying but will not begin to receive benefits unless he lives past 65.

What I propose instead the employee withholding be increased to 5% with the employer paying nothing. I don't think it unfair to ask a worker being paid $50,000 contributing $208 a month since Medicare picks up 80%. Currently deductibles on most present healthcare policies in most cases already exceed the $2,500 they'd being paying yearly. Another win-win.

* Under my plan healthcare insurance companies would also come out ahead. Presently they employ thousand of workers to deal with thousands of separate contracts with providers they negotiated under a whole host of confusing plans. Instead all this would be simplified by setting the rates all under one national healthcare plan for each area.. The insurance companies would be paid a commission for every check they wrote. The more checks they write the more they could earn. Cost containment would be made possible by each insurance company bidding against the other how much commission they'd be willing accept . Another win-win

* I'd even go so far as to expand this program into Part D for prescription drugs. I would make this completely voluntary. If enough people signed up it would put pressure on the pharmaceutical companies. Suppose 70% or 80% enrolled. Pharmaceuticals aren't going to be able to live off the 20% or 30% who did not. They'd be forced to compromise or lose sales.
At present Congress is poised to return to the good old days before Obamacare even going so far as to expand Medicare into a voucher system on the open market. Ask anyone presently on Medicare and you will see they are much more satisfied with it then they ever were with their previous employer based plans. Why shouldn't we extend this same opportunity to every one?

Medicare isn't broken. It just needs fixing.

Bernie Sanders On Medicare For All

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