<BLOCKQUOTE class=“ip-ubbcode-quote”><font size="-1">quote:</font><HR>Originally posted by Snowbird:
I promise not to use up your money on me. <HR></BLOCKQUOTE>
Ah yes, the joys of Medicare, Medicaid, private health insurance, risk pools, the uninsured, and those clever little games that hospitals play in order to adjust their DRG payments And I would be remiss if I forgot to mention insurance companies who cost shift to knock the unhealthy risk pools off their watch…
Sad thing about your statement Snowbird, is I PROMISE you, you are the LAST person who has a say in this…
That isn’t a comment on the value or lack thereof of any of the aforementioned systems, just an observation based on many years of being neck deep in a system that has redefined SNAFU.
SLW - to your point, on the surface you only pay for the pool of risk associated with your insurance company. The reality is a lot more complicated. If your area has a lot of uninsured, they still get medical care, albeit only when they are drastically ill, and therefore quite costly, but I promise you, the hospital does not eat those costs. Even if there is no state funding available to that hospital (a la private hospital), as long as it accepts Medicare (they all do), that “uninsured write off” gets handled in two ways. First and foremost, it affects the rate the federal government pays that hospital for their Medicare patients (over 65), secondly, it changes their Reasonable & Customary (R&C) modifier. I’ll give you a hint they both go in the same direction, and it ain’t down…
So while we do not have national health care, in that we make an effort at preventing disease in ALL of our citizens, we do treat them all when they are very ill, and we do all pay for it. Probably the single most rational argument for nationalized health care is that it would save money.
Now I’m not for a national health care system 99.99% of the time, but I promise you, if you spend your life looking at how badly broke the system is here, there are days you start to wonder… even though it would mean the end to your somewhat well paying job…