Saturday, September 1, 2012

What Medicare Change?

Here's what I don't understand. I don't understand how Rep. Paul Ryan's plan for medicare would work. I mean, I understand that he wanted to change medicare into a strictly voucher system until he found out that wouldn't pass, then he allowed folks to decide to do that or stay with Medicare. And in order not to get seniors too upset, he allowed things to stay the same for anyone over 55. But here's the thing, if folks over 55 won't be changing, then it seems to me nothing will be changing for another ten years. All the while healthcare costs keep rising six to ten times inflation. At which point those who choose to move to a voucher won't be getting Medicare but will get an amount toward whatever insurance they decide on. Okay, but where's the saving? Where does his plan save a dime for the next ten years and thereafter? Unless he plans to give people less than they would have gotten on traditional Medicare. In which case, I can't imagine that being a better deal for retirees. The thing is, there are only a few ways for Medicare to become even revenue balanced. Cut the amount of coverage you will receive, cut the amount Medicare pays hospitals, doctors and insurance companies, raise the payroll tax portion on Medicare, or a combination of the three. That's it folks There ain't no more. No sugar daddies. You pay more or somebody gets less. No, I think the only thing that makes sense is to change the way our health industry works. Stop paying for unneeded tests and procedures and begin to pay for results. To do that, we might have to give up some of the rights to sue for hangnails and any little thing that might go wrong. I'm not saying you can't sue, I'm saying you might not be allowed to sue for silliness. And Doctors won't get paid for tests that are only done for legal protection.One thing's for sure, we need change and we can't wait ten years for that change.

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