Since we are being classified, as to what would be best for the average Joe, I am not on board with government taking over the health care that will be delivered when there is a need for health care treatment. Any one that has ever had to work with getting treatment with medicaid or medicare know all to well of hardship encountered when going in for treatment. Fundamentally restructure Health care to expand competitive private health plan choices; unless and until it enacts structural reform of the entire program;
Encourage states to adjust Health Care eligibility criteria and covered benefits to serve fewer nondisabled, lower-income individuals—but then provide remaining beneficiaries with higher-quality core health services and make greater use of cost-sharing incentives; and facilitate state efforts to adapt defined-contribution-style financing
as an option for health care beneficiaries.
Doctor do not want patience that are on these program because of the hardship of getting their payment after administering service. The time line between getting your appointment and getting admitted for treatment are gravely delayed.
Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide the needed services when there profiling system grade you as it being necessary for medical personnel to perform a physical procedure in the treatment process.
Public Health Care sound great until you actually use it. Private Health Insurance plans have not added comprehensive benefits. The Administration entertaining a proposals to expand eligibility for health care coverage to uninsured lower-income workers, to increase the federal matching payments to state health care programs, and to begin a federal takeover of certain subsidy payments to "eligible" health care beneficiaries; if these measures become law.
In short, the status quo prevailed. Unless the administration refrained from doing more harm in health care programs, but they are also failing to show any progress toward moving current and future beneficiaries away from unsustainable dependence on two aging Great Society entitlement programs born in 1965 that
suffer from their own sets of worsening chronic conditions and disabilities Medicare and Medicaid have there own Crisis.
Despite a few recent years of improved financial performance, Medicare remains fundamentally flawed after 37 years in operation, and it is unsustainable on a long-term basis.
The Balanced Budget Act of 1997 launched a new round of arbitrary price controls, regulatory complexity, and over zealous ‘‘fraud and abuse’’ enforcement that temporarily slowed the rate of growth of Medicare spending. But Medicare’s Hospital Insurance (Part A) trust fund will resume spending more than it collects in taxes by 2016,
and it faces a long-term actuarial deficit of 2 percent of taxable payroll.
The Supplementary Medical Insurance (Part B) side of Medicare will continue to grow faster than both Part A and the overall economy. It will double its share of gross domestic product within 30 years.
The 2001 Financial Report of the United States Government, prepared by the Financial Management Service of the Department of the Treasury, provides a more comprehensive view of the mounting burden that Medicare will impose on current and future taxpayers.
Medicare spending exceeded the program’s tax receipts and premiums by $59 billion in fiscal 2000, and the annual gap will grow to an estimated $216 billion (using constant dollars) in 2020.
In 2002, Medicare program actuaries at the Centers for Medicare and Medicaid Services conservatively projected that the discounted net excess of cash spending over cash income during the next 75-year period would be $5.1 trillion (even after including Medicare trust funds’ balances and future interest income, as well as general revenue transfers to Part B).
However, the Financial Report calculations from one year earlier, using accrual accounting under generally accepted accounting principles and therefore excluding interest payments and other intra governmental transfers, estimated that the net present value of negative cash flow
(funds needed to cover projected shortfalls) was $4.7 trillion for Part A and an additional $8.1 trillion for Part B (Table 26.1).
Working Americans remain on the hook for a rising share of the imminent cost explosion. Federal general revenues already finance 25 percent of Medicare spending; that share will rise to more than half within 30 years. More than 37 years after it began in 1965, Medicare remains one of the most volatile and uncontrollable programs in the federal budget. Its unrestrained appetite will squeeze out other national priorities and jeopardize opportunities for future generations.
These are the fact for the government running health care for seniors. Now government want to administer programs change our health care plan of today after trashing the health care plan they are currently in charge of.
It time to wake up to reality, government running health care with all of the baby boomer and the short fall of money to fund Medicare, Under insured will be in a mass implosion. When they point out how many do not have health care and now wanting to change health care to a federally run programs.
Have you ever went to a free clinic and saw how long you have to wait to get check in and get the treatment that you needed. Health Care facilities will be like going to get your car tags you had better not come unless you are prepared to wait in a long line of unsatisfied treatment.
Health care value is maximized better by ‘‘fixing’’ the
total cost of benefits under an insurance model that then allows eligibility, the scope of benefits, and service quality to vary. Traditional Health Care program rules instead of concentrate on fixing the scope of benefits and eligibility criteria under an entitlement model that then focuses on budget costs as the key variable (and treating quality and access as more important considerations).
Federal waiver authority should allow individual Health Care beneficiaries to claim their ‘‘share’’ of annualized capitated payments within state managed care programs as a private health insurance voucher.
Those beneficiaries who chose to opt out of such programs could then purchase other forms of private insurance coverage, as defined in the Health Insurance Portability and Accountability Act. States would be allowed to waive certain mandatory Medicaid benefits requirements to allow greater cost-sharing and economizing incentives. Long-term reform will require that states be weaned from the federal matching rate formula that encourages them to chase their fiscal tails in search of federal dollars even as their state budgets plummet deeper into fiscal holes.
Health care should remain our choice so that we can select Doctors, Hospital, Medication that want to use. When the government take over health care and there are model that you can see from other countries that will give you a flash shot of what it like to have health care provide by government and the average Joe's that have many complaint of not being able to get timely treatment when they have medical requirement.
Everyone should contact your Congressman and Senators and let them know that you are not with the program before they take our choice away.
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Contributor's Note
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