Thursday, November 3, 2011

How should Medicare be paid for and to whom?

[Below, we ask you to respectfully and conscientiously consider the following for the good of the country toward coming to better solutions for us all.]

Given the guarantee that those who can't afford it otherwise will be covered as well as they are presently under Medicare, I would choose the following:

____ Yes, ___ No.   To have the government pay to a private insurer, with rules to assure mandatory coverage equivalent to what is there now.  This is anticipated to lower costs because of competition.

____ Yes, ___ No.   To have personal responsibility and to see what the costs are so that I make more responsible choices.  This has been proven to work better than where people have no responsibility and no awareness of the costs.  (See what happened in Indiana, below, before you make your choice.)

____ Yes, ___ No.    I believe the government is a good manager of services.

____ Yes, ___ No.    I only believe the role that government can do adequately is pay out the money.

Checkmark this if you agree with it:

___ If I am guaranteed the same benefits, I do not buy the accusation that Medicare is being taken away from us. 

Express any concerns you still have:

____ I'm not sure that competition will work to lower costs.

Other comments:  

Please send your answers to your congresspersons.

The Rational NonPolitician

P. S. I recommend that a polling organization do a statistically valid poll to see what the choices are once a person is more informed.


Overall, participants in our new plan ran up only $65 in cost for every $100 incurred by their associates under the old coverage... It turns out that, when someone is spending his own money alone for routine expenses, he is far more likely to ask the questions he would ask if purchasing any other good or service:

Indiana covers the premium for the plan. The intent is that participants will become more cost-conscious and careful about overpayment or overutilization.

What we found:  individually owned and directed health-care coverage has a startlingly positive effect on costs for both employees and the state.

Most important, we are seeing significant changes in behavior, and consequently lower total costs.

They were much more likely to use generic drugs than those enrolled in the conventional plan,
resulting in an average lower cost per prescription of $18.

They were admitted to hospitals less than half as frequently as their colleagues.  Differences in health status between the groups account for part of this disparity, but consumer decision-making is, we've found, also a major factor.

Source:  WSJ article 

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