There's talk and hope in many quarters that the United States will end up with Medicare for all. How would this affect nursing?
I currently pay a lot for my portion of high deductible insurance through work. It's basically mainly useless to me since I'm healthy, don't take meds etc. Even going to the doctor would cost me.
Honestly, the middle class has become the new underserved in America. Frugal, responsible people think twice about going to the doctor because of huge copays that have made basic healthcare a budget buster.
How would Medicare for all affect the middle class, nursing in particular? Employers would no longer have to pay for insurance. Would they pass savings on to us in the form of higher wages? How would we fare economically with higher taxes? Would the poor government compensation to facilities drive down wages?
An opinion that makes sense to me. I'll post relevant number in the post to follow
QuoteUniversal Health Care Might Cost You Less Than You Think
We don’t think of the premiums we already pay as taxes, but maybe we should
As the national debate about health care kicks off ahead of the 2020 presidential election, we’re going to be hearing a lot about the costs of increasingly popular progressive proposals to provide universal health care, like Bernie Sanders’s Medicare for All plan.
One common refrain on the right and the center-left alike: Since the rich can’t foot the bill alone, are middle- and working-class supporters of a more socialized health care system really ready to pay as much for it as people do in some of the high-tax nations that have one?
The problem is, we already do, and we often pay more....
... Unlike workers in many other countries, the vast majority of American employees have private health insurance premiums deducted from their paychecks.
If we reimagine these premiums as taxes, we’d realize that Americans pay some of the highest and least progressive labor taxes in the developed world....
17 minutes ago, KonichiwaRN said:I really don't care what anyone does politically when it comes to social issues.
Just don't raise our income taxes (federal rate). If you want your -insert whatever social agenda here- feel free to pay for it using your own money.
You keep referring to your income tax but who said income taxes would be raised? You realize you pay a separate medicare tax with every paycheck right?
As ive said multiple times, think of what you are paying now for insurance and using that same amount to go toward a single payer....without raising income taxes.
4 minutes ago, OUxPhys said:You keep referring to your income tax but who said income taxes would be raised? You realize you pay a separate medicare tax with every paycheck right?
As ive said multiple times, think of what you are paying now for insurance and using that same amount to go toward a single payer....without raising income taxes.
I have many times stated:
a "single entity" that establishes the cost of a service that is provided by the private sector..
will do nothing but drive up costs.
and how will people cover those costs increase?
yup. TAXES.
23 minutes ago, KonichiwaRN said:I really don't care what anyone does politically when it comes to social issues.
Just don't raise our income taxes (federal rate). If you want your -insert whatever social agenda here- feel free to pay for it using your own money.
So you are content to pay insurance premiums to a for profit company that usually raises rates or cuts benefits almost yearly.
Got it.
I think we as a country can do better.
11 minutes ago, nursej22 said:So you are content to pay insurance premiums to a for profit company that usually raises rates or cuts benefits almost yearly.
Got it.
I think we as a country can do better.
It's weird how you came to that one single conclusion, when there's a vast possibility that could come out.
It's like saying: since I am not for a "universal health care plan," I must be for the one-for profit company that covers all health care needs.
Aren't you missing (for an example) on:
a) charitable health care
b) people paying OOP
c) people not using any of those services
d) people who has the freedom to choose, exercising their free will and choice, to enroll in a insurance plan.
Your plan is: my way or the highway type of a thing. Last I heard, we live in a nation that promotes individual liberty.
Pesky little thing, isn't it? Our Constitution.
1 minute ago, KonichiwaRN said:It's weird how you came to that one single conclusion, when there's a vast possibility that could come out.
It's like saying: since I am not for a "universal health care plan," I must be for the one-for profit company that covers all health care needs.
Aren't you missing (for an example) on:
a) charitable health care
b) people paying OOP
c) people not using any of those services
d) people who has the freedom to choose, exercising their free will and choice, to enroll in a insurance plan.
Your plan is: my way or the highway type of a thing. Last I heard, we live in a nation that promotes individual liberty.
What about adults without children or those who don't drive-can they 'opt out' and say no to their tax dollars be used for education or public roads? This is one on the fundamental tenets of civilization-the collective betterment of society.
In 2017 the average employer health insurance for one person was about $7,000.00 a year. https://meps.ahrq.gov/data_stats/summ_tables/insr/state/series_2/2017/tiic1.pdf
The employee contribution was $1,000.00 and up with some employers paying all or most of the approximately seven thousand dollars. https://meps.ahrq.gov/data_stats/summ_tables/insr/state/series_2/2017/tiic2a.pdf
Taxing Wages 2019: https://read.oecd-ilibrary.org/taxation/taxing-wages-2019_d715f9e9-en#page1
What the above data shows is that lower-income workers, higher-income workers, single workers, and married workers with children all contribute around 40 percent of their pay toward taxes and health premiums. And when those health care costs are taken into account, the less well off no longer pay less than high-earners, as they do in taxes alone. We already have an unfair system. All workers in the United States are charged the same health insurance fees as upper-class workers despite differences in income, and pay more of their earnings toward taxes and health care than workers in most other wealthy countries.
Expanded and improved Medicare For All would improve life for most working Americans because the elimination of private health premiums would more than offset the rise in formal taxes for all but the wealthy.
Remember when you and/or your employer pays a health insurance corporation you are paying HUGE executive salary, benefits, and stock options, paying for advertising (years ago the cost for one 30 second TV commercial was $20,000.00 each time it played), paying shareholders, paying for all employees of the insurance corporations, the buildings they own, the extra cost to providers for complying with the many different forms and red tape, and more.
I think providers such as doctors, nurses, and others who actually provide care should receive most of your healthcare money. But now it is insurance executives.
27 minutes ago, KonichiwaRN said:I have many times stated:
a "single entity" that establishes the cost of a service that is provided by the private sector..
will do nothing but drive up costs.
and how will people cover those costs increase?
yup. TAXES.
Yeah and Ive stated many times that we have private healthcare options (multiple entities) and yet medical care is still expensive....that includes cost of room, cost of procedures, cost of medications.
Last time I checked $32 trillion (estimated cost for single payer) is less than $34 trillion but then again Im a public school kid.
19 minutes ago, KonichiwaRN said:It's weird how you came to that one single conclusion, when there's a vast possibility that could come out.
It's like saying: since I am not for a "universal health care plan," I must be for the one-for profit company that covers all health care needs.
Aren't you missing (for an example) on:
a) charitable health care
b) people paying OOP
c) people not using any of those services
d) people who has the freedom to choose, exercising their free will and choice, to enroll in a insurance plan.
Your plan is: my way or the highway type of a thing. Last I heard, we live in a nation that promotes individual liberty.
Pesky little thing, isn't it? Our Constitution.
Cool. Now do all the other my way or the highway federal laws.
"..repeal what remains of Obamacare after the Supreme Court struck down its "State Mandate" as unconstitutional in 2012...‘The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States Respectively, or to the people’ — as an interpretive rule to construe ambiguities against the proffering party, i.e., against Congress (Newsmax, 2019)."
Basically it's like this.
My side (people that does not want universal health care) does not agree in universal health care plans.
Your side (people that do want universal health care) agree with universal health care plans.
Everything else, is just noise. Why or how, or what reasons..large government, small government, etc.
Let them duke it out in the Supreme court and the elections. It's just sad that people are flocking out of places like Massachusetts.
And I grew up there. ? Like I said, everything else is noise. I tend to focus on tax rates.
KonichiwaRN
159 Posts
You guys (yes, you advocates of a government plan) already PLACED the government when it comes to:
paying for health care.
sigh.