I worked for UnitedHealth Group and dealt with Medicare on a daily basis. Medicare is superior in its delivery and coverage to any plan we offered across the entire United States. I dealt with doctors and patients and doctor`s billing office on a daily basis also. EVERYDAY I would have doctors ready to strangle me for denial of payment, same with patients. It is a shame when Doctors have to waste their time to try to recoup payment from an Insurance Provider. I do not have exact figures, but I can assure you that Billions of dollars goes unpaid simply because the Doctor gave up haggling with us.
If you knew the giant Bureaucracy involved in a Private Insurance Company, you`d be outraged. Medicare does not suffer a 100th of the problems and Doctors love to treat patients with Medicare.
Another member on this board, "Andy Griffin" worked with me at UnitedHealth and he can tell you the horror stories as well.
I'm intimately familiar with private insurance bureaucracy and Medicare isn't much better.
How exactly are providers expected to deliver care when getting paid has such high administrative costs. Sure, Medicare isn't spending more than 4% admin fees but the doctors/hospitals have to pay people to collect. That's simply shifting admin fees onto providers.
The only reason Medicare/Medicaid works (at an office level) is because private insurance payments exist. Unless offices are overbooked or people tack on needless procedures/visits people never break even treating medicare patients and even lose money in most cases. You're pretty much taught that the occasional Medicare case is to be considered charity.
Sadly, when doctors begin opting out or refuse to join something that can not possibly work (as described) the class warfare card will be played.
I was never a fan of math but now realize why it should be stressed in school. People really can't freaking add so they let politicians convince them everything can be had for free.
I believe the insurance companies suck ass and are greedy as hell. That's not the point at all. And, Yes, the system needs fixing. All those things being admitted, you can't "fix" the system in a way that makes the actual delivery of healthcare unaffordable at the doctor/patient level. Doing so will technically create more insured but decrease availability of service.
People are putting political aspirations and ideology before simple math. One side aiming to thwart a presidential and the other hoping things will just work.
