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View Diary: Medicare: What can we do about it? (314 comments)

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  •  Why? (3+ / 0-)
    Recommended by:
    PrahaPartizan, sherlyle, JesseCW

    Medicare is on the table because we don't have a universal healthcare plan the would bring down costs.  ACA did nothing to control costs.  It was a giveaway to the insurance and pharmaceutical companies.  

    Second, Medicare is on the table because a Democratic president put it there as a bargaining chip towards his dreams of a bipartisan solution.  

    It is going to be very difficult to sell the idea that Democrats will protect Medicare when it was a Democratic president who offered it up.  

    In order to get single payer back on the congressional menu

    In order to get single payer back on the table, you'll need a president who's willing to propose and fight for it.  Obama is not that president.  

    This presents one of two scenarios:  Either get a different president or single payor is dead until 2017.  Those are the choices.  

    With Obama's numbers, the only who are in fear of him are Democrats who wish to keep their jobs.  The Republicans are thanking their lucky stars a Democratic president is willing to do their dirty work.  

    •  actually (11+ / 0-)
      ACA did nothing to control costs.
      you can't have read my post.

      "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

      by Greg Dworkin on Sun Aug 21, 2011 at 08:31:42 AM PDT

      [ Parent ]

      •  That's (mostly) the future. (2+ / 0-)
        Recommended by:
        DemFromCT, janinsanfran

        Most people just see the continued rise in insurance premiums, deductibles et al (especially their own) and conclude (not unreasonably) that the PPACA and the government have done nothing to control costs.

      •  Anyone who disagrees with you (0+ / 0-)

        "can't have read your post".

        That certainly follows.

        Mayan culture was strong enough to save the Mayan people from Mayan civilization.

        by JesseCW on Sun Aug 21, 2011 at 09:21:30 AM PDT

        [ Parent ]

        •  When the person who disagrees... (1+ / 0-)
          Recommended by:
          Catte Nappe

          ...makes blatant assertations that the ACA won't control costs without bothering to refute the items in the diary that show how the ACA does address cost control, then DemFromCT's assertation that the person "can't have read your post" takes on a fair degree of believability.

          When you've read a both that you disagree with, your reply comments should be able to address the content of the diary instead of just making generic assertions about the ACA.  

          Political Compass: -6.75, -3.08

          by TexasTom on Sun Aug 21, 2011 at 12:20:47 PM PDT

          [ Parent ]

      •  For a growing Nation (0+ / 0-)

        Single Payer, is the answer to Cost and Services and the sooner we get to it, the better, there is no other way to cover the people and handle the cost increases of a growing popultaion.

        This is not simply done, it take force of will, just like we'll need for Alternative Energy and the eventual Energy Independence, all key and Cutting edge and necessary for a safer Economy of the 21st and 22nd Century.

        Ideology of Party and playing Politics, will devastate our Nation, we have to vote them all out.  Focus on the Jobs DEBT, FRONT END, rather than, the current GOP, T Publican front end leading and failing forward deals, with the financial DEBT.

        JOBS, JOBS, JOBS and only FIRST JOBS and anyone who tells us otherwise is blind and leading us all into a ditch, of which we our presently in... yes the car is out of the ditch, but the Congressional House is blind and have ignore the power of Jobs on purpose, for front end fights over refusing the majority's will for months, the front end aids of Tax fairness and the solutions they bring.  

        The House has and is steering a failed course on purpose.

        Good article and good comments, most of them, lets get back to holding them accountable.  We have to have Drug negotiate Prescription Cost, using the Governments bargaining power, it's the only way forward, with the powerful Drug and Medical Devices Industry (eating up every solution) and financial Baron's backing the GOP, Conservatives and the Trolls, T Publicans.

    •  NyteByrd, Are you disputing this from the diary? (8+ / 0-)

      Second, the Affordable Care Act (ACA) holds the potential to vastly improve Medicare’s long-term financial outlook.  If the law’s Medicare savings fully materialize, they will close four-fifths of the long-term shortfall in Medicare’s Hospital Insurance program.  And they will shrink Medicare’s total cost in 2035 by more than one-fifth—from 7.2 percent to 5.6 percent of gross domestic product—according to Medicare’s trustees.

      If yes, on what grounds?

      And thank you DemFromCt for another thoughtful, rational discussion.  

    •  It might be nice... (6+ / 0-)

      ...if you actually bothered to read the diary before responding with this crap.

      The diary outlined very specifically how the ACA does address costs, contrary to your assertion that "ACA did nothing to control costs."

      If you disagree with the cost savings outlined in this diary, then a useful response would have outlined why those savings won't materialize, instead of just writing another regurgitated anti-Obama screed that is pretty much identical to dozens that I've seen posted in dKos over the past few months.

      That said, your idea that a different president could somehow get single payer on the table is, bluntly, dissociated from reality.  Single payer is what Canada has -- all private insurance replaced by a common government program.  Single payer is not voluntary, and the sizeable percentage of the public that is satisfied with the insurance that they currently receive through their employers would scream bloody murder at being forced off that insurance onto a government plan.  So true single payer is DOA -- from what I can see, even the proposal passed in Vermont isn't truly single payer, since it still allows Vermonters to choose to keep their private insurance.

      The option that could be politically viable in the future is some form of Medicare for all or the public option -- government insurance that competes with private plans and is available as an alternative for the public to choose.  Many of us believe that if such an option were offered, it would become increasingly popular as the public saw how well it worked, and would over time would take over a huge portion of the overall market -- with the result being not quite single payer, but something fairly close.

      But the best way to get there is to let the ACA take effect, and then subsequently amend it to add that public option.  That's a lot easier to do with the ACA in effect, then it would be if we were starting from scratch.

      Political Compass: -6.75, -3.08

      by TexasTom on Sun Aug 21, 2011 at 08:59:29 AM PDT

      [ Parent ]

      •  People can read the diary and still reasonably (2+ / 0-)
        Recommended by:
        DemFromCT, Uncle Milty

        conclude that the putative cost controls are speculative. Example:

        The law also creates an Independent Payment Advisory Board that will develop and submit proposals to reduce cost growth and improve quality in both Medicare and the health care system as a whole.

        Guaranteed cost control? Shit no.

        That, in its essence, is fascism--ownership of government by an individual, by a group, or by any other controlling private power. -- Franklin D. Roosevelt --

        by enhydra lutris on Sun Aug 21, 2011 at 10:16:34 AM PDT

        [ Parent ]

        •  not all are speculative (2+ / 0-)
          Recommended by:
          SoCalSal, TexasTom

          CBO when scoring the law (IIRC) gave something like 60% credit, with 40% to be proven (like the one you cite). my point is work to implement all of it to get the best chance of actual decreases in cost. But even CBO was willing to give most of it credit. Van de Water agreed.

          "Politics is the art of looking for trouble, finding it everywhere, diagnosing it incorrectly and applying the wrong remedies." - Groucho Marx

          by Greg Dworkin on Sun Aug 21, 2011 at 10:32:48 AM PDT

          [ Parent ]

    •  National single payer dead for decades (3+ / 0-)
      Recommended by:
      TexasTom, Kimball Cross, tardis10

      Even if we elected Jesus Christ to the White House. At best it's going to come state by state and it's going to take a looooooong time.

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