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  •  I don't know how the hell you would think (1+ / 0-)
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    that making the system simpler would help.  

    wouldn't it be less expensive to have a one cohesive system for everyone?

    Medicare IS a single payer system. It does apply to a large class of people. Most people using Hospice care are seniors. what on earth do you mean — or is it just a reflex to be able to tee off on insurers?

    How does making it simpler stop crooks? If there were no rules they would just collect patients, give them minimal care and warehouse them till they died. They could make more profit by skimping on pain meds where needed or giving lots of pain meds to quiet the troublesome ones.

    What the fuck do you want? I guess the simplest thing is just let them skip actual patients altogether and just bill medicare for what ever?

    For every one of the cases they handled there was a doctor writing orders. They had to be corrupt for this system to work.

    And what is with you so clever question about the copays? Yes there are copays. That's the deal. It is to help prevent over use. And to target the costs to the users.

    It will be a lot worse if all you obsessives and utopians think all these things are system failures, that is government, Medicare's fault. Or Obama's fault. And don't get off your indignant filled  perches and work your butts off to get a Democratic Senate (60 please) and a Democratic House.

    Enforcement is going on across the board. If the Democrats go down so will Medicare. People like the defendants in this lawsuit will thrive.

    I'm asking you to believe. Not in my ability to bring about real change in Washington ... *I'm asking you to believe in yours.* Barack Obama

    by samddobermann on Sat Jan 07, 2012 at 05:31:57 AM PST

    •  Hi, nice to "see" you again (7+ / 0-)

      You bring up a lot of good points that I will cover in future diaries.

      This diary was my reaction to this one legal case.

      The main reason this case wasn't detected in a timely manner is because the Medicare program is divided into 4 parts and is administered by 50-60 MAC's that separate their payer types into 20 or more separate departments. This creates 4 inch thick management reports that can't be analyzed without data miner software. Then again, someone has to read the data mining reports and take action.

      Will single payer solve all health care problems? Probably not, but it will decrease patient churning for patients with "good" insurance and rationing patients with "bad" insurance or no insurance to death. It will create a "we're all in this together" environment in favor of the selfish system we currently have. You know, the one that goes sort of like this, "I've got health care, you don't? Too bad, sucks for you."

      Copays should be right sized to eliminate over utilization, but not become an onerous barrier to care.

      Going after the doctors who wrote the corrupt orders is all good with me. maybe I'll write a diary about how doctors do a lousy job of policing each other; but I think I'd rather leave that one to you.

      As to the clever question, it was only meant to illustrate that Medicare's deductible is based upon venue of care and benefit periods. Most people are only aware of the Part B annual deductible and have no idea that Part A can gig them up to 6 times in a calendar year.

      Unfortunately, I live in reality, but like many people I think about what if.....

      If a nation expects to be ignorant and free, in a state of civilization, it expects what never has and never will be. Thomas Jefferson

      by JDWolverton on Sat Jan 07, 2012 at 09:54:17 AM PST

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