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View Diary: Another Health Insurer Caught Falsely Cancelling Thousands of Health Plans (161 comments)

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  •  Vyan - but how is if funded? (0+ / 0-)

    For those over 65 the federal government provides a subsidy of 80-90% over what plan participants would pay in an open market. Just for people over 65, with all workers contributing, Medicare is not sustainable in its current form. If you make Medicare available to people under 65 what are the terms, how much do they pay, and how is the shortfall financed?

    Let the rich pay isn't a realistic, or politically feasible, answer.

    "let's talk about that"

    by VClib on Sun Nov 10, 2013 at 11:10:04 PM PST

    [ Parent ]

    •  I suspect people under 65 would have to (1+ / 0-)
      Recommended by:
      La Gitane

      pay most of the government portion out of their own pocket, with a qualifying subsidy structure similar to the ACA.  And Medicare IS Sustainable under it's current structure, the initial CMS report after passage of the ACA showed that solvency of it's trust fund had been extended 12 additional years.  They currently project that Medicare will be fully funded until 2026 and they even predicted it would go into slight surplus from 2015-2020.  Medicare's structure isn't the problem our out of control Medical inflation Rate, along with reduced tax revenues from unemployment is the problem.  Solve either of the first two and you solve the other.

      •  2026 isn't very far away (0+ / 0-)

        Who knows how accurate the CMS study will be about the impact of the ACA? But the trustees of Medicare don't think the program is sustainable over the long term, even after the ACA and several new funding sources added in 2013. I think Congress will be very reluctant to add any new participants until they determine how to keep Medicare solvent for people 65 and over.

        "let's talk about that"

        by VClib on Mon Nov 11, 2013 at 09:46:55 AM PST

        [ Parent ]

        •  It should help (0+ / 0-)

          Add younger patients to the pool

          •  Only if the younger participants pay in more (0+ / 0-)

            than they cost. You certainly can't add younger participants who are provided with government subsidies. The younger participants would need to pay premiums and co-pays that make that "book" of business cash flow positive for Medicare. The current pool of Medicare plan participants, 65 and over, are hugely cash flow negative. That's why Medicare has long term solvency issues.

            "let's talk about that"

            by VClib on Mon Nov 11, 2013 at 11:14:12 AM PST

            [ Parent ]

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