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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?


To: J_F_Shepard who wrote (4760)2/21/2008 6:20:06 PM
From: Lane3  Read Replies (1) | Respond to of 42652
 
but so would expanding Medicare....and it would simplify the bookkeeping.

The reason I offered Medicaid was because that would be the simplest conversion. Medicare is designed for old people with old people's diseases in mind. Plus it's paid for from a dedicated tax. Medicaid is designed for younger people and their medical needs and is paid for out of the general fund. Using Medicaid would be pretty easy to implement. You just have to change the eligibility criteria.



To: J_F_Shepard who wrote (4760)2/21/2008 6:38:45 PM
From: TimF  Read Replies (1) | Respond to of 42652
 
Medicaid is designed for people of all ages. Medicare is designed only for old people. I'm not sure that Medicare has simpler bookkeeping than Medicaid. If Medicaid is more complex, its probably because of the attempt to limit it by income, but if everyone can get it, than you wouldn't have this complication.

Not that I would advocate Medicaid for everyone, I just don't see how Medicare for everyone would be better, easier or cheaper.

Medicare probably provides better coverage now, but its also more expensive per person. Expand either to cover everyone (or merge the two and have everyone covered) and you change the political dynamic behind the lower funding for Medicare.