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


To: Don Hurst who wrote (12218)12/10/2009 8:56:12 AM
From: Road Walker  Respond to of 42652
 
Thanks. But don't most just provide prescription benefits and a yearly cap on medical costs? And if so, why not add that to Medicare and increase the cost to cover and eliminate the need for these MA plans. Seems that Medicare is a much more cost effective way to do this. If private insurance cos want to provide vision and dental OK.

The most common bennies in these plans are vision and health club memberships. Paid for by the tax payer. Only 20% sign up for them but the cost is $Billions per year. My guess is most goes to the bottom line of insurance companies.



To: Don Hurst who wrote (12218)12/10/2009 10:21:53 AM
From: i-node1 Recommendation  Respond to of 42652
 
But don't most just provide prescription benefits and a yearly cap on medical costs? And if so, why not add that to Medicare and increase the cost to cover and eliminate the need for these MA plans. Seems that Medicare is a much more cost effective way to do this.

Most importantly, MA is more cost effective than straight medicare for the country. These private insurance companies have much lower administrative costs per patient than Medicare does, in spite of what you may have heard (Medicare runs 30-35% higher on a per patient basis that private insurance).

MA plans give patients flexibility you cannot conceivably get from straight Medicare. This what people like about it. They have a plan that covers dr/hosp visits with a fixed copayment and as you indicated, there is no cap through Medicare. For a lot of people, this is a big deal.

A lot of people just prefer not dealing with the government. Medicare is one of the most bloated inefficient operations in existence. A train wreck; and people don't want to deal with it and depend on it.

If you add all these features to straight medicare you end up with something far more costly than MA. MA operations are far better in areas such as claims processing and fraud prevention.

In short, it is private versus public, and private is always going to function better and more cost effectively than a bloated government program.