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Politics : The Trump Presidency -- Ignore unavailable to you. Want to Upgrade?


To: J_F_Shepard who wrote (224990)2/5/2022 1:13:21 AM
From: i-node  Read Replies (1) | Respond to of 356004
 
>> it sure as hell hasn't hurt the quality or cost of my care

If you're Medicare aged you sure don't.

In the Houston area there are almost no oral surgeons that will see Medicare patients. A few downtown but they are booked months in advance. I just had to pay non-insured fees out of pocket that had to be done on an emergency basis. And that's just the beginning.

In the area where I live, I don't believe there are more than 2 or 3 internists who will take Medicare patients.

Now, if you have corporate insurance as primary, they kill for those patients.

Medicare is like it has always been -- surgeons are reasonably well paid, except for oral; but run-of-the-mill practitioners are giving it away when they take Medicare. Service has been improved in some cases by nurse practitioners, but sometimes they end up being clumsy gatekeepers for the MD.

Medicaid is a mess in every state that I work in.

So, you may or may not be typical.
Most of the newly insured since 2009-10 are people simply went on the public dole for health care and were hence forced onto Medicaid. It is not really an improvement. Those people were already getting care if they needed it, but hospitals were eating it and the net effect was really the same in the long run.

But we did waste a couple trillion dollars added to deficit as a result.