Health Care vs Health Insurance

[litlbilly]

To me this is very simple. Healthcare, like medicare simply provide healthcare to those who need it. Health insurance simply takes your money, then decides whether or not to give you healthcare. If they decide not to, then Dollar Bill Maquire can buy another mansion in the Caymans or Burmuda or whatever he wants. That is it in a nutshell IMHO.

[Mika]

1. Insurance is how France and Germany do it. They have the best and most effacacious HC.

Their health care systems are insurance based. Difference is that they are regulated, not for profit entities.

[litlbilly]

2. exactly, they are not regulated when they write the rules. You are correct, if we did it that way,

it would work. I am simply pointing out how it works/doesn't work here.

[Mika]

12. I hear ya, but a more refined view is needed, imo.

[PoliticAverse]

3. Medicare is a form of health insurance. And one that only pays part...

of the bills without you buying supplemental insurance.

[litlbilly]

5. true but its not based on pure profit. That's the difference

[Recursion]

17. That ignores the huge amount of not-for-profit insurers like most of Blue Cross

If profit motive in financing were the problem, BCBS would have solved this in the 1950s.

[Rider3]

4. You got it right!

Yes, indeed. You nailed it.

[scscholar]

6. *If* they decide not to?

Why are you exaggerating to defend health insurance? Their rules are setup so that by default they pay nothing until you're bankrupted. Of course then, they will still stick you with 20% which will sink you further into debt. Even if medical care in the US saves your life, you're still dead.

[litlbilly]

7. the insurance companies job, deny health care. that's how they make more money.

profit based healthcare IMO is almost as bad as profit based prisons.

[litlbilly]

8. you notice he uses the rw meme, suplimental like medicare advantage. they name it

medicare to make it seem like its actual medicare, its not, it is for profit, period.

[gwheezie]

9. Medicare is insurance

And you have to meet criteria like any other insurance to get the bill.paid. there are regulations, Medicare can and does decertify you for some care. It doesn't cover everything. I used to do Medicare certifications for hospital reimbursements.
With aca we got a bunch more regulations although I fully support what has been done. The focus is reimbursing quality of care and lots of prevention. I'm more familiar with the inpatient end of it.

[litlbilly]

10. IT IS NOT FOR PROFIT. GOT IT?

[litlbilly]

11. why dont you just come out and say you love Hills plan over Bernie's, i know thats where your going

[gwheezie]

13. I don't like either plan

Because neither is about healthcare but how to get the bill paid.

[litlbilly]

14. right now we spend 20 tril on hc, Bernies plan costs 11tril, do the math

[litlbilly]

15. you only read and care about the cost, never hear of the savings. i wonder why that is?

[gwheezie]

18. My delusional plan for healthcare is multi faceted

1st I believe mcare for all would be a good start but in order to improve actual health care, we need to train more providers which I think can nicely tie into college tuition. We do currently have a program that pays for doctors, nurse practitioners and physicians assistant who contract to work in under served areas. Most are rural. That kind of program should be greatly expanded. Mcare also does not pay for essential care like dental and vision. There are so many limitations on criteria for outpatient services. Also including in a mcare for all program would be expansion into many more clinics. Increase in home care services. Available services in public places, like schools, libraries, post offices, bus stations, employers I could go on.
You seem to want to have an argument about payment and cost, I am focused on actual health care. That is where the cost will decrease by decreasing the number of sick people. But that is a side benefit, the real benefit is to society.

[Dont call me Shirley]

20. +10,000,000,000, gwheezie!

[Recursion]

16. Lots of private insurance is not for profit too

It's not noticeably cheaper or better than the for-profit policies.

[Dont call me Shirley]

19. For profit health insurance and health care are a fucking disaster!