General Discussion
In reply to the discussion: State single payer moving right along [View all]happyslug
(14,779 posts)What Medicare will not pay, Medicaid will pay. The only downside is the State has to pay 50% of the costs of Medicaid. Which also means 50% of the costs are carried by the Federal Government.
Now, Obamacare will change this, increasing the percentage paid by the Federal Government.
Thus "Orphaned" elderly are NOT a problem, for they are treated the same no matter what state they are in.
Single payer insurance is aimed at those people below age 65, this is the group with the most money and the least amount of actual medical costs (Most medical cost are in your last five years of life). That this group had seen a drop in income, leading to them NOT having private health insurance is the problem Obamacare was designed to cure (That people below age 65 NOT having Health Insurance NOT the drop in income for people below age 65).
Single payer would increase the rate of insurance among people below 65 at lower costs then Obamacare by the simple fact Government, when it comes to a universal service, since it is a SINGLE entity, when Government provides the service it can do so at much lower costs then private companies who MUST spend money to make sure they are NOT spending money on other private insurance company's insured.
Sorry, your story of people leaving their elderly in another states, does NOT make sense, it violates HOW the Federal and State Government share the cost of taking care of such people. The states pay some of the costs, up to 50%, but the Federal Government provides the rest, and at times up to 80% of the costs.