General Discussion
In reply to the discussion: KRUGMAN: "a simple, straightforward single-payer system just isn’t going to happen" [View all]1939
(1,683 posts)Medicare is very simple and straight to the point.
Yes, you need to pay a Part B premium. Yes there are deductibles and co-pays so you wither need MediGap insurance or you need one of the Medicare HMO plans. Yes, it doesn't cover dental or vision. Yes, it doesn't provide for long term care and has limited pharmacy benefits.
What I do like about Medicare is that I can go to any doctor I want, see any specialist I want (without permission from my GP), and go to a "doc-in-the-box" if I want and still be covered.
I do not want a "network" or a "gatekeeper" or the complicated, Rube Goldberg "Hillarycare" with its consortiums of doctors.
I want any single payer plan to be "fee for service" where the doc doesn't get paid till he sees me. I do not want "capitation" where he gets the money up front and has no incentive to see me or make it convenient for me.
That is the trouble with the VA. Their incentive is to not see people and have to work since they are already getting paid without seeing people.