Clinton doubles down on Sanders criticism, warns that he's promising 'the moon'

[Midnightwalk]

196. Didn't quite say negligible

But I can see reading that into what i wrote.

I figure we have to costs by 50% to get in line with other countries. Medical loss ratio is between 15 and 20%. That leaves a lot.

Agree that medicare reimbursement rates are lower than insurance negotiated rates. And insurance companies have a incentive to not negotiate as low as possible because that decreases their 20% markup.

Buy in fights that disincentive because it should cost less. But we can’t kill the insurance companies before everyone can switch over. So buy in does bring down costs slower than m4a maybe but even ideas like phasing m4a in by age group has that problem.

Google says, lots of hospitals say that reimbursement rates only covers 90% of costs. I don’t completely believe that number but it does say it could be hard cutting reimbursement rates for m4a to medicare rates. In fact I remember seeing it argued that it wouldn’t for that reason. Some areas can’t afford to have their last hospital close.

I can give links if you want, just lazy at moment.

I don’t work in healthcare so you have a better perspective on costs and other details. My only knowledge is from reading and discussion.

It’s nice to discuss details without all the rancor.