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"Those who make peaceful revolution impossible will make violent revolution inevitable." ~ John F. Kennedy
According to the Mercatus model, total health spending would actually come in about $303 billion lower in 2031 than under current projections, with $7.35 trillion going to healthcare that year versus $7.65 trillion expected now. Total national health spending would be $2 trillion lower from 2022 to 2031 under the plan, the report found. While the price tag for the federal government would increase significantly, decreased spending by other groups would lower total healthcare spending over that 10-year period. Meanwhile, the model also assumes that 30 million more people would get access to healthcare, and many people would get more robust services. The savings would come from a variety of places, such as the government's ability to leverage its bargaining power into lower prescription-drug costs and mandating all healthcare providers take the lower Medicare payment rate.The next time you hear someone repeat the 'Medicare For All would cost too much' talking-point, immediately call bullshit.
So here’s what you need to know: It’s still true that Veterans Affairs provides excellent care, at low cost. Those waiting lists arise partly because so many veterans want care, but Congress has provided neither clear guidelines on who is entitled to coverage, nor sufficient resources to cover all applicants. And, yes, some officials appear to have responded to incentives to reduce waiting times by falsifying data.
Yet, on average, veterans don’t appear to wait longer for care than other Americans. And does anyone doubt that many Americans have died while waiting for approval from private insurers?
A scandal is a scandal, and wrongdoing must be punished. But beware of people trying to use the veterans’ care scandal to derail health reform.
And here’s the thing: Health reform is working. Too many Americans still lack good insurance, and hence lack access to health care and protection from high medical costs — but not as many as last year, and next year should be better still. Health costs are still far too high, but their growth has slowed dramatically. We’re moving in the right direction, and we shouldn’t let the zombies get in our way.For Further Reading:
More and more it seems that, when the government subsidizes health insurance, patients' share of health care costs go down.
The latest evidence: In the years immediately following the implementation of Medicare and Medicaid -- two programs that dramatically expanded government-sponsored health coverage -- patients’ share of out-of-pocket costs dropped by 40 percent, according to a December paper from Jeffrey Clemens, an economist at the University of California at San Diego. Out-of-pocket costs are what patients are responsible for paying on their own. In the case of insured patients, those costs can include copays and deductibles. Uninsured patients typically have to pay for all of their medical services “out-of-pocket.”
In the charts above, the dotted lines represent the share of various health-care costs paid out-of-pocket by patients, and the solid red lines represent the percent change in the share of out-of-pocket health care costs since 1960.
The explanation for the precipitous drop in patient costs is somewhat obvious, said Clemens.
"The period right around 1965 had such a large drop because a pretty substantial fraction of seniors basically didn’t have insurance against hospital episodes and office visits at that time," he said. "Covering that population just kind of mechanically meant that people were paying way less out of pocket when they had the need to go to hospital."
As Medicaid became more comprehensive, patients' out-of-pocket costs continued to drop, Clements said, ultimately falling 90 percent from their 1960 levels by 1980.
The study adds to a growing body of evidence that these government entitlement programs helped cut health-care cost burdens for struggling consumers. Just 16 percent of funding for personal health care came from out-of-pocket payments in 2003, down from 55 percent in 1960, according to a 2005 study from the Department of Health and Human Services.
And Medicaid alone kept at least 2.6 million people out of poverty in 2010, according to a recent paper in the Journal of Health Economics.
If the pattern holds, the Affordable Care Act, also known as Obamacare, could lead to even more cost savings. Out-of-pocket health-care costs will drop from $1,463 to just $34 per year in 2016 for the 11.6 million low-income Americans who are expected get health coverage as a result of the law’s expansion of Medicaid, according to an October RAND study.