One Potential Cost of Medicare for All

Yekcidmij

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Monk Brendan

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slav22

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MayYouBeBlessed

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Yekcidmij

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Hospitals are overpriced with a ratio of 10-1000

Madicare for all, those crooked hospitals willhave to be reeasonable in prices

Maybe. But I wonder how the budgets of those hospitals work? I would suppose that a major, and permanent, decrease in revenue would have to have some knock-off effects to their operations. Will they hire less? Lay people off? Offer less services? The NYT article suggests all of that. I doubt you just decrease hospital's revenues without the consequence of them spending less on the services they offer.
 
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Yekcidmij

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If I understand it properly, it says that American hospitals are complaining that their services will not be as overpriced as are right now?

I think it's saying that there are consequences to bringing in less revenue. Less revenue means less spending. For hospitals, that means less spending on the services they provide. I doubt they just lower prices without any other adjustments in their budgeting and operations. They may not be able to without bankrupting themselves. Seems like basic income vs. expenditure to me.

Hospital profit margins generally aren't very high (operating margin average is something like 2.5% Hospital operating margins dropped 39% over 3 years ). So yea, if you decrease their revenue they will spend less, in some way or another, on the services they provide to patients.

I think for current Medicare-for-all proposals to work, government may need to take over funding of hospital operations in addition to patient payments - at least if the program is meant to provide the same or better services from hospitals.
 
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98cwitr

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Hospitals are overpriced with a ratio of 10-1000

Madicare for all, those crooked hospitals willhave to be reeasonable in prices

You get what you pay for; results in long waits and poor service.
 
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hedrick

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The article assumes (until the last paragraph) that reimbursement rates would stay the same as under Medicare now. That's not possible. You can't just replace all private insurance with current Medicare unchanged. A real single-payer system would need to be based on a major redesign. At the moment Medicare can get away without paying full costs. In a single-payer system it couldn't and wouldn't.

It's not practical to do that kind of full replacement quickly. So what would actually happen is a very long period of incremental changes. Probably if you could start from scratch you could do better, but I just don't see that happening.

It's certainly possible that the number of hospitals would go down, with new intermediate institutions to handle things that don't absolutely need the most expensive care. That's already happening to some extent.
 
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