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How to fix US healthcare
http://blogs.ft.com/economistsforum/2009/03/how-to-fix-us-healthcare/ ^ | By Laurence J. Kotlikoff

Posted on 03/13/2009 8:23:23 PM PDT by newbie2008

The US federal government faces a long-term fiscal gap, which exceeds, from all indications, $70 trillion. This gap is the present value difference between all projected future expenditures and all projected future receipts.

Its size reflects the impending retirement of 78m baby boomers and the fact that when retired, they will receive annual benefits from social security, Medicaid (the healthcare scheme for people on low incomes) and Medicare (for the elderly and disabled) that average more than per capita gross domestic product.

The fiscal gap is the true measure of the nation’s net fiscal obligations because it puts explicit and implicit debts on an even footing. Coming up with $70 trillion in present value would require an immediate and permanent doubling of the payroll tax or taking other draconian fiscal measures that will lead to immediate and sustained massive surpluses.

.....

Initiating another enormous federal healthcare programme when you are already $70 trillion in the hole and have no actual or prospective control over spending on your current healthcare programs (Medicaid and Medicare) is irresponsible, to put it mildly.


TOPICS: News/Current Events
KEYWORDS: 111th; bho44; bhohealthcare; euthanasia; medicalrecords; socializedmedicine; stemcells
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1 posted on 03/13/2009 8:23:23 PM PDT by newbie2008
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To: newbie2008
How to fix US healthcare

Leave it the hell alone.

2 posted on 03/13/2009 8:28:27 PM PDT by doc1019 (and a child shall lead them)
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To: doc1019
Leave it the hell alone.

Wrong!

Get gov't clear out of healthcare and fix our abusive lawsuit practices. And while your at it, get them out of education too.

3 posted on 03/13/2009 8:35:33 PM PDT by umgud (I'm really happy I wasn't aborted)
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To: newbie2008

EVERYTHING government has stuck their nose into in the past 40 years....they’ve SCREWED UP.....People...People...People....GET a CLUE!


4 posted on 03/13/2009 8:37:42 PM PDT by goodnesswins (Conservative and fighting for freedom and liberty....whether you like it or not.)
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To: newbie2008

Start with tort reform.


5 posted on 03/13/2009 8:40:42 PM PDT by Ben Mugged ("You cannot legislate the poor into freedom by legislating the wealthy out of freedom".)
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To: newbie2008

Get the lawyers out of it and allow individuals to buy health insurance at group rates across state lines.


6 posted on 03/13/2009 8:48:53 PM PDT by Jukeman (.)
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To: Ben Mugged

Right. Throw out the ridiculous lawsuits so people stop trying to get rich off of the backs of others.


7 posted on 03/13/2009 8:51:22 PM PDT by Wisconsinlady
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To: doc1019

I came to your post and realized I didn’t need to be here.

“Leave it the hell alone.”

You said exactly what I wanted to say.


8 posted on 03/13/2009 8:52:49 PM PDT by Semper Mark (Communism is Socialism with a gun to your head.)
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To: doc1019

No. Medicare needs to be shelved.


9 posted on 03/13/2009 8:55:10 PM PDT by what's up
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To: newbie2008

US Healthcare is BEYOND repair! Give it a hug, and pull the plug!


10 posted on 03/13/2009 8:56:31 PM PDT by 2harddrive (...House a TOTAL Loss.....)
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To: umgud

We will soon have little choice … socialized medicine will include maximum government intervention and control and little or no access to the courts for redress of grievance’s


11 posted on 03/13/2009 9:01:40 PM PDT by doc1019 (and a child shall lead them)
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To: doc1019

Better what we have than what is to come.


12 posted on 03/13/2009 9:03:23 PM PDT by doc1019 (and a child shall lead them)
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To: Jukeman

Euthanize the lawyers!


13 posted on 03/13/2009 9:04:37 PM PDT by verity ("Lord, what fools we mortals be!")
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To: doc1019

Quite sadly, you’re probably right.


14 posted on 03/13/2009 9:07:22 PM PDT by umgud (I'm really happy I wasn't aborted)
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To: verity
Socialized medicine equates to reneging on obligations made at least 20 years ago.
15 posted on 03/13/2009 9:08:32 PM PDT by combat_boots (The answer to 1984 is 1776)
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To: doc1019

The US has the most expensive health care system in the world, with loads of regulation. It could use some change. Hopefully, it will not get the kind of change Obama is passing around.


16 posted on 03/13/2009 9:09:08 PM PDT by linbiao123
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To: newbie2008

Insurance companies pay out about 85% of their income in benefits. 15% is salary and profits. Hospitals and physicians spend at least 15% of their income in billing and getting reimbursement from insurers, the government and individuals.

30% of healthcare dollars are spent keeping track of the money alone, on bookkeeping.

My suggestion: require that individuals be able to pay physicians or facilities the lowest rate accepted from insurance companies. If a mammogram cost the insurance company $160, don’t make the individual pay $800.

Then individuals will be more likely to get catastrophic policies and pay for the small stuff directly and the bookkeeping expenses will be greatly cut.

If individuals pay more of the small costs out of pocket, they’ll also be more careful about what services they seek.

Reconsider EMTALA.

Control the borders.


17 posted on 03/13/2009 9:10:08 PM PDT by heartwood (Tarheel in exile)
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To: umgud

At my age, I fear Obama’s socialists ideas. Only my faith in Jesus makes me smile at Obama’s machinations.


18 posted on 03/13/2009 9:16:08 PM PDT by doc1019 (and a child shall lead them)
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To: newbie2008

Stop the States from mandating a state protection racket for certain select insurance companies which limits competiton and is essentially state racketeering.

Allow people to buy insurance from across state lines or even country lines if they want.


19 posted on 03/13/2009 9:16:49 PM PDT by Lorianne
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To: newbie2008
Tort reform.

Get the FDA to back off of the drug companies.

20 posted on 03/13/2009 9:26:22 PM PDT by Washi
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