[goldstategop]

I’m in favor of a hybrid system.

We abolish the exchanges and create a free market for those who can afford to buy their own health insurance and let affluent and middle class Americans choose a health care plan that best suits their needs.

We keep the expanded single payer Medicaid for the poor and working class by enfolding it into Medicare. That means the most vulnerable segments of our population get basic medical care at no cost.

When people move up the income ladder, they should be able to get the health care plan they want.

We can change the health care system to favor choice and also answer Democratic charges we’re abandoning the vulnerable to poor health.

The premise should be Canada’s single payer system wouldn’t work for every one here - and it works well for some but not for others. And people who can pay should take charge of taking care of their own health.

I feel a hybrid system is best suited for our country and our size and circumstances make us unique. A Republican approach should be fiscally responsible and compassionate and ensure no American will have to die for want of seeing a doctor and to cover catastrophic health care costs so its not a drain on families’ pocketbooks.

We should reject the Democratic approach that says government knows best and we should reject the approach there is a one size fits all solution to a very complex problem. Addressing health care won’t be easy but this is probably a good place to start. Any reform is going to be a messy compromise that leaves no one entirely happy but that will make sure there are more winners than losers.

Above all, no health care reform will succeed long-term on a partisan basis. We must not give in to the arrogance and hubris that drove the Democrats to ram down an unpopular health care reform down the throat of the country on a party-line vote.

[cuban leaf]

I’d be for that if it included two aspects:
1. All doctor visits cost at least 3 times the hourly minimum wage in the geographical area where treatment is received as a “copay”.
2. A person has a lifetime limit of 5 years in which they can take advantage of the service.

[kaila]

I think Medicare should be freestanding, funded separately from Medicaid. When I am 65( and am on Medicare), I do not want to be lumped in with the illegals, the welfare baby mommas, the meth heads, the losers.
When you call a physician's office for an appt, they make quick judgments right there and then on what type of patient you will be. If you have Medicaid right now, most offices do not want to treat you. Not only is the reimbursement bad, but you accept into your practice patients with drug and mental issues, and dirtbags. Rarely do I see a normal Medicaid patient. There are some out there, but they get lumped in with everyone else.
When a clinic gets an appointment phone call from a Medicare patient- that patient can be someone’s mother, grandmother, or elderly vet. The psychology is different. They may be more inclined to accept Medicare patients - although under Obamacare the reimbursement has gone downhill.
I would resent greatly being lumped in with a mainly a dirtball population.