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Saturday, August 22, 2009

Is National Medicare The Answer?

There is some evidence that the majority of the voters in the U.S. do not approve of the health reform being proffered by the Obama administration. There is also evidence that the majority of the electorate believe that some form of health reform is necessary.

Frankie believes some health reform is necessary, but he does not want the FEDERAL government to be in charge of it. It makes more sense for the states to be the administrators of the reformed health care system with an advisory board made up of a cross section of legal citizens. That is not a perfect solution, but I believe it would be easier to control when the corruption creeps in, and it surely will. Whenever there is that much money involved there will be corruption.

Medicare Insurance is very good. Frankie and his wife both paid for the insurance coverage for many years of their working life. It is like any other insurance in that you pay the premiums and you receive the coverage for which you paid if you need it. The difference is that the government controls the premium and the premium never stops, the government decides what is covered and what is not covered, the government decides how much the provider gets paid for the procedure provided, and the government changes the coverage each year and also the amount of payment.

A major problem is that the physicians are not required to accept Medicare patients. They are not required to accept "assignment." More doctors than ever are refusing to accept Medicare not only because of the very deficient payment schedule, but also because of the vast amount of paper work involved in the doctor applying for payment. Many doctors have been forced to hire extra clerks to prepare and file the documents required to get paid thus reducing even further the gross profit the physician could make on the reduced fee.

Under HR 3200, are the doctors going to be forced to accept Medicare or National Health Coverage? I am going to look that up in the House Bill and see if I can figure out the paragraph which applies to involuntary servitude by the physicians.

"nobody is talking about reducing Medicare benefits."

Don't believe what the politicians say, watch what they do.

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