Hi, Shrewd!        Login  
Shrewd'm.com 
A merry & shrewd investing community
Best Of PoliticsBest OfAll BoardsThe Shrewd’m WeeklyLearn to InvestHow to Become Shrewd
Search
Shrewd'm.com Merry shrewd investors
Search
Best Of PoliticsBest OfAll BoardsThe Shrewd’m WeeklyLearn to InvestHow to Become Shrewd


The week's question
In December 2024, in the thread "Re: BRK: Why Not XOM?", BreckHutHigh asked the members: "What about the long road trips with kids?" This week it is put to everyone again. The button below opens the small thread re-asking it - read what others have said so far, then give your own answer as an ordinary reply.
Answer this questionContinue to Shrewd'mThis note won't appear again
Halls of Shrewd'm / US Policy
Unthreaded | Threaded | Whole Thread (97) |
Author: albaby1 SILVER
SHREWD
  😊 😞

Number: of 84357 
Subject: Re: Medicare Buy-In
Date: 08/18/26 5:16 PM
Post New | Post Reply | Report Post | Recommend It!
No. of Recommendations: 2
Or you could use Canada as a pattern, and cut hospital admin overhead to half what it is in the US. That is only hospitals. Add in the overhead from every other vector of health care. Then add in the administrative costs of the insurance companies that the provider's overhead sends the paperwork to, when they are done shuffling it.

We need to start somewhere. We may as well start with the functions that contribute nothing to patient care.


This isn't about "starting somewhere" - it's about there not being anywhere near enough cost savings from reducing administrative load to materially pay for these systems. The way you reduce administrative costs is the simplicity of only having one provider. It's just not big enough to avoid, or even significantly reduce, the tax hit you have to impose on everyone if you were to give everyone in the country a health plan that's the equivalent of the typical large-group employer health plan, with the same AV and the same reimbursement rates to providers.

It's always politically popular to portray your preferred policy path as having no actual costs to anyone. All the expenses get paid for by eliminating "waste, fraud and abuse." But that's usually not enough. It's not enough when Republicans want to slash Medicare budgets while claiming patient care won't suffer (because we'll just be cutting "waste, fraud and abuse"). And it's not going to be enough to pay for UHC without seriously whacking a bunch of providers and/or raising a lot of people's health care costs (taxes plus premiums) from what they are now.
Post New | Post Reply | Report Post | Recommend It!
Print the post
Members reply directly to albaby1 here — and replies get answered. Reading is free; so is joining the conversation. Join Shrewd'm »
This community has written 84,309 posts about US Policy. The article-length ones it recommended most:
It's going to get worse · 33 recs · 2025
G’day Donny · 30 recs · 2026
Old Related Story · 28 recs · 2026
HCR is a national treasure · 27 recs · 2025
Fascism in America · 27 recs · 2025
Unthreaded | Threaded | Whole Thread (97) |


Announcements
US Policy FAQ
Contact Shrewd'm
Contact the developer of these message boards.

Best Of Politics | Best Of | Favourites & Replies | All Boards | Followed Shrewds | Open Questions | Moving a community