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Improbable assumptions according to who? You?
Common sense?
Widescale closing of emergency departments and reduction of inpatient capacity is not a politically feasible assumption, nor a likely outcome based on what we know about patient patterns for seeking care. By they count $3.452T in savings there. Reducing all reimbursement to Medicare rates is not going to happen (even Bernie has never publicly committed to that level, as far as I know). Yet they count $3.352T in savings there. They invent $2.842T in savings via "improving fraud detection" (while simultaneously cutting back administrative oversight to virtually nothing) out of thin air. They assume that reducing cost-sharing to nothing induces zero demand for anyone spending less than 10% of their income out-of-pocket. Meaning their assumed $3.034 in induced demand is certainly understated. And of course they assume VA drug prices and the percentage of Medicare administrative spending is scalable to every drug sold and every dollar spent, which is unsupported and doesn't pass the sniff test. But hey, another $3.164T and $2.945T to add to the pile!
That's not a "study," it's a string of unsupported and naïve fantasies.