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Reason why government run health care in the U.S would be bad

Isn't that what essentially Bernie Sanders/Warren/New York Mayor promoting?

Thought it was Medicare for all, not making all doctors government employees.
 
Sure.. but you have to understand why the empty beds.. part of that is the changes that medicare and Medicaid have done that have reduced reimbursement. A decade ago.. a total knee operation for an medicare patient.. meant three days in the hospital, possibly a snf or swingbed stay in that same hospital and then discharge to home or continued snf.

With the changes in reimbursement.. that same total knee is being discharged to home in some cases.. THAT day.. and almost certainly the next day.

Of course there is less need for beds then. And hospitals are punished for admitting these patients and punished for holding onto them.

Still over simplified. Hospital stays are reduced because of improved surgical techniques. Small hospitals still have to maintain surgical operating theaters. Modern ones are extremely expensive. ER, radiology and intensive care units are also extremely expensive. Hospital techology is changing. The capital investment required to stay in business requires more revenue than available at a rural hospital even if they have all private insurance patients.
 
Still over simplified. Hospital stays are reduced because of improved surgical techniques. Small hospitals still have to maintain surgical operating theaters. Modern ones are extremely expensive. ER, radiology and intensive care units are also extremely expensive. Hospital techology is changing. The capital investment required to stay in business requires more revenue than available at a rural hospital even if they have all private insurance patients.

Rural hospitals have been closing for.decades. medicare or medicare for all has nothing to do with it. People are traveling to better equipped and staffed city hospitals for procedures and bypassing their local hospital. If you had a choice i believe you would travel for what you and your loved one felt was better care.
 
Your link is just speculation. No Medicare For All law exists.

Hospitals close due to lack of patients, not because of Medicare or Medicaid. Hospitals in larger metropolitan areas tend to make good profits. It's the rural hospitals that are struggling because they typically handle fewer patients.


The reason the hospital in the rural areas are closing is because that is too high a percentage of Medicare and Medicaid patients, and the law that hospitas must teat anyone who shows up inneed of treatment.


Most of the democratic presidential candidates look like a bunch of idiots to me. They propose Medicare for all, but they offer to plan t keep the hospitals open,


Where is the tax plan to keep the hospitals open with Medicare for all?


Are private supplemental insurance plans allowed?


Bernie Sanders talks in generalities, and stirs up nonsense.

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Your point is valid, it's just oversimplified. Yes Medicare and Medicaid provides less revenue than private plans, but it provides more than an empty bed which is what these hospitals are dealing with.

Nearly a quarter of rural hospitals are on the brink of closure

empty beds is one part of the problem, but Low paying patients are also a big part of the problem.


read more>


As rural populations decline, inpatient admissions fall, more beds sit vacant, and the number of people covered by government-sponsored plans rises, these communities are left to grapple with the ramifications of losing a hospital, said Dr. Daniel DeBehnke, a Navigant managing director, co-author of the report and former CEO of the Omaha-based Nebraska Medicine system"


Nearly a quarter of rural hospitals are on the brink of closure


The article does not seem to quantify the empty bed problem, in comparison with the low paying patient problem.

Empty beds is not really a problem, because if the hospital closes, there will be others with empty beds. The problem is that low paying patients, force needed hospitals to close. Most Democratic presidential candidates ware unwilling to write a new tax law.


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Health care is way too expensive in America and the cost just keep rising.

Righties just want to make arguments why it won't work. That insurance and big pharma lobby means a lot of money to those politicians

I am sure everyone in health care can continue to make money on medicare reimbursements. They may have to become more efficient.

Might cut into profits for the HMO's but they will make it up with fraud like our great governor Rick Scott

About time we stopped the gravy train for Big Pharma. Why should Americans pay more.for drugs than the rest of.the world

The rightie argument that the hospitals can't make it on medicare payments is just more rightie BS!
 
Health care is way too expensive in America and the cost just keep rising.

Righties just want to make arguments why it won't work. That insurance and big pharma lobby means a lot of money to those politicians

I am sure everyone in health care can continue to make money on medicare reimbursements. They may have to become more efficient.

Might cut into profits for the HMO's but they will make it up with fraud like our great governor Rick Scott

About time we stopped the gravy train for Big Pharma. Why should Americans pay more.for drugs than the rest of.the world

The rightie argument that the hospitals can't make it on medicare payments is just more rightie BS!



Please provide a reference to a detailed plan of payment systems to provide low paying patients with more efficient care, to match their payments.
 
Still over simplified. Hospital stays are reduced because of improved surgical techniques. Small hospitals still have to maintain surgical operating theaters. Modern ones are extremely expensive. ER, radiology and intensive care units are also extremely expensive. Hospital techology is changing. The capital investment required to stay in business requires more revenue than available at a rural hospital even if they have all private insurance patients.

Dude..just so you know.. you are the one that's oversimplified. Not me.

Pooh.. the surgical technique for a total knee hasn't changed that dramatically over the last thirty years. Basically its only gotten faster with things like GPS guidance..

which.. by the way is in response to declining reimbursement so that surgeons need to do more cases per surgical day.

But yes.. small hospitals have to maintain lots of overhead and being smaller and having less volume this decreases their efficiency.

And yes..the capital investment required to stay in business requires more revenue than available in a rural hospital even if they have all private insurance patients. BUT THATS ONLY BECAUSE PRIVATE INSURANCE PATIENTS HAVE ALMOST ALWAYS BEEN A SMALLER PORTION OF AVAILABLE PATIENTS. Rural hospitals did well because we had private pay patients which paid better.. and we had medicare which paid better... and we filled in capacity with Medicaid patients. Now.. because of aging populations.. we have more demand.. but they are medicare.. and with medicare paying less..its a big hit..the same with Medicaid. Particuarly when reimbursement from medicare or Medicaid..may actually be LESS than the cost of the care
 
Health care is way too expensive in America and the cost just keep rising.

Righties just want to make arguments why it won't work. That insurance and big pharma lobby means a lot of money to those politicians

I am sure everyone in health care can continue to make money on medicare reimbursements. They may have to become more efficient.

Might cut into profits for the HMO's but they will make it up with fraud like our great governor Rick Scott

About time we stopped the gravy train for Big Pharma. Why should Americans pay more.for drugs than the rest of.the world

The rightie argument that the hospitals can't make it on medicare payments is just more rightie BS!

Its not a "rightie" argument that rural hospitals cannot make it on medicare payments. Its a simple economic fact. They have been closing currently.
 
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