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Chet Ruminski Wrote:
"Why are you so fixated only on BernieCare?"
Right now under the ACA thousands of people die everyday because they can't afford medicine or healthcare. Being a pragmatist is no excuse for all the suffering and misery for people who can't afford to live.
The Affordable Care Act as passed into law in 2010 was much more expansive on the number of people covered. However, Republicans started immediately sabotaging it. Yes it needs fixing and expansion. I like the proposal to add a public option especially for those in rural areas with less choice. In any case, the problem of health care for low income people has been addressed with Medicaid.
From Wikipedia: "Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 74 million low-income and disabled people (23% of Americans) as of 2017. Medicaid is a joint federal-state program that provides health coverage or nursing home coverage to certain categories of low-asset people, including children, pregnant women, parents of eligible children, people with disabilities and elderly needing nursing home care. Medicaid was created to help low-asset people who fall into one of these eligibility categories "pay for some or all of their medical bills.""
However, the provision in the Affordable Care Act to expand Medicaid even further was one of the provisions sabotaged by Republicans. If you live in one of those states that opted out of expanded Medicaid, well then you have a problem. Blame your Congressmen and governor and not the ACA itself.
But another reality is that right now there are not enough care givers, particularly in dying rural communities, as hospitals are closing and old doctors and nurses are retiring. BernieCare will only aggravate the situation because as health care will be a government monopoly, Bernie will cut costs by controlling the fees for services of health care providers to be more in line with the current Medicare prescribed rates. As a Medicare patient, I have to wait almost two months for an annual wellness appointment, and perhaps weeks to see a specialist. That wait will become much longer once Bernie makes everything free, and people will be flooding the doctors' office for every minor ailment.
The bigger question that doesn't seem to get the attention that it needs is the prospect of care rationing. We've discussed this in other threads, but we are not adding enough care givers to keep up with the population growth and particularly the aging baby boomers who tend to have more needs than the younger population.
I wish Bernie would address the care giver issue and the reality of health care rationing, now and in the future, no matter whether BernieCare is approved or the Affordable Care Act is expanded.