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Will Social Security and Medicare be casualties of COVID-19?

Revoltingest

Pragmatic Libertarian
Premium Member
Social Security & Medicare won't disappear.
Too much political power is behind them.
Possibilities....
- Fund them with a tax increase.
- Delay eligibility.
- Reduce benefits.
- Means testing.
I'm betting on the 1st & last options.
 

metis

aged ecumenical anthropologist
Since the fed can print money, and since tax rates can be hiked up, there's only a problem if we let it be a problem.

This virus may help us in at least one, if not more, respects, namely that maybe it will encourage us to get our priorities in order and streamline our system to better reflect them.

For starters, what's more important: people or money? Depending on how we answer that question, this should help determine which is the best general direction to go in, and then we can build the rest of the "house" around that paradigm.
 

Revoltingest

Pragmatic Libertarian
Premium Member
For starters, what's more important: people or money?
That's the wrong question, ie, it's not one or the other.
It's about striking the balance we want.
Some lives will be lost.
The economy will suffer.
How much of each?
 

sun rise

The world is on fire
Premium Member
Any suggestions on how to solve the problem?
There's lot of suggestions about how to solve it. Take the contribution limit off social security. Raise the retirement age again as was done before. Both. This article has 4 more all of which are worth considering: 6 Ways to Fix Social Security

top overpaying for healthcare/meds/etc.?

Fix the health care system. If our costs were the same as the next highest, Switzerland, we'd be paying 50% less. The problem is solvable but entrenched interest oxen need goring.
 

Nakosis

Non-Binary Physicalist
Premium Member
Social Security & Medicare won't disappear.
Too much political power is behind them.
Possibilities....
- Fund them with a tax increase.
- Delay eligibility.
- Reduce benefits.
- Means testing.
I'm betting on the 1st & last options.

Yes, Baby Boomers unite. I'm sure we will beat on the politicians to make sure we continue to be a burden on the youth of America.
 

ManSinha

Well-Known Member
From a healthcare provider and administrator perspective - there is too much waste - Medicare is essentially a check writing program - no checks or balances and there are procedure based doctors who cleverly game the system - think extra imaging tests or the sixth or seventh back surgery to name just a couple of things - other issues are more controversial - they could save IMO at least 20-25% by instituting an oversight program - yes that would cost - current CMS overhead is projected at 3% vs 8-10% for health plans but it would also save money partly by deterrence - when someone knows they are being watched they are less likely to cross the line
 

Nakosis

Non-Binary Physicalist
Premium Member
Fix the health care system. If our costs were the same as the next highest, Switzerland, we'd be paying 50% less. The problem is solvable but entrenched interest oxen need goring.

Or don't fix it.

Just let them there old folks die off. Solves the problem. :D
 

sun rise

The world is on fire
Premium Member
From a healthcare provider and administrator perspective - there is too much waste - Medicare is essentially a check writing program - no checks or balances and there are procedure based doctors who cleverly game the system - think extra imaging tests or the sixth or seventh back surgery to name just a couple of things - other issues are more controversial - they could save IMO at least 20-25% by instituting an oversight program - yes that would cost - current CMS overhead is projected at 3% vs 8-10% for health plans but it would also save money partly by deterrence - when someone knows they are being watched they are less likely to cross the line
Part of the answer might be fixed prices for common procedures - cost-based competition along with quality competition.

If I get a quote to build a house, I can do it T&M or fixed price and I can choose a cheaper estimate or one from someone who has a better quality reputation.

But that's not enough by far. Real outcomes is not just for things like hip replacement but a true outcome is health. If a health care system was rewarded for keeping people healthy, that's a true outcome.

This is tricky to do because of how systems can be gamed, but we need to do something for everyone not just Medicare and this is one option.
 
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