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eridani's Journal
Posted by eridani in General Discussion
Sat May 23rd 2009, 04:51 AM
http://healthcare.change.org/blog/view/lik...

You’re hearing a lot of bashing of government-run health care these days, but notice the bashers don't call out the programs out by name. There’s a reason for that. SCHIP is hugely popular. The VA is arguably the best system of care in the country. Medicaid has less of a sterling reputation, but that's largely because no one really understands how it works or who is eligible for what state-by-state. And Medicare? Well, as a new Commonwealth Fund poll confirms, Americans are significantly more satisfied with Medicare than private insurance. It’s time to get back to basics. “Government-run” may be scary to some, but it’s lovable in practice.

Single-payer advocates often call their plan “Medicare for All.” The public health insurance option touted by Obama, Baucus and most of the Democratic leaders is usually referred to as “like Medicare.” Clearly there’s magic in the program, but how strong is it? The poll compared the responses of those over 65 with Medicare to a random assortment of those with private insurance. Now this isn’t exactly apples to apples – Medicare beneficiaries in this poll were nearly three times as likely as those with private insurance to list their condition as “fair or poor” (the lowest ranking), almost four times as likely to have multiple chronic conditions, and twice as likely to be 200% of the poverty line or below. To no one’s surprise, Medicare beneficiaries are older, sicker, more in need of care, and poorer – the exact reasons why Lyndon Johnson and JFK wanted to create the program in the first place.

But despite their higher needs for consistent and likely expensive care, the magic of Medicare is that it’s more responsive to the customer than private health insurance. 32% of beneficiaries report having a negative incident with Medicare – a number that’s clearly too high and indicative of how much Medicare needs some reforms to improve the program. But that number is 44% for private insurance. Still, we keep hearing Medicare ain’t as good as it used to be. Think of the developments over the past few years that call into question how satisfied someone might be with Medicare – turns out many of them aren’t as bad as we’d think.



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