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Catastrophic medical insurance

Discussion in 'Health Care' started by Supposn, Aug 4, 2017.

  1. Supposn

    Supposn Council Member

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    Catastrophic medical insurance:

    Government single payer is THE superior method for providing basic medical insurance.

    Unfortunately, this concept has not yet been entirely adopted in the USA.

    [Medicare, Medicare advantage, and Medicare Supplemental insurances are an example of government provided basic insurance that individuals may choose to augment by purchasing additional insurance provided by nongovernment insurers. Commercial insurers did not, do not, and cannot provide basic medical insurance in a manner superior to that of Medicare insurance].

    Catastrophic medical expenditures paid on behalf of individual patients are drastic costs to all; (i.e. to individual persons or others such as medical insurance plans) that pay those expenditures. They increase the costs and prices of all (commercial, or nonprofit or government) administered medical insurance.

    Due in part to individual patients’ catastrophic medical costs, insurance plans are less affordable and fewer people are insured by them.

    In the USA when the legally obligated or charitable entities do not pay providers of medical goods and services, substantial amounts of those bills are directly or indirectly paid by our governments, (i.e. our taxpayers).

    I’m among the proponent for federal universal individual patients’ catastrophic medical insurance.

    It’s proposed when a patient’s annual medical expenditures reach the “catastrophic amount”, the federal government should assume the medical insurance of that patient for no less than then and the years that follow until the medical expenditures on behalf of the patient do not exceed 15% of the catastrophic amount within one of those following years.

    Catastrophic medical insurance should be patient’s entitlement regardless if the patient was or was not previously insured. Participating Affordable Care Act insurers are required to accept high-risk client’s and catastrophic expenses are more likely to occur among those clients.

    The legally defined “catastrophic amount” should be annually adjusted. Medicare is an example of price schedules for authorized medical goods and services.

    Respectfully, Supposn
     
  2. marvin martian

    marvin martian Senator

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    Thanks Bernie, but no.
     
  3. Constitutional Sheepdog

    Constitutional Sheepdog ][][][%er!!!!!!!

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    Who lost their sock this time?
     
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  4. Supposn

    Supposn Council Member

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    Marvin Martian, no because?

    Catastrophic annual medical expenses on behalf of individual insured patients are of great cost to their medical insurance plans. Prohibiting effectively refusing applicants with undesirable medical conditions is also of great cost to a medical insurance plan. Catastrophic annual medical expenses are more likely to be encountered among patients that had undesirable medical conditions when they applied for insurance.

    Regardless if the Affordable Care Act does or does not survive, federal insurance of catastrophic medical expenditures on behalf of all individual patients that’s not of cost to any insurance plans would significantly increase the affordability and sustainability of all, (commercial, or non-profits’, or governments’) medical insurance plans.

    “On behalf of all patients” does not exclude USA legal residents that otherwise are not covered by any insurance. In the USA when legally obligated or charitable entities do not pay providers of medical goods and services, substantial amounts of those bills are directly or indirectly paid by our governments, (i.e. our taxpayers).

    Respectfully, Supposn
     

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