One thing that is pretty ironic though Pat is that this year health insurance rose 9%thats 3x's the rate of inflation. inflation was at 3% and its also almost 4x's the rate of peoples salary's. that is not a sustainable cost for the average american family.
So it's going to be a moot point because as less and less people can afford medical insurance, more and more people are going to be on a public health system anyway. Medicare.
More and more seniors can no longer afford private health insurance so more and more seniors end up on a public health system anyway. Medicaid.
Remember seniors are also one of the growing parts of our population.
So by refusing to fix this problem, we end up with the very thing every one is afraid of, a public health system run by the feds because whether or not we want to believe it, these people are not going away and when it comes to the choice between feeding your kids and paying an outrageous health insurance premium most folks worry about the most pressing need and that's food or rent.
I find that highly ironic.
The feds are already running one of the most highly messed up health insurance systems in the world - its called medicare part A and B and it is the primary insurance for most of the elderly. Part A has no premium and covers hospitalization, etc. Part B has a premium, is automatically deducted from your social secureity check. I don't know the exact statistics but very few seniors will decline part B because if you are eligible, no private carrier will cover you even if you are working. My husband is 66 and our health insurance is through his pension plan. We pay an astronomical amount for three person coverage, but because his is subsidized, it is still lower than obtaining coverage through my employer. But his private insurance pays very little. Only the Medicare deductibles. If we could have declined the private insurance and kept me and my daughter covered, and his prescription drug coverage, we would have no Cigna coverage for him at all.
Medicare is just such a maze of rules and regulations. I dread thinking of all of our insurance becoming like that. There are some local providers that do not accept Medicare because of the low reimbursement rates. And when you are living remotely, that can mean a 75 to 100 mile drive to the appropriate specialist.
Medicaid on the other hand is also not the most efficient system around, but it is not as bad as medicare I don't think. Medicaid is administered by the states, not the federal government.
I don't know of a single private carrier that would provide primary coverage if you are eligible for Medicare. So I don't think it is a case of people opting out of private coverage and into Medicare. It is possible that more people will drop their medigap policies. But if you truly are impoverished, there are medication assistance programs, hospital write offs, etc that will write off any balance remaining after medicare makes their payment. That was our experience when my father was terminally ill. His only income was social security and he had no assets. Took some paperwork but we never paid out of pocket for any of his medical bills.