Barriers to updating medicare

But there’s a great mismatch between the ability to pay and medical need.

The people who most need health care are precisely those least able to pay.

PNHP note: The following text contains the prepared remarks of Dr. This country has long subscribed to the ideology that the best and most efficient way to distribute anything is through a private market, and we’ve applied that ideology to health care.

After all, if money were no object, everyone could have all the health care they could possibly use or want. And sadly, the Affordable Care Act is a misnomer, because it’s not really affordable.In 2015, there were almost 56 million people enrolled nationwide.The program includes: Hospital Insurance - Also known as "Part A," Medicare hospital insurance helps cover inpatient care in hospitals, including critical access hospitals, and skilled-nursing facilities, but not custodial or long-term care.They are mainly paid fee-for-service, and those fees are greatly skewed to reward tests and procedures.Specialists thus have every incentive to do as many of them as possible, particularly when prices are controlled.

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Medicare is a federal health insurance program established in 1965 and covers individuals aged 65 and older, some disabled individuals under the age of 65, and patients with end-stage renal (kidney) disease.

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