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      As a person who is about to go on Medicare, I am learning that I don't like it very much. My family and I have participated in group health insurance plans provided the my employer(s) for forty years. In the 1980s the company I worked for paid 100% of the health insurance premiums for its employees. Most of the time the companies I have worked for paid 85% of premiums.

      Medicare bills itself as covering 80% of the cost of medical care. Individuals are responsible for the remaining 20%. Some individuals can afford medigap plans that are provided by private health insurance companies, and others cannot. For me, the 20% for a medigap plan will cost more than twice what I pay for similar coverage at my current job, so although I will have Medicare in my "golden years" when I suspect I will need health care more than any time in my life, I may or may not be able to afford the kind of coverage I have had for forty years.

      There is a better way. This has been my problem with promoting Medicare for all. The current Medicare program does not provide sufficient health care, especially for retired people on fixed incomes. My proposal for health care in the USA is a program similar to the one used in Taiwan. The key to Taiwan's health care system is this attitude.

      “When they set up the program, they said, ‘We should feel sorry for those who are sick ― on top of that pain and suffering, it’s an awesome financial burden. We should take care of that.”


      We can do anything we want to do. The question always is what do we want to do.

      https://www.huffingtonpost.com/entry/single-payer-medicare-taiwan_us_5b9295ede4b0511db3e1d45a

      What The System Looks Like Today

      More than 99 percent of people living in Taiwan now have insurance through the NHI. They pay premiums based on a sliding scale, with employers contributing additional premiums, and they have to pay modest out-of-pocket costs for everything from prescriptions to hospitalization.

      That last part might surprise people who think that single payer necessarily means “free” health care. It doesn’t, though the NHI waives copayments and deductibles for several key populations: the poor, pregnant women, children younger than three and people with serious, long-term conditions like diabetes or cancer.

      “It protects the disadvantaged, it protects the sick, really well,” Cheng said. “When they set up the program, they said, ‘We should feel sorry for those who are sick ― on top of that pain and suffering, it’s an awesome financial burden. We should take care of that.’”

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          TOCB
          2 weeks ago

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          I've been on Medicare for the past five years, but I also have Health First. What Medicare doesn't cover Health First does. Health First wants members to stay healthy so they encourage members to keep appointments, get basic screenings..Mammograms..yearly, bone density scan..every two years, pap smears..yearly, colonoscopy..every five years for over 65, and blood and urinalysis..every three months. I also see my Cardiologist when I need to which for me is every two years unless I'm having a problem. I see a Vascular doctor every two years and have a carotid duplex (sonogram/ultasound) every year..without fail. When the cardiologist and vascular doctor read the tests if there's a problem they call me..and I get a copy of every test report I take during the year.


          Since 2012 I've not had a problem or been refused a test. Right now I'm waiting for my PCP to tell me when he's gotten the Shingrix shingles vaccine so I can get my booster, then return in Nov. for the flu shot and I'm done for the year.


          I'm very fortunate I have a good Health Ins. company as my subsidy because I am a low income senior who is actually in pretty good health compared to what I see other seniors going through.

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              TOCB
              2 weeks ago

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              What so many in our country dont understand is that single payer would cost less for everyone and lead to a healthier population. It's time in our to start valuing the lives and welfare of all in our country-

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                  TOCB
                  2 weeks ago

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                  They have not a profit oriented program. As a society they feel it’s their obligation to take care of older, sick people and young children.

                  In our society it will be called socialism, which for some is a dirty word.

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