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View Diary: Why Aren't We Talking About EXPANDING Social Security and Medicare? (273 comments)

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  •  Yup. It takes money to make money. (3+ / 0-)
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    Roger Fox, Calamity Jean, elwior

    There are a thousand moving parts in a healthcare system which must grow simply to keep up with all the additional people it will care for in the next two decades. Rather than cutting or even putting in just enough money to keep up, this is the time to get money ahead in the system.

    Individual rates need to come down. But the system might benefit from being better funded with good investment strategies and a minimum of subsidies. Make these programs stand on their own.

    We make money by creating economic structures that allow for competition based innovations. And we need a low overhead priced public medical program which the private firms need to compete against. Which will likely mean higher private rates, which need provide better service to be worthwhile. If they're really good, they'll be profitable. Not a golden cash cow, but as a stable business which will always have a demand. As long as we stay around the 3% administrative cost of medicare, it will regulate excessive medical care costs overall and bring them down as the system becomes more efficient.

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