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Medicare/VA for student loan holders and/or self-pay rates?

 
 
Reply Sat 28 Mar, 2020 11:12 pm
Universal Medicare has been proposed as a solution for the uninsured, but what if either Medicare or VA care was extended to student loan holders?

Doing so would make financial sense if borrowers have better health and live longer before they die and end their repayment status.

Another option could be to set self-pay rates higher than copayments charged to current Medicare/VA clients. As such, uninsured people would have to pay for care and prescriptions at a higher rate than regular Medicare/VA clients, but less than they would pay for private insurance.

Providing this lower-cost option would also subject private insurers to price-competition, which would encourage them to lower their prices and costs to compete with the self-pay rates of public health services and pharmaceutical providers.

Would either or both of these solutions resolve the problems of providing care options for the uninsured and/or stimulating market competition to serve self-paying clients at more affordable rates?
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Walter Hinteler
 
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Reply Sun 29 Mar, 2020 01:26 am
@livinglava,
In Germany, at the beginning of university, students can choose how they would like to be covered by health insurance.
For most first-year students, choosing the right health insurance is a simple matter: they simply stay in their parents' statutory health insurance fund. There, they are insured free of charge until the age of 25.
If you are older than 25 years, you pay around 79 Euros for health insurance, including the mandatory nursing care insurance, the monthly contribution is around 100 Euros (as with low earners)

If students are privately insured or want to be privately insured, there are a couple of different rules.
Generally spoken, this is only worthwhile for those who have parental insurance (via their parent's private insurance) and are not older than 25 when they graduate. In addition, they would have to get a good-paying job immediately afterwards.
livinglava
 
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Reply Mon 30 Mar, 2020 10:48 am
@Walter Hinteler,
Walter Hinteler wrote:

In Germany, at the beginning of university, students can choose how they would like to be covered by health insurance.
For most first-year students, choosing the right health insurance is a simple matter: they simply stay in their parents' statutory health insurance fund. There, they are insured free of charge until the age of 25.
If you are older than 25 years, you pay around 79 Euros for health insurance, including the mandatory nursing care insurance, the monthly contribution is around 100 Euros (as with low earners)

If students are privately insured or want to be privately insured, there are a couple of different rules.
Generally spoken, this is only worthwhile for those who have parental insurance (via their parent's private insurance) and are not older than 25 when they graduate. In addition, they would have to get a good-paying job immediately afterwards.

This thread is specifically about the Medicare and VA systems, which you may or may not be familiar with. If you want to post a thread to discuss the aspects of German health care you mention, feel free.
Walter Hinteler
 
  1  
Reply Mon 30 Mar, 2020 10:53 am
@livinglava,
livinglava wrote:
This thread is specifically about the Medicare and VA systems, which you may or may not be familiar with. If you want to post a thread to discuss the aspects of German health care you mention, feel free.
Did I miss the change the TOS?
You are a moderator?

On the other hand, the OP started with
Quote:
Universal Medicare has been proposed as a solution for the uninsured
livinglava
 
  1  
Reply Mon 30 Mar, 2020 02:30 pm
@Walter Hinteler,
Walter Hinteler wrote:

On the other hand, the OP started with
Quote:
Universal Medicare has been proposed as a solution for the uninsured

Medicare is very popular government insurance among people who qualify for it by reaching a certain age (I forget the exact age, but it corresponds with retirement).

Some politicians have suggested expanding Medicare coverage so anyone can buy into it, regardless of age; but that idea has been rejected by Republicans.

My general perspective is that insurance artificially inflates prices/costs in health care, which makes it more expensive for uninsured people to self-pay.

If no one was covered by insurance, through their employer or government, many people would simply not be able to afford current health care costs, so those costs would have to come down or else large numbers of people who are currently covered by insurance would be excluded from health care.

So I posted this thread to see whether both Republicans and Democrats could agree on the ideas that:
1) Student loan holders should be given (affordable) access to health care through the VA (veteran's administration) or Medicare, because when they die they lose their repayment status and stop paying, so it might be worth it to keep them alive.
2) Republicans and others who favor universal self-pay as a way of de-socializing artificial demand caused by insurance and government, might want to speed up the process by creating self-pay prices for the uninsured to pay for services at rates higher than the copays and out-of-pocket expenses paid by Medicare and VA users.

It's just an idea, because I get tired of the stalemate between Dems and GOP where Democrats want to keep prices/costs high and subsidize them to expand coverage to more people; and the GOP wants to cut subsidies and only use regulations to harmonize drug prices between the US and other global markets, such as Europe and Australia, where the same drugs generally cost less, as I understand it.

I also get tired of the health care industries influencing the politics to avoid losing money. If some businesses end up making less money because of changes in policies and/or markets, they should just accept that.
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