WHAT ARE THE UNINTENDED CONSEQUENCES OF EXPANDING MEDICARE ?
These “Consequences” might be more properly categorized as “Known Side Effects” - some good, some bad depending on who’s Ox is being gored. They are the result of quality improvement efforts to reduce to a minimum administrative costs and unnecessary health care (about 40% of the total present cost). There is no free lunch. Health care costs would be financed by exchanging high health care insurance premiums for a lower health care system tax.
So what are some of the predictable “Known Side Effects?”
A tax increase would support the Single Payer System but Insurance Premiums would be eliminated.
Health insurance tied to employment (the “Golden Handcuffs”) would end.
Individuals choosing Standard Medicare but not purchasing an additional Medicare Supplement would be exposed to significant medical cost risk, in some cases, contributing to personal bankruptcy (and inbility to pay their co-pays and deductibles.
The cost of these unpaid services would be shifted to Medicare and/or Medicaid.
Effects of Quality Improvement efforts and the practice of “Evidence Based Medicine” will eliminate most unnecessary medical services and promote preventive care resulting in:
- Reduced cash flow for bricks and mortar Facilities (hospitals, OP Lab & Imaging, etc.).
- Reduced revenue for providers that preform procedures (invasive, short term care).
- Reduced patient load (revenue) for surgeons.
- Increased workload and revenue for physicians managing care.
- Increased workload and revenue for case management, home care and Hospice care givers,
- Increased workload and revenue for perventive health services.
- Increased workload and revenue for public health services.
“An ounce of prevention is worth a pound of cure.”