if the patient requires that degree of care you would prefer he be shown the door ? of course not.
my point is that if you have to provide adequate care OR provide proscribed care + the overhead of a government bureaucracy then its going to cost you a lot more. (Please note that in the terrible old days the staff worked pro bono. No ****.)
Your ignorance or blindness is amazing!
Why do you think private insurances are not interested in covering people over 65? Or the disable? Or people with mental illness?
Because it cost too much per capita!
So, we either have the government cover them, or we let them die.
Now, if the government can cover the population that is the MOST COSTLY because of MUCH greater needs, and does it for a minimum participation by the medicare insured, while for profit insurance cover the population that has very basic, or occasional needs. A population which, per capita, costs MUCH less than the elderly and the disable. . . yet, charges 10 or 20 times MORE than the government charges the people they cover. . .do you think that MIGHT explain why medicare "doesn't make a profit, and is in trouble?"
Now, imagine that, medicare was ALSO available to anyone (of any age) that would prefer to suscribe to it, at a cost that would be, not 10 or 20 x more than the current medicare, but maybe 3 x more than the current medicare.
This would provide a HUGE decrease in cost per capita for medicare, and a HUGE decrease in health care premium for people who would CHOOSE to sign up with "early medicare" (you could also call it a public option) instead of signing up with private for profit insurance.
Why, because the average "risk factor" of a population extended to ALL age groups would be SO MUCH lower than the risk factor of elderly or disable group only AND since the public option would charge more for "early medicare" or "public option" than the current medicare premium for elderly and disabled, they would have more money coming in, with less cost per capita going out.
And. . .if you don't like the "public options" why don't we make it a condition of being a provider of health care insurance that they would have to cover EVERYONE, including the elderly and disable, but at no more cost to those population than what they are currently paying for medicare or medicaid?
Why have we allowed for so many decade the insurance companies to "pick and choose" who they would agree to cover, and reject the rest. . .even throw some out of their policies? Why have we allowed them to put a "life cap" on the coverage they provide? And all that without putting ANY restriction on how much premium increase they could impose?
This situation is what made it ABSOLUTELY necessary to have medicare and medicaid. . .
In fact, I am beginning to think that, repealing Obamacare may be the BEST thing that could happen to finally get this country to move toward a public option. . .because what we have now is UNSUSTAINABLE!
When the greed of the health care insurance industry gets big enough that it hurts an even GREATER number of people AND their employers. . .everyone will be begging for a government option!