EPISODE · Nov 30, 2021 · 38 MIN
The Social Security/Medicare Trust Funds have been drained of cash (continued episode)
from The American Enterprise Manifesto: My America's Vision of Peace and Nonviolence for Humanism · host Jerry Rhoads
In effect using diagnosis, procedure and zip codes the Monopsony (Government controlled Health Care) only pays what the bureaucrats decide to pay to avoid bankrupting the Medicare and Medicaid facade insurance program. This is diabolical for future health care services because the costs will climb because the 77 million baby boomers are not healthy and the services required, supposedly to paid for by Medicare, will not be there. More will be left at home to die under the academic theory of Aging in Place ... or in real terms stay at home to die. Solution: stop lying to Americans. Particularly the aging American. Medicare and Medicaid and Obama Care aren't what you are told. They aren't funding the best health care in the world. In fact, America is the highest in cost per patient but 38th in quality. Singapore is number one in quality and lowest in cost per patient. Of course, nothing is a guarantee except the fact that healthy Americans have a better quality of life and aging than do the 117 million who have been diagnosed to have one or more chronic disease codes. And guess what those codes are devised to cut Medicare costs not to prevent, cure or restore anybody or anything but the Federal health care budget. So, if the budget is the way the Monopsony Game is played why not privatize health care and let each American fund and pay their own health care bills and hold the providers accountable for outcomes not just their incomes. This is called Self-Health (SHIFT the paradigm to Self-Health Insurance Funding Trust). How does that work? Much like social security ... each American has their own self-health account that is funded by withholding from our pay checks 5% matched by our employer over an average work life of 45 years totaling $3 to $5 million dollars using an average return on our investment of 6%. The investment being in a mutual Self-health Insurance Company that uses the money to pay claims and invest the surplus in the stock and/or bond market. This way the 40% overhead currently added on the cost of care being run by the Monopsony, we save $1 trillion per year in wasted resources funding the payroll cost of the bureaucrats who police and deny claims that will restore the elderly seniors back to health and make aging in place feasible. Everyone wins and we have a formula for reducing the size of the bloated Monopsony Government of special interests. I am a CPA with 59 years’ experience in health care ranging from accountant to consultant to licensed Health Care Administrator to owner of skilled nursing homes. During that time, as a consultant with Arthur Andersen & Co. and Blue Cross of America helped to roll out Medicare and Medicaid in the 1960’s, 70’s and 80’s then having a CPA company that served skilled nursing homes nationally. My wife, son and I assisted our hundreds of clients, using our AI software, to appeal Medicare denials so the patient could get their 100 days of restorative care and return home. We were able to assist 140 skilled nursing facilities to utilize Medicare Part A to restore 40,000 patients and discharge them home saving the Medicaid program millions if not billions for properly getting the traditional Medicare coverage in spite of denials of coverage. The problem in reality is the huge government bureaucracy cannot manage a program of any sort, let alone the most important service commitment there is ... the health and welfare of our Senior citizens. Privatizing our health care insurance and delivery must be shifted to the private sector that must follow the rules and regulations as originally passed. Save cost the old fashion way ... economize on getting the beneficiaries well and back home to age in place until they are ready for congregate care.
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The Social Security/Medicare Trust Funds have been drained of cash (continued episode)
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