No one should ever kick someone when they are down, so this Healthcare Coverage for Low Income people makes a lot of sense. How can you have people completely at risk to major health issues and consider yourself to still be human? NO- that doesn’t mean they should get a free ride. One of the commercials that stands out is for a scooter for people to ride around on in their home, mall, etc- the point is that if you cannot afford it, they are covered by a government plan. Really? Why?
The point should be that everyone should have a “deductable”, or a level of financial commitment to whatever it is they receive. It doesn’t matter whether it is $20 to a scooter, $5 to a doctor, $1 to a prescription- no one gets anything for free. Unfair? Go get a better offer somewhere else.
Whatever the current contributions, the level needs to be increased over time slightly. Again, it simply is keeping pace with the level of drain this puts on the American budget and economy as other people need to pay for this service. Make no mistake, the people receiving this do not deserve it or have they earned it, they are simply in hard times or don’t have enough income to make it all work in their life. Helping them as they are in this spot is fine, but it needs to come with a price.
They need to be educated about preventive medicine. They need to be educated about nutrition. They need to have and go regularly to a doctor to catch things earlier. They need to be incentivized into going to cheaper doctors than an Emergency care facility for simple things. They need to understand the repercussions for their decisions and be held somewhat accountable.
Idea- What about providing a set dollar amount in coverage a year and if you could spend less than that, and do some simple preventative things like not smoke, stay within a modest weight range, etc- you would get an annual reward(whether a one-time true check or a tax credit to ensure a rebate). Remember right now this is a drain on our budget, and there is no reason for these individuals to change. THAT needs to be a focus of debate, not with them as victims or villains- but with them as a piece of our new reality that needs to be dealt with fairly and compassionately.
Idea- One of the most critical ideas about solving the Medicaid and Medicare involves the purchasing of pharmaceuticals (prescription drugs). The US Gov’t should use their intense size and reach to broker deals with the Pharmaceutical companies which lower the cost of drugs. The Bush Administration actually gave away this leverage, again a sign of our governments misguided focus on the wrong things (not protecting and benefitting the American taxpayer) based on the wrong priorities (usually their donors).
The days of free rides need to end, since we now live in the land of tough choices. I will be asked to pay more in taxes or give something up, just a matter of time. Why? The answer is simple- we cannot afford to keep going down this exact path. Change is coming. The only fuzzy part is what exactly the new norm will look like.