re: #45 KGxvi

if we go to a Medicare for All, socialized medical insurance program, how do we determine what we pay doctors? Meaning, how do doctors in private practice make their businesses work? How do we ensure they are able to cover their overhead and pay nurses and staff a livable wage?

Fuck if I know. It’s a massive planned economy problem and anybody who claims to know the answer is either the smartest person on the planet, deluded, or lying. The whiplash would be immense, you can’t just take a group of ego gassed professionals and force them to accept an entirely new market dynamic without allowing the most narcissistic (and sometimes genuinely talented) to opt for alternative high end markets like premium private insurance and concierge service.

re: #52 NO SMOCKING GUN!

They won’t starve on Medicare rates, which are higher than Medicaid rates. But it’s a moot point because Medicare for all can’t pass Congress anyway.

Congress is just the first hurdle, with the way Trump has packed the courts any meaningful change has to survive an entire gauntlet of right wing judges. It would have to be so perfectly designed and immediately, overwhelmingly popular that the entire Republican apparatus becomes terrified of overturning it. It’s Sisyphus and the Rock.