07-14-2016, 01:52 PM
Bill in NC wrote:
Medicare is a fee-for-service system - no real way to limit costs.
"Medicaid for all" would be the only sustainable public option, with its formularies and capitation requirements to limit costs.
Understand that in the rest of the world public systems are designed for basic & catastrophic care, not "everything & the kitchen sink" we've tried to mandate under the ACA.
Medicare is piloting some of the most effective outcomes-oriented team-based reimbursement models in the country, a la Mayo Clinic and Kaiser Permanente. There's no reason they couldn't do the same as a public option.
Are there limits? Sure, but there are limits in private insurance too...