Showing posts with label KFF dot org. Show all posts
Showing posts with label KFF dot org. Show all posts

Monday, June 24, 2024

How is it that the United States has the most people dead from COVID-19 compared with every other country in the world when we invented the vaccines which supposedly saved so many lives?

 81.4% of Americans had received at least one dose of a COVID-19 vaccine as of May 9, 2023 according to Our World in Data.

By April 2022, the United States Centers for Disease Control and Prevention (CDC) data show that about 6 in 10 adults dying of COVID-19 were vaccinated or boosted, and that’s remained true through at least August 2022 (the most recent month of data).

More.




Tuesday, March 26, 2024

As much as I sympathize with this guy's tale of Obamacare woe, his timeline is pure fantasy

 The story is here:

My insurance was $185/month with a $1,000 deductible. That was for a family of 5. So I voted for Obama-Biden in 2008 based on Obamacare. ...  the cheapest insurance I could find to replace that one was $1,200 a month with a $6,000 deductible.

The guy had a great plan before Obama!

But Obamacare as he now thinks he knows it didn't even exist in 2008 for him to base his vote on it.

Obama was for something else, the public option, a government-funded health insurance plan designed to compete with private health insurance. That was also Nancy Pelosi's preference, and the preference of the US House Democrat left at the time.

The great fear was the public option would crowd out private insurance and defeat it because it would be more attractive to women and the chronically ill.

The House public option plan put forward in 2009 competed with the Senate plan, and the two proposals were at an impasse by the end of 2009. Eventually the Senate version prevailed in March of 2010.

The Senate plan was actually worse, what we now call Obamacare.

It dictated the much more expensive nature and new shape of all existing private insurance plans instead of providing a separate public option to compete with those already existing private insurance plans. It cost more to provide because it eliminated pre-existing condition exclusions, and treated men and women equally even though women's care is more costly.

It was fascism pure and simple, government dictating to the private sector what will be, and what will not be.

That's how you lost your old plan, your old doctor, and your money: Because Obama bowed to the Senate plan, instead of fighting for what he said he believed in.

If you were too poor, though, to qualify for Obamacare, you just got stuck with Medicaid, health insurance for the poor, and, failing that, with nothing at all.

The once heralded public option for everyone defaulted to Medicaid. Nearly 86 million are now stuck with that, and most are unaware of its clawback provisions.

Today only 21 million can afford Obamacare, and about 25 million non-elderly adults have bupkis, like the poor fella in the story had for ten years.

Meanwhile, 158 million have employer-provided health insurance, the cost of which climbs relentlessly. The average worker had to pay $549 a month in premiums for it in 2023.

Medicare provides coverage to about 66 million aged 65+, and costs nearly $175 a month in 2024.

The more things change, the more they stay the same.


 

 


 

Friday, March 31, 2017

Krauthammer thinks Trump might go for single payer in the end, in which case Americans should get it, good and hard

Think of it as socialism with Republican characteristics.

Krauthammer, here:

Obamacare may turn out to be unworkable, indeed doomed, but it is having a profound effect on the zeitgeist: It is universalizing the idea of universal coverage.

Acceptance of its major premise — that no one be denied health care — is more widespread than ever. Even House Speaker Paul Ryan avers that “our goal is to give every American access to quality, affordable health care,” making universality an essential premise of his own reform. And look at how sensitive and defensive Republicans have been about the possibility of people losing coverage in any Obamacare repeal. ...

As Obamacare continues to unravel, it won’t take much for Democrats to abandon that Rube Goldberg wreckage and go for the simplicity and the universality of Medicare-for-all.

Simplicity? Draco's laws were simple. The penalty for every crime was death.

I wonder if Krauthammer has a clue what he's talking about.

Total Medicare outlays in 2015 came to $632 billion.

Total Medicaid outlays in 2015 came to $552 billion country wide (read the Notes).

Total Social Security and Disability outlays in 2015 came to $897.1 billion.

That is a total of $2.0811 trillion from 2015 total net compensation of $7.4158 trillion, or 28%, without even talking about "universal coverage" yet.

Yet all your typical American pays now for this is 10.63%:

6.2% in Social Security tax and 1.45% for Medicare, plus whatever taxes are paid at the state and local level toward Medicaid, which federal law mandates must account for at least 40% of program revenues. So $221 billion from 160.8 million wage earners across the country in 2015 represents another 2.98% paid by them at the state level.

The status quo therefore is funded only 38% by its beneficiaries, at best. I say "at best" because many beneficiaries pay NOTHING because they don't work and never have. But I digress.

So bring about Krauthammer's revolution, for that is what he's talking about, and reset the table as follows.

Total healthcare outlays in the United States in 2015 came to $3.2 trillion. Add in $897.1 billion for Social Security and Disability, and you now have a "universal" obligation bloated to $4.097 trillion, which represents 55% of net compensation that year.

That's your tax.

You've become France, Germany, Denmark or some other Western European paradise which depends on the United States for its defense.

And that's before even talking about funding the $1.2 trillion part of the federal budget which is discretionary, like defending ourselves against that little fat kid playing with hydrogen bombs in North Korea.

Of course there's another chunk of money out there being made in the United States apart from net compensation, about $8 trillion in 2015. The recipients of this income typically pay the lower capital gains tax rates, not the payroll and income tax rates which are for the chumps.

It's a nice little system which isn't paying its fair share for socialism in the United States, even though it is rich guys who typically shout the loudest on behalf of it. They do this because they know it will keep the little guy down, from whom they don't want the competition some day. But tax that system equally to net compensation and you cut that 55% tax in half, to say 27.5%. That, however, means a big fat tax increase on the rich, and on everybody else. I doubt they'll stand for that any more than they open their checkbooks now to make patriotic voluntary donations to the US Treasury.

We live in a fantasy land where no one wants to pay what it costs for anything.

We think we can have our cake and eat it too.

We want infrastructure spending, and a tax cut dammit.



Thursday, January 5, 2017

Medicaid enrollment, healthcare for the poor, has exploded by 46% under Obama

In 2009 Medicaid enrollment stood at 50.9 million, but in October 2016 it's 74.4 million.

Generally speaking, you are eligible when your income, if you have any, is up to 133% of the poverty guideline, which came to about $15,650 in 2015. In that year there were only about 52 million individual workers who earned up to that much.