How Economic Incentives have Created our Dysfunctional US Medical Market
Elisabeth Rosenthal

Based upon my experience in the Medicare Supplement and Medicare Advantage marketplace, the country would be better served if CMS did away with Medicare Advantage and Congress changed Medicare to have one single affordable annual deductible for Part A and Part B combined set at an amount which would slide up or down based upon income and assets; and then after the deductible has been met just a minor financial disincentive to seek out unnecessary care such as a $15 Dr office visit co-pay.

This would save the government the money paid for Medicare Advantage, and save seniors the unnecessary expense and trouble of obtaining Medicare Supplement insurance or a Medicare Advantage plan (along with its network restrictions).

Lowering the Medicare age to 55 would also go a long way towards helping with the implementation of an affordable system for younger citizens.

Another reform that could have a powerful effect would be to allow states to institute for the their under age 55 citizens, systems which would mimic those used overseas in places such as Singapore, Switzerland, Finland, and Taiwan.

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