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As
proposed, the Ryan Medicare plan resembles the Federal Employees Health
Benefits Program (FEHBP). In the FEHBP model the government
provides a
set financial contribution each year. Employees and retirees have
a
variety of options, including catastrophic coverage plans with high
deductibles, health maintenance organizations, and high-end plans with
many choices of doctors and other providers. Everyone has a
choice of
at least 10 fee-for-service plans, but the exact number varies by where
an enrollee lives.
The Ryan plan also resembles the health insurance
model developed over
the years in Germany. Under the German system, seniors choose
insurance coverage from among a list of approved, competing
nongovernmental "sickness funds" (Krankenkassen). Those insurers,
in
turn, pay for healthcare provided by private physicians and hospitals
with beneficiaries and the government each paying a share of healthcare
premiums.
A major difference between the two
plans, however, is that Ryan Medicare provides a fixed payment toward
insurance premium reimbursement which increases with the cost of living
as measured by the general consumer price index (CPI). To the
extent that healthcare costs exceed the CPI, that excess must be borne
by the individual. [American
Thinker - What Is the Ryan Medicare Plan?]
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One big reason why
Democrats are so easily able to demagogue the health-care issue is, I think,
that just trying to read this Medicare synopsis (none of which I included above)
is so goddamn boring. It's like reading all the fine print on the
tax form booklet we used to get every January. But, try anyway.
You'll be health-care maven of your Mahjong club.
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