Obamacare, Trumpcare, Medicare and We, the “Entitled”


They are talking about repealing the individual mandate. Of course it is unconstitutional to force someone to buy something. Funny thing about that. Many decades before Obamacare, people were forced to buy health insurance. Not only that, they weren’t able to use it until, as in my case, 45 years after they started buying it. It was called “Medicare” – and you know, the Medicare we paid for all these years was only a “catastrophic” plan. Part A.

You can’t even see a Primary Care doctor under the Medicare insurance you paid for all those years unless you start paying premiums for it after you retire. It’s called Part B. And even after paying for your Medicare insurance for 45 years and even after paying your monthly premiums for Part B, usually deducted from your Social Security benefits, (which you also paid taxes on all those years) so you can see a doctor, your Medicare insurance doesn’t pay for all the costs associated with doctor visits and routine diagnostics and procedures and tests, so you have to buy MORE insurance from a private insurer called a Medicare “supplement” plan.

Recently, they instituted something called Medicare Part C, or Medicare “Advantage”, which combines Parts A and B and it is administered by private insurers and sometimes you pay nothing or a small monthly premium to supplement Part B. But your part B premium is still deducted from your Social Security benefits.

So no, there is no free lunch for the senior set.  Yes, it helps, if you can find providers of vitex and line up the coverage you need, and we seniors usually need different types of care.  It’s not quite socialized medicine, because practitioners are still private practice.  And the insurers participating and offering supplements are still private. But all patients, and providers alike, have to fill out all the paperwork and heed the directives of the Centers for Medicare and Medicaid, HHS and the rest of the bureaucracy.

Not quite Britain, but we’re getting there.


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Lady Penguin
March 14, 2017 8:45 pm

You’re absolutely right. And I will add some thoughts in an additional post. But it’s clear that the government has been mandating our lives for a long, long time.

What I despise about any of these so-called entitlement government sponsored (forced) plans is the behavior from the providers. The further one gets from directly paying for services, ie. middlemen like the vast government bureaucracy, the worst people treat you. There is no accountability when dealing with the bureaucratic monolith, they can be rude and indifferent, and you’re stuck groveling for the crumbs meted out.

March 15, 2017 5:04 am

Yes, we’re getting there. Funny thing (actually not funny at all) happened. In spring 2015, after paying deductibles, etc. (Medicare Part B), Medicare paid my doctor for services. In August 2016, Medicare walked back the payments for the same services that they approved in advance and one year earlier thereby sticking me with the bill. It was not the first time. In 2011, they did the same thing. Since Obamacare went into effect, HHS has been bleeding Medicare to pay for Medicaid. I know people who never worked a day in their lives who get Medicaid and now they’re complaining… Read more »

March 15, 2017 6:34 am

The most succinct statement of the case yet stated, Bob.

March 15, 2017 7:10 pm

If there is truly justice in the world every politician since and including FDR is bathing in Ol’ Scratch’s fiery lake right now. Medicare sucks, I discuss it often with my parents. The govt does the same thing with Tricare Standard. Don’t even mention the VA system. Even the janitorial staff feels entitled and one step above their customers who earned their healthcare with multiple years of true service to the Nation or time in a combat zone. They look and talk at you like you should knuckle your forelock and beg their pardon for speaking. Not everyone but you’ll… Read more »