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Subject:  Re: Single Payer Series Date:  1/16/2020  3:40 AM
Author:  intercst Number:  575724 of 591691

I liked this from the Australia health system article.

Twelve years ago, she noticed a lump under her arm and went to see a doctor, who ran some tests. When her doctor sat her down to give her the bad news — she was diagnosed with breast cancer — her mom asked which private hospital she should go to for treatment.

No, her oncologist told her. You should use the public hospital. It’ll be easier to coordinate your care across the many people you’ll need to see: oncologists, radiologists, nutritionists. And it will be very inexpensive.

So that’s the route Feldman chose. She still has her private coverage (because with the fines she’d face and the rebate she receives, why not get something?), but she depended on the public sector for the most important medical care of her life.


We're seeing that with for-profit Medicare Advantage in the US. People like the fact that the premium is a bit lower than traditional Medicare and a supplement plan, plus you get the "free" Silver Sneakers Gym Membership with Medicare Advantage.

But if you get sick, you find that the out-of-pocket expense with Medicare Advantage is much higher than with traditional Medicare and a supplement plan. Then you realize that Johns Hopkins and the Mayo Clinic isn't "in-network" on the reduced roster of doctors & hospitals Humana wants you to use, but they're the best places for treatment of the rare form of cancer you got.

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