You know, I used to warn people against the Govt being so involved with our healthcare. I likened it to putting the DMV in charge of you if you got the flu. The long wait times, the surly and non-helpful govt employees there staring more at the clock than worried about you getting new plates.
But hell, I will at least admit the DMV does tend to get its mailings out on time and in proper fashion.
I know its a pipe dream, but I wish we could move the govt (especially the Feds) back more to their constitutionally mandated responsibilities. At the very least, my dealing with them could and should pretty much only be once a year.
1. Tell me how much tax to pay (simplify this).
2. Leave me the fuck alone.
I'd be 101% supportive of my federal overlords if they could just get to this point in their interactions with me. I'll be fine on my own to haggle and negotiate for my jobs, and my bill rates. I'l be happy to manage my own health care, and know what is important to save for (retirement, routine health needs, medical insurance for catastrophic needs, etc).
I seriously don't need you to play nanny state with me, I don't need you to suck up so much of my money and waste it.
I don't need you spying on me.
I live in Quebec Canada and I love our system. It is one reason I would never relocate to the USA. My health care costs me about $100/mo each for my wife and I. My daughter and her husband pay about three thousand in taxes for the two of them and their three kids. And we have a drug plan too. I could go private or public, and chose public. Our plan will never bankrupt me or require me to choose between drugs or food.
Drugs
It costs me about $15/mo each for my wife and I plus I get my prescribed drugs at 20% of cost. I can elect to chose generics, if they are available and I do so because it saves me some money. And we have a ceiling on what our drug expenses are, before our copay pay becomes zero.
My daugher has MS and her drugs are $30,000 per year (not a typo, 30k). Her out of pocket drug cost is the rate / month with $2k per year ceiling, for life.
Our doctor visits are free, as are prescribed mri scans, xrays, hospital stays. In other words, medicare (single payer system) works.
We include free ambulance service. And no, unlike the negative antagonistic thinking against affordiable care, people in Canada do not abuse either the medicare, drug plan or ambulance services.
Dentistry is excluded for children under the age of 8, as are eye exams. Free eye exams and some lenses for seniors who are 65+.
I will be needing hearing aids within 5 years. Some of my older friends have pacemakers. I believe I have an allowance of $2k for hearing aids. Re pacemakers, the doctor chooses from a list of pacemakers. It and the installation costs the patient a big zero. Included in our public insurance are things like wheel chairs, installation of in-home stair elevators (for those whose bedrooms are on a second floor, and other things that would allow an person/couple to remain autonomous.)
By the way, more or less the same plan is provided in Europe, Russia, Australia, Mexico, Cuba, Israel, and other places. I know not about your medicaid. Is it similar?
Lets hope your opting out is worth it. With the rapid changes in technology today and in the future, there is not guarantee you will have a steady job after age 55. There is no guarantee your employer will provide a comprehensive a medical plan if your enrolment in the government plan will cost less for the business. Your life expectancy is today, beyond age 80.