-
Germany is the best of the ‘socialized’ plans. I agree with you there.
As for insurers…look they are certainly to blame for a lot. But so is the government. Every year we have more and more restrictions. Our reimbursements for CMS drop…which in turn push insurer reimbursements downward. The government increases regulations on what needs to be covered. Well, all of those things will push costs up. There is no way around it. And the legal system doesn’t help.
No one of those factors is purely responsible. It is all of the above.
The question is how do we fix it? I think we need a bottom to top restructuring of the whole system. Even the private insurer system has to be revamped. We have to frankly decide that certain things cannot be covered, simply because we can’t afford it.
Again, I know it is a bad word, but the only way we will ever get costs controlled is some kind of rationing. The problem is, no one is brave enough yet to be honest with the public about that.
