Kevin Drum Astonished That People Disproportionately Like Subsidized Stuffby Brad Warbiany
Satisfaction levels of Medicare beneficiaries are pretty high. This surprises Kevin Drum:
There’s a pretty obvious political dynamic that’s responsible for this. Seniors, who actually use Medicare, know perfectly well that it’s a good program. They can see any doctor they want, they get care when they need it, and the quality of service is high. So why do younger Americans have such a negative attitude toward Medicare?
Answer: because conservative politicians have been bellowing for years about what a terrible program it is. And since younger workers don’t actually use it themselves, the bellowing works. They figure it must suck.
In reality, Medicare works fine. Not perfectly, but fine. It offers service at least as good as private insurance despite serving the highest-risk population there is, and it does at least as good a job of reining in costs — slightly better, in fact. Sure, it could be improved, but it’s already probably better than the employer insurance that you have right now. I’d switch in a second if I could.
Medicare isn’t a bad system at providing medical care. Most doctors/hospitals accept it, as they typically know that they’re not going to get into fights with the government over whether or not they’ll get paid. Seniors thus don’t have a lot to worry about — they can go to the doctor whenever they need and get the care they require.
All that, for a Medicare Part B premium of a mere $96.40 per month. That’s roughly 1/10th of the premium my [large multinational] employer pays for my healthcare, and smaller than the additional portion I pay out-of-pocket for coverage of my wife and kids.
Does anyone think that the $96.40 premium covers the cost of insuring the average senior? I don’t think so. If it did, we wouldn’t be calling it an “entitlement” or worrying about the unfunded liabilities of Medicare going out over the next few decades. We wouldn’t be getting hit as workers with 2.9% of our incomes taken in taxes to pay for the Medicare system.
So are seniors pleased with the system they have? They get cheap premiums and adequate care, all on the backs of the taxpayers. Who wouldn’t be pleased?