bdbdbd said: @mrstickball: How does the medicare work? Usually a system with private insurance and private healthcare runs the cost extremely high and public sector tends to be way cheaper.
As for the military, you had a little naive picture. The idea isn't to protect anyone abroad, but to have influence in different places.
@Trashleg: You're unhappy with the taxes only when they aren't used the way you see appropriate. Once you have kids, you likely are very happy with the taxes that are being paid.
@That Guy: The biggest problem with the charity-based healthcare is its reliance on charity. If the system would be wanted to keep working, there would need to be government funding to keep it going. |
Here's how medicare works:
Every US taxpayer has a deduction via income tax at a rate of 1.45% for the employee, and 1.45% from the employer for a grand total of 2.9% of the value of your employment at your job. This is how medicare is funded, straight up. Self-employed people must pay this tax as well. I made $2,000 in some freelance work via a W-9 last year - I had to pay 2.9% of that for Medicare.
Medicare elegibility, from Wikipedia:
In general, individuals are eligible for Medicare if:
- They are 65 years or older and U.S. citizens or have been permanent legal residents for 5 continuous years, and they or their spouse has paid Medicare taxes for at least 10 years.
or
- They are under 65, disabled, and have been receiving either Social Security benefits or the Railroad Retirement Board disability benefits for at least 24 months from date of entitlement (first disability payment).
or
or
The 24 month exclusion means that people who become disabled must wait 2 years before receiving government medical insurance, unless they have one of the listed diseases or they are eligible for Medicaid.
Many beneficiaries are dual-eligible. This means they qualify for both Medicare and Medicaid. In some states for those making below a certain income, Medicaid will pay the beneficiaries' Part B premium for them (most beneficiaries have worked long enough and have no Part A premium), and also pay for any drugs that are not covered by Part D.
In 2007, Medicare provided health care coverage for 43 million Americans, making it the largest single health care payer in the nation.[7] Enrollment is expected to reach 77 million by 2031, when the baby boom generation is fully enrolled.[8]
So let's go over this again: a 2.9% tax taken from everyone for only those eligible past the age of 65 in most cases. The current cost to taxpayers via Medicare wasy $386 billion USD in 2008. In 2007, there were 43 million enrolled, which means that the federal government is paying roughly $8,976 per medicare enrollment per year. For comparison, average private insurance per enrollment is under $5,000 per person, currently.
I believe a lot of the issue with Medicare, and any federal program is simply the size of it. Unlike most other socialized systems, they are established and implemented in much smaller countries and locations. America is a country sprawling well over 300,000,000 citizens, spanning great lengths of the scale in terms of race, wages, and needs - more so than any other country in the world. Because of the size of our nation, a federal, one-size-fits-all system simply cannot work because it doesn't allow balkanization to fit the needs of peoeple. In the case of a federal program, an exemption has to go for hundreds of millions of people because there's only one company (the Govt.) administering the benefits. I believe this is the recipe for disaster.
Having worked for a city and been the receipient of state-run pensions and healthcare, I believe this is a certainty. Let me bold this for emphasis to help those understand the system: No government employee uses ANY public benefit. Not one. Obama does not have Social Security. He waived that right as soon as he became a state senator. If we had a Govt. public healthcare option, he would not use it. Postal workers don't use it either, they have their own unions pushing for their own pensions and healthcare. Don't you consider that kind of....Odd? What it really comes down to is competition - even if your going to have something publicly funded, its better to have dozens of companies or states compete rather than 1 monopoly. States can administer healthcare and pensions better than the feds do - Again, I've been in the system, it's fantastic! Since this is the case, why would we not want to balkanize the system to enact better competition?
bdbdbd - I can understand the idea of exerting influence. However, do we really need to exert military influence in Europe? What about Japan? Do we need to keep their army under wraps and prevent them from having a greater strategic vision in their homeland than we do? We spend over $700 billion dollars a year on the military, and what is it bringing us exactly? I'm not a hippie (I love war), but I think that we're spending far too much to protect a lot of ungreatful people in a lot of areas, and in some cases, it's doing more harm than good. Furthermore, the cost of what we're doing should be shared far more than it is - Korea, Japan, Germany and Italy all are gaining large benefits from our bases. I don't think they should have as much of a luxury that they are currently being given. I agree we need strategic influence, but I think we can do that without having 56,000 troops in Germany, prepping for a Russian attack, no?