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   RAILFAN      Trains, model railroading hobby      3,261 messages   

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   Message 3,117 of 3,261   
   Adam H. Kerman to Stephen Sprunk   
   Re: Getting back to PTC   
   27 Apr 15 16:27:34   
   
   From: ahk@chinet.com   
      
   Stephen Sprunk  wrote:   
   >On 25-Apr-15 21:27, Adam H. Kerman wrote:   
   >>Stephen Sprunk  wrote:   
   >>>On 24-Apr-15 14:11, Adam H. Kerman wrote:   
      
   >>>>That's a hell of a lot of cost shifting. Any medical provider   
   >>>>accepting Medicare must accept Medicaid. My state tends to be   
   >>>>years behind in paying providers. You're not acknowledging   
   >>>>reality even when the patient is receiving socialized medicine.   
      
   >>>And why do we have Medicare, Medicaid, etc.?  Because as a society,   
   >>>we accept that we have a moral obligation to provide certain   
   >>>services to those who are unable to provide them for themselves, in   
   >>>particular the elderly, the disabled and children. . . .   
      
   >>You may have noticed that Medicare isn't means tested, so that's   
   >>simply not true.   
      
   >And why do we have Medicare in the first place?  Private insurance for   
   >seniors was so expensive (if available at all) that virtually none of   
   >them could afford it.   
      
   You can't support that statement.   
      
   >The cost of means testing would be higher than the savings from denying   
   >coverage, just as we've seen recently in states requiring drug testing   
   >for welfare benefits, so it is a net savings to just offer it to everyone.   
      
   You can't support that statement either.   
      
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