S
seekerz
Guest
I am totally in agreement with you that the way we do things is critically important to success. And that school lunch program is not the only example. To my mind Medicare exemplifies the same problem, partly because (I truly believe this) people at the top don’t always understand the basics of how things outside their field of expertise works.I get your point, but many of the things you list as necessary today can be delivered more cost effectively, but those in power don’t seem to care. A simple example is the performance of kids in DC public schools vs the performance of kids in Catholic schools. One report says that approximately $30K per student is spent in DC public schools while the average in Catholic schools is $5300. But do those in power care about results and costs? Apparently not, because the refrain is always “we need to spend more on education”. Same could be said for healthcare delivery, food deliver, etc.
One school system decided that since a large percentage of students needed free lunches, that ALL students should receive free lunches, regardless of the fact many families could afford to pay. So the taxpayer pays for a capable family’s free lunch.
The examples are very numerous. People who think more government programs, or more spending on existing government programs would get less pushback if they just pretended to care about money they take from others. They don’t…and thus we have pushback.
As widespread as health insurance coverage is, the full costs are often just not appreciated by those who are not insurance specialists. So some fail to appreciate the fact that many, many seniors could be just as adequately served by high deductible plans, leaving more money to cover the truly poor. Because what does Medicare or any insurance do (subject to inter-state variations of course)? Before it pays the bill, it discounts the full amount, meaning that seniors with a good income could pay the discounted bill with very little or no pain. That being said however, having Medicare coverage is critical to those same seniors because if they get sick and need expensive or frequent services, costs could build up really fast.
So I do indeed see where you’re coming from. If I could make one change to what I think is a very good and necessary program, that would be it: update affordable yearly costs for each level of income, and have Medicare recipients pay that amount before the program pays a dime. There is an income requirement for premiums but I think more can be done to tailor benefits to ability to pay. The basic requirement, for any form of assistance from any source, in mind - is that it should be based on demonstrable need, not on giving everyone the same level of help regardless of need.