Letters Warn “You Cannot Keep Your Doctor” Thousands Freaking Out

Does anyone recall the Obamacare promise “you can keep your doctor”. Up to 100,000 people might find out otherwise in one big bang. More are likely on deck.

Image National Cancer Institute

Freaking Out

Patients are caught in the middle of contract disputes between hospitals and health insurers. As a result, people are Freaking Out. Letters Warn Patients They Risk Losing Their Doctor

Patients are getting ominous warnings in their mail and inboxes: They are about to lose insurance coverage of their doctors.

The threatening letters and emails have sent patients reeling. Unsure what to make of it all, they are flooding doctors with calls asking questions, snapping up appointments with the physicians and taking to social media to complain.

Sparring in New York City are health insurers such as giants UnitedHealthcare and Aetna, which pay for medical care, and big-name hospital systems like NewYork-Presbyterian and Mount Sinai Health System seeking more money for the treatment provided by their doctors.

NewYork-Presbyterian said the insurer has failed to offer enough. Aetna said the hospital system’s demands are unsupportable. Both declined to say what rate increases they are seeking.

If hospitals and insurance companies fail to agree on a contract, patients can lose not only some or even all of their health plan’s coverage, but they may also pay a doctor’s higher, non-negotiated rates.

The hospital system sought new terms because of rising labor costs and its analysis of newly public hospital pricing data indicated Mount Sinai wasn’t paid as well as its competitors, said Brent Estes, Mount Sinai’s chief managed-care officer. 

UnitedHealthcare said Mount Sinai’s proposals would increase its rates by 43% to 58% over three to four years. “We continue to await a realistic proposal from Mount Sinai that’s affordable and sustainable for New Yorkers and employers,” the company said.

As boomers get older demands for medical care services will explode.

Percentage Change in Debt and Population

In the last four years, the percentage increase in population was 3.0 percent. The percentage in crease in debt was 45.3 percent.

Federal Debt vs Population 1992 vs Now

  • In 1992, the federal debt was $4.027 trillion. The population was 192.805 million.
  • At the end of 2023, federal debt was $32.690 trillion and the population was 266.942 million.
  • Between 2019 and 2023, the federal debt rose by 45.3 percent. The population rose by 3.0 percent.
  • Between 2007 and 2019, the federal debt rose by 105.3 0ercent. The population rose by 11.8 percent.

For discussion, please see The Amazing Trajectory of the Federal Debt vs Population Growth

The cost of healthcare is about to soar.

I will do a follow-up post with new charts from a CPI perspective.

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William the Congaplayer
William the Congaplayer
2 months ago

Why would I want to keep my doctor?

val
val
2 months ago

UHC is the healthcare insurance provider for many government and public sector union worker’s medicare advantage plans. The benefits of special platinum supplement plans offered to fully vested retirees would dismay anyone in the private sector. A monthly premium less than lunch, zero deductibles, zero copay tests, doctor visits, specialists, therapy, and hospital visits, with no maximums. 

In 2000, when premiums began to skyrocket, healthcare insurance plans with liberal benefits were placed into a ‘death spiral’ by the insurance providers. Premiums in these plans were exponentially increased, until only those members with serious illnesses remained. UHC can’t follow this example because its clients are associated with government agencies. The increase expenses for their advantage plans will pass on to other members.

joedidee
joedidee
2 months ago

right now medicare is getting raped by advantage plans
denying care for actual sick – sucking in big profits for healthy
my wife just joined at 65 and has already been bilked by ”foot” doctor for $1k for useless orthotics

Edward
Edward
2 months ago

Got to keep the insurance companies (parasites) profit margins at 30%.

shrpblnd
shrpblnd
2 months ago
Reply to  Edward

No insurance company has profit margin of 30%. I am the first to admit that our healthcare systems needs substantial reform, but throwing out unsupported numbers like this is not helpful.

D. Heartland
D. Heartland
2 months ago

I had a Kidney Stone in 2009 (while Traveling). The medical bills kept coming in, one by one. I called the Hospital and asked for a discount and they hung up on me. Since we had sold our home, I simply sent letters to ALL of the Dr’s involved (Anesthetists, Xrays, Scans – – there were 9 hands looking for co-pays totaling over $10K out of pocket. My letter claimed we were HOMELESS and to help me out. 7 of the nine, the smallest billers, gave me 80% discounts and I cut them checks. The hospital sent my biggest Bill to collection. I called Collection: she said, “You will pay us the full amount!” NO GIVE. So, I hand-wrote a letter to the Agency and told them “good luck” – –

—- “I live in a Van down by the RIVER.” We were never sitting more than a week in our RV in any one place. We paid with cash. No credit cards.

UNTRACEABLE.

SO, the key on Medical Bills: IF A BILL GOES TO COLLECTION, do NOT agree to a “payment plan.” If you do, they can report you to the Credit Agencies. INSIST on an 80% plus discount, and NEVER agree to payments.

In the end, the Collection Agency gave up.

Last edited 2 months ago by D. Heartland
Lisa_Hooker
Lisa_Hooker
2 months ago
Reply to  D. Heartland

Pay each of them $5 a month and let them wait.
It is very hard to bring legal action if you are consistently “trying” to pay.

Laura
Laura
2 months ago
Reply to  Lisa_Hooker

Quest Labs charged me over $200 for tests not covered by insurance. They refused to give me a discount. I paid them $1 a month on a credit card for years. I’m sure it cost them a lot of money to mail me monthly bills, process a credit card payment and credit my account. They finally sent me a bill for $0. I also never use Quest labs again

Rjohnson
Rjohnson
2 months ago

Right now i’m more worried about my 3rd homeowners insurance co in 2 years and the nasty letters they are sending me. About to say screw it and go without i’ve had it.

D. Heartland
D. Heartland
2 months ago
Reply to  Rjohnson

So long as you can SELF-Insure, without a Lien by a lender on your property, you can eliminate your insurance. Consider this: INSURE A LARGER PART with reduced premiums by increasing deductibles.

I own all of my own Cars, motorcycles and RV’s outright. Premiums increase over the past two years by over 22% overall. I am now increasing deductibles and taking my chances.

Jon
Jon
2 months ago
Reply to  D. Heartland

I have a $25,000 deductible on my house. I’d pay that every 4 years anyway in premiums in Florida.

joedidee
joedidee
2 months ago
Reply to  D. Heartland

if/when that happens I find an accident might happen

whirlaway
whirlaway
2 months ago

Of course, 0-bama lied about it. But this “feature” (where your doctor or hospital is thrown out of a network with little or no warning) has always existed in the “great” for-profit predatory health “care” “system” that the US has had for decades and decades now.

Last edited 2 months ago by whirlaway
Jon
Jon
2 months ago
Reply to  whirlaway

Of course. That’s not something Obama started. Insurance companies want to pay a certain amount. If a doctor can get more somewhere else they ‘re gonna take it. Capitalism baby!

RonJ
RonJ
2 months ago

“Patients are caught in the middle of contract disputes between hospitals and health insurers.”

Months ago nurses were picketing outside St. Josephs Hospital, while actors/writers picketed Disney Studios on the other side of Buena Vista St. I guess the cost of the various medical job actions are catching up. Kaiser nurses for one, said they were under staffed, thus over worked.
Denninger has in the past talked of administration bloat, referencing a chart showing much faster rate of growth in admin, as opposed to doctors.

“ominous warnings”
Speaking of which, i came across a 4 pt. YTube series by Dr. Chris Martinson, related to Webb’s book, “The Great Taking,” on Peak Prosperity.

august
august
2 months ago

It has little to do with boomers——Free emergency room care for anyone including migrants——insurers having to pay for extreme surgeries like “gender affirming care” and transplants operations which have little to no chance of success—-people with insurance running to the doctor every time they have a pimple on their arse—-all this and more are driving rates.

Jackula
Jackula
2 months ago
Reply to  august

I just watched a shoulder replacement surgery on an 80 year old multi-multi millionaire female friend of mine boomerang due to complications into a several million dollar bill to Medicare/the taxpayers which should have never been approved by Medicare or her supplemental insurers. She’s left with a left side paralyzed by stroke and multiple tubes coming out of her body. The surgery was a lose-lose proposition.

Stu
Stu
2 months ago
Reply to  august

Free emergency room care for anyone and everyone.

This is a major problem with our emergency rooms. We should institute a rule, whereby if the emergency room is within so many miles of a walk-in clinic, or other means of assistance, they must leave the premise.

People stop with the fake tears please… This is serious! Every emergency room that fits the standard above, has a police officer present (many do now) to assist if needed with the removal. Also a medical individual as well, to determine if it’s an actual emergency room visit.

After a few months of this, people will get the message and stop doing so unless necessary or questionably necessary. Wait times will be cut drastically, which will help actual emergency services needed, are serviced in a quick and orderly fashion. Nobody will be left without a plan of action to address their needs. Maybe a 1 month break-in period to weed out the people or their caregivers not paying attention. Hey it happens…

No frivolous lawsuits will be allowed, and if every rule is not followed to the letter, then the case is tossed out immediately. Sure some may fall through the cracks, but everybody is now, so it’s a massive improvement overall. Just a thought…

Stu
Stu
2 months ago

– As boomers get older demands for medical care services will explode.
> Of course Our Government prepared properly, for this foreseeable event unfolding in front of their very eyes, right?

– Between 2007 and 2019, the federal debt rose by 105.3 percent. The population rose by 11.8 percent.
> Proves beyond a reasonable shadow of doubt, that there is a lot of money in “Medicine” depending of course, if your in the FG (Federal Government), work with the FG, are an arm of the FG, are a Contractor (NGO) for the FG, to name just a few examples of thee potential possibilities.

– Patients are getting ominous warnings in their mail and inboxes: They are about to lose insurance coverage of their doctors.
> This is what’s called “Social Medicine” When too many are feeding from the same trough, it’s called Rationing.

– The threatening letters and emails have sent patients reeling. Unsure what to make of it all, they are flooding doctors with calls asking questions, snapping up appointments with the physicians and taking to social media to complain.
> This is called Consequences, which through poor voting choices, has left us with this over sensitive, guilt ridden, massive group of wealthy people fawning all over anything and everything Liberal…

Joey Zsazsa
Joey Zsazsa
2 months ago

The American health care system was broken a long time. Smart retirees are moving to countries like Turkey and Malaysia for world class medical coverage at a fraction of the cost.

Jojo
Jojo
2 months ago
Reply to  Joey Zsazsa

Medical coverage past age 65 is not an issue for those on Medicare. Stick with standard Medicare and a supplement plan and almost everything is covered. Costs might run $300-$500 or so monthly, depending on age and income.

Derecho
Derecho
2 months ago
Reply to  Jojo

Physicians are dropping Medicare patients. Here’s why
“Medicare physician payment has effectively declined 26% since 2001 — and that is before inflation and the finalized pay cut for 2024 are factored in, according to the American Medical Association.”
link to beckersasc.com

Bohm Bawerk
Bohm Bawerk
2 months ago
Reply to  Derecho

This is very likely a large part of what’s happening. Major hospital systems can pay physicians at a loss and make the money on hospital beds/surgeries/labs etc. Private physician groups are becoming extinct due to the low reimbursements. Primary care has been unprofitable for at least 5 years and medicare increasingly is reducing (despite inflation) reimbursements rates to specialists.
What that has to do with those of us not on medicare you ask? Most private insurers fee schedule is tied directly to medicare rates- Blue Cross would pay a flat 130% of medicare’s rates, United and Cigna slightly less. I would have gone out of business long ago if I still accepted insurance or I would have had to drastically reduce the time spent with patients. in 2023 Urology saw a 24% reduction in pay. Most of the time the reductions are around 3-4% per year. Not that I really expect medicare to be able to keep up with inflation but when revenues falls 3-4% per year while your expenses rise with inflation obviously something has to give. I’ve always paid my staff COLA adjustments, and that’s my most inflationary cost pressure.
Today most doctors are either subsidized by something or soon to be not in network.

Edward
Edward
2 months ago
Reply to  Derecho

I attribute that mostly to Medicare advantage plans routinely denying payments. Never use a Medicare advantage plan.

Bohm Bawerk
Bohm Bawerk
2 months ago
Reply to  Edward

Advantage plans are to the advantage of the private insurance company and certainly not to the patient. Who would think that they could get better insurance coverage with Medicare farming out to a middle man, like Aetna? Medicare saves money, Aetna makes money, the patient gets free dental and free meds and maybe a cloth bag and somewhere the patient is probably going to lose.

Jojo
Jojo
2 months ago
Reply to  Derecho

BS! The only related statistic that your link shows is this:

But according to Medscape’s 2023 survey, only 65% of physicians confirmed they would continue to treat and take new Medicare and Medicaid patients. Eight percent said they would not take new such patients.

But note that the reference survey is unlinked, so no details about size or error rate can be determined and that the MD’s are responding to a question that mixes both Medicare AND Medicaid. Note also that the two numbers quoted in the excerpt from your ink above total only 73%, leaving 27% up in the air. Were they undecided?

I did an AI query on the question and this is the answer:

Approximately 98% of providers participate in Medicare 3

Across most specialties, at least 80% of physicians accept new patients with Medicare and private insurance 2

Nationally, the acceptance rate for new Medicare patients among office-based physicians is around 89% 5

.link to perplexity.ai

And this is from Medicare itself but for 2022:(latest data):

Every year from mid-November through December 31, providers can decide if they want to participate in Medicare for the upcoming year. In early to mid-November, your MAC will send a post card reminding you about the annual participation open enrollment period. 

We’re proud to share that 98% of providers participate in Medicare. As you plan for 2022, this announcement provides information that may help you determine whether you want to continue or become a Medicare participating (PAR) provider.

link to cms.gov

MPO45v2
MPO45v2
2 months ago
Reply to  Jojo

An amazing sweet deal considering the 65+ consume 40% of healthcare and pay virtually nothing for it. Over 55 accounted for 55% of all healthcare spend.

link to healthsystemtracker.org

Dennis
Dennis
2 months ago
Reply to  MPO45v2

Not really true. Data please.

Joey Zsazsa
Joey Zsazsa
2 months ago
Reply to  Jojo

Wrong.

D. Heartland
D. Heartland
2 months ago
Reply to  Jojo

I have had THREE primary Dr’s leave my area in as many years. WHY? DIGNITY HEALTH owns ALL of our local facilities and are running a CONVEYOR BELT system.

Jojo
Jojo
2 months ago
Reply to  D. Heartland

Dignity is well known for being a poorly managed organization for many years.

FromBrussels
FromBrussels
2 months ago

Up to a few years ago, definitely before the world’s biggest medical fraud ever, the Covid one I mean, my country used to be one hell of a great affordable, easily accessible place to go and see a doctor or even a specialist ! It is all over now , a family doctor for your cough is still ok, if you need specialized attention though it takes months to get an appointment ! What s really remarkable is that waiting rooms are filled with foreigners, people that in general never contributed to our social system, now together with their five or so children, taking advantage of it big time, at the expense of our own people , mostly for free on top of that ! Btw , we don t have private hospitals in Belgium like you have them in the US or even in other European countries, there never was any need for it ….till recently. Life is getting better by the day !

Garry
Garry
2 months ago

Yep, and when the corporations continue to consolidate until 2 or 3 own all the hospitals it’ll get worse. Then Medicare Advantage which is now over 50% they’ll kill off regular Medicare. I’m all about capitalism as long as we have real competition in the majority of our economy but where medical care is concerned not so much. I mean let’s call around and check prices for ambulance service or which hospital is in network or not and do service providers who work at hospital take my insurance. My wife’s in network Dr Sent her for colonoscopy at local hospital. We got there after she drank the crap to clean her out and they demanded a check for $5900 because they weren’t in network. Dr was, hospital not. That kind of BS is unnecessary in America.

Siliconguy
Siliconguy
2 months ago
Reply to  Garry

There you hit it, in most of the country there is one hospital to choose from. You are going there. There is no competition. If they can’t fix it the next choice is two and a half hours east or three hours west.

PS, I haven’t seen the same doctor twice in a row since the 1990s. They keep moving to the big city.

Avery2
Avery2
2 months ago

Most doctors are pharma pushing quacks.

Micheal Engel
Micheal Engel
2 months ago
Reply to  Avery2

Most doctors are disease mongers.

J K
J K
2 months ago

How much of this debt is wars, yearly defense budget, aid to foreign counties, aid to illegal’s and welfare, and government waste?

All these plus more are dominos affecting the next dominos and on it goes. As someone who works in healthcare this system is doomed.

You might want to get a foreign passport for moving out of here should you get seriously ill or moving just for affordability.

The current batch of idiots in Congress are more concerned about Ukraine and Israel. Stupid politicians elected by stupid populace. Enjoy your misery. The bums coming down the pike in 2024 are no better.

Sioux
Sioux
2 months ago

I didn’t get to keep my doctors. In last few years, they all retired. Had to get new ones.

D. Heartland
D. Heartland
2 months ago
Reply to  Sioux

Or, they left, and the young ones are the ones who can EASILY move as they are not married, no kids and can move to better-paying ZIP Codes.

Thetenyear
Thetenyear
2 months ago

My premium was $250. ObamaCare kicked in and my premium rose to $750 within two years. Lost several doctors along the way. Finally decided to pay a monthly fee in addition to my health insurance premium to keep my doctor.

Obama and ObamaCare failed me big time!

D. Heartland
D. Heartland
2 months ago
Reply to  Thetenyear

It was a scam. Obama also won the Nobel Peace Prize, while killing millions in the Middle East.

Jojo
Jojo
2 months ago

Here’s an important related story:
—-
GoFundMe Is a Health-Care Utility Now
Resorting to crowdfunding to pay medical bills has become so routine, in some cases health professionals recommend it.
By Elisabeth Rosenthal
February 5, 2024

GoFundMe started as a crowdfunding site for underwriting “ideas and dreams,” and, as GoFundMe’s co-founders, Andrew Ballester and Brad Damphousse, once put it, “for life’s important moments.” In the early years, it funded honeymoon trips, graduation gifts, and church missions to overseas hospitals in need. Now GoFundMe has become a go-to for patients trying to escape medical-billing nightmares.

One study found that, in 2020, the number of U.S. campaigns related to medical causes—about 200,000—was 25 times higher than the number of such campaigns on the site in 2011. More than 500 campaigns are currently dedicated to asking for financial help for treating people, mostly kids, with spinal muscular atrophy, a neurodegenerative genetic condition. The recently approved gene therapy for young children with the condition, by the drugmaker Novartis, costs about $2.1 million for the single-dose treatment.

Perhaps the most damning aspect of all this is that paying for expensive care with crowdfunding is no longer seen as unusual; instead, it is being normalized as part of the health system, like getting blood work done or waiting on hold for an appointment. Need a heart transplant? Start a GoFundMe in order to get on the waiting list. Resorting to GoFundMe when faced with bills has become so accepted that in some cases, patient advocates and hospital financial-aid officers recommend crowdfunding as an alternative to being sent to collections. My inbox and the Bill of the Month project (run by KFF Health News, where I am the senior contributing editor, and NPR) have become a kind of complaint desk for people who can’t afford their medical bills, and I’m gobsmacked every time a patient tells me they’ve been advised that GoFundMe is their best option.

link to theatlantic.com

shamrockva
shamrockva
2 months ago

In the last four years, the percentage increase in population was 3.0 percent. The percentage in crease in debt was 45.3 percent.

In the last four years nominal GDP is up 40%. Way more relevant than the population increase.

Stuki Moi
Stuki Moi
2 months ago
Reply to  shamrockva

“In the last four years nominal GDP is up 40%. Way more relevant than the population increase.”

???

You reckon all those new GDPs are going to pay the debt’s so that the population doesn’t have to? “Yo Man; that GDP dude sitting over there’s going to pay my mortgage!”

Instead: What is more relevant, is that in the last 4 years; while headline population growth may have been 3 percent; just as many and then some went fromnominally working, to retired…

Dennis
Dennis
2 months ago
Reply to  shamrockva

A lot of that GDP is the gov’t debt that occurred the past few years. Massive gov’t spending masks how the economy is really doing. GDP no longer tells you that.
GDI is the income that was earned. That is going down.

Micheal Engel
Micheal Engel
2 months ago

The debt chart : in Jan 2008 Fed assets were $895B. In Aug 2019 : $3,773B.
In Jan 2008 commercial banks deposit liability was : $7,000B. In Oct 2019 : $13,000B.
In Oct 2008 ODL, bank deposit liability of the Fed was : after a long term ZERO !
It jumped for the first time in Oct 2008. After reaching a peak of $2,800B in 2014 it decayed to $1,500B in Oct 2019. It popped up again during covid, in a tsunami of liquidity.
All the above thanks to Ben Bernanke : the Financial Regulatory Relief Act of 2006.

Last edited 2 months ago by Micheal Engel
Jim
Jim
2 months ago
Reply to  Micheal Engel

Ben Bernanke now works for Renaissance Capital.

Sam R
Sam R
2 months ago

When I lived in NYC, I dealt with Mt. Sinai. It’s a case study in administrative chaos, outdated tech and massive wait times on telephone hold. And all of this with Cadillac insurance coverage. My doctor changed his Mt Sinai base location from NYC to Long Island. This small change created mass confusion. Unanswered calls, no call backs, and get this: fax communication. I say Mt Sinai should get their house in order first before they obtain a dime of incremental money.

Alex
Alex
2 months ago

As the deep state sinks it’s teeth into more and more of civil society, things get worse. It invariably plays to people’s insecurities promising them utopia but delivering dystopia.

Your health depends fundamentally on yourself and the choices you make. Things such as diet, exercise and the moderation or avoidance of bad habits. Yet people want to do as they please and have a magic pill to cure all their ills. Time to grow up and face the consequences of your actions. We aren’t going to subsidize your bad decisions.

Christoball
Christoball
2 months ago
Reply to  Alex

If people loved their health and bodies as much as PaPa and MOc3PO love money we would not even need doctors. Taking care of your body at all costs is more important than the money that the Medical Industrial Complex receives to fix bodies with a history of poor maintenance. Unfortunately the MIC’s (plural) live for the root of all evil….The Love Of Money.

fast bear
fast bear
2 months ago
Reply to  Alex

“Things such as diet, exercise and the moderation or avoidance of bad habits”
That’s a start, but unless your mitigate the ravages of stress it doesn’t matter what you do. Excess stress hormone Cortisol is responsible for the brain damage behind depression, spreading of cancer, arthritis, heart disease, high blood pressure and a hundred other things like poor eyesight and even nerve demylation diseases.

The #1 source of our stress are the people who have seized control of our culture making machinery. Be very careful with whom you participate, what you read and who you listen to. The goal is to terrorize you (covid) into a helpless baby state where you will welcome (big daddy) government to come in a save you.

The marketers want you to feel deficient without a new $90K pickup you can’t really afford, Almost all marketing preys upon your self worth. Maybe a thousand times a day an ad tells you, “you suck without X?”

The world we live in is toxic to the human spirit. Friendless and alone, suspicious of others in this bifurcated world, we are battered from morning to night. Child suicides are off the charts? Why is that?
HELL HAS COME TO ROOST ON THE SURFACE OF THE EARTH

The number one source of stress to US citizens and citizens in the West like the farmers in the EU are their governments. You’re being abused intentionally with great malice (1/6 protestors).
Nothing is mystery
All is plain.

Alex
Alex
2 months ago
Reply to  fast bear

Some great points! Especially your points about toxic culture and evil, divide and conquer government.

Last edited 2 months ago by Alex
Jon
Jon
2 months ago
Reply to  fast bear

Almost all of this is coming from private corporations, not the government.

J K
J K
2 months ago
Reply to  Alex

As someone who works in healthcare, your response is theoretically correct. Yes, we are responsible for our health, but humans are not perfect and eventually we all get unwanted ailments. The system is based on making money. You can better healthcare in foreign countries for a fraction of cost. Our system is doomed unless we reexamine how things can be done better, but too many hands in cookie jar.

Micheal Engel
Micheal Engel
2 months ago

[1D] UNH is down, a spring. U can dump your doctors if u buy from Walmart : tomatoes, eggplants, red cabbage, butternut squash, celery, quinoa, kelp, potatoes, oranges…bc it’s the cheapest insurance policy. But if u binge on red meat, for free, the doctors will keep u alive to help themselves.

MPO45v2
MPO45v2
2 months ago

Like I just said in a comment on previous post, avoid investing in health insurance at all cost….this mess is just getting started.

This is by far an excellent post on the real issues facing America. I’ve said before that an economy isn’t the fed, interest rates, debt or politics, it is people trading goods and services with other people and we are now entering an era where we will have 80 million people getting hundreds of billions in “free” money demanding goods and services from the remaining 150 million workers. The problem doesn’t stop in US, China, EU, other places all have demographic crisis.

Mathematically, this can’t work any more than dividing 5 by zero. This is and will be the biggest issue of the 2030’s when all the boomer are over 65 and they all start taking SS and medicare. Only 6 years away now.

Remember inflation doesn’t wear a condom so be prepared to get infected with soaring prices for all goods and services.

Also remember there will be plenty of profits out of this if you get to ROAD the right money train. Choo! Choo!

Bill
Bill
2 months ago
Reply to  MPO45v2

Mostly true however other than health care, spending drops precipitously in the older demographics. I’ve seen it play out for every person I know and have cared for, watch die, or even myself frankly. You spend massively more on health care but a fraction on everything else when you were younger, first or second step-up home, raising kids, taking vactions, spending daily as you were working and living. Older folks have already lived and did the bulk of their spending but now will spend truckloads on health care, which, after 65, strains Medicare which we all know can’t survive that stress mathematcially as you said.

So yes, they’ll be receiving billions but primarily that will be spent on health care, taxed or saved far more than being spent on discretionary items.

Living to a ripe old age really is not all that it’s cracked up to be.

Doug78
Doug78
2 months ago
Reply to  Bill

It’s not fun at all. Unpleasant surprises abound.

Jojo
Jojo
2 months ago
Reply to  Bill

Living to a ripe old age really is not all that it’s cracked up to be.”

If I’d known I was going to live this long, I’d have taken better care of myself.
Eubie Blake

MPO45v2
MPO45v2
2 months ago
Reply to  Bill

The spending patterns between generations isn’t that different, it only changes between 1% and 3%. Perhaps the very elderly that can’t move or in nursing homes account for different spend patterns.

link to smartasset.com

ALL people regardless of their age need
a. housing
b. transportation
c. food
d. energy/utilities
e. insurance

This is where the money train starts…who wants to ROAD it with me?

Micheal Engel
Micheal Engel
2 months ago
Reply to  MPO45v2

The boomers front end almost reached 80Y. 78% of them own homes. They own stocks, bonds, businesses…Their assets have the highest market cap. What they need is info to stay healthy, to extend life. Today, obesity and type 2 diabetes start with small children. Addicted families have to talk about their health problems, to get the right info. Prevention is key, not pharma, multi diagnostics and surgeries to cure symptoms.

notaname
notaname
2 months ago
Reply to  Micheal Engel

Sounds like time for additional means-testing for Medicare on them boomers with them assets! (more IRMMA …maybe an asset level rather than income level like the FAFSA)

John CB
John CB
2 months ago
Reply to  MPO45v2

I hadn’t heard that one before–“inflation doesn’t wear a condom”–and I’m not sure it’s apt, but I like it anyway.

MPO45v2
MPO45v2
2 months ago
Reply to  John CB

I am here to enlighten and entertain and most people don’t get my subtle subterfuge in my comments. Congrats on being one you just need to think deeper and harder.

hints: healthcare, causes of inflation, causes of pain and pleasure, the purpose of said condom. It should come together nicely.

njbr
njbr
2 months ago

“you can keep your doctor”–2009

15 long years of repeated attempt to throttle, defund, diminish, denigrate, deconstruct and eliminate “obamacare” by the middleman insurer process that takes a 1/3 of all healthcare spending

are you celebrating the win

Christoball
Christoball
2 months ago
Reply to  njbr

It is like Cost Plus Pricing whereby Insurers get a percentage piece of the action no matter what the cost is.Think liberty ships during WWII. The Medical industrial complex is now 21% of GDP, MIC administration is 7% of GDP. The ticket that Lovers of Money use to milk this system is higher costs, not better outcomes. The higher the cost the greater dollar value of the skim. Private equity is all onboard this Gravy Train with this ride. It will be Choo Choo, until it isn’t. Broken Window economies quickly change from Gravy Trains to sinking Gravy Boats. Probably just in time for Thanksgiving. Can you pass the mashed potatoes please.

Adam Tencent
Adam Tencent
2 months ago

I know everyone is afraid of AI, but this to me is the #1 thing we need AI for. Medical care. We should be investing trillions into elderly care and AI robots to take care of the elderly. Neoliberalism destroys the family unit, so for the most part, being older in America is dehumanizing and hell on earth.

We need AI to treat our old with humanity and compassion in late stage capitalism.

Dr Funkenstein
Dr Funkenstein
2 months ago
Reply to  Adam Tencent

AI can’t even get right what color or gender the Founding Fathers or the Popes were. It makes up quotes for journalists that are enemies of the deep state like Matt Tabibi, You can let AI treat you; I’ll take my chances with a human being.

Adam Tencent
Adam Tencent
2 months ago
Reply to  Dr Funkenstein

That’s because humans have laid out the hidden directives for those models, which are extremely biased against white people. Corporate think tanks decide how the AIs will behave.
You can have a team create an AI that can perform medical tasks accurately; we just need to make the rules we tell the AI to follow transparent.
AI is fully capable of performing tasks in healthcare, construction, programming, logistics, administration, etc.
The issue lies in how we instruct it to behave, not in AI’s capabilities and real-world demonstrable abilities under the right guidelines.

Stuki Moi
Stuki Moi
2 months ago
Reply to  Adam Tencent

“The issue lies in how we instruct it to behave”

The issue is that “we” have no idea how it should behave.

If “we” did: We could do it ourselves.

To believe that if “we” could only make the right raindance moves, some toothfairy could then easily turn Death Valley into a swamp; is simply absurd.

AI, like the closely related “self driving cars”; exists in it’s current hyped guise for one reason only: It facilitates The Fed enriching the illiterate, imbecile leeching classes by robbing those more useful and intelligent by way of debasement. That’s it. All of it.

Adam Tencent
Adam Tencent
2 months ago
Reply to  Stuki Moi

If “we” did: We could do it ourselves.

I AGREE WITH YOU!!

I work on GPT models and finding good directives. AI can be incredilby useful for solving all sorts of problems. Custom AI will help people, and together, we can find good training for Doctor AIs and more.

Stuki Moi
Stuki Moi
2 months ago
Reply to  Adam Tencent

“I know everyone is afraid of AI”

Only stupid people are.

Lisa_Hooker
Lisa_Hooker
2 months ago
Reply to  Stuki Moi

Well, there are quite a few of the very intelligent ignorant.
See also, IYI.

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