Midwest Moderate

Rockefeller Republican - Midwest Supremacist - Politics & Econ enjoyer - Hater of DSA & MaGa clowns - ✝️ - 🌐 -🗽- ↙️↙️↙️ - 🥑 - 🔰 - 🏗️ - ⚛️ - 🚂 - 🇺🇸

[Midwest Moderate @ModerateIndy]

@Chaplain_kaz Do you all have 3% Covid mortgage rates

[Midwest Moderate @ModerateIndy]

Listen I would like a fiscally responsible center right government, but let’s not pretend like the pension crisis we have today isn’t partially because of Jim Thompson and Jim Edgar

[Slats Grobnik @MissinRoyko]

You would have a hard time convincing Indiana residents of that …..

[Midwest Moderate @ModerateIndy]

@Chaplain_kaz I don’t understand how that’s possible unless everyone by you is putting 60% down

[Midwest Moderate @ModerateIndy]

@FrankMarco44337 You can have moderates or JB Pritzker

Let me know what you decide

[Midwest Moderate @ModerateIndy]

@PineTreeGOP Slowly but surely we will badger our parties back into the winning embrace of Rockefeller Republicanism

[Midwest Moderate @ModerateIndy]

@Chaplain_kaz What

[Midwest Moderate @ModerateIndy]

@rgoldson @KEL0818 @realTomSlayton When you’re talking about the future costs and savings of a plan with defined terms subject to economics we understand pretty well then yea

Not to hard to forecast. Could get it 100% correct but you can absolutely get close. We do this all the time

[Midwest Moderate @ModerateIndy]

Being a “doctor” doesn’t actually mean you know anything about healthcare systems.

Medicare for all is bad policy. It doesn’t actually fix the underlying problems

We will still end up spending ~18% of GDP on healthcare, 50% more than the next highest in the OECD.

[Dr. Abdul El-Sayed @AbdulElSayed]

Democrats will have a 56-seat majority in the US Senate. We need to use it. Pass Medicare for All.

[pagliacci the hated 🌝 @Slatzism]

it’s that time again

[David Hudnall @davidhudnall]

Spotted today in midtown Kansas City. Unfortunately, on some level, you do kind of gotta hand it to this guy

[Midwest Moderate @ModerateIndy]

@rgoldson @KEL0818 @realTomSlayton No the future is easy to see, it’s hard to see clearly. We can pretty confidently establish upper and lower bounds.

[Midwest Moderate @ModerateIndy]

@Jerry_C__ You’re right, they hated Illinois, they did this to screw you. No further investigation or context needed. You’ve got it

[Midwest Moderate @ModerateIndy]

@Jerry_C__ Ok but why did he have to do the ramp in the first place? Illinois constitutional law prevented Thompson and Edgar from editing the COLA

It’s also not Edgar’s fault that Thompson chose to continually short the fund

[Midwest Moderate @ModerateIndy]

@KEL0818 @rgoldson @realTomSlayton *** said OBM and mean CBO

[Midwest Moderate @ModerateIndy]

@KEL0818 @rgoldson @realTomSlayton You’re correct! But while M4A does get you universal coverage, we actually still end up paying the same amount for healthcare through taxes!

The OBM studies has shown that funding mechanisms for M4A would be fairly extreme like a 20% Vat tax or national sales tax. Not ideal!

[Midwest Moderate @ModerateIndy]

@rgoldson @KEL0818 @realTomSlayton No that’s part of a study.

There’s new savings and new expenditures

In some studies they cancel out, in many it costs us even more

[Midwest Moderate @ModerateIndy]

@heathpicker This is, everyone born before 1964 keeps Medicare or their ability to use it.

This is a highlight of a large plan that involves funding and reimbursement glide downs over 20 years

[Midwest Moderate @ModerateIndy]

@UrbanCourtyard I’m almost always with you here but maybe we let this one go? It’s kinda sweet

[Midwest Moderate @ModerateIndy]

@Will51812643 @Jackattack20204 https://t.co/ixSJM733h5

[Midwest Moderate @ModerateIndy]

@Jackattack20204 Of course it being Illinois you’d have to require that funding levels from other sources have to remain within their 10 year averages.

Otherwise they’ll just proportionally drop pension funding with the income tax increase and the tax will end up permanent

[Polymarket @Polymarket]

JUST IN: Developer abandons $10B Michigan data center project after residents reject the proposal, despite promises of $54 million in annual tax revenue & a $20 million community investment fund.

[Michael McLean @cornoisseur]

It took CTA and the feds 12.9 YEARS to do the environmental review for the Red Line Extension!

BAAJA would be a boon for public transit projects that have a federal nexus. Could shrink timeline down to just 2.1 years!

Call your senators and congress members!

[Midwest Moderate @ModerateIndy]

@heathpicker In my opinion we’d do something like this

https://t.co/uGLNpjRoQx

[Midwest Moderate @ModerateIndy]

I would prefer that we implement a U.S. Singaporean hybrid system.

Every gets an HSA with a mandatory match from you and your employer kinda like FICA. The median American spends about 8-12% of their paycheck on HC today and I would like to make it 4-6% with your employer matching ~5% and paying another 4% to a general trust for the first 20 years of the program. If you reach ~250k in real dollars in your account, you no longer have to contribute and your employer just has to maintain it at inflation. There is a max amount you can hold as well so it doesn’t become a tax exemption vehicle for the wealthy.

The government would run a universal catastrophic coverage plan. Premiums for that plan would be progressive based on income and no premium if you make under 50k indexed to inflation. There would still be 5% coinsurnace. For this structure we can cut and convert Medicare.

The third pillar is a medical trust fund. This we fund with Medicaid outlays and there’s an investment structure for it. The fund is used to top off low income HSAs and elder accounts. When the fund gets over a certain amount the independent board governing the fund has the ability to disperse dividends back to Congress, to low income accounts, or greater seeding of under 18 accounts. They have discretion there.

There’s a number of cost saving measures that have to be included in this as well like upfront cash pricing, broader negotiations with the rest of the OECD on balancing drug costs and implementing reference pricing. There are hospital savings we have to get through charting and coding streamlining. Licensure for PAs, NPs and really all medical personnel needs to be streamlined across the states.

I’m working on a paper for this plan, there’s a lot involved with fixing healthcare in the U.S. but this is a high level overview without getting into glide downs on reimbursement or rural hospital or specialty clinic subsidies.

[Midwest Moderate @ModerateIndy]

@sneakysalmom My preference would be this

https://t.co/uGLNpjRoQx

[Midwest Moderate @ModerateIndy]

I would prefer that we implement a U.S. Singaporean hybrid system.

Every gets an HSA with a mandatory match from you and your employer kinda like FICA. The median American spends about 8-12% of their paycheck on HC today and I would like to make it 4-6% with your employer matching ~5% and paying another 4% to a general trust for the first 20 years of the program. If you reach ~250k in real dollars in your account, you no longer have to contribute and your employer just has to maintain it at inflation. There is a max amount you can hold as well so it doesn’t become a tax exemption vehicle for the wealthy.

The government would run a universal catastrophic coverage plan. Premiums for that plan would be progressive based on income and no premium if you make under 50k indexed to inflation. There would still be 5% coinsurnace. For this structure we can cut and convert Medicare.

The third pillar is a medical trust fund. This we fund with Medicaid outlays and there’s an investment structure for it. The fund is used to top off low income HSAs and elder accounts. When the fund gets over a certain amount the independent board governing the fund has the ability to disperse dividends back to Congress, to low income accounts, or greater seeding of under 18 accounts. They have discretion there.

There’s a number of cost saving measures that have to be included in this as well like upfront cash pricing, broader negotiations with the rest of the OECD on balancing drug costs and implementing reference pricing. There are hospital savings we have to get through charting and coding streamlining. Licensure for PAs, NPs and really all medical personnel needs to be streamlined across the states.

I’m working on a paper for this plan, there’s a lot involved with fixing healthcare in the U.S. but this is a high level overview without getting into glide downs on reimbursement or rural hospital or specialty clinic subsidies.