Quote from oldtime:
if you get sick in your old age, all your assets will be depleted, until you are poor, then medicaid will kick in, and I'll gladly pay for it
my mother is sitting on a pile of cash that she will never need, and you are paying for her pacemaker
it doesn't make sense
I'm all for helping the poor, but my mother doesn't need it, yet you are giving it to her
and there's a lot of other people out there who do need it
Well, take your proposal to the next step. You are old, and sick, and you are required to deplete your wealth to pay for your health care. Once you go broke, if you still need health care Medicare kicks in. Supposing after going broke your health stabilizes and you are not in your last year of life. Perhaps you have 10 years left. Then what? You are broke and your now completely dependent, not just for health care, but for all your needs, food, clothing, shelter, etc.
On another note, means testing would reduce expenditures, but it is another form of redistribution. It would become de-facto Medicaid. If health care is a right, it is a right undiminished by one's economic standing.
And means testing would not get at the heart of the issue, which as the elder population bracket bulges, the demand for health care increases almost exponentially while the market for providing health care is not truly competitive and cost effective but rather predatory.
Medicare and medicaid this year are budgeted at 700 billion, while Social Security is about the same. But the tax rates differ by a factor of three: SS taxes are 3x that of Medicare.
Currently, Social security is solvent, but Medicare's outlays are going to quickly deplete its funds. At 700 billion a year, that's about $4,500 per working American. The question becomes do we want to continue to socialize this expense, and if not, how much are we willing to pay?
The only answer I see is that the health industry must find a way to deliver decent efficient health care at reasonable prices, because the country can't afford otherwise. Once we stop paying
outrageous prices for healthcare, my guess is that the health care industry will begin to reform itself.