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Back to To the Point

To the Point

What's Left of the Promise of Healthcare for the Elderly and Poor?

A California doctor gets $24 to spend a half hour with a Medicaid patient, less than it costs to keep the lights on in his office. His plumber gets ten times as much to fix a plugged drain in 45 minutes. Medicaid and Medicare are in trouble, and everybody's known it for years.

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By Warren Olney • May 12, 2014 • 1 min read

A California doctor gets $24 to spend a half hour with a Medicaid patient, less than it costs to keep the lights on in his office. His plumber gets ten times as much to fix a plugged drain in 45 minutes. Medicaid and Medicare are in trouble, and everybody's known it for years. Medicare, which poses the biggest and most immediate challenge, already accounts for 23% of all federal spending, and medical costs are expected to double in the next 10 years. Starting this year, the hospital insurance trust fund will pay out more in benefits than it gets in revenues. But the principal fix for rising medical costs has been cutting fees for doctors and other providers. More and more doctors are refusing those patients, and the next president will be required by law to do something about it. Are the candidates coming up with solutions?

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    Warren Olney

    former KCRW broadcaster

  • KCRW placeholder

    Christian Bordal

    Managing Producer, Greater LA

  • KCRW placeholder

    Katie Cooper

    Producer, 'One year Later'

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    Frances Anderton

    architecture critic and author

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    Marilyn Moon

    former independent board member, Medicare and Social Security

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    Ted Mazer

    Trustee, California Medical Association

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    John C. Goodman

    President, National Center for Policy Analysis

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