One possibilty in saving Medicare

You did not lose me, you came over load and clear. I watched the debate today and was not impressed with our president elect. I am for the needed stance to take baby steps which seems to be a competitive thing for Obama. But with such a large problem and the magnitude of all that it effects it is just simply to large to take on as a whole. Why this is a truth is because you may have a calculated idea concerning cause and effect but in reality you never know how one part will effect another positively or negatively until implemented and then monitored and anilized.

What is more alarming is this is new ground for all of us we truly do not know if it will make things worse or better although everything seems to point to worse. That is why a more conservative approach is needed with baby steps. Say eliminating the pre-existing condition clause, and allowing insurance to cross state lines to infuse competition and making it more portable would be a excellent and agreed upon by both parties for a start.

Medicare is also in serious trouble for one main reason it is coupled to payroll tax. While the baby boomers are retiring at a torrent rate and with the millions of job's lost Medicare is bleeding out by losing all of those who are no longer paying into the program. So our wise congressman want to cut 500 billion and cause more disparity and strain on the system.

To me the solution is a simple one and would work. Let me framework this idea first. It is the first time in our history that Wall-street actually has been experiencing record profits while Main-street still despairs in our great recession one has always effected the other in the past. What this means is the upper class are maintaining their wealth as the middle class shrinks into poverty this process will implode and devastate our government in the process (i,e, massive debt).

The solution:

De-couple the funding of Medicare from payroll tax it proven not to be sustainable and the statistics grow ever worse. Put a broad-base value-added national sales tax on any non essential products or services. The higher the price of the luxury item or service the higher the percentage of the tax. Truly if I am rich enough to go out and buy a $200,000 car I can afford to pay 23 percent tax. Any foreign luxury item would have an embargo tax to eliminate run away companies. Furthermore eliminating the payroll tax will put more money in everyone's pocket to further help pay for medical needs or insurance.

This is not just targeting the rich but most of the middle class buys luxury items and indulge in many value-added services. I believe this would also put Wall-street and Main-street back into balance when the tax payers children, children as it stands now are going to be paying the bill.

To try and bring this back on topic, it is the hospital and all it's staff that is caught in the middle and it will have a direct effect on quality of care as well as recruitment of new doctors and nurses which both statistically are in shortage and continues to grow. Physician need is also problematic as more and more of the baby boomer generation retire.