Medicare for All Will Cripple Doctors and Hospitals
By Sally C. Pipes
Americans have health on their minds. Nearly four in 10 voters think health care is the most important policy issue our country faces.
Some lawmakers — including several Democratic presidential candidates — think a government takeover of the nation’s health insurance system is the answer.
But Medicare for All isn’t what voters are looking for. It would drive doctors from the profession and cripple hospitals. Fewer of America’s brightest students will pursue medicine. Ultimately, Medicare for All would make it harder for patients to gain access to care.
Already, the United States is facing shortages in the supply of care. Our nation will be short more than 120,000 doctors by 2032. Rural and underserved communities will be hit hardest.
In many ways, this is a stress-driven shortage. More than four in 10 physicians report being burnt out. Around half plan to change career paths. A similar proportion wouldn’t recommend that their children go into medicine.
A survey of physicians found that “bureaucratic tasks” were the most common contributor to burnout. More than one-third cited long hours as a stressor; a similar share pointed to insufficient pay. Two of every 10 doctors said government regulations contribute to burnout.
Medicare for All would make these problems worse. A government takeover of healthcare would smother doctors in new bureaucratic tasks. Meanwhile, patients would consume even more care, now that it’s free. Doctors would have to work longer hours to meet that demand.
And they’d do so for less pay. Medicare for All envisions paying doctors at Medicare’s rates, which are significantly lower than those for private insurance. Physicians would receive about 30 percent less for procedures including hernia repairs or gallbladder removals, compared to current private rates. Reimbursement rates for emergency visits and chest x-rays would be 60 percent lower.
Asking doctors to treat more patients for less money is no way to address the looming physician shortage. Practicing doctors will leave the profession, and budding doctors will consider other lines of work.
Hospitals would also see revenues decline under Medicare for All. Currently, hospitals receive just 87 cents for every dollar they spend on Medicare patients. Over two-thirds of hospitals lose money on Medicare inpatient services.
Hospitals depend on private insurers to stay in the black. By eliminating private insurance, Medicare for All will deprive hospitals of the revenue they need to balance their books. One study estimates hospitals will lose $151 billion in annual revenue under Medicare for All.
Hospitals would likely have to cut staff or eliminate services. Some might close entirely. Already, one-fifth of rural hospitals are in such poor condition that they are at risk of closing.
These dire scenarios are not hypothetical. They’re the reality in single-payer systems in other countries.
In the United Kingdom’s National Health Service, a majority of general practitioners said in 2017 they felt pressure due to long working hours, increasing workloads, and burdensome paperwork. Two in five planned to leave direct patient care by 2022. That’s twice as many as were planning to quit in 2005.
Many British hospitals lack the funds to replace outdated and low-quality equipment.
Voters are right to focus on health care. But if Democrats interpret that level of interest as an opportunity to sell Medicare for All, they’ll be sorely disappointed.
Sally C. Pipes is president, CEO, and Thomas W. Smith Fellow in Health Care Policy at the Pacific Research Institute. Her latest book is The False Promise of Single-Payer Health Care (Encounter). Follow her on Twitter @sallypipes. This piece originally ran in the Oklahoman.
DAV and RecruitMilitary are joining forces to attract, hire and retain military veterans and military spouses in the Greater Seattle area.
This is a free hiring event for veterans, transitioning military personnel, National Guard members, Reserve members and military spouses.
Thursday, July 25, 2019, 11:00 am – 3:00 pm
American Lake Conference Center, 8085 NCO Beach Road, Joint Base Lewis-McChord, WA
MORE DETAILS: In 2018, DAV RecruitMilitary hosted 139 veteran hiring events across the United States with nearly 6,750 exhibitors engaging with more 32,000 military-trained job candidates. “We are pleased to provide these companies with access to the widest network of highly qualified veteran job candidates who are looking for meaningful civilian career opportunities,” says Tim Best, CEO of Bradley-Morris & RecruitMiltiary.
EVENT REGISTRATION & EXHIBITOR INFO: http://bit.ly/JBLM072519
Located in Seattle, NW Auto Empire (3711 Rainier S,Seattle WA 98144) is a pre-owned, late model dealer that provides customers with a complete automotive experience at competitive prices.
NW Auto Empire is dedicated to customer satisfaction and we have provided you with a map, as well as our address and phone number to help you find us easily.
We are passionate about luxury cars and we are intent on sharing that passion with you when you purchase your new car from us.
Those early days of retirement can be exciting as you are finally rewarded with a little rest and relaxation after all those years of toil.
But it can be a bit unsettling as well when the regular paychecks you counted on stop appearing in your bank account.
That’s why anyone who’s still a few years away from retirement should ask themselves: Am I ready for that moment both financially and emotionally?
The answer could come down to whether you have a solid retirement plan – or a plan at all.
“Regardless of how much you accumulate for your retirement, poor planning or lack of planning can put you at risk of exhausting your resources,” says Tad Hill, a retirement planner and author of Retire with Freedom: The Five Steps to Getting a Good Night’s Sleep After the Paychecks Stop (www.askfreedomfinancial.com).
Hill says people nearing the end of their working years should follow this five-step process for a more secure retirement:
- Create your ideal picture of retirement. What is it you want out of retirement? Do you want to travel? Volunteer with a charity? Spend time with the grandkids? The first step isn’t about your financial portfolio, Hill says, it’s about forming a clear image of the big “why” of your ideal retirement. “Otherwise, even though your money may last the rest of your lives,” Hill says, “you may never achieve your dreams because you’re unclear on your dreams.”
- Put your situation to the “stress test.” With the help of a financial professional, give your retirement plan a “stress test.” That can include reviewing how to best maximize your Social Security benefits and examining how your portfolio might perform under a variety of market scenarios. “Analyze all the factors that could affect your retirement plan over the next few decades and create a strategy for dealing with those risk factors with as much certainty as possible,” Hill says.
- Design your plan. Designing a retirement plan, Hill says, is much like creating the blueprint for a house. “These blueprints identify the strategies available to help minimize risk, increase certainty, avoid excess taxes and ensure an adequate retirement income,” he says. Some of the concerns that need to be addressed include income planning, investment planning, health care planning, tax planning and legacy planning.
- Build the plan. Once the design is agreed upon, it’s time to implement it. “That can mean making changes to your current structure, adding some things and getting rid of others,” Hill says. “Maybe risk-prone aspects of your current approach that we need to eliminate were discovered in the design step. We also often identify new strategies that you aren’t using that can really make a difference.”
- Seek continued guidance. Even a great retirement plan may need tweaks and adjustments over the years. “Times change, people change and situations change,” Hill says. With his clients, he holds a regular yearly consultation to help ensure they are on the right pathway to retirement success at all times. “You need to look at whether there are things that have changed in your life that need attention,” he says. “Are there decisions you need to make about a pension or Social Security? Is your spending tracking at the amount you thought it would?”
“There are no guarantees of anything in life, including how your retirement will work out,” Hill says. “But taking action to create a solid and well-thought-out plan for this important part of your life is a critical first step.”
About Tad Hill
Tad Hill, author of Retire with Freedom: The Five Steps to Getting a Good Night’s Sleep After the Paychecks Stop (www.askfreedomfinancial.com), is the founder and president of Freedom Financial Group. He is registered as an Independent Advisor Representative and is a radio and TV host, industry trainer and speaker who helps retirees work toward their financial and retirement goals. Hill has passed the Series 65 securities exam and holds licenses in life and health insurance in Alabama, Florida and Texas. He has earned his Registered Financial Consultant (RFC®) and Chartered Retirement Planning CounselorSM (CRPC®) designations.
Enjoy the summer weather and festival atmosphere with great food, and an assortment of family-friendly activities at the Albert Lee Appliance Bite of Seattle® from Friday through Sunday, July 19th-21st, 2019, at Seattle Center, in Seattle Washington.
Along with hosting over 200 food and specialty vendors, 70 live acts on 3 stages, FREE Movie Night, The Alley Six Course ‘Multi-Bite’ Experience, the NEW Gladiator of the Grill BBQ Competition -a qualifier for the World Championships- MUNCHIES @ The Mural, and more, the Bite offers family fun activities, and several featured sponsor activities, for everyone to enjoy!
The Family FunZone: Presented by 106.1 KISS FM, this area is located inside the Bite of Seattle®, surrounding the Artists at Play playground structure near the MoPOP, which features an imaginative outdoor play area with a huge climbing structure, musical instruments & a roundabout merry-go-round. Family-friendly vendors include face-painting, bubble wands, plus enjoy fun food ranging from cookie dough and cupcakes to tacos and mini donuts, and so much more.
NEW to the Family FunZone for 2019, come join the fun at the Nintendo Switch Road Trip. Bring your family and experience a colorful and highly interactive space featuring playable demos of some of the hottest Nintendo Switch games, fun photo opportunities, Nintendo-themed challenges and more!
The Nintendo Switch Road Trip is a great place to get hands-on time with the system and some of its games. The space offers many areas themed to different games, like a warp pipe-filled stage to play the Super Mario Maker 2 game, a neon-colored paradise for the Splatoon 2 game and a large-screen TV and bucket race car seats for the high-octane Mario Kart 8 Deluxe game.
Take home a special Target discount coupon (while supplies last) and receive a free gift (while supplies last) by completing an event passport and checking in with your My Nintendo QR code pattern. For more details, please visit https://events.nintendo.com/
The Bite Cooks! This live cooking stage attraction features Seattle-area chefs showcasing their culinary expertise, and in 2019, is making history as 9-year old Hana Kumar from Junior Sous in Seattle, will be the first junior chef ever to cook on The Bite Cooks! stage. The Bite Cooks! is located on the Fisher Rooftop, and runs Friday, July 19 – Sunday, July 21. Hana Kumar will be on stage, Sunday, July 21st at 1:00 p.m.
MUNCHIES @ The Mural: This newly created area at the Bite of Seattle® features select specialty food vendors that offer a variety of unique and fun culinary treats. From Dragon’s Breath (Liquid Nitrogen Dessert), to Foot Long French Fries, and Chicken Waffle Cones to Cotton Candy Animals, and so much more, there’s plenty of delicious treats to MUNCH on for kids and adults alike.
FREE Bite Movie Night: Friday, July 19th – 8:30 p.m. Grab a blanket or lawn chair, and something to eat, and enjoy the featured movie ‘Wayne’s World’ in the Mural area, under the stars. Plus, look for Wayne and Garth characters with giveaways, and a ‘party on’ photo op. Wayne’s World is rated PG-13. Sponsored by 106.1 KISS FM,
Featured Sponsor Activities: In addition to the Family FunZone and activities, guests of all ages can learn more about their favorite brands or find new ones to love at our “Featured Sponsor Activities” at The Bite.
Stop by the Go RVing AWAY experience to take a tour of some of the newest RV units on the market and discover the one that’s right for you. Kick back and relax from the heat inside the RV, play a game of corn hole, and don’t forget to enter to win a brand new cooler for your next trip away.
Check out the AARP Block Party, and try your hand at the touch screen match game, take a turn on the prize wheel or smile for the camera at the photo booth. on’t miss out on all the fun at the AARP Block Party!
Stop by the PepsiCo Recycling Roadster, a hybrid vehicle equipped with solar panels that’s rolling into communities across the U.S., to learn about recycling and play fun games for the chance to win sustainable swag.
Be sure to check out Western Washington Toyota Dealers, and the sporty and aggressive new Toyota Camry—America’s bestselling car! And the adventurous new Toyota RAV4 is ready for anything anytime!
Visit the Full Circle booth to learn about eating locally grown produce, and how Full Circle can conveniently add fresh fruits and vegetables to your family’s meals, plus, stop by the Hello Fresh booth to learn how to enjoy wholesome home-cooked meals with no planning, no shopping and no hassle, and pick up a special discount code for your first two boxes of HelloFresh!
Come visit the Gecko at the GEICO Booth! GEICO. Everyone is a winner with GEICO, so come and play a game and visit with the Gecko.
Plus, bite into delicious samples from Tate’s Bake Shop, Quorn, Red Rock Deli, KIND, Jarritos, more.
The Bite of Seattle® is a free-to-attend community festival, and in an effort for guests to experience the best of the Bite of Seattle®, we are excited to also offer discounted food and drink packages including the Experience Bite Package which includes Craft Beer & Cider Tasting + The Alley, plus The Alley stand-alone ticket, and, the Craft Beer & Cider Tasting Only Package. Discounted packages are on sale now online.
Since 2009, Trees for Neighborhoods has helped Seattle residents plant over 9,300 trees in their yards and along the street. That’s 9,300 more trees working to clean our air and water, make our streets more walkable, and our neighborhoods healthier! See where the trees are planted.
When you participate in Trees for Neighborhoods, you receive:
- Help selecting the right tree and planting location
- Free trees (up to 4 per household, lifetime max of 6)
- A watering bag & mulch for each tree
- Training on proper planting and care
- Assistance applying for street tree planting permits
- Ongoing care reminders and future pruning workshop opportunities
- Tree delivery & planting assistance if you need physical help or lack access to a vehicle
- Street tree evaluations for the first couple of years to let you know how your trees are doing
Plant a Tree in 2019!
The application will open on July 15 and close on August 12. To make sure you don’t miss the application window, sign up here for the 2019 email list to find out what tree species we will have and application information when we have that information available.
How to Apply?
- Evaluate your planting site and tree options. Read the planting considerations page.
Select the tree best suited for the space.
- Under power lines? Select one of the power line approved trees.
- Planting along the street? Review the minimum planting strip width requirements before selecting your tree.
- Backyard space? Choose the largest tree appropriate for your site.
Want help deciding on the right tree for your space? Come to one of our free Right Tree, Right Place workshops. While these classes are optional, we highly recommend taking one as they will help you make the best decision about where to plant your tree.
July 20: Right Tree, Right Place workshop Rainier Beach Public Library Branch, 11:00 AM – Noon
August 3: Right Tree, Right Place workshop Lake City Public Library Branch, 11:00 AM – Noon
- Review the 2019 tree list. Pay attention to the mature size of the trees and their needs for sun. Select trees that will have room to grow to maturity. If you have the space, please consider planting a larger tree to bring greater benefits to your neighborhood.
- Apply Online. Applications will be accepted from July 15 through August 12. As long as you apply within this time frame, there is no benefit to submitting your application early. All applications will be processed and applicants notified of their status after the application closes August 12. If there are more requests for a given species than we have trees available, recipients will be random selected. If trees are still available following the first application period, a second application period may be added in mid-August. Learn more about the application process here.
- When you apply, you will chose a planting and care workshop next fall to pick-up your trees. Add this date to your calendar. If your application is approved, you will need to attend this workshop to pick up your tree. Fall is the best time to plant a tree in Seattle because your new tree will benefit from our fall and winter rains.
- Need assistance planting your new tree? We offer delivery and planting help to participants who need physical assistance or lack access to a vehicle. To inquire about this service, please call 206-684-3979 or email TreesforNeighborhoods@seattle.gov.
- July 15: Application opens
- July 20: Right Tree, Right Place workshop (optional). Rainier Beach Public Library Branch, 11:00 AM – Noon
- August 3: Right Tree, Right Place workshop (optional). Lake City Public Library Branch, 11:00 AM – Noon
- August 12: Application closes
- October 5: Tree pick up workshop. Center for Urban Horticulture (Montlake neighborhood)
- October 12: Tree pick up workshop. Georgetown Campus South Seattle College (limited availability)
- October 27: Tree pick up workshop. Center for Urban Horticulture (Montlake neighborhood)
- Choose trees appropriate for the space (Read the Planting Considerationspage for more information)
- On your application, indicate if the tree will be planted on the street
- Pickup your trees and attend an onsite planting & care workshop
- Only plant trees in approved locations- trees must be planted at the address on the application. Street trees must be planted in approved and marked locations.
- Properly plant trees in the ground (no pots!)
- Assume all future maintenance & responsibility (summer watering, raking, pruning, mulching, etc.)
Planting Street Trees
What is a street tree? In Seattle, street trees are regulated by the Seattle Department of Transportation (SDOT). A street tree is planted in the public right-of-way, usually in the planting strip (space between sidewalk and road) or in the absence of sidewalks, in the space approximately 10 feet from the curb or roadside. If the greenspace adjacent to your property is an unimproved right of way (an area originally set aside for alleys, streets, or paths that has not been developed), then a tree planted there would be considered a street tree. Trees in greenspaces owned by Seattle Parks and Recreation are not considered street trees.
To make sure street trees are planted in locations where they will not interfere with underground sewer, water, and gas lines or overhead power lines, residents must get a free permit from the Seattle Department of Transportation. When you participate in Trees for Neighborhoods, we will submit a planting permit application on your behalf. Yard trees do not require a planting permit.
What Past Participants Say about Trees for Neighborhoods
Nearly 100% of Trees for Neighborhoods participants tell us that they would recommend the program to a friend or neighbor. Around 85% of participants tell us they learned something new about tree planting or care.
“This was the first time we planted a tree, and the first time we’ve had a yard in which to plant anything, so everything was new, helpful information for us.”
“Everything was very organized and every person was very helpful. I enjoyed the whole process and love seeing the tree planted in my yard!”
“This was the first time we participated and absolutely loved the experience. Our tree is doing great!”
“I didn’t realize how much the trees I plant on my own property could benefit the city/environment. I also had NO idea how to plant one properly.”
Check out the most Frequently Asked Questions.
Further Information & Links
Communities that Work Together, Win Together (An Independence Day Reminder)
By Quint Studer
Freedom, independence, self-sufficiency: these are great and glorious concepts. We celebrate them this time of year, whether we process it that way or not, because they’re so deeply engrained in our image of America. We see ourselves as a nation of rugged individualists: seizing the bull by the horns, charting our own course, walking alone into the forest with an axe slung over our shoulder.
Yes, it’s a romantic notion. But it’s not an accurate one. America is a nation of small, tight-knit communities and always has been. The more we cooperate, share, defer to others, and work together, the more successful we are.
I spend my days traveling from one American community to another. Some are bustling larger cities. Others are quiet small towns. What they all have in common is the burning desire to revitalize themselves: to become more vibrant, prosperous, livable, and loveable than they are right now. And as I work with these diverse groups of Americans, I see a theme emerge: Those communities that work together, win together.
When citizens and leaders come together, put their self-interest on the back burner and work as a team, things get done. When they don’t, nothing gets done.
The more you think about the myth of the self-reliant early American, the less likely it seems. Our ancestors must have huddled together in small groups and worked to protect each other from a harsh and unforgiving environment. They must have joined forces, shared what they had, and leaned on each other when times were tough.
And on the larger stage, our nation’s founders had to work together in a similar fashion to bring America into being. They were working toward independence as a new nation, but they had to rely on interdependence to get there. And as leaders of communities of all shapes and sizes and demographics and political persuasions, we can all learn a lot from them.
Here are four big “history lessons” we should all heed as we seek to move our communities toward vibrancy:
Set aside your self-interest and create something that works for everyone. Lots of different professions, industries, and interests were present at the birth of America. Cabinet makers weren’t fixated only on the wood industry, nor silver smiths on the silver trade. Everyone was fired up to contribute to something bigger than themselves. They bought into the overarching mission, and weren’t bogged down by endless debate over the short-term costs of their plan.
In other words, don’t be overly concerned with your own wellbeing. Setting aside your own short-term best interests may accomplish far more for everyone in the long run. Because a rising tide lifts all boats, this includes you.
Don’t let ideological differences stop you from achieving something tangible. Despite bitter disputes and differences of opinion, a group of people with little in common other than their shared determination that change was needed were able to get mobilized and get something done. While there was much to be decided about the way things would function in the new nation, they all recognized that there wouldn’t even BE a new nation if they didn’t set aside their disagreements and move the ball down the court.
It’s important to know what matters. Don’t let petty disputes about how things should get done sabotage the greater task at hand.
Don’t be constantly trying to steal the spotlight from each other. It’s okay to let someone else be “the one in charge.” No one complained that John Hancock’s signature was bigger than theirs, or that so-and-so got to sign the Declaration before they did. (Okay, it’s possible, but we can see by the document that resides in the National Archives that it got done anyway!) The founders kept their focus on the ambitious mission/vision of standing up to one of the most powerful authorities in the world: the King of England.
When we try to make it about ourselves, we can get off track and let our self-absorption derail the project or initiative. Keep the greater goal in mind and stay focused on that.
Don’t wait on the government to “fix it.” Instead, join together and take bold action at the local level. The changes desired by American colonists weren’t coming from Great Britain. And so, in the summer of 1776 delegates from each of the Thirteen Colonies took it upon themselves to challenge British authorities and make change happen—their way.
Citizen-powered change is the most powerful change. If it’s to be, it’s up to you and me, not government agencies. (Local governments tend not to have the budget to drive fundamental change, and due to election cycles, officials come and go. Many won’t be around to see long term projects through.)
Yes, early communities needed each other and that drove a lot of their interactions. We went through a period of time where we started to believe we didn’t need each other and that clearly isn’t true. We now realize that working together is the only way we can make our cities and towns thrive.
No one is saying America’s founders were perfect. They were far from it, as we are. But one thing they got right was the knowledge that they needed to work together for a common cause. Teamwork is a powerful force. We couldn’t have built a nation without it, and we can’t build a better community without it either.
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Quint Studer is the author of Building a Vibrant Community: How Citizen-Powered Change Is Reshaping America and founder of Pensacola’s Studer Community Institute. For more information, visit www.vibrantcommunityblueprint.
Take a look inside a professional chef’s kitchen at The Bite Cooks! presented by Thai Select and Albert Lee Appliance, at the Albert Lee Appliance Bite of Seattle® from Friday through Sunday, July 19th-21st, 2019, at Seattle Center, in Seattle Washington.
The Bite Cooks! will feature high-energy mystery ingredient cook-offs and culinary demonstrations by some of the Seattle area’s best and entertaining chefs. The Bite Cooks! lineup changes each day, with chefs eager to share their delicious handpicked recipes, and showcase their quick-thinking in the mystery ingredient cook-offs.
The Bite Cooks! features ‘more mystery cook-off’s this year. The competing chefs will be given 30 minutes to create a masterpiece from three mystery ingredients, a basic pantry, and a large selection of produce, kindly donated by Charlie’s Produce.
Three lucky audience members will be selected to critique each chef on their dish and performance. The criteria: creative use of ingredients, presentation, tastiness and overall entertainment. The winning chef will be announced live, and will receive a $100 donation in their name towards the charity of their choice. 2018 winners donated to charities including FareStart, Food Lifeline, and Mary’s Place.
Notable chefs participating on The Bite Cooks! stage include return crowd favorites, Wayne Johnson (FareStart), Saffron Hodgson “The Aussie’ (bushcooking.com), Brittany Bardeleben (Dahlia Bakery), and Warnessa Victorian (Lizzie Lou’s), and new to The Bite Cooks!, Aaron Willis (The Generous Chef), Emme Collins (Alcove Dining Room), Young Cho (Phorale) and, for the first time in The Bite Cooks! history, junior chef-in-the-making, 9-year old, Hana Kuma (Junior Sous) will perform a cooking demonstration with instructor Sara Adams.
The Bite Cooks! is also thrilled to welcome Thai Select featured chefs, who will bring the flavors and aromas of Thai cuisine into their cooking demonstration dish, and, also infuse them into mystery ingredient cook-off challenges. Thai Select chefs featured include Jutamas Kanjanamai (Bai Tong), Aratana Nualkhar and Jindanat Nualkhair (Araya’s Place), plus Kasem Saengsawang (Farmhouse Kitchen Thai Cuisine).
Chef Thierry Rautureau aka ‘The Chef in The Hat’ will return for his 12th year as emcee of The Bite Cooks!, and will bring his unique level of excitement, and extensive culinary experience to the stage.
A special thank you to media sponsors KOMO 4, Seattle Refined and KOMO News 1000.
The Bite of Seattle® is a free-to-attend community festival, and in an effort for attendees to experience the best of the Bite of Seattle®, we are excited to offer discounted food and drink packages including the Experience Bite Package which includes Craft Beer & Cider Tasting + The Alley, and, the Craft Beer & Cider Tasting Only Package.Discounted packages are on sale now online, while supplies last.