#8 Los programas de Medicare son muy divertidos, no sé si los has visto, pero me da que no.
On July 4, 2025, President Trump signed the One Big Beautiful Bill Act (OBBBA), which implements major, historic cuts to Medicaid and, indirectly, to Medicare, aiming to reduce federal spending by over $1 trillion over the next decade.
Medicaid Cuts
$1 Trillion Reduction: The law cuts nearly $1 trillion from Medicaid over 10 years, which the Congressional Budget Office (CBO) estimates will lead to roughly 11.8 million people losing their health insurance.
Work Requirements: Beginning in January 2027, the bill requires able-bodied adults without dependents to work or participate in community engagement activities for 80 hours per month to maintain coverage.
Eligibility Restrictions: The legislation imposes stricter eligibility checks, requiring states to verify eligibility every 6 months rather than annually.
Funding Changes: The law shifts funding to a "block grant" or per-capita cap, which limits federal spending and places more financial burden on states, likely causing them to cut optional benefits (like home- and community-based services).
Rural Hospital Impact: The cuts are expected to severely impact rural hospitals, with over 300 at immediate risk of closure, according to data mentioned in the Kaiser Family Foundation (KFF) reports.
Medicare Cuts
Automatic Sequestration: The CBO estimates that the OBBBA's impact on the federal deficit will trigger automatic sequestration cuts to Medicare starting in 2026, totaling roughly $536 billion from 2026 to 2034.
Immigrant Eligibility: The law eliminates Medicare eligibility for certain lawfully present immigrants who have not met specific work requirements, regardless of their length of residency.
Lower-Income Benefits: The bill blocks improvements to Medicare Savings Programs (MSPs), which help low-income beneficiaries pay for premiums and out-of-pocket costs.
Other Key Impacts
Defunding Providers: The act restricts federal Medicaid funding to certain non-profit providers that offer abortions, such as Planned Parenthood.
#14 Esa falacia se desmiente con los datos: dicen exactamente lo contrario. Los gringos, en conjunto, pagan más en medicamentos y en sanidad que los europeos.
The US healthcare system is substantially more expensive than in Europe, with per capita spending (~$14,900) more than double the European average (~$6,000). Higher US costs are driven by higher prices for services, pharmaceuticals, and administrative overhead rather than higher utilization. European nations use government negotiation and price controls to keep costs lower.
Key Cost Comparisons
Total Spending: The US spends about 17.6% of its GDP on healthcare, while most European nations spend around 10%.
Procedure Costs: An appendectomy can cost around in the US compared to approximately in France.
Hospital Stays: Inpatient hospital costs are roughly per day in the US, compared to around in Germany.
Pharmaceuticals: Brand-name drug prices in the US are roughly higher than the average in 33 OECD countries.
Out-of-pocket: While Europeans pay fewer out-of-pocket costs due to universal coverage, Americans often face high premiums, deductibles, and co-pays.
Why US Costs are Higher
Administrative Waste: US administrative costs are roughly double those in France.
Pricing Power: US healthcare providers and drug manufacturers have more power to set high prices, whereas European systems use centralized negotiations.
Market-driven Structure: The US system treats healthcare more as a private commodity compared to European public-oriented models.
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Hemos deshabilitado la autenticación con Facebook. Si entras a Mediatize con una cuenta de Facebook, lee esto.
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On July 4, 2025, President Trump signed the One Big Beautiful Bill Act (OBBBA), which implements major, historic cuts to Medicaid and, indirectly, to Medicare, aiming to reduce federal spending by over $1 trillion over the next decade.
Medicaid Cuts
$1 Trillion Reduction: The law cuts nearly $1 trillion from Medicaid over 10 years, which the Congressional Budget Office (CBO) estimates will lead to roughly 11.8 million people losing their health insurance.
Work Requirements: Beginning in January 2027, the bill requires able-bodied adults without dependents to work or participate in community engagement activities for 80 hours per month to maintain coverage.
Eligibility Restrictions: The legislation imposes stricter eligibility checks, requiring states to verify eligibility every 6 months rather than annually.
Funding Changes: The law shifts funding to a "block grant" or per-capita cap, which limits federal spending and places more financial burden on states, likely causing them to cut optional benefits (like home- and community-based services).
Rural Hospital Impact: The cuts are expected to severely impact rural hospitals, with over 300 at immediate risk of closure, according to data mentioned in the Kaiser Family Foundation (KFF) reports.
Medicare Cuts
Automatic Sequestration: The CBO estimates that the OBBBA's impact on the federal deficit will trigger automatic sequestration cuts to Medicare starting in 2026, totaling roughly $536 billion from 2026 to 2034.
Immigrant Eligibility: The law eliminates Medicare eligibility for certain lawfully present immigrants who have not met specific work requirements, regardless of their length of residency.
Lower-Income Benefits: The bill blocks improvements to Medicare Savings Programs (MSPs), which help low-income beneficiaries pay for premiums and out-of-pocket costs.
Other Key Impacts
Defunding Providers: The act restricts federal Medicaid funding to certain non-profit providers that offer abortions, such as Planned Parenthood.
Pero no, aquí quereis que el currante pague la sanidad universal.
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The US healthcare system is substantially more expensive than in Europe, with per capita spending (~$14,900) more than double the European average (~$6,000). Higher US costs are driven by higher prices for services, pharmaceuticals, and administrative overhead rather than higher utilization. European nations use government negotiation and price controls to keep costs lower.
Key Cost Comparisons
Total Spending: The US spends about 17.6% of its GDP on healthcare, while most European nations spend around 10%.
Procedure Costs: An appendectomy can cost around in the US compared to approximately in France.
Hospital Stays: Inpatient hospital costs are roughly per day in the US, compared to around in Germany.
Pharmaceuticals: Brand-name drug prices in the US are roughly higher than the average in 33 OECD countries.
Out-of-pocket: While Europeans pay fewer out-of-pocket costs due to universal coverage, Americans often face high premiums, deductibles, and co-pays.
Why US Costs are Higher
Administrative Waste: US administrative costs are roughly double those in France.
Pricing Power: US healthcare providers and drug manufacturers have more power to set high prices, whereas European systems use centralized negotiations.
Market-driven Structure: The US system treats healthcare more as a private commodity compared to European public-oriented models.