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On the Medicare problem I am far from a health care expert by wpkirish

The "problem" is easy the solutions are difficult. I know this a gross oversimplification but at the core health care costs consist of health insurance payments, payments to providers (hospitals and doctors) and payments to drug manufacturers.

That means to control health care costs you have a few options.

1. Limit how much health insurance companies can charge.
2. Limit the amount providers can charge.
3. Limit how much Pharma can charge.
4. Limit how many times a person can make use of services.

AsI said this is not my area of expertise but at its core that is the problem. No one wants to tell companies what they can charge and no one wants to tell people that cant go to the doctor as much as they want. I know there are a host of solutions but at the end of the day I think they are all debates about how to best solve one leg of this equation.