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SNEK POLICY

High-Quality Healthcare for the Elderly Is a Right

SNEK believes high-quality medical care for elderly Americans is a right, not a privilege. Medicare should remain, be strengthened, and be funded well enough to guarantee necessary care.

Medicare stays

People should plan for their own healthcare when they can, and private or supplemental insurance can continue to exist. But Medicare should always be available as a primary or supplemental option for elderly Americans.

Necessary care should be covered

Cancer treatment, hospitalization, emergency care, surgery, specialists, chronic disease treatment, prescription drugs, rehabilitation, and other medically necessary care should not be denied simply because an elderly patient cannot personally afford it.

Negotiate prices aggressively

Medicare should negotiate or establish clear reimbursement schedules with hospitals, health systems, drug companies, and other providers. Providers can challenge rates with evidence, but taxpayers should not be expected to accept inflated or opaque pricing.

If a provider chooses to participate in Medicare, it should accept the program’s payment rules. Public purchasing power should be used to protect both patients and taxpayers.

Scrutinize billing

Medicare should aggressively audit unusual markups, duplicate billing, unnecessary services, related-party transactions, fraud, and other billing practices that waste public money.

Healthcare is not supposed to be a profit-extraction machine

Hospitals need revenue, staff deserve strong compensation, facilities require investment, and innovation matters. But publicly supported healthcare should exist to provide healthcare, not to maximize extraction from sick people.

A broader healthcare principle

SNEK believes every American deserves access to high-quality necessary medical care. The exact structure outside Medicare can differ, but inability to pay should not become a sentence to go without essential treatment.

The SNEK position

Strengthen Medicare. Fund it adequately. Cover necessary care for the elderly. Negotiate hard, audit aggressively, preserve private supplemental options, and treat access to high-quality medical care as a right.

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Why SNEK thinks this

SNEK believes elderly Americans should not lose access to necessary high-quality medical care because they are sick, old, or unable to personally absorb catastrophic costs. Unlike the retirement side of Social Security, Medicare is viewed as a legitimate public guarantee that should remain and be strengthened.

How it would work

Medicare should remain available as a primary or supplemental healthcare option for elderly Americans and should be funded well enough to cover medically necessary care. The program should negotiate or establish clear reimbursement with participating providers, aggressively audit unusual billing, duplicate charges, unnecessary services, fraud, and extreme markups, and use its purchasing power to protect patients and taxpayers. Private supplemental coverage can continue alongside it.

Where we’re flexible or still working it out

SNEK is not saying every healthcare provider must be government-owned or that private insurance disappears. Hospitals need revenue, workers need strong pay, facilities need investment, and innovation costs money. The principle is that the public healthcare system exists to deliver healthcare rather than maximize extraction from patients who have little bargaining power.

Related SNEK policies

Simple Taxes. Fewer Favors.  •  Debt Is Sometimes Necessary. Pretending It Is Free Is Not.