Medicare is a nationwide health insurance program and is funded by the federal government. Regardless of age, Medicare automatically covers end-stage renal disease (ESRD). Also, kidney failure requiring dialysis or kidney transplant is covered by Medicare irrespective of age. Medicare Parts A and B are automatically given if a patient has ALS (Amyotrophic Lateral Sclerosis) or Lou Gehrig’s disease, (Michigan Elder Justice Initiative, 2015). Patients can decline Part A or B at any time if enrolled with both or just one. Medicare didn’t cover additional diagnoses such as HIV/ AIDS because the patient would have to be very ill and there are health centers, insurance marketplaces, and Medicaid state programs. Medicare Part B is the only type that …show more content…
However, it wouldn’t always be beneficial because not everyone worldwide would be eligible for Medicare, or receive, and want to have Medicare. Wealthier people can pay for an average amount, not a steep proportion for services. Poorer people can pay for a low amount and the middle class pay for an average amount to have everyone pay for a certain amount for Medicare. The ramifications of implementing a sliding-scale fee system for Medicare are proven to be ineffective. (C. Schoen, K. Davis, C. Buttorff et al, 2015), stated, the absence of a ceiling on out-of-pocket costs can destabilize the financial security and exhaust the resources of even higher-income beneficiaries. It would only make cost control, utilization, and services unproductive and little to no financial incentives for higher income beneficiaries. It may also prove to be inefficient because it will provide high administrative costs, prevent bettering patient coordination/ care, and prevent avoidable hospitalizations, (C. Schoen, K. Davis, C. Buttorff et al, 2015). Overall, there are more disadvantages than advantages since of higher worth to lower cost of