12-08-2018, 05:43 AM
I would add another big issue with the elderly and healthcare is that federal payers are notoriously extremely low and have a huge regulatory burden attached to their payouts. The reality is Federal payers (medicaid/medicare) pays very little compared to other insurers but cover many people especially the elderly. Very tough for small outfits (provider or provider groups) to stay solvent and causes a lot of overhead/cost for larger entities (hospitals and the like) to have to comply to keep the very small (generally fixed per DRG) federal dollars per service they get. On the other hand rich retirees already come here if they want to. They may have private healthcare insurance from their working lives to help or just cash pay for service.