«The overall strategy of being in the
local community, helping people in their
homes stay healthy and out of the
health care system and achieve their overall ambitions for
health is still the same,» he said in an Aetna video posted on the
company website.
It is worth noting that while people under age 65 in the U.S. live in a heavily market - dominated economy where poor employment outcomes mean poverty and a lack of access to
health care, almost everyone over age 65 has most of their healthcare paid for by Medicare, (a FICA tax financed, single payer system that pays providers more or less the same rates as private insurance
companies and has few cost controls), more than half of their nursing
home costs paid by Medicaid, (which is stingy in how much it pays providers and moderately means tested), and receives enough of a guaranteed income from the combination of Social Security and SSI payments to keep the poverty rate for people age 65 +, (even if they have no retirement savings of their own), above the poverty line, regardless of the state of the
local economy.