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Snowmassguy
Trad climber
Calirado
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Oct 29, 2013 - 12:30am PT
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Yep this is about abortion.
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johntp
Trad climber
socal
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Oct 29, 2013 - 12:34am PT
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If this is such a great deal, why is congress opted out and have their own health plan?
Bunch of smarmy f-wads, all of them.
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Larry Nelson
Social climber
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Oct 29, 2013 - 01:05am PT
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My ex-wife, in San Diego, was just dropped by her individual plan (Aetna). She told me that they were pulling out of California. She's kind of pissed and scared right now.
My own plan through my employer in Alaska (Blue Cross) will not change so far because it meets the requirements. Not sure how it will be affected when the employer mandate kicks in, next year I think.
I hope this somehow works out. Lots of partisan finger pointing, but right now I think anyone seeking the truth has to admit that the ACA so far is a disaster. If you've lost Jon Stewart or Saturday Night Live on an issue, you've lost the country on that issue. Now NBC is hammering it.
The question is, what is the fix, and how does it happen technically and politically?
I work in telecommunications, but I am not a SW programmer or expert. I have only read that the technical fix will be a nightmare if possible at all. Too many legacy SW systems have to work together seamlessly.
Because ACA was passed on a strictly partisan vote to start with, the politics will make any fix a partisan pissing match. Live and learn.
If so many lives weren't riding on it, it would be just another Washington DC clown show.
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pyro
Big Wall climber
Calabasas
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Oct 29, 2013 - 01:09am PT
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The demand Obama wants for these insurance companies is unsustainable.....
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peladob
Mountain climber
Mason City, Iowa
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Oct 29, 2013 - 01:52am PT
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It's going to crash. A single payer system will be adopted. It's about control.
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Curt
climber
Gold Canyon, AZ
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Oct 29, 2013 - 01:58am PT
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It's going to crash. A single payer system will be adopted.
Well, we can hope.
Curt
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Degaine
climber
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Oct 29, 2013 - 06:22am PT
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Larry Nelson wrote:
The question is, what is the fix,
A single payer system. Medicare (or Medicaid) for all, if that makes the concept simpler for Americans to understand.
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Degaine
climber
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Oct 29, 2013 - 06:25am PT
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Ron Anderson wrote:
Impeachment time YET?
An on what exact charges would you like to impeach (read "indict") him on?
Remember, this was a joint effort on Congress passing the law and Obama signing it.
On a side note, I don't remember you calling for Bush's impeachment after he blatantly lied regarding WMD. Since you seem to divide the US into two teams, is it because he was playing for yours?
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Degaine
climber
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Oct 29, 2013 - 06:36am PT
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Cragman wrote:
ObamaCare is just another one of the Liar in Chief's ways of wealth redistribution. He is clearly distributing all of ours to China.
It's surprising to see you write something so callous and partisan after seeing you show such compassion and selflessness regarding Matthew Greene.
I'll return in kind, with regard to healthcare and your statement, you don't know what the f*** you're talking about.
The eventual single payer system that will come out of this mess like a phoenix from the flames will insure both the health of your fellow Americans and the health of the now staggering American economy.
Why do you think Detroit moved its factories across the border into Canada?
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Larry Nelson
Social climber
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Oct 29, 2013 - 09:54am PT
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Degaine wrote
A single payer system. Medicare (or Medicaid) for all, if that makes the concept simpler for Americans to understand.
Sure, that's what you would like, but how do you get there?
One, it would probably be the largest social policy legislation in US history during the worst recession of our lives, basically medicare for all. Simpler for users yes, but how will it fund?
Two, current politics have poisoned the art of compromise (look at the comments here). Gonna have to have both parties agree if it's gonna be a success. Bi-partisan, just like all other social policy legislation ever passed in our history.
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Ken M
Mountain climber
Los Angeles, Ca
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Oct 29, 2013 - 10:45am PT
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Sure, that's what you would like, but how do you get there?
Phased implementation.
1. Expand both medicaid and medicare towards each other.
-increase those covered by medicaid
-allow people to buy into Medicare at ages below 65. Drop the age by 10 years, every 5 years.
2. Change the VA system into Medicare, with better coverage for doctors, drugs. Eliminate the VA, the largest and most expensive healthcare system in the US.
3. When all are covered, eliminate medical part of work comp, and medpay for car insurance. Boo-Hoo for the attorneys.
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peladob
Mountain climber
Mason City, Iowa
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Oct 29, 2013 - 10:53am PT
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Where will the docs come from?
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Ken M
Mountain climber
Los Angeles, Ca
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Oct 29, 2013 - 11:42am PT
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Plenty of docs.
All the VA docs.
All the docs wasting their time with BS Work Comp and auto Medpay cases.
All the midlevels being trained.
All the new med school slots
Plenty.
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Degaine
climber
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Oct 29, 2013 - 04:17pm PT
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Larry Nelson wrote:
One, it would probably be the largest social policy legislation in US history during the worst recession of our lives, basically medicare for all. Simpler for users yes, but how will it fund?
Real quick:
*For funding, all the money being poured into private insurance would go into the universal system. Adding 30 million people to the risk pool would also lower the per person costs.
*Medicare reimbursement rates are much lower than what private insurance companies are able to negotiate. Don't worry, provider establishments and doctors still make lots of money even when they care for Medicare patients almost exclusively. This will also lower the per person cost.
*Fix drug costs. Don't worry, big pharma is still making money hand over fist in Europe, no reason that would not continue here. In addition, contrary to what they would have you believe, big pharma does very little research when compared to 20 or 30 years ago. The business model now is to let biotech startups sink or swim with expensive research and clinical trials using venture capital, and then to buy up only viable companies/drugs. In any case, Medicare could be using its 500 pound gorilla weight now to reduce drug costs.
*Provide little to no reimbursement for non-essential care like dental (teeth cleaning and such), cosmetic surgery, or for things like private rooms, and then allow people to purchase private supplemental insurance to cover those things.
That's off the top of my head, and yes that works well in other countries, and docs still make a great living.
Of course and as use state, not sure when the political will to implement this type of system will show up.
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Snowmassguy
Trad climber
Calirado
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Oct 29, 2013 - 04:29pm PT
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Right now it certainly feels like I will be partly funding it through greatly increased premiums.
Truly a massive tax increase in my world of running a small business.
The partisan bullSh**ers can spray on. Unfortunately, it is not going to fix this mess.
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TGT
Social climber
So Cal
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Oct 29, 2013 - 08:21pm PT
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Larry Nelson
Social climber
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Oct 29, 2013 - 10:31pm PT
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jghedge wrote;
Best article yet on current state of the ACA:
It's good to have a healthy dose of scientific skepticism when it comes to complicated political solutions that politicians exempt themselves from.
This healthcare is especially complicated to my modest intellect, but to buy into everything one party says seems kind of religious.
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LuckyPink
climber
the last bivy
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Oct 30, 2013 - 12:07am PT
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the affordable health act is about a social movement, that's right.
It's about who is going to drive your health, who will make decisions about your care. Is it the deregulated industrial model of the profit building, cost saving, service trimming top heavy corporation? Or is it about who (literally) is going to transfer you out of your bed into the wheelchair to get you to the bathroom? Or who is going to decide the price of your 4 different cardiac medications when you are retired/disabled/injured and not able to work? All you guys are dead center in the wave of new patients coming into large health needs. Who do you want to decide things for you? A doctor or a corporate accountant? Do you trust the 680% mark up on the cost of providing health care that your HMO wants you to fund? It's good for business. Is it good for you?
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Larry Nelson
Social climber
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Oct 30, 2013 - 05:12am PT
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jghedge wrote:
Politicians aren't poor. Why, therefore, do they need ObamaCare? They have coverage that exceeds what ObamaCare offers.
People who can afford to drive a Lexus should drive a Chevy Geo because...why?
7 of the 10 wealthiest counties in the US are in the Washington DC metropolitan area.
http://www.wjla.com/pictures/2012/09/top-10-richest-counties-in-u-s---7-in-d-c-area/-10-montgomery-county-md-25979-1804.html
Washington DC is a culture of corruption, an Imperial City like the Hunger Games.
So, let them eat cake. Thanks for making my point.
"I remember when 'liberal' meant being generous with your own money."--Will Rogers.
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