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Healthcare going forward

Kulindahr said:
Well, those Americans are nobody. After all, Trump said he had a plan that would cover everybody, so anyone not covered must not be anybody, so they're just nobody.
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Just like the 'graduates' of Trump U would have a degree.
 
Benvolio said:
What the sources do not address is the effect if congress does nothing. More insurance companies are withdrawing. Healthy people are not choosing to pay the gouge premiums necessary to give charity to others. How many fewer will have health insurance as Obamacare collapses?https://www.bloomberg.com/view/arti...-sign-that-obamacare-exchanges-are-collapsing
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Assuming this is true, the solution to a sinking ship is not to blow off a bigger chunk, but to patch the holes.

The comedy here is that the Democrats adopted a right-wing plan for their health care program, and the GOP is reduced to trying to go even farther right to oppose it.

The tragedy is that millions of people who believed Trump had a plan that would cover everyone are being shafted for their trust in him.
 
Kulindahr said:
Assuming this is true, the solution to a sinking ship is not to blow off a bigger chunk, but to patch the holes.
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The individual market is only one component of the ACA. It's true that insurers in some states are pulling out of the individual Marketplace however this has just prompted new calls to expand Medicare to become the "public option".

It will be interesting to see whether these payers continue to pull out of the Marketplace once the public option is back on the table. After all, it was the private insurers who got the public option removed from the ACA to begin with since they were afraid of losing market share.
 
KaraBulut said:
The individual market is only one component of the ACA. It's true that insurers in some states are pulling out of the individual Marketplace however this has just prompted new calls to expand Medicare to become the "public option".

It will be interesting to see whether these payers continue to pull out of the Marketplace once the public option is back on the table. After all, it was the private insurers who got the public option removed from the ACA to begin with since they were afraid of losing market share.
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Medicare works because it is limited to people receiving social security a portion of which can be diverted to pay part of Medicare. That resource is not available for others.
 
Benvolio said:
Medicare works because it is limited to people receiving social security a portion of which can be diverted to pay part of Medicare. That resource is not available for others.
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I find it endlessly amusing that silly, selfish, and petty people always insist that we can't have universal healthcare when literally everyone else in the developed world does.

Obviously they are far more stupid than all those evil socialists.
 
KaraBulut said:
The individual market is only one component of the ACA. It's true that insurers in some states are pulling out of the individual Marketplace however this has just prompted new calls to expand Medicare to become the "public option".

It will be interesting to see whether these payers continue to pull out of the Marketplace once the public option is back on the table. After all, it was the private insurers who got the public option removed from the ACA to begin with since they were afraid of losing market share.
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A friend pointed out that Trump, as a businessman, ought to propose that the federal government buy out the insurance companies and reorganize them into a national health service -- downsizing, obviously. After all, isn't he supposed to be the master of the deal?
 
TX-Beau said:
I find it endlessly amusing that silly, selfish, and petty people always insist that we can't have universal healthcare when literally everyone else in the developed world does.

Obviously they are far more stupid than all those evil socialists.
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Milton Friedman demonstrated that the U.S. could have a guaranteed minimum income delivered through a reverse income tax. If that arch-capitalist was convinced we could provide a minimum income, certainly lesser minds ought to realize we can afford universal medical care.
 
Kulindahr said:
Milton Friedman demonstrated that the U.S. could have a guaranteed minimum income delivered through a reverse income tax. If that arch-capitalist was convinced we could provide a minimum income, certainly lesser minds ought to realize we can afford universal medical care.
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Friedman's calculations are precise and include profit adjustments, which neither team even acknowledges. Sorta makes me sick, really.
 
Benvolio said:
Medicare works because it is limited to people receiving social security a portion of which can be diverted to pay part of Medicare. That resource is not available for others.
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No, Medicare is funded by two trust funds that can only be used by Medicare. Those trust funds are funded through payroll taxes, subscriber contributions and though allocations made by Congress. OASDI/SSI/SSDI are separate programs, separately funded.

The premium payments that participants in the individual Marketplace currently pay to private insurance companies would adequately cover the costs of a public plan, primarily because the overhead costs of the Medicare program are about 7-12% less than the overhead costs of commercial insurance. Medicare's Prospective Payment system also limits exorbitant markups from providers since Medicare sets the medical necessity requirements and reimbursement rate, not the provider.
 
Benvolio said:
Medicare works because it is limited to people receiving social security a portion of which can be diverted to pay part of Medicare. That resource is not available for others.
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Look again. I was responding to the notion that Medicare can be expanded to cover others. It cannot because individuals give up part of their social security as a Medicare premium. You can have a universal system, but calling it Medicare is a misleading use of the term.
I have never said, we cannot afford universal health care, but I don't want it and most taxpayers still do not, for all the reasons socialism is a bad idea. And in the US, it will inevitably be perverted into a system in which the increasingly few taxpayers bear the burden while the most benefits and priorities go to those who vote democrat. Social security and medicare have been perverted to that result, so why should socialized medicine be different.
 
A highly anticipated Congressional Budget Office report released Wednesday found the state waivers in the House bill could lead to skyrocketing premium costs for people with pre-existing conditions.
In states that waived certain coverage regulations for insurers, people could pay more than $1,000 per month for maternity coverage, the CBO found.
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Republicans go to battle over pre-existing conditions

Another irony, the party that supposedly favors having children and families seeks to punish families that plan to have children.
 
ballcaphair said:
Friedman's calculations are precise and include profit adjustments, which neither team even acknowledges. Sorta makes me sick, really.
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It's crazy that some call him a socialist because of his proposal. In reality, the idea was deeply capitalist, with the intent of making sure everyone has money to spend and so will be a customer.
 
Benvolio said:
And in the US, it will inevitably be perverted into a system in which the increasingly few taxpayers bear the burden while the most benefits and priorities go to those who vote democrat. Social security and medicare have been perverted to that result, so why should socialized medicine be different.
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Social security doesn't care what your political party is, and it doesn't rely on other taxpayers. And despite the lies from both parties, it isn't broke -- it is at present the best-funded function of the federal government.
 
Kulindahr said:
It's crazy that some call him a socialist because of his proposal. In reality, the idea was deeply capitalist, with the intent of making sure everyone has money to spend and so will be a customer.
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Yeah, that was the beauty of it. The icing was lowering the actual cost of care so spenders got more for their money.
 
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