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Healthcare going forward

I wonder what Trumpcare will do to the life expectancy? Like everything else he's doing, I'm guessing it's going to take the US back to the middle ages. What was the life expectancy back then? Somewhere in the 30s, I think.
 
Kulindahr said:
He's countering Frank's point here.
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Frank was saying that US spending doesn't result in better outcomes as measured by longevity.

The posts about Denmark - where costs are higher than Europe and longevity is only slightly higher than the norm- are just another example of costs not affecting longevity, whether the spending is from private insurance or socialized insurance.

The key is how the money is spent- primary care and prevention being the key.

The article that he linked makes this clear:
However, the report identified a relatively high level of health risks in the country. Denmark was in the middle third of the countries rated when it came to smoking in adults and alcohol consumption. It was in the best 33 percent of countries for obesity in adults, but the bottom third for obesity in children.
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It was probably intended as a counter-argument but it just supports frank's point.
 
KaraBulut said:
Frank was saying that US spending doesn't result in better outcomes as measured by longevity.

The posts about Denmark - where costs are higher than Europe and longevity is only slightly higher than the norm- are just another example of costs not affecting longevity, whether the spending is from private insurance or socialized insurance.

The key is how the money is spent- primary care and prevention being the key.

The article that he linked makes this clear:


It was probably intended as a counter-argument but it just supports frank's point.
Click to expand...

The real point is that the the health care system is not necessarily the most important determinative of longevity. There is a closer correlation inversely to the smoking rate.
 
The Indiana GOP posted a request on their Facebook page for people to provide them with their Obamacare horror stories. At the time of this posting they are at 5.4K comments and still growing. There is just one problem, the vast majority of them are like this:
I wasps to have a check up for the first time in 5 years because I didn't have health insurance anymore. Was able to check on the ovarian cyst and be sure it's benign. The premiums are still not great but much better than not having insurance at all

My brother had a physically demanding job that did not provide health insurance. He simple could not afford it on his own because his pay was quite low and he had several pre-existing conditions. Under Obamacare, he was finally able to get affordable insurance. His quality of life has improved immensely. His emotional outlook is brighter, as well. Thank you President Obama!!! You literally saved my brother's life!!!

Thanks to ACA, I didn't lose my house. After I was laid off in the downturn and ran out on $$ COBRA, before ACA pre-existing conditions made me (and everyone who's been around for that matter) ineligible, except at great cost. ACA made sure I could be covered, and with premium subsidies I needed due to the economic condition. I have great healthcare plan, and can move, or keep my house without fear.

I had a pre-existing condition I would have died from without Obamacare. It was a nightmare and I would be dead today without it.

I am a self employed older American who was able to go off on my own and start my own business because I could buy insurance on the exchange! I don't get a subsidy because I earn too much money, but the government is getting more in federal income taxes than I used to earn working for someone else. It was a win win! I got more income, health insurance, and the government got lots of taxes from my success at business I never would have had without the ACA. Also I got to work for myself, so the ACA was FREEDOM. Oh and edited to add, that the last three years I have gotten a REBATE from my insurance company because the ACA only allows them so much profit from policies sold on the exchange! Last year it was over $400.

My Obama horror story? My disabled daughter was finally able to get the speech, physical, and occupational therapy she needs!

I went for years without health insurance because of my pre-existing condition. When I had to have my gallbladder removed, I spent over 7 years paying off the bills. Once the ACA arrived, I CELEBRATED! I no longer have to pay thousands of $ per year for my monthly medication refills (used to put those on my credit card and gradually pay them off). My horror story started on January 20 of this year.

I had access to care during The Affordable Care Act that has vanished with the new political climate as my state has adjusted income limits again. So now I'm in a place where I can't afford to buy insurance yet I'm no longer eligible for aid. So if I get sick or hurt, I'll just die. And republicans do not care one bit.

My thank God for ACA story, had a stroke in my 30s due to a genetic factor out of the blue. While in the hospital they discovered another condition. Lost my insurance and job due to recovery time. after which i was considered precondition and couldn't get insurance. UNTIL ACA! Thanks, Obama!

I lost my job through no fault of my own and COBRA was more than my unemployment benefit I was able to get insurance through Obamacare that was comparable with the insurance I had with my employer, and since I take regular medications for HTN, it was a blessing and a relief.

Well, darn it all - we were able to put keep our diabetic daughter on our insurance for a few transition years. Now, double darn it, because of the care she has received, she and her husband now have a baby she was told she could never conceive because of other medical conditions. The awful result - I'm back in the diaper changing business again. And triple darn it, because she didn't have to go out and find a full time job to pay for private medical insurance, she's about to graduate from college, with honors.

Was it expensive? Yes. Did I ever submit a single claim? No. Was I able to sleep, knowing that if I had a catastrophic health event I wouldn't be ruined financially? Yes! Finally, would I buy it again? Absolutely!!!

Etc. Etc. etc.
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I scrolled through the first couple of pages of comments and they were all like the ones above. I did find one negative comment on the ACA:

I have a friend who owns a small business which is suffering now. The ACA has slowed his business. He is a mortician. I should know, because of the ACA I did not end up his customer.
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Its seems the Indidana GOP's hoped for flood of ACA sob stories has turned into a ACA love fest.

https://www.facebook.com/indgop/pho...54312801874/10154523183266875/?type=3&theater
 
[SNARK]Damn it all.

I was really hoping that the Senate would pass the repeal-and-replace bill. With my billions and billions of dollars, I would have ended up paying many millions of dollars less in taxes. That $183 million bonus I'm supposed to get this Christmas, because my Pharma company is making tons of money on the pancreatic cancer drug we just raised the price 138,400% on...it would be so nice not to have to pay all those icky taxes. That bill really didn't go far enough, but it will do - really, I should pay NO taxes at all.

Oh, my life would be SO much better. I was planning to go out and order a customized Rolls-Royce next week, because that would give me 47 of them that are parked at my mansions and penthouses in San Jose, Nice, Tokyo, midtown Manhattan, Vancouver, Southampton, Piccadilly Circus, La Jolla, and...darn, I just can't remember where all of them are. My bad.

I was really looking forward to the darn freeways clearing up because all of those Americans would be dying. I mean, traffic in Silicon Valley is a bitch. It takes me MORE THAN HALF AN HOUR to get to the golf course there. Why are those heathen Democrats making life SO HARD for me? Methinks we need a Second Amendment Solution for them.[/SNARK]
 
So the talk is there may be a compromise that will get the healthcare bill passed in the Senate. The MacArthur amendment in the House Bill is the language that would allow the states to obtain waivers to the ACA. Senator Cruz is proposing an amendment that would replace that language with language that would allow insurance companies to sell cheaper insurance plans in the marketplaces that don't meet the ACA standards. The catch is they have to sell at least one plan that does meet the ACA requirements in the same market.

The House Freedom Caucus Chairman has said his people could live with that change. It also looks like it would bring some Conservatives concerned with lowering premiums and Moderates in the Senate back to the yes column.

Cruz plan could be key to unlocking healthcare votes
 
Stardreamer said:
So the talk is there may be a compromise that will get the healthcare bill passed in the Senate. The MacArthur amendment in the House Bill is the language that would allow the states to obtain waivers to the ACA. Senator Cruz is proposing an amendment that would replace that language with language that would allow insurance companies to sell cheaper insurance plans in the marketplaces that don't meet the ACA standards. The catch is they have to sell at least one plan that does meet the ACA requirements in the same market.

The House Freedom Caucus Chairman has said his people could live with that change. It also looks like it would bring some Conservatives concerned with lowering premiums and Moderates in the Senate back to the yes column.

Cruz plan could be key to unlocking healthcare votes
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Oh make no mistake...they are going to pass the bill.
 
frankfrank said:
Naaaah...I don't want one of those. It doesn't run very well in the mountains.
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Tell me about it. It Rolls quite well down one hill but Canardly make it up the next one.





(I've been waiting over 40 years to use that joke!)
 
rareboy said:
Oh make no mistake...they are going to pass the bill.
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I doubt it. Private insurance of preexisting illnesses cannot work and allowing some to buy cheaper insuance exacerbates that problem. Requiring states to apply to exclude mental illness and other coverage sounds like a trap. Who decides? A bureaucrat? Why not allow them to opt in? Private insurance of mental illness will be much too expensive, making everyone's insurance much too expensive. The government should pay for the medicine for the dangerously mentally ill with a jail sentence if they fail to take their meds.
 
rareboy said:
Oh make no mistake...they are going to pass the bill.
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I strongly suspect they will which is the reason I started this thread with the question with the Republicans going to pass some kind of Obamacare Repeal what is the best approach to healthcare going forward.

It appears that Cruz's plan is hitting resistance from other Republicans out of concerns it will not do enough to protect pre-existing conditions and that it would create a two-tier marketplace with the ACA plans needed by the sicker population being priced out of reach.
 
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