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CA4Now - The Cassidy-Graham ACA repeal bill will screw anyone over age 60 (just as the other ACA repeal bills tried to do).
Obamacare established the IPAB (Independent Payment Advisory Board) to control Medicare costs. It hasn't had an effect yet because Medicare spending hasn't hit the target amounts to trigger it.
When it does (projected for 2021), seniors will realize that Democratic party screwed them over royally.
Democrats claim IPAB is a great idea. Yet, its cost-cutting measures aren't an idea that they will apply to any welfare program such as Food Stamps or heaven help us, aid to illegal immigrants.
Wake up, seniors.
The IPAB doesn't ration medical services - that's the law. What it does is change the reimbursement rate for a service; e.g., knee replacements, to something that is so low that no surgeon wants to do it. So it's rationing without violating the law.
My comment remains - if IPAB is so great and so good for Medicare, then why haven't the Democrats tried to implement a similar plan for Food Stamps or heaven forbid, medical care for illegal immigrants?
The only reason Democrat politicians are now claiming to want to repeal the IPAB is that they realize when the IPAB kicks in, no sane senior is going to vote for a Democrat for Congress.
With Graham-Cassidy-Heller-Johnson off the table, senators should resume the bipartisan efforts to stabilize the markets that the GOP leadership snuffed last week.
2sleepy - you need to do more research.
The IPAB doesn't ration medical services - that's the law. What it does is change the reimbursement rate for a service; e.g., knee replacements, to something that is so low that no surgeon wants to do it. So it's rationing without violating the law.
My comment remains - if IPAB is so great and so good for Medicare, then why haven't the Democrats tried to implement a similar plan for Food Stamps or heaven forbid, medical care for illegal immigrants?
The only reason Democrat politicians are now claiming to want to repeal the IPAB is that they realize when the IPAB kicks in, no sane senior is going to vote for a Democrat for Congress.
From the article I linked:
"The Affordable Care Act stipulates that the board “shall not include any recommendation to ration health care, raise revenues or Medicare beneficiary premiums” or “increase Medicare beneficiary costsharing (including deductibles, coinsurance, and copayments), or otherwise restrict benefits or modify eligibility criteria” (page 490). The Kaiser Family Foundation analysis says that any recommended reductions would then come from “Medicare Advantage, the Part D prescription drug program, skilled nursing facility, home health, dialysis, ambulance and ambulatory surgical center services, and durable medical equipment.” Payments to health care providers, including hospitals could also be cut, starting in 2020."
so knee replacement procedures would not be touched, and so far nothing has.
The only free healthcare "illegal immigrants" receive is in emergency rooms thanks to EMTALA, a law signed by Ronald Reagan. Regarding food stamps, R's control both houses and the Presidency so why do you ask why Democrats haven't implemented a "similar plan for food stamps"?
Frustrated by failures in Congress, President Donald Trump will try to put his own stamp on health care with an executive order Thursday that aims to make lower-premium plans more widely available.
But the president's move is likely to encounter opposition from medical associations, consumer groups and perhaps even some insurers — the same coalition that so far has blocked congressional Republicans from repealing and replacing the ACA:
Please remember that to most Republicans healthcare is a service that should only be available to the people that can afford to pay the monopoly prices charged by the Republican owners of the system. To them there is no right to life except for banning abortion for those that cannot afford a good clean abortion clinic that pays off the cops.
HEALTH CARE IS A PRIVILEGE FOR THE RICH! NOT A RIGHT FOR EVERYONE! GET THAT STRAIGHT!
Frustrated by failures in Congress, President Donald Trump will try to put his own stamp on health care with an executive order Thursday that aims to make lower-premium plans more widely available.
But the president's move is likely to encounter opposition from medical associations, consumer groups and perhaps even some insurers — the same coalition that so far has blocked congressional Republicans from repealing and replacing the ACA:
As an unsubsidized Obamacare purchaser, my 2018 family premiums alone will be over 20K for a silver plan with another 14K deductible. That is simply unsustainable. I welcome options to this, under Obamacare there are no options. The more competition the better. Let me see some good HSA compatible plans, with tailored coverage to fit my needs. Let me act as a consumer rather than a prisoner to some mandate that is using me to pay for someone else's healthcare since single payer doesn't seem to be an option at this time.
In terms of destabilizing the market, the market has already been destabilized from the start. Not enacting the Cadillac tax from the get go kept millions of younger, healthier people from signing up on the exchange. Instead they just remained on their employer's plan.
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