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Your GOP elected officials have refused to institute this component of the ACA that is essential for keeping costs manageable during the "startup years".
This was all predicted. The bill was written by a bought and payed for Congress. The lobbyists got their moneys worth by protecting big Pharma, big insurance etc. All parts of the bill that were there to get costs down were stripped.
Thanks Washington for making the worlds most expensive healthcare 'system' even more expensive.
Two words:
Medicaid Expansion
Your GOP elected officials have refused to institute this component of the ACA that is essential for keeping costs manageable during the "startup years".
Medicaid Expansion is the answer? Are you crazy or in LaLa Land? Medicaid is mainly for low income people not for the rest of the populace. Also why would he expand Medicaid when all it does is increase the burden on the government. Healthcare is not a right.
Location: The place where the road & the sky collide
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In 2008, the Democrats were running on single payer. The Republicans were running on Romneycare. The Democrats went with nationalized Romneycare to appease the Republicans who were very bent that they lost. When they passed it they said that they knew that it needed work. The Republican contribution has been to waste money trying to repeal it about 60 times. They have offered exactly zero alternatives.
The refusal to take the expanded Medicaid is driving up the cost of insurance & is costing jobs.
Location: The place where the road & the sky collide
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Quote:
Originally Posted by cyberfx1024
Medicaid Expansion is the answer? Are you crazy or in LaLa Land? Medicaid is mainly for low income people not for the rest of the populace. Also why would he expand Medicaid when all it does is increase the burden on the government. Healthcare is not a right.
This was all explained after Obamacare was passed. If you didn't pay attention then, you might not understand now. Medicaid expansion for the working poor was a lynchpin to making Romneycare work in Massachusetts. The basic concept came out of a conservative think tank. They had to make modifications for the national roll out, but Obamacare is, for all intents & purposes, Romneycare.
On this subject I agree the Republicans in Congress were useless. Never had a true plan. Repeal and replace? Replace with what?
How about some competition? How about getting costs down? Nope the lobbyists kill it off immediately.
This article is by a politician who has absolutely no idea about how either insurance or healthcare work. It is not credible in any way, other than a political piece.
Healthcare costs are like a balloon, depending on where you squeeze, some win and some lose. The purpose of "insurance" is to mitigate catastrophic, unexpected, but known, disasters. As soon as an insurance company "knows" an insured has a condition (pre-existing condition), the rates rise to reflect those known costs, as well as overhead and profit. It is just how the insurance business model works.
Use your brain. If a company takes a cross section of a group, the law of big numbers lets them predict with great precision the costs they will incur. As soon as that group is perturbed, by including known conditions (costs), the insurance company is going to charge more to cover both the known costs of the pre conditions as well as the expected costs of population covered.
Obamacare reflects the soph-moronic approach taken by a community organizer, elected president, with no relevant experience. Kind of like his policy in Syria!
OBTW, a single payer system, maybe modeled after TRICARE is the solution, perhaps the only solution, but it will take considerably more muddling around before we get there. But we will!
Soph-moronic? Most of Obamacare policies were cherrypicked from GOP think tanks and Romneycare. It was a huge effort from people of all walks industry, academia, and government to include insurance, medical, consultants, etc. People act as if though Obama created ACA over a weekend in the White House. Years/decades of input, studies and data were used to create ACA regardless of all the naysayers and opponents.
Obamacare isn't intended for the regular Joe/Jane with a job whose employer subsidizes Healthcare which is 85%+ of Americans. And actually, healthcare cost increases for that pool of folk has seen historic reductions in yearly cost increase due to the ACA. Face it, healthcare cost are going to increase every year regardless of president.
The ACA targeted people with little to no healthcare who used the emergency room as routine treatment. Hospitals and other healthcare facilities were closing doors (especially in rural areas) because people received treatment and simply did not pay their bills. Those folks were already being subsidized in a systematic method that was unsustainable...cost were continue to soar uncontrollable and these people remained uninsured. The service provider, government (taxpayer) and customer (taxpayer) are on the hook, there is no way around it.
The ACA also attempted to address the ignorance of youth (yes, my dumbass practiced it too in youth till a broke my arm and had a $1500 bill), young people who even today take huge risk without any health insurance. For instance, a couple of years ago, I knew a young restaurant server at a watering hole (25 years old) that had a heart attack...40+ days (hospital and other treatment) with a $90k bill....guess who is the hook for that?....hospital, customer, taxpayer. Americans simply aren't going to deny people health care service, that's the only other option the healthcare service provide has.
Of the 20 million people who have ACA, only 2 million will see a hike in premiums (1/10), most will be subsidized or see reduction in premium cost. With any new policy there are unintended consequences, so it'll get worked out. Of course the naysayers and opponents are screaming doomsday, they don't want it to work, but it is and will. And where were all these great plans and strategies when the GOP controlled both Houses and White House under Bush? There aren't any.
The ACA exchange is really going to reflect options people have had at work for years/decades, one or two providers with a couple of tiered options....that's it.
Last edited by Big Aristotle; 10-26-2016 at 09:07 AM..
Location: The place where the road & the sky collide
23,814 posts, read 34,693,648 times
Reputation: 10256
Quote:
Originally Posted by Trump2016
On this subject I agree the Republicans in Congress were useless. Never had a true plan. Repeal and replace? Replace with what?
How about some competition? How about getting costs down? Nope the lobbyists kill it off immediately.
I don't like Obamacare, but it beats what our healthcare had devolved to. It's wrong when you have insurance & get kicked off if you get cancer, while you are having treatments, etc, etc.
The Democrats won in 2008. They could have implemented a single payer system. They met the Republicans more than half way. The Republicans were given what they said that they wanted. They not only refused to work on it in DC, they refused the Medicaid expansion in multiple states, including NC, knowing that the system doesn't work without it.
McCrory, Tillis, & Berger set up this mess & have refused to accept responsibility for the current mess.
Medicaid Expansion is the answer? Are you crazy or in LaLa Land? Medicaid is mainly for low income people not for the rest of the populace. Also why would he expand Medicaid when all it does is increase the burden on the government. Healthcare is not a right.
Well, then have healthcare service providers refuse to treat people without healthcare insurance...problem fixed, bam.
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