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Old 11-04-2013, 06:34 AM
 
3,406 posts, read 3,452,036 times
Reputation: 1686

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Quote:
Originally Posted by old_cold View Post
Excuse me for saying so but you don't know s***.
Anybody....anybody...that has been dealing with a health issue as involved as the one this woman has is aware of every dotted I and crossed T in their policy.
I am not going to go find it just for you...I posted it with the link someplace here the other day...but approximately .05 to 1% exceed their policy limits.
Plus its crazy to keep a bad law because it has a few good ideas in it!

Instead get rid of it and find a way to keep the few good things.

Such as why not have goverment insure all that go over a set cap on polices so that consumers and insurers dont need to have a unlimited risk.
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Old 11-04-2013, 06:35 AM
 
4,130 posts, read 4,462,953 times
Reputation: 3046
Actually, it was based on a California state decision...

Quote:
"One of the factors I believe contributed to this decision, even if the two companies are disinclined to acknowledge it, is the special tax break that California law gives to Anthem Blue Cross and Blue Shield, which has allowed and continues to allow those two companies to avoid paying $100 million in state taxes a year," added Commissioner Jones. "Aetna and United Healthcare don't get the special tax break provided to Anthem Blue Cross and Blue Shield, and so they faced a major competitive disadvantage in California."
Second major health insurer pulls out of California market

Also that they are one of the smaller insurance agencies in the Cali market with only 8,000 patients.

UnitedHealthcare Leaves California's Individual Market | KPBS.org

I honestly can't find a single thing where the agency, or other organizations, can cite the ACA as the majority reason besides the opinion of this one cancer survivor. It was a business decision that their profit would take a hit by continuing to stay in the California market. There were few people to offset the cost of sicker patients, and rather than stay in a smaller market they left.
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Old 11-04-2013, 06:46 AM
 
8,289 posts, read 13,570,586 times
Reputation: 5018
Quote:
Originally Posted by Rick Roma View Post
Really? Somebody who has "Stage 4" gall bladder Cancer doesn't survive for 7 years. Enough lies already.
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Old 11-04-2013, 06:47 AM
 
Location: Florida
23,175 posts, read 26,211,073 times
Reputation: 27919
Quote:
Originally Posted by MiamiRob View Post
Really? Somebody who has "Stage 4" gall bladder Cancer doesn't survive for 7 years. Enough lies already.

Why don't you contact her and tell her that?
I'm sure she and her family will appreciate you informing them that she's dead
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Old 11-04-2013, 07:07 AM
 
22,768 posts, read 30,745,293 times
Reputation: 14745
Quote:
Originally Posted by mike0618 View Post
Obamabots.... Dare question, deflect or deny this?

This guys issue shows exactly whats wrong with 1 size fits all health care.

But now he can get birth control and birth coverage... I am sure his cancer isnt as much a issue now that he knows that!
well, first things first, it's a she, not a he.

second, this is a California-specific problem. This woman's insurance company, UnitedHealth, pulled out of California, because their competitors were being tax-subsidized by the state of California. It took me about 3 minutes of reading to figure this out.

The real question -- why UnitedHealth's competitors don't offer anything similar -- is going unasked in this thread.
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Old 11-04-2013, 07:09 AM
 
11,768 posts, read 10,267,905 times
Reputation: 3444
Quote:
Originally Posted by mike0618 View Post
Plus its crazy to keep a bad law because it has a few good ideas in it!

Instead get rid of it and find a way to keep the few good things.

Such as why not have goverment insure all that go over a set cap on polices so that consumers and insurers dont need to have a unlimited risk.
We tried that. After ACA was passed, but before ACA was implemented, the government set up a PCIP fund to cover people that could not get insurance because they were either dropped or could not obtain insurance. The cost to insure these people (people with preexisting conditions) was over $4 million per person and as a result the fund ran out of money.

Quote:
Originally Posted by old_cold View Post
Excuse me for saying so but you don't know s***.
Anybody....anybody...that has been dealing with a health issue as involved as the one this woman has is aware of every dotted I and crossed T in their policy.
I am not going to go find it just for you...I posted it with the link someplace here the other day...but approximately .05 to 1% exceed their policy limits.
You are overestimating Americans. (Hint: they are dumb and financially illiterate) Most won't read their policy and most people won't hit their cap, but it isn't uncommon for cancer patients to burn through the cap.

Quote:
Originally Posted by old_cold View Post
And that deductible was a choice.
Yes it was, but it was higher than the caps allowed by Obamacare, so criticizing Obamacare for high deductibles is laughable.

Quote:
Originally Posted by mike0618 View Post
How many people use the cap up? Very few

Its like my phone bill analogy

Plan a 2000 minutes for $50
Plan b 3000 minutes for $60

But we only use 1800 minutes a month

Which plan is better?
Bad analogy, most people won't get cancer. Who do you think the most vocal supporters of the ACA were?
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Old 11-04-2013, 07:11 AM
 
22,768 posts, read 30,745,293 times
Reputation: 14745
Quote:
Originally Posted by mike0618 View Post
No caps mean nothing if shes DEAD!!

If the policy she now has to purchase doesnt cover her needs that the old policy did then she has to choose to live or not!

Nice choice there!
The new policies available cover her needs, just not her wants.

She lives in San Diego, and they aren't willing to fly her to San Francisco and Texas to see the specific specialists she's used to seeing.

Furthermore, I don't see where this is due to Obamacare, but rather, California's state-specific implementation of Obamacare.

FTA:
Quote:
"But the greatest source of frustration is Covered California, the state's Affordable Care Act health-insurance exchange"
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Old 11-04-2013, 07:18 AM
 
8,633 posts, read 9,142,888 times
Reputation: 5991
Quote:
Originally Posted by mike0618 View Post
Plus its crazy to keep a bad law because it has a few good ideas in it!

Instead get rid of it and find a way to keep the few good things.

Such as why not have goverment insure all that go over a set cap on polices so that consumers and insurers dont need to have a unlimited risk.
Which is exactly why we have medicare, medicaid, VA and Indian health. Institute a plan like you suggest "insurers dont need to have a unlimited risk" I would wager for-profit insurance companies will take full advantage of. You can bet a round table full of lawyers will find a way to squeeze that program to boost their bottom line.
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Old 11-04-2013, 07:52 AM
 
4,738 posts, read 4,436,809 times
Reputation: 2485
Quote:
Originally Posted by Ed from California View Post
Color me surprised he lied to our faces about that too:

A Stage-4 Gallblader Cancer Survivor Says: I Am One of ObamaCare's Losers - WSJ.com

It took me five minutes to find out the reason behind United's departure (which causes the guys issue) and the fact it had NOTHING to do with HealthCare Reform.


yeah sure, I'm sure every person who loses coverage this year blames Healthcare Reform. Yet just because a tree falls, doesn't mean the lumberjack cut it down.


"One of the factors I believe contributed to this decision, even if the two companies are disinclined to acknowledge it, is the special tax break that California law gives to Anthem Blue Cross and Blue Shield, which has allowed and continues to allow those two companies to avoid paying $100 million in state taxes a year" - Second major health insurer pulls out of California market


The issue is the non-competitive tax breaks given to a preferred insurer, thus making United non-competitive.
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Old 11-04-2013, 08:12 AM
 
Location: Dallas
31,292 posts, read 20,753,051 times
Reputation: 9330
Quote:
Originally Posted by CravingMountains View Post
The only reason why someone would lose their doctor is if that doctor stops contracting with that persons insurance. This type of thing happens all the time and always has.
No, not true at all. Read the facts.
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