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Old 03-24-2017, 11:45 PM
 
12,772 posts, read 7,979,187 times
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Its not "Obamacare" its "governmentcare" and you fix it by eliminating government completely from medical care sans basics on financial and safety regulations. You let the market determine prices, and you let the market fill the gap on those who are in special situations.

The only two markets that are beyond f'd up in terms of cost and price inflation are healthcare and higher education. Coincidentally, these are the same two markets that the federal government cant stop trying to manipulate. The solution should be obvious, less federal government.
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Old 03-24-2017, 11:52 PM
 
15,856 posts, read 14,483,585 times
Reputation: 11948
What no one gas been talking about i's the real core of the problem, which is the absurd level that health care costs have been allowed to reach. The reason for this is that the modern US heath care industry (and let's be clear, this is very much a commercial industry), developed in an environment of nearly unlimited funding. The only way to get costs under control is to forceably withdraw a large percentage of that fundimg, forcing the heath care marketplace to rearrange itself around that lower level of avaliable revenue. By extension this would mean that all the participants in the marketplace, insurance companies, doctors, hosoitals, drug and medical equipment manufacturers, heath care workers of all levels are going to have to deal with making significantly less money.

This will likely cause a commercial implosion. Some of the players will go bankrupt. This implosion will need to be managed as well as possible to alow participants to shrink as necessary, but without completely stop functioning. This might mean changes to things like the bankruptcy laws.

Patients are also going to have to realize they're going to have to deal with getting less care. People are just not going to be able to get the highest level of treatment in a lot of situations. To be honest, people are not going to be kept alive as long as it may be technically possible, simply because to to so would be too expensive. Also people who can personall spend more will get better treatment

This is harsh, but absolutely necessary. If it isn't done, the uncontrolled grow of spending combined with social and demographic issues (think aging baby boomers), are going to drag the entire economy down at some point, and will implode heath care inuncontrolled and unpredictable ways.

Quote:
Originally Posted by Retroit View Post
It can't be fixed. Prices will continue to go up.
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Old 03-25-2017, 12:23 AM
 
Location: Gilbert, Arizona
2,940 posts, read 1,813,499 times
Reputation: 1940
Quote:
Originally Posted by Motion View Post
I keep hearing people saying that Obamacare needs to be fixed. But I haven't heard much about how to actually fix it. So how should it be fixed?
Introduce a public option run by the federal government to compete with private insurers, it will be funded through premiums + give a tax deduction of premiums to encourage usage. The federal government will be an insurer essentially and can contract with hospital networks around the nation. (Under some given conditions like, exec pay cannot be ridiculous, no for-profit hospitals, etc.. ) Provide a minimum level of acceptable coverage options equal to what's provided with Obamacare. Given additional coverage options for those who want higher level of coverages. Similar to Obamacare.

Other fixes could be, limiting executive pay at insurance corporations. Mandating that a % of the profits be returned to the insurance company to be used for healthcare and not the shareholders.
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Old 03-25-2017, 02:44 AM
 
2,078 posts, read 1,029,067 times
Reputation: 2108
Quote:
Originally Posted by BBMW View Post
What no one gas been talking about i's the real core of the problem, which is the absurd level that health care costs have been allowed to reach. The reason for this is that the modern US heath care industry (and let's be clear, this is very much a commercial industry), developed in an environment of nearly unlimited funding. The only way to get costs under control is to forceably withdraw a large percentage of that fundimg, forcing the heath care marketplace to rearrange itself around that lower level of avaliable revenue. By extension this would mean that all the participants in the marketplace, insurance companies, doctors, hosoitals, drug and medical equipment manufacturers, heath care workers of all levels are going to have to deal with making significantly less money.

This will likely cause a commercial implosion. Some of the players will go bankrupt. This implosion will need to be managed as well as possible to alow participants to shrink as necessary, but without completely stop functioning. This might mean changes to things like the bankruptcy laws.

Patients are also going to have to realize they're going to have to deal with getting less care. People are just not going to be able to get the highest level of treatment in a lot of situations. To be honest, people are not going to be kept alive as long as it may be technically possible, simply because to to so would be too expensive. Also people who can personall spend more will get better treatment

This is harsh, but absolutely necessary. If it isn't done, the uncontrolled grow of spending combined with social and demographic issues (think aging baby boomers), are going to drag the entire economy down at some point, and will implode heath care inuncontrolled and unpredictable ways.

One part I agree with is the keeping people alive as long as absolutely possible. The amount of people who have zero quality of life and are basically just in existence is ridiculous. Its extremely selfish on behalf of the family members. I would love to see the finances behind some of it.
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Old 03-25-2017, 02:53 AM
 
Location: NC
1,873 posts, read 2,407,942 times
Reputation: 1825
Start by studying how Switzerland actually moved from a broken system much like the US to universal healthcare, now 27% less per capita than the US while Switzerland covers every citizen. From within that framework, we could further reduce costs by another 25% or so by taking the best features of the other 30+ developed countries with mature healthcare systems.

But you'd have to greatly diminish special interests and reform campaign finance to do it. Very, very difficult but impossible? I hope not.

https://en.m.wikipedia.org/wiki/List...ure_per_capita

And this isn't even a complete list

Last edited by Midpack; 03-25-2017 at 03:55 AM..
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Old 03-25-2017, 03:06 AM
 
8,382 posts, read 4,369,703 times
Reputation: 11890
The first step in fixing anything is determining exactly what is wrong with it.

If you know what is wrong, you can proceed to fix the problem.
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Old 03-25-2017, 03:18 AM
 
Location: NC
1,873 posts, read 2,407,942 times
Reputation: 1825
Quote:
Originally Posted by BBMW View Post
What no one has been talking about is the real core of the problem, which is the absurd level that health care costs have been allowed to reach.
Thanks for your post, though "no one" is patently false. Many agree the underlying costs of health care are the root problem WRT "affordable."

But while your prescription would reduce costs, it's more disruptive and draconian than necessary so who would implement it? There are ways to introduce competition instead of just choking off revenue. We would like a functioning healthcare system afterwards...

Last edited by Midpack; 03-25-2017 at 03:36 AM..
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Old 03-25-2017, 03:21 AM
 
Location: Pennsylvania
31,340 posts, read 14,270,262 times
Reputation: 27863
Quote:
Originally Posted by t206 View Post
Its not "Obamacare" its "governmentcare" and you fix it by eliminating government completely from medical care sans basics on financial and safety regulations. You let the market determine prices, and you let the market fill the gap on those who are in special situations.

The only two markets that are beyond f'd up in terms of cost and price inflation are healthcare and higher education. Coincidentally, these are the same two markets that the federal government cant stop trying to manipulate. The solution should be obvious, less federal government.
Things like that are never obvious to the government loving leftist.
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Old 03-25-2017, 03:56 AM
 
Location: Los Angeles
2,914 posts, read 2,689,002 times
Reputation: 2450
Quote:
Originally Posted by Motion View Post
I keep hearing people saying that Obamacare needs to be fixed. But I haven't heard much about how to actually fix it. So how should it be fixed?
It can't be fixed. Drugs, tests and treatments are getting more and more expensive. This is a fact of life. We can't keep everybody alive.
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Old 03-25-2017, 03:59 AM
 
Location: NC
1,873 posts, read 2,407,942 times
Reputation: 1825
Quote:
Originally Posted by Big-Bucks View Post
It can't be fixed. Drugs, tests and treatments are getting more and more expensive. This is a fact of life. We can't keep everybody alive.
How have more than 30 other developed countries been able to control health care costs far better than the US? Magic wands?
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