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Old 10-13-2017, 02:54 PM
 
2,333 posts, read 1,488,949 times
Reputation: 922

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Quote:
Originally Posted by rbohm View Post
thats not what allowing people to but insurance across state lines means, and you know it. no one is going to be forced to travel from arizona to new york or vice versa because they buy a plan in a state other than the one they live in.

what it will allow is wider availability of insurance for everyone. an insurance company based in arizona is still going to have to abide by regulations in new york. and doctors are not going to care where their money comes from, so long as they get the money they are owed.

the real advantage though is that the competition for your health care dollars will increase, and that will bring down insurance rates for the people that buy these plans. it will be like auto insurance. years ago you could only buy auto insurance from companies in your state, and insurance rates were very high. but when auto insurance was allowed to be sold across state lines, rate fells dramatically because there wasa huge increase in competition. for instance years ago here in arizona, you could pretty much only get auto insurance from state farm farmers, and allstate. now you can also get insurance from gieco, the general, liberty mutual, among others. so what was once a market for three or four companies, is now a market for more than ten companies that i can think of off hand.

the same things would happen with health insurance as well.
No, that's not how it's going to work. How do you think insurance costs are priced? They don't throw darts at a board and pick rates that way. It's based on the risk pool but also the network and local costs. That is why a plan in AZ might be cheaper than a plan in NY... The NY doctors charge more than AZ doctors, for obvious reasons. It's about the network, not the regulations.

And you don't have to guess if this WILL happen or not... we already do have a health insurance market that is across state lines: Medicare Advantage plans. It's a national marketplace (not regulated by state) and yet each plan you'll find still has a locally-based network. Why would this be different?

Auto insurance is still regulated by state so not sure what you mean by that... http://www.rmiia.org/industry/Insurance_Regulation.asp (had wrong link before).

Last edited by BicoastalAnn; 10-13-2017 at 03:09 PM..

 
Old 10-13-2017, 02:54 PM
 
21,989 posts, read 15,710,757 times
Reputation: 12943
Quote:
Originally Posted by Rakin View Post
LOL. Dems blocked any input from Repubs behind closed doors and private meetings. That's why zero R's voted for this disaster.
WRONG. Obamacare has 161 Republican Amendments in it.

"Almost no one is noting the extraordinary influence Republicans had on the healthcare reform bill crafted by the Senate, as it made its way through the committee process last year. The bill approved by Sen. Christopher Dodd's Health, Education, Labor and Pensions committee, for instance, included 161 amendments authored by Republicans. Only 49 Republican amendments were rejected out of 210 considered."

https://www.salon.com/2010/02/23/hcr_amendments/

Democrats worked with Republicans in developing Obamacare and accepted 161 amendments only to have Republicans not vote for it after the amendments were accepted. Democrats have listened to Republican lies for eight years and now the states will try to sue to stop Trump hurting people.
 
Old 10-13-2017, 03:17 PM
 
Location: FL
20,702 posts, read 12,532,093 times
Reputation: 5452
Quote:
Originally Posted by burdell View Post
Even easier, Republicans control Congress, repeal the law that prevents Medicare from negotiating prescription drug prices, that is if you're really concerned with containing healthcare costs and not just keeping BigPharma and its well funded lobbyists happy.
and you know that it is not going to happen.
 
Old 10-13-2017, 03:27 PM
 
Location: FL
20,702 posts, read 12,532,093 times
Reputation: 5452
Quote:
Originally Posted by Rakin View Post
LOL. Dems blocked any input from Repubs behind closed doors and private meetings. That's why zero R's voted for this disaster.
Hearings and Public Testimony

According to Mark Peterson, chair of the UCLA Department of Public Policy, one easy metric by which to judge transparency is the number of hearings held during the development of a bill, as well as the different voices heard during those hearings. So far, the GOP repeal efforts have been subject to zero public hearings.

In contrast, the ACA was debated in three House committees and two Senate committees, and subject to hours of bipartisan debate that allowed for the introduction of amendments. Peterson told us in an e-mail that he “can’t recall any major piece of legislation that was completely devoid of public forums of any kind, and that were crafted outside of the normal committee and subcommittee structure to this extent”.
FACT CHECK: Was the Passage of Obamacare Was Just as Secretive as GOP Efforts to Repeal It?
 
Old 10-13-2017, 03:30 PM
 
Location: Barrington
63,919 posts, read 46,731,596 times
Reputation: 20674
Quote:
Originally Posted by HockeyMac18 View Post
I would be fine with this. This is not the right way to handle this.

Do it through legislation. Don't dismantle the system by intentionally sabotaging it and putting millions of people's health and lives at risk.

It's just creating confusion and instability in the Health Care market, and it is going to hurt real Americans.
As I currently understand it, the EO will end subsidies for low income families. If so, this will include and impact a percentage of Trump's base.
 
Old 10-13-2017, 03:32 PM
 
12,039 posts, read 6,568,955 times
Reputation: 13981
Trump's EO ends taxpayers subsidizing and profiting the fat cat insurance companies $7 BILLION A YEAR.
it's time to reform both the corrupt insurance and pharmaceutical companies.
Hopefully, by opening up competition, consumers will have more competitive rates to choose from.
 
Old 10-13-2017, 03:33 PM
 
Location: NE Mississippi
25,573 posts, read 17,281,298 times
Reputation: 37310
Quote:
Originally Posted by TheEmissary View Post
Looks like a bunch of states are going to throw a monkey wrench into the Donald's MAGA healthcare plan! I guess it will go the way of Obama's Clean Air EOs.

U.S. states to file new suit challenging Trump healthcare subsidy cut
... Wow. All the states declaring that they must have federal subsidies are the same states who declared that they wanted to leave the US when Trump became president.
 
Old 10-13-2017, 03:42 PM
 
21,989 posts, read 15,710,757 times
Reputation: 12943
Quote:
Originally Posted by mountainrose View Post
Trump's EO ends taxpayers subsidizing and profiting the fat cat insurance companies $7 BILLION A YEAR.
it's time to reform both the corrupt insurance and pharmaceutical companies.
Hopefully, by opening up competition, consumers will have more competitive rates to choose from.
And Republicans want to give Trump $10 Billion for a wall even though more Mexicans are leaving the country than coming in and most come by plane. Don't forget, Trump lied and said Mexico would pay for the dumb wall. I would rather spend $7 Billion for people to receive health coverage than $10 Billion for a wall with Trump's name on it. This is all about Trump's ego and thankfully some states are challenging him.

House Republicans propose $10 billion for Trump’s border wall - POLITICO

Priorities. Hopefully Democrats take the House in 2018 and end this ridiculousness.
 
Old 10-13-2017, 03:53 PM
 
33,387 posts, read 34,837,332 times
Reputation: 20030
Quote:
Originally Posted by BicoastalAnn View Post
No, that's not how it's going to work. How do you think insurance costs are priced? They don't throw darts at a board and pick rates that way. It's based on the risk pool but also the network and local costs. That is why a plan in AZ might be cheaper than a plan in NY... The NY doctors charge more than AZ doctors, for obvious reasons. It's about the network, not the regulations.

And you don't have to guess if this WILL happen or not... we already do have a health insurance market that is across state lines: Medicare Advantage plans. It's a national marketplace (not regulated by state) and yet each plan you'll find still has a locally-based network. Why would this be different?

Auto insurance is still regulated by state so not sure what you mean by that... Insurance Regulation: How Insurance is Regulated (had wrong link before).
what you are forgetting is that when you open up the markets to greater competition, then the insurance companies are going to compete for your insurance dollars. and that is regardless of where the insurance company is based.

for instance, if you buy a plan from a company in arizona, as opposed to a company in hew york, while the rates are going to be based on market prices, the arizona company might offer a lower rate than a new york company to get your money. or they might offer the same rate as a new york company, but might offer other incentives, like for instance the arizona company might offer lower copays, or no copays.

and yes the insurance offering will still be regulated by the states where the states where the insurance is sold, i am not suggesting otherwise.

as for the medicare advantage plans, those are regulated by the federal government and thus have been considered interstate commerce, and are sold to a limited market to begin with, and you can STILL note that competition has lowered the rates on those plans.
 
Old 10-13-2017, 03:56 PM
 
Location: Barrington
63,919 posts, read 46,731,596 times
Reputation: 20674
Quote:
Originally Posted by stockwiz View Post
Without that subsidy the costs are rediculous. I dont see a way out of this promise from him that will end well.
Trump campaigned on the promise to " replace Obamacare with something wonderful that will take care of everybody and the government is going to pay for it".

It is now obvious to the most casual observer, neither he or his admin had a plan. " who know healthcare was complicated" and all that.

Instead, he has relied on legislators to create bills on napkins over lunch.
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