ObamaCare Repeal is Possibly Dead
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I really don't know why they don't encourage more Medicaid waivers. My state has had one since the Clinton administration (and renewed it just before Obama left office until 2020). This gives power to the states which they claim to want even though only a handful of them created their own ACA exchanges. It gives states more flexibility to design healthcare plans that they can feel all warm and fuzzy about.
Pence got a waiver too and they did something a little different in his state in regards to the Medicaid expansion population. I personally don't like it but at least they did something. It's still better than nothing.
Actually, you hit upon something very significant. Health care costs vary tremendously state to state. Therefore, it only makes sense to have each state have it's own health care system.
Here's something that annoys me… It costs about $2200 per eye to have laser treatment on them.. which only takes less than a minute to perform. It costs roughly $2000 to replace a tooth, and there are no discounts for multiple teeth.
My point being.. there is no end to the amount of money that can be sucked up by healthcare.
Before they start giving healthcare away to everybody.. they should first get healthcare costs under control. I have a great example for that.. there was this guy who bought the rights to an AIDS medication.. and decided to raise the price from $13.50 per pill to $750 per pill. That is a markup of 5600% https://en.wikipedia.org/wiki/Martin_Shkreli -
ObamaCare gave states the option of creating their own exchanges. More than half the states (mostly in the south) decided to let the Federal government run it instead. These people claim to not want big government but their actions speak louder than words.
One of the problems with healthcare costs is the fee for service system. Most industries are ruled by the law of supply and demand. The more supply you have of something the cheaper it is. Not true in healthcare. Miami Dade County in Florida has the highest number of doctors per capita in the country. As a result they have the highest Medicare costs in the country because those doctors have to see more patients and order more tests than doctors in other areas. We have to fix that.
ObamaCare created a new type of payment methodology known as Accountable Care Organizations. Basically payments are made based on a persons health, not by how many times they visit a doctor. Obviously there are problems with that but it's still way too early to know whether or not this will save any money.
This is one of the reasons you can't simply repeal ObamaCare. I used to work for a different ObamaCare cost savings program that has been up and running since 2013. You can't just repeal these things. Not only will it kill people (and yes people would absolutely die if that program simply disappeared) but it would also increase healthcare costs for these sub groups of patients.
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They said the same about the House bill and it still came back and passed. I'll keep my fingers crossed and hope they give up on the so-called "Better" Care Reconciliation Act and start fresh. Hopefully without being so MEAN to poor people. :blink:
I applaud the Senators who didn't crumble to pressure and stood their ground on principle.
Something you said caught my eye… you are saying that the Republican's plan is "MEAN" to poor people.
How's this for being mean? Obamacare REQUIRES everybody to purchase health insurance. The premise is that the people who don't need or use the insurance will subsidize those that do. Is that fair? Seems to me.. requiring people making minimum wage to purchase health insurance is mean.You raise a good point. But what is the alternative? From what I have read and know about how insurance works- you need a large pool of both healthy and unwell people to buy into it for the system to work. Yes, the healthy subsidize the unhealthy- but that's how insurance companies can afford to keep everyone covered. And while it MAY SEEM UNFAIR to the healthy- the logic behind the whole system is that EVENTUALLY the healthy will wind up being sick so they will reap the benefits of the system in turn.
If only the sick got insurance the whole system would just collapse. It's like paying it forward- yes you are healthy today and you're paying for some sick guy- but eventually it will all come around and benefit you when it's you or a loved one who is suddenly struck down by an illness.
REQUIRING people to buy in, even when they don't need it yet, is the only way to keep things going. If you allow them to opt out- the system would fail. That's why the Trumpcare proposals wind up causing so many millions of people to lose their coverage.
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They said the same about the House bill and it still came back and passed. I'll keep my fingers crossed and hope they give up on the so-called "Better" Care Reconciliation Act and start fresh. Hopefully without being so MEAN to poor people. :blink:
I applaud the Senators who didn't crumble to pressure and stood their ground on principle.
Something you said caught my eye… you are saying that the Republican's plan is "MEAN" to poor people.
How's this for being mean? Obamacare REQUIRES everybody to purchase health insurance. The premise is that the people who don't need or use the insurance will subsidize those that do. Is that fair? Seems to me.. requiring people making minimum wage to purchase health insurance is mean.You raise a good point. But what is the alternative? From what I have read and know about how insurance works- you need a large pool of both healthy and unwell people to buy into it for the system to work. Yes, the healthy subsidize the unhealthy- but that's how insurance companies can afford to keep everyone covered. And while it MAY SEEM UNFAIR to the healthy- the logic behind the whole system is that EVENTUALLY the healthy will wind up being sick so they will reap the benefits of the system in turn.
If only the sick got insurance the whole system would just collapse. It's like paying it forward- yes you are healthy today and you're paying for some sick guy- but eventually it will all come around and benefit you when it's you or a loved one who is suddenly struck down by an illness.
Yes.. but plenty of people buy insurance when they are healthy - just in case they do get sick. People should not be forced to piss their money away on health insurance they don't want or need. On the other hand… why should health insurance be guaranteed to people who are high risk? If someone smokes 3 packs of unfiltered cigarettes per day, drinks a liter of whiskey per day, shoots heroin every night, eats nothing but hot dogs and candy.. and uses a motorcycle without wearing a helmet... don't put me in the same insurance plan as them!
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They said the same about the House bill and it still came back and passed. I'll keep my fingers crossed and hope they give up on the so-called "Better" Care Reconciliation Act and start fresh. Hopefully without being so MEAN to poor people. :blink:
I applaud the Senators who didn't crumble to pressure and stood their ground on principle.
Something you said caught my eye… you are saying that the Republican's plan is "MEAN" to poor people.
How's this for being mean? Obamacare REQUIRES everybody to purchase health insurance. The premise is that the people who don't need or use the insurance will subsidize those that do. Is that fair? Seems to me.. requiring people making minimum wage to purchase health insurance is mean.You raise a good point. But what is the alternative? From what I have read and know about how insurance works- you need a large pool of both healthy and unwell people to buy into it for the system to work. Yes, the healthy subsidize the unhealthy- but that's how insurance companies can afford to keep everyone covered. And while it MAY SEEM UNFAIR to the healthy- the logic behind the whole system is that EVENTUALLY the healthy will wind up being sick so they will reap the benefits of the system in turn.
If only the sick got insurance the whole system would just collapse. It's like paying it forward- yes you are healthy today and you're paying for some sick guy- but eventually it will all come around and benefit you when it's you or a loved one who is suddenly struck down by an illness.
Yes.. but plenty of people buy insurance when they are healthy - just in case they do get sick. People should not be forced to piss their money away on health insurance they don't want or need. On the other hand… why should health insurance be guaranteed to people who are high risk? If someone smokes 3 packs of unfiltered cigarettes per day, drinks a liter of whiskey per day, shoots heroin every night, eats nothing but hot dogs and candy.. and uses a motorcycle without wearing a helmet... don't put me in the same insurance plan as them!
People are "high risk" for all sorts of reasons. People get lung cancer who have never smoked. It sounds like you are advocating for a system where the government decides who gets to live and who dies based on some sort of lifestyle or moral test. I believe it's what Republicans call a death panel. The truth is that we had death panels pre-Obamacare. We had a system where the "free market" denied access to care for anyone who wasn't healthy. They were selling a product that was meant to help sick people but they refused to sell it to anyone who was sick.
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They said the same about the House bill and it still came back and passed. I'll keep my fingers crossed and hope they give up on the so-called "Better" Care Reconciliation Act and start fresh. Hopefully without being so MEAN to poor people. :blink:
I applaud the Senators who didn't crumble to pressure and stood their ground on principle.
Something you said caught my eye… you are saying that the Republican's plan is "MEAN" to poor people.
How's this for being mean? Obamacare REQUIRES everybody to purchase health insurance. The premise is that the people who don't need or use the insurance will subsidize those that do. Is that fair? Seems to me.. requiring people making minimum wage to purchase health insurance is mean.There you go disrespecting our President again. Trump said it was mean. I was only agreeing with him.
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The GOP is full of pieces of shit. I hate them. They put billions in there for their insurance friends as subsidies. That's why Rand Paul didn't vote for it, and I agree with him. If Trump doesn't speak out against it I will turn on Trump immediately. This is a breaking point issue for me. If Trump doesn't call them out for their putting subsidies for the multi-billion dollar insurance industry I will turn on him. This is NOT what we elected him for.
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It ain't over til it's over, but I think this may be the end. ObamaCare is most likely here to stay :cheers:
http://thehill.com/policy/healthcare/342447-two-more-gop-senators-defect-on-healthcare-bill
I'm not sure, but I think you meant that the Republicans have given up on trying to pass a new healhcare bill that would repeal / replace Obamacare.
Instead, it looks to me that what they are doing is allowing Obamacare to collapse completely, so that instead of getting blamed for repealing Obamacare and replacing it with something else… they will look like heroes in passing a new healthcare bill AFTER Obamacare collapses completely and is gone. -
It ain't over til it's over, but I think this may be the end. ObamaCare is most likely here to stay :cheers:
http://thehill.com/policy/healthcare/342447-two-more-gop-senators-defect-on-healthcare-bill
I'm not sure, but I think you meant that the Republicans have given up on trying to pass a new healhcare bill that would repeal / replace Obamacare.
Instead, it looks to me that what they are doing is allowing Obamacare to collapse completely, so that instead of getting blamed for repealing Obamacare and replacing it with something else… they will look like heroes in passing a new healthcare bill AFTER Obamacare collapses completely and is gone.Nope, not what I meant at all. Also, if ObamaCare collapses or if they repeal it they will not be seen as heroes because they will not be able to replace the Medicaid coverage that ObamaCare made available that 19 Republican-led states took advantage of. Do you honestly think they will be seen as heroes for ripping away a program that has given important medicine to people in rural counties who voted for this president? What about those trying to fight opioid addiction? What about states who have been able to balance their budgets easier because of the Medicaid funding provided by the ACA? They OWN this and just like when Democrats lost so many of their seats for passing it, Republicans will lose for showing they don't care about the very people who voted for them. And primary challenges will not save them. When people are afraid of losing their healthcare, they don't want to listen to some far-right nutjob talk about "rape is God's will" or "the body has a mechanism to shut down unwanted pregnancy." I know you remember what happened to the two Senate candidates who said those bogus statements. They ran against and beat electable Republicans in the primaries in Republican-comfortable states and LOST to Democrats because of it.
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What about those trying to fight opioid addiction?
I hope studies will be done on this. I honestly don't know if Medicaid expansion has helped or hurt the opioid crisis. My state expanded Medicaid to childless adults in the 90's and I can tell you from first hand experience that the people on Medicaid expansion are largely white men with substance abuse issues. It seems as though the opioid crisis has only gotten worse since ObamaCare and I wonder if there is a correlation. I'm not making the claim that there is. It's just an observation.
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The sad thing is that many Americans were proud of Obamacare..
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Hopefully this "Skinny repeal" also fails. 16 million will lose their health insurance because of it and it will do nothing to please the Republican base so passing it will still cause political pain for the Republicans. I agree with what others have said in other threads, the ACA was the Republican's plan and they only came out against it because President Obama was the president who signed it into law. The only direction Republicans can go into is to the left on this because the American people will react negatively to any report that shows millions losing coverage.
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Hopefully this "Skinny repeal" also fails. 16 million will lose their health insurance because of it and it will do nothing to please the Republican base so passing it will still cause political pain for the Republicans. I agree with what others have said in other threads, the ACA was the Republican's plan and they only came out against it because President Obama was the president who signed it into law. The only direction Republicans can go into is to the left on this because the American people will react negatively to any report that shows millions losing coverage.
Actually.. the ACA was not Obama's invention.. but Hillary's. When Hillary was the first lady under President Bill Clinton, she came up with a socialized healthcare plan, and she was laughed at by both Republicans and Democrats.
Trump is going to have a massive number of new supporters who are currently being forced to purchase healthcare who will no longer be required to buy it.
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Actually.. the ACA was not Obama's invention.. but Hillary's. When Hillary was the first lady under President Bill Clinton, she came up with a socialized healthcare plan, and she was laughed at by both Republicans and Democrats.
Trump is going to have a massive number of new supporters who are currently being forced to purchase healthcare who will no longer be required to buy it.
Hillary's healthcare plan was very different from ObamaCare. ObamaCare is based off a plan from the Conservative Heritage Foundation think tank. The plan was kicked around in Congress by REPUBLICANS for a couple of decades. It was always their plan.
Then Governor Romney faced with huge healthcare costs due to the amount of uncompensated care given to "freeloaders" as he called them took the plan and implemented it in Massachusetts. Before RomneyCare (and later ObamaCare) people could just go to the ER and never pay the bill. Those costs were forced onto taxpayers and people who had insurance. RomneyCare and ObamaCare ensured that everybody paid something even if it was just a fine.
Romney campaigned against his own healthcare plan when he ran for President which was a huge mistake and likely cost him the election. It seemed like such a big deal back then. Now we have a President who is against stuff he was for just five minutes ago.
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