ericn
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Post by ericn on Nov 20, 2017 8:45:14 GMT -6
'Obamacare' was claimed to have been basically a repackaged version of 'Romneycare'. At the end of the day all political parties wind up getting addicted to corporate money and the politicians do whatever it takes to get themselves elected, stay in power as long as they can and then get on the lobbying gravy train after they leave. Anyone who really thinks one side is better than the other has been sucked in by the 'shell game' that is the 'democratic' two party political system. That was one of the laughable things about the whole Obamacare debate. It was treated as if it was this enormous socializing of health care when really, after congress got done with it, it was just a super watered down health insurance bill. There was nothing really super lefty about it. It was actually a pretty big giveaway to private insurance companies. It changed the incentives a little, mostly for the better, but that was about it. And it had some systemic issues that needed to be fixed, and they'd be fixable with a functional congress, but it was too much of a political football for the GOP to show some stones on. It's funny, people statistically like Obamacare...as long as you don't call it "Obamacare". If you call it the ACA or just ask about the policy specifics, it has pretty solid support. It's hilarious that the GOP voted to repeal it like 50 times or whatever it was when they weren't in control and it didn't mean anything and then as soon as they were driving the ship, a bunch of them got cold feet about kicking their working poor and middle class constituents off health insurance. Funny how it's easy to take a stand when it's meaningless. Now, instead of actually repealing it, they just kneecapped it. They cut the enrollment period in half and cut the ad budget by 90% (in the hopes that people wouldn't find out it was enrollment time). Enrollment still surged. If the GOP was smart, they'd fix the issues with the ACA and call it something else and then try to take credit. Hell, like you mentioned, it was Romney's model. But partisan toxicity, once again, fucks everything up and common sense is flushed down the toilet. Yeah I read where the guys who actually wrote the bill expected that it would evolve over time, that is one of the biggest problems with all of Americans public policies, we don't design or act like the world changes. We have politicians write these laws that they spend so much time on because of politics that by the time the law has passed the situation has changed. Look at the budget, it's a in reality a meaning less long term plan that is going to change in a year and has very little to do with actual spending, you have to have a plan but come on! Both parties are just as guilty because they care more about politics than leading and governing, so people vote against rather than for people if they vote at all. A third party is useless unless it first gains enough traction at the local level first to be taken seriously enough to gain seats in the legislature. Now let's say you end up with a third party or independent president, suddenly the Majority leaders have all the power, I'm a liberal, but I would never want Pelosi to have that much power, or anyone else elected by those we elected to have it!
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Post by donr on Nov 20, 2017 8:46:28 GMT -6
The biggest trouble with gov't and healthcare is forcing everyone into a one-size fits all policy, and removing choices. And the mandate. And when you go to the doctor now, he/she's looking at a computer screen instead of you.
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ericn
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Balance Engineer
Posts: 14,961
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Post by ericn on Nov 20, 2017 9:17:00 GMT -6
The biggest trouble with gov't and healthcare is forcing everyone into a one-size fits all policy, and removing choices. And the mandate. And when you go to the doctor now, he/she's looking at a computer screen instead of you. That my freind is the over all dumbing down of medical professionals of all types, imagine me, I am the protocol for a 97% burn! Unfortunately without going to a public option, Medicare for everyone, the mandate was the only way of forcing people to buy insurance to subsidize well me😁! The thing that is misunderstood about the requirements for the policy tiers is that people were getting screwed on these crappy policies that covered nothing, for years both parties had been telling the low end insurance providers to clean up the act, I can't remember when I have been in the ER and somebody didn't learn their insurance policy wasn't worth the cost of paper it was printed on. While it has always been fraud to misrepresent what's in a policy try proving, even the best insurance agents don't really know what they are selling at consumer level, even most lawyers don't understand their own policies I know 3 very good ones who didn't realize they would be screwed on their home owners policies as written!
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Deleted
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Post by Deleted on Nov 20, 2017 16:16:06 GMT -6
Well, I didn't say that healthcare isn't a problem, I just believe in my personal opinion that the reason so many people that are low to middle income are pissed off is because they've been forgotten in regards to how they're compensated. So much focus went on pointing to the stock market to gauge the health of the economy and the blue collar worker, but that's not how it needs to be gauged. They need to look at what people are making in this country in salary and address how to make mid or large size companies adjust wages accordingly and how they can reinvest their capital earnings to help their workforce. The way it is now it's like "You want a job or not? Then shut up." The red line drawn down the house and senate floor needs to be scrubbed off and these guys need to start working across the isle with each other to find solutions to these problems instead of being so divided and having all out hatred for each other. Actually within the ACA, hospital's and other providers have a bunch of backend money that is based on outcomes and patient satisfaction surveys. Now this seams smart, except nobody put anything in there about giving some weight to the type of patient you take in. What I mean is if your a trams 1, National Cancer Center, Transplant Center and heart Center your screwed out of this money, because you take the patients that others won't and can't ! The problem with the satisfaction survey, is the guy who has to have vitals every 4 hours gets pissed, the guy who has somebody crashing in the next room is pissed because it took for ever to get his pain mess is pissed, the guy who's diet is restricted... This has also meant that's lots has been spent on making hospitals pretty and food service upgrades, not helping people get better! Slight tangent, but still pretty relevant,read today in a med rag that surgeons in USA may be paying $140000 per anum, sorry, per annum, just for malpractice insurance. That's before they scrub up. This sue you culture industry ain't doing anyone any favours.
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ericn
Temp
Balance Engineer
Posts: 14,961
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Post by ericn on Nov 20, 2017 16:29:59 GMT -6
Actually within the ACA, hospital's and other providers have a bunch of backend money that is based on outcomes and patient satisfaction surveys. Now this seams smart, except nobody put anything in there about giving some weight to the type of patient you take in. What I mean is if your a trams 1, National Cancer Center, Transplant Center and heart Center your screwed out of this money, because you take the patients that others won't and can't ! The problem with the satisfaction survey, is the guy who has to have vitals every 4 hours gets pissed, the guy who has somebody crashing in the next room is pissed because it took for ever to get his pain mess is pissed, the guy who's diet is restricted... This has also meant that's lots has been spent on making hospitals pretty and food service upgrades, not helping people get better! Slight tangent, but still pretty relevant,read today in a med rag that surgeons in USA may be paying $140000 per anum, sorry, per annum, just for malpractice insurance. That's before they scrub up. This sue you culture industry ain't doing anyone any favours. Yeah but here's the rub more and more your health insurance, probably part of the same company as the malpractice insurance company always wants to know if " this was because of an accident "so they can sue someone else's insurance company. Also if some procedure is needed because of screw up or just shouldn't have happened Medicare / Medicare and insurance won't pay for it it is a " non event"!
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Post by Bob Olhsson on Nov 20, 2017 17:30:53 GMT -6
What Obamacare did was make typical corporate insurance policy benefits such as pre-existing conditions coverage available to individuals and it subsidized lower-income individuals in an effort to reduce bankruptcies that all of us pay for.
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Post by 79sg on Nov 20, 2017 18:24:40 GMT -6
Actually, my stance has always been that Ocrapacare is nothing more than a wealth transfer mechanism and has essentially nothing to do with healthcare. Just another tool for hollowing out what remained of the middle class to further the spread between the rich and poor / wealth inequality. Not an unintended consequence whatsoever. If I sound bitter it's because the thought of $2000 per month with $7500 deductibles per person is............
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Post by ragan on Nov 20, 2017 19:12:42 GMT -6
Actually, my stance has always been that Ocrapacare is nothing more than a wealth transfer mechanism and has essentially nothing to do with healthcare. Just another tool for hollowing out what remained of the middle class to further the spread between the rich and poor / wealth inequality. Not an unintended consequence whatsoever. If I sound bitter it's because the thought of $2000 per month with $7500 deductibles per person is............ My folks premiums went down significantly. Depends on your specific situation, how your state decided to run the exchanges, etc. I'm not trying to minimize those who saw increases. I wouldn't have liked that either. But lots of people also got better deals under ACA. Like anything related to any of this, it's massively complex with a million moving parts.
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Post by christopher on Nov 20, 2017 22:46:17 GMT -6
I've heard of people's monthly rate go from a grand a person down to $1, perfectly legally. It's the way they designed it. Of course they did, because they are all in the same boat you are. IF you are putting your money to work back into the economy, and not trying to hoard it in a bank account, the tax code and Obamacare will save your butt big time. If you want to sit on your cash and assetts then that's when they will sniff it out sadly. Either uncle same or the insurance angencies and doctors will smell blood. Most people like my father or his wife will probably die broke due to some dragged out illness for 10 years which will bleed out his savings that he struggled so hard to build. If you want to pass your savings on to loved ones, speak to accountant, small business attorney and estate planner sooner rather than later. See what options you have. Tell them you want to protect yourself as much as possible. The reason they have jobs is because they save people money in a way that people can't figure out without legal help. And congress of course being a lot of lawyer friendly people happen to make things so that lawyers will always be in demand. Just a quick Example: How many times did our president declare bankruptcy protection on an investment? 6 times I think? And he's supposed to be on the side of the "suck it up and deal with it" crowd. Yeah.. so nobody should feel guilty following the law ourselves, even though the laws are selfish garbage. It's by design and all I can hope is that somebody up there did some sort of math knowing that it all sort of will work out, even in the face of silliness haha. (I probably shouldn't comment on this stuff lol.. I really like this place though : ) )
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Post by Bob Olhsson on Nov 20, 2017 23:08:04 GMT -6
Bankruptcy is precisely how you suck it up and deal with it, i.e. you hand it all off for the rest of us to pay.
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Post by jakeharris on Nov 21, 2017 2:00:33 GMT -6
Like anything related to any of this, it's massively complex with a million moving parts. You do realise that's the exact excuse used to keep everything broken? The US isn't some extraterrestrial super complex civilisation. Every single other developed country has figured this out – just pick one of these other proven systems, and copy it.
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Post by ragan on Nov 21, 2017 2:25:27 GMT -6
Like anything related to any of this, it's massively complex with a million moving parts. You do realise that's the exact excuse used to keep everything broken? The US isn't some extraterrestrial super complex civilisation. Every single other developed country has figured this out – just pick one of these other proven systems, and copy it. Sure, 'too complex' can be used as a crutch and an excuse for inaction. That's a fair point. But I would suggest that pretend certainty is a much much bigger problem in our society. People are indoctrinated into thinking that certainty and being 'resolute' or 'firm' (or whatever adjective you wanna use) is the ultimate sign of strength, and so they rush to it without earning it. If you don't know the answer to something, it's much better to just say "I don't know" than to glom onto whatever team makes you feel the best and get to work convincing yourself that that team's ideology is without flaw. As for the "just pick another system and copy it thing", I think that's just patently bad advice. Every country/culture is unique and the U.S. is particularly unwieldy. It's enormous and hugely diverse. You can't just say, "Well, _____ seems to work great in Norway, therefore it'll work great here". You can certainly borrow aspects of what works elsewhere and try to adapt them. That's what every society does whether you're talking public policy or cooking or anything else. But trying to paste one culture's ideological grid over another is a fool's errand in my opinion. It's lazy and totally ineffective. It's not that different from saying, "Hey guys, the last band we had in here did all the bass and vocals first and then overdubbed the rest to those tracks. You guys are also a band, therefore, we're going to do that with you and it will work the same."
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Post by jakeharris on Nov 21, 2017 3:23:59 GMT -6
That's the trap again: you're going back to we're different and special. But you're not.
Healthcare isn't an ideology – it's a service. Your broken bones are exactly the same as Norwegian broken bones. Your cancer is the same, your drugs are even the same. Your entire concept of medecine is identical.
That's where this whole thing breaks down. Healthcare and how it's provided isn't supposed to appease some political or ideological views. It shouldn't even be political or ideological in the first place. The whole big/small government thing, or 'who's going to pay for it' doesn't seem to matter when it comes to that ridiculous military. Why should healthcare be so different?
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Post by NoFilterChuck on Nov 21, 2017 4:04:28 GMT -6
do those other countries have multi-billion-dollar Pharmaceutical and Private Hospital industries or nah? Once you get rid of those, health care will fix itself. You'll probably lose boob jobs and butt implants tho, if the private practices all disappear..
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Post by 79sg on Nov 21, 2017 6:13:57 GMT -6
Actually, my stance has always been that Ocrapacare is nothing more than a wealth transfer mechanism and has essentially nothing to do with healthcare. Just another tool for hollowing out what remained of the middle class to further the spread between the rich and poor / wealth inequality. Not an unintended consequence whatsoever. If I sound bitter it's because the thought of $2000 per month with $7500 deductibles per person is............ My folks premiums went down significantly. Depends on your specific situation, how your state decided to run the exchanges, etc. I'm not trying to minimize those who saw increases. I wouldn't have liked that either. But lots of people also got better deals under ACA. Like anything related to any of this, it's massively complex with a million moving parts. This is the issue, it is complex and has a million moving parts by design. It's okay, I look forward to the day this POS forced down our throats bad dream legislation finally implodes.
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Post by Bob Olhsson on Nov 21, 2017 9:44:53 GMT -6
Flood insurance and Worker's Comp. were both private insurance that the government took over with few problems. Getting rid of insurance company/Wall Street death panels is mighty attractive to me. We CAN hold politicians accountable and the priority would become our well being as opposed to that of the suits and their stockholders.
Canada's culture couldn't be closer to that of the U.S. and they're doing just fine.
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Post by ragan on Nov 21, 2017 10:18:43 GMT -6
That's the trap again: you're going back to we're different and special. But you're not. Healthcare isn't an ideology – it's a service. Your broken bones are exactly the same as Norwegian broken bones. Your cancer is the same, your drugs are even the same. Your entire concept of medecine is identical. That's where this whole thing breaks down. Healthcare and how it's provided isn't supposed to appease some political or ideological views. It shouldn't even be political or ideological in the first place. The whole big/small government thing, or 'who's going to pay for it' doesn't seem to matter when it comes to that ridiculous military. Why should healthcare be so different? I didn't say healthcare is an ideology. I said that the U.S. is particularly ideologically disparate as well as being enormous which means we have a particularly broad range of conflicting, passionate dogmas. And that has a drastic effect on our political climate when it comes to building consensus. Some people (as evidenced here) despise the ACA with a burning passion. This can be because they fell into one of its no man's lands where they made too much money to qualify for its subsidies but not enough to be able to go it alone. Or it can be because the right wing convinced a lot of people this was some major socialist intervention (it wasn't). Some people absolutely love the ACA. This can be because they or their loved ones suddenly weren't gonna be bankrupted by illness because insurance companies were no longer allowed to kick them off their plans once they got sick. Or it can be because the left wing here wanted to see the ACA as a shining victory for liberalism (it wasn't that either). My point isn't that there is no way to address healthcare so we should just throw our hands up. My point is just that we're too huge, too disparate and too divided to be adults about anything and come to sensible compromise.
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Post by Martin John Butler on Nov 21, 2017 11:48:41 GMT -6
That's why we need leaders bold enough to do the right thing, not the the greed thing. We've had them before, from both parties.
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Post by donr on Nov 21, 2017 12:05:03 GMT -6
Reminder, Obamacare was never designed to work. It was generously benefit heavy in the initial years, the true costs and penalties deferred until after the 2016 election. The real pain for people not qualified for subsidies is just kicking in now.
The legions of healthy younger people paying the ridiculous premiums have not materialized, the exchanges have collapsed in many places, there's little choice and no value in what's offered.
The idea is the outcry to fix it would answered by Hillary and DC and we'd get single payer. The plan was it would take 10-15 years post ACA to get there. We're what, eight years out now.
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Post by rowmat on Dec 9, 2017 17:21:33 GMT -6
This guy had it worked out a long time ago.... “The argument that the two parties should represent opposed ideals and policies, one, perhaps, of the Right and the other of the Left, is a foolish idea acceptable only to doctrinaire and academic thinkers. Instead, the two parties should be almost identical, so that the American people can “throw the rascals out” at any election without leading to any profound or extensive shifts in policy.” - Professor Carroll Quigley, Tragedy and Hope: A History of the World in Our Time (Published in 1966) One of the dumbest things I've heard in my life. Unless you believe that a country should be an ideological dictatorship. I just saw your reply hence my lateness in responding. Firstly I wish to restate my non-partisan political status. It wasn't actually Quigley's opinion, it was his observation as an insider. As it turns out he was basically correct. The Neo Liberalism the Democrats have embraced especially since Bill Clinton was elected has caused the Democrats to shift towards the right as they have become beholden to corporate money. Even Obama confessed he would have been considered a "Moderate Republican" back in the 1980's which means he is comparing himself to Ronald Reagan! Just think about that for a moment and then re-read Quigley's quotation. Professor Carroll Quigley en.wikipedia.org/wiki/Carroll_Quigley
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Post by johneppstein on Dec 10, 2017 15:35:39 GMT -6
One of the dumbest things I've heard in my life. Unless you believe that a country should be an ideological dictatorship. I just saw your reply hence my lateness in responding. Firstly I wish to restate my non-partisan political status. It wasn't actually Quigley's opinion, it was his observation as an insider. As it turns out he was basically correct. The Neo Liberalism the Democrats have embraced especially since Bill Clinton was elected has caused the Democrats to shift towards the right as they have become beholden to corporate money. Even Obama confessed he would have been considered a "Moderate Republican" back in the 1980's which means he is comparing himself to Ronald Reagan! Just think about that for a moment and then re-read Quigley's quotation. Professor Carroll Quigley en.wikipedia.org/wiki/Carroll_QuigleyQuoting out of context can leave a false impression at odds with the thrust of the original statement.
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Post by joseph on Dec 24, 2017 12:15:17 GMT -6
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Post by johneppstein on Dec 24, 2017 17:26:48 GMT -6
One of the dumbest things I've heard in my life. Unless you believe that a country should be an ideological dictatorship. I just saw your reply hence my lateness in responding. Firstly I wish to restate my non-partisan political status. It wasn't actually Quigley's opinion, it was his observation as an insider. As it turns out he was basically correct. The Neo Liberalism the Democrats have embraced especially since Bill Clinton was elected has caused the Democrats to shift towards the right as they have become beholden to corporate money. Even Obama confessed he would have been considered a "Moderate Republican" back in the 1980's which means he is comparing himself to Ronald Reagan! Just think about that for a moment and then re-read Quigley's quotation. Professor Carroll Quigley en.wikipedia.org/wiki/Carroll_QuigleyI don't think that having either two parties ideologically in total opposition or two parties in near agreement are a good thing. I believe that both parties should be flexible. What we have now is the result of a particular stratum of society adopting a very long term strategy to transform the political structure of the country from a participatory democracy into an industrial oligarchy with neo-facist influences. The roots of it go back the the industrialist backlash to FDR's policies to deal with the Great Depression and to stave off a potential Communist revolutionary movement and they go very deep into aspects of upper crust American Society. A study of the Skull and Bones Society at Yale University can be quite informative in tracing associations, but it's only one of the more visible aspects. What's odd about the present situation is that actually the "traditional" leadership of both major parties are in fact very close to each other, with the Democratic leadership moving from what was once a left leaning centrist position to what used to be regarded as a moderate right wing position and the Republicans moving to a more or less hard right, but both behaving as if there were a hard left-right split. There isn't, or hasn't been for a long time but the current situation of a blatant swing to the hard right may very well have awakened one. What happened is that a coup by very irresponsible elements of the Right managed, with the help of media control made possible by the internet, to seize enough power to split the party and cause a major rucus within the country, causing the right to all but abandon the program of subtle manipulation and control they pursued for many decades. This in turn has opened up opportunities for loeft leaning elements of the population to make themselves heard as they have not been since the 1960s. It could be that the recent tax bill and the Net Netrality changes might be the last straw, assuming that the new left leaning wing of the Democratic Party manages not to shoot themselves in the foot again, which is something they've become quite good at in recent years, largely by overconfidence and an inability to see things from the point of view of anybody but northern urban neo-liberal "progressives" (a term I really hate, because it can mean almost anything depends on who's using it.) I do think that the Republicans effectively breaking the two party system was an incredibly dumb move, as it has provoked a huge backlash. Barry Goldwater ansd Dwight Eisenhower are turning violently in their graves, it's a wonder that the cemetary tenders can keep the lawn mowed.
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Post by johneppstein on Dec 24, 2017 17:49:53 GMT -6
That's the trap again: you're going back to we're different and special. But you're not. Healthcare isn't an ideology – it's a service. Your broken bones are exactly the same as Norwegian broken bones. Your cancer is the same, your drugs are even the same. Your entire concept of medecine is identical. That's where this whole thing breaks down. Healthcare and how it's provided isn't supposed to appease some political or ideological views. It shouldn't even be political or ideological in the first place. The whole big/small government thing, or 'who's going to pay for it' doesn't seem to matter when it comes to that ridiculous military. Why should healthcare be so different? I didn't say healthcare is an ideology. I said that the U.S. is particularly ideologically disparate as well as being enormous which means we have a particularly broad range of conflicting, passionate dogmas. And that has a drastic effect on our political climate when it comes to building consensus. Some people (as evidenced here) despise the ACA with a burning passion. This can be because they fell into one of its no man's lands where they made too much money to qualify for its subsidies but not enough to be able to go it alone. Or it can be because the right wing convinced a lot of people this was some major socialist intervention (it wasn't). Some people absolutely love the ACA. This can be because they or their loved ones suddenly weren't gonna be bankrupted by illness because insurance companies were no longer allowed to kick them off their plans once they got sick. Or it can be because the left wing here wanted to see the ACA as a shining victory for liberalism (it wasn't that either). My point isn't that there is no way to address healthcare so we should just throw our hands up. My point is just that we're too huge, too disparate and too divided to be adults about anything and come to sensible compromise. What left wing? There is no "left wing" in US politics at present. There's only right wing and far right wing.
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