From ACA to AHCA - ObamaCare to TrumpCare

Discussion in 'Health Care Reform Forum' started by AllenChicago, May 5, 2017.

  1. scagnt83
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    scagnt83 Guru

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    BS. Like I said, there are network issues. But if the Doc is on that network they take the patient. (unless the office is at capacity)

    Are you saying that Doctors are refusing to see patients who are in networks that doctor is a part of?

    Now I know they are not. They might not be part of that network. But they risk getting kicked off network if they refuse patients based on just the fact they have an individual policy.

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    Show me the laws that make it a state's right issue. Fed Gov has broad powers to tax and spend to promote and protect the "Welfare" of the People.

    And dont give me the line of "the Constitution doesn't make it a right". The Constitution doesn't NOT make it a right either. And there is nothing saying that States are in charge of health care and not the Feds.

    Brietbart might call it a States rights issue. But I assure you that in the real world, Courts have settled this matter many times over now.


    And only in TX will there be a new civil war over this (& I live in SC... so thats saying something!). It seems some want us to be the "divided states of america". I suggest you move to "Americana" in Brazil; they still worship the ole "stars and bars".

    This is a national issue. It should be addressed on a national level. And the Feds have every legal right to do so.

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    This we can agree on.
     
  2. taterpeeler
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    taterpeeler Guru

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    Funny little comment... so sad you are misguided
     
  3. scagnt83
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    It seems all you can do is throw insults. That usually means the person has no facts to back up their position.

    Show me the facts about how doctors are turning away people with active health insurance.

    Show me the Laws saying this is a States Rights issue and the Feds have no power to govern healthcare.

    Share facts to back up your opinion and perhaps others might actually change their opinion. It would not be the first time Ive changed position based on new facts that have come to light.

    And I was serious about agreeing with the other part.
     
  4. AgentOrange
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    AgentOrange Super Genius

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    It's definitely not true that customers with an exchange plan can't see a doctor. In NJ all counties have plans with pretty robust networks and across the board we only saw about 4% increase in premium.

    Also, I got to say, how crazy would it be to see auto insurance agents advocate for less auto insurance coverage. Yet, we see it among health agents. We should be advocating for more people to get coverage, better coverage and better compensation for advisement. To me it's a no brainer, but everyday I see health agents advocating for less coverage for less people.
     
  5. Yagents
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    Can't compare NJ which was already guarantee issue state.

    Can't compare auto repair costs to elevated medical costs.

    Can't expect tater to know how to Google facts.
     
  6. STIBROKER
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  7. kgmom219
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    Ok, guys, back to the corner...

    1. The ability to see a doc on an Exchange plan is STATE specific. In NJ (which has always accepted HMO's), the Exchange clients have no issues finding a doc. In Texas (where Tater and I both reside), HMO's are the Devil's work and doctors think that Exchange clients aren't going to pay their bills and/or have leprosy. One of those. For the last 3 years, Tater and I have dealt with daily phone calls that begin with "I can't find a doctor". There are no universal answers on "can't find a doc". Its very regional.

    2. There are 2 issues with the pool going forward. (I don't want to beat the dead horse on the $.12. Thanks, Senator Rubio!) The first issue is the 80/20 rule. 20% of the participants are responsible for 80% of the claims. The second issue is the people who only jump in the pool when they are sick. (I'm looking at you, Medi-Share and STM).

    IMO, the high risk pools are the way to move forward, with a few caveats:

    EHB (especially unlimited lifetime max) must hold on the pools.
    Pre-Ex (using the old HIPAA guidelines) must be reintroduced for 2020. If you want a MediShare plan in 2019, that's great, but when you jump into the pool, you get hit with 6/6/12/12.

    SC-don't try arguing State's Rights with a true Texan. Our textbooks teach that the Civil War was fought over State's Rights. Not kidding. You aren't ever going to win that argument.

    And none of this means crap if CSR's aren't funded on the 21st.
     
  8. tonyisme
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    In my state good luck finding a specialist or surgeon that wants to accept a subsidy plan. I was in the waiting room with my wife who was having a surgery and I heard the surgeon's office manager rejecting people over the phone that had Obamacare or exchange plans. But they were still taking Medicare assignment and the room was full of people on Medicare.
     
  9. AllenChicago
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    AllenChicago Guru

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    Watch all hell break loose when states start opting out and not opting out of individual protections.
     
  10. kgmom219
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    kgmom219 Guru

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    The problem with that issue is because they are including Small Group (under 50 ee's) as part of the language. But not fixing the family glitch.

    So Mary's Plumbing with 10 employees buys coverage for her employees. The employees make $50K and have a wife/kids. The coverage Mary chooses has no maternity.

    So the wife can't get a subsidy and her husband's employer no longer has to offer maternity.

    Brilliant.
     
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