The Dismantling of ObamaCare - Ongoing Updates.

[junkman]

We already pay for the uninsured with our hard earned premium dollars. Claims payments are akin to funny money and are one cause of high and unspecified procedure prices.

Unfortunately, there is no political willingness to make the changes to something different. Another thing is people have no understanding of insurance or premiums. I talked to an obese smoker yesterday. We talked about Obama care and how he isn't enrolled. He don't think the gubmt should tell him to have insurance and paid $2500 in penalty. I told him that he was sacking off everyone else because the ambulance would haul his fat ass to the hospital and the hospital would patch him up. I personally think it would be cheaper to enroll everyone and have richer up front benefits for those with low incomes.

Unfortunately, people adjust to any set of rules. When surgery clinics had lower fee structures and carriers structured plans to direct traffic there, Docs set up more and raised the fees.

One lady complained that she hated Obama Care because she didn't need maternity coverage. She had also been in the hospital and had a large claim. I told her that old ladies weren't charged for maternity.

You can't fix stupid.

 

[Yagents]

Old ladies are required to have maternity in aca plan. Helloooo

 

[junkman]

Old ladies are required to have maternity in aca plan. Helloooo

Yes, fat old ladies have maternity benefits and the chance of knocking them up is about $0 as is their maternity contribution to claims and the premium follows claims.

 

[goillini52]

We already pay for the uninsured with our hard earned premium dollars. Claims payments are akin to funny money and are one cause of high and unspecified procedure prices.

Unfortunately, there is no political willingness to make the changes to something different. Another thing is people have no understanding of insurance or premiums. I talked to an obese smoker yesterday. We talked about Obama care and how he isn't enrolled. He don't think the gubmt should tell him to have insurance and paid $2500 in penalty. I told him that he was sacking off everyone else because the ambulance would haul his fat ass to the hospital and the hospital would patch him up. I personally think it would be cheaper to enroll everyone and have richer up front benefits for those with low incomes.

Unfortunately, people adjust to any set of rules. When surgery clinics had lower fee structures and carriers structured plans to direct traffic there, Docs set up more and raised the fees.

One lady complained that she hated Obama Care because she didn't need maternity coverage. She had also been in the hospital and had a large claim. I told her that old ladies weren't charged for maternity.

You can't fix stupid.

So I've noticed.


How about men...are men charged for maternity coverage under O'bamacare?

 

[RayNY]

So I've noticed.


How about men...are men charged for maternity coverage under O'bamacare?

If you only want to pay for the services you personally need, that's called "not having insurance".

If you want people who don't need care to pay for the care you need, you better believe you'll be covering the care of others when you don't need it. That's how insurance works.

 

[Ann H]

Yes, fat old ladies have maternity benefits and the chance of knocking them up is about $0 as is their maternity contribution to claims and the premium follows claims.

That was true pre-ACA before mandatory age-banding. Now, with 3:1 age banding, a 64 year old pays 3x's what a 21 year old pays, therefore maternity charge is built into every premium.

You are going to tell me that we don't raise enough money via state and federal taxes to provide free medical services to every citizen?

Do you have any idea how much money is raised in state and federal taxes each year? If we cut the budget of every Federal government department (including defense) by 60% how much medical care a year would that buy this nation? So let us shift our financial resources to cover the cost.

Trump is right now taking a hatchet to the current budget. It will free up federal money, but clearly isn't enough to pay for the current government involvement in healthcare much less the whole enchilada. And, even if he did cut every department (including defense) by 60%, it's still cost-shifting while ignoring the real problem, and those costs will appear on the screen again. It's better to deal with the root drivers of spiraling health care costs.

NYLife - you have a great dream, and the health care debacle is so bad that a paradigm shift could happen, and we could very likely turn to an entirely different system. Your post was substantial. There are two major paradigm shifts - total government takeover and total free market system. Every high-cost government entitlement gets cut later, when the high costs hit. Take O'care's subsidies and medicaid expansion for instance --- cut by the next government. Why? Because it was too high priced for the problem that it was trying to solve, AND it was not the only answer. In fact, the ACA took a high-cost problem and made the costs higher. That is no solution. So, once again, it's a system with a shelf life of 3-5 years. Secondly, the idea of government takeover of healthcare isn't the only answer, which makes the idea even less valuable. Private free market takeover of healthcare is still possible - where doctors charge patients directly, with full transparency of their costs, and the free market decides on necessity, quality, and cost. Of course, we need a transition plan, but any major shift requires a transition. The idea of free-market shift is more likely at this very moment than a government-takeover shift. Doctors, hospitals, surgi-centers, pharmacies and other providers are offering cash prices right now. It's a major trend that we see currently in our system. Conversely, government-takeover is losing ground currently, not only due to the GOP Congress & Presidency, but also because states that had instituted it earlier are now reversing course as they face the high costs. The government-takeover system is losing ground at the doctors' office as they limit or refuse Medicare, Medicaid and ACA plans, but take cash or private PPO insurance. Both systems are possible, and a complete shift from our current model is necessary. That's one reason I don't support the new AHCA in its current form. It's not a paradigm shift, but a rearranging of the deck chairs.

 

[goillini52]

If you only want to pay for the services you personally need, that's called "not having insurance".

If you want people who don't need care to pay for the care you need, you better believe you'll be covering the care of others when you don't need it. That's how insurance works.

I know, I was making a comeback to his line.

"I told her that old ladies weren't charged for maternity."

 

[ARus]

Sorry, Arus, I don't see any reference to providing health care for the citizens.

Care to try again?

You should clarify for yourself what is the purpose of the constitution, than you'll be able to understand. No body expects The Constitution to deplete all laws we need. It is a back bone only.

 

[somarco]

Perhaps I misunderstood you. I presumed you were one of those people who claim health care is a RIGHT (which it isn't).

 

[Yagents]

How could Dems vote against this HSA bill when it eventually comes up for a vote?

https://www.congress.gov/bill/115th-congress/senate-bill/28?r=9918