B b b b but what about the talking heads that say ACA isn't crashing?
Oh, that's right it is. Anyone want to bet on an end date? How much rate increase in 2018? Will it make 2019?
How are Repubs going to avoid blame since they're in charge?
The Dismantling of ObamaCare - Ongoing Updates.
- Thread starter AllenChicago
- Start date
B b b b but what about the talking heads that say ACA isn't crashing?
Oh, that's right it is. Anyone want to bet on an end date? How much rate increase in 2018? Will it make 2019?
How are Repubs going to avoid blame since they're in charge?
- 10,711
I actually now have a different take on the failure to repeal ObamaCare.
Trump has said many times over the past few years that "the only way to fix it is to let it crash".
Even when he talked about "repealing ObamaCare", he often followed it up with saying something like "but who knows... letting it implode might be the only way we can fix it".
Trump was never very vocal about his support for this bill. There were no pet-names he made up for it. Very few tweets. And he refused to attach his name to the bill, putting the whole thing on Paul Ryan.
He either wants to see it implode. Or he knows it will take full implosion to get Congress to agree on anything.
And if that happens, look for some version of basic universal coverage... or close to it... because citizens both red and blue will be marching in the streets. And keep in mind that Trump is a fan of universal coverage for all (based on his comments for many years before being president and on the campaign trail)
Trump has said many times over the past few years that "the only way to fix it is to let it crash".
Even when he talked about "repealing ObamaCare", he often followed it up with saying something like "but who knows... letting it implode might be the only way we can fix it".
Trump was never very vocal about his support for this bill. There were no pet-names he made up for it. Very few tweets. And he refused to attach his name to the bill, putting the whole thing on Paul Ryan.
He either wants to see it implode. Or he knows it will take full implosion to get Congress to agree on anything.
And if that happens, look for some version of basic universal coverage... or close to it... because citizens both red and blue will be marching in the streets. And keep in mind that Trump is a fan of universal coverage for all (based on his comments for many years before being president and on the campaign trail)
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It may be the desperate move he needs to do in order to solidify support and keep his presidency from looking like a complete failure (except to the HFC)..
He could want universal healthcare until he's blue. It's not getting passed. I doubt many, if any republicans want that. I sure as hell know Cruz and rand don't.
- 10,711
I said universal coverage. Not HealthCare. In the past, Trump has pushed HDHPs w/ HSAs for all citizens.
Lots of things would "never happen"... but they did. And political support changes very quickly in a crisis situation.
Plus, we already have universal healthcare. Anyone can walk into an ER and get healthcare... and the rest of the population pays for it via higher prices.
Is it really cheaper for you to pay for someones ER visit vs. paying for their doctor visit?
Can't avoid it. Several ways they will be blamed:
https://www.bloomberg.com/news/arti...lost-on-obamacare-yet-still-controls-its-fate
A crucial lawsuit. The House of Representatives is winning a suit it first filed against the Obama administration over the so-called cost-sharing reduction payments, saying the administration didn’t have the authority to pay them. Trump could choose to stop defending the suit, ending subsidies that go to about 7 million low-income people, potentially pushing insurers out of the market.
The individual mandate. On Trump’s first day in office, he signed an executive order calling on federal agencies to minimize the health law’s burden. The Internal Revenue Service, in response, said it’d use a light touch on enforcing the health law’s individual mandate, a key piece of Obamacare that requires people to sign up for health insurance or pay a fine.
No more ads? At the end of the 2017 enrollment period, the Trump administration pulled some ads and other outreach, potentially undermining sign-ups. One big question is how much the Trump administration will encourage people to sign up for next year. On Friday, two Democratic senators said HHS’s inspector general was looking into the decision to halt the outreach.
Market regulations. HHS has proposed a set of rules to make the ACA’s markets more favorable to insurers, hoping that more will stick around if they can make money. Some of them could reduce the number of people taking advantage of loopholes in the ACA, potentially lowering premiums for the rest.
Political muscle. President Barack Obama and his administration worked to persuade insurers to stay in Obamacare. The Trump administration could be less forceful when insurers decide to drop out, leaving some regions without competition.
The really critical thing is how to keep family, friends & clients able to buy health care. Screw everything else. It will certainly be challenging for those over subsidy level and uninsurable.
And yes, I expect 0 carriers in 2018 but carriers accept money and voters want pre-ex gone. We'll see what happens.
And yes, I expect 0 carriers in 2018 but carriers accept money and voters want pre-ex gone. We'll see what happens.
A doctor I know wrote this response on a public consumer forum when someone posited essentially the same idea.
Don't confuse the ER with real medical care.
Think the ER can treat a ureteral stone? All it can do is give you some pain pills. A urologist has no obligation to remove your stone unless you can pay for his/her services.
Look at this article from the UK:
"The operation costs £2,500 privately, £1,200 or less on the NHS if done as day surgery."
Private surgery? Now why would you pay twice as much for private surgery when the UK offers universal healthcare?
All depends on how long you want to wait.
The new story from the GOP is that they are closer than ever to an Ocare repeal & replacement, but they will not set deadlines.
Brilliant. Fail to pass a dumb bill. Tell the public, "We tried, but they wouldn't....." Meanwhile take your time working on the next bill. When ACA crashes, blame the Democrats and all Repubs who wouldn't vote for the last bill.
The only good news is that the next bill might be better, and the public might like it better than a crashed market.
Brilliant. Fail to pass a dumb bill. Tell the public, "We tried, but they wouldn't....." Meanwhile take your time working on the next bill. When ACA crashes, blame the Democrats and all Repubs who wouldn't vote for the last bill.
The only good news is that the next bill might be better, and the public might like it better than a crashed market.
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