Author Topic: What comes after the ACA?  (Read 243274 times)

NESailor

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Re: What comes after the ACA?
« Reply #2050 on: April 21, 2017, 10:36:05 AM »
I have considered switching parties so that I could try to reform the Republican party from within.  Surely we could all benefit from a rational conservative point of view.  There might be rational conservatives out there who actually want good policy.  Yes?  No?  Hello?

Good one!  Starbucks apparently offers a unicorn frappuccino so I'm assuming there must be unicorns out there.  Kind of like rational politicians (of both leanings) as far as I'm concerned.

OurTown

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Re: What comes after the ACA?
« Reply #2051 on: April 21, 2017, 11:06:24 AM »
I have considered switching parties so that I could try to reform the Republican party from within.  Surely we could all benefit from a rational conservative point of view.  There might be rational conservatives out there who actually want good policy.  Yes?  No?  Hello?

Good one!  Starbucks apparently offers a unicorn frappuccino so I'm assuming there must be unicorns out there.  Kind of like rational politicians (of both leanings) as far as I'm concerned.

Maybe when the Cylons take over they will implement rational policies.

dividendman

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Re: What comes after the ACA?
« Reply #2052 on: April 21, 2017, 11:09:28 AM »
Maybe when the Cylons take over they will implement rational policies.

Frak!

DavidAnnArbor

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Re: What comes after the ACA?
« Reply #2053 on: April 21, 2017, 07:58:10 PM »

Monkey Uncle

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Re: What comes after the ACA?
« Reply #2054 on: April 22, 2017, 04:28:40 AM »
Paul Krugman's column:  A primer on the sorry situation:

https://www.nytimes.com/2017/04/21/opinion/the-balloon-the-box-and-health-care.html?_r=0

Good read.  He basically points out what a lot of folks on here have been saying: that Republicans had no intention of actually replacing the ACA; they just want to go back to the good old days when only the wealthy, healthy, and young could afford health care.  But now they're running up against a public that has come to expect that the less fortunate among us should also have access to health care.
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Monkey Uncle

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Re: What comes after the ACA?
« Reply #2055 on: April 22, 2017, 04:42:22 AM »
A couple of opinion pieces from opposite ends of the political spectrum, both of which argue that the US is headed inexorably toward universal government funded health care:

https://www.washingtonpost.com/opinions/sorry-republicans-but-most-people-support-single-payer-health-care/2017/04/17/f0919bb6-23a6-11e7-bb9d-8cd6118e1409_story.html?utm_term=.35d4fa602baa

https://www.washingtonpost.com/opinions/the-road-to-single-payer-health-care/2017/03/30/bb7421d0-156c-11e7-ada0-1489b735b3a3_story.html?utm_term=.fbe04d2c66f7

I think they're right in the very long run, but I don't see a political path that would take us there any time soon.  I disagree with Krauthammer that Trump is likely to flip and go single payer.  Even if he did, Democrats would need to control both houses of Congress for it to pass. 

My prediction (for today, at least) is that the Republican repeal/replace chatter will gradually die down, and we will keep limping along with the current version of the ACA until the Democrats are able to regain full control of the federal government.  As I've expressed in a previous post in this thread, I don't see a real chance of that happening before 2023, due to the need to first re-take all the statehouses and governorships that they've lost over the last decade, so that they can then un-do all the Republican-gerrymandered house districts during the round of re-districting that comes after the 2020 census.
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EnjoyIt

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Re: What comes after the ACA?
« Reply #2056 on: April 22, 2017, 08:17:51 PM »
I learned something today about the infamous healthcare of Germany and its single payer system. All employees pay an equivalent to medicare tax which is taxed at about 15%.  7% is paid by the employer and another 8% is paid by employee. This is capped at about $5500/yr which means that everyone who works pays for their own healthcare and pays taxes in Germany. Someone making $30K/yr will be paying their share of their medical costs.  in 2011 91% of Germany's population partook in the government funded healthcare.  Only 9% solely had private insurance and another 33% had both. Another interesting fact is that in 2011 about 1/3 of the hospitals in Germany were losing money. 

Although Germany is able to cover their entire population not only are the poor paying a large portion of their income for their healthcare, the system is struggling to stay solvent.

DavidAnnArbor

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Re: What comes after the ACA?
« Reply #2057 on: April 23, 2017, 02:27:19 PM »
Great news analysis about how much bloat there is in health care spending

What jumps out at me is that the US spends 8% of health spending on the administration of it, versus 3% globally. Administration is the paperwork and medical coders and claims administrators.

https://www.nytimes.com/2017/04/22/opinion/sunday/our-costly-addiction-to-health-care-jobs.html?action=click&pgtype=Homepage&clickSource=story-heading&module=opinion-c-col-top-region&region=opinion-c-col-top-region&WT.nav=opinion-c-col-top-region&_r=0

« Last Edit: April 23, 2017, 02:29:37 PM by DavidAnnArbor »

sol

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Re: What comes after the ACA?
« Reply #2058 on: April 23, 2017, 02:35:12 PM »
Great news analysis about how much bloat there is in health care spending

What jumps out at me is that the US spends 8% of health spending on the administration of it, versus 3% globally. Administration is the paperwork and medical coders and claims administrators.

Unfortunately, a 5% improvement is not going to make us competitive with other countries, on healthcare spending.  I mean every little bit helps, I suppose, but I would have thought this was a larger part of the problem.

EnjoyIt

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Re: What comes after the ACA?
« Reply #2059 on: April 23, 2017, 03:53:12 PM »
Great news analysis about how much bloat there is in health care spending

What jumps out at me is that the US spends 8% of health spending on the administration of it, versus 3% globally. Administration is the paperwork and medical coders and claims administrators.

https://www.nytimes.com/2017/04/22/opinion/sunday/our-costly-addiction-to-health-care-jobs.html?action=click&pgtype=Homepage&clickSource=story-heading&module=opinion-c-col-top-region&region=opinion-c-col-top-region&WT.nav=opinion-c-col-top-region&_r=0

I cut of 5% would be welcome.  We spend about $10k per person per year.  On a population of 330 Million that comes to $3.3 Trillion/yr.  a 5% cut would decrease spending by $165 billion which would be some significant savings.  $165 Billion would be more than enough to help supply care for those who can't afford access.

I suspected administrative costs would be higher.  Interesting info and thanks for sharing.

Quote
For every doctor, there are 16 other health care workers. And half of those 16 are in administrative and other nonclinical roles, according to Bob Kocher, a former Obama administration official who worked on the Affordable Care Act and is now a partner in the venture capital firm Venrock.

Also, this does not include the inefficiency that regulation has created in the industry.  What used to takes 1 physician an hour to accomplish now takes much longer which requires more care givers to do the same job and that increases cost as well and not accounted for in the above 8% making the number much larger.
« Last Edit: April 23, 2017, 04:19:13 PM by EnjoyIt »

jim555

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Re: What comes after the ACA?
« Reply #2060 on: April 24, 2017, 03:34:26 AM »
Trump's latest tweet:
"ObamaCare is in serious trouble. The Dems need big money to keep it going - otherwise it dies far sooner than anyone would have thought."

This statement is drenched in dishonesty.  He is threatening to cut off funding for the Silver CSRs due to the House Repubs lawsuit and then he blames the Dems for something he is doing.  Playing games with peoples lives entertains him.  Sorry Donnie get Mexico to pay for that big beautiful wall and stop holding the CSRs hostage for it.

DavidAnnArbor

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Re: What comes after the ACA?
« Reply #2061 on: April 24, 2017, 07:17:05 AM »
Yes the cost sharing reduction is vital to making the insurance and health care affordable.

Lagom

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Re: What comes after the ACA?
« Reply #2062 on: April 25, 2017, 10:59:55 PM »
This is fun. The latest plan includes an exemption for GOP politicians/staffers based in states that opt-out so that they can personally continue to keep the benefits of the ACA. But that doesn't matter because the ACA is still unequivocally a terrible idea amirite??

http://www.msn.com/en-us/news/politics/republicans-exempt-their-own-insurance-from-their-latest-health-care-proposal/ar-BBAnqI1?li=BBnb7Kz


obstinate

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Re: What comes after the ACA?
« Reply #2063 on: April 26, 2017, 08:51:45 PM »
This is fun. The latest plan includes an exemption for GOP politicians/staffers based in states that opt-out so that they can personally continue to keep the benefits of the ACA. But that doesn't matter because the ACA is still unequivocally a terrible idea amirite??

http://www.msn.com/en-us/news/politics/republicans-exempt-their-own-insurance-from-their-latest-health-care-proposal/ar-BBAnqI1?li=BBnb7Kz
I love how each iteration is worse and more extreme than the last.

nereo

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Re: What comes after the ACA?
« Reply #2064 on: April 27, 2017, 07:15:49 AM »
This is fun. The latest plan includes an exemption for GOP politicians/staffers based in states that opt-out so that they can personally continue to keep the benefits of the ACA. But that doesn't matter because the ACA is still unequivocally a terrible idea amirite??

http://www.msn.com/en-us/news/politics/republicans-exempt-their-own-insurance-from-their-latest-health-care-proposal/ar-BBAnqI1?li=BBnb7Kz
I love how each iteration is worse and more extreme than the last.

FWIW - the GOP is looking to undo this loophole after getting some egg on their faces.  Allegedly most didn't realize it was even in there (which seems plausible given how few actually read and understand the actual legislation anymore), and everyone's mum about who put it in there.

(link to article)
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Gin1984

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Re: What comes after the ACA?
« Reply #2065 on: April 27, 2017, 09:51:40 AM »
This is fun. The latest plan includes an exemption for GOP politicians/staffers based in states that opt-out so that they can personally continue to keep the benefits of the ACA. But that doesn't matter because the ACA is still unequivocally a terrible idea amirite??

http://www.msn.com/en-us/news/politics/republicans-exempt-their-own-insurance-from-their-latest-health-care-proposal/ar-BBAnqI1?li=BBnb7Kz
I love how each iteration is worse and more extreme than the last.

FWIW - the GOP is looking to undo this loophole after getting some egg on their faces.  Allegedly most didn't realize it was even in there (which seems plausible given how few actually read and understand the actual legislation anymore), and everyone's mum about who put it in there.

(link to article)
Except that an aide from the Rep who officially wrote it, confirmed THEY knew it was there.  So I'd go with they are lying again.

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DavidAnnArbor

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Re: What comes after the ACA?
« Reply #2066 on: April 27, 2017, 02:54:13 PM »
I don't see how this new version can pass the Senate, and maybe not even the House.

In the meantime the effort to possibly not fund the cost sharing may become the way Trump tries to blow up affordable healthcare act

stoaX

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Re: What comes after the ACA?
« Reply #2067 on: April 27, 2017, 04:55:41 PM »
Single payer government funded/run healthcare in Cali for everyone including illegal immigrants:

https://www.google.com/amp/www.latimes.com/politics/la-pol-sac-single-payer-healthcare-20170426-story,amp.html?espv=1

Doubt it will get very far.

It includes vision and dental too.  That will be one hefty price tag.  The big unknown is how many people will come to the state to get their free healthcare if California doesn't have any rules about who is eligible.

nereo

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Re: What comes after the ACA?
« Reply #2068 on: April 27, 2017, 05:21:53 PM »
Single payer government funded/run healthcare in Cali for everyone including illegal immigrants:

https://www.google.com/amp/www.latimes.com/politics/la-pol-sac-single-payer-healthcare-20170426-story,amp.html?espv=1

Doubt it will get very far.

It includes vision and dental too.  That will be one hefty price tag.  The big unknown is how many people will come to the state to get their free healthcare if California doesn't have any rules about who is eligible.
Finally!  A useful function for Bay Area traffic!
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EnjoyIt

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Re: What comes after the ACA?
« Reply #2069 on: April 27, 2017, 05:23:59 PM »
Single payer government funded/run healthcare in Cali for everyone including illegal immigrants:

https://www.google.com/amp/www.latimes.com/politics/la-pol-sac-single-payer-healthcare-20170426-story,amp.html?espv=1

Doubt it will get very far.

Considering that California is the ranked #44 in fiscal health based on revenue and obligations, I would first make sure I sold all municipal bonds that pertain to California, and I would then consider moving to avoid an even further increase in taxes.  This plan won't be cheap.

Bucksandreds

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Re: What comes after the ACA?
« Reply #2070 on: April 27, 2017, 05:42:53 PM »
This is fun. The latest plan includes an exemption for GOP politicians/staffers based in states that opt-out so that they can personally continue to keep the benefits of the ACA. But that doesn't matter because the ACA is still unequivocally a terrible idea amirite??

http://www.msn.com/en-us/news/politics/republicans-exempt-their-own-insurance-from-their-latest-health-care-proposal/ar-BBAnqI1?li=BBnb7Kz
I love how each iteration is worse and more extreme than the last.

FWIW - the GOP is looking to undo this loophole after getting some egg on their faces.  Allegedly most didn't realize it was even in there (which seems plausible given how few actually read and understand the actual legislation anymore), and everyone's mum about who put it in there.

(link to article)

That's not egg that the Repubs have on their faces. That's billionaire semen. It's part of the whole trickle down economics thing. It trickles down their chins and is part of the payment for those big campaign contributions.

Monkey Uncle

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Re: What comes after the ACA?
« Reply #2071 on: April 27, 2017, 06:56:51 PM »
I don't see how this new version can pass the Senate, and maybe not even the House.

In the meantime the effort to possibly not fund the cost sharing may become the way Trump tries to blow up affordable healthcare act

He backed off of that earlier this week (at least for now).
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Lagom

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Re: What comes after the ACA?
« Reply #2072 on: April 27, 2017, 07:57:00 PM »
Single payer government funded/run healthcare in Cali for everyone including illegal immigrants:

https://www.google.com/amp/www.latimes.com/politics/la-pol-sac-single-payer-healthcare-20170426-story,amp.html?espv=1

Doubt it will get very far.

It includes vision and dental too.  That will be one hefty price tag.  The big unknown is how many people will come to the state to get their free healthcare if California doesn't have any rules about who is eligible.
They'll probably due away with Prop 13 and start taxing homeowners on the REAL value of their houses (so.much.money.). State income tax and sales tax are already pretty high so not too many places to increase unless they place it on (the soon to be fleeing) business or the (soon to be fleeing) wealthy.

Edited: I just read the whole Bill and other then transferring fed money into a state reserve fund didn't see how they planned to fund it. Or how they planned to determine residency (legal or illegal).
http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB562

I don't think this bill is in danger or passing, but either way I seriously doubt the disaster that is Prop 13 will ever be repealed. It's one of those things that every generation will hate until they are finally the old farts paying 75% less in taxes than their young neighbors and then they will fight tooth and nail to keep it.



jim555

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Re: What comes after the ACA?
« Reply #2073 on: May 03, 2017, 06:19:33 PM »
Looks like a House vote tomorrow Thursday, which means they think they have the votes.  Trumpcare 3.0 is an even worse version of the original turd.  Rich folks need their tax cuts!

nereo

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Re: What comes after the ACA?
« Reply #2074 on: May 03, 2017, 07:44:26 PM »
Looks like a House vote tomorrow Thursday, which means they think they have the votes.  Trumpcare 3.0 is an even worse version of the original turd.  Rich folks need their tax cuts!

My personal read is that they are just pea-cocking around right now, saying "we'll vote tomorrow, asbolutely, we are confident, it'll be great!".  Then it'll go like last time, where it gets pulled at the 11th hour with little fanfare.

It's a bit telling when you've got a 23 set majority and you can't even get to 218.  Literally zero support from across the isle and a few dozen (or so) from your own party not even willing to toe the line.
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jim555

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Re: What comes after the ACA?
« Reply #2075 on: May 03, 2017, 08:00:42 PM »
Looks like a House vote tomorrow Thursday, which means they think they have the votes.  Trumpcare 3.0 is an even worse version of the original turd.  Rich folks need their tax cuts!

My personal read is that they are just pea-cocking around right now, saying "we'll vote tomorrow, asbolutely, we are confident, it'll be great!".  Then it'll go like last time, where it gets pulled at the 11th hour with little fanfare.

It's a bit telling when you've got a 23 set majority and you can't even get to 218.  Literally zero support from across the isle and a few dozen (or so) from your own party not even willing to toe the line.
I would like to think you are right.  But they need to do this now due to the way their schedule lays out.  I don't underestimate them, they are not even waiting for the CBO scoring of the bill.

NESailor

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Re: What comes after the ACA?
« Reply #2076 on: May 03, 2017, 08:15:03 PM »
Looks like a House vote tomorrow Thursday, which means they think they have the votes.  Trumpcare 3.0 is an even worse version of the original turd.  Rich folks need their tax cuts!

My personal read is that they are just pea-cocking around right now, saying "we'll vote tomorrow, asbolutely, we are confident, it'll be great!".  Then it'll go like last time, where it gets pulled at the 11th hour with little fanfare.

It's a bit telling when you've got a 23 set majority and you can't even get to 218.  Literally zero support from across the isle and a few dozen (or so) from your own party not even willing to toe the line.

Right?  I love how we've redefined success when led by a guy who's major claim to fame (if we strip the hyperbole) is "I didn't lose my inheritance and managed to slowly grow it (maybe) despite multiple professional bankruptcies".   WINNING!

Anybody here read Kaiser Health News?  Usually a great synopsis of the current topics every morning.  My take on today's synopsis:  This thing is a shitshow and the major challenge is not really repealing it as much as trying to disown any and all consequences of any and all actions related to healthcare.  Some leaders we've elected...

WhiteTrashCash

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Re: What comes after the ACA?
« Reply #2077 on: May 03, 2017, 08:26:28 PM »
The funny thing about this whole situation for me is that unlike many of Trump's voters I have employer-provided health insurance, yet I voted for Clinton to preserve his voters' healthcare because I am a nice person. Now Trump wants to take health insurance subsidies away from millions of his voters to give tax breaks to corporations which will result in stock values increasing. I have invested a bunch in Vanguard, so I'm going to get a piece of the profits across the board.

Put that all together and Trump's voters basically voted to take away the federal subsidies for their own health insurance and give the money to me instead. Well, okay then. Thanks, I guess.

Luck12

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Re: What comes after the ACA?
« Reply #2078 on: May 03, 2017, 08:34:51 PM »
This week I called 15 congressional offices on this awful bill.   Might be too late but the House Rules Committee is accepting comments on this at 202-225-9191, I called in and let a curse word or two in along with several reasons it's a travesty. 

They're just pushing this through quickly so they can pass huge tax cuts for the wealthy faster. 

So I guess we are largely fucked if/when this gets passed by the Senate? 

Tom Perez was right:  Republicans don't give a shit about people. 
« Last Edit: May 03, 2017, 08:36:22 PM by Luck12 »

EscapeVelocity2020

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Re: What comes after the ACA?
« Reply #2079 on: May 03, 2017, 10:52:29 PM »
This probably isn't the right place to be a philosophical asshole, but I can't help it anymore.  I really liked Obamacare, or at least the idea of universal healthcare for all American citizens, although I currently and probably always would pay in to the system and get nothing in return.  Overall, I was invigorated to see a somewhat universal healthcare suddenly become reality, complete with online applications and help centers to move this country forward into the 21st century (or at least give my fellow man what every other first world country has had for decades).  Sadly, it was too fragile; too beautiful for Republicans not to gut.  Like a pinata that can be beaten for years to come, I will now get a cut on my taxes (actually, I get to keep money that I didn't used to give to the government) and I have some protections just in case I do lose my coverage.  Well, I get a nice loophole that I can take bare-bones coverage and then lapse for a while without penalty, then re-apply.  Unfortunately, the whole Republican-ideology of exploiting tax loopholes and lowering taxation is exactly the wrong way to understand universal health care.  So this ultimately is a short fuse set to blow up American healthcare and return to private insurance (the prior inane status quo) as opposed to a thought-through plan to expand medicare and move forward with exchanges.

Oh well, America almost made it into the 21st century.  It had everything going for it (hindsight), but fumbled on the 1 yard line.
Transitioning to FIRE'd albeit somewhat cautiously...

nereo

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Re: What comes after the ACA?
« Reply #2080 on: May 04, 2017, 06:05:09 AM »
 
So I guess we are largely fucked if/when this gets passed by the Senate? 

Well I think that's where it gets really interesting (from a armchair politics standpoint). IF it gets voted on and passes to the senate it'll be debated upon, tweaked etc.  There are several republican senators that are likely not to support the bill in its current form (Collins (ME) comes to mind).  So my bet is the senate will either modify it heavily or kill it outright.  Since the senate by design moves slower than the house (as it should be) the CBO will be able to 'score' the present bill, which I doubt will be good news for the GOP. If the senate restructures the bill to be more moderate with more generous subsides that will piss off the freedom caucus who are most concerned with shrinking the budget obligations than anything else.

Democrats right now if it passes in the house but gets killed (or restructured) in the senante.  Those attack ads for vulnerable house seats will practically write themselves.

My money is still on this being pulled sometime this afternoon and disavowed like some bastard child.

Personally, I'm miffed at this whole thing. There are some reasonable flaws with the ACA that could have been addressed either with modification or repeal/replace. Seven years - I had hoped the plan put forth would have been far more thought out.  Instead its being rushed through with last minute sweeteners ($5B... no $8B for the risk pools!) just to get enough votes from the main party. The legislative rush seems designed more to outrun analyses (by the CBO and moderate/liberal interest groups) than because of any national urgent need to change the system we have right this very second. Sigh.
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thenextguy

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Re: What comes after the ACA?
« Reply #2081 on: May 04, 2017, 10:31:19 AM »
The funny thing about this whole situation for me is that unlike many of Trump's voters I have employer-provided health insurance, yet I voted for Clinton to preserve his voters' healthcare because I am a nice person.

The Republican bill could impact your employer-provided insurance, too.

Luck12

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Re: What comes after the ACA?
« Reply #2082 on: May 04, 2017, 10:42:17 AM »
The funny thing about this whole situation for me is that unlike many of Trump's voters I have employer-provided health insurance, yet I voted for Clinton to preserve his voters' healthcare because I am a nice person.

The Republican bill could impact your employer-provided insurance, too.

Yep.  I don't entirely blame people for not knowing the full ramifications of this since they're rushing this so quickly.  Lifetime and annual max benefits only apply to essential benefits.  Change the definition of essential benefits and you end up with neutred elimination of lifetime and annual max.  Means higher chance of bankruptcy even with employer coverage should you surive cancer, stroke, etc.   

Also, "selling across state lines" essentially means we'll have the "Delaware of health insurance", race to the bottom type of situation.   

NESailor

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Re: What comes after the ACA?
« Reply #2083 on: May 04, 2017, 10:48:59 AM »
The funny thing about this whole situation for me is that unlike many of Trump's voters I have employer-provided health insurance, yet I voted for Clinton to preserve his voters' healthcare because I am a nice person.

The Republican bill could impact your employer-provided insurance, too.

Yep.  I don't entirely blame people for not knowing the full ramifications of this since they're rushing this so quickly.  Lifetime and annual max benefits only apply to essential benefits.  Change the definition of essential benefits and you end up with neutred elimination of lifetime and annual max.  Means higher chance of bankruptcy even with employer coverage should you surive cancer, stroke, etc.   

Also, "selling across state lines" essentially means we'll have the "Delaware of health insurance", race to the bottom type of situation.

Let's start a pool.  My vote is it'll be Kentucky - the new preferred health insurance domicile.

JayhawkRacer

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Re: What comes after the ACA?
« Reply #2084 on: May 04, 2017, 10:57:19 AM »
The funny thing about this whole situation for me is that unlike many of Trump's voters I have employer-provided health insurance, yet I voted for Clinton to preserve his voters' healthcare because I am a nice person. Now Trump wants to take health insurance subsidies away from millions of his voters to give tax breaks to corporations which will result in stock values increasing. I have invested a bunch in Vanguard, so I'm going to get a piece of the profits across the board.

Put that all together and Trump's voters basically voted to take away the federal subsidies for their own health insurance and give the money to me instead. Well, okay then. Thanks, I guess.

This is exactly how I feel. Tons of people voted against their best interests. Myself included. I just voted to support those less fortunate than me, and Trump voters voted to support those more fortunate than themselves.

Trudie

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Re: What comes after the ACA?
« Reply #2085 on: May 04, 2017, 11:04:04 AM »
Since Trump was elected I have called my Representative -- a member of the Freedom Caucus -- on health care no fewer than ten times.  This morning I actually got through to his Washington, D.C. office and also left a message at his local office.  A staffer called me back and what ensued was a ten-minute (albeit, civil) debate about health care reform.  I repeatedly pointed out that the tactics the Republicans were taking had a decidedly "back room" feel to it.  That by saying we are "reading and studying the bill," yet rushing it through without much debate nor -- most importantly -- scoring by the CBO it's a bad deal.  Not only for the people who will have to live under it, but for the Republicans politically who advanced it.  He wanted to argue that the passage of Obamacare was equally non-transparent, to which I encountered, "To the contrary, I remember over a year of public debate."  They do not care.

His one question, "Are you on Obamacare now?"  My answer, "No.  But we hoped to be in the next five years."  As if there aren't enough other poison pills in the bill that affect everyone else, including those on employer-provided insurance.

I provided my own personal story, about my husband who has a form of rheumatoid arthritis.  According to recent actuarial estimates we wpuld pay an additional $32K per year in additional premiums under the AHCA.  That's not affordable health care.

The staffer countered with, "Well, with high risk pools you'll never have to pay that."  My response:  "Yes - these high risk pools which, theoretically might be a workable idea if they were actually funded, if we have a CBO score, if we knew we wouldn't have a waiting list, and if we knew our state wouldn't gut protections leaving us out in the cold anyway."

There are just too many unanswered questions and they have moved in a very impulsive fashion.  It never ceases to amaze me how much they are willing to risk the health and well-being of a significant portion of our citizens to score political points.  I admit that Obamacare needs reform -- but this is political hackery.

PathtoFIRE

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Re: What comes after the ACA?
« Reply #2086 on: May 04, 2017, 11:17:06 AM »
Since gutting the ACA is needed in order to later provide the level of permanent tax cuts that are being sought, based on Senate rules regarding reconciliation and filibuster, this provides a good argument for encouraging the Senate Republicans to go ahead and ditch the legislative filibuster as well. In that situation, I do wonder if the appetite for health care re-reform would disappear for all but the true ideologues.

nereo

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Re: What comes after the ACA?
« Reply #2087 on: May 04, 2017, 11:21:33 AM »
Thanks for sharing, and for calling your rep in the first place.
My rep ran as an unopposed democrat, so there's not much that will change by me calling him.

I totally agree about this ridiculous rush to a vote. They're hoping that most won't remember the lengthy process to get the ACA passed (and to some extent they're probably right - memories are short and easily maleable).  Regardless, it jsut makes no damn sense to push forward now vs waiting another 7-10 days.  Even from a GOP perspective I wouldn't want my vote recorded before the CBO and several high profile (AARP, AMA, etc) have had a chance to weigh in.

There's a saying in law; never ask a question you don't know the answer to. 
Right now the GOP is being asked to vote when they don't know the CBO's answer (but they already suspect it will be very bad for them).

It seems their best hope is that the bill will be so modified by the Senate that it won't even resemble what they are sending out.  Of course, if I were a GOP Senator I'd be effin' pissed to have something so rank thrown up on my doorstep. 
Here's a turd, now turn it into a chocolate cake that we can all eat! ... and do it fast!
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NESailor

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Re: What comes after the ACA?
« Reply #2088 on: May 04, 2017, 11:34:44 AM »


It seems their best hope is that the bill will be so modified by the Senate that it won't even resemble what they are sending out.  Of course, if I were a GOP Senator I'd be effin' pissed to have something so rank thrown up on my doorstep. 
Here's a turd, now turn it into a chocolate cake that we can all eat! ... and do it fast!

I think it's everyone's best hope honestly.  The main reason being is that large swaths of the population have swallowed such immense amounts of anti-Obamacare Kool Aid that we cannot have an adult conversation about the topic anymore.

Lagom

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Re: What comes after the ACA?
« Reply #2089 on: May 04, 2017, 11:35:09 AM »
Btw, the exemption for reps and their staff is still in this bill. But don't worry, they'll get to it later...

http://thehill.com/homenews/senate/331867-republicans-can-exempt-themselves-from-obamacare-rollbacks-in-new-legislation?rnd=1493866040

I really struggle to see the strategy here. I can't believe they actually hope that this bill goes the distance. Is there any way that doesn't lead to a total massacre at the midterms?

My best guess is they hope the Senate changes it to the point that it's relatively not terrible (at least not obviously) and then they can go into the midterms claiming some kind of YUGE victory in the healthcare debate.

nereo

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Re: What comes after the ACA?
« Reply #2090 on: May 04, 2017, 11:53:14 AM »
The more time passes, the more brilliant John Boehner's calculated decision to exit at that particular time seems to me.
"...there's a blue bird on my shoulder..."
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nereo

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Re: What comes after the ACA?
« Reply #2091 on: May 04, 2017, 11:54:15 AM »
...and the vote is on! (so I'm already wrong there...)
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bacchi

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Re: What comes after the ACA?
« Reply #2092 on: May 04, 2017, 12:07:15 PM »
Looks like it'll be on party lines. <-- the vote on exempting Congress, that is. I'm sure the R&R bill will be the same.

Who decides what is a pre-existing condition? Is asthma?
« Last Edit: May 04, 2017, 12:09:03 PM by bacchi »

protostache

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Re: What comes after the ACA?
« Reply #2093 on: May 04, 2017, 12:10:17 PM »
Looks like it'll be on party lines. <-- the vote on exempting Congress, that is. I'm sure the R&R bill will be the same.

Who decides what is a pre-existing condition? Is asthma?

The insurance companies, of course.

And yes of course asthma is a pre-existing condition. If you've ever made any claim to any insurance plan ever outside of a yearly checkup and a flu shot, that's going to be a pre-existing condition. (hyperbole, but not much)

nereo

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Re: What comes after the ACA?
« Reply #2094 on: May 04, 2017, 12:13:40 PM »
Looks like it'll be on party lines. <-- the vote on exempting Congress, that is. I'm sure the R&R bill will be the same.

Who decides what is a pre-existing condition? Is asthma?
The insurer with whatever restrictions the bill (written by congress) dictates. 
The Kaiser foundation wrote a white paper about the differences between the ACA and the current version of the AHCA.
By their estimate 52MM people (roughly 27%) of the US can be labeled as having a 'pre-existing condition".
Quote
The potentially medically eligible population in high-risk pool states was likely much larger.  A Kaiser Family Foundation study found that 27% of adults under the age of 65 have health conditions that, prior to the ACA,  would have rendered them uninsurable if they had sought coverage in the non-group market.
http://kff.org/health-reform/issue-brief/high-risk-pools-for-uninsurable-individuals/
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bacchi

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Re: What comes after the ACA?
« Reply #2095 on: May 04, 2017, 12:14:59 PM »
And many of those states with the highest pre-existing conditions voted for Trump.

It is a nail biter! Some Repubs have voted nay.

bacchi

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Re: What comes after the ACA?
« Reply #2096 on: May 04, 2017, 12:18:12 PM »
Whoa...it's gonna fail. Wow, unexpected. Nm. Fuuuuck.
« Last Edit: May 04, 2017, 12:20:26 PM by bacchi »

Lagom

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Re: What comes after the ACA?
« Reply #2097 on: May 04, 2017, 12:19:31 PM »
Whoa...it's gonna fail. Wow, unexpected.

Looks to me like it passed?

NESailor

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Re: What comes after the ACA?
« Reply #2098 on: May 04, 2017, 12:21:48 PM »
And the Chief tweets...

"Insurance companies are fleeing ObamaCare - it is dead. Our healthcare plan will lower premiums & deductibles - and be great healthcare!"  (emphasis mine).

Totally baffling.  Any self-respecting reporter should keep asking him to explain this stuff:  Question:.... Nonsensical Answer.... Same question...nonsensical answer...same question.   Every. Single. One.   Until he either gets the message or people (slowly) realize he does not have all his marbles.

OurTown

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Re: What comes after the ACA?
« Reply #2099 on: May 04, 2017, 12:23:07 PM »
How many of us will be working to age 65 now?