Author Topic: What comes after the ACA?  (Read 471373 times)

fuzzy math

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Re: What comes after the ACA?
« Reply #4050 on: January 06, 2018, 09:45:06 AM »
I hate to agree with EnjoyIt on anything but I have to agree with him here. 

I almost fell over reading this.


A patient gets coronary stents in one of two ways.
1) They show up in an emergency department with a heart attack
2) They have angina, get a stress test or coronary angiogram, or sometimes both which shows significant vessel disease and then they get scheduled for a stent with the goal of preventing a heart attack.

Uum what? You think patients are having angiograms and then being taken out of the cath lab, woken up and told they have blockages, so they can then consent to go back to the cath lab to receive a stent or a balloon angioplasty? Are you insane? Every consult I've seen allows the cardiologist to just balloon or stent at the time of the angiogram. If you're referring to CT angiograms, they are by far not the norm yet in most hospital settings.
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EnjoyIt

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Re: What comes after the ACA?
« Reply #4051 on: January 06, 2018, 03:45:01 PM »
I hate to agree with EnjoyIt on anything but I have to agree with him here. 

I almost fell over reading this.


A patient gets coronary stents in one of two ways.
1) They show up in an emergency department with a heart attack
2) They have angina, get a stress test or coronary angiogram, or sometimes both which shows significant vessel disease and then they get scheduled for a stent with the goal of preventing a heart attack.

Uum what? You think patients are having angiograms and then being taken out of the cath lab, woken up and told they have blockages, so they can then consent to go back to the cath lab to receive a stent or a balloon angioplasty? Are you insane? Every consult I've seen allows the cardiologist to just balloon or stent at the time of the angiogram. If you're referring to CT angiograms, they are by far not the norm yet in most hospital settings.

Of course not. I meant CT angio and you are correct that they are not offered everywhere. I practice in a big city and I see it used often enough.

Yes stenting or balloon angioplasty happens at the time of the acath lab angiogram. I have seen a few times a cardiologist place a stent in the worst vessel during an emrgency and then reschedule again for a future angiogram to open up the other vessels. This could happen if the first stent was difficult and they do not want to exceed the dye load/radiation load, or the patient is unstable for other reasons. I suspect maybe some do it to pad the billing which is unscrupulous in my opinion.

Monkey Uncle

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Re: What comes after the ACA?
« Reply #4052 on: January 15, 2018, 08:23:21 AM »
Looks like the Republicans' next target may be the employer mandate:

http://www.msn.com/en-us/news/politics/individual-mandate-now-gone-gop-targets-the-one-for-employers/ar-AAuGUsV

I think this would actually be a good thing because it likely would generate new business for the exchanges and help diversify the risk pool.

Of course the people who would get screwed by this move are more of the same people who are currently getting screwed: upper middle class workers who make too much to qualify for ACA tax credits.
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iris lily

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Re: What comes after the ACA?
« Reply #4053 on: January 15, 2018, 09:11:56 AM »
Looks like the Republicans' next target may be the employer mandate:

http://www.msn.com/en-us/news/politics/individual-mandate-now-gone-gop-targets-the-one-for-employers/ar-AAuGUsV

I think this would actually be a good thing because it likely would generate new business for the exchanges and help diversify the risk pool.

Of course the people who would get screwed by this move are more of the same people who are currently getting screwed: upper middle class workers who make too much to qualify for ACA tax credits.

You guys are already on the chopping block. Forgetabout the 1%, it is now the top tier of upper-middles who are in line to receive societal wrath.

The book Dream Hoarders: How the American Upper Middle Class is leaving Everyone Else in the Dust, Why that is a Problem, and What to Do About it   lays out the case as to why “income inequality” is killing America.

By the way, this author defines his target group at a household income of $112,000.

I am so happy to be out of the line of fire now that we are FIRED. Our income is $30,000 annually and there aint no way the social justice warriors will be coming after us, based on this income, while I am still alive.

I read only the first chapter of this book  and may soon abandon it. It makes me laugh. The author earnestly explained how I as a former target group member (before I retired doncha know) deliberately kept birth control out of the hands of those who need it.

I cant even make this stuff up.

He also commits sins of the Eastern Seaboard Elite where he dwells on the problems of rich people guarding coveted positions in exclusive schools, holding them hostage to those of their class. Others cannot break into that world! Tragic!

Dude, Come join me in  flyover country where State U is fine for us, we dont GAF about getting into The Right Schools. And imagine this, we manage to earn enough with our paltry State U degrees to break the Upper Middle Class barrier. Of course, we will never participate in  other societal norms that also Eastern Seaboard Elites consider de rigour such as fencing lessons and summer houses on the Cape.

This crap makes me crazy. I do forgive the author somewhat, he was raised in
England. Class distinction is part of his upbringing and he is comfortable in a world where it exists regardless of his claim otherwise.
« Last Edit: January 15, 2018, 09:49:45 AM by iris lily »

Exflyboy

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Re: What comes after the ACA?
« Reply #4054 on: January 15, 2018, 09:19:09 AM »
One great thing about being FIRED.. Don't like the income group your in? Simply change it..:)

iris lily

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Re: What comes after the ACA?
« Reply #4055 on: January 15, 2018, 09:50:03 AM »
One great thing about being FIRED.. Don't like the income group your in? Simply change it..:)
so cool, agreed!

Mr. Green

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Re: What comes after the ACA?
« Reply #4056 on: January 26, 2018, 06:42:43 AM »
http://amp.slate.com/news-and-politics/2018/01/idaho-ignoring-obamacare-pre-existing-condition-rules.html

This is a bummer. Hopefully nothing comes of it but it could open the floodgates.
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DavidAnnArbor

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Re: What comes after the ACA?
« Reply #4057 on: January 26, 2018, 07:22:25 AM »
http://amp.slate.com/news-and-politics/2018/01/idaho-ignoring-obamacare-pre-existing-condition-rules.html

This is a bummer. Hopefully nothing comes of it but it could open the floodgates.

Disturbing. and everyone is temporarily able-bodied, everyone in Idaho should ponder their future health care needs.

jim555

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Re: What comes after the ACA?
« Reply #4058 on: January 26, 2018, 07:47:16 AM »
http://amp.slate.com/news-and-politics/2018/01/idaho-ignoring-obamacare-pre-existing-condition-rules.html

This is a bummer. Hopefully nothing comes of it but it could open the floodgates.
That would be immediately challenged in court since it is illegal.

Mr. Green

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Re: What comes after the ACA?
« Reply #4059 on: January 26, 2018, 11:02:24 AM »
http://amp.slate.com/news-and-politics/2018/01/idaho-ignoring-obamacare-pre-existing-condition-rules.html

This is a bummer. Hopefully nothing comes of it but it could open the floodgates.
That would be immediately challenged in court since it is illegal.
The article says the enforcing body is DHHS. I suppose it wouldn't matter if it was illegal if DHHS was going to overlook that fact, and judging from the actions of the DHHS over the past year it wouldn't surprise me if they turned a blind eye.
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bacchi

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Re: What comes after the ACA?
« Reply #4060 on: January 26, 2018, 11:16:41 AM »
http://amp.slate.com/news-and-politics/2018/01/idaho-ignoring-obamacare-pre-existing-condition-rules.html

This is a bummer. Hopefully nothing comes of it but it could open the floodgates.

Ffs. We can't have anything good without some money grubbing asshole fucking things up.

No worries, though. It's a temporary problem that'll be fixed in 2020, at the latest.

Mr. Green

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Re: What comes after the ACA?
« Reply #4061 on: January 26, 2018, 11:30:50 AM »
http://amp.slate.com/news-and-politics/2018/01/idaho-ignoring-obamacare-pre-existing-condition-rules.html

This is a bummer. Hopefully nothing comes of it but it could open the floodgates.

Ffs. We can't have anything good without some money grubbing asshole fucking things up.

No worries, though. It's a temporary problem that'll be fixed in 2020, at the latest.
You really think so? I'm not holding my breath.
Took the leap in June 2016.

Inaya

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Re: What comes after the ACA?
« Reply #4062 on: January 26, 2018, 11:47:40 AM »
Hey now, I'm sure the insurance companies will do the right thing and not charge extra for preexisting conditions just because they can and will make money doing so.

Just like the cable companies won't throttle consumers' Internet or create fast lanes now that Net Neutrality is gone.
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tyort1

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Re: What comes after the ACA?
« Reply #4063 on: January 26, 2018, 12:09:27 PM »
Hey now, I'm sure the insurance companies will do the right thing and not charge extra for preexisting conditions just because they can and will make money doing so.

Just like the cable companies won't throttle consumers' Internet or create fast lanes now that Net Neutrality is gone.

But what's good for business is good for America, dontchanknow?  /snark
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ketchup

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Re: What comes after the ACA?
« Reply #4064 on: January 26, 2018, 03:38:47 PM »
http://amp.slate.com/news-and-politics/2018/01/idaho-ignoring-obamacare-pre-existing-condition-rules.html

This is a bummer. Hopefully nothing comes of it but it could open the floodgates.
That would be immediately challenged in court since it is illegal.
Ehh.  It's tricky.  Pot is still "illegal" federally; it's just not enforced anymore in certain states that have "legalized" it.  Laws have to be enforced to really be laws.

jim555

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Re: What comes after the ACA?
« Reply #4065 on: January 26, 2018, 04:15:06 PM »
http://amp.slate.com/news-and-politics/2018/01/idaho-ignoring-obamacare-pre-existing-condition-rules.html

This is a bummer. Hopefully nothing comes of it but it could open the floodgates.
That would be immediately challenged in court since it is illegal.
Ehh.  It's tricky.  Pot is still "illegal" federally; it's just not enforced anymore in certain states that have "legalized" it.  Laws have to be enforced to really be laws.
Insurance companies come under State and Federal regulations.  They will be brought into a Federal court for writing a policy that violates the ACA.

talltexan

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Re: What comes after the ACA?
« Reply #4066 on: February 05, 2018, 01:00:19 PM »
http://amp.slate.com/news-and-politics/2018/01/idaho-ignoring-obamacare-pre-existing-condition-rules.html

This is a bummer. Hopefully nothing comes of it but it could open the floodgates.

Ffs. We can't have anything good without some money grubbing asshole fucking things up.

No worries, though. It's a temporary problem that'll be fixed in 2020, at the latest.

I think this is meant to imply that Trump will certainly lose re-election in 2020. I don't want to derail the thread, but that is far from certain. Very, very far. Thirty-three months feels like an eternity these days, and conditions can very quickly swing in Trump's favor. Obama looked very week in early 2010, and he was able to defeat Romney.

Mr. Green

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Re: What comes after the ACA?
« Reply #4067 on: February 14, 2018, 04:32:55 PM »
Here we go! Blue Cross of Idaho is taking the state up on its proposition and will begin offering insurance plans that do not meet ACA requirements. They will cap the yearly maximum benefit and will not cover pre-existing conditions. I have money that says DHHS does not challenge Idaho's decision to violate the law.

http://www.businessinsider.com/trump-idaho-obamacare-battle-2018-2?r=UK&IR=T
« Last Edit: February 14, 2018, 04:36:25 PM by Mr. Green »
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farmecologist

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Re: What comes after the ACA?
« Reply #4068 on: February 15, 2018, 07:42:47 AM »
http://amp.slate.com/news-and-politics/2018/01/idaho-ignoring-obamacare-pre-existing-condition-rules.html

This is a bummer. Hopefully nothing comes of it but it could open the floodgates.

Ffs. We can't have anything good without some money grubbing asshole fucking things up.

No worries, though. It's a temporary problem that'll be fixed in 2020, at the latest.

I think this is meant to imply that Trump will certainly lose re-election in 2020. I don't want to derail the thread, but that is far from certain. Very, very far. Thirty-three months feels like an eternity these days, and conditions can very quickly swing in Trump's favor. Obama looked very week in early 2010, and he was able to defeat Romney.

Exactly...I worry when anyone has even a hint of certainty when talking about elections.   People sure have a short memory...nobody...and I mean nobody...thought Trump would win in 2016!

Also, if you look on http://fivethirtyeight.com/ Trump's approval rating is creeping up.  This absolutely boggles my mind but they must be doing a better job at appealing to their base.




iris lily

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Re: What comes after the ACA?
« Reply #4069 on: February 15, 2018, 08:13:06 AM »
http://amp.slate.com/news-and-politics/2018/01/idaho-ignoring-obamacare-pre-existing-condition-rules.html

This is a bummer. Hopefully nothing comes of it but it could open the floodgates.

Ffs. We can't have anything good without some money grubbing asshole fucking things up.

No worries, though. It's a temporary problem that'll be fixed in 2020, at the latest.

I think this is meant to imply that Trump will certainly lose re-election in 2020. I don't want to derail the thread, but that is far from certain. Very, very far. Thirty-three months feels like an eternity these days, and conditions can very quickly swing in Trump's favor. Obama looked very week in early 2010, and he was able to defeat Romney.

Exactly...I worry when anyone has even a hint of certainty when talking about elections.   People sure have a short memory...nobody...and I mean nobody...thought Trump would win in 2016!

Also, if you look on http://fivethirtyeight.com/ Trump's approval rating is creeping up.  This absolutely boggles my mind but they must be doing a better job at appealing to their base.

BS to the bolded. Even one on your team knew Trump would win

https://michaelmoore.com/
Moore has a good, and impassioned, speech about this on YouTube if you prefer your infotainment in video form.

And he is predicting a  2020 sweep by Trump.

“Its the economy stupid*”

* This is an old political saw from President Clinton’s term,, not an ad hominem attack on anyone here.



nereo

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Re: What comes after the ACA?
« Reply #4070 on: February 15, 2018, 10:34:43 AM »
We've got ~30 months before the next presidential election, which is an eternity in politics. 32 months prior to his failed reelection campaign Bush Sr. looked unbeatable with an ~80% approval rating. At a similar point Reagan, 'W' & Clinton all looked vulnerable, but each won re-election (with Clinton & Reagan winning in landslides).

As for the latest uptick of approval for DJT - he and congress finally passed a large bill (the tax-overhaul).  Whether you agree with it or not, that's why his approval has gone up a few percent. We have no idea at present who his opponent will be, whether the economy will be doing well and how many more major pieces of legislation might be signed by DJT.  time will tell.

Back on topic:DJT's latest budget request renewed calls for teh Graham-Cassidy bill which does away with the pre-existing protections and reduces funding for medicaid.
http://thehill.com/policy/healthcare/373435-trump-budget-seeks-savings-through-obamacare-repeal
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talltexan

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Re: What comes after the ACA?
« Reply #4071 on: February 19, 2018, 07:41:53 AM »
Part of what made Clinton look so vulnerable going into 1996 was the shellacking that team Gingrich orchestrated in the 1994 midterms. We simply don't know yet whether Democrats will be able to deliver that kind of victory this year. Some indicators are lining up positively for them, but some also are not.