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Message
re: Leaked GOP replacement plan for Obamacare shrinks subsidies, Medicaid expansion
Posted on 2/25/17 at 8:32 am to Bench McElroy
Posted on 2/25/17 at 8:32 am to Bench McElroy
Under this plan, Bill Gates at 61 would get the largest tax credit available. A 45 year-old mother of 2 working 2 jobs would get a smaller credit than him.
Won't pass.
Won't pass.
0
Posted on 2/25/17 at 8:40 am to Bench McElroy
quote:
The plan also includes a “per capita cap” for Medicaid, which imposes a per-person cap on federal spending on Medicaid.
This is nothing new in the insurance world. My wife has spousal coverage through my former employer. She is 62. According to her policy her insurance will pay up to only $129 grand in benefits until she reaches 65. Whoopee. We had to purchase additional insurance that cost $220 a month for an additional $500 grand of coverage. With my going on Medicare in four days, her premium skyrocketed to $965 per month for the same coverage.
Point being, there are limitations within the private sector of health insurance also.
Posted on 2/25/17 at 8:41 am to Isabelle81
quote:
If pharma didn't spend as much money as they do advertising, drugs wouldn't cost as much as they do.
Let's first assume that the theory of capitalism (with the idea that informed consumers is a good thing) is indeed false as you implicitly posit above.
Let's then also assume that you are correct in saying advertising drives the cost of pharmaceuticals.
How much money would be saved by completely removing the marketing aspect of pharmaceuticals? In 2016, the U.S. spent $425B on drugs. Well under $30B of that was marketing costs. Of that $30B, the vast majority was spent in marketing directly to physicians. Less than $5B was spent in DTC or direct-to-consumer marketing.
Charitably assuming that your proposal would work (eliminating all marketing expenses), the cost of pharmaceuticals would drop by well under 10%.
Posted on 2/25/17 at 8:47 am to the808bass
quote:
Charitably assuming that your proposal would work (eliminating all marketing expenses), the cost of pharmaceuticals would drop by well under 10%.
Well, in fairness the advertising induces patients to demand those drugs and go doctor shopping if necessary, so we would also see savings from reduced utilization of expensive name brand drugs.
You'd still have constitutional issues unless you used some type of reward for companies that agreed to refrain from advertising to the general public. Like making the non-advertised drugs preferred under government plans.
Posted on 2/25/17 at 8:50 am to Bestbank Tiger
quote:
Well, in fairness the advertising induces patients to demand those drugs and go doctor shopping if necessary, so we would also see savings from reduced utilization of expensive name brand drugs.
False. A large chunk of that advertising is over-the-counter drugs which results in no doctor shopping and actually drives up generic utilization.
There would be some savings from the proposal using your interpretation which I would submit would be offset by a reduction in OTC usage.
Posted on 2/25/17 at 8:54 am to Bench McElroy
So we're still going to subsidize healthcare...and will they raise taxes on all Americans with tariffs? So conservative! 
Posted on 2/25/17 at 9:27 am to cwill
quote:
So we're still going to subsidize healthcare.
Pretty much, but it's just not the dirty arse poors that get subsidized.
Posted on 2/25/17 at 9:29 am to Bench McElroy
Rip the bandaid, that's all...
Posted on 2/25/17 at 9:30 am to Bench McElroy
Not one mention of what I consider to be one of the real problems.
SKY HIGH doctor and hospital charges. More focus should be placed on getting a handle on that.
SKY HIGH doctor and hospital charges. More focus should be placed on getting a handle on that.
Posted on 2/25/17 at 9:33 am to Tigerswillprevail
quote:
SKY HIGH doctor and hospital charges. More focus should be placed on getting a handle on that.
Too much "free" money in the system.
Posted on 2/25/17 at 9:36 am to Bench McElroy
Government needs to get out of the health insurance industry. This doesn't do that.
Posted on 2/25/17 at 9:41 am to Tigerswillprevail
quote:
SKY HIGH doctor and hospital charges. More focus should be placed on getting a handle on that.
Tell us more about this. How does Medicare reimburse hospital costs?
Posted on 2/25/17 at 9:46 am to cwill
quote:
SKY HIGH doctor and hospital charges
Has no clue!! ^^
Posted on 2/25/17 at 9:51 am to Bench McElroy
I cant believe you guys thought they would repeal ObamaCare.
Posted on 2/25/17 at 9:52 am to Tigerdev
quote:
they would repeal ObamaCare.
And I can't believe you thought Obamacare would work.
Posted on 2/25/17 at 9:55 am to the808bass
Apparently it worked well enough that true repeal is considered politically untenable.
Dont be upset with me because once again the republicans gave you lip service and you lapped it up like a hungry puppy.
Dont be upset with me because once again the republicans gave you lip service and you lapped it up like a hungry puppy.
Posted on 2/25/17 at 9:58 am to Tigerdev
quote:
Apparently it worked well enough that true repeal is considered politically untenable.
Have you considered that it was shoved thru as a bad plan on purpose because rolling it back would be impossible? This was always the goal of Obamacare.
Posted on 2/25/17 at 9:59 am to Tigerdev
Link to where I lapped it up? I was unconvinced the leadership had enough spine to do what was best for the market.
And Obamacare was, is and will be a failure.
And Obamacare was, is and will be a failure.
Posted on 2/25/17 at 10:00 am to NikolaiJakov
quote:
Government needs to get out of the health insurance industry
This. Once you ley Gov't in, they own your arse, and no real freedom can exist in this paradigm, no matter what you think you know..
Posted on 2/25/17 at 10:10 am to SoulGlo
quote:
There is nothing that can be come up with that is everybody is going to be happy with.
Yes. Like Obamacare.
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