Sell me on Trump's Healthcare vision

It is not Obama care

Sold

Its not Obamacare

/thread

The biggest weakness of American healthcare is that the government pays for food that poor people eat. That food makes them unhealthy so the government has to pay for their healthcare. Because the government can they only minimally reimburse pharmacies, hospitals, and Doctors offices. They actually pay them much less than they would get from a private insurer. This means the pharmacies, hospitals, and doctor's offices have to make up that loss in money somewhere and it comes mostly from people with private insurance. They jack those prices us to make up for the loss they were forced to take by dealing with medicaid patients.

There is no plan. Everything is in "wait and see" mode right now.

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Its not Obamacare

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Obamacare is total shite, no question. But I'm saying something like the UK's NHS.

My first impression on why these systems are so loved in their countries is because basic health issues are taken care of with 0 cost.

Is it really that difficult to get critical care in these countries?

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There are some good parts of Obamacare.

I would keep like 20% of it. But remove the portion first stating everyone has to be insured under penalty if they aren't.

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Imagine if they would have compromised with Republicans before passing it. Clinton may be the next president.
Hindsight

Regarding govt health care- it's great unless or until you need it. Since 85% of any population has low need for health care at any given time, the approval #'s will always look OK.

There are businesses in Canada who take people to the US for treatment they can't get at home. One woman had a 6 month wait for a diagnostic test, problem was if she had the condition for which the diagnosis was needed she'd be dead.

US health care is a mess. Repealing Obamacare and increased competition will help but by no means cure the system.

About the only thing I think will move the needle, and is gaining traction, are medical plans that work like dental coverage. Need an ACL repair, you get $15K. Go anywhere you want, but pay the difference. Find a place that does it for $10K, pay ded.

Can't sell you on Trump's plan because I don't think he's clearly outlined one.

i've heard people say he is keeping pre existing conditions but don't know for sure.

Competition is huge in any product on the market. Supply and demand is not limited to only tangible products. This is why some states with only one Obamacare provider have noted healthcare going through the roof--the competition has essential left for that part of the market and the pendulum has swung to demand. Duh, right?

Insurance is huge business and they make millions and millions of dollars every year. If you don't believe this, look up the salaries of the CEOs from each of the big insurer, this will become clear. Unfortunately, they still make a ton of money off Obamacare since many have been forced to buy coverage as a portion of this tax masquerading as a program where those with really good health and low consumption pay for everyone else. Insurance will always be for-profit and salaries of executives will be massive, and I'm okay with this for the most part. A 66 million dollar salary split down to the insured on a major plan won't even lower everyone's premiums by a dollar a month.

In addition, I am in healthcare and came up through the Louisiana Charity system. Many consumers made eligible via Obamacare (subsidies, Medicaid expansion) don't appreciate what they get because it's always been free or highly discounted. It was upsetting on my end. Pay was bad on the provider side, so retaining physicians/nurses/etc was difficult and made wait times worse because of poor retention. Universal healthcare coverage will amplify this and is seen in Canada and other countries. I see this being more widespread with a universal system. Stays bad for those who have been uninsured in the past, gets worse for those who have been insured.

Despite the hope, there is no way to make healthcare efficient and of the highest quality for everyone. It's just not achievable. I don't have a solution, just the realization that it's not going to be the perfect system that everyone thinks it will be.