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The biggest flaw with ObamaCare...
Posted on 1/13/17 at 10:05 am
Posted on 1/13/17 at 10:05 am
Depending on private corporations to make a government program successful.
Why did they think for-profit corporations such as UnitedHealth, Cigna, Anthem, etc. would be willing to take a hit to their profits in order to support a government welfare program?
A better solution would have been to come up with a hybrid version of medicaid into which poor folks and those with pre-existing conditions could have bought into according to their means.
Why did they think for-profit corporations such as UnitedHealth, Cigna, Anthem, etc. would be willing to take a hit to their profits in order to support a government welfare program?
A better solution would have been to come up with a hybrid version of medicaid into which poor folks and those with pre-existing conditions could have bought into according to their means.
13
Posted on 1/13/17 at 10:07 am to Eli Goldfinger
quote:
The biggest flaw with ObamaCare...
Giving the Federal gov the power to demand citizens buy a product they have no interest in or face the IRS.
Posted on 1/13/17 at 10:08 am to Eli Goldfinger
It was designed to fall
Posted on 1/13/17 at 10:08 am to Eli Goldfinger
The biggest flaw is the mfer don't work.
Posted on 1/13/17 at 10:10 am to Eli Goldfinger
The biggest flaw is that it takes the economic laws of Supply and Demand and shits all over them. Then they wonder why costs are skyrocketing.
Posted on 1/13/17 at 10:14 am to joshnorris14
quote:
It was designed to fall
I truly believe this is the case. What I don't understand is why the insurance companies were all on board for it when it was basically designed to make them go broke.
Posted on 1/13/17 at 10:14 am to Eli Goldfinger
Do you know what the profit margins are for big insurers?
Are you aware that the Govt mandates admin costs and loss ratio's? Thus mandating max profit with no help on losses.
If the Govt could administer health care as efficiently as BCBS, UHC, etc., you'd save $.04-.06 per $1.
Problem with health care cost isn't profit, its the high cost of health care. And Obamacare cemented all of the things that make our health care so expensive, and then some. That is the flaw.
Are you aware that the Govt mandates admin costs and loss ratio's? Thus mandating max profit with no help on losses.
If the Govt could administer health care as efficiently as BCBS, UHC, etc., you'd save $.04-.06 per $1.
Problem with health care cost isn't profit, its the high cost of health care. And Obamacare cemented all of the things that make our health care so expensive, and then some. That is the flaw.
Posted on 1/13/17 at 10:16 am to Radiojones
quote:
What I don't understand is why the insurance companies were all on board for it when it was basically designed to make them go broke.
Because they were promised incentives based on arbitrary baselines set by CMS.
Most all of the baselines turned out to be unattainable.
Posted on 1/13/17 at 10:19 am to Eli Goldfinger
Trumpcare will be a public option and he will think he's the first one to think of it.
Posted on 1/13/17 at 10:20 am to WorkinDawg
quote:
Do you know what the profit margins are for big insurers?
I do...I have worked in the HC industry for 10+ years.
quote:
Are you aware that the Govt mandates admin costs and loss ratio's?
I am
quote:
If the Govt could administer health care as efficiently as BCBS, UHC, etc., you'd save $.04-.06 per $1.
Creating a hybrid medicare program would not have meant government administration.
quote:
Problem with health care cost isn't profit, its the high cost of health care
Agreed...the gov should step in to cap prices. However, they would need to also increase R&D grants.
R&D is a major driver of the US's health bill.
Posted on 1/13/17 at 10:21 am to Eli Goldfinger
quote:
Depending on private corporations to make a government program successful.
Simple and easy debunking.
Social Security.
If you take the same money you put in to Social Security over your lifetime and put in a 401k your return at retirement would be triple what you can receive from SS.
When you die the money left over goes to your descendants. SS you die at 67 you get nothing from SS and your descendants get nothing.
You can also protect yourself and family cheaper by buying term life insurance.
Posted on 1/13/17 at 10:21 am to Dale51
quote:
Giving the Federal gov the power to demand citizens buy a product they have no interest in or face the IRS.
But it's not a TAX
Posted on 1/13/17 at 10:24 am to joshnorris14
quote:
It was designed to fall
This was known the first time ACA details were made known. Everyone in the industry knew it and just tried to do the best they could with it.
It was meant to lead to universal coverage and single payer.
Posted on 1/13/17 at 10:25 am to Eli Goldfinger
The subsidies are basically what you described. It is a Ponzi scheme wher healthy people wer charged much mor for insurance to pay for those who qualified for subsidies. It was a giant fraud imposed on our nation.
Block grants to states based on their populations and deregulation of insurance to allow them to design more affordable plans for those who pay or have employer provided HC.
Additionally, we need massive pharmaceutical reform. Allow importion of medications and home them accountable for scams such as the Epipen.
This isn't rocket science.
Also major tort reform. Ambulance lawyers must be put out of business. They drive prices up and Doctors away.. we can't afford either to occur.
Block grants to states based on their populations and deregulation of insurance to allow them to design more affordable plans for those who pay or have employer provided HC.
Additionally, we need massive pharmaceutical reform. Allow importion of medications and home them accountable for scams such as the Epipen.
This isn't rocket science.
Also major tort reform. Ambulance lawyers must be put out of business. They drive prices up and Doctors away.. we can't afford either to occur.
Posted on 1/13/17 at 10:27 am to Eli Goldfinger
quote:
Agreed...the gov should step in to cap prices. However, they would need to also increase R&D grants.
R&D is a major driver of the US's health bill.
OK, so you're not a dumass and know something about the industry.
Here's how you fix it:
1. Move reimbursement to the dental model. You get $15K for a knee, find your own doc. This is called referenced based reimbursement.
2. For pre-ex and chronically ill- set a max at say $50K or $75K (for this pop only) and claims beyond that are paid at Medicare rates. That would literally pay for Obamacare, or come very close. Including covering adverse selection.
Posted on 1/13/17 at 10:34 am to Eli Goldfinger
Look at a Gruber video, he explains it pretty good.
Posted on 1/13/17 at 10:35 am to Eli Goldfinger
quote:
A better solution would have been to come up with a hybrid version of medicaid into which poor folks and those with pre-existing conditions could have bought into according to their means.
I'm for a completely market based model, but if the government was going to go down this road, why didn't they just do the above, or some form of it? There already existed government programs. Why did they have to create a whole new animal?
Posted on 1/13/17 at 10:35 am to WorkinDawg
quote:
Do you know what the profit margins are for big insurers?
4-6%?
Posted on 1/13/17 at 10:35 am to Eli Goldfinger
quote:
The biggest flaw with ObamaCare...
That the idiot democrats passed it in the first place? And are actually proud of it?
Posted on 1/13/17 at 10:48 am to Eli Goldfinger
You have no clue what you are talking about.
The biggest flaw with Obamacare is that it did not address what causes healthcare to be unaffordable. It only addressed how people pay the bill.
The reason healthcare is unaffordable is because providers charge too much. If we want healthcare to be more affordable we need to address medical malpractice suits, out of control tuition for degrees in the medical field, and regulations designed by lobbyists in the medical supply and pharmaceutical industries.
You can go to many foreign countries and pay cash for the same procedure by a doctor educated at the same med school for 1/10th the cost. Insurance companies are not part of the equation, they are a distraction.
The biggest flaw with Obamacare is that it did not address what causes healthcare to be unaffordable. It only addressed how people pay the bill.
The reason healthcare is unaffordable is because providers charge too much. If we want healthcare to be more affordable we need to address medical malpractice suits, out of control tuition for degrees in the medical field, and regulations designed by lobbyists in the medical supply and pharmaceutical industries.
You can go to many foreign countries and pay cash for the same procedure by a doctor educated at the same med school for 1/10th the cost. Insurance companies are not part of the equation, they are a distraction.
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