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Message
Healthcare- the next great debate
Posted on 11/19/25 at 8:21 am
Posted on 11/19/25 at 8:21 am
Huge issue. Serious issue. It’s an America first issue imo. We all need healthcare at some point afterall.
Trump didn’t really run on fixing health care. Interestingly though, He recently tweeted something about being sick of insurance companies making “ Trillions” off of the system. That hints at something that smells like government run healthcare or maybe more regulated insurance system. Hard to know what he really intends.
Obamacare isn’t working but I’m not sure it ever was intended to work. I always thought it was a bridge to single payer, government run insurance. For its failure, it’s increased the number of those insured. It’s just become too expensive so I expect that number will show decline going forward.
I think it’s failure is going to lead to the next big political debate.
The argument comes down to whether or not healthcare is a “right”. Democrats argue that it IS a right. As such, They also argue against the profit motive built into our system in the varied elements from doctors, to pharma, to insurance.
I am a capitalist. I struggle though when it comes to profit motive for healthcare. I’ve had some experience that rubs me the wrong way. Maybe some of you have as well. I also think there’s room for a profit in the system. Comes down to need vs want.
I also struggle with a system that accepts everyone and paying a tax that supports that. I know what that’ll become. A massive political football. An expensive football at that. And most won’t pay a dime but they’ll need the most health “care”. I don’t apologize for not wanting to pay for fhr fatty who smokes, drinks, does drugs and eats like a carny. Accountability will be lost.
With that, I have issues with our genetics.
I’ve spoken to doctors, geneticists and other medical professionals and anecdotally, I’m told that a single payer system in the US could be disasterous. Our genetics are askew. We are a melting pot and with that, we have wierd genetics. That brings wierd illness and disease.
Where single payer works, the genetics are predictable. Maybe some European countries have steady genetic profiles. We dont.
Thoughts welcome
Trump didn’t really run on fixing health care. Interestingly though, He recently tweeted something about being sick of insurance companies making “ Trillions” off of the system. That hints at something that smells like government run healthcare or maybe more regulated insurance system. Hard to know what he really intends.
Obamacare isn’t working but I’m not sure it ever was intended to work. I always thought it was a bridge to single payer, government run insurance. For its failure, it’s increased the number of those insured. It’s just become too expensive so I expect that number will show decline going forward.
I think it’s failure is going to lead to the next big political debate.
The argument comes down to whether or not healthcare is a “right”. Democrats argue that it IS a right. As such, They also argue against the profit motive built into our system in the varied elements from doctors, to pharma, to insurance.
I am a capitalist. I struggle though when it comes to profit motive for healthcare. I’ve had some experience that rubs me the wrong way. Maybe some of you have as well. I also think there’s room for a profit in the system. Comes down to need vs want.
I also struggle with a system that accepts everyone and paying a tax that supports that. I know what that’ll become. A massive political football. An expensive football at that. And most won’t pay a dime but they’ll need the most health “care”. I don’t apologize for not wanting to pay for fhr fatty who smokes, drinks, does drugs and eats like a carny. Accountability will be lost.
With that, I have issues with our genetics.
I’ve spoken to doctors, geneticists and other medical professionals and anecdotally, I’m told that a single payer system in the US could be disasterous. Our genetics are askew. We are a melting pot and with that, we have wierd genetics. That brings wierd illness and disease.
Where single payer works, the genetics are predictable. Maybe some European countries have steady genetic profiles. We dont.
Thoughts welcome
This post was edited on 11/19/25 at 3:34 pm
21
Posted on 11/19/25 at 8:26 am to SlidellCajun
The issue today is we have less than half the country paying the price for the ENTIRE country. Now we're at the crux of the payers receiving less and less while the leeches receive more and more.
I have a bigger issue with not only subsidizing healthcare, but also someones entire diet of straight up Dollar General garbage for every meal; in turn driving up healthcare costs for those that actually pay. We're a nation of fat fricks who don't take care of themselves, we can have the "genetics" convo when we reach that point but we're certainly not there now.
quote:
With that, I have issues with our genetics.
I have a bigger issue with not only subsidizing healthcare, but also someones entire diet of straight up Dollar General garbage for every meal; in turn driving up healthcare costs for those that actually pay. We're a nation of fat fricks who don't take care of themselves, we can have the "genetics" convo when we reach that point but we're certainly not there now.
This post was edited on 11/19/25 at 8:29 am
Posted on 11/19/25 at 8:28 am to SlidellCajun
The Wall Street Journal had a recent article on this and I found it interesting.
WSJ: How Trump Lowered Medical costs
President Trump recently mused that instead of increasing federal spending by $440 billion mostly for ObamaCare-participating health insurance companies, Republicans should dole out that amount directly to ObamaCare enrollees to spend on their own healthcare.
Taking money from taxpayers only to give it back with strings attached isn’t the way to empower consumers. This approach, moreover, could trigger a “woodwork effect” that increases ObamaCare spending above the $1.3 trillion current law provides for over the next decade. Fortunately, Mr. Trump already demonstrated in his first term how to make coverage affordable for millions without destabilizing ObamaCare or costing taxpayers a dime.
The Affordable Care Act exempted from ObamaCare a type of health insurance called “short-term limited duration insurance.” The exemption shields those plans from ObamaCare regulations that cause premiums to double for healthy enrollees and that ration care for the sick.
When President Obama saw how many people preferred ObamaCare-exempt plans, he kneecapped the competition. For 20 years, presidents from both parties had allowed short-term plans to last up to 12 months. But in 2016 Mr. Obama prohibited them from lasting more than three months, which reduced consumer protections and stripped coverage from patients after they got sick.
In 2018 Mr. Trump removed those restrictions and freed those plans to offer greater protection. He clarified that federal law allows short-term plans to last 36 months and to offer renewal guarantees. Renewal guarantees give patients who develop expensive illnesses the perpetual right to re-enroll in their health plan at healthy-person premiums.
Multiple federal courts upheld Mr. Trump’s rule as a reasonable and valid interpretation of existing law—including its clarification that the law allows renewal guarantees to offer longer-term protection to people in short-term plans.
Freeing consumers from ObamaCare’s hidden taxes made coverage dramatically more affordable for the majority of enrollees. The Congressional Budget Office found that consumers could purchase a “comprehensive major medical policy” at premiums “as much as 60 percent lower than premiums for the lowest-cost bronze plan.” Premiums fell so much that people could afford health insurance without a government subsidy. Perhaps that’s why President Biden rescinded Mr. Trump’s action in 2024.
Congress can make health insurance affordable for millions, without spending a dime, by codifying Mr. Trump’s 2018 rule into law.
Critics worry that would destabilize ObamaCare. But if that were true, it would have happened while the rule was in effect from 2018 to 2024. In the years leading up to the Trump rule, ObamaCare premiums soared at an average annual rate of 20%. In the six years when the Trump rule was in effect, ObamaCare premiums remained flat or fell and enrollment grew from 12 million to 24 million. In the two years since Mr. Biden rescinded Mr. Trump’s rule, ObamaCare premiums have risen a cumulative 31%.
Opponents will invoke the specter of low-quality coverage. Mr. Trump should relish that conversation. Across many dimensions, his rule produced higher-quality coverage than ObamaCare.
One of Mr. Biden’s economic advisers, Michael Geruso, found that ObamaCare creates irresistible incentives for insurers to ration care for the sickest patients. When ObamaCare enrollees complain about surprise bills and prior authorization, those regulations are often the cause. The Trump rule freed consumers from those perverse incentives. The Congressional Budget Office said Mr. Trump’s comprehensive policies often had lower deductibles and wider provider networks than ObamaCare plans.
Mr. Trump’s rule even offered longer-term contractual protection than ObamaCare plans do. It clarified that insurers could offer plans that last up to 36 months and offer even longer protection with renewal guarantees, so that even if you get cancer, you can keep enrolling in unlimited consecutive health plans at healthy-person premiums. Federal courts upheld Mr. Trump’s rule, including the part about renewal guarantees, as a valid interpretation of existing law. By contrast, ObamaCare requires insurers to commit only to 12 months of coverage
Mr. Trump’s rule made coverage better and more affordable because it removed government barriers that had prevented health plans from offering protections consumers want. Longer contractual terms and renewal guarantees protect consumers. Lower premiums protect consumers. Choice and innovation protect consumers.
Mr. Trump showed Congress how to make coverage affordable for millions without destabilizing ObamaCare or spending a single penny. All Congress has to do is make permanent the freedom Mr. Trump restored but Mr. Biden rescinded.
WSJ: How Trump Lowered Medical costs
President Trump recently mused that instead of increasing federal spending by $440 billion mostly for ObamaCare-participating health insurance companies, Republicans should dole out that amount directly to ObamaCare enrollees to spend on their own healthcare.
Taking money from taxpayers only to give it back with strings attached isn’t the way to empower consumers. This approach, moreover, could trigger a “woodwork effect” that increases ObamaCare spending above the $1.3 trillion current law provides for over the next decade. Fortunately, Mr. Trump already demonstrated in his first term how to make coverage affordable for millions without destabilizing ObamaCare or costing taxpayers a dime.
The Affordable Care Act exempted from ObamaCare a type of health insurance called “short-term limited duration insurance.” The exemption shields those plans from ObamaCare regulations that cause premiums to double for healthy enrollees and that ration care for the sick.
When President Obama saw how many people preferred ObamaCare-exempt plans, he kneecapped the competition. For 20 years, presidents from both parties had allowed short-term plans to last up to 12 months. But in 2016 Mr. Obama prohibited them from lasting more than three months, which reduced consumer protections and stripped coverage from patients after they got sick.
In 2018 Mr. Trump removed those restrictions and freed those plans to offer greater protection. He clarified that federal law allows short-term plans to last 36 months and to offer renewal guarantees. Renewal guarantees give patients who develop expensive illnesses the perpetual right to re-enroll in their health plan at healthy-person premiums.
Multiple federal courts upheld Mr. Trump’s rule as a reasonable and valid interpretation of existing law—including its clarification that the law allows renewal guarantees to offer longer-term protection to people in short-term plans.
Freeing consumers from ObamaCare’s hidden taxes made coverage dramatically more affordable for the majority of enrollees. The Congressional Budget Office found that consumers could purchase a “comprehensive major medical policy” at premiums “as much as 60 percent lower than premiums for the lowest-cost bronze plan.” Premiums fell so much that people could afford health insurance without a government subsidy. Perhaps that’s why President Biden rescinded Mr. Trump’s action in 2024.
Congress can make health insurance affordable for millions, without spending a dime, by codifying Mr. Trump’s 2018 rule into law.
Critics worry that would destabilize ObamaCare. But if that were true, it would have happened while the rule was in effect from 2018 to 2024. In the years leading up to the Trump rule, ObamaCare premiums soared at an average annual rate of 20%. In the six years when the Trump rule was in effect, ObamaCare premiums remained flat or fell and enrollment grew from 12 million to 24 million. In the two years since Mr. Biden rescinded Mr. Trump’s rule, ObamaCare premiums have risen a cumulative 31%.
Opponents will invoke the specter of low-quality coverage. Mr. Trump should relish that conversation. Across many dimensions, his rule produced higher-quality coverage than ObamaCare.
One of Mr. Biden’s economic advisers, Michael Geruso, found that ObamaCare creates irresistible incentives for insurers to ration care for the sickest patients. When ObamaCare enrollees complain about surprise bills and prior authorization, those regulations are often the cause. The Trump rule freed consumers from those perverse incentives. The Congressional Budget Office said Mr. Trump’s comprehensive policies often had lower deductibles and wider provider networks than ObamaCare plans.
Mr. Trump’s rule even offered longer-term contractual protection than ObamaCare plans do. It clarified that insurers could offer plans that last up to 36 months and offer even longer protection with renewal guarantees, so that even if you get cancer, you can keep enrolling in unlimited consecutive health plans at healthy-person premiums. Federal courts upheld Mr. Trump’s rule, including the part about renewal guarantees, as a valid interpretation of existing law. By contrast, ObamaCare requires insurers to commit only to 12 months of coverage
Mr. Trump’s rule made coverage better and more affordable because it removed government barriers that had prevented health plans from offering protections consumers want. Longer contractual terms and renewal guarantees protect consumers. Lower premiums protect consumers. Choice and innovation protect consumers.
Mr. Trump showed Congress how to make coverage affordable for millions without destabilizing ObamaCare or spending a single penny. All Congress has to do is make permanent the freedom Mr. Trump restored but Mr. Biden rescinded.
Posted on 11/19/25 at 9:10 am to SlidellCajun
quote:
I’m told that a single payer system in the US could be disasterous
OMG so true. You'd wait 2 years for a doctor. All the diabetic fatties would then keel over after a while so you'd could get right in.
Posted on 11/19/25 at 9:17 am to Judnnc
quote:
All the diabetic fatties would then keel over after a while so you'd could get right in.
With 70% of the adult population being overweight or obese, there is no way that at least some of the posters here who says things like this are not fat themselves.
It always makes me laugh when the "fatties" pejoratives come out.
Posted on 11/19/25 at 9:44 am to cdur86
Just start handing out UBI if that's the case. Pull the bandaid off. Merge all the programs into one payment and let Darwin take over.
Posted on 11/19/25 at 9:49 am to SlidellCajun
I have a lot of self employed friends who are up in arms this year, health care is more than their mortgage.
One stated her and her husband pay twice the amount for healthcare as they do their mortgage.
This is all Obama's Fault/Legacy and the idiot Democrats
One stated her and her husband pay twice the amount for healthcare as they do their mortgage.
This is all Obama's Fault/Legacy and the idiot Democrats
Posted on 11/19/25 at 9:49 am to SlidellCajun
There is no realistic fix for healthcare if you want it to be available to all and affordable. Since everyone gets “Cadillac” care there is no way the free market will work well. Hospitals and doctors would only locate in rich areas which is already happening. Nobody would build a hospital in North Baton Rouge or West Birmingham. The other extreme is single payer which has its problems. We are stuck with our hybrid system which has M’care and M’caid along with Commercial insurance which we can only tweak
Posted on 11/19/25 at 9:50 am to cdur86
quote:
Freeing consumers from ObamaCare’s hidden taxes made coverage dramatically more affordable for the majority of enrollees. The Congressional Budget Office found that consumers could purchase a “comprehensive major medical policy” at premiums “as much as 60 percent lower than premiums for the lowest-cost bronze plan.” Premiums fell so much that people could afford health insurance without a government subsidy. Perhaps that’s why President Biden rescinded Mr. Trump’s action in 2024.
This is the most telling part of the article and I have no clue why Trump or the Republicans are not foot stomping this to the public or to anyone that will hear it.
Posted on 11/19/25 at 9:52 am to SlidellCajun
quote:
I am a capitalist. I struggle though when it comes to profit motive for healthcare.
This is my stance. I do think that people who live in the greatest country in the world should all have access to good healthcare.
I am also well aware that I don't have the answer to the problem..
This post was edited on 11/19/25 at 9:54 am
Posted on 11/19/25 at 9:58 am to SlidellCajun
Healthcare, like education, has an admin problem. The USA already spends more per capita on healthcare than any other country, by a lot. Most of it goes towards bullshite bureaucracy and leeches. Admins playing shell games with how much your care actually costs and pulling a paycheck for it. Get rid of all that inefficiency between the hospitals and the insurance companies and the cost goes down.
Posted on 11/19/25 at 10:00 am to wackatimesthree
quote:
there is no way that at least some of the posters here who says things like this are not fat themselves.
Fat and not paying your fair share of taxes/healthcare is much much much more of a burden than fat and gainfully employed/insured.
Posted on 11/19/25 at 10:04 am to SlidellCajun
There’s no such thing as healthcare
It’s nothing but a pill and surgery mill when they should be telling people to lose weight and quit drinking cokes and eating garbage
The closest thing to medicine helping anyone was the fat people shot and everything else is a scam
It’s nothing but a pill and surgery mill when they should be telling people to lose weight and quit drinking cokes and eating garbage
The closest thing to medicine helping anyone was the fat people shot and everything else is a scam
Posted on 11/19/25 at 10:07 am to SlidellCajun
I think premiums should be tailored to each individual.
Posted on 11/19/25 at 10:09 am to SlidellCajun
Make actual insurance legal again.
Most people can afford to pay cash for an annual checkup.
Most people can afford to pay cash for an annual checkup.
Posted on 11/19/25 at 10:13 am to AllDayEveryDay
quote:
Just start handing out UBI if that's the case. Pull the bandaid off. Merge all the programs into one payment and let Darwin take over.
You can also abolish minimum wage laws if you have UBI. The only argument for it is to avoid a race to the bottom/exploitation where companies that pay starvation wages undercut companies that pay a fair amount.
With UBI nobody has to work so if a pothead wants to bag groceries for $3 an hour to pay for weed, let him.
Posted on 11/19/25 at 10:18 am to Bestbank Tiger
quote:
Make actual insurance legal again.
Most people can afford to pay cash for an annual checkup.
This. Trump needs to make true catastrophic policies legal again.
Posted on 11/19/25 at 10:20 am to SlidellCajun
We need to get back to accountability in medical billing.
I had a hospital stay last year, and the billed amount was $178,000 just for lodging, meals, and checks on my vital stats.
The insurance company “discounted” that $143,000.
I want to see itemized billing to see what cost $178,000 for 5 days.
There’s no accountability, so billing is astronomically wild.
Posted on 11/19/25 at 10:21 am to SlidellCajun
quote:
Healthcare
Something, something, more competition
Posted on 11/19/25 at 10:47 am to Auburn80
quote:
Hospitals and doctors would only locate in rich areas which is already happening
Not true. DaVita dialysis centers are located in all sorts of poor areas. There are all sorts of health care options in Sealy, TX, population 7,500. Multiple optometrists, doctors, dentists, and therapists are available. The median household income is $56k. Is there a level 1 trauma center there? No, but there's multiple ones 25 miles away.
You don't see what is available in small shitty towns because you're not paying attention.
quote:
M’care and M’caid
The federal government is already responsible for paying approx 45% of all medical bills in the US.
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