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Message
Key adviser pushing Trump to ditch Ryan's plan and embrace universal health ca
Posted on 3/14/17 at 10:13 pm
Posted on 3/14/17 at 10:13 pm
quote:
A key Trump friend and ally is urging the president to dump Paul Ryan’s Affordable Health Care Act and embrace something that sounds sort of like a lightweight version of a single-payer health care system. Christopher Ruddy, CEO of the conservative Newsmax brand, isn’t normally considered a major thought leader on policy issues, but he is a longtime friend of Trump’s, and counts as one of a relatively small number of conservative players who have closer ties to Trump than to congressional Republican leaders.
And he is warning loud and clear that Trump “could inherit the bad political baggage of both Obamacare and the House Republicans” if he insists on going along with Ryan’s version of repealing and replacing Obamacare.
Instead, Ruddy puts forward the rather radical notion that Trump should attempt to live up to his campaign promises on health care rather than signing on to legislation that betrays them all. To do it, he encourages Trump to ditch his effort to court the Freedom Caucus and instead come up with a bipartisan plan that accepts a large government role in providing insurance coverage.
The Ruddycare seven-point plan
In an op-ed published Tuesday, Ruddy argues that Trump “should be sticking to his own gut on healthcare reform.” He did this during the campaign, which helped him “win Democratic states like Wisconsin, Michigan and Pennsylvania.”
And he offers the following seven-point “game plan for Trump to regain the initiative”:
Ditch the Freedom Caucus and the handful of Senate Republicans who want a complete repeal of Obamacare. They don't agree with universal coverage and will never be placated.
Find a few parts of Ryancare II [i.e., the AHCA; Ryancare I refers to Paul Ryan’s longstanding desire to privatize Medicare] that can win passage in the House and Senate with either GOP support or bipartisan support. Declare victory.
Rekindle the bipartisanship in Congress that President Obama destroyed. Impanel a bipartisan committee to report back by year's end with a feasible plan to fix Obamacare.
Reject the phony private health insurance market as the panacea. Look to an upgraded Medicaid system to become the country's blanket insurer for the uninsured.
Tie Medicaid funding to states with the requirement that each pass legislation to allow for a truly nationwide health care market.
Get Democrats to agree to modest tort reform to help lower medical costs.
While bolstering Medicare and improving Medicaid, get Republicans and Democrats to back the long-term fix of health savings accounts. This allows individuals to fund their own health care and even profit from it.
As a pure political strategy, the key elements here are probably the first three points. A commission probably won’t lead to any major changes, but that’s okay. According to the Congressional Budget Office, the Affordable Care Act exchanges will probably stabilize in the next year or two even if nothing changes. Trump can do nothing and fix it.
But steps 4 through 7 do suggest a route to a possible future vision of American health care.
LINK
Posted on 3/14/17 at 10:24 pm to HailHailtoMichigan!
Embracing single payer is the fastest way to get the GOP turn against Trump and start articles of impeachment to install Pence as President.
That's an ideological bridge too far.
That's an ideological bridge too far.
Posted on 3/14/17 at 10:31 pm to HailHailtoMichigan!
Tort reform! Haha. What a falsehood.
Lawsuits have little to do with healthcare costs.
Lawsuits have little to do with healthcare costs.
Posted on 3/14/17 at 10:32 pm to HailHailtoMichigan!
Speaker GOPe's way will be thrown out by Thursday.
Posted on 3/14/17 at 10:32 pm to oilattorney4lsu
quote:
Lawsuits have little to do with healthcare costs.
I will defer to the physicians (especially surgeons) on here to chime in, but I do know that an ortho relative of mine pays 380,000 a year in fricking malpractice insurance. I know he doesn't just eat the cost out of the kindness of his heart.
Posted on 3/14/17 at 10:33 pm to HailHailtoMichigan!
Good thing it'd be impossible to work this through congress.
Posted on 3/14/17 at 10:36 pm to oilattorney4lsu
quote:
Lawsuits have little to do with healthcare costs.
MD dudes have posted on here that insurance costs are a factor in them being able to even practice.
we read stories of people quitting being an MD supposedly over this one issue.
Posted on 3/14/17 at 10:47 pm to HailHailtoMichigan!
This is what you predicted all along, if Trump actually does Single payer i'll buy you a shot of Pappy 23 next time you're in DC.
Posted on 3/14/17 at 10:49 pm to HailHailtoMichigan!
We are headed to single payer honestly
Posted on 3/14/17 at 10:52 pm to montanagator
quote:
This is what you predicted all along,
Posted on 3/14/17 at 11:06 pm to HempHead
I think people that hear Tort reform automatically think lawsuits but disregard the massive amount of malpractice coverage a Dr needs to carry. Especially surgeons and anesthesiologists.
Posted on 3/15/17 at 1:34 am to HempHead
quote:They just seems ridiculously high, but maybe he's in a state where insurance is way higher than average.
I will defer to the physicians (especially surgeons) on here to chime in, but I do know that an ortho relative of mine pays 380,000 a year in fricking malpractice insurance. I know he doesn't just eat the cost out of the kindness of his heart.
Now maybe there is more data regarding actually insurance costs, but the malpractice data that I could quickly find suggests that $380,000 is almost nonsensical.
Orthopedic and Neuro surgeon malpractice data
quote:
There are around 4 percent of orthopedic surgeons who have malpractice claims annually with a claim payment; around 14 percent face any claim.
quote:The mean and median figures suggest that there is a skew, with some outlying high claims skewing it higher.
Orthopedic surgeons face a median average of nearly $100,000 malpractice payments. The mean average is around $225,000
They being said, taking the higher mean claim amount ($225,000), by the likelihood one of a payment claim (4%), then the expected cost of malpractice payments for a orthopedic surgeon in any given you is $9,000. Even bump it up to $10,000 (handling other claims); and this would suggest that average, a orthopedic surgeon would have to work 38 years before teaching a single year's worth of insurance costs:
Posted on 3/15/17 at 1:40 am to oilattorney4lsu
(no message)
This post was edited on 1/10/21 at 7:40 pm
Posted on 3/15/17 at 1:41 am to HempHead
(no message)
This post was edited on 1/10/21 at 7:40 pm
Posted on 3/15/17 at 1:45 am to The Baker
Don't we have states with pretty onerous tort reform already ?
If so how has said reform slowed the rate of medical inflation?
If so how has said reform slowed the rate of medical inflation?
Posted on 3/15/17 at 1:52 am to thelawnwranglers
quote:
We are headed to single payer honestly
Yep, which means the quality of care will go downhill because doctors will make less, which mean only idiots will attend medical. This will result in us having to import doctors who got their MD from a diploma mill in the Caribbean in order to keep up with the demand.
I don't know about you, but I'm not sitting through 8 years of school (plus several years of residency) to make a salary I can make with a bachelors. The truth is, we need doctors that drive Lamborghinis and own yachts. They are usually the best at what they do as evidenced by their salaries.
It will be just like anything else that's government ran -- good enough to barely get by, but pretty crappy overall.
Posted on 3/15/17 at 2:02 am to montanagator
quote:
Don't we have states with pretty onerous tort reform already ?
If so how has said reform slowed the rate of medical inflation?
LINK /
LINK /
These two pieces make the case in a pretty approachable writing/delivery style that so far the evidence that Tort Reform in the way it is framed: capping the amount of damages allowed to be awarded in malpractice suits, will bring down costs and shift behavior away from defensive medicine, has not been shown in the data to be successful.
The author's agree there is a big problem and they try and unpack what the problem actually is, but don't see much evidence that this solution will solve that problem.
Posted on 3/15/17 at 2:14 am to AUstar
Obamacare was the first step. It is a straight jacket healthcare solution that broke the back of the previously existing system. Politicians can't take away "free shite" that has been given. It's been a huge wealth transfer. The only politically feasible next step will be single payer.
We will wind up with two tiered healthcare similar to public education. Poor go to public schools, money goes to private. Poor swill use gubment healthcare, money will private pay through secondary insurance market ala concierge healthcare.
We will wind up with two tiered healthcare similar to public education. Poor go to public schools, money goes to private. Poor swill use gubment healthcare, money will private pay through secondary insurance market ala concierge healthcare.
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