re: American Health Care Act (Obamacare Replacement) introduced

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I have my prediction: trump will swoop in and propose alt right single payer. Aka healthcare for all citizens no illegals

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Nah. He hired Tom Price. It won't happen. Not even a chance. By fairly recent accounts his staff was struggling to even get him to understand what a high-risk pool was. He isnt some secret health care policy savant playing 11 dimension chess. His recent statements already suggest heavily he has swallowed the corrupted conservative lines and bought into various industry talking points.

Notice for instance how his first press conference he talked about letting Medicare negotiate drug prices. Something he could get wide Democratic support and foster a true unifying policy to hold up as a victory. Attacked the high cost of drugs directly in a way no presidential Republican had since maybe Nixon. Now he won't mention that, only what the pharm industry wants which is no negotiations and reductions in FDA regulations to get drugs to market faster. Reduce pharm development costs and do nothing to bring down their pricing power to gouge customers.

And on the off chance his trips to Scotland and his past rhetoric is still laying around in wait, it would die faster in congress then a bill demanding Trump to release what evidence he claims to have on Obama phone wiretaps. Because even though Republicans have clearly conceded that government will have a heavy hand in healthcare, either by tax subsidies or direct involvement, they will draw a farcical line in the sand when it starts to harm industries they want to prop up. Which is all of them. Even if that commitment harms the average American.

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Weird that it's working better than predicted in terms of cost and coverage, isn't it?

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Depends who you ask.

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now folks will have the option of just not having any insurance and when they wind up in the emergency room the rest of us will simply pay their medical bills for them!!!!

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ER usage hasn't gone down, we are still paying for them.

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Why not just make premiums tax deductible?

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Because the GOP has wanted to tax employer provided health care benefits as income for years.....

Perfect example of how entitlements stick. This bill will be a train wreck. They are trying to keep the "benefits" of Obamacare without the kick in the nuts tax that helped fund the benefits.

Now, most of the same issues will exist and they will put us further in debt.

They need to scrap the WHOLE thing.

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So how many millions will lose health insurance? How much money will higher income people save?



Relevance?

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The relevance of people losing basic coverage is they show up at the emergency room and by law are treated regardless of their ability to pay so when the next person in line gets to the cashier they simply add the person who didn't pay to the bill of the person who will pay.....

The real problem isn't the uninsured though...it will be a relatively easy thing to simply deny them any sort of care if they can't produce proof of insurance or proof of the ability to pay...the difficult person is the underinsured or the person who has bought a policy that is merely a piece of paper and doesn't actually cover anything....that person shows up, gets treated, is shocked to learn that their treatment wasn't covered and has no way to pay....meanwhile the provider waits for months for payment which forces them to increase the costs of service and eventually has to sale the debt to a collections agency and pass the entire loss off on to those who have a decent policy or the ability to pay.


The driving force behind health care costs is the number of people who can't or won't pay for their care yet receive care anyway....providers establish the costs of service on a certain number of patients paying little or none of the cost of their care...if the provider doesn't they will soon be out of business UNLESS they are operating on a cash only basis...I have a friend who is a dentist who does this except in the case of people he knows well....and does pretty nicely....but very few people ever show up at his office unconscious and unable to prove they can pay.

The underinsured and the uninusred are a burden to those of us with insurance, period...providers are going to treat them regardless of their ability to pay and with or without any law telling them they must or can't....and those providers are going to pass those costs along to those of us who will pay and we are either going to pay them OR we are going to become one of those who do not pay their health care costs and lose everything we own in the process.

Uninsured and underinsured people are like either s shoplifter in WalMart or someone who only pays a small % of what their groceries actually cost...and in the case of health care WalMart would be INVITING these people into the store....and passing the cost of their groceries onto the rest of us....walmart does this, by the way....everytime you buy something at walmart (or anywhere) you are paying for losses due to theft etc. We all agree that stealing shite at walmart is wrong but somehow are OK with people stealing shite at the doctors office or somehow expect the doctor to take those losses out of their end....

Look, this is very similar to an open borders and welfare state situation.

Follow me for a moment.

Open borders:

We provide food stamps to our poor that can be used to buy all kinds of unhealthy snacks, fatty meats, sugary drinks, etc. Combine a poor diet with inactivity and obesity follows with all its fun complications.

Obese people of all socio economic backgrounds pay the same health rates as healthy people. They are subsidized by those that make better choices.

Welfare State:

We provide subsidies or free care to the poor with no expectation that they "do better". That's cheating them of a better life.

The number one cause of obesity is the lack of personal responsibility. When you give a free pass on personal responsibility things get expensive.

We have to change the health status of our population if you want to have the biggest impact on health care costs. Reducing claims should be the goal not admin costs. Claims represent the largest piece of the puzzle but no one wants to tell some lazy frick that they are fat because they are lazy and eat poorly. Hell, their own doctors won't tell them that because they don't want to be mean.

Time to be mean if you want to decrease claim costs.

How do you legislate personal responsibility though? That's the problem.

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At least now some 20 odd million of the deadbeat frickers has some skin in the fricking game.....

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No they don't. Getting an insurance policy does not give them "skin in the game."

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Why are you assuming that this plan has anything to do with trump? His team didn't write this, congressional members did.

How do you not understand this? Do you think trump's team made this plan and sent it to congress?


learn to read

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god emeperor tweeted this plan was 'wonderful' in his tweet to the plebes this morning.


learn to think