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re: American Health Care Act (Obamacare Replacement) introduced

Posted on 3/7/17 at 9:17 am to
Posted by lsufan1971
Zachary
Member since Nov 2003
24219 posts
Posted on 3/7/17 at 9:17 am to
I wonder what JBE is going to do with the 375K people enrolled on the medicaid expansion in LA?
Posted by BamaAtl
South of North
Member since Dec 2009
22253 posts
Posted on 3/7/17 at 9:17 am to
quote:

Nope.


Yep.
Posted by CorporateTiger
Member since Aug 2014
10700 posts
Posted on 3/7/17 at 9:18 am to
RIP LSU, that money can only come from so many places thanks to the atrocious state constitution.
Posted by Pax Regis
Alabama
Member since Sep 2007
15268 posts
Posted on 3/7/17 at 9:21 am to
This is not good. This is Republicans too scared to actually fulfill campaign promises. As usual they are going to frick this up and lose control of the house and possibly the Senate in two years.

I AM NOT ok with subsidizing health care out of my pocket for every layabout sack of shite in this country. If you want healthcare and are able to work GO EARN IT.
Posted by lsufan1971
Zachary
Member since Nov 2003
24219 posts
Posted on 3/7/17 at 9:23 am to
The medicaid expansion covers 138% of the FPL which for a family of 4 is a little over 33K a year. Who in the frick has 2 kids making 33K a year combined? Why do people that make the good decisions have to support the people that make shitty decisions?
This post was edited on 3/7/17 at 9:24 am
Posted by Taxing Authority
Houston
Member since Feb 2010
63276 posts
Posted on 3/7/17 at 9:24 am to
quote:

Yep
And how many healthcare CEO have you personally worked with over the last 10 years? You don't isht.
This post was edited on 3/7/17 at 9:25 am
Posted by montanagator
Member since Jun 2015
16957 posts
Posted on 3/7/17 at 9:27 am to
quote:

The miss two months and get charged 30% rule has to die too. That's just not good for anybody. Its about the equivalent of forcing a tardy kid to walk an extra half mile to school every day to teach them a lesson. Except the tardy kid then makes everyone else late. Death spiral.



It's also too small of a penalty to really solve the problem its trying to solve- free riders who take advantage of guaranteed issue.

If I'm not on health insurance, I go to an urgent care and learn I tore my ACL 30% why wouldn't I then pay $400, or so (the current Gold plan charge for a relatively low deductible plan for someone under 35 who makes too much to qualify for a subsidy) eating the deductible and getting a knee repair + rehab for 1500 + 400 a month.


What it's going to do instead is make people who drop out of the market due to say unemployment, stay out of the market until they're sick or have a condition that needs a maintenance medication.
This post was edited on 3/7/17 at 9:35 am
Posted by Iosh
Bureau of Interstellar Immigration
Member since Dec 2012
18941 posts
Posted on 3/7/17 at 9:28 am to
LINK
quote:

As bad as the Obamacare individual mandate was for consumers––and as ineffective as it was for insurers––it did cause those not buying health insurance some pain. The Republicans now want to create a scheme that doesn't require anyone to sign up. But when they get sick enough that they need insurance, they will be able to quickly do so by paying a paltry 12-month 30% premium surcharge.

For example, a person paying $5,000 for health insurance would pay a one-time total $1,500 penalty! A family paying $10,000 in annual premium would pay only a $3,000 penalty for any late enrollment!

Obamacare is so poorly constructed it is literally an anti-selection machine. The Republican proposal is worse.

The Republicans are also offering a $100 billion nine-year stabilization and consumer assistance fund, beginning with $15 billion in both 2018 and 2019 and $10 billion thereafter, to help states both stabilize their insurance markets and support those who would lose their Medicaid coverage. This sum of money wouldn't come close to dealing with either the Obamacare individual health insurance market problems or the gap that gutting Medicaid would create. In 2015 alone, for example, the Obamacare reinsurance stop-loss payments, and the risk corridor payments the carriers requested, totaled $13.8 billion––and they would have still lost their shirts.

What the market needs to be viable are not subsidies but a market that works efficiently in the first place.

The House has likely come up with this mess because its various pieces fit the Senate's budget reconciliation rules. Anything else would require a bipartisan compromise with the Democrats.

I have always believed that Obamacare would have been a lot better if there had been a bipartisan compromise in the first place, with Democrats agreeing to things that would have helped the Republican's more middle class constituency.

Now, the Republicans are making the same mistake––taking care of their base and giving the Democratic base a lousy deal. That would make this Republican scheme just as politically unsustainable––half the country will hate it––just a different half.
This post was edited on 3/7/17 at 9:29 am
Posted by CorporateTiger
Member since Aug 2014
10700 posts
Posted on 3/7/17 at 9:30 am to
Except the nomenclature will still be Obama-centric allowing them to duck blame for this shitsandwich and continue using it as a campaign point.
Posted by montanagator
Member since Jun 2015
16957 posts
Posted on 3/7/17 at 9:32 am to
quote:

Right. Another byproduct of poor government policy.




Ehhh.... a wage freeze (the catalyst for employer sponsored health insurance) for essential war time industries might make some sense in an existential struggle like WW2 where the labor market is already hugely distorted by the draft.
Posted by SquirrelyBama
Member since Nov 2011
6389 posts
Posted on 3/7/17 at 9:32 am to
(no message)
This post was edited on 6/5/20 at 7:54 am
Posted by montanagator
Member since Jun 2015
16957 posts
Posted on 3/7/17 at 9:39 am to
The real problem is Healthcare isn't a market commodity in the same way a car or say air travel are-- due to a number of factors healthcare just operate according to the same market forces and the vast bupk of studies both comparative ( looking at various healthcare systems across the globe) and qualitative (directly analyzing individual markets) back this up.
Posted by roadGator
DeBoar’s dome
Member since Feb 2009
157679 posts
Posted on 3/7/17 at 9:43 am to
quote:

The real problem is Healthcare isn't a market commodity in the same way a car or say air travel are-- due to a number of factors healthcare just operate according to the same market forces and the vast bupk of studies both comparative ( looking at various healthcare systems across the globe) and qualitative (directly analyzing individual markets) back this up.


My goodness. Just look at this abomination of a sentence.
Posted by montanagator
Member since Jun 2015
16957 posts
Posted on 3/7/17 at 9:45 am to
quote:

Don't worry, getting rid of state lines, which will promote competition, will be in phase 2 & 3 of healthcare rollout.


WTF are phase 2 and phase 3?
Posted by montanagator
Member since Jun 2015
16957 posts
Posted on 3/7/17 at 9:48 am to
quote:

Trump has to take what he can get at this stage.


The problem is that if this bill passes the GOP owns all the problems this bill has plus any problems endemic to our Healthcare system. There wont be "another fix" voters aren't going to give them a second bite of the apple.
This post was edited on 3/7/17 at 9:50 am
Posted by tke857
Member since Jan 2012
12195 posts
Posted on 3/7/17 at 9:55 am to
but is this guaranteed to lower premiums?? if not then its a fail bill.
Posted by montanagator
Member since Jun 2015
16957 posts
Posted on 3/7/17 at 9:55 am to
quote:

(B) you should still blame Obama for healthcare's problems


Not sure how this part works- the GOP passes Trumpcare through on a party line vote and they own Healthcare. You can't blame Obamacare when Trumpcare is the law of the land.
This post was edited on 3/7/17 at 9:56 am
Posted by montanagator
Member since Jun 2015
16957 posts
Posted on 3/7/17 at 9:57 am to
Heritage Foundation just came out against.


Other than Trump and Ryan who exactly likes this bill?
Posted by CorporateTiger
Member since Aug 2014
10700 posts
Posted on 3/7/17 at 9:59 am to
Except the media is still calling this Obamacare Lite. (That's WaPo's headline for a source)

That means they will just say "We tried to fix it, but you know Obama really screwed things up and cleaning up his mistakes takes time."

That is the reason for no full repeal and replace. Then you really do have Trumpcare or GOPcare.
Posted by DisplacedBuckeye
Member since Dec 2013
76732 posts
Posted on 3/7/17 at 9:59 am to
quote:

The problem is that if this bill passes the GOP owns all the problems this bill has plus any problems endemic to our Healthcare system.


Repeating this will not make it true. They'll own any issues from the bill that are worse than the ACA. Period.
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