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re: Liberals Please Answer...If ACA is so good..

Posted on 2/11/14 at 10:31 am to
Posted by Jbird
In Bidenville with EthanL
Member since Oct 2012
84815 posts
Posted on 2/11/14 at 10:31 am to
quote:

of course they own it. the whole point is that, when obama took office, the GOP openly vowed to obstruct and resist his every move.
He didn't need a single fricking R vote so how could that possibly be an excuse?
Posted by Zach
Gizmonic Institute
Member since May 2005
116738 posts
Posted on 2/11/14 at 10:32 am to
The NYT had an interesting take. Liberals are good at ideas but they're not good at implementing them. That's why so many professors are liberals but so many governors are conservatives.
Posted by deuceiswild
South La
Member since Nov 2007
4561 posts
Posted on 2/11/14 at 10:33 am to
I have no idea why he keeps delaying his own damned law. Millions of kids are dying before our very eyes while we stand idly by. We passed the mother of all laws five years ago to end the suffering and madness.
Posted by DeltaDoc
The Delta
Member since Jan 2008
16473 posts
Posted on 2/11/14 at 10:34 am to
quote:

The NYT had an interesting take. Liberals are good at ideas but they're not good at implementing them. That's why so many professors are liberals but so many governors are conservatives


An idea is not a plan
Posted by UncleFestersLegs
Member since Nov 2010
16470 posts
Posted on 2/11/14 at 10:34 am to
quote:

of course they own it. the whole point is that, when obama took office, the GOP openly vowed to obstruct and resist his every move

How many times does it have to be said? ZERO GOP votes. They were an irrelevant factor in the entire debate. I have no idea what your point is here? The ACA is failing because the GOP hated it and tried to repeal it?
Posted by Count Chocula
Tier 5 and proud
Member since Feb 2009
63908 posts
Posted on 2/11/14 at 10:36 am to
quote:

I'm a liberal and i don't like the ACA at all, albeit for very different reasons than conservatives.
Obviously because its not single payor? Yet...
Posted by DeltaDoc
The Delta
Member since Jan 2008
16473 posts
Posted on 2/11/14 at 10:36 am to
quote:

The ACA is failing because the GOP hated it and tried to repeal it?


Like I said earlier, we are arguing with demented people. Who is crazier?
Posted by DontCare
Baton Rouge
Member since Apr 2012
2516 posts
Posted on 2/11/14 at 10:37 am to
quote:

Do you know how medical costs are set at the beginning of the fiscal year in the vast majority of health care systems?

It's all based on the Medicare reimbursement rate. The government's set price is what dictates reimbursement to private insurers.

healthcare costs billed to private insurance are much, much higher than medicare rates. here's the wiki page for hospital chargemasters. i think you'd be interested to see how you're charged for your healthcare services and why they're so much higher than medicare.
Posted by UncleFestersLegs
Member since Nov 2010
16470 posts
Posted on 2/11/14 at 10:40 am to
quote:

it isn't a "false dilemma" to say that "government overreach" has been fetishized. the only possible alternatives to western governance are either eastern governance or a hypothetical libertarian governance, which has not effectively ever existed.

Sure it is. Just because the ACA is a bloated, crony-capitalist piece of shite doesnt mean I want all building codes removed.
Posted by DontCare
Baton Rouge
Member since Apr 2012
2516 posts
Posted on 2/11/14 at 10:44 am to
quote:

Sure it is. Just because the ACA is a bloated, crony-capitalist piece of shite doesnt mean I want all building codes removed.

that is not the point i was making. my point was that "government overreach" is a political fetish that is applied too broadly. don't get so blustered.
Posted by Zach
Gizmonic Institute
Member since May 2005
116738 posts
Posted on 2/11/14 at 10:51 am to
quote:

of course they own it. the whole point is that, when obama took office, the GOP openly vowed to obstruct and resist his every move.


So, if the GOP went along with everything Obama wanted the ACA would be going along swimmingly? Really? This may be the stupidest position I've seen on this board in months.
Posted by DontCare
Baton Rouge
Member since Apr 2012
2516 posts
Posted on 2/11/14 at 10:55 am to
quote:

So, if the GOP went along with everything Obama wanted the ACA would be going along swimmingly? Really? This may be the stupidest position I've seen on this board in months.

no, but if they had participated in the process, rather than opposing it wholesale, they could have made contributions that, i think, would have made the law better. but they didn't do that.
Posted by DeltaDoc
The Delta
Member since Jan 2008
16473 posts
Posted on 2/11/14 at 10:58 am to
quote:

they could have made contributions that, i think, would have made the law better


Like what?
Posted by Antonio Moss
The South
Member since Mar 2006
49091 posts
Posted on 2/11/14 at 11:03 am to
quote:

healthcare costs billed to private insurance are much, much higher than medicare rates. here's the wiki page for hospital chargemasters.


Chargemasters are not what is billed to the insurance company. Look at a bill from your insurance next time. There is a major reduction under your "network" which reflects the difference in the charge master and the actual amount billed. Your wiki page even acknowledges that chargemasters are regarded as a fiscal fiction by payers.

quote:

i think you'd be interested to see how you're charged for your healthcare services and why they're so much higher than medicare.


Actually, most of my costs in a recent, expensive medical ordeal came out lower than Medicare reimbursements rates.

There are two aspects to look at when discussing costs effects on private insurers because of Medicare. You have to look at the initial set cost and the reimbursement rate. Medicare's initial costs set the guidelines in most healthcare systems in what to charge private insurers. But the lower reimbursement rate (especially with Medicaid) has a tremendous negative effect on private insurers and providers that are left with unpaid costs.
Posted by Taxing Authority
Houston
Member since Feb 2010
62595 posts
Posted on 2/11/14 at 11:14 am to
quote:

no, but if they had participated in the process, rather than opposing it wholesale, they could have made contributions that, i think, would have made the law better. but they didn't do that.
Ignorance. They were effectively locked out of the amendment process, by the use of reconciliation rules.

Do you believe in the Big Bad Wolf too?
This post was edited on 2/11/14 at 11:16 am
Posted by Zed
Member since Feb 2010
8315 posts
Posted on 2/11/14 at 11:23 am to
I don't think you're going to get any liberal to say they agree with ACA in it's entirety. I agree with some of the subsidies, less so with the medicaid expansion, and not at all with the restrictions on plans. Open exchanges with actual choices and freedom to choose plans with moderate subsidies would have been preferable to me, and probably a lot of other people. The Democratic party wanted control, and they risked this entire clusterfrick for it.
Posted by DontCare
Baton Rouge
Member since Apr 2012
2516 posts
Posted on 2/11/14 at 11:30 am to
quote:

Chargemasters are not what is billed to the insurance company. Look at a bill from your insurance next time. There is a major reduction under your "network" which reflects the difference in the charge master and the actual amount billed. Your wiki page even acknowledges that chargemasters are regarded as a fiscal fiction by payers.

there was a really good article in TIME called Bitter Pill about healthcare costs. it detailed how chargemasters are aware of the upfront charge limits that private insurers are willing to pay and they base their charges upon that. so, if they know that blue cross will only pay 80%, and the chargemaster wants to receive 80 cents, then they charge $1 rather than charge 80 cents and only receiving 80% of that.
Posted by DontCare
Baton Rouge
Member since Apr 2012
2516 posts
Posted on 2/11/14 at 11:33 am to
quote:

Ignorance. They were effectively locked out of the amendment process, by the use of reconciliation rules.

can you provide a link that shows a proposed amendment or change that a republican was barred from putting on the table? i'm not patronizing you, i'm just interested to see how they wanted to contribute but were prevented.
Posted by Taxing Authority
Houston
Member since Feb 2010
62595 posts
Posted on 2/11/14 at 11:33 am to
quote:

there was a really good article in TIME called Bitter Pill about healthcare costs. it detailed how chargemasters are aware of the upfront charge limits that private insurers are willing to pay and they base their charges upon that.
providers charging what their customers are willing to pay? Imagine that! What else would they base their charges on?
Posted by Taxing Authority
Houston
Member since Feb 2010
62595 posts
Posted on 2/11/14 at 11:38 am to
quote:

can you provide a link that shows a proposed amendment or change that a republican was barred from putting on the table? i'm not patronizing you, i'm just interested to see how they wanted to contribute but were prevented.
Just google reconciliation rules if you want to see how he amendment process is limited to committees (all of which were controlled by democrats).

I don't give two ishts about intent. No substantive amendment was possible. Why would expect them to be proposed? Proposed to whom? Sky God?
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