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re: Now that Obamacare is a massive success because of 6 million sign ups

Posted on 3/27/14 at 10:10 pm to
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 3/27/14 at 10:10 pm to
The two specialties he stated are almost certainly salaried docs. Most likely in an academic institution. They make the same salary regardless of output. Their income will stay the same under any scenario. And like I said, I'll bet they don't personally insure a single person. Me? 40-50. And shite yeah, I'd love everyone to have free insurance with no co-pays or deductibles, no limits on visits, and pay private rates.
Posted by HonoraryCoonass
Member since Jan 2005
20199 posts
Posted on 3/27/14 at 10:12 pm to
quote:

the status quo was doomed to implosion in just a few years.



Do you hold seances, too?
Posted by VOR
New Orleans
Member since Apr 2009
68823 posts
Posted on 3/27/14 at 10:13 pm to
quote:

The two specialties he stated are almost certainly salaried docs.


nope.

actually, the pediatric geneticist guy does have a teaching gig part time but also a substantial private practice. the other one is completely private although affiliated with a group of physicians.
Posted by VOR
New Orleans
Member since Apr 2009
68823 posts
Posted on 3/27/14 at 10:15 pm to
quote:

Do you hold seances, too?


Actually, that was a direct quote from the head of Louisiana Blue Cross (a couple of years ago).
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 3/27/14 at 10:18 pm to
quote:

the status quo was doomed to implosion in just a few years.

True, but Obamacare just stomped the accelerator. Reform is/was needed, but this clusterfrick isn't it. And it completely ignores interstate competition between insurances, tort reform, and booming overhead costs for medical practices. I pay more, you pay more. Not to mention the waste on dumbass shite everyday that small changes in insurance policy dictates. Hell, just yesterday an insurance (medicare plan) made me change a prescription from one that cost $500 for a course of therapy to one that cost $6000. Same med just tablet versus an injectable liquid the pharmacist mixes into a suspension because it's cheaper. $5500 fricking wasted for the same mf'ing thing!!!!! But hey!!! We would've only made about $50 on the cheaper. We made $1500 on the more expensive. This is just one example. Now multiply this by millions every single year. shite, we'd be fine if they just ran the current system efficiently.
Posted by VOR
New Orleans
Member since Apr 2009
68823 posts
Posted on 3/27/14 at 10:28 pm to
quote:

tort reform


i don't want to get sidetracked into a tort reform discussion, but i have ask, how much more can med mal be reformed with there already being caps on awards in most states and med review panels? i have no doubt malpractice insurers have jacked up there rates, however. i just wonder if "defensive medicine" hasn't gone a little overboard.

quote:

the waste on dumbass shite everyday that small changes in insurance policy dictates.


look, i've argued on this site for years that things were much better when i was a kid (you know, back when i shoveled snow and walked three miles to school). seriously, though, we only had hospitalization and surgery coverage. we paid for doctor visits and our prescriptions. my family was middle class at best, and we could afford it. then, all of a sudden, insurance became routinely connected with people's employers and consumers were removed from the actual costs and a middleman was placed between doctor and patient (shitty compound sentence but you can decipher it it think).

my observation is that insurance reimbursement rates, hospital charges and associated fees have little to do with reality. a few years ago i had a relatively minor calf injury (probably from playing racquetball with my commie pediatrician friend) and had to have an mri. as god as my witness they were about to charge $1600 for it until i told them i was just putting the charge on a credit card (i was paying out of pocket and then being reimbursed by my insurer). the facility then said, oh that'll be only $900. the real kicker is that it took the hospital/clinic administration about six months to figure out what the frick happened and to stop billing me. they had no idea how to handle someone who just wants to give them money for the service.
This post was edited on 3/27/14 at 10:35 pm
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 3/27/14 at 10:32 pm to
quote:

my family was middle class at best, and we could afford it. then, all of a sudden, insurance became routinely connected with people's employers and consumers were removed from the actual costs and a middleman was placed between doctor and patient.

That's a fact. And insurers want cost to go up. The higher the cost the higher the premiums. The Obamacare cap on profit is bullshite. 85% of premiums must go to healthcare? Big fricking deal. Just drive up cost. 15% of a billion is way more than 15% of a million. Not to mention insurances can do quite well on waaaaay less than 15%. That is actually a helluva profit margin in insurance. If premiums are invested properly, companies can actually pay out 100% or more of premiums received and still profit.
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 3/27/14 at 10:40 pm to
quote:

a relatively minor calf injury (probably from playing racquetball with my commie pediatrician friend) and had to have an mri. as god as my witness they were about to charge $1600 for it until i told them i was just putting the charge on a credit card (i was paying out of pocket and then being reimbursed by my insurer). the facility then said, oh that'll be only $900. the real kicker is that it took the hospital/clinic administration about six months to figure out what the frick happened and to stop billing me. they had no idea how to handle someone who just wants to give them money for the service.

I used to own part of a MRI unit. Until gov't regulation forced us to sell. Had a top of the line unit and specialized radiologist for each body part. We'd do cash pt's for $400 or $500 if contrast needed. Now it's under hospital ownership. Shitty local radiologist and cash price is $2000. You can thank Obama and the dems for this one. Since I was an owner, I could get a certain number of indigent scans for free. So, how is this better? If they'd stay the frick out of our way, those of us willing to work and keeping the pt's best interest in mind would keep healthcare cheaper, more accessible, and better.
Posted by Schmelly
Member since Jan 2014
16167 posts
Posted on 3/28/14 at 8:58 am to
I often lurk this board, trying to learn a lil something every now and then. Have a group of friends that are all pharmacists. Sent them a text about how the numbers are counted (cart vs. paid premium). One of them replies... "get this. once they've "signed up" they have a 3 month window where they can't be denied care even if they haven't paid the premium. Insurance companies are mandated to pay fees for first 30 day. so the last 60 days, nobody has to pay. drs eat costs"
Holy shite, is this true? not surprising but wow
Posted by Champagne
Sabine Free State.
Member since Oct 2007
55299 posts
Posted on 3/28/14 at 9:07 am to
quote:

think obamacare is a cluster frick at the moment but will be amended over time


You won't stop voting Democrat despite the manner in which your party shoved this clusterfrick down the throats of the American people, despite the outright lies about the program and despite the fact that the program doesn't work as passed, and must be delayed and amended.

Despite all of this -- all of it -- you will remain a loyal Democrat voter.

Now, let me ask those who might read this thread, NOW, who is the Fanatic?

And secondly, can anybody really claim the title of "Voice or Reason" when they would remain Democrat-loyal despite all of this? Or could only a crazy person do such a thing?

So, whose the crazy fanatic now, VOR? You are, that's who.

Look in the mirror. There's your crazy fanatic. I would have dumped any political party long ago, had they behaved in the manner of this Democrat Party. Any sane, non-fanatical person would, also.
This post was edited on 3/28/14 at 9:10 am
Posted by MMauler
Primary This RINO Traitor
Member since Jun 2013
24478 posts
Posted on 3/28/14 at 9:52 am to
quote:

When you get to define success, you never lose!


They learned from themselves with their global warming -- I mean, CLIMATE CHANGE scam!

Let's see --

Cold Summer - Fault of Climate Change
Moderate Summer - Fault of Climate Change
Hot Summer - Fault of Global Warming
Cold Fall - Fault of Climate Change
Moderate Fall - Fault of Climate Change
Hot Fall - Fault of Global Warming
Cold Winter - Fault of Climate Change
Moderate Winter - Fault of Climate Change
Hot Winter - Fault of Global Warming
Cold Spring - Fault of Climate Change
Moderate Spring - Fault of Climate Change
Hot Spring - Fault of Global Warming

Too Many Hurricanes - Fault of Global Warming
Average Number of Hurricanes - Fault of Climate Change
Very Few Hurricanes - Fault of Climate Change

And, on and on and on and on ....


Oh and let's not forget Obama's INCREDIBLE economy with the shrinking unemployment numbers. Getting those unemployment numbers down with Obama policies that just encourages people to stop looking for work all together -- NOW THAT IS SUCCESS in the mind of a demented, Kool-Aid drinking Obama cultist! Just ask Rex, VOR, VB, Spidey and the rest of the braindead Obamacocksuckers.
This post was edited on 3/28/14 at 9:57 am
Posted by Champagne
Sabine Free State.
Member since Oct 2007
55299 posts
Posted on 3/28/14 at 10:28 am to
Exactly -- and yet, it's the Constitutional Conservative folks that they consider crazy fanatics.

It's not that Democrats aren't smart people . . . I'm sure that many are smart . . . the problem is that they know so much that just ain't so.
Posted by TOKEN
Member since Feb 2014
11990 posts
Posted on 3/28/14 at 10:54 am to
6 million * 20% that won't pay = 4.8 million

I bet it's lower than 20% unpaid plus you need the right payer mix and young sign ups
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
138899 posts
Posted on 3/28/14 at 11:05 am to
quote:

I honestly know two for sure who are in favor of the idea of something along the lines of Ombacare. An oncologist/surgeon and a pediatrician. They support universal healthcare of some sort and, hell, probably wouldn't have a problem with some sort of system where everyone has something akin to Medicare. Where basics are covered and people can purchase supplements if they want them. They both have literally said that they're satisfied with their incomes and wouldn't be upset to make a little less if everyone had coverage.
VOR that simply does not ring true.
Logistics alone are atrocious for Medicare. So it is not a simple matter of reimbursement. For whatever reason those docs you cite are not clued in to the government carrier equation.

As you said . . . "Weird"

At least that is the way it appears.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
138899 posts
Posted on 3/28/14 at 5:34 pm to
quote:

i don't want to get sidetracked into a tort reform discussion
Posted by dr smartass phd
RIP 8/19
Member since Sep 2004
20387 posts
Posted on 3/28/14 at 5:45 pm to
When you have to do this, you know it's an epic fail.

Valerie Jarrett to Hollywood to Get Obamacare in Movie, TV Scripts

A top of advisor to President Barack Obama is in Los Angeles to try to get Obamacare written into scripts of TV shows and movies. Valerie Jarrett explained in an appearance on Top That! on PopSugar.com

LINK
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 3/28/14 at 6:08 pm to
quote:

they can't be denied care even if they haven't paid the premium. Insurance companies are mandated to pay fees for first 30 day. so the last 60 days, nobody has to pay. drs eat costs" Holy shite, is this true? not surprising but wow


True. Was told this by a Blue Cross rep. Luckily I have not taken new Obamacare, only ones I already have and they all have the free O'care. It's some bullshite. I know some other clinics that thought they'd be smart and snatch them all up. One even hire an extra doctor and several NP's. They just realized the VAST majority of their new O'care pt's have not paid their premiums. They gonna get fuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu$%ed!!!!
Posted by gthog61
Irving, TX
Member since Nov 2009
71001 posts
Posted on 3/28/14 at 6:16 pm to
This isn't about health care at its core. It is a fricking power grab.

The dems don't even give a shite if it is successful because they believe they have the unbeatable combo of a pliable media and a stupid population to paper over any problems.

Oh, and problems with the old system are completely independent of this piece of shite. I could have my leg amputated as a cure for gout and the gout would go away but I don't think I would do that.
Posted by NC_Tigah
Make Orwell Fiction Again
Member since Sep 2003
138899 posts
Posted on 3/28/14 at 6:37 pm to
quote:

so the last 60 days, nobody has to pay. drs eat costs"
Holy shite, is this true? not surprising but wow

100% true.
Which again leaves the opinions of VOR's doctor friends as EXTREMELY suspect.
Posted by Captain Rumbeard
Member since Jan 2014
7150 posts
Posted on 3/28/14 at 6:47 pm to
quote:

A journey of a thousand miles begins with one step.
Lao Tzu


So does jumping to your death.
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