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EugeneJ
Feb 5, 2012

by FactsAreUseless
So wait - right now if I'm on an employer health plan, my employer contributes part of the premium and I pay the rest - but I don't get any premium assistance otherwise. Will employer plans qualify for the new tax credits?

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EugeneJ
Feb 5, 2012

by FactsAreUseless

Leon Trotsky 2012 posted:

The first annual physical of the year and other preventative medicine are no longer free and it is up to the discretion of the insurer how they are handled.

NY Times says this is still free and the EHB won't be changed

https://www.nytimes.com/interactive/2017/03/06/us/politics/republican-obamacare-replacement.html?pagewanted=all

EugeneJ
Feb 5, 2012

by FactsAreUseless
Would a Dem winning the presidency in 2020 be able to undo any of this, or would they need both houses of congress

EugeneJ
Feb 5, 2012

by FactsAreUseless

blackguy32 posted:

I feel real bad for the emergency rooms around the country because they are going to bear the brunt of this.

Are the sliding-scale rates based on income for the uninsured still going to be a thing at hospitals? That saved me last time I was uninsured and making less than 20k

EugeneJ
Feb 5, 2012

by FactsAreUseless
So if a poor wins the lottery they die

That's very Republican

EugeneJ
Feb 5, 2012

by FactsAreUseless
NY used to have a program called Healthy NY with plans starting at $199/month for the uninsured that were offered by a few private insurers and subsidized by the state - hopefully they bring that back.

I was on it a few years back pre-Obamacare. You could join anytime during the year but pre-existing conditions weren't covered for the first 6 months.

EugeneJ
Feb 5, 2012

by FactsAreUseless
If Dems put up Medicare for All as a counter-proposal, how many GOP senate members would have to jump across the line to pass it?

EugeneJ
Feb 5, 2012

by FactsAreUseless

PT6A posted:

Why are we assuming Trump would veto it? He loves putting his name on poo poo, he already said he'd like to cover everyone in some fashion by "making a deal" during the campaign, and if he managed to actually do medicare-for-all, he'd be remembered extremely fondly by pretty much everyone. I think he could be tempted into it. Getting it past his handlers, and also Congress... those would be the difficult parts.

I mentioned a few weeks ago that Bernie should start publicly saying he would like to try and work with Trump on health care, but I got laughed at.

Now is not a bad time for Bernie to have an Uncle Jesse moment with Baby Trump about how he shouldn't let people die. Trump seems to respect Bernie.

EugeneJ
Feb 5, 2012

by FactsAreUseless
https://twitter.com/NickReisman/status/839230489080778753

Even if Cuomo just gets this passed as a launchpad for a presidential run...as a resident of NY I'll take it!

EugeneJ
Feb 5, 2012

by FactsAreUseless

Dr. Angela Ziegler posted:

how is... my brain... that doesn't...

:aaaaa:

https://www.nytimes.com/2017/01/25/nyregion/independent-democratic-conference-republicans-state-senate.html?pagewanted=all

quote:

The Independent Democratic Conference, whose collaboration with Republicans in the State Senate has allowed that party to control the chamber despite being outnumbered by Democrats, added an eighth member on Wednesday.

By recruiting Senator Jose R. Peralta of Queens this week, and two other members in the fall, the conference has evolved from a breakaway group of Democrats into a full-fledged independent faction in the State Senate and the fulcrum of a four-year-old coalition.

The 63-seat Senate now comprises 31 Republicans and 32 Democrats. In addition to the eight Democrats who now belong to the breakway conference, another, Simcha Felder of Brooklyn, caucuses with the Republicans. That leaves the traditional Senate Democratic Conference with just 23 members.

quote:

As he has before, Mr. Lipton blamed the rift largely on one man: Gov. Andrew M. Cuomo, a Democrat who Mr. Lipton said had not campaigned aggressively enough for other Democrats in November. “This goes back to the governor’s decision to sit on his hands last fall,” he said.

EugeneJ
Feb 5, 2012

by FactsAreUseless

How long until we hear "taxes on cigarettes are racist"

EugeneJ
Feb 5, 2012

by FactsAreUseless

Dmitri-9 posted:

Being the silent, passive party with no ideas or beliefs doesn't strike me as a good strategy. If they can't make political hay out of stupid policies no progress will be made, the status quo will be eroded out from under them.

It feels more like they don't want to fight against it, lose, and then take blame as the reason people are dying because of their failure

EugeneJ
Feb 5, 2012

by FactsAreUseless

evilweasel posted:

That's a stupid opinion and you should feel dumb for saying it. They're in lockstep opposition to it, even senators from deep red states that Republicans hoped to flip. They aren't giving an inch of ground on this. They are just also making sure that there's plenty of airtime for Republicans to murder their own.

You're saying this as if the repeal succeeding and people dying in the streets wouldn't be an easier way for Dems to win over voters

Optics!

EugeneJ
Feb 5, 2012

by FactsAreUseless

sharkbomb posted:

But let's consider if Republicans are able to nuke the ACA and return us to the bad-old days of 2009. In that case, in the 2020 elections there is absolutely no chance that Democrats will be campaigning on a healthcare platform that calls for returning to Obamacare or 'repairing' it. That was tried and failed - total nonstarter politically. The only thing that's left is single payer (Medicare-for-all)!

I really think Republicans have managed to give us the greatest chance in a long time to get single-payer healthcare. Bernie was already calling for it during his presidential campaign and Clinton countered that they should try to fix the ACA instead (which was a reasonable position). When Paul Ryan gets his tax cut the ACA will be gone and single-payer will be on the ticket in 2020.

Trump securing the border and purging illegals would also get rid of the "b-b-but why do we have to pay for non-Americans under single-payer" as a talking point for Republicans

EugeneJ
Feb 5, 2012

by FactsAreUseless

evilweasel posted:

So yeah, public option medicare is the way to go, provided that you make sure that nobody is forced into it because even if they're entirely better off forced into it they will hate you for it and blame every little thing that goes wrong on you.

Would GOP support single-payer if it was entirely funded by the insured?

Bernie's plan made it a payroll tax that was split between an employee and the employer (2.2% for employee and 6.7% for employer). If you made it just 9% across the board for all working Americans - would that be enough?

Someone making 20k/year would pay $150/month to the single-payer tax

Someone making 50k/year would pay $375/month to the single-payer tax

Someone making 100k/year would pay $750/month to the single-payer tax

That sounds completely reasonable to me, and dependents would be covered regardless of what you pay

EugeneJ
Feb 5, 2012

by FactsAreUseless

Hollismason posted:

I checked with a local pharmacy and I can get a subsidized prescription when I lose health insurance. Not sure how.long that will last though.

Most drug manufacturers offer their drugs for free or almost free in the US to those who make under a certain amount because if they didn't, the FDA would be all over them about abusing drug patents

I'm on a drug that should have had a generic available over a decade ago, but the manufacturer keeps coming up with bullshit "therapeutic uses" every few years to extend the patent - I get it for free through their charity program

As long as they can still bill insurance companies for the brand name meds at full price, they're happy

EugeneJ
Feb 5, 2012

by FactsAreUseless

evilweasel posted:

One of their cleverer scams is charities that pay the co-pay for people on insurance who can't afford the co-pay.

How does this work anyway - Pfizer just dumps a million dollars into their "charity fund" and is able to write that money off?

EugeneJ
Feb 5, 2012

by FactsAreUseless
Oh yeah - I worked as a pharmacy tech and we got "coupons" for certain drugs.

So let's say Pfizer gave you a coupon that says "brand name Viagra $10 copay", the coupon actually has insurance information (RX Group, RX Bin) that you would bill just like any other insurance provider - but that "provider" is the manufacturer. So yeah - any claims that are run to those accounts are written off as "donations" by the manufacturer

EugeneJ
Feb 5, 2012

by FactsAreUseless
Wouldn't the often-talked about cap on/elimination of Public Service Loan Forgiveness dissuade people from choosing med school?

That seems like it could be in GOP crosshairs soon

EugeneJ
Feb 5, 2012

by FactsAreUseless
http://www.reuters.com/article/us-usa-obamacare-idUSKBN16J0XH?il=0

quote:

In a series of television interviews, White House budget director Mick Mulvaney and top White House economic adviser Gary Cohn said that the CBO is focusing on the wrong metrics with the estimates it will provide on the number of people who are insured. Cohn and Mulvaney said CBO should instead should analyze whether patients can actually afford to go to a doctor.

"I love the folks at the CBO, they work really hard, they do, but sometimes we ask them to do stuff they're not capable of doing, and estimating the impact of a bill of this size probably isn't the - isn't the best use of their time," Mulvaney told ABC's "This Week" program.

Speaking on Fox News, Gary Cohn, director of the White House National Economic Council, said: "We will see what the score is, in fact in the past, the CBO score has really been meaningless."

I think they're expecting bad news

EugeneJ
Feb 5, 2012

by FactsAreUseless
https://twitter.com/ryanstruyk/status/841390305064693762

EugeneJ
Feb 5, 2012

by FactsAreUseless
Some of the proposed fixes to AHCA are being revealed:

https://secure.politico.com/story/2017/03/obamacare-repeal-republicans-trump-congress-236045

quote:

Senators are considering taking whatever the House is able to pass and beefing up tax credits for low-income people to help bring down premiums and increase coverage numbers, multiple Republican sources said. John Thune of South Dakota, the No. 3 GOP senator, is one of the lead proponents of that effort.

quote:

Also under consideration is injecting billions of dollars into states’ “stabilization” accounts to narrow the coverage gap between Obamacare and the House’s repeal-and-replace bill. Cassidy said he’d want prefunded Health Savings Accounts for low-income people who would otherwise struggle to sock away savings for health care.

EugeneJ
Feb 5, 2012

by FactsAreUseless

Peven Stan posted:

Why not just repeal the employer mandate and the token tanning bed tax and call it a day GOP? Give them an inch and they'll try and take a mile, the crazy bastards

Democratic Incrementalism - Make money off increasingly progressive values

Republican Incrementalism - Make money off evil now and forever

EugeneJ
Feb 5, 2012

by FactsAreUseless

zonohedron posted:

There's literally no plan, no matter how benevolent, malevolent, or ineffectual, that the current GOP congresscritters could ever agree on. Some of them wouldn't be happy unless every state that expanded Medicaid was forced to un-expand it and every requirement that health insurance actually provide meaningful coverage was rescinded. Some of them wouldn't be happy if their own state's Medicaid expansion was negatively affected in any way, shape, or form. Nearly all of them campaigned on "repealing Obamacare", which to most of their voters means "ending the individual mandate".

- if you end the individual mandate, you have to give the insurance companies SOMETHING because otherwise their lobbyists will flood your swamp with their crocodile tears
- if you don't end the individual mandate, you're at risk of being primaried because you didn't "repeal Obamacare"
- if you don't mangle Medicaid, you will lose votes
- if you do mangle Medicaid, you will lose votes

Trump should just push a bill to allow drug imports and call it a day

EugeneJ
Feb 5, 2012

by FactsAreUseless

call to action posted:

I don't think it's explicitly about loving over poor people, though they definitely get hard at the thought of it. It's more about ensuring an ever-increasing level of precarity in the workforce, so workers have less and less leverage with which to demand higher wages or better protection. Lack of healthcare is a positive motivator.

About that...

Employer-Backed Insurance Could Take a Huge Hit from GOP Healthcare Plan

quote:

With tax credits for workers earning up to $215,000, the Republicans' health care plan would push the incentives for companies not to offer benefits further up the income spectrum, said Elise Gould, senior economist at the Economic Policy Institute.

"It could particularly impact high-wage employers because they can send their employees into the nongroup market. There could be a push to do that because the income range on the subsidies is much wider."

Good point here - the high earners are going to want to buy from the individual market since they get their free $4000 tax credit each year.

If a worker can choose to go to the individual market over their employer plan, the employer plans might just die off. Or the business owners might not offer coverage and then their workers are stuck with the individual market.

EugeneJ
Feb 5, 2012

by FactsAreUseless

Rhesus Pieces posted:

lol

https://twitter.com/kaysteiger/status/844700962048659456

In other words, "everything people use health insurance for."

Seriously, if insurance doesn't have to cover any of this, what do they have to cover? What am I missing here?

...they're really going to make it like car insurance

EugeneJ
Feb 5, 2012

by FactsAreUseless
So if it dies today, Obamacare survives until at least 2019, right?

EugeneJ
Feb 5, 2012

by FactsAreUseless

Typo posted:

holy poo poo

now that I think about it was the exact same trick Nixon pulled with his secret Vietnam War winning plan

"Democrats are petulant children - let the adults run things and everything will be different!"

::Trump get elected::

::farts::

EugeneJ
Feb 5, 2012

by FactsAreUseless

Accretionist posted:

It's bizarre watching some of my relatives talk politics. Other people will be expressing honest exasperation and concern that the country's being destroyed and all these idiots can do is repeat talking points like it's a battle between whose culture has better equipped to yell and assume dominant social-postures. Information, analysis, etc. doesn't exist to these people. They just want the strength of an authoritarian culture coursing through them.

Are there any good books about Germans feeling like poo poo after World War II for what their country had done

I need a glimpse into our future

EugeneJ
Feb 5, 2012

by FactsAreUseless
:lol: trying to bury the vote late Friday so it misses the media cycle

It won't pass and they know it

EugeneJ
Feb 5, 2012

by FactsAreUseless

Sloober posted:

Jokes on them i get NYT app pushes all through the weekend

All the print editions have late Friday deadlines for their weekend editions (USA Today, etc.). Also if the stock market dips, they can blame it on something else happening over the weekend instead of a failing vote Thursday and the market plummeting on Friday.

EugeneJ
Feb 5, 2012

by FactsAreUseless

Holy gently caress

EugeneJ
Feb 5, 2012

by FactsAreUseless

Badger of Basra posted:

I wonder why people pledging to vote no on the bill voted yes for the same day vote?

If your dog's dying you don't let it suffer for an extra day

EugeneJ
Feb 5, 2012

by FactsAreUseless
If you own a small business of like <25 employees currently you have to pay out the rear end for a group plan - I'm guessing AHCA allows businesses with few employees to buy group plans at a cheaper rate

EugeneJ
Feb 5, 2012

by FactsAreUseless

On Terra Firma posted:

So my wife is between jobs and I work from home which means we have no insurance. Because this vote is stressing me out my acid reflux is acting up and has gotten into my trachea which is incredibly painful and now I sound like the godfather. I couldn't figure out what was stressing me out so much until I realized that if they pass this bill in it's current form and it goes into law there's a good chance my family will go bankrupt paying for my brothers seizure medications because he can only find part time work and he's 27 years old. Either that or he just dies.

I also obviously cannot afford to go to my gastro doctor until we're on my wife's new insurance plan, so that's fun.

Dave Brat is my congressman so calling him is pointless.

Virginia is for Lovers of death

EugeneJ
Feb 5, 2012

by FactsAreUseless

evilweasel posted:

ryan is explicitly going to beg trump to tell him what to do so he can tell his members sorry for having to take this vote, trump made me

https://twitter.com/mj_lee/status/845315058414563328

Gold Yeller

EugeneJ
Feb 5, 2012

by FactsAreUseless
This woman wants us to find Carmen Sandiego

EugeneJ
Feb 5, 2012

by FactsAreUseless

Craig K posted:

what's the plan now? they've got to vote at some point

Nah they can just pull it and pretend it never happened

EugeneJ
Feb 5, 2012

by FactsAreUseless

Rad Valtar posted:

As someone who only has affordable insurance because of the ACA what are the realistic chances of it surviving? I'm guessing the GOP will just keep drawing up new plans until something gets passed?

This is the end of a Captain Planet episode where all the bad guys get mad and fly away in their planes

They'll be back

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EugeneJ
Feb 5, 2012

by FactsAreUseless

SCROOGE JUST WOKE UP ON CHRISTMAS DAY!

GIVE US SINGLE PAYER OUT OF SPITE!

EugeneJ fucked around with this message at 21:06 on Mar 24, 2017

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