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HappyHippo posted:The 30% premium is hilarious. It's basically just a slightly different form of a mandate, except it goes to the insurance companies instead of the government. It's not even a good mandate. If I need an organ transplant that might cost 1 million + then jacking my premium from 450 to 600 is still a bargain.
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Mar 8, 2017 05:58
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When does the CBO score come out? I read on NPR or somewhere that if it adds 1 or more billions to the deficit then it can't be passed through reconciliation correct?
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Mar 11, 2017 01:50
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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
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Mar 17, 2017 04:28
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Everyone complains about the employer paid system but loves their particular employer sponsored plans since they can be incredibly generous. The ACA would've dialed this down via the cadillac tax mechanism through the decades and gradually unwind that since virtually all plans would've hit the high value threshold in a decade or so. Then people can decide if they want to firm up the marketplace subsidies, reregulate plans to make them cover more doctors (no more narrow networks), or put in a public option or whatever. The GOP plan seems to do what they've wanted to have done for decades, which is fire a shot directly into the heart of it and see what happens next.
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Mar 18, 2017 22:07
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zonohedron posted:In the nearly ten years I've been married and thus had insurance through my husband('s employer) rather than my parents, I don't think I've ever loved his insurance plan. The magic of employer sponsored insurance is the massive disparity in plans. I've worked at places where the deductible is 3,300 before the employer covers anything and also places where it's $350. zonohedron posted:
Same stuff employer plans do, but they're able to trims costs with gimmicks like high deductibles and copays and/or narrow networks. The gap month I didn't have employer coverage between jobs I used an ACA plan that limited me to only one hospital/provider group in the metro region. It also had a $1.5k deductible and a $5000 out of pocket max. Luckily generics were just $10 and were deductible waived, unlike the silver version of the same plan where it was not waived and you would pay full cost for an expensive generic until you hit the deductible.
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Mar 19, 2017 05:57
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I have to appreciate the cynicism of setting up a 75 billion dollar subsidy reserve fund for old white people, but then also forcing the senate to come up with the actual mechanics of how that fund would work. 
CAPS LOCK BROKEN fucked around with this message at 02:26 on Mar 21, 2017 |
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Mar 21, 2017 02:24
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The Hill claims 28 no votes still and 6 leaning against
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Mar 23, 2017 04:57
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readsettlers.org
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Mar 23, 2017 18:16
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Oh come on are they getting together for some friendly banter then or what???
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Mar 24, 2017 00:05
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Rhesus Pieces posted:As an aside, why are the so-called moderates named the Tuesday Group now? Who he hell comes up with these lame rear end names? Maybe they're all milquetoasty suburbanistas who meet every tuesday at ruby tuesday??
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Mar 24, 2017 00:13
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https://twitter.com/JohnJHarwood/status/845099934386933760 Allegedly 8-10 house suicide caucus members are ready to cave
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Mar 24, 2017 03:31
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https://twitter.com/MEPFuller/status/845106333145874432
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Mar 24, 2017 03:56
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I haven't been this sexually aroused by us politics since Romney lost
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Mar 24, 2017 18:39
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The Phlegmatist posted:I agree totally with your analysis. This was a big (and well-founded) fear with ColoradoCare. The budget for ColoradoCare was nearly 50% larger than the entire rest of the state budget combined.. A recession leading to reduced revenue or unforeseen expenses (such as uninsured or underinsured people now seeking out medical care, which was *not* addressed in the cost projection models) would lead very quickly to massive deficits in the state budget that can't simply be made up by cutting other state services, because the excess money simply wouldn't be there. ColoradoCare would've been funded by a separate stream payroll tax administered jointly on employers and employees, no different than how medicare works and operates today.
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Mar 25, 2017 03:37
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ISeeCuckedPeople posted:So actually let's analyze this. I love it when the reddit generation discovers SA
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Mar 25, 2017 06:22
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Blow up the ACA at your own peril - AHIP wanted and got concessions when it comes to cracking down on the qualified life events and other things that insurers were bitching about. Trying to disrupt an infant individual insurance market to score points is not a wise move and makes you an enemy of 20% of this country's GDP.
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Mar 27, 2017 06:03
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Lmao epipen two pack at Walgreens now up to 762 usd for express scripts.
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Apr 3, 2017 22:57
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The late senator Robert Byrd (D-KKK) literally put amendments into the law so coal miners could claim black lung benefits faster. The democrats should've hammered that point home in Appalachia and West Virginia but I guess they were too busy pretending to be intersectional feminists for the DC cocktail party crowd.
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Apr 6, 2017 02:07
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Not content to just let the bear trap they've been rigging around their dicks for 7 years snap shut, these retards are rerigging the trap so it goes off again later
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Apr 21, 2017 05:05
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rscott posted:So what you're saying is every time I go to the hospital and fill out ones of those forms I should put like 10k/year as my salary Good plan until they demand to see a paystub or withhold treatment
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May 14, 2017 17:32
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The ACA was supposed to shift employer paid insurance gradually over time to the exchanges. Rahm Emanuels brother Ezekiel predicted by 2020 employer paid plans would be rare. The botched rollout unfortunately damaged that prediction as well as not fixing the issues of narrow networks and high deductibles.
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May 16, 2017 17:26
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Elotana posted:https://www.wsj.com/articles/gop-senators-weigh-taxing-employer-health-plans-1496350662 GOP has hated employer paid insurance for decades, they just have no way of abolishing it without enraging their whitebread base that overwhelmingly loves it.
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Jun 2, 2017 23:41
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Reik posted:Doctor salaries are not a problem. Medical device companies, pharmaceutical companies, and hospitals are the suppliers of the majority of healthcare dollars. The professional services doctors charge are a small portion of the total spend. Doctors did, however, block all attempts at reforming the employer paid system until it was too late. Three generations of Americans know nothing outside of "good respectable people have their employers pay for it and not government."
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Jun 20, 2017 18:41
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Discendo Vox posted:I haven't had time to read the leak yet, what are the deets? Keeps most of the private insurance reforms around while watering down the financial assistance (subsidies now based on the bronze tier level plan and not silver, reduced premium subsidies to people making < 350% of FPL rather than 400%). Also gutting medicaid over 7 years
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Jun 22, 2017 03:36
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cis autodrag posted:they were for all sorts of things. ive worked in the managed care industry for over 5 years now producing health plan administration software so ive seen a hell of a lot of insurers' contract structures. i've genuinely seen multiple health plans that were 80% of medicare across the board. others only use it for subsets of their coverage. Explains why doctors bitch about Medicare but when you ask if they'd be happier without it they immediately backpedal and clarify that Medicare should just pay them more
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Jun 27, 2017 22:18
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PerniciousKnid posted:Nah, it's a fair point. It was basically a semantics argument that is small potatoes compared to the broader point about profit-seeking insurance companies and incentives. Instead of leaving it up to the medical directorates at insurance companies to decide what is and isn't covered I think the country could greatly benefit from an agency like NICE in the U.K. that determines what will and won't be covered by insurance. There is no reason why chiropractic care is included standard on many employer plans but other forms of witch doctoring like acupuncture isn't.
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Jun 27, 2017 23:05
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LeeMajors posted:I can't understand why the definition of insurance has seemingly changed. Prior to the ACA the shift to consumer driven, high deductible plans have been sold to people with FYGM tendencies. For example, my last employer's HR department would say that instead of subsidizing everyone with a higher premium your new $20/ month HDHP is a pay for what you use plan, unlike before when you were giving sickos and fatties a free ride.
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Jul 15, 2017 21:01
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Looks like McConnell is ragequitting the BCRA
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Jul 18, 2017 04:22
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JesusSinfulHands posted:Let's say that McConnell makes good on his threat to actually negotiate with Democrats to 'fix' the health insurance market. Is there even a plausible bill that could garner 60 votes in the Senate? I'd imagine it would have to have at least 10 Democratic votes, as people like Paul, Cruz, and Lee I cannot see voting for a bill that would be amenable to 10 Democrats in any way. Grassley and some other senators floated ending the medical device tax and the employer mandate in exchange for higher subsidies and a stiffer penalty (assuming Hillary was president)
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Jul 18, 2017 13:22
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Cabbit posted:A robust, inexpensive public option, but we let the GOP entirely deregulate the private insurance industry in order to victimize anyone dumb enough to not take the government plan. Believe it or not Germany lets people who opt out of statutory insurance for private insurance purchase loosely regulated plans that are often richer in benefits than government insurance. There is a time and place for purely private insurance but for most people they shouldn't be subject to the whims of profit in health insurance.
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Jul 18, 2017 17:27
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jivjov posted:For all these people who whine "my taxes shouldn't pay for sick people"...what are they okay with their taxes paying for? I'm not seeing huge pushes to dismantle the interstates or anything. poo poo white people benefit from. If Medicare segregated risk pools by race we'd have single payer already
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Jul 19, 2017 18:40
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"When they go low we go high, that'll surely win us a bundle of elections" -liberals, 2016
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Jul 20, 2017 18:59
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The Phlegmatist posted:It's not unrealistic gatekeeping, it's the ideal of the left and something that we should be striving for in everything we do, not something that should be glossed over and forgotten as "leftist locker room talk" or someshit. The left used to shoot fascists and reactionaries like McCain. I think you mean the ideal of the bourgeois liberal reformer
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Jul 20, 2017 20:13
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There is that one antiworm drug that's like 30 cents a pill in India but costs $884 dollars a pill here because only one company is licensed to make it.
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Aug 25, 2017 21:54
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Private employer insurance is a clusterfuck if different payers setting different prices. I've been seeing the same allergist for 4 years while changing jobs enough that he's been paid through 3 different employer plans, at $78, $112, and finally now $153 a visit. How is that a reasonable or a functional insurance system?
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Sep 16, 2017 06:54
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Office Pig posted:This is kind of a more general question but I feel it's worth asking: has any other post-WWII country committed something like this against its own population? Graham-Cassidy, AHCA, BCRA, whatever example you want to hold up, I'm sincerely aching for examples of the ruling elite of another country who committed genocide by destroying healthcare. Yeah, in the 70s when the labour party in australia passed single payer in the form of medibank, states run by right wingers sued to block it for years in their jurisdictions until a new liberal government dismantled it, causing such an outcry that labour got back in power to create medicare, their current single payer system.
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Sep 18, 2017 06:47
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Iirc you can already import small amounts of medicine legally from countries like India (I get two ventolins a year for $10 plus $10 shipping), most people are squeamish about buying medicine from India or china because it must be fake/substandard quality. Meanwhile Walmart sources its dollar generics from Indian giants like cipla and dr. reddy and slaps a familiar and friendly American name in it so people trust it.
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Sep 26, 2017 16:19
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evilweasel posted:importing drugs is not about lower manufacturing costs abroad, it's about taking advantage of price controls in those countries They could do that and then lose the national patent that prevents domestic producers from manufacturing their own. I think India straight up ignores patents for a lot of medications.
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Sep 26, 2017 19:56
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Defenestration posted:https://www.google.com/amp/s/www.wired.com/2015/03/how-technology-led-a-hospital-to-give-a-patient-38-times-his-dosage/amp A+ article, but the root issues here seem to be poor requirements during system implementation and a bad crew resource management problem endemic in medicine where doctors can't be questioned. The fact that a robot dispensed 6000mg of an antibiotic is moot because it was told to dispense that much.
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Oct 3, 2017 19:35
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My brother is a clinical pharmacist and he says his value comes entirely from catching doctor errors, which makes him a highly paid medical QA person basically. A robot could do his job better than he could. But most likely the doctor will just override the software constantly and kill patients. Actually putting a pharmacist there to call bullshit is a good thing until doctors themselves can be replaced with software.
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Oct 4, 2017 15:42
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