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2012-06-28 2:16 PM
in reply to: #4284525

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Subject: RE: ACA Individual Mandate Struck Down!

When the representatives use the same plan then talk to me about fair.  They decide a plan for us, in turn we must buy it, as we are taxed or penalized on it, in the mean tme they ride a different policy?

I'm revolting, someday!



2012-06-28 2:18 PM
in reply to: #4285163

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Subject: RE: ACA Individual Mandate Struck Down!
mehaner - 2012-06-28 2:16 PM
tech_geezer - 2012-06-28 12:34 PM

 

Twenty years from now, I believe that the country will be healthier physically and financially because of the ACA and costs of healthcare will be lower than they would be without ACA.   People will get preventative care and health counseling before they become disabled to the extent that they cannot work and wind up on Social Security.  Mothers will get prenatal care and avoid the costs of birth defects from vitamin deficiencies which could be prevented. Catastrophic illnesses will no longer drive families into bankruptcies.   It is a good thing.  There is a cumulative effect of healthcare provided over time.  It is already working in Massachusetts thanks to Gov. Romney.

 

I think, in theory, this is the goal of the act.  The problem is that people that don't get preventative health care.  My mother-in-law has great insurance and is 56 years old...hasn't had a mammogram in over 5 years, despite endless hounding by her daughter who does research on breast cancer patients.  I know plenty of people that just don't go to regular dental cleanings (even on my crappy insurance, those are free) or women that won't go for an annual gyno exam.

The ACA does nothing to change our behavior.  Preventative care only works if you get off your butt and check in with the doc even when nothing is wrong.  And giving insurance to people that don't have it...doesn't fix that.  Maybe a tax for NOT doing basic preventative medicine would be more in line with making a healthier nation... 

We cannot legislate behavior on diet or exercise or taking advantage of health care that is provided.  We cannot even seem to legislate (much) on clear health hazards like smoking.   Insofar as your diet, exercise, smoking, or getting good preventative care are under your own control, good health that results is its own reward.  Bad health is its own punishment.  That is not the issue.  The truth is that the insurance system that we had did not work.  There were citizens who were shut out of affordable health care. Pre-existing conditions prevented people from getting health insurance. Costs to the uninsured were orders of magnitude higher than to the insured at the emergency room.   ACA changes that fundamentally.  What people now do with a fairer system is their business.  It is the business of government to make sure the rules of the game are fair to all citizens.  That is what we are working toward.  The ACA s a huge step toward fairness in health insurance. 

 

TW

2012-06-28 2:19 PM
in reply to: #4285308

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Subject: RE: ACA Individual Mandate Struck Down!
TriRSquared - 2012-06-28 2:11 PM
mehaner - 2012-06-28 2:47 PM

i was mostly being facetious.  i like pieces of ACA (mainly that people with pre-existing conditions must be covered), and i've read your arguments about the staffing to process all the insurances, but really i'm not convinced that this will make people live healthier lives, if that is even the goal.

You do realize that while they MUST cover you there is no limit to the amount they will charge for the policy.  Let's say you were a 2 time cancer survivor.  Do you really think your new policy is going to be affordable?

It's a utterly impotent law.

Everything I have read states that it forces the insurances companies to not exclude people, not limit what is covered, AND not set unrealistic rates on coverage.  So, the new policy isn't allowed to be ridiculously unaffordable...at least from whatever I have read.

2012-06-28 2:21 PM
in reply to: #4285328

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Subject: RE: ACA Individual Mandate Struck Down!
jldicarlo - 2012-06-28 3:19 PM
TriRSquared - 2012-06-28 2:11 PM
mehaner - 2012-06-28 2:47 PM

i was mostly being facetious.  i like pieces of ACA (mainly that people with pre-existing conditions must be covered), and i've read your arguments about the staffing to process all the insurances, but really i'm not convinced that this will make people live healthier lives, if that is even the goal.

You do realize that while they MUST cover you there is no limit to the amount they will charge for the policy.  Let's say you were a 2 time cancer survivor.  Do you really think your new policy is going to be affordable?

It's a utterly impotent law.

Everything I have read states that it forces the insurances companies to not exclude people, not limit what is covered, AND not set unrealistic rates on coverage.  So, the new policy isn't allowed to be ridiculously unaffordable...at least from whatever I have read.

So all it is then is a way to make someone else pay for one's care, correct?

 

2012-06-28 2:27 PM
in reply to: #4285328

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Subject: RE: ACA Individual Mandate Struck Down!
jldicarlo - 2012-06-28 3:19 PM
TriRSquared - 2012-06-28 2:11 PM
mehaner - 2012-06-28 2:47 PM

i was mostly being facetious.  i like pieces of ACA (mainly that people with pre-existing conditions must be covered), and i've read your arguments about the staffing to process all the insurances, but really i'm not convinced that this will make people live healthier lives, if that is even the goal.

You do realize that while they MUST cover you there is no limit to the amount they will charge for the policy.  Let's say you were a 2 time cancer survivor.  Do you really think your new policy is going to be affordable?

It's a utterly impotent law.

Everything I have read states that it forces the insurances companies to not exclude people, not limit what is covered, AND not set unrealistic rates on coverage.  So, the new policy isn't allowed to be ridiculously unaffordable...at least from whatever I have read.

There is some argument as to if there is a limit or not (I've never found anything that specifically states a limit but I could be wrong). 

Regardless, even if there is one, how do you think the insurance companies will compensate for that limit?  By spreading the extra out to everyone else.

You cannot force an insurance company to cover a person who has horrible health and not expect them to somehow make back the money.  If there is one thing insurance companies do well it's make a profit.

2012-06-28 2:30 PM
in reply to: #4285328

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Subject: RE: ACA Individual Mandate Struck Down!
jldicarlo - 2012-06-28 2:19 PM
TriRSquared - 2012-06-28 2:11 PM
mehaner - 2012-06-28 2:47 PM

i was mostly being facetious.  i like pieces of ACA (mainly that people with pre-existing conditions must be covered), and i've read your arguments about the staffing to process all the insurances, but really i'm not convinced that this will make people live healthier lives, if that is even the goal.

You do realize that while they MUST cover you there is no limit to the amount they will charge for the policy.  Let's say you were a 2 time cancer survivor.  Do you really think your new policy is going to be affordable?

It's a utterly impotent law.

Everything I have read states that it forces the insurances companies to not exclude people, not limit what is covered, AND not set unrealistic rates on coverage.  So, the new policy isn't allowed to be ridiculously unaffordable...at least from whatever I have read.

If you take a step back, the reason companies don't cover pre-existing conditions (right or wrong) is because in the long run it costs them a lot of money.  If somebody's had cancer twice and they cover them for $300/mo. there's a high probability they're going to lose a lot of money on that individual in the long run.  So if the same insurance company is now going to be forced to cover that person it is going to cost them more money and that has to come from somewhere.  So, if they cannot charge the individual a high premium then they'll raise everyone else's premiums to compensate for it.

Then we will see a lot more headlines like this:  ObamaCare on Campus: Schools Raise Premiums Sharply, Drop Coverage

For every action there's an equal and opposite reaction in economics too.

 



2012-06-28 2:33 PM
in reply to: #4285258

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Subject: RE: ACA Individual Mandate Struck Down!
trinnas - 2012-06-28 2:47 PM
tech_geezer - 2012-06-28 2:22 PM
trinnas - 2012-06-28 12:56 PM
tech_geezer - 2012-06-28 12:51 PM
tuwood - 2012-06-28 12:44 PM
tech_geezer - 2012-06-28 11:34 AM

Twenty years from now, I believe that the country will be healthier physically and financially because of the ACA and costs of healthcare will be lower than they would be without ACA.   People will get preventative care and health counseling before they become disabled to the extent that they cannot work and wind up on Social Security.  Mothers will get prenatal care and avoid the costs of birth defects from vitamin deficiencies which could be prevented. Catastrophic illnesses will no longer drive families into bankruptcies.   It is a good thing.  There is a cumulative effect of healthcare provided over time.  It is already working in Massachusetts thanks to Gov. Romney.

I think 20 years from now there will be 2 or 3 political swings in Washington with each adding to or removing from the law to the point that it will be in far worse shape than any other government program.  Both parties will blame the other for why the costs are going through the roof and things aren't working the way they're supposed to.

I am so horribly disappointed with Washington in general (both parties) that I have absolutely zero faith that they can create a program that reduces costs and provides value.  I just can't see that happening.

No. Gridlock is more likely.  It will be hard for one party or the other to achieve a sufficient majority to change things very much.   That is also a good thing. 

Yeah cause that is working out so well for Social Security and Medicare which are running of a rail.

Think about this a second.  Social Security and Medicare are government funded programs.  The Congress legislates the benefits and then separately legislates the taxes to pay for them.  They find the benefits easier to pass than the taxes.  The ACA is different.  It is just a law regulating the private insurance companies.  The law just limits some of the unfair practices that insurance companies have been free to use in the past. 

The good part is that it is not a government run program.  The private insurance companies have to make a profit.  So premiums have to match benefits and expenses with a little left over for the shareholders.  No deficit spending for them.  The really clever thing is that the private insurance business is not a monopoly like the government-run Socical Security and Medicare.  The company that does the balancing best gets all the business and wins. It's capitalism, kids.  It is great stuff.  It is just that now under ACA the industry operates under the minimum laws to be fair to all citizens.

I say genius and I say thanks to the many, many Republican thinkers who came up with the idea and advocated it for so many years.  And, I say thanks to a Democratic Congress and President for getting it passed.  And thanks to a Republican Chief Justice of the Supreme court for not legislating from the bench.  Despite the number of Republicans who have advocated for this sort of insurance reform, the Republicans could never have done this by themselves.  Now that it is in place and has passed all three branches of government, it actually has a great chance to be something that fixes the system.

Actually not so if this were so then there would be no need for all of the taxes that go along with it.  It is absolutely the opposite of capitalism it is central planning at it's finest.  The gov tells you exactly what you can buy, what you must buy, how much it can cost and what must be covered.  What exactly is capitalistic about this?  I really am not sure why you think this is a private system it is the government taking over a private system and making it a puppet.  Have you not seen all of the rules being handed down by HHS about all aspects of HC.

I am sorry it will not fix the system it will drive it into the ground like all command and control systems have done.  You will have breadlines for HC as I have said.

You need to read the law.  There are no taxes enacted with this law. The Chief Justice characterized the penalty for not purchasing private health insurance as a tax, but the revenue hopefully from this will be nil.  It was not envisioned by the framers of the law as a source of funding, just an incentive to get everyone to purchase insurance. The Congressional Budget Office predicts a net decrease in expenditure from the ACA. There is a new cost for insurance subsidies to those who cannot afford the insurance and an offsetting reduction in Medicaid expenses.

2012-06-28 2:45 PM
in reply to: #4285366

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Subject: RE: ACA Individual Mandate Struck Down!
tech_geezer - 2012-06-28 3:33 PM
trinnas - 2012-06-28 2:47 PM
tech_geezer - 2012-06-28 2:22 PM
trinnas - 2012-06-28 12:56 PM
tech_geezer - 2012-06-28 12:51 PM
tuwood - 2012-06-28 12:44 PM
tech_geezer - 2012-06-28 11:34 AM

Twenty years from now, I believe that the country will be healthier physically and financially because of the ACA and costs of healthcare will be lower than they would be without ACA.   People will get preventative care and health counseling before they become disabled to the extent that they cannot work and wind up on Social Security.  Mothers will get prenatal care and avoid the costs of birth defects from vitamin deficiencies which could be prevented. Catastrophic illnesses will no longer drive families into bankruptcies.   It is a good thing.  There is a cumulative effect of healthcare provided over time.  It is already working in Massachusetts thanks to Gov. Romney.

I think 20 years from now there will be 2 or 3 political swings in Washington with each adding to or removing from the law to the point that it will be in far worse shape than any other government program.  Both parties will blame the other for why the costs are going through the roof and things aren't working the way they're supposed to.

I am so horribly disappointed with Washington in general (both parties) that I have absolutely zero faith that they can create a program that reduces costs and provides value.  I just can't see that happening.

No. Gridlock is more likely.  It will be hard for one party or the other to achieve a sufficient majority to change things very much.   That is also a good thing. 

Yeah cause that is working out so well for Social Security and Medicare which are running of a rail.

Think about this a second.  Social Security and Medicare are government funded programs.  The Congress legislates the benefits and then separately legislates the taxes to pay for them.  They find the benefits easier to pass than the taxes.  The ACA is different.  It is just a law regulating the private insurance companies.  The law just limits some of the unfair practices that insurance companies have been free to use in the past. 

The good part is that it is not a government run program.  The private insurance companies have to make a profit.  So premiums have to match benefits and expenses with a little left over for the shareholders.  No deficit spending for them.  The really clever thing is that the private insurance business is not a monopoly like the government-run Socical Security and Medicare.  The company that does the balancing best gets all the business and wins. It's capitalism, kids.  It is great stuff.  It is just that now under ACA the industry operates under the minimum laws to be fair to all citizens.

I say genius and I say thanks to the many, many Republican thinkers who came up with the idea and advocated it for so many years.  And, I say thanks to a Democratic Congress and President for getting it passed.  And thanks to a Republican Chief Justice of the Supreme court for not legislating from the bench.  Despite the number of Republicans who have advocated for this sort of insurance reform, the Republicans could never have done this by themselves.  Now that it is in place and has passed all three branches of government, it actually has a great chance to be something that fixes the system.

Actually not so if this were so then there would be no need for all of the taxes that go along with it.  It is absolutely the opposite of capitalism it is central planning at it's finest.  The gov tells you exactly what you can buy, what you must buy, how much it can cost and what must be covered.  What exactly is capitalistic about this?  I really am not sure why you think this is a private system it is the government taking over a private system and making it a puppet.  Have you not seen all of the rules being handed down by HHS about all aspects of HC.

I am sorry it will not fix the system it will drive it into the ground like all command and control systems have done.  You will have breadlines for HC as I have said.

You need to read the law.  There are no taxes enacted with this law. The Chief Justice characterized the penalty for not purchasing private health insurance as a tax, but the revenue hopefully from this will be nil.  It was not envisioned by the framers of the law as a source of funding, just an incentive to get everyone to purchase insurance. The Congressional Budget Office predicts a net decrease in expenditure from the ACA. There is a new cost for insurance subsidies to those who cannot afford the insurance and an offsetting reduction in Medicaid expenses.

Really? so the taxes on medical devices that are supposed to get repeealed are not a tax then?  Really?  That is just one of the new taxes and you can split whatever hairs you want but companies don't pay taxes we pay them in the form of higher prices.  I am sorry but again it is tortured logic to say it is a penalty and not a tax.  The revenue will not be nill because most healthy people will figure out that it costs less to pay the tax and drop their HC coverage because they are guaranteed to have it when they need it.  This will lead to a premium spiral that will lead to more people dropping out until they need it.

The CBCs score is bogus and even they know it.  It takes into account things that will never happen.  Including cutting payments to doctors that are already not even covering costs.  Or the whole Elder care part of the packeage that went down in flames.  The revenue from it was supposed to defray the costs of OC.

I know how it was sold but a fairy tale is a fairy tale even when the Government tells it.

 

 



Edited by trinnas 2012-06-28 2:46 PM
2012-06-28 2:45 PM
in reply to: #4285366

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Subject: RE: ACA Individual Mandate Struck Down!
tech_geezer - 2012-06-28 2:33 PM

You need to read the law.  There are no taxes enacted with this law. The Chief Justice characterized the penalty for not purchasing private health insurance as a tax, but the revenue hopefully from this will be nil.  It was not envisioned by the framers of the law as a source of funding, just an incentive to get everyone to purchase insurance. The Congressional Budget Office predicts a net decrease in expenditure from the ACA. There is a new cost for insurance subsidies to those who cannot afford the insurance and an offsetting reduction in Medicaid expenses.



How the law is written is different than how it will play out (of course, it was written that way to begin with.)

If paying the tax penalty is lower than paying for/providing a health plan, and you get almost the same benefit if anything really bad happens, what do you think most consumers/companies will do?

Tax penalty payments will become a primary source of funding. Of course, other taxes will go up as well. You can't just legislate costs away, at least not while maintaining the quality of care.

2012-06-28 2:52 PM
in reply to: #4285366

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Subject: RE: ACA Individual Mandate Struck Down!
tech_geezer - 2012-06-28 2:33 PM

You need to read the law.  There are no taxes enacted with this law. The Chief Justice characterized the penalty for not purchasing private health insurance as a tax, but the revenue hopefully from this will be nil.  It was not envisioned by the framers of the law as a source of funding, just an incentive to get everyone to purchase insurance. The Congressional Budget Office predicts a net decrease in expenditure from the ACA. There is a new cost for insurance subsidies to those who cannot afford the insurance and an offsetting reduction in Medicaid expenses.

2012-06-28 3:10 PM
in reply to: #4284525

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Subject: RE: ACA Individual Mandate Struck Down!

little bit of a segway, but I just had a dumb thought.  Does anybody know how much the actual premium is going to be for Obamacare?  I tried googling it and everything I found just pointed to how much my individual taxes will go up from Obamacare.  I'm curious how much the actual premium is?  The thing I will get fined for if I don't sign up and pay for it. (or have employee provided insurance)

I did find somewhere that said the penalty for not having it would be 2.5% of my income, so my guess is the premium would be close to or lower than that.

I'm sure its based on income with all low income voters not having to pay any premiums.



2012-06-28 3:14 PM
in reply to: #4285445

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Subject: RE: ACA Individual Mandate Struck Down!
tuwood - 2012-06-28 4:10 PM

little bit of a segway, but I just had a dumb thought.  Does anybody know how much the actual premium is going to be for Obamacare?  I tried googling it and everything I found just pointed to how much my individual taxes will go up from Obamacare.  I'm curious how much the actual premium is?  The thing I will get fined for if I don't sign up and pay for it. (or have employee provided insurance)

I did find somewhere that said the penalty for not having it would be 2.5% of my income, so my guess is the premium would be close to or lower than that.

I'm sure its based on income with all low income voters not having to pay any premiums.

Starts at $95 and goes up to 1% of your income depending on your tax bracket.

2012-06-28 3:18 PM
in reply to: #4285360

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Subject: RE: ACA Individual Mandate Struck Down!
tuwood - 2012-06-28 3:30 PM
jldicarlo - 2012-06-28 2:19 PM
TriRSquared - 2012-06-28 2:11 PM
mehaner - 2012-06-28 2:47 PM

i was mostly being facetious.  i like pieces of ACA (mainly that people with pre-existing conditions must be covered), and i've read your arguments about the staffing to process all the insurances, but really i'm not convinced that this will make people live healthier lives, if that is even the goal.

You do realize that while they MUST cover you there is no limit to the amount they will charge for the policy.  Let's say you were a 2 time cancer survivor.  Do you really think your new policy is going to be affordable?

It's a utterly impotent law.

Everything I have read states that it forces the insurances companies to not exclude people, not limit what is covered, AND not set unrealistic rates on coverage.  So, the new policy isn't allowed to be ridiculously unaffordable...at least from whatever I have read.

If you take a step back, the reason companies don't cover pre-existing conditions (right or wrong) is because in the long run it costs them a lot of money.  If somebody's had cancer twice and they cover them for $300/mo. there's a high probability they're going to lose a lot of money on that individual in the long run.  So if the same insurance company is now going to be forced to cover that person it is going to cost them more money and that has to come from somewhere.  So, if they cannot charge the individual a high premium then they'll raise everyone else's premiums to compensate for it.

Then we will see a lot more headlines like this:  ObamaCare on Campus: Schools Raise Premiums Sharply, Drop Coverage

For every action there's an equal and opposite reaction in economics too.

 

So how is it that every other industrialized western country can afford to cover its citizens while spending less per capita on health care than we do? 

I think the more likely "reaction" would be less redundancy in some areas and more rational providing of services. 

2012-06-28 3:21 PM
in reply to: #4285470

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Subject: RE: ACA Individual Mandate Struck Down!
gearboy - 2012-06-28 4:18 PM
tuwood - 2012-06-28 3:30 PM
jldicarlo - 2012-06-28 2:19 PM
TriRSquared - 2012-06-28 2:11 PM
mehaner - 2012-06-28 2:47 PM

i was mostly being facetious.  i like pieces of ACA (mainly that people with pre-existing conditions must be covered), and i've read your arguments about the staffing to process all the insurances, but really i'm not convinced that this will make people live healthier lives, if that is even the goal.

You do realize that while they MUST cover you there is no limit to the amount they will charge for the policy.  Let's say you were a 2 time cancer survivor.  Do you really think your new policy is going to be affordable?

It's a utterly impotent law.

Everything I have read states that it forces the insurances companies to not exclude people, not limit what is covered, AND not set unrealistic rates on coverage.  So, the new policy isn't allowed to be ridiculously unaffordable...at least from whatever I have read.

If you take a step back, the reason companies don't cover pre-existing conditions (right or wrong) is because in the long run it costs them a lot of money.  If somebody's had cancer twice and they cover them for $300/mo. there's a high probability they're going to lose a lot of money on that individual in the long run.  So if the same insurance company is now going to be forced to cover that person it is going to cost them more money and that has to come from somewhere.  So, if they cannot charge the individual a high premium then they'll raise everyone else's premiums to compensate for it.

Then we will see a lot more headlines like this:  ObamaCare on Campus: Schools Raise Premiums Sharply, Drop Coverage

For every action there's an equal and opposite reaction in economics too.

 

So how is it that every other industrialized western country can afford to cover its citizens while spending less per capita on health care than we do? 

I think the more likely "reaction" would be less redundancy in some areas and more rational providing of services. 

do any of these countries have mandated private health insurance exchanges though?  i could be COMPLETELY WRONG but aren't they mostly on single payer (gov't) systems?  that is a huge difference...

2012-06-28 3:22 PM
in reply to: #4285470

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Subject: RE: ACA Individual Mandate Struck Down!
gearboy - 2012-06-28 1:18 PM
tuwood - 2012-06-28 3:30 PM
jldicarlo - 2012-06-28 2:19 PM
TriRSquared - 2012-06-28 2:11 PM
mehaner - 2012-06-28 2:47 PM

i was mostly being facetious.  i like pieces of ACA (mainly that people with pre-existing conditions must be covered), and i've read your arguments about the staffing to process all the insurances, but really i'm not convinced that this will make people live healthier lives, if that is even the goal.

You do realize that while they MUST cover you there is no limit to the amount they will charge for the policy.  Let's say you were a 2 time cancer survivor.  Do you really think your new policy is going to be affordable?

It's a utterly impotent law.

Everything I have read states that it forces the insurances companies to not exclude people, not limit what is covered, AND not set unrealistic rates on coverage.  So, the new policy isn't allowed to be ridiculously unaffordable...at least from whatever I have read.

If you take a step back, the reason companies don't cover pre-existing conditions (right or wrong) is because in the long run it costs them a lot of money.  If somebody's had cancer twice and they cover them for $300/mo. there's a high probability they're going to lose a lot of money on that individual in the long run.  So if the same insurance company is now going to be forced to cover that person it is going to cost them more money and that has to come from somewhere.  So, if they cannot charge the individual a high premium then they'll raise everyone else's premiums to compensate for it.

Then we will see a lot more headlines like this:  ObamaCare on Campus: Schools Raise Premiums Sharply, Drop Coverage

For every action there's an equal and opposite reaction in economics too.

 

So how is it that every other industrialized western country can afford to cover its citizens while spending less per capita on health care than we do? 

I think the more likely "reaction" would be less redundancy in some areas and more rational providing of services. 

I'm not sure they can, Greece, Spain, Italy...

2012-06-28 3:24 PM
in reply to: #4285445

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Subject: RE: ACA Individual Mandate Struck Down!
tuwood - 2012-06-28 4:10 PM

little bit of a segway, ...

Misspellings of homonyms are a pet peeve of mine.

This is a segway:

I believe the word you are trying to us is "segue" - as in a smooth transition from one topic to another. 



2012-06-28 3:25 PM
in reply to: #4285484

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Subject: RE: ACA Individual Mandate Struck Down!
gearboy - 2012-06-28 4:24 PM
tuwood - 2012-06-28 4:10 PM

little bit of a segway, ...

Misspellings of homonyms are a pet peeve of mine.

This is a segway:

 

I believe the word you are trying to us is "segue" - as in a smooth transition from one topic to another. 

Now your just being pedantic.    

 



Edited by trinnas 2012-06-28 3:26 PM
2012-06-28 3:27 PM
in reply to: #4285470

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Subject: RE: ACA Individual Mandate Struck Down!
gearboy - 2012-06-28 3:18 PM
tuwood - 2012-06-28 3:30 PM
jldicarlo - 2012-06-28 2:19 PM
TriRSquared - 2012-06-28 2:11 PM
mehaner - 2012-06-28 2:47 PM

i was mostly being facetious.  i like pieces of ACA (mainly that people with pre-existing conditions must be covered), and i've read your arguments about the staffing to process all the insurances, but really i'm not convinced that this will make people live healthier lives, if that is even the goal.

You do realize that while they MUST cover you there is no limit to the amount they will charge for the policy.  Let's say you were a 2 time cancer survivor.  Do you really think your new policy is going to be affordable?

It's a utterly impotent law.

Everything I have read states that it forces the insurances companies to not exclude people, not limit what is covered, AND not set unrealistic rates on coverage.  So, the new policy isn't allowed to be ridiculously unaffordable...at least from whatever I have read.

If you take a step back, the reason companies don't cover pre-existing conditions (right or wrong) is because in the long run it costs them a lot of money.  If somebody's had cancer twice and they cover them for $300/mo. there's a high probability they're going to lose a lot of money on that individual in the long run.  So if the same insurance company is now going to be forced to cover that person it is going to cost them more money and that has to come from somewhere.  So, if they cannot charge the individual a high premium then they'll raise everyone else's premiums to compensate for it.

Then we will see a lot more headlines like this:  ObamaCare on Campus: Schools Raise Premiums Sharply, Drop Coverage

For every action there's an equal and opposite reaction in economics too.

 

So how is it that every other industrialized western country can afford to cover its citizens while spending less per capita on health care than we do? 

I think the more likely "reaction" would be less redundancy in some areas and more rational providing rationing of services. 

fixed

2012-06-28 3:29 PM
in reply to: #4285484

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Subject: RE: ACA Individual Mandate Struck Down!
gearboy - 2012-06-28 3:24 PM
tuwood - 2012-06-28 4:10 PM

little bit of a segway, ...

Misspellings of homonyms are a pet peeve of mine.

This is a segway:

I believe the word you are trying to us is "segue" - as in a smooth transition from one topic to another. 

lol, hey i learned something today.  

2012-06-28 3:29 PM
in reply to: #4285477

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Subject: RE: ACA Individual Mandate Struck Down!

ckallpoints - 2012-06-28 4:22 PM 

...

So how is it that every other industrialized western country can afford to cover its citizens while spending less per capita on health care than we do? 

I think the more likely "reaction" would be less redundancy in some areas and more rational providing of services. 

I'm not sure they can, Greece, Spain, Italy...

OK, what about Germany, Brazil, England, Canada, France, Norway, Sweden, Finland, Denmark, Iceland, Switzerland, Australia, Japan, Luxemberg, New Zealand...?

2012-06-28 3:40 PM
in reply to: #4285495

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Subject: RE: ACA Individual Mandate Struck Down!
gearboy - 2012-06-28 3:29 PM

ckallpoints - 2012-06-28 4:22 PM 

...

So how is it that every other industrialized western country can afford to cover its citizens while spending less per capita on health care than we do? 

I think the more likely "reaction" would be less redundancy in some areas and more rational providing of services. 

I'm not sure they can, Greece, Spain, Italy...

OK, what about Germany, Brazil, England, Canada, France, Norway, Sweden, Finland, Denmark, Iceland, Switzerland, Australia, Japan, Luxemberg, New Zealand...?

I don't know a lot about their systems but I think its because they have a top down control of their healthcare system which makes it cheaper and I'll argue their level of care is nowhere near what you can get in the US.  Where do the wealthy in Canada go for big surgeries?  The US.  
We in the US do have out of control costs in healthcare (you and I probably agree on that), but what we've done IMHO with Obamacare is jam a government system on top of our "expensive" health care system wich has many layers of profit and liability insurance still in it.  Something has to give.  Either the liability expense has to go down (not likely), the doctors/hospitals will have to make less (not likely) the care has to go down (very likely) or the tax payers will have to pay a lot more than they were expecting (almost guaranteed)



2012-06-28 3:44 PM
in reply to: #4285495

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Subject: RE: ACA Individual Mandate Struck Down!
gearboy - 2012-06-28 1:29 PM

ckallpoints - 2012-06-28 4:22 PM 

...

So how is it that every other industrialized western country can afford to cover its citizens while spending less per capita on health care than we do? 

I think the more likely "reaction" would be less redundancy in some areas and more rational providing of services. 

I'm not sure they can, Greece, Spain, Italy...

OK, what about Germany, Brazil, England, Canada, France, Norway, Sweden, Finland, Denmark, Iceland, Switzerland, Australia, Japan, Luxemberg, New Zealand...?

I was mainly responding to the bold part above. I think the further the consumer is removed from the cost the less control there is. This is a very complex and expensive problem that I wish I had the answer to. I'm kind of leaning toward a single payer program.

On a somewhat related tangent. We opted to drop our insurance coverage last year after multiple years of 20% - 30% increases. If we need to go to the Doctor we pay for it (and get a discount) over the billed rate. So in a since I am part of the problem.

2012-06-28 4:03 PM
in reply to: #4285494

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Subject: RE: ACA Individual Mandate Struck Down!
tuwood - 2012-06-28 4:29 PM
gearboy - 2012-06-28 3:24 PM
tuwood - 2012-06-28 4:10 PM

little bit of a segway, ...

Misspellings of homonyms are a pet peeve of mine.

This is a segway:

I believe the word you are trying to us is "segue" - as in a smooth transition from one topic to another. 

lol, hey i learned something today.  

What's with the dread-locked youngster riding sideways on the Segway?  Is he trying to segway-jack?

2012-06-28 4:11 PM
in reply to: #4285591

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Subject: RE: ACA Individual Mandate Struck Down!
GomesBolt - 2012-06-28 4:03 PM
tuwood - 2012-06-28 4:29 PM
gearboy - 2012-06-28 3:24 PM
tuwood - 2012-06-28 4:10 PM

little bit of a segway, ...

Misspellings of homonyms are a pet peeve of mine.

This is a segway:

I believe the word you are trying to us is "segue" - as in a smooth transition from one topic to another. 

lol, hey i learned something today.  

What's with the dread-locked youngster riding sideways on the Segway?  Is he trying to segway-jack?

I'm a little more concerned with what the guy behind him is doing.  Surprised

2012-06-28 4:21 PM
in reply to: #4284816

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Subject: RE: ACA Individual Mandate Struck Down!
tuwood - 2012-06-28 9:00 AM
jldicarlo - 2012-06-28 10:38 AM

I really don't see why everyone is so wrapped around the axle over it.  I think the positives outweigh the negatives and I think we really aren't doing anything "new" here.  We've heavily taxed "bad things" like cigarettes for years to mold behavior.  I just don't see this as much different than that.

I agree that there are a lot of good things in the ACA, but unfortunately the costs for all the good are going to likely bankrupt the country.

I use the analogy that it would be good to give everyone in the country $1000 dollars.  Who could argue with that.  But unfortunately somebody has to come up with the $1000.

So, in my opinion the bad (the cost) far outweighs the good.  Plus its a government program so it will be riddled with corruption and waste which drives me crazy. 

Whoa where'd you come up with that?

I'd agree if the individual mandate had been struck down and the rest of the law remained.  Or if you were talking about the health care system *prior* to the ACA.

Your analogy is totally off base when everyone is paying into the system.

The key goal of the individual mandate was to get people paying at a younger age.  Otherwise your stereotypical 20-something working tables just went uninsured for many years since he has no need for the doctor.  Then later on, age 40, 50, 60 whatever, he starts paying for insurance but using the system often enough that he's coming out ahead, so to speak.

If we're all sharing the burden early on, then it's not a problem to take advantage of expensive procedures when something catastrophic happens.

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