ObamaCare ruined primary care medicine

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

The harsh reality is that if you want lower health costs and better health outcomes, it has very little to do with the healthcare system. You simply need Americans to live healthier lifestyles. Diet and exercise would go a long way. I know, much easier said than done. Eventually progressives will get single payer and, right now, sight unseen, I’d be willing to bet everything I own that it will cost much more than predicted and fail to live up to its promises, with a decent chance of making things worse in the process. This is pretty much how it always goes.

The actual truth is that our for profit medical system is the primary reason we have such unhealthy people, and the “unrelated” reasons are all much of a muchness. Have a weird symptom you know should probably be checked out? Can’t; you know you can’t afford the doctor’s appointment and associated tests and, even if you could swing those, you couldn’t afford the treatment.

Yes our food supply is one of the world’s worst in terms of anything growers and manufacturers want to put in is allowed - profits over all! No, employers hardly ever have to allow sick days and our sick “grindset” culture has even contagiously sick people going into the office.

Your sick little post wants to put the blame where it doesn’t belong.

No. You’re simply wrong. The outsized cost isn’t driven by weird symptoms and failure of preventative care. The stats really are insane. In the 1960s the obesity rate in this country was less than 5% and today it is 40%. We spend something like $1500 extra per year per American in healthcare due to obesity in this country.

True story: do you ever wonder why menus for chain restaurants (whether sit down or fast food) now include calories on the menu? Because “studies” suggested that the one weird trick of labeling calories on menus would lead to people making healthier choices. So, the ACA mandated that restaurant chains with more than a certain number of locations had to include calorie counts on their menus. The projected reduction in obesity due to these menu labels was supposed to lead to material healthcare savings that were included in the CBO scoring of the ACA. Have we seen any decrease in the obesity rate since 2018 when the FDA finally fully implanted the menu calorie count requirement of the ACA?

I don’t know whether to laugh or cry at the absurdity of all of this. Anybody that thinks government actually has the ability to solve this problem is delusional.

Obesity rates are growing worldwide. Their healthcare costs have not increased at the rate ours has. Therefore your explanation is insufficient. And that's not even counting health positives, like declining rates of smoking.

[Anonymous]

Complex problems never, ever have have a single, simple answer.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I have to admire the optimism. ACA completely failed on its promises of cost savings and better outcomes. Instead of learning from that, people just want to double down and make believe that single payer will fix things.

Hint: the problem isn’t the payment system.

The ACA has succeeded on its cost savings promises. It didn't promise to bring down the cost. It promised to lower the rate at which costs were increasing, which it has.

Yes it was oversold but it has fulfiilled its promise
To be frank our entire system sucks because it is filled with middlemen taking a cut and the ACA didnt change that but rather ossified the system we already had. There are only two ways out: single payer or the elimination of employer based insurance. Eliminating the prohibition on medicare drug price negotiations and ending the state based regulatory system would help but isnt popular with the political donor class.

This is revisionist BS. Obama and his champions in Congress clearly sold lower costs not just lower rate of growth.

Republicans didn't let him do half of what he promised. Not his fault. He got compromise legislation. And the proof of the deal is that Republicans never once put up something better. As of this year they finally shut up and abandoned the repeal of Obamacare.

What he did mattered to many millions of Americans. It is more affordable for the poor and for working people who did not benefit from company health plans, such as independent contractors and small businesses.

Whether it is cheaper for you specifically, I don't know. But we all benefited from the elimination of the preexisting condition problem. I know people who were stuck in their jobs because of a sick kid or spouse, who suddenly became free to pursue better options.

You want a better plan? Get Republicans to put something down on paper that is actually an improvement.

This is complete revisionist garbage. There was NOT A SINGLE GOP vote for the ACA in either chamber of Congress. It is political gaslighting to suggest the ACA’s flaws and failures are due to Obama compromising with or being limited by Republicans when Republicans didn’t even provide a single vote for its passage.

If I recall correctly, Obama’s real compromise on the ACA was with the Democrat senators from Louisiana and Nebraska. Democrats had the votes to pass whatever form of the ACA they wanted to, but they knew that (a) real reform would lead to a slaughter in the 2010 midterms, (b) real reform would imperil a second Obama term and (c) people like you would let them get away with blaming those darned Republicans who always ruin everything. So instead of passing real reform with the once-in-75-years political power they had, democrats took the easy way out and declared victory.

We were promised real savings, better health outcomes and a skyrocketing economy. None of that came true all while costs continued to march upward on a marginally less steep trajectory.

The preexisting conditions changes is a bright spot in the ACA.

The real lesson here is that—at least the third way generation Democrats—the leaders in Congress deep down knew that single payer or some variation of it will be a total mess and they don’t want to pass it. Single payer is to Democrat politicians what abortion is to Republicans. Great on the campaign trail but if you ever actually get what the party base wants the political blowback is going to be ferocious.

We did indeed have a skyrocketing economy, alrhough I don't think that had anything to do with Obamacare.

The ACA itself was indeed a copy of the Heritage Foundation/Romneycare plan. They also did indeed precompromise with Republicans and Phrma. That is how we got pharmacy benefit managers instead of medicare negotiating drug prices.

They were also indeed talking about reducing the growth curve rather than net savings. It was very annoying at the time for those of us paying attention because as you imply it was mealymouth bs wordsmithing.

We did not have a skyrocketing economy. Economic expansion during the Obama years was the weakest expansion since WWII—and it was particularly weak during his first term.

There was no compromise with the GOP. If we accept that your premise is correct then Obama, Reid, Schumer and Pelosi are the biggest idiots in the history of the world where they “compromised” with the GOP and got absolutely zero votes in return for that compromise. Do you really believe that’s what happened here? That’s simply not how negotiations work. The compromise was always with swing state Democrats who wanted to keep their seats. The hope was to water down the ACA enough for swing state Democrats in order to survive the 2010 midterms. Obviously, that didn’t work out. But the Democratic party wants you to believe that the failure of the ACA rests with those Republicans who always screw everything up even though the legislation was passed without a single Republican vote in Congress. The only two options here are that Democrats “compromised” with Republicans and got absolutely nothing in return for it or Democrats screwed this up and they are blaming Republicans for it.

We were clearly sold on net savings. Not a shallower cost growth curve.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

The harsh reality is that if you want lower health costs and better health outcomes, it has very little to do with the healthcare system. You simply need Americans to live healthier lifestyles. Diet and exercise would go a long way. I know, much easier said than done. Eventually progressives will get single payer and, right now, sight unseen, I’d be willing to bet everything I own that it will cost much more than predicted and fail to live up to its promises, with a decent chance of making things worse in the process. This is pretty much how it always goes.

The actual truth is that our for profit medical system is the primary reason we have such unhealthy people, and the “unrelated” reasons are all much of a muchness. Have a weird symptom you know should probably be checked out? Can’t; you know you can’t afford the doctor’s appointment and associated tests and, even if you could swing those, you couldn’t afford the treatment.

Yes our food supply is one of the world’s worst in terms of anything growers and manufacturers want to put in is allowed - profits over all! No, employers hardly ever have to allow sick days and our sick “grindset” culture has even contagiously sick people going into the office.

Your sick little post wants to put the blame where it doesn’t belong.

No. You’re simply wrong. The outsized cost isn’t driven by weird symptoms and failure of preventative care. The stats really are insane. In the 1960s the obesity rate in this country was less than 5% and today it is 40%. We spend something like $1500 extra per year per American in healthcare due to obesity in this country.

True story: do you ever wonder why menus for chain restaurants (whether sit down or fast food) now include calories on the menu? Because “studies” suggested that the one weird trick of labeling calories on menus would lead to people making healthier choices. So, the ACA mandated that restaurant chains with more than a certain number of locations had to include calorie counts on their menus. The projected reduction in obesity due to these menu labels was supposed to lead to material healthcare savings that were included in the CBO scoring of the ACA. Have we seen any decrease in the obesity rate since 2018 when the FDA finally fully implanted the menu calorie count requirement of the ACA?

I don’t know whether to laugh or cry at the absurdity of all of this. Anybody that thinks government actually has the ability to solve this problem is delusional.

Obesity rates are growing worldwide. Their healthcare costs have not increased at the rate ours has. Therefore your explanation is insufficient. And that's not even counting health positives, like declining rates of smoking.

Sure, there are other factors involved. Notice I said: “diet and exercise WOULD GO A LONG WAY”. I’m not sure what point you think you are making.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

The harsh reality is that if you want lower health costs and better health outcomes, it has very little to do with the healthcare system. You simply need Americans to live healthier lifestyles. Diet and exercise would go a long way. I know, much easier said than done. Eventually progressives will get single payer and, right now, sight unseen, I’d be willing to bet everything I own that it will cost much more than predicted and fail to live up to its promises, with a decent chance of making things worse in the process. This is pretty much how it always goes.

The actual truth is that our for profit medical system is the primary reason we have such unhealthy people, and the “unrelated” reasons are all much of a muchness. Have a weird symptom you know should probably be checked out? Can’t; you know you can’t afford the doctor’s appointment and associated tests and, even if you could swing those, you couldn’t afford the treatment.

Yes our food supply is one of the world’s worst in terms of anything growers and manufacturers want to put in is allowed - profits over all! No, employers hardly ever have to allow sick days and our sick “grindset” culture has even contagiously sick people going into the office.

Your sick little post wants to put the blame where it doesn’t belong.

No. You’re simply wrong. The outsized cost isn’t driven by weird symptoms and failure of preventative care. The stats really are insane. In the 1960s the obesity rate in this country was less than 5% and today it is 40%. We spend something like $1500 extra per year per American in healthcare due to obesity in this country.

True story: do you ever wonder why menus for chain restaurants (whether sit down or fast food) now include calories on the menu? Because “studies” suggested that the one weird trick of labeling calories on menus would lead to people making healthier choices. So, the ACA mandated that restaurant chains with more than a certain number of locations had to include calorie counts on their menus. The projected reduction in obesity due to these menu labels was supposed to lead to material healthcare savings that were included in the CBO scoring of the ACA. Have we seen any decrease in the obesity rate since 2018 when the FDA finally fully implanted the menu calorie count requirement of the ACA?

I don’t know whether to laugh or cry at the absurdity of all of this. Anybody that thinks government actually has the ability to solve this problem is delusional.

Obesity rates are growing worldwide. Their healthcare costs have not increased at the rate ours has. Therefore your explanation is insufficient. And that's not even counting health positives, like declining rates of smoking.

Sure, there are other factors involved. Notice I said: “diet and exercise WOULD GO A LONG WAY”. I’m not sure what point you think you are making.

So would cutting corn subsidies. That high fructose corn syrup is killing people.

[Anonymous]

We need more doctors. Enough with the part time doctors. If they are going to be part time, then they will have to pay more for medical school on their own and allow more people in.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I have to admire the optimism. ACA completely failed on its promises of cost savings and better outcomes. Instead of learning from that, people just want to double down and make believe that single payer will fix things.

Hint: the problem isn’t the payment system.

The ACA has succeeded on its cost savings promises. It didn't promise to bring down the cost. It promised to lower the rate at which costs were increasing, which it has.

Yes it was oversold but it has fulfiilled its promise
To be frank our entire system sucks because it is filled with middlemen taking a cut and the ACA didnt change that but rather ossified the system we already had. There are only two ways out: single payer or the elimination of employer based insurance. Eliminating the prohibition on medicare drug price negotiations and ending the state based regulatory system would help but isnt popular with the political donor class.

This is revisionist BS. Obama and his champions in Congress clearly sold lower costs not just lower rate of growth.

Republicans didn't let him do half of what he promised. Not his fault. He got compromise legislation. And the proof of the deal is that Republicans never once put up something better. As of this year they finally shut up and abandoned the repeal of Obamacare.

What he did mattered to many millions of Americans. It is more affordable for the poor and for working people who did not benefit from company health plans, such as independent contractors and small businesses.

Whether it is cheaper for you specifically, I don't know. But we all benefited from the elimination of the preexisting condition problem. I know people who were stuck in their jobs because of a sick kid or spouse, who suddenly became free to pursue better options.

You want a better plan? Get Republicans to put something down on paper that is actually an improvement.

This is complete revisionist garbage. There was NOT A SINGLE GOP vote for the ACA in either chamber of Congress. It is political gaslighting to suggest the ACA’s flaws and failures are due to Obama compromising with or being limited by Republicans when Republicans didn’t even provide a single vote for its passage.

If I recall correctly, Obama’s real compromise on the ACA was with the Democrat senators from Louisiana and Nebraska. Democrats had the votes to pass whatever form of the ACA they wanted to, but they knew that (a) real reform would lead to a slaughter in the 2010 midterms, (b) real reform would imperil a second Obama term and (c) people like you would let them get away with blaming those darned Republicans who always ruin everything. So instead of passing real reform with the once-in-75-years political power they had, democrats took the easy way out and declared victory.

We were promised real savings, better health outcomes and a skyrocketing economy. None of that came true all while costs continued to march upward on a marginally less steep trajectory.

The preexisting conditions changes is a bright spot in the ACA.

The real lesson here is that—at least the third way generation Democrats—the leaders in Congress deep down knew that single payer or some variation of it will be a total mess and they don’t want to pass it. Single payer is to Democrat politicians what abortion is to Republicans. Great on the campaign trail but if you ever actually get what the party base wants the political blowback is going to be ferocious.

We did indeed have a skyrocketing economy, alrhough I don't think that had anything to do with Obamacare.

The ACA itself was indeed a copy of the Heritage Foundation/Romneycare plan. They also did indeed precompromise with Republicans and Phrma. That is how we got pharmacy benefit managers instead of medicare negotiating drug prices.

They were also indeed talking about reducing the growth curve rather than net savings. It was very annoying at the time for those of us paying attention because as you imply it was mealymouth bs wordsmithing.

We did not have a skyrocketing economy. Economic expansion during the Obama years was the weakest expansion since WWII—and it was particularly weak during his first term.

There was no compromise with the GOP. If we accept that your premise is correct then Obama, Reid, Schumer and Pelosi are the biggest idiots in the history of the world where they “compromised” with the GOP and got absolutely zero votes in return for that compromise. Do you really believe that’s what happened here? That’s simply not how negotiations work. The compromise was always with swing state Democrats who wanted to keep their seats. The hope was to water down the ACA enough for swing state Democrats in order to survive the 2010 midterms. Obviously, that didn’t work out. But the Democratic party wants you to believe that the failure of the ACA rests with those Republicans who always screw everything up even though the legislation was passed without a single Republican vote in Congress. The only two options here are that Democrats “compromised” with Republicans and got absolutely nothing in return for it or Democrats screwed this up and they are blaming Republicans for it.

We were clearly sold on net savings. Not a shallower cost growth curve.

It was weak in his first term because the guy before him started two wars. Give me a break.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I have to admire the optimism. ACA completely failed on its promises of cost savings and better outcomes. Instead of learning from that, people just want to double down and make believe that single payer will fix things.

Hint: the problem isn’t the payment system.

The ACA has succeeded on its cost savings promises. It didn't promise to bring down the cost. It promised to lower the rate at which costs were increasing, which it has.

Yes it was oversold but it has fulfiilled its promise
To be frank our entire system sucks because it is filled with middlemen taking a cut and the ACA didnt change that but rather ossified the system we already had. There are only two ways out: single payer or the elimination of employer based insurance. Eliminating the prohibition on medicare drug price negotiations and ending the state based regulatory system would help but isnt popular with the political donor class.

This is revisionist BS. Obama and his champions in Congress clearly sold lower costs not just lower rate of growth.

Republicans didn't let him do half of what he promised. Not his fault. He got compromise legislation. And the proof of the deal is that Republicans never once put up something better. As of this year they finally shut up and abandoned the repeal of Obamacare.

What he did mattered to many millions of Americans. It is more affordable for the poor and for working people who did not benefit from company health plans, such as independent contractors and small businesses.

Whether it is cheaper for you specifically, I don't know. But we all benefited from the elimination of the preexisting condition problem. I know people who were stuck in their jobs because of a sick kid or spouse, who suddenly became free to pursue better options.

You want a better plan? Get Republicans to put something down on paper that is actually an improvement.

This is complete revisionist garbage. There was NOT A SINGLE GOP vote for the ACA in either chamber of Congress. It is political gaslighting to suggest the ACA’s flaws and failures are due to Obama compromising with or being limited by Republicans when Republicans didn’t even provide a single vote for its passage.

If I recall correctly, Obama’s real compromise on the ACA was with the Democrat senators from Louisiana and Nebraska. Democrats had the votes to pass whatever form of the ACA they wanted to, but they knew that (a) real reform would lead to a slaughter in the 2010 midterms, (b) real reform would imperil a second Obama term and (c) people like you would let them get away with blaming those darned Republicans who always ruin everything. So instead of passing real reform with the once-in-75-years political power they had, democrats took the easy way out and declared victory.

We were promised real savings, better health outcomes and a skyrocketing economy. None of that came true all while costs continued to march upward on a marginally less steep trajectory.

The preexisting conditions changes is a bright spot in the ACA.

The real lesson here is that—at least the third way generation Democrats—the leaders in Congress deep down knew that single payer or some variation of it will be a total mess and they don’t want to pass it. Single payer is to Democrat politicians what abortion is to Republicans. Great on the campaign trail but if you ever actually get what the party base wants the political blowback is going to be ferocious.

We did indeed have a skyrocketing economy, alrhough I don't think that had anything to do with Obamacare.

The ACA itself was indeed a copy of the Heritage Foundation/Romneycare plan. They also did indeed precompromise with Republicans and Phrma. That is how we got pharmacy benefit managers instead of medicare negotiating drug prices.

They were also indeed talking about reducing the growth curve rather than net savings. It was very annoying at the time for those of us paying attention because as you imply it was mealymouth bs wordsmithing.

We did not have a skyrocketing economy. Economic expansion during the Obama years was the weakest expansion since WWII—and it was particularly weak during his first term.

There was no compromise with the GOP. If we accept that your premise is correct then Obama, Reid, Schumer and Pelosi are the biggest idiots in the history of the world where they “compromised” with the GOP and got absolutely zero votes in return for that compromise. Do you really believe that’s what happened here? That’s simply not how negotiations work. The compromise was always with swing state Democrats who wanted to keep their seats. The hope was to water down the ACA enough for swing state Democrats in order to survive the 2010 midterms. Obviously, that didn’t work out. But the Democratic party wants you to believe that the failure of the ACA rests with those Republicans who always screw everything up even though the legislation was passed without a single Republican vote in Congress. The only two options here are that Democrats “compromised” with Republicans and got absolutely nothing in return for it or Democrats screwed this up and they are blaming Republicans for it.

We were clearly sold on net savings. Not a shallower cost growth curve.

It was weak in his first term because the guy before him started two wars. Give me a break.

Like I said, it always those darned Republicans…..

[Anonymous]

Anonymous wrote:

Anonymous wrote:I have to admire the optimism. ACA completely failed on its promises of cost savings and better outcomes. Instead of learning from that, people just want to double down and make believe that single payer will fix things.

Hint: the problem isn’t the payment system.

It is failing because the GOP undermines it at every turn and won't support the legislation that addresses the issues.

This is by design, so people like OP get angry and blame the left.

Ding, ding, ding. The winning answer here. ^^^^^^^^^^^^

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I blame the government for having too few seats at residency programs. We simply do not have enough doctors if everyone has access to healthcare. The system worked fine before, but only because so many people couldn’t afford to see doctors

Before the ACA, the system was not working fine. Go back and read the media articles describing the acute issues people faced at the time.

The ACA tried to fix problems, but as if often the case, the road to hell is paved with good intentions. ACA increased the amount of reporting, imposed onerous rules and regulations, and continues to reimburse less and less. It has now added millions of new people to the system while the number of doctors stays the same. It has blown up our entire healthcare system.

Doctors are fed up and are ditching all insurance, so now you have thousands and thousands of people paying out the a$$ for insurance they can’t even use anymore and are being asked to fork out thousands more for an exclusive membership just to keep docs on retainer. It squeezes many more people towards the remaining docs that do take insurance, which are fewer and far between. Just because you can look on your insurance website and find PCPs thst accept the insurance doesn’t mean you’ll get access. So many don’t even take new patients anymore, or it is impossible to schedule an appointment, rendering your insurance worthless. Too bad for you if you don’t have an extra $2000+ per year per person in your household to pay for a membership fee. You’re screwed.

Imagine how people without insurance felt, then, when they couldn't go to the doctor when they were sick because they had no insurance. And no, medicaid doesn't pay for such people. These people are too "rich" for medicaid, but too poor to get private insurance.

The subsidies ACA provided helped millions of people get insurance, and many who went to see a PCP for the first time in their lives.

ACA is not perfect, but without a viable alternative, it's here to stay. And like I posted earlier, even some Rs have given into ACA and want it shored up with more people signing up for it.

Great. And now no one can get healthcare, even if they have insurance because physicians are closing their doors and only want elitists paying thousands per year in cash out of pocket.

So glad we are now all in the gutter.

Two minutes on Google or your insurance company’s website would lead you to a PCP who takes your insurance. Instead you’re here. Why?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I blame the government for having too few seats at residency programs. We simply do not have enough doctors if everyone has access to healthcare. The system worked fine before, but only because so many people couldn’t afford to see doctors

Before the ACA, the system was not working fine. Go back and read the media articles describing the acute issues people faced at the time.

The ACA tried to fix problems, but as if often the case, the road to hell is paved with good intentions. ACA increased the amount of reporting, imposed onerous rules and regulations, and continues to reimburse less and less. It has now added millions of new people to the system while the number of doctors stays the same. It has blown up our entire healthcare system.

Doctors are fed up and are ditching all insurance, so now you have thousands and thousands of people paying out the a$$ for insurance they can’t even use anymore and are being asked to fork out thousands more for an exclusive membership just to keep docs on retainer. It squeezes many more people towards the remaining docs that do take insurance, which are fewer and far between. Just because you can look on your insurance website and find PCPs thst accept the insurance doesn’t mean you’ll get access. So many don’t even take new patients anymore, or it is impossible to schedule an appointment, rendering your insurance worthless. Too bad for you if you don’t have an extra $2000+ per year per person in your household to pay for a membership fee. You’re screwed.

Imagine how people without insurance felt, then, when they couldn't go to the doctor when they were sick because they had no insurance. And no, medicaid doesn't pay for such people. These people are too "rich" for medicaid, but too poor to get private insurance.

The subsidies ACA provided helped millions of people get insurance, and many who went to see a PCP for the first time in their lives.

ACA is not perfect, but without a viable alternative, it's here to stay. And like I posted earlier, even some Rs have given into ACA and want it shored up with more people signing up for it.

Great. And now no one can get healthcare, even if they have insurance because physicians are closing their doors and only want elitists paying thousands per year in cash out of pocket.

So glad we are now all in the gutter.

Two minutes on Google or your insurance company’s website would lead you to a PCP who takes your insurance. Instead you’re here. Why?

Democrats want sensible coverage for everyone. Ever heard of Medicare for all? The GOP allowed garbage policies to proliferate (which had been restricted under the original ACA). You think you have cheap insurance but you really don't. It's not worth the paper it's written on. But I guess that what happens when folks pay and vote for what they get.

[Anonymous]

I am OK with single payer if every American pays the same "fee"

If every American had to pay $1,000/yr regardless if you make 10m or 50k (create a poverty buffer where it's covered under a certain $), you would get your healthcare.

However, all they will do is make it free for half the country that doesn't pay taxes then jack up my taxes to the point where I am subsidizing dozens of people.

Sorry buy my employer covers 100% of my families' premiums and our deductible is negligible. Why would I ever want to change that?

[Anonymous]

Anonymous wrote:I am OK with single payer if every American pays the same "fee"

If every American had to pay $1,000/yr regardless if you make 10m or 50k (create a poverty buffer where it's covered under a certain $), you would get your healthcare.

However, all they will do is make it free for half the country that doesn't pay taxes then jack up my taxes to the point where I am subsidizing dozens of people.

Sorry buy my employer covers 100% of my families' premiums and our deductible is negligible. Why would I ever want to change that?

Because you might lose your job or your company goes bankrupt or changes its benefits policies or you retire and realize you need better coverage. Good for you on having an allegedly great policy. But what happens to your kids and other family members once you're gone?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I blame the government for having too few seats at residency programs. We simply do not have enough doctors if everyone has access to healthcare. The system worked fine before, but only because so many people couldn’t afford to see doctors

Before the ACA, the system was not working fine. Go back and read the media articles describing the acute issues people faced at the time.

The ACA tried to fix problems, but as if often the case, the road to hell is paved with good intentions. ACA increased the amount of reporting, imposed onerous rules and regulations, and continues to reimburse less and less. It has now added millions of new people to the system while the number of doctors stays the same. It has blown up our entire healthcare system.

Doctors are fed up and are ditching all insurance, so now you have thousands and thousands of people paying out the a$$ for insurance they can’t even use anymore and are being asked to fork out thousands more for an exclusive membership just to keep docs on retainer. It squeezes many more people towards the remaining docs that do take insurance, which are fewer and far between. Just because you can look on your insurance website and find PCPs thst accept the insurance doesn’t mean you’ll get access. So many don’t even take new patients anymore, or it is impossible to schedule an appointment, rendering your insurance worthless. Too bad for you if you don’t have an extra $2000+ per year per person in your household to pay for a membership fee. You’re screwed.

Imagine how people without insurance felt, then, when they couldn't go to the doctor when they were sick because they had no insurance. And no, medicaid doesn't pay for such people. These people are too "rich" for medicaid, but too poor to get private insurance.

The subsidies ACA provided helped millions of people get insurance, and many who went to see a PCP for the first time in their lives.

ACA is not perfect, but without a viable alternative, it's here to stay. And like I posted earlier, even some Rs have given into ACA and want it shored up with more people signing up for it.

Great. And now no one can get healthcare, even if they have insurance because physicians are closing their doors and only want elitists paying thousands per year in cash out of pocket.

So glad we are now all in the gutter.

Two minutes on Google or your insurance company’s website would lead you to a PCP who takes your insurance. Instead you’re here. Why?

Democrats want sensible coverage for everyone. Ever heard of Medicare for all? The GOP allowed garbage policies to proliferate (which had been restricted under the original ACA). You think you have cheap insurance but you really don't. It's not worth the paper it's written on. But I guess that what happens when folks pay and vote for what they get.

My insurance is great. Paid $0.00 for the birth of my child. Have reasonable co-pays, free labs and a fantastic PCP, who takes my insurance.

So why are you on DCUM complaining about doctors in concierge practice, which many doctors prefer for their own work life balance as well, and not finding a doctor?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I blame the government for having too few seats at residency programs. We simply do not have enough doctors if everyone has access to healthcare. The system worked fine before, but only because so many people couldn’t afford to see doctors

Before the ACA, the system was not working fine. Go back and read the media articles describing the acute issues people faced at the time.

The ACA tried to fix problems, but as if often the case, the road to hell is paved with good intentions. ACA increased the amount of reporting, imposed onerous rules and regulations, and continues to reimburse less and less. It has now added millions of new people to the system while the number of doctors stays the same. It has blown up our entire healthcare system.

Doctors are fed up and are ditching all insurance, so now you have thousands and thousands of people paying out the a$$ for insurance they can’t even use anymore and are being asked to fork out thousands more for an exclusive membership just to keep docs on retainer. It squeezes many more people towards the remaining docs that do take insurance, which are fewer and far between. Just because you can look on your insurance website and find PCPs thst accept the insurance doesn’t mean you’ll get access. So many don’t even take new patients anymore, or it is impossible to schedule an appointment, rendering your insurance worthless. Too bad for you if you don’t have an extra $2000+ per year per person in your household to pay for a membership fee. You’re screwed.

Imagine how people without insurance felt, then, when they couldn't go to the doctor when they were sick because they had no insurance. And no, medicaid doesn't pay for such people. These people are too "rich" for medicaid, but too poor to get private insurance.

The subsidies ACA provided helped millions of people get insurance, and many who went to see a PCP for the first time in their lives.

ACA is not perfect, but without a viable alternative, it's here to stay. And like I posted earlier, even some Rs have given into ACA and want it shored up with more people signing up for it.

Great. And now no one can get healthcare, even if they have insurance because physicians are closing their doors and only want elitists paying thousands per year in cash out of pocket.

So glad we are now all in the gutter.

Two minutes on Google or your insurance company’s website would lead you to a PCP who takes your insurance. Instead you’re here. Why?

Democrats want sensible coverage for everyone. Ever heard of Medicare for all? The GOP allowed garbage policies to proliferate (which had been restricted under the original ACA). You think you have cheap insurance but you really don't. It's not worth the paper it's written on. But I guess that what happens when folks pay and vote for what they get.

My insurance is great. Paid $0.00 for the birth of my child. Have reasonable co-pays, free labs and a fantastic PCP, who takes my insurance.

So why are you on DCUM complaining about doctors in concierge practice, which many doctors prefer for their own work life balance as well, and not finding a doctor?

Because you're a data point of one. Most people don't have that kind of coverage. I do but I recognize that most people don't. That's a problem. It's a demand problem. It's a cost problem. It's a middle man problem. It's a market failure problem. Our healthcare system is a Frankenstein disaster and cost more with worse outcomes that just about any other first world country. We have the worst of both worlds. Neither single payer and fully public nor fully privatized. Of course, it works for folks like you and me. But you're the exception.