ObamaCare ruined primary care medicine

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
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?



+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.


We went from under $200 to over $3000

I highly doubt that unles the $200 was for catastrophic care only.

It was an HSA that was banned under ObamaCare.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
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?



+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.


We went from under $200 to over $3000

I highly doubt that unles the $200 was for catastrophic care only.

It was an HSA that was banned under ObamaCare.


What? HSAs aren't banned by the ACA.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
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?



+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.


We went from under $200 to over $3000

I highly doubt that unles the $200 was for catastrophic care only.

It was an HSA that was banned under ObamaCare.


What? HSAs aren't banned by the ACA.


They're also not insurance. They are literally nothing but a savings account one can put money into to pay for out of pocket health care expenses using pre-tax dollars.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Oh for heavens’ sake. Just go to an urgent care outlet. There is one in almost every strip mall.

You are talking about primary care, which is the basic stuff.

And don’t worry about “establishing a relationship with your doctor” since they rotate in and out practices so quickly you rarely see the same one twice anyhow.


Urgent care is more expensive and is wildly inappropriate for managing chronic health conditions. What a stupid post.

To be fair, the OP is the stupidest post on here. Wouldn’t you agree?



Nah, that’d be your spouse for deciding to marry someone like you.

Good one, Costanza!
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
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?



+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.


We went from under $200 to over $3000

I highly doubt that unles the $200 was for catastrophic care only.

It was an HSA that was banned under ObamaCare.

You don’t know the difference between an HSA and health insurance do you?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
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?



+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.


We went from under $200 to over $3000

I highly doubt that unles the $200 was for catastrophic care only.

It was an HSA that was banned under ObamaCare.


You shouldn't be commenting on this topic because you clearly have no concept of insurance, savings accounts or what the ACA does or did.
Anonymous
It isn't that Obama ruined primary care medicine. It's that the area is overcrowded and getting worse. Physicians have the luxury of turning down business if it's not in their interest to take it. I think overall population growth is hurting us in multiple ways, sometimes not so obvious. This is one of them. Expensive housing is another. Expensive everything.
Anonymous
Anonymous wrote:It isn't that Obama ruined primary care medicine. It's that the area is overcrowded and getting worse. Physicians have the luxury of turning down business if it's not in their interest to take it. I think overall population growth is hurting us in multiple ways, sometimes not so obvious. This is one of them. Expensive housing is another. Expensive everything.


I don’t know. Given that Republicans are so enamored of telling people to pull themselves up by their bootstraps, there’s an awful lot of whining on this thread.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
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?



+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.


We went from under $200 to over $3000

I highly doubt that unles the $200 was for catastrophic care only.

It was an HSA that was banned under ObamaCare.


What? HSAs aren't banned by the ACA.

? what? I have an ACA and HSA. WTH is that PP talking about?
Anonymous
Anonymous wrote:
Anonymous wrote:Blame the insurance industry that REPUBLICANS won't regulate.

Obama just made sure more Americans had ANY coverage.

He did not dictate how much private companies reimburse.

Health care should NOT be a for-profit industry.

It is capitalism at work OP, not socialism.


Obama just regulated a whole bunch of insurance plans out of existence.
Also shut down a bunch of rural hospitals.

Rural people were less likely to be insured prior to ACA.

https://www.americanbar.org/groups/crsj/publications/human_rights_magazine_home/the-state-of-healthcare-in-the-united-states/health-equity-challenges-in-rural-america/

Prior to passage of the Affordable Care Act (ACA), data across nearly four decades demonstrated that rural residents are more likely than urban residents to be uninsured. This has been particularly true in the southern and western United States, where as many as 25 percent of those under age 65 lacked health insurance in 2011. Even when rural residents have private health insurance, the coverage tends to be poorer and creates conditions under which rural residents are more likely to face high out-of-pocket costs for care.


People without insurance are less likely to go see a doctor. And, many of the red states refused to take the medicaid expansion. There are stories of older people going to see the doctor for the first time after ACA was implemented because now they finally had insurance.

https://www.statnews.com/2018/01/08/medicaid-hospital-closures/

A new study released Monday reports a crucial consequence of that divide: Nonexpansion states have suffered a significant increase in hospital closures. States that expanded benefits, on the other hand, saw their rate of closures decline.

Using nearly a decade’s worth of data, researchers found that hospitals in Medicaid expansion states were 84 percent less likely to shutter than facilities in nonexpansion states. Rural hospitals were particularly vulnerable to closure, but kept their doors open in places that extended coverage to more patients, the study found.

Various forces are driving hospitals to shut down, including industry consolidation and a long-term shift toward outpatient care. But this data indicates that Medicaid coverage is a ballast against those forces for many facilities, especially those that serve high levels of uninsured patients who cannot pay their bills.

“Hospitals in states that did not expand Medicaid continued roughly along a previous trend where it’s increasingly difficult to stay in business,” said the study’s lead author, Richard Lindrooth, a professor in the department of health systems management at the University of Colorado.


Also, Rs anti-abortion stance is pushing rural ob/gyns out which means pregnant women, who are few and far between in rural areas to begin with, have to drive that much further out to go see a doctor.
Anonymous
For all his braggadocio he must be terrified but lhis humiliation is deserved and I hope it's just the beginning of trump and his minions getting all that so richly deserve!
Anonymous
For all his braggadocio he must be terrified but lhis humiliation is deserved and I hope it's just the beginning of trump and his minions getting all that so richly deserve!
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
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?



+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.


We went from under $200 to over $3000

I highly doubt that unles the $200 was for catastrophic care only.

It was an HSA that was banned under ObamaCare.


What? HSAs aren't banned by the ACA.


It's been awhile. I seem to have forgotten what the plan I had was, but it was canceled after ObamaCare went into effect.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
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?



+1

We are self employed and purchase an ACA plan at full fee- it is outrageously expensive and also has an enormous deductible that we have never met. We avoid medical care whenever possible- really cannot afford it, with exception of well visits. Insurance is not health care. Two different things.

We cannot afford to pay any more than we already do. We can barely pay for ourselves at this point, ffs.


We went from under $200 to over $3000

I highly doubt that unles the $200 was for catastrophic care only.

It was an HSA that was banned under ObamaCare.


What? HSAs aren't banned by the ACA.


It's been awhile. I seem to have forgotten what the plan I had was, but it was canceled after ObamaCare went into effect.

Well run along now, junior, and let the adults talk.
Anonymous
What if we went single payer just for primary care to start? 10-year transition, rich subsidies for medical school and residency in primary care, they become federal employees.
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