ETA: and several employees would be much WORSE off if we did offer heath care. They’d lose their subsidies. 2 single moms of moderate income. In what world does this make ANY sense!? |
The government wanted everyone to have insurance. Hence ACA. Can you explain the R plan that allows everyone to buy insurance that actually pays for well checks, prescriptions, etc..? |
This, or we’ll end up with a public option/Medicare for those who want it. |
Hahahahaha the ACA pays for prescriptions? News to me. Sure- after I meet our 14k deductible, or whatever it is. We’ve been on ACA (pay full premium- no subsidies) since the beginning. Our insurance has never even once paid for anything besides “well checks” And vaccines. Which is great and all, but those things are rather inexpensive. We have paid OOP for every.single.prescription. and every.single.sick visit. 100% of it. For how many years now...all the ACA is to us, is extremely expensive bankruptcy insurance. Mid 40s couple, 3 kids, all healthy no pre-existing conditions. |
Indeed. As Bill Clinton memorably said, this ACA thing is a crazy thing. |
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The biggest problem is that we did not do this post-WWII when other Western democracies did. It's hard to imagine how the many-headed hydra (in terms of the payment apparatuses) we have has develop since then can be turned into something else and where all the wasted dollars that support that beast will be clawed back from it.
The German approach, inasmuch as I understand it, would probably be the most workable. But I would be completely in favor of Medicare for All, whether as a buy-in or as universal coverage. |
Abh but you must be middle clsss. The group that now can not afford care. But if you were poor? Everything is free. Bill Clinton said it best. Absolutely insane d. |
The government wanted everyone to have insurance? Or they wanted everyone to have HEALTH CARE? because they are NOT THE SAME THJNG. I know tons of people (tons) who HAVE insurance but can not afford health care!!! |
This is the root issue. Too much money going into big pharm, insurance, and lobbyist pockets. And the Rs and most of the Ds are fine with that. |
Obamacare passed because Dems (not R) made an obscene pact with pharma and insurers and hospitals. They would support ACA and get filthy rich in exchange. The "affordable" thingy was a joke from day 1. |
+1 |
The GOP must have a great plan proposed to reduce costs and get everyone's hands out of the cookie jar. Oh wait! Their hands are in the cookie jar too and they have no plan!! |
I am not sure we can ever have a sound German-like system here, because our political class is essentially useless at policy-making and implementation. Look at public education. There we tried a more universal approach, and still our system is worse and more expensive than in any other developed country. |
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How can anyone think that involving insurance companies will reduce health care costs?
Insurance companies add the cost of administering insurance PLUS profits to the entire system. Period. We need government health care. |
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The main problem with the Affordable Care Act is that Democrats assumed that when the government provided health insurance subsidies for people without employer plans and for low/moderate income people offered small group plans, that states and insurance companies would act as they have in the past, take the money and participate in the program.
But the tea party bullshit caused all the Republican governors and legislatures to completely lose their minds so they not only refused the Medicaid expansion, they also obstructed the formation of competition in the insurance exchanges in their states. Much of the insurance industry also did not participate, even with federal subsidies because the truth is they do not want to cover low-income people or people with chronic health problems, or anyone else but young, healthy people with good incomes. The insurance industry did, however, take advantage of the ACA as an excuse to raise premiums in plans outside the exchanges as much as allowable and make changes in their plans that would increase the out of pocket costs for older workers as a way of discouraging them from participating. All of that would have been solved with a public option, but that could not get through the Senate. |