Reply to Trump to gut ACA via executive order

Forum Index » Political Discussion

Reply to "Trump to gut ACA via executive order"

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]The ACA was fundamentally flawed and everyone, including the Obama administration knew it. There is no point in using band aids to deal with the flaws. Just repeal it and come up with a structurally sound alternative.

As long as the flawed ACA is allowed to continue with fixes, the less likely that it will really be dealt with in a serious way.[/quote]

Name the alternative. The ACA was the GOP plan. The GOP has now rejected it because the black guy installed it.

So now what? Can't go back to what was before, and the ACA is now dead. What do you suggest?[/quote]

Too much to cover in a post but basically:

- We need a public option - not single payer
- Insurance across state lines should be permissible
- People who make lifestyle choices that jeopardize their health pay more eg those who are overweight, smoke, don't go in for medically recommended screenings, etc
- Pharmaceutical prices MUST be negotiated and, if needs be, the option should be available to purchase from a different country eg Canada - but subject to it being from approved sources to deal with quality issues
- States should be allowed maximum latitude to develop their own health financing and delivery mechanisms 
- It should be mandatory for every American to have health insurance - the half-assed approach that ACA took with minimal tax penalties was ludicrous
- Primary care specialties have to be incentivized so that more physicians choose that vs the other specialties that are better compensated
- "Medicare for all" has merit but not the way that liberals have promoted it. Phase it for those over 60 initially and then after a certain time span depending on how well it works, consider expanding it to perhaps those over 55.
- Illegals cannot be given free or subsidized medical coverage

There is more and all of the above are just general policy prescriptions which need to be filled out with greater detail.

But let me repeat, it would be utterly futile to continue to try and fix the ACA given its fundamental flaws. And I don't care whether it was based on Republican ideas or not. I am not a supporter of Trump but if both sides are not willing to come to the table to really deal with health care in a realistic way then it is better that it implodes and the outcry that would result will force some thing more effective and structurally sound. Schumer and Pelosi are out of their fricking minds when they start out with the position that there will be no repeal of the ACA but they are only open to "fixing" it which is code for throwing more money at it.
[/quote]
But in the meantime, has why not destabilize the whole insurance markets just for the fun of it.[/quote]

I am convinced that until politicians from both sides have their backs against the wall nothing will happen. Both sides are too entrenched in their respective ideological positions. What will it take for people to get it into their heads that ACA in its present form will never be viable? It is structurally unsound and the temporary fixes that the Democrats want will just make things worse over time.

What Trump's EO order will do is to accelerate the process of implosion which is hardly desirable but given that neither side wants to address the issue without budging from their respective positions perhaps this will cause enough of a reaction to compel serious discussion and negotiation.

BTW, my background is in health care administration and we knew when ACA was passed that it was a matter of time before it would fall apart. [/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics