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The Obamacare Repeal Bill
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Sep 24, 2017 10:52:15   #
dongreen76
 
History says that any time there is thrust upon any free market industry [ including the Healthcare Industry]a mandate that requires a legal proliferation of involvement/participation ,that they other wise did not have, there comes about a economic boom in the volume of business they do ,and there also brings about /inacts those competitive factors that are inherent with its existence [which is to make a profit ] One of those factors that helps it compete and turn a profit is price regulation,that is to hold the price of their product down and at the same time still yield the greastest amount of profit.This brings us to the problem of PRE EXISTING CONDITIONS
,this is what is prohibiting what normaly should have taken place whenever that of the aforementioned has taken place,it is the case that the greater volume of business it does the more they are able to hold down their prices,ala "Henry Ford",and the Model T Ford,each participal in the industry,will not absorb the cost out of their pocket,because it is self defeating to the concept of why businesses are formed in the first place,to make a profit[business 101
One of the other factors is price competition,in order to get the business over his competitor they would normaly undercut his competitor by price of course this did not occur.A public option should have manifest,that is those with pre existing conditions should have been referred to one ,that should have been medicare,or medicaid;how would it be paid for?
The same way the county hospitals
functions.What is the Damned problem.Politcians,and their egotistical eccentricity,and greedy ass "CEO" health care people.

Reply
Sep 24, 2017 11:25:24   #
ACP45 Loc: Rhode Island
 
buffalo wrote:
The US health CARE system rewards quantity over quality. As I said, economics 101 teaches that as supply goes up, costs should come down. But this tenant doesn't hold true in medical care – not when the supplier also controls demand. In health CARE, doctors can stimulate demand because (a) health INSURANCE blinds most patients to the costs of services and (b) patients often don’t know whether a complex procedure is as necessary as a non-invasive one. It is the Fee For Service financial model.

Over the past 15 years, U.S. medical school enrollment has risen by 30 percent. But while the number of specialty residences – and therefore specialists in a community – has grown substantially, the number of primary care residents has remained flat.

The reason is simple: Hospitals receive the same financial reimbursement from the federal government whether they train a primary care physician or an orthopedic surgeon. The orthopedic resident will earn the hospital a lot of money while the primary care physician will bring in little or nothing. As a hospital administrator, which clinical training program would you expand? Again, it's the Fee For Service financial model.

Health INSURANCE premiums have tripled over the past decade while median employee incomes have actually fallen when inflation is taken into accounrt.. The “free” health care so many patients enjoy isn't really free. Employees have paid for the rapid rate of inflation with modest to no salary increases. They just never knew it.

Both Paul and Denninger have it wrong. A patient that can pay cash is usually charged less than those with health INSURANCE which he charges 10 times more then spends inordinate amounts of time negotiating with the INSURANCE.

So, how are the millions of working families, living paycheck to paycheck going to "SAVE" any money for anything, let alone health "CARE" or health "INSURANCE". HSAs are a tax break for only the rich. To the rest they are a cruel joke. 63% of US families have less than $500 in savings.

Government is the one "single" entity with the size and clout to control health CARE and PHARMACEUTICAL costs. Your buddies Paul and Denninger have never had to worry about getting or how to pay for health CARE.
The US health CARE system rewards quantity over qu... (show quote)


My understanding of Ron Paul's proposal is a refundable tax credit of $5,000 for everyone. In other words, if you have no taxable income, the government pays you $5,000 to fund your HSA. Instead of an inefficient government managing an inefficient health care system, let people be responsible for managing their own health care needs. Denningers proposals mostly relate to all health care entities posting their prices, and mandating same pricing for all to eliminate the pricing preference that insurance companies now maintain over the uninsured.

Reply
Sep 24, 2017 12:19:31   #
kemmer
 
EL wrote:
The government should have NOTHING to do with healthcare. It's always more than twice the cost when the government gets involved. It's also NEVER well run.

How can you say that when some hospitals charge $35 for a Tylenol?

Reply
 
 
Sep 24, 2017 13:16:42   #
maryla
 
This is MUCH better! The government is no longer the sole provider of healthcare.

That said, the many tax dollars are now shifted(block-granted) back to the states for the governors to decide where to spend $. Some of the governors have been vocal in saying they do not want to do this. Along with me they have the deep-seated belief that gov't DOES NOT BELONG in our healthcare decisions.

Some state's senators seem to have fallen for the subsidies ie Collins in Maine, Murkowski in Alaska. I say each state should be allowed to vote on how these dollars are spent. And if they vote for repeal, they should be allowed to have lesser premiums. (Rand Paul's objective) I think McCain is just jealous of Trump and may never do anything to give Trump a hand.

Do I read it right? and wouldn't it be neat if dividing the states as I suggested were possible??
ACP45 wrote:
Put aside for a moment the basic concept of whether or not Obamacare is good public health insurance policy.

I am curious how OPP'ers view the current disagreement between President Trump and Senator Rand Paul on the "so called" effort to repeal Obamacare know as the Graham-Cassidy Bill.

President Trump:
["Rand Paul is a friend of mine but he is such a negative force when it comes to fixing healthcare. Graham-Cassidy Bill is GREAT! Ends Ocare!"

"Rand Paul, or whoever votes against Hcare Bill, will forever (future political campaigns) be known as 'the Republican who saved ObamaCare.'"
Rand Paul is a friend of mine but he is such a negative force when it comes to fixing healthcare. Graham-Cassidy Bill is GREAT! Ends Ocare!
— Donald J. Trump (@realDonaldTrump) September 20, 2017]


Senator Rand Paul:
[No one is more opposed to Obamacare than I am, and I've voted multiple times for repeal. The current bill isn't repeal.
— Senator Rand Paul (@RandPaul) September 22, 2017
Calling a bill that KEEPS most of Obamacare "repeal" doesn't make it true. That's what the swamp does. I won't be bribed or bullied.
— Senator Rand Paul (@RandPaul) September 22, 2017]

Whose position on this issue is more credible on this issue, when the Republican position for the past 8 years has been - Repeal- Repeal, and the party has had numerous votes (when they knew they did not count) for repeal.

Do you feel that making a "cosmetic" change to Obamacare, and then simply calling it repeal is valid, or an insult to the intelligence of the American Public?
Put aside for a moment the basic concept of whethe... (show quote)

Reply
Sep 24, 2017 13:38:05   #
buffalo Loc: Texas
 
ACP45 wrote:
My understanding of Ron Paul's proposal is a refundable tax credit of $5,000 for everyone. In other words, if you have no taxable income, the government pays you $5,000 to fund your HSA. Instead of an inefficient government managing an inefficient health care system, let people be responsible for managing their own health care needs. Denningers proposals mostly relate to all health care entities posting their prices, and mandating same pricing for all to eliminate the pricing preference that insurance companies now maintain over the uninsured.
My understanding of Ron Paul's proposal is a refun... (show quote)


How far do you realistically think that $5,000 will go to helping the struggling MILLIONS of poor, working poor and middle class toward paying for any significant health CARE needs or ridiculously high health INSURANCE premuims. You, like the greedy repulsive right wing of the chicken are lying. It would merely be another tax break for the rich. The US needs a health CARE system where ALL people can get the health CARE they need to maintain and improve their health when they need it regardless of income, age or socioeconomic status. We need a health CARE system that works not just for millionaires and billionaires, but for ALL of us. THAT IS THE PREMISE THAT NEEDS TO BE AT THE FOREFRONT OF ANY HEALTH CARE REFORM,NOT KISSING THE ASSES OF BIG, FOR PROFIT HEALTH INSURANCE AND BIG PHARMA FOR MORE CAMPAIGN AND LOBBYING GRAFT. MEDICARE FOR ALL IS THE ANSWER!

Reply
Sep 24, 2017 13:42:33   #
jack sequim wa Loc: Blanchard, Idaho
 
ACP45 wrote:
Put aside for a moment the basic concept of whether or not Obamacare is good public health insurance policy.

I am curious how OPP'ers view the current disagreement between President Trump and Senator Rand Paul on the "so called" effort to repeal Obamacare know as the Graham-Cassidy Bill.

President Trump:
["Rand Paul is a friend of mine but he is such a negative force when it comes to fixing healthcare. Graham-Cassidy Bill is GREAT! Ends Ocare!"

"Rand Paul, or whoever votes against Hcare Bill, will forever (future political campaigns) be known as 'the Republican who saved ObamaCare.'"
Rand Paul is a friend of mine but he is such a negative force when it comes to fixing healthcare. Graham-Cassidy Bill is GREAT! Ends Ocare!
— Donald J. Trump (@realDonaldTrump) September 20, 2017]


Senator Rand Paul:
[No one is more opposed to Obamacare than I am, and I've voted multiple times for repeal. The current bill isn't repeal.
— Senator Rand Paul (@RandPaul) September 22, 2017
Calling a bill that KEEPS most of Obamacare "repeal" doesn't make it true. That's what the swamp does. I won't be bribed or bullied.
— Senator Rand Paul (@RandPaul) September 22, 2017]

Whose position on this issue is more credible on this issue, when the Republican position for the past 8 years has been - Repeal- Repeal, and the party has had numerous votes (when they knew they did not count) for repeal.

Do you feel that making a "cosmetic" change to Obamacare, and then simply calling it repeal is valid, or an insult to the intelligence of the American Public?
Put aside for a moment the basic concept of whethe... (show quote)



We don't know what is in the bill.
The problem is, government is still involved. I believe in regulation when "truly" in the citizens best interest, which has been rarer the last decade+. Returning to "free" markets, remove interstate restrictions on purchasing health care by adding competition. Regulations on hospitals, providers at large to disclose fee's pre-procedures would allow citizens to price shop for that "knee replacement ", heart procedure", all voluntary procedures. Regulating "one cost, same fee" for all insurance instead now providers charge different fees for medicaid, differs from medicare, differs from Blue cross, differs from cash. Also regulate hospitals to refer all non emergency and non insurance card carrying patients to "urgent care Clinics " which would stop the drain of cost on the shoulders of Health insurance companies, then passed onto premiums.

Also under Obamacare many providers stopped taking medicaid because they would go out of business with their high overhead , malpractice insurance. In addition Obamacare reduced what they pay providers under Medicare, leaving retired that paid into Social Security shopping to find a doctor that accepts medicare.

Medicaid ......remove all non citizens (illegals), and do as Trump wants to do. No government medical programs for the first decade of "new" immigrants becoming citizens. Remove the incentive to come to America, and live on the tax payers shoulders.

This would allow medicaid to pay higher returns to providers, giving the poor better skilled care and still save tax payers.

Do the above and we would return to 1980 insurance premiums.

But then, this would require common sense on our law makers. Not going to happen.

Reply
Sep 24, 2017 13:47:04   #
buffalo Loc: Texas
 
maryla wrote:
This is MUCH better! The government is no longer the sole provider of healthcare.

That said, the many tax dollars are now shifted(block-granted) back to the states for the governors to decide where to spend $. Some of the governors have been vocal in saying they do not want to do this. Along with me they have the deep-seated belief that gov't DOES NOT BELONG in our healthcare decisions.

Some state's senators seem to have fallen for the subsidies ie Collins in Maine, Murkowski in Alaska. I say each state should be allowed to vote on how these dollars are spent. And if they vote for repeal, they should be allowed to have lesser premiums. (Rand Paul's objective) I think McCain is just jealous of Trump and may never do anything to give Trump a hand.

Do I read it right? and wouldn't it be neat if dividing the states as I suggested were possible??
This is MUCH better! The government is no longer t... (show quote)


Maryla, the government at all levels (TAXPAYERS) ALREADY pays for 65% of the cost of medical CARE in the US! While private, for profit health INSURANCE giants extort $500 BILLION in profits annually from the other 35% yet millions of people go uninsured or cannot afford the high deductibles and co-pays demanded by big private, for profit health INSURERS even with their ripoff health INSURANCE, which has the same effect as rationing health CARE.

Health CARE and health INSURANCE are NOT the same thing.

Reply
 
 
Sep 24, 2017 13:50:18   #
jack sequim wa Loc: Blanchard, Idaho
 
[quote=dongreen76]History says that any time there is thrust upon any free market industry [ including the Healthcare Industry]a mandate that requires a legal proliferation of involvement/participation ,that they other wise did not have, there comes about a economic boom in the volume of business they do ,and there also brings about /inacts those competitive factors that are inherent with its existence [which is to make a profit ] One of those factors that helps it compete and turn a profit is price regulation,that is to hold the price of their product down and at the same time still yield the greastest amount of profit.This brings us to the problem of PRE EXISTING CONDITIONS
,this is what is prohibiting what normaly should have taken place whenever that of the aforementioned has taken place,it is the case that the greater volume of business it does the more they are able to hold down their prices,ala "Henry Ford",and the Model T Ford,each participal in the industry,will not absorb the cost out of their pocket,because it is self defeating to the concept of why businesses are formed in the first place,to make a profit[business 101
One of the other factors is price competition,in order to get the business over his competitor they would normaly undercut his competitor by price of course this did not occur.A public option should have manifest,that is those with pre existing conditions should have been referred to one ,that should have been medicare,or medicaid;how would it be paid for?
The same way the county hospitals
functions.What is the Damned problem.Politcians,and their egotistical eccentricity,and greedy ass "CEO" health care people.[/quote]



Those with pre-existing conditions that had/have healthough insurance, should not be penalized in the event their current insurance company stops covering a region or goes our of business.
These free loading snow flakes figured out "why pay a monthly premium " under Obamacare if something more serious happens, then sign up.
A family member could even get online while their snowflake lay in the hospital bed and sign them onto Obamacare thus having coverage effective that day.

Reply
Sep 24, 2017 13:53:03   #
jack sequim wa Loc: Blanchard, Idaho
 
ACP45 wrote:
My understanding of Ron Paul's proposal is a refundable tax credit of $5,000 for everyone. In other words, if you have no taxable income, the government pays you $5,000 to fund your HSA. Instead of an inefficient government managing an inefficient health care system, let people be responsible for managing their own health care needs. Denningers proposals mostly relate to all health care entities posting their prices, and mandating same pricing for all to eliminate the pricing preference that insurance companies now maintain over the uninsured.
My understanding of Ron Paul's proposal is a refun... (show quote)



The problem is, this assumes the public will act responsible and if at time of service they don't have the funds to pay, they will pay with their "tax refund", Yeah right.

Reply
Sep 24, 2017 13:54:58   #
buffalo Loc: Texas
 
jack sequim wa wrote:
We don't know what is in the bill.
The problem is, government is still involved. I believe in regulation when "truly" in the citizens best interest, which has been rarer the last decade+. Returning to "free" markets, remove interstate restrictions on purchasing health care by adding competition. Regulations on hospitals, providers at large to disclose fee's pre-procedures would allow citizens to price shop for that "knee replacement ", heart procedure", all voluntary procedures. Regulating "one cost, same fee" for all insurance instead now providers charge different fees for medicaid, differs from medicare, differs from Blue cross, differs from cash. Also regulate hospitals to refer all non emergency and non insurance card carrying patients to "urgent care Clinics " which would stop the drain of cost on the shoulders of Health insurance companies, then passed onto premiums.

Also under Obamacare many providers stopped taking medicaid because they would go out of business with their high overhead , malpractice insurance. In addition Obamacare reduced what they pay providers under Medicare, leaving retired that paid into Social Security shopping to find a doctor that accepts medicare.

Medicaid ......remove all non citizens (illegals), and do as Trump wants to do. No government medical programs for the first decade of "new" immigrants becoming citizens. Remove the incentive to come to America, and live on the tax payers shoulders.

This would allow medicaid to pay higher returns to providers, giving the poor better skilled care and still save tax payers.

Do the above and we would return to 1980 insurance premiums.

But then, this would require common sense on our law makers. Not going to happen.
We don't know what is in the bill. br The proble... (show quote)


There is, nor can there be, a "free market" in medical CARE when the providers under the FEE For Service financial system can control DEMAND.

Do providers really need really need more money? It is illegal for a provider to charge medicaid a higher fee for the same medical procedure.

Return to 1980 INSURANCE premiums? LOL! To the best of my memory they were ridiculously high, even back then. Health INSURANCE is a ripoff.

Goddamn, why don't you people do some reading!? Obamacare DID NOT reduce what they paid providers. THEY REDUCED THE HIGHER REIMBURSEMENT RATES TO PRIVATE MEDICARE PLANS, LIKE MEDICARE ADVANTAGE, THE WERE RIPPING THE TAXPAYERS OFF!

Reply
Sep 24, 2017 14:06:43   #
jack sequim wa Loc: Blanchard, Idaho
 
kemmer wrote:
How can you say that when some hospitals charge $35 for a Tylenol?



They deserve to make a profit, free market. Currently if you needed a hip replacement, you could not receive cost of services outlined, and then shop for a better deal from other hospitals. This is where regulations are needed. Regulating hospitals/providers to quote prices would create competition and lower prices, among other rational regulations.
The government dictating what a private business can charge is a dictatorship type government. We're would it stop? McDonald's can only charge $2.50 for a big mac. How much tax payer money would be spent for the government study to determine how much McDonald's should charge for a Big Mac? Let's regulate the price of lumber to lower home prices, or JC Penny on Levi jeans? Businesses survive on competition and free market, not government pricing. The government could destroy businesses causing mass closures once they get their foot in that door.

Reply
 
 
Sep 24, 2017 14:10:33   #
buffalo Loc: Texas
 
buffalo wrote:
There is, nor can there be, a "free market" in medical CARE when the providers under the FEE For Service financial system can control DEMAND.

Do providers really need really need more money? It is illegal for a provider to charge medicaid a higher fee for the same medical procedure.

Return to 1980 INSURANCE premiums? LOL! To the best of my memory they were ridiculously high, even back then. Health INSURANCE is a ripoff.

Goddamn, why don't you people do some reading!? Obamacare DID NOT reduce what Medicare paid providers. THEY REDUCED THE HIGHER REIMBURSEMENT RATES TO PRIVATE MEDICARE PLANS, LIKE MEDICARE ADVANTAGE, THE WERE RIPPING THE TAXPAYERS OFF!
There is, nor can there be, a "free market&qu... (show quote)

Reply
Sep 24, 2017 14:10:42   #
dongreen76
 
kemmer wrote:
How can you say that when some hospitals charge $35 for a Tylenol?

There are plenty of things that are similar and the government is involved in ,parrot,that you can't seem to apply because you are a! I don't think for my self parrot;case in point is here in a major metropolitan city ,the municipality sold the parking meter rights to a private entity and the private entity immediately went sky high on the prices,from .25 cents to 2$ bucks for an hour,another one is the post office,the USPS is relatively cheaper as compared to the high ass private entitys;what ever the government ventures into it's generally not to turn a profit,another case in point is your transportation systems,do you realize how high something like that would be if it was a for profit entity.Think about a cab,have you took one lately.Also have you ever had to use a public hospital as oppose to a private hospital,a county hospital-I was born in one and have had to use them on numerous occasions and was totally contented with their service,generic though it may have been,I still have two legs today because of one.The hospital I refer to has a reputation as being one of the better hospitals in the land.My mother in her last years dealt with the more private of health care facilitys and I was totally dissatisfied with theirs service,they hire inferior personnel to save a buck to turn a higher profit,therefore their services might be somewhat inferior.Another case in point is within the housing industry;have you ever heard of section eight,it is a subsidy that is ran by the government,you won't have to many slum landlords there or the government will not pay them their rent.I could go on and on.You know what your problems is,you are the republicans PIGEON,they do your thinking for you;,by the way don't blame your stupidity on the government,because in attending one of those government ran entitys that you claim are no good,The Public Schools,you were taught about social civics,were given the basics so that when some one sells you a bill O`goods you would know it is a bill O`goods,they should have taught you how to do some critical thinking,evidently you didn't get it,and are always descentioning against the government.Trump and the likes of you don't have the right to speak and question other people loyalty nor patriotism.

Reply
Sep 24, 2017 16:42:18   #
kemmer
 
jack sequim wa wrote:
They deserve to make a profit, free market. Currently if you needed a hip replacement, you could not receive cost of services outlined, and then shop for a better deal from other hospitals. This is where regulations are needed. Regulating hospitals/providers to quote prices would create competition and lower prices, among other rational regulations.
The government dictating what a private business can charge is a dictatorship type government. We're would it stop? McDonald's can only charge $2.50 for a big mac. How much tax payer money would be spent for the government study to determine how much McDonald's should charge for a Big Mac? Let's regulate the price of lumber to lower home prices, or JC Penny on Levi jeans? Businesses survive on competition and free market, not government pricing. The government could destroy businesses causing mass closures once they get their foot in that door.
They deserve to make a profit, free market. Curre... (show quote)


Somebody's healthcare is not a pair
Of jeans or a big Mack.

Reply
Sep 24, 2017 17:54:02   #
dongreen76
 
jack sequim wa wrote:
They deserve to make a profit, free market. Currently if you needed a hip replacement, you could not receive cost of services outlined, and then shop for a better deal from other hospitals. This is where regulations are needed. Regulating hospitals/providers to quote prices would create competition and lower prices, among other rational regulations.
The government dictating what a private business can charge is a dictatorship type government. We're would it stop? McDonald's can only charge $2.50 for a big mac. How much tax payer money would be spent for the government study to determine how much McDonald's should charge for a Big Mac? Let's regulate the price of lumber to lower home prices, or JC Penny on Levi jeans? Businesses survive on competition and free market, not government pricing. The government could destroy businesses causing mass closures once they get their foot in that door.
They deserve to make a profit, free market. Curre... (show quote)

They are entitled to make a profit in a free market economy,they are not entitled to price gouge simply because conditons or mindsets have been manipulated so as to divert the US citizen attention away from what the real problem is.This high cost of living can and will eventually prove to be a greater disingenuousity to this countries continued prosperity and its very existence as we have been accustomed to.Just like the roman empire ,it will crumble from with in.

Reply
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