President Donald Trump - J.D. Vance Administration

#47,876
#47,876
Sea Ray said:
I'm not sure what goes into that number but the entire healthcare industry amounts to about $5T/year , equaling $15K/person. Medicare spends about $18K per beneficiary but these are elderly people who need a tremendous amount of care.
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These are estimate of further liabilities held off balance sheet. Eventually, medicare will go... (just like the ACA)
w=500
 
#47,878
#47,878
OHvol40 said:
I don’t know what the alternative would be, but Republicans have continued to deconstruct it without any alternative for years. Can you find any federal-level conservative that has proposed a comprehensive alternative since 2010?
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Other than getting rid of the individual mandate what else have the Rs done to deconstruct ACA?
 
#47,885
#47,885
OHvol40 said:
What specifically don’t you agree with?

How would it work if people bought into Medicare, and how would that be better than a universal/single payor system? Would you do away with private insurance? What value would a savings account plan add that would be better than universal care?
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A lot of people (I've heard some estimates as high as 80%) like their current plan. My suggestion would give them the right to keep it and would also be beneficial to hospitals et al who probably can't survive if they were 100% Medicare. Congressmen and teachers are just two examples of people who'd likely want to keep their current plan. Allowing HSAs for everyone would encourage more people to buy high deductible private plans. My plan would also be far less disruptive to the economy. Abruptly going to universal coverage would be really hard on private companies like United and Humana. Those companies could still sell gap plans and all but it'd be quite a shock to their stock holders and all
 
#47,886
#47,886
OHvol40 said:
How about something who’s purpose is something other than profitability, you know, like caring for people as the first priority.
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Well, you don't need a new "plan" for that, enforce existing law. Of course, you will most probably run expose bigger problems that will make the ACA scam seem like small potatoes.
 
#47,887
#47,887
OHvol40 said:
No, I’m talking more about purpose, which directly affects affordability.
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The purpose was never to make it affordable, the purpose was to make it appear to be affordable as long as possible so they could extract additional funds. Its called a lie.

Gigs up on this scam. Kind of like the whole amateur athlete scam, poof gone.
 
#47,889
#47,889
Sea Ray said:
A lot of people (I've heard some estimates as high as 80%) like their current plan. My suggestion would give them the right to keep it and would also be beneficial to hospitals et al who probably can't survive if they were 100% Medicare. Congressmen and teachers are just two examples of people who'd likely want to keep their current plan. Allowing HSAs for everyone would encourage more people to buy high deductible private plans. My plan would also be far less disruptive to the economy. Abruptly going to universal coverage would be really hard on private companies like United and Humana. Those companies could still sell gap plans and all but it'd be quite a shock to their stock holders and all
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news.gallup.com

View of U.S. Healthcare Quality Declines to 24-Year Low

Americans' positive rating of the quality of healthcare in the U.S. has fallen to its lowest point in Gallup's trend dating back to 2001.
news.gallup.com news.gallup.com

“The current 44% of U.S. adults who say the quality of healthcare is excellent (11%) or good (33%) is down by a total of 10 percentage points since 2020 after steadily eroding each year. Between 2001 and 2020, majorities ranging from 52% to 62% rated U.S. healthcare quality positively; now, 54% say it is only fair (38%) or poor (16%).

As has been the case throughout the 24-year trend, Americans rate healthcare coverage in the U.S. even more negatively than they rate quality. Just 28% say coverage is excellent or good, four points lower than the average since 2001 and well below the 41% high point in 2012.”

I’d say you’re working off of a false premise on that 80%
 
#47,890
#47,890
LSU-SIU said:
The purpose was never to make it affordable, the purpose was to make it appear to be affordable as long as possible so they could extract additional funds. Its called a lie.

Gigs up on this scam. Kind of like the whole amateur athlete scam, poof gone.
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I’m talking about the purpose of the healthcare industry, not the ACA
 
#47,893
#47,893
Sea Ray said:
A lot of people (I've heard some estimates as high as 80%) like their current plan. My suggestion would give them the right to keep it and would also be beneficial to hospitals et al who probably can't survive if they were 100% Medicare. Congressmen and teachers are just two examples of people who'd likely want to keep their current plan. Allowing HSAs for everyone would encourage more people to buy high deductible private plans. My plan would also be far less disruptive to the economy. Abruptly going to universal coverage would be really hard on private companies like United and Humana. Those companies could still sell gap plans and all but it'd be quite a shock to their stock holders and all
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TBH, in my view, the healthcare insurance industry NEEDS to die. It does not resemble anything close to it’s original intended purpose in the 70s
 
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#47,894
#47,894
OHvol40 said:
What part of the ACA was designed to fail, and how?
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You yourself said:

OHvol40 said:
The ACA’s purpose was to be a bridge from a multi-payor system to a single-payor system. Again, fought, neutered, and rendered impotent by Republicans at every turn without any alternatives. We all know why, some just don’t want to admit it.
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If the ACA was supposed to make care affordable why would we need a bridge to a single payor system? That doesn't make sense. Face it, The ACA was never meant to succeed in making health insurance affordable, it was meant to collapse upon itself and force us into a single payor system. You're agreeing with me.
 
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#47,895
#47,895
hog88 said:
You yourself said:



If the ACA was supposed to make care affordable why would we need a bridge to a single payor system? That doesn't make sense. Face it, The ACA was never meant to succeed in making health insurance affordable, it was meant to collapse upon itself and force us into a single payor system. You're agreeing with me.
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Ok, so what parts were designed to collapse and how?
 
#47,896
#47,896
OHvol40 said:
news.gallup.com

View of U.S. Healthcare Quality Declines to 24-Year Low

Americans' positive rating of the quality of healthcare in the U.S. has fallen to its lowest point in Gallup's trend dating back to 2001.
news.gallup.com news.gallup.com

“The current 44% of U.S. adults who say the quality of healthcare is excellent (11%) or good (33%) is down by a total of 10 percentage points since 2020 after steadily eroding each year. Between 2001 and 2020, majorities ranging from 52% to 62% rated U.S. healthcare quality positively; now, 54% say it is only fair (38%) or poor (16%).

As has been the case throughout the 24-year trend, Americans rate healthcare coverage in the U.S. even more negatively than they rate quality. Just 28% say coverage is excellent or good, four points lower than the average since 2001 and well below the 41% high point in 2012.”

I’d say you’re working off of a false premise on that 80%
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Healthcare and insurance coverage are two separate topics. The ACA wasn't about making healthcare affordable, it was about making health insurance affordable. It has failed miserably at that.
 
#47,897
#47,897
OHvol40 said:
Ok, so what parts were designed to collapse and how?
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All of it was designed to collapse by forcing the price for insurance to spiral upwards to the point where without taxpayer funded subsidies it is unaffordable for most people.
 
#47,898
#47,898
hog88 said:
All of it was designed to collapse by forcing the price for insurance to spiral upwards to the point where without taxpayer funded subsidies it is unaffordable for most people.
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Ah, so why would cost spiral upward due to the ACA, specifically? Is the ACA driving healthcare costs up? Is it encouraging insurance providers to increase prices?
 
#47,899
#47,899
OHvol40 said:
TBH, in my view, the healthcare insurance industry NEEDS to die. It does not resemble anything close to it’s original intended purpose in the 70s
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You are getting closer but you really don't have "insurance", you have a "plan". The medical industry is the problem. The ACA is just a scam that is riding on all the other scams.
 
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#47,900
#47,900
LSU-SIU said:
You are getting closer but you really don't have "insurance", you have a "plan". The medical industry is the problem. The ACA is just a scam that is riding on all the other scams.
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Lol I don’t need to get closer, been working in healthcare in some form or fashion for over 2 decades. I’ve witnessed the beast mutate from the inside, turning into the ogre it has become today.
 
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