Even More Obamacare Follies

Yes.

And please go where I think you would like to go.

I'm not, just pointing out that you and I are both not CEOs. So that was an irrelevant comment that added absolutely nothing to the conversation. My grandfather was one, not dissing you by any means. I responded to the guy in hopes of creating a conversation not pointless nonsense
 
I'm not, just pointing out that you and I are both not CEOs. So that was an irrelevant comment that added absolutely nothing to the conversation. My grandfather was one, not dissing you by any means. I responded to the guy in hopes of creating a conversation not pointless nonsense

Wrong. I'm a retired CEO. I work because I want to. I work because I'm bored.

I made my first million by 31.

I'm 39 now.
 
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Why not just start out with a hot model that likes football? Don't settle man, it's not worth it

Sure the healthcare system could be improved, but the entire process from debate to passage to implementation was a disaster. There were red flags from the start. Even though they know it in their heads some people still refuse to admit that it's a complete disaster just because they didn't like what was in place before.
 
So what do you think the solution is, in the perfect world where you could create one?

I would;

1-make Medicare/Medicaid nothing more than catastrophic coverage plans

2-tort reform, can only sue for gross negligence, like leave a tool inside after surgery or cut the wrong limb off

3- let providers refuse service to those that can't pay

Those would be my first 3 steps
 
I would;

1-make Medicare/Medicaid nothing more than catastrophic coverage plans

2-tort reform, can only sue for gross negligence, like leave a tool inside after surgery or cut the wrong limb off

3- let providers refuse service to those that can't pay

Those would be my first 3 steps

Pfffft. Healthcare is an entitlement like cable tv, free food, smartphones, Internet, etc.
 
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So what do you think the solution is, in the perfect world where you could create one?

Allow insurance to go across state lines to break up the state level monopolies and increase competition. This would include allowing insurance plans to be carried from one state to the next, some sort of continuity of coverage when you change jobs (that is not government provided).

Legislate provisions for pre-existing conditions to be included in all policies. I'm okay if this meant adding a small surtax to all policies to cover the costs. I already have them on my phone and utilities bills, so don't see the issue of putting one on my health insurance bill.
 
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So what do you think the solution is, in the perfect world where you could create one?

This is a tiresome question. Why are you asking for another solution? First, we should ask how the current solution needs to be dismantled because it is a failure.
Often we operate under the assumption that any solution is better than status quo. Which is not always accurate especially when it comes to the details.

The free market, competition, putting the consumer in direct contact with the product or service and lower regulation will allow for the best details to be found without any central planning required. Bad solutions will be discovered and ended. Good ones will spread. All failures will happen on the micro level limiting the number of people effected. Victories will grow to the macro level benefitting the largest numbers possible.
 
Are you also the CEO of a healthcare company? Or just some random anonymous dude on the internet? This type of response is getting so annoying. Clearly Obamacare is a disator but saying America's health insurance system isn't a huge failure is ignorant. Have you had cancer before?

this brilliance ignores the path to hell. How did the system go from workable and affordable to absurd? What were the levers? How can we address those rather than asking insurers to write a law that further entrenches their monopolies.
 
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Allow insurance to go across state lines to break up the state level monopolies and increase competition. This would include allowing insurance plans to be carried from one state to the next, some sort of continuity of coverage when you change jobs (that is not government provided).

Legislate provisions for pre-existing conditions to be included in all policies. I'm okay if this meant adding a small surtax to all policies to cover the costs. I already have them on my phone and utilities bills, so don't see the issue of putting one on my health insurance bill.

Not a bad start.

One of my complaints about the ACA and mandate is the "belief" that people will seek preventative treatment and thus avoid the big medical costs down the road. We know from history that people with insurance and with Medicaid still don't seek the preventative care they should so this is a take it on faith underpinning of ACA.

Further, the "affordable" plans for the formerly uninsured have HUGE co-pays and so the hoped for preventative care is disincentivized by the ACA plans. Sure they'll be a few free screenings here and there but regular visits and adhering to treatment regimens is the real key. Due to the destruction of the former individual market and incentives for employers to drop coverage even more people will find themselves paying more for regular doctor visits.

In short, ACA is a mishmash of health theories that don't mimic real world human behavior. In an attempt to add roughly 1/2 of the uninsured to the roles of the insured it causes major disruptions for over 1/2 of the insured. In the end over 25 million people are still without coverage.

Epic Fail.
 
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Not a bad start.

One of my complaints about the ACA and mandate is the "belief" that people will seek preventative treatment and thus avoid the big medical costs down the road. We know from history that people with insurance and with Medicaid still don't seek the preventative care they should so this is a take it on faith underpinning of ACA.

Further, the "affordable" plans for the formerly uninsured have HUGE co-pays and so the hoped for preventative care is disincentivized by the ACA plans. Sure they'll be a few free screenings here and there but regular visits and adhering to treatment regimens is the real key. Due to the destruction of the former individual market and incentives for employers to drop coverage even more people will find themselves paying more for regular doctor visits.

In short, ACA is a mishmash of health theories that don't mimic real world human behavior. In an attempt to add roughly 1/2 of the uninsured to the roles of the insured it causes major disruptions for over 1/2 of the insured. In the end over 25 million people are still without coverage.

Epic Fail.

If the marketplace was actually able to work for healthcare you would have seen behavior-based discounts similar to safe driving discounts for car insurance. Non-smoker? Discount. Acceptable BMI? Discount. and so forth.

But, when you let the Health Insurance Lobby write the legislation we were guaranteed to get something that ensured they will increase their bottomline without a measurable improvement in service.
 
This is a tiresome question. Why are you asking for another solution? First, we should ask how the current solution needs to be dismantled because it is a failure.
Often we operate under the assumption that any solution is better than status quo. Which is not always accurate especially when it comes to the details.

The free market, competition, putting the consumer in direct contact with the product or service and lower regulation will allow for the best details to be found without any central planning required. Bad solutions will be discovered and ended. Good ones will spread. All failures will happen on the micro level limiting the number of people effected. Victories will grow to the macro level benefitting the largest numbers possible.


It is a perfectly sensible question because the situation prior to the ACA was, over the next five years, going to make the ACA look like the greatest invention of all time.

You've gotten your political mileage out of, rightfully, mocking the website. Time to man up and tell us what you'd do instead to broaden the base of payors and slow rising health care costs.
 
It is a perfectly sensible question because the situation prior to the ACA was, over the next five years, going to make the ACA look like the greatest invention of all time.

You've gotten your political mileage out of, rightfully, mocking the website. Time to man up and tell us what you'd do instead to broaden the base of payors and slow rising health care costs.

How about stop giving free health care to seniors?
 
End Medicare? Good luck with that.

End Medicaid? Good luck with that.

So your solution is to expand both to cover everybody under a single payer system where at least 50% of the population pays exactly zero into the system?

Brilliant, what can possibly go wrong under that scenario?
 
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It is a perfectly sensible question because the situation prior to the ACA was, over the next five years, going to make the ACA look like the greatest invention of all time.

While I agree the healthcare system needs some reform, claiming that there is any situation that would make the ACA the "greatest invention of all time" is absolutely ridiculous. You don't fix something by making it even more of a cluster ****.
 
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While I agree the healthcare system needs some reform, claiming that there is any situation that would make the ACA the "greatest invention of all time" is absolutely ridiculous. You don't fix something by making it even more of a cluster ****.

This is my thought. Problems before? Yes. Obamacare helping anything? Oh hell no. This'll be way worse.
 
End Medicare? Good luck with that.

End Medicaid? Good luck with that.

Barry would never think of remotely reforming those handouts. Just take more money from working people through taxes & forcing them to pay for something whether they need it or not that a bunch of free loaders benefit from. Healthcare isn't about healthcare it's about lining waaaaay too many pockets.
 
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It is a perfectly sensible question because the situation prior to the ACA was, over the next five years, going to make the ACA look like the greatest invention of all time.

You've gotten your political mileage out of, rightfully, mocking the website. Time to man up and tell us what you'd do instead to broaden the base of payors and slow rising health care costs.

I speak of allowing the market to determine efficient broad based solutions. You speak of political mileage. Illustrative of one of the numerous differences between you and me.

I would not begin to tell you what to do. I don't tell you how to represent clients; why do you tell us how to utilize medical care. You're concerned about rising health care costs. Have attorney's fees been rising over time? Are you worried about that? Do you donate money to health care groups that provide free or reduced-fee care for those in need?
Lower costs always correlate to more competition and more usage. In healthcare, look at procedures performed for cash compared to those for insurance. Your eye surgery you recently had has improved in outcomes while also decreasing in price over the decades. A free market always works better.
 
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