I am going to lose my mind with health insurance...

[MrColin]

The first step that needs to be taken to truly reform healthcare in the US is to round up all of the people who work in the health insurance industry and gas the fuckers.

 

[dmcowen674]

The first step that needs to be taken to truly reform healthcare in the US is to round up all of the people who work in the health insurance industry and gas the fuckers.

You think Americans are to that point?

 

[Red Squirrel]

I'm glad we don't have those kind of problems here.

'anada! Heck Eh!

 

[Northern Lawn]

Simple solution. Do away with insurance altogether and go to single payer. Take Medicare, scale it up, problem solved.

Welcome to Canada!

 

[MrColin]

You think Americans are to that point?

Those that are paying attention, yes, but hey! Look! Miley is twerking again!

 

[boomerang]

Simple solution. Do away with insurance altogether and go to single payer. Take Medicare, scale it up, problem solved.

Yeah, use the VA as a model. Oh, wait...

 

[edro]

THANKS Obama!

 

[Strk]

Yeah, use the VA as a model. Oh, wait...

Except that's not a good example. The VA is an entire system. Single-payer or even just a government option to go along with private insurance (what I prefer similar to the German system) is just about paying for medical care.

 

[IHateMyJob2004]

Thank the republicans for making Obomacare half assed. If they would just think for once, they could have had something great. Instead WE get a hobbled together PoS because the republicans needed a future talking point for the 2014 election.

 

[soulcougher73]

Simple solution. Do away with insurance altogether and go to single payer. Take Medicare, scale it up, problem solved.

Pretty much this. Would be our easiest path, but as always 'Murica has to take the most expensive retarded path to get no where.

 

[dmcowen674]

Originally Posted by dmcowen674
You think Americans are to that point?

Those that are paying attention, yes, but hey! Look! Miley is twerking again!

Yep saw that. To a Selena cardboard cutout.

We just lost at least half

 

[Mxylplyx]

Pretty much this. Would be our easiest path, but as always 'Murica has to take the most expensive retarded path to get no where.

Middle men and corporate executives taking a massive chunk out of every endeavor is just the American way apparently.

 

[spidey07]

Thank the republicans for making Obomacare half assed. If they would just think for once, they could have had something great. Instead WE get a hobbled together PoS because the republicans needed a future talking point for the 2014 election.

Republicans had nothing to do with Obamacare, that disaster is purely the fault of Obama and democrats.

OP's experience with this nightmare is nothing out of the ordinary, it is the norm.

 

[cabri]

Thank the republicans for making Obomacare half assed. If they would just think for once, they could have had something great. Instead WE get a hobbled together PoS because the republicans needed a future talking point for the 2014 election.

I seem to recall that the ACA was passed without Republican support. And Democrats had to be bribed to support it.

It belongs to the Democrats/White House.
The WH has been the one that has fine tuned it for political reasons.

 

[Scarpozzi]

It sounds to me like the office manager doing the coding and insurance claims are to blame in most of that.

My wife and I have private insurance (double covered) and they screw stuff up all the time. We got a huge bill, but it was obvious they didn't run the second card yet....we called to complain and 2 weeks later, they sent another bill with a different amount. Finally, they sent a "FINAL NOTICE" and threatened to send the bill to collections....and it had a different amount owed on it. All of these bills came from the doc office and it was because they filed it incorrectly.

 

[mnewsham]

I seem to recall that the ACA was passed without Republican support. And Democrats had to be bribed to support it.

It belongs to the Democrats/White House.
The WH has been the one that has fine tuned it for political reasons.

You werent paying attention at all then... it was reworked by the republicans several times before the dems could pass it.

 

[spidey07]

You werent paying attention at all then... it was reworked by the republicans several times before the dems could pass it.

BULLSHIT!

They didn't need republican's votes in the senate or the house. In fact democrats used a trick to get it to pass the house by taking the senate version that had already passed calling it a "budget issue".

He was correct. A few democrat senators had to be bribed to vote yes to get the 60 votes needed to pass.

 

[Phoenix86]

You werent paying attention at all then... it was reworked by the republicans several times before the dems could pass it.

I'm pretty sure no republican voted for it in the house or senate.

 

[squarecut1]

The first step that needs to be taken to truly reform healthcare in the US is to round up all of the people who work in the health insurance industry and gas the fuckers.

You think that would eliminate greed from people's nature and the economic system?

 

[mnewsham]

BULLSHIT!

They didn't need republican's votes in the senate or the house. In fact democrats used a trick to get it to pass the house by taking the senate version that had already passed calling it a "budget issue".

He was correct. A few democrat senators had to be bribed to vote yes to get the 60 votes needed to pass.

I wasn't talking about the vote itself, i was talking about the actual bill. The republicans threw in a lot of extra stuff that got passed when the dems passed it through. I don't care that the republicans technically didn't vote for it. Their ideas managed to make it into the bill either way.

 

[squarecut1]

The biggest flaw in the bill was the lack of the public insurance option. That would have made a world of difference. But Senators from both sides are in the pocket books of the insurance industry and hence it had no chance of passing.

 

[cabri]

I wasn't talking about the vote itself, i was talking about the actual bill. The republicans threw in a lot of extra stuff that got passed when the dems passed it through. I don't care that the republicans technically didn't vote for it. Their ideas managed to make it into the bill either way.

You accept what was signed for.

They may have put in ideas from the Republicans but it did not get the Republicans on board.

This is a Democrat baby, from conception through birth and onward.
Trying to share the responsibility for the fiasco is just admitting that the Democrats screwed up and now can not accept the consequences of their actions.

 

[CPA]

I am sorry for your frustration and struggles. But it is a racket that corporate America has been playing for awhile. Except now they are discovering that health care cannot be delivered like McDonald's burgers. It's a lot less expensive to actually pay for regular health care and have a cheap policy that covers hospitalizations.

The reason for the chaos is the attempt at centralizing a fundamentally decentralized transaction. And if you think scaling up Medicare will solve the problem, just ask any veteran who goes to a VA Hospital. That is single payer in this nation. The 'management' and administrative jobs in health care are finding ways to expand themselves because it is easy and low risk work.

Legal risk is the other devil that drives expenses in this nation.

Still, corporate CEOs pull in 8 figure salaries. The Dean of the non-profit state medical school here (UMASS) pulls in 2 million while the governor of Massachusetts only pulls in 150K.

We Need to
1) limit the number of patients per physician to less than 2000
2) make all health care jobs that do not involve direct patient contact pay less than those that do.
3) eliminate the power of the hospital and the pharma lobby in Washingtom. Corporations are not people and should not be allowed to have a voice in politics-an activity that was born to empower people.

1. There are approximately 397,000 primary care physicians in the US. There are 314M people in this country. That means physicians on average see less than 800 patients. So, what's your point?
2. Does this include janitors, food workers, receptionists, back office employees? Or are you just pissed and jealous that executives make more money than you?
3. Corporations are groups of folks, many times like-minded, some times not. Either case, a Corporation does not exist without people. If a collective wants to push an agenda, should they not have that right? Unions, Non-profits, advocacy groups, etc. all do the same lobbying and many of them are not Corporations.

 

[BarkingGhostar]

So it took about 4 months to manage getting through the Health Insurance Marketplace system, but I finally got covered. I even got a decent plan even though Emily's still sucks royally. I'm covered. Great! But no... then I find out that only a handful of facilities accept the plan because it's part of the Obamacare system. It's Blue Cross Blue Shield... but it's considered a "Pathway X" plan which is severely limited.

One of the things I noticed over the years with GP offices within a health organization was that individual physicians must get approval (from state, insurance carrier, etc.) for the individual healthcare plans. This can take time on the local GP office and some doctors new to an office can expect delays in the ability to conduct their practice due to the administrative period.
And this occurs for the individual physical offices a physician is seeking to work out of, which in this day and age can be PT work in several offices/ Now this is all with respect to my state (GA) and county (Gwinnett) and YMMV.

 

[Proprioceptive]

This is the fourth time I've contacted my insurance company in order to fix the many errors in my claims. The CS reps obviously can't tell me much other than it'll take 30 days... or 45-60 days... or they've expedited the claims and it'll take 35 days. I can't really get angry with them as they probably just tell me what they're told to say... so I've now asked three times for a supervisor, been put on hold for at least 10-15 minutes all three times and told every time that the current supervisor is on the phone with someone else. I've also been told several times that I would be called back to no avail. I have been told the supervisors have no direct lines. I have been told that extra supervisors come in after 5pm. I have been told supervisors leave at 4pm. I have the name of three supervisors, all of whom are unrecognizable to CS reps I call to follow up on. Are these supervisors ghosts???

Either I'm blatantly being lied to or there are some very serious issues going on with the company. In the meantime, my ability to either budget or pay medical bills as they come in is a complete crapshoot. Somebody has to know SOMETHING and if I have to call 5 times a day, EVERY day, I will get an answer to my questions.