New Healthcare prop being worked on

[Fanatical Meat]

Ryan briefly said something about high risk people being in a Government backed pool.
On the surface something like this could work however I feel like they'll simply have a pool of people nobody will insure and they'll be assigned to the lowest bidder with some kind of payment from the Government. This will be a race to the bottom and I'd bet the insurers working this pool will make the process as painful and limited as possible.

Or

While this is unlikely maybe allow high risk to buy Medicare but doing that would make the cost of Medicare explode and if Government subsidies it enough healthy people may become jealous and want to get in.

Or

Maybe Government does the previous and it sets a floor so private insurers have to do something better or different to bill more for the same coverage

Ugh I feel like Ryan, who knew it would be so complicated.
What's your thoughts guys?

Disclaimers:
I'm a single payer fan
This is all speculation because nothing has been released

 

[MomentsofSanity]

Yeah this new proposal is going to completely screw the people with preexisting conditions etc... They will lose the moderates this time while making the FC happy.

 

[glenn1]

They've already identified some of the basic needs to make this work. High risk people need to sign up during open enrollment periods and maintain continuous insurance plus coverage for pre-existing conditions is limited until a certain duration of insurance being in force has passed. Or you can just provide the care directly and set up government sponsored free/low cost clinics that offer basic first aid and primary care and are staffed by nurse practitioners or other lower cost providers and supervised on a regional basis by an MD.

 

[Jhhnn]

It's Republicans, so if they do anything it'll screw the vulnerable so that Billionaires get tax cuts. It's just the way they roll.

 

[K1052]

Word is that this has already collapsed. WH aides and Pence leaned on Ryan hard but there is still not nearly enough common ground between the conservatives and the moderates to craft anything resembling a plan that might pass.

Now apparently the bright idea circulating the WH is the possibility of withholding ACA subsidies and letting the insurance markets implode while, somehow, avoiding any blowback on Trump/GOP. Harebrained would be too generous of a word to describe this plan.

 

[fskimospy]

Word is that this has already collapsed. WH aides and Pence leaned on Ryan hard but there is still not nearly enough common ground between the conservatives and the moderates to craft anything resembling a plan that might pass.

Now apparently the bright idea circulating the WH is the possibility of withholding ACA subsidies and letting the insurance markets implode while, somehow, avoiding any blowback on Trump/GOP. Harebrained would be too generous of a word to describe this plan.

It's hard for me to imagine them actually doing that. Deliberately inflicting immense suffering by removing health care from millions of people for the purpose of advancing your legislative agenda would basically guarantee an electoral massacre of unprecedented proportions.

 

[Fanatical Meat]

It's hard for me to imagine them actually doing that. Deliberately inflicting immense suffering by removing health care from millions of people for the purpose of advancing your legislative agenda would basically guarantee an electoral massacre of unprecedented proportions.

I'd like to agree however we all have short memories. Look how many people love Obamacare now. Where were these people 4-5 month's ago?

 

[s0me0nesmind1]

Ryan briefly said something about high risk people being in a Government backed pool.
On the surface something like this could work however I feel like they'll simply have a pool of people nobody will insure and they'll be assigned to the lowest bidder with some kind of payment from the Government. This will be a race to the bottom and I'd bet the insurers working this pool will make the process as painful and limited as possible.

Or

While this is unlikely maybe allow high risk to buy Medicare but doing that would make the cost of Medicare explode and if Government subsidies it enough healthy people may become jealous and want to get in.

Or

Maybe Government does the previous and it sets a floor so private insurers have to do something better or different to bill more for the same coverage

Ugh I feel like Ryan, who knew it would be so complicated.
What's your thoughts guys?

Disclaimers:
I'm a single payer fan
This is all speculation because nothing has been released

Any "Pools" will just become corrupt and a gravy train that everyone is desperately trying to get on to abuse. That doesn't mean there aren't legitimate cases, but the problem is always going to be abuse. Why pay for a plan when you get it subsidized for life by jumping in the pool?

See Welfare, food stamps, handicap stickers - and the latest and greatest gravy train - Social Security Disability. I'm tired of these stupid pools where people hire lawyers to try to get them through. Just make it single payer and be done with it.

 

[dank69]

I'd like to agree however we all have short memories. Look how many people love Obamacare now. Where were these people 4-5 month's ago?

Watching Kardashians and rooting for Obamacare repeal.

 

[vi edit]

Watching Duck Dynasty and rooting for Obamacare repeal.

FTFY

 

[K1052]

It's hard for me to imagine them actually doing that. Deliberately inflicting immense suffering by removing health care from millions of people for the purpose of advancing your legislative agenda would basically guarantee an electoral massacre of unprecedented proportions.

I would expect leveler heads to prevail but with this admin you never know for sure. They tried their damnedest to pass something with an approval rating hovering in the teens that would have wrecked the GOP in 2018 just to get a "win".

 

[Fanatical Meat]

Watching Kardashians and rooting for Obamacare repeal.

Exactly and exactly @vi edit

 

[dank69]

FTFY

Yeah I wanted to say honey boo boo but I am pretty sure that wasn't still on.

 

[Jhhnn]

I'd like to agree however we all have short memories. Look how many people love Obamacare now. Where were these people 4-5 month's ago?

They were in thrall to a Russian circus act.

 

[brycejones]

I would expect leveler heads to prevail but with this admin you never know for sure. They tried their damnedest to pass something with an approval rating hovering in the teens that would have wrecked the GOP in 2018 just to get a "win".

Some just don't care. I think bannon is trying to blow up as much shit as he can as quickly as he can.

 

[K1052]

Some just don't care. I think bannon is trying to blow up as much shit as he can as quickly as he can.

His camp are the ones reportedly pushing this idea. There are a few interesting stories out there about Trump campaign loyalists increasingly getting purged out of agencies and the WH by establishment. Might as well call this chapter of the first 100 days "Episode V: The Swamp Strikes Back". I'm very skeptical that Bannon will survive long term against the forces arrayed against him inside the government. He'll probably be back at Breitbart shitting on Trump before the year is out.

 

[Sheik Yerbouti]

FTFY

beat me to it

 

[vi edit]

Here's a fun article by NYT on the breakdown of who watches what...

https://www.nytimes.com/interactive...ty-vs-modern-family-television-maps.html?_r=0

 

[Fanatical Meat]

Here's a fun article by NYT on the breakdown of who watches what...

https://www.nytimes.com/interactive...ty-vs-modern-family-television-maps.html?_r=0

Funny you bring this up. in 2012 I had a job selling IT stuff to companies in the South. I felt like an idiot because clients would bring up some phrase or thing that happened on Duck Dynasty and I'd have no clue what they were talking about. I tried to watch the show just to get an idea but I couldn't stand it.
One Company closed for a day because the Duck Dynasty guys were stopping by for some promo thing and they were inviting customers to attend. That idea sounded so strange to me.

 

[theeedude]

Does anyone have any data on pre-existing condition incidence vs political affiliation? I would bet good money that by virtue of their older age, unhealthy diets, lifestyles and occupations, prescription drug and alcohol abuse, Trump supporters would be the most screwed by allowing insurers to charge elderly and the sick more.
Also, most liberals I know are in tech or government, and have employer provided health insurance, whereas Trump supporters seem to be more in "self-reliant" gigs or in soon to be automated away manufacturing or driving jobs, and are thus more exposed to the individual market.

 

[Sheik Yerbouti]

Does anyone have any data on pre-existing condition incidence vs political affiliation? I would bet good money that by virtue of their older age, unhealthy diets, lifestyles and occupations, prescription drug and alcohol abuse, Trump supporters would be the most screwed by allowing insurers to charge elderly and the sick more.
Also, most liberals I know are in tech or government, and have employer provided health insurance, whereas Trump supporters seem to be more in "self-reliant" gigs or in soon to be automated away manufacturing or driving jobs, and are thus more exposed to the individual market.

lifelong democrat here, and lifelong heart patient, so, lifelong pre-existing, not sure your reasoning is sound. But I am in tech, so good call on that!

 

[[DHT]Osiris]

Does anyone have any data on pre-existing condition incidence vs political affiliation? I would bet good money that by virtue of their older age, unhealthy diets, lifestyles and occupations, prescription drug and alcohol abuse, Trump supporters would be the most screwed by allowing insurers to charge elderly and the sick more.
Also, most liberals I know are in tech or government, and have employer provided health insurance, whereas Trump supporters seem to be more in "self-reliant" gigs or in soon to be automated away manufacturing or driving jobs, and are thus more exposed to the individual market.

It's all over the place. The vast majority of military I worked with (young and old) over a decade were Republicans, and most that separate (those either via normal retirement or medical retirement) get VA medical benefits for life, which is about as single-payer as we get in the US.

 

[Thump553]

Isn't it becoming rather apparent to everyone outside of Washington that the GOP are proceeding like a bunch of morons when they won't even talk to patient groups, hospital groups, other medical provider groups, and (gasp) even the Democrats. They aren't being remotely serous about getting a feasible bill.

It wasn't partisanship that caused healthcare providers, patient groups, and the like to line up nearly 100% in strong opposition to the last GOP proposal. And by all accounts the latest version is even less about healthcare and more about doctrine purity, vast new giveaways to insurers and (of course) tax cuts for the wealthy.

 

[glenn1]

Does anyone have any data on pre-existing condition incidence vs political affiliation? I would bet good money that by virtue of their older age, unhealthy diets, lifestyles and occupations, prescription drug and alcohol abuse, Trump supporters would be the most screwed by allowing insurers to charge elderly and the sick more.
Also, most liberals I know are in tech or government, and have employer provided health insurance, whereas Trump supporters seem to be more in "self-reliant" gigs or in soon to be automated away manufacturing or driving jobs, and are thus more exposed to the individual market.

Yes, that terrible practice of insurance premia reflecting expected payouts and those with pre-existing conditions paying more than those who are healthy. Of course that would be applicable if you want actual insurance (which you don't) instead of just government transfer payments to subsidize the healthcare costs of the sick and elderly (which you do). But put that misleading word "insurance" after those transfer payments and you think that somehow magically changes the economics of actual insurance.

 

[Fanatical Meat]

lifelong democrat here, and lifelong heart patient, so, lifelong pre-existing, not sure your reasoning is sound. But I am in tech, so good call on that!

I'll see you in the pool or maybe not since you're in tech.
As a guy with a lifelong condition I don't expect my insurance rates to be the same as everyone else but I don't expect to get randomly dropped or pay an unrealistic amount more. Unrealistic means you have to decide to make food or shelter decisions to pay for healthcare. That's unreasonable.