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Repealing the ACA begins...

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Trump is walking back a bit on ACA and sounds committed to keeping some of the more popular aspects of the coverage provided.

I have no problem with the Republicans salvaging the intent but making ACA more economically sustainable.
 
Starbuck1975 said:
Trump is walking back a bit on ACA and sounds committed to keeping some of the more popular aspects of the coverage provided.

I have no problem with the Republicans salvaging the intent but making ACA more economically sustainable.
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Except that one can't keep the no pre-existing conditions clause without the individual mandate. The whole economic model crashes.

Jackalas is quite correct, the exit strategy to this mess is Medicare for all.
 
IronWing said:
Except that one can't keep the no pre-existing conditions clause without the individual mandate. The whole economic model crashes.

Jackalas is quite correct, the exit strategy to this mess is Medicare for all.
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I dont understand why the Democrats didnt just expand Medicare to begin with.
 
The one change that I would like to see done to all insurance is to make them all not for profit. If you want to make it mandatory for me to have insurance then my provider should not be a for profit organization. Right now insurance is a very lucrative for profit business and when our legislators of all parties make insurance mandatory it becomes ripe for exploitation and we the people are made to suffer at the profiteers enrichment. Our insurance rates climb for many reasons and its time to take some of the wind out of their sails.
 
As a person who is on government run health care, VA, you really don't want it. My service is horrible, wait times are excessively long and even when you can get a referral to a regular civilian facility it takes an act of Congress to get the paperwork through. It took me 4 months to be able to be seen by a local orthopedic doctor after the VA backlog allowed me to request it. My current problem started at the end of June and next week I am finally being seen for my right knee. Do the math and ask yourself if you want service like this? The people over at my local OCP don't give a damn about the vets and are for the most part rude. Even the civilian providers know it and its the reason that vets are raising so many complaints.
 
Don't forget Trump is not a conservative.

Expect expanded medicare, and a deregulated health mart (to control costs) for higher income earners.

He never said he wasn't going to replace ACA, he said he would replace it with something better and that everyone would have healthcare. He's also not an establishment GOP hack so you can forget whatever the GOP was thinking.

From "The America We Deserve" ~1999/2000

“I'm a conservative on most issues but a liberal on this one,” Trump insists. “We should not hear so many stories of families ruined by health-care expenses.
...
We need a change in the tax code that would give groups and individuals tax breaks for health insurance that are equivalent to those that corporations now receive. This would allow ordinary citizens to buy coverage that compliments their company policy and gives them more of what they need. It would also give them the option to jettison the company policy altogether and just buy their own insurance."​


From his 100 day plan :

  1. Affordable Childcare and Eldercare Act. Allows Americans to deduct childcare and elder care from their taxes, incentivizes employers to provide on-side childcare services, and creates tax-free Dependent Care Savings Accounts for both young and elderly dependents, with matching contributions for low-income families.
 
shady28 said:
Don't forget Trump is not a conservative.

Expect expanded medicare, and a deregulated health mart (to control costs) for higher income earners.

He never said he wasn't going to replace ACA, he said he would replace it with something better and that everyone would have healthcare. He's also not an establishment GOP hack so you can forget whatever the GOP was thinking.

From "The America We Deserve" ~1999/2000

“I'm a conservative on most issues but a liberal on this one,” Trump insists. “We should not hear so many stories of families ruined by health-care expenses.
...
We need a change in the tax code that would give groups and individuals tax breaks for health insurance that are equivalent to those that corporations now receive. This would allow ordinary citizens to buy coverage that compliments their company policy and gives them more of what they need. It would also give them the option to jettison the company policy altogether and just buy their own insurance."​


From his 100 day plan :

  1. Affordable Childcare and Eldercare Act. Allows Americans to deduct childcare and elder care from their taxes, incentivizes employers to provide on-side childcare services, and creates tax-free Dependent Care Savings Accounts for both young and elderly dependents, with matching contributions for low-income families.
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Sounds good to me. Now if we could only get the profit motive out of health care.
 
A quick Google tells me that Medicare currently costs 14% of our total government budget, while covering roughly a similar percentage of our nation. Even if you cut out part D and find alternative methods of reducing prescription costs, how in the hell are you supposed to pay for that if you expand it to everyone?
 
I am 99% sure Trump trash-talked ACA to get votes from people who don't know what it even is.

Once he actually does his due diligence, I suspect that he won't think it's such a disaster.
 
HamburgerBoy said:
A quick Google tells me that Medicare currently costs 14% of our total government budget, while covering roughly a similar percentage of our nation. Even if you cut out part D and find alternative methods of reducing prescription costs, how in the hell are you supposed to pay for that if you expand it to everyone?
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Employers.
 
I do predict Trump will not tolerate Medicare paying top dollar for medication. He'll get Congress to agree too and Medicare will be able to negotiate prices.
 
ivwshane said:
How are you this uninformed? The ACA did expand Medicaid and the repubs blocked it via the supreme court.
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No the Supreme Court chose to hear their challenge to ACA and ruled on it relative to the Constitution. The Democrats created an overly complex and bureaucratic turd with some admirable ideas
 
Thump553 said:
Excellent point and there were a lot of provisions in the ACA designed to push down healthcare costs (or at least make them rise more slowly).
Things like pushing medical providers into electronic records that could be easily (but securely) shared among medical providers, limiting premiums so that at least 80% of the premiums had to be spent on claims or the insurer had to refund the excess to the policy holder (probably a 100% guaranty that will be killed in any GOP plan as unfairly hurting insurance companies), etc.

I really, really hope Trump gets some real experts-from all viewpoints such as insurers, healthcare providers, patient advocates, etc. before gutting the ACA. It can certainly be made a lot better or made worthless. We need a workable and affordable health care system in this country and I could care less who takes the credit for getting it right.
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You are kind of making my point though, you spent way more words talking about reducing the cost of health insurance than healthcare. No matter what you do to the insurers you can only get so much cost cutting, I'd argue relatively little, without first cutting the cost of the underlying product.
 
HamburgerBoy said:
A quick Google tells me that Medicare currently costs 14% of our total government budget, while covering roughly a similar percentage of our nation. Even if you cut out part D and find alternative methods of reducing prescription costs, how in the hell are you supposed to pay for that if you expand it to everyone?
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Medicare... currently for seniors, who are VERY ill and expensive compared to general population.
 
Jaskalas said:
Then fight for Medicare for all.
You won't be forced to buy anything then.
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Medicare and Medicaid cost us $1.5T this year and is going up 9.3% a year which means as it currently stands in 4 years those two programs will cost $2 trillion dollars and that's just to cover the current roughly third of the population. Please oh please tell me how we can afford that alone much less tripling it.

This is the true elephant in the room that no one is talking about. In 4 years just the increase in those programs would require us to cut ALL of our defense spending to make up the money or just tack another $600B to the deficit.
 
Darwin333 said:
Medicare and Medicaid cost us $1.5T this year and is going up 9.3% a year which means as it currently stands in 4 years those two programs will cost $2 trillion dollars and that's just to cover the current roughly third of the population. Please oh please tell me how we can afford that alone much less tripling it.

This is the true elephant in the room that no one is talking about. In 4 years just the increase in those programs would require us to cut ALL of our defense spending to make up the money or just tack another $600B to the deficit.
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Well Trump will have us winning so much we'll be tired of winning, I don't see where the money's coming from as being a problem.
 
tweaker2 said:
Sounds good to me. Now if we could only get the profit motive out of health care.
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Which part and what do you consider "profit"? Are we talking about removing profit from drug companies, hospitals, medical imaging device makers, medical suppliers, ambulance services, etc..? What about the salaries of those in healthcare like doctors and such? Or are you just talking about insurance companies?
 
~6 Million people in Scotland, and in 2011 the NHS Scotland cost around £10 billion. The increases in cost are actually lower than inflation. Trouble is, you American lads have a fucked up for-profit system, that is convoluted beyond convoluted.
 
Darwin333 said:
Which part and what do you consider "profit"? Are we talking about removing profit from drug companies, hospitals, medical imaging device makers, medical suppliers, ambulance services, etc..? What about the salaries of those in healthcare like doctors and such? Or are you just talking about insurance companies?
Click to expand...

Allow me to clarify as far as my ignorance of the industry will allow me to, seeing as if I assume you're asking for more detail in my post.

The "profit" I refer to is what investors (gamblers) get out of the industry and the pressure they put on the industry in their demands for an ever increasing return on their investments. Correct me if I'm wrong, as I'd like to be as well informed as anyone else about why healthcare costs and the rate of increases in that cost are far and away above those nations that provide decent health care at far less expense.

That's about as concise as I can get.
 
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