TRUMP on Obamacare

[Texashiker]

eskimospy answered most of that but I'd like to point out that you made the choice to live so far from civilization. What do you propose?

How do you figure that I live far from civilization?

I live in a rural area - the city has a population of around 8,000 people, the entire county has a population of around 35,000 - 36,000.

Why should people who live in an urban area have access to better health care then rural dwellers?

Unequal healthcare is nothing more then segregation. If you live on that side of the tracks, you get low quality health care. If you live in this side of the tracks, you get good health care.

 

[BurnItDwn]

If you tightwads were a title more laid back and decided to enjoy life, you too could be a fat smoker.

 

[dank69]

How do you figure that I live far from civilization?

I live in a rural area - the city has a population of around 8,000 people, the entire county has a population of around 35,000 - 36,000.

Why should people who live in an urban area have access to better health care then rural dwellers?

Unequal healthcare is nothing more then segregation. If you live on that side of the tracks, you get low quality health care. If you live in this side of the tracks, you get good health care.

Actually 1:15 isn't that far for a specialist. I don't know what you're complaining for.

 

[Texashiker]

Actually 1:15 isn't that far for a specialist. I don't know what you're complaining for.

1:15 for a womens health specialist, something women should have access to when needed?

You realize the local hospital does not even have a gynecologist on staff?

We do not even have a pediatrician.

If a woman shows up at the hospital in intense pain, there are nobody on staff that can help her. My daughter-in-law had a cyst that ruptured, which caused severe pain. She went to the ER, they said there was nothing wrong with her and sent her home.

 

[dank69]

1:15 for a womens health specialist, something women should have access to when needed?

You realize the local hospital does not even have a gynecologist on staff?

We do not even have a pediatrician.

If a woman shows up at the hospital in intense pain, there are nobody on staff that can help her. My daughter-in-law had a cyst that ruptured, which caused severe pain. She went to the ER, they said there was nothing wrong with her and sent her home.

Again, I don't know why you think that is the government's fault.

 

[Texashiker]

Again, I don't know why you think that is the government's fault.

If the government can go into a community and force racial integration, why can't we get more doctors?

If the military can provide medical services to indigenous populations in foreign nations, why can't we get medical service here in the states?

 

[dank69]

If the government can go into a community and force racial integration, why can't we get more doctors?

You there! You will become a doctor or face criminal charges!

If the military can provide medical services to indigenous populations in foreign nations, why can't we get medical service here in the states?

Because the indigenous populations in foreign nations can't drive 1:15 to the nearest specialist?

 

[Texashiker]

You there! You will become a doctor or face criminal charges!

You there, want to go to medical school? We will pay for it if you will work in an under served area for 10 years.

There are things the government can do to entice doctors to move to rural areas - tax breaks, free land, no interest student loans,,,,.

Always wanted to live on a farm? Offer to give the doctor 20, 30, 50,, acres in exchange for his services. If the doctor moves, he forfeits the land.

 

[dank69]

You there, want to go to medical school? We will pay for it if you will work in an under served area for 10 years.

There are things the government can do to entice doctors to move to rural areas - tax breaks, free land, no interest student loans,,,,.

Always wanted to live on a farm? Offer to give the doctor 20, 30, 50,, acres in exchange for his services. If the doctor moves, he forfeits the land.

And take good doctors out of urban areas where they are already overworked seeing hundreds of patients a week so they can tend to 10 patients a week in the swamp?

 

[Texashiker]

And take good doctors out of urban areas where they are already overworked seeing hundreds of patients a week so they can tend to 10 patients a week in the swamp?

The doctor my wife works for sees around 20 - 30 patients a day.

We live in the woods, it's not a swamp.

 

[dank69]

The doctor my wife works for sees around 20 - 30 patients a day.

We live in the woods, it's not a swamp.

Specialist?

 

[Texashiker]

Specialist?

Yes. One of the few in the area.

 

[dank69]

Yes. One of the few in the area.

Patients coming from how far away?

 

[Texashiker]

Patients coming from how far away?

Patients come from all over the place

Its either go to this specialist, or drive close to 100 miles to the next one. Say up to a 50 mile radius.

 

[dank69]

Patients come from all over the place

Its either go to this specialist, or drive close to 100 miles to the next one. Say up to a 50 mile radius.

I don't know what to tell you other than supply and demand. If there is enough demand, doctors will make their way there.

 

[Texashiker]

I don't know what to tell you other than supply and demand. If there is enough demand, doctors will make their way there.

In 1979 my uncle had a heart attack. He was lucky enough to make it to the local hospital.

The hospital was not setup for cardiac patients. My uncle was put in an ambulance to make the almost 100 mile trip to the nearest hospital that had a cardiac unit.

My uncle died while in transit.

From 1979 - 2012 nothing has changed. The local hospital has not expanded its facility to offer any kind of specialized care.

High risk pregnancy? You are shipped off.
Heart attack? No use in even stopping.

A couple of the local doctors are building their own out patient clinics. Hopefully with some competition in town the larger hospital will be forced to upgrade its services.

Back to the OP.

If the current rural hospitals can not provide services right now, what is going to happen with millions of people get insurance?

People that have not had a check in years are going to head down to the local doctor. We are going to see a sudden surge in patients, and no way to handle the extra load.

Providing insurance to people is great, but we have to have a way to provide the service. Doctors are already backlogged 2 - 3 weeks. In some cases the doctors are booked out to a month, or more.

 

[fskimospy]

Rural areas are always going to be underserved because it is not cost effective to serve them more. I know it sucks, but that's part of the price you pay for living in a rural area. Other services like the post office also would not run in rural areas without subsidy from urban ones.

 

[Bateluer]

Love how everyone posting in this thread just rips on Trump for being the instinctual equivalent of a pet rock . . . while ignoring that pretty everything everything he stated in his blurb on Obamacare in 100% true.


plan we are forced to purchase and fined if we don’t - True, you either pay the fine, err, Tax, or buy government approved health insurance.

which purportedly covers at least ten million more people - True, but below

without adding a single new doctor, but provides for 16,000 new IRS agents - True, Obamacare forces everyone to either buy health insurance or pay the tax, and the extra IRS agents are there to make sure you do. This was big news before it was signed in 2010, you guys have short memories.

written by a committee whose chairman
says he doesn’t understand it - Again, true. Its 2700 pages of the densest legalese written.

passed by a Congress that didn’t read it but
exempted themselves from it - True, at the time of its signing, not a single Congressperson had read the bill in its entirety.

and signed by a President who smokes - True, though I hear he's been trying to quit.

with funding administered by a treasury chief who didn’t pay his taxes - True again. Though, in his defense, the tax software he was using was difficult to understand.

for which we’ll be taxed for four years before any benefits take effect - Partially true. The bill was signed in 2010 and its most prominent provisions don't go into effect until 2014. More minor parts have taken effect already though.

by a government which has already bankrupted Social Security and Medicare - Truth again, the SS fund has been raided by Congress every time the needed quick cash over the least 4 decades. Now that there's more people drawing money from the pool than are paying in, its pretty much bankrupt.

all to be overseen by a surgeon general who is obese - Eh, most politicians are obese. Regina's thick, and that button looks like its straining a little. Not as obese as other politicians, or many Americans though.

and financed by a country that’s broke!!!!! - There's a doubt that the USA is broke? Were just shy of 16 trillion dollars in debt.

 

[Lemon law]

Excuse me, who do we stand for here, we can either rally around the AMA monopolists who agenda is to limit the number of doctors so they can all be rich regardless if they are competent or not, or we can stand for delivering health care to the American public.

And no Virgina, there is no Santa Claus and America overall is well down the list in terms of delivering quality medical care to its population.

 

[ShawnD1]

Medical care in rural America is in dire straits. My wife needed a gynecologist for some female problems she was having. We had to drive 1 hour and 15 minutes one way to find a specialist.

Let me see if I can summarize America in 2 lines.
Driving 1 hour to work = perfectly normal
Driving 1 hour to see a surgeon = OUTRAGE

 

[werepossum]

Let me get this straight ……
We’re going to be “gifted” with a health care
plan we are forced to purchase and fined if we don’t,
which purportedly covers at least ten million more people,
without adding a single new doctor, but provides for 16,000 new IRS agents,
written by a committee whose chairman
says he doesn’t understand it, passed by a Congress that didn’t read it but
exempted themselves from it, and signed by a President who smokes,
with funding administered by a treasury chief who didn’t pay his taxes,
for which we’ll be taxed for four years before any benefits take effect,
by a government which has already bankrupted Social Security and Medicare,
all to be overseen by a surgeon general who is obese,
and financed by a country that’s broke!!!!!

‘What the hell could possibly go wrong?

That's so awesome I have trouble attributing it to Trump.

I do not understand why the so-called liberal media allows Republicans to get away with this lie. Congress is not exempt. Starting in 2014, the Federal government will no longer offer any member of Congress nor any congressional staff any health insurance outside of the ACA. They will either have to buy insurance through a spouse's employer, buy from an exchange, as other individuals do, or pay the penalty.

Here is the exact code, within the ACA, on the matter:

Section 1312 of the Affordable Care Act reads as follows:
(D) MEMBERS OF CONGRESS IN THE EXCHANGE.-(i) REQUIREMENT.-Notwithstanding any other provision of law, after the effective date of this subtitle, the only health plans that the Federal Government may make available to Members of Congress and congressional staff with respect to their service as a Member of Congress or congressional staff shall be health plans that are-
(I) created under this Act (or an amendment made by this Act); or
(II) offered through an Exchange established under this Act (or an amendment made by this Act.)

Again, if the news media is so liberally biased, as Republicans claim, why would it allow Republicans to keep lying about this. Are they both so clueless that they really do not know this? How hard would it be to research it - I found it with a simple internet search that took less than 5 minutes.

Good news. Nothing we have to endure should be exempted from Congress. One of the greatest things the '95-'96 Republican Congress did was to force Congress to not exempt itself from any legislation.

And you can't really expect the news media to take Trump seriously, so you?

 

[Rainsford]

Regardless of anyones opinion on Trump, he has some valid points.

We already have a doctor shortage. The medical schools only accept X number of new students. This is to ensure the market does not become flooded. Too many doctors would drive wages down.

The health care act is supposed to dump how many people onto an already stressed system?

My wife and I had to drive over an hour to find a qualified surgeon for her surgery. The health care system in rural America sucks, big time.

Part of any health care fix should include training more doctors, and get more doctors into rural areas.

Sounds like a pretty basic supply and demand solution to me. Assuming demand for health care goes up, the system will be able to support more doctors at the same wage level since there is more spending on health care overall. I don't really see the issue.

 

[Rainsford]

In 1979 my uncle had a heart attack. He was lucky enough to make it to the local hospital.

The hospital was not setup for cardiac patients. My uncle was put in an ambulance to make the almost 100 mile trip to the nearest hospital that had a cardiac unit.

My uncle died while in transit.

From 1979 - 2012 nothing has changed. The local hospital has not expanded its facility to offer any kind of specialized care.

High risk pregnancy? You are shipped off.
Heart attack? No use in even stopping.

A couple of the local doctors are building their own out patient clinics. Hopefully with some competition in town the larger hospital will be forced to upgrade its services.

Back to the OP.

If the current rural hospitals can not provide services right now, what is going to happen with millions of people get insurance?

People that have not had a check in years are going to head down to the local doctor. We are going to see a sudden surge in patients, and no way to handle the extra load.

Providing insurance to people is great, but we have to have a way to provide the service. Doctors are already backlogged 2 - 3 weeks. In some cases the doctors are booked out to a month, or more.

With your concern for rural health care, I'm honestly surprised you're not in favor of MORE government intervention in health care. Providing services to rural areas in general is not supported by basic business sense. Government support is basically the only way rural areas can enjoy the same level of services that more populated areas get, from electricity to Internet to health care. Otherwise it's not economically feasible, especially since rural areas tend to have LESS money per capita than urban or suburban areas.

It's not like we're at a hard limit on doctors here. In fact, extra demand might lead to specialists in less populated areas that wouldn't have had enough patients to support them otherwise. Extra demand might squeeze existing doctors for a bit, but I'm guessing we'll end up with even more doctors and better health care before too long...the demand will be there, after all. And that's assuming the industry doesn't figure out ways to become more efficient, which I suspect wouldn't be all that hard.

 

[mattpegher]

You there, want to go to medical school? We will pay for it if you will work in an under served area for 10 years.

There are things the government can do to entice doctors to move to rural areas - tax breaks, free land, no interest student loans,,,,.

Always wanted to live on a farm? Offer to give the doctor 20, 30, 50,, acres in exchange for his services. If the doctor moves, he forfeits the land.

The government could do a lot of things to encourage rural doctors, but they wont. They arent interested in spending more money, only less.

Point is that like any other "enticement" it will be a matter of sweatening the offer enough to get people to take it. Do you think that the government wants to pay 1/2 a mil to get a gynacologist to move to a town of 1000?

The government will never offer enough to compete with what a doc can make in even the suburbs with med school debt.

 

[mattpegher]

With your concern for rural health care, I'm honestly surprised you're not in favor of MORE government intervention in health care. Providing services to rural areas in general is not supported by basic business sense. Government support is basically the only way rural areas can enjoy the same level of services that more populated areas get, from electricity to Internet to health care. Otherwise it's not economically feasible, especially since rural areas tend to have LESS money per capita than urban or suburban areas.

It's not like we're at a hard limit on doctors here. In fact, extra demand might lead to specialists in less populated areas that wouldn't have had enough patients to support them otherwise. Extra demand might squeeze existing doctors for a bit, but I'm guessing we'll end up with even more doctors and better health care before too long...the demand will be there, after all. And that's assuming the industry doesn't figure out ways to become more efficient, which I suspect wouldn't be all that hard.

The rule of supply and demand wont work here because the demand isnt backed by people willing to pay for their demand.