Affordable Care Act

ACA is here. No doubt about it. Shame we aren't Atlanta having 36 markets compete, but we have 1, sometimes 2. In the short term we are going to pay more without a doubt . My hope is we can get HC markets intrerested in doing business in our region again, after our hospitals all blew the budget on indigent care last year. What happens to the money spent when we see enrollment numbers at a fraction of the projected amount? After all, that was one of the big things that made this whole deal solvent?

Did your state allow the state exchanges?
 
Accept the Medicare (Medicaid??) expansion that funded the state run exchanges.
Allow was a poor choice of words

The system was designed to be run by the states -- which is / was part of the roll out problem. The Fed was not prepared to infra-structure or set up / run 1/3 of the operation.
Further complicating the situation was as the (R) states opted out of the Medicare Expansion (that funded the Act at the state level) The (R) House of Rep would not allow the funds to run / set up the overflow.

But, you knew all that -- didn't you?
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My guess is, insurance wise, your screwed until you get some people that are looking out for your welfare in your state government. Or you get some help from the 2014 Congressional Elections. Or, you can vote for more people that their sole purpose of public service is to embarrass an uppity black man in public
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Oh yeah -- my state did not accept the funding. Our family has been enrolled in a HC co-operative since the early 80's. Which in affect function much like ACA was designed. Accept of course (D) allowed the Insurance Industry their piece of the pie. But, boots on the ground it is the same principle.
 
Yeah, the mythical insurance plan that doesn't cover anything. Long been a scapegoat...

Just to be transparent:

I had:

1. Full dental
2. Full vision
3. Full medical
- $20 copay
- $800 deductible

Was a great plan. Still is. Just have to pay more for it.
 
pay your damn bill and quit whining. Things change
First pack of cigarettes I bought were $.25 and gas was $.28.
Got a coke and a pack of cheese-pnut butter crackers for $.50

Sheeeesh
 
pay your damn bill and quit whining. Things change
First pack of cigarettes I bought were $.25 and gas was $.28.
Got a coke and a pack of cheese-pnut butter crackers for $.50

Sheeeesh

LOL. You don't understand anything do you.

You're right. Things change, and the inflation you just spoke of really hurts the middle class.

ACA will do a lot more damage.
 
sturg do you feel that health insurance is a necessity for people?

I'm not asking if you thought it should be mandated or should be a requirement, or not in libertarian terms that people have the right to do what they want to their body. Do you think having health insurance is a must-have for your average person? No matter what age, race, etc they are.

Would you SUGGEST to someone they SHOULD buy health insurance? Would you persuade them to buy health insurance for best of their interests? Not even including your libertarian ideal of I don't care what you want to do, as long as it doesn't effect me. Would you recommend to someone that health insurance is a good idea?
 
I do understand. A - a lot. I remember when a new Corvette cost $5,000 and the apocalyptical feeling I had in my stomach when I saw my first $20,000 sticker.
I thought -- how will the middle class survive at this rate of inflation - but here we are 30 years later and the price is now base line around $60K. A Prius - a mother****ing
prius costs more than that beautiful silver w/ red interior Corvette did 30 years ago. And you know what Sturg --- life went on.

They sold beaucoup Corvettes over the years and fact is, they can't make them fast enough. A little less me me me and a little more perspective would serve you well
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Because the further we get from the Oct 1 roll out the more it becomes clearer. There are one of two things at play here. The opponents are either so blinded by the fact Obama is President or they are just flat out " out for me -screw you" selfish human beings.

Why else would people go to such lengths to see a policy fail?
 
I do understand. A - a lot. I remember when a new Corvette cost $5,000 and the apocalyptical feeling I had in my stomach when I saw my first $20,000 sticker.
I thought -- how will the middle class survive at this rate of inflation - but here we are 30 years later and the price is now base line around $60K. A Prius - a mother****ing
prius costs more than that beautiful silver w/ red interior Corvette did 30 years ago. And you know what Sturg --- life went on.

They sold beaucoup Corvettes over the years and fact is, they can't make them fast enough. A little less me me me and a little more perspective would serve you well
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Because the further we get from the Oct 1 roll out the more it becomes clearer. There are one of two things at play here. The opponents are either so blinded by the fact Obama is President or they are just flat out " out for me -screw you" selfish human beings.

Why else would people go to such lengths to see a policy fail?

Yes or no. Do you think ACA will raise costs overall, or not?
 
sturg do you feel that health insurance is a necessity for people?

I'm not asking if you thought it should be mandated or should be a requirement, or not in libertarian terms that people have the right to do what they want to their body. Do you think having health insurance is a must-have for your average person? No matter what age, race, etc they are.

Would you SUGGEST to someone they SHOULD buy health insurance? Would you persuade them to buy health insurance for best of their interests? Not even including your libertarian ideal of I don't care what you want to do, as long as it doesn't effect me. Would you recommend to someone that health insurance is a good idea?

I do not think it is a must have for certain people. I haven't gone to the DOC in a couple years now. But I am 24 and healthy. My dad is 64 and has cancer - he is lucky he has insurance.

I absolutely would recommend that people get health insurance - mostly for catastrophes (especially for poor people). Instead, people think you need health insurance for your runny nose, your birth control, and any other oddball thing that can go wrong with you. This has brought the cost of everything up higher.
 
I do not think it is a must have for certain people. I haven't gone to the DOC in a couple years now. But I am 24 and healthy. My dad is 64 and has cancer - he is lucky he has insurance.

I absolutely would recommend that people get health insurance - mostly for catastrophes (especially for poor people). Instead, people think you need health insurance for your runny nose, your birth control, and any other oddball thing that can go wrong with you. This has brought the cost of everything up higher.

I'm 23 and healthy, but I do have a pre-existing condition I was blessed with via genetics.

Insurance companies do NOT have the best interest of the consumer when it comes to their industry. No matter if it's health insurance, auto insurance, phone insurance.

Insurance is what it is, something you have in confidence to not have to worry about a catastrophe. Which even before the ACA, if you were stuck with a catastrophe you probably are stuck with a huge deductible anyways.

Healthcare costs have gone up because insurance profits are going to shrink since they actually have to pay for sick people now. The profits have to go up to pay for the middle men and the big fat wallet of the CEO who's probably going to get a multi-million dollar bonus. The costs are being passed on to the consumer as any minimum wage raise does.

If the idea is to get a cheaper alternative solution for healthcare costs, then Universal Medicare/Single Payer would be the best option and a public option would certainly be a better option than ACA or Pre-ACA or a virtually "Free Market".

This of course means you actually have to value people's lives morally. If you do, then there's no way in HELL that you would think a completely free market would be the best solution for cheap healthcare costs. Their priority is the bottom line, not how many people will live.
 
I do believe the free market would drive down costs - which probably allows more people to get more health care.

But we know you think that is crazy. Despite our government getting more and more involved with health care, our costs continue to go up each year - shocking I know.

By the way, my boss lives in Vancouver. His dad needed triple bypass surgery to avoid having an imminent heart attack. After 6 weeks of not being able to schedule the surgery in Canada, they came down to the States, paid for it, and had the surgery scheduled in 3 days.
 
I do believe the free market would drive down costs - which probably allows more people to get more health care.

But we know you think that is crazy. Despite our government getting more and more involved with health care, our costs continue to go up each year - shocking I know.

By the way, my boss lives in Vancouver. His dad needed triple bypass surgery to avoid having an imminent heart attack. After 6 weeks of not being able to schedule the surgery in Canada, they came down to the States, paid for it, and had the surgery scheduled in 3 days.

1) If he's your boss he's probably doing ok financially.

2) If he waited 6 weeks for the surgery, perhaps the imminent heart attack was not as imminent as thought.

3) Them coming to the states to pay for the surgery would not be any different if we were on Single Payer or complete Free Market. Clearly there aren't enough surgeons in Canada, not an issue here.

How exactly would free market lower costs? Perhaps for me and you since we're young and healthy it MIGHT be cheaper. But what about the elderly and middle aged who need medical services? They're going to get jipped big time.
 
57, I don't know if I totally follow your logic, but the whole medical insurance issue (and the government role in health care) has been a long-standing red-line in American politics. I'm not quite old enough (and certainly wasn't aware enough) to recall the Medicare debate, but the Right went nuts over that. I think the effort to derail that failed because the program was designed to get middle class buy-in and it succeeded. Times are different and there's no question that this program tries to get at pre-retirement age uncovered folks and that is a tougher sell for a variety of reasons.

No question this was going to be a challenge and there are certainly bugs in the system that have jeopardized any chance at progress on this issue. I think my issue irrespective of the merits (or weaknesses) of this effort is I wonder whether or not this country is capable of ever really doing anything major again across any issue. I think the same goes for Bush's efforts in the Middle East. I didn't agree with those efforts, but there was a vision there and he was able to sell it only to witness a dramatic shift away from that vision as soon as it hit a snag.

I'm not advocating that we should try to elevate ourselves to "great" power status or commenting on any particular issue. My growing view is that achieving anything of substance will become increasingly difficult as those efforts will require sacrifice and that looks to be a dwindling resource.

I want to make it clear that I am not deriding any particular view on this or any other issue with my comments. I think that there is an arrogance that goes with Great Power status and maybe as a country we have grown beyond that and have turned inward. Just wonder what constitutes a challenge and whether this nation is up to meeting those when they arise.
 
I think insurance rates go because they can - ACA or VFW or FFF or whatever acronym suits.

I once went to the Dr with flu symptoms and blood tests revealed a much much more serious condition. That was caught early and arrested because I went to the Dr with a "runny nose".

Why shouldn't women get birth control covered under her health insurance? If we are in an insurance pool with women they would naturally be covered.
What is the problem with that? Do you have a sexually active GF -- let me rephrase that -- do you know a woman that enjoys carnality and requires health precautions to avoid a serious health condition?

I had a condition to my maleness a few years back that required a very expensive surgery. Does a woman have the right to the same qualms you show them over birth control?
I had sports injuries that required a number of surgeries. Do couch potatoes have a bitch because they would never require the same procedures?
In both cases I paid the minimum co-pays for office visits only.
 
1) If he's your boss he's probably doing ok financially.

2) If he waited 6 weeks for the surgery, perhaps the imminent heart attack was not as imminent as thought.

3) Them coming to the states to pay for the surgery would not be any different if we were on Single Payer or complete Free Market. Clearly there aren't enough surgeons in Canada, not an issue here.

How exactly would free market lower costs? Perhaps for me and you since we're young and healthy it MIGHT be cheaper. But what about the elderly and middle aged who need medical services? They're going to get jipped big time.

1. Not sure why that is relevant.

2. He waited 6 weeks because the government standards for allowing such a procedure, his dad didn't "qualify" for the urgent procedure. You know those "death panel" thingies people always make sarcastic comments about? Well this was pretty much it. A few bureaucrats set a minimum standard for what should require such a surgery to happen. His dad, for whatever reason, didn't qualify.

3. I think you missed the point. The point was that in the US, you can get the health care you want/need when you want it. My boss' family didn';t want to take the risk of his dad having a hear attack, so they came to the states because the states has better health care.

To your last point... the elderly SHOULD be paying more because they are more likely to need it. Why do you liberals think that doctors and insurance companies should run a charity? Doctors give up a huge portion of their lives and learn something that few people in the world do - they should be compensated for that. Insurance companies should not be running a program where they are going to lose money on every patient.
 
the elderly SHOULD be paying more because they are more likely to need it.

And if they cannot afford to pay more, we shouldn't mind letting them waste away and/or expire, because hey: we have the great moral high-ground of being god-damn mother-****ing EARNERS.
 
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