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The Great ObamaCare Debate, Part 237: Back to Court The Great ObamaCare Debate, Part 237: Back to Court

05-14-2013 , 03:57 PM
Quote:
Originally Posted by Low Key
Gee, why didn't Romney propose this during the campaign?
How would I know? I'm not a republican. Both the democratic and republican plans are bad.
05-14-2013 , 04:02 PM
Quote:
Originally Posted by Benholio
What percentage of the US population do you think can afford an unplanned round-trip ticket to Asia?
Who knows? Few are aware of this option.
05-14-2013 , 04:17 PM
Quote:
Originally Posted by neg3sd
Who knows? Few are aware of this option.
You don't need to know how many are aware of that option to get an idea. For starters, you can immediately eliminate the 1/3rd or so of households because they have $0 disposable income.

Looking at the median household that makes $50/yr, trying to come up with $2k-$3k for a plane ticket plus the cost of the procedure (even at 20%), it is hard to really imagine many of them being able to afford it.

Virtually nobody can afford to just pay for their own procedures, that's why we have insurance in the first place. Any solution that requires everyone to be on the hook for the lion's share of their own medical costs just isn't feasible, and it seems like this is a requirement for getting people to shop around.
05-14-2013 , 04:31 PM
Quote:
Originally Posted by neg3sd
For minor problems one can refuse to treat it. For life threatening issues you're up the creek.
For many operations one can go to Asia. These operations costs less than 20% of the costs in the USA. And RNs are serving you during the recovery. CNAs perform these duties in the USA.
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05-14-2013 , 04:44 PM
Quote:
Originally Posted by neg3sd
For many operations one can go to Asia.
05-14-2013 , 04:44 PM
05-14-2013 , 07:03 PM
Quote:
Originally Posted by droopy0021
Healthcare premiums leveling off means increases of only 8-12%. Not sustainable.

Our problems in the U.S. regarding healthcare today are the result of (not necessarily in this order):

1. We're fat. US obesity rates vs. other countries. April 2013
2. People have no clue what/how to eat (see above - we're fat)
3. Prescription drug companies carry way too much power/cost here. Also utilized too much by people/doctors.
4. Lack of transparency - we've been taught to do whatever doc tells us. How an MRI can cost $2,000 in the hospital yet $600 at the stand alone down the street is crazy. But no one asks questions because they don't know....doc told them they can go here (hospital)....insurance pays it, not me.


So much goes into this problem - unfortunately ACA doesn't address enough and was a platform pushed through because it sounded good(politically) and the majority was there to do so.

Why would the legislators who passed this be looking to opt out/get their own programs? Now that people are figuring out what the 865 page act actually does they're like eeewwww.
Citation needed.
05-15-2013 , 10:27 AM
I can see you've put a lot of thought into this and are well-versed on the subject.

I put just as much thought into those statements as the people who voted for Obamacare did when they passed the bill. Hearing Nancy Pelosi say this tells my uneducated ass that they didn't really look into it very much before voting for it either. If it is such a good plan then why did they opt themselves out of it?
05-15-2013 , 10:35 AM
They didn't opt themselves out of it
05-15-2013 , 11:33 AM
Quote:
Originally Posted by envfoldr
I can see you've put a lot of thought into this and are well-versed on the subject.

I put just as much thought into those statements as the people who voted for Obamacare did when they passed the bill. Hearing Nancy Pelosi say this tells my uneducated ass that they didn't really look into it very much before voting for it either. If it is such a good plan then why did they opt themselves out of it?
Not only did they not opt themselves out of it, they wrote it into the law that they are required to use it.
05-15-2013 , 12:06 PM
Quote:
Originally Posted by adios
Citation needed.
Assuming you meant citation for increases not leveling off for 2013:

NY Times Jan 2013

CNN March 27 2013 - Society of Actuaries says claims costs will increase

AON-Hewitt prediction for 2012 (from Oct 2011) of 7-7.5%

My 8-12% was based on small business group premiums (2-50 employees) I see in my area (midwest). 8% is the lowest I've seen with most 10% so far in 2013. Carrier projections for most of these groups for 2014 (especially those with younger employees) are a LOT higher, 20%+.
05-15-2013 , 12:09 PM
Quote:
Originally Posted by Benholio
Not only did they not opt themselves out of it, they wrote it into the law that they are required to use it.
They're trying to undo this:

Forbes April 25 2013
05-15-2013 , 12:58 PM
Quote:
Originally Posted by Benholio
Looking at the median household that makes $50/yr, trying to come up with $2k-$3k for a plane ticket plus the cost of the procedure (even at 20%), it is hard to really imagine many of them being able to afford it.

.
The world isn't fair. What else is new? Did any of those ppl spend $10K for the WSOP main event?
05-15-2013 , 01:12 PM
Quote:
Originally Posted by droopy0021
Assuming you meant citation for increases not leveling off for 2013:...
LOL no, wrong assumption, you made claims about the root causes of rising health care costs.
05-15-2013 , 01:59 PM
Quote:
Originally Posted by adios
LOL no, wrong assumption, you made claims about the root causes of rising health care costs.
Forbes article - obesity more impact than smoking on healthcare costs

2nd point (how to eat) more a subpoint to we're getting fat in the US.

Pharmacueticals overprescribed and overused (IMO) for things that can be controlled by diet/exercise/natural supplementation. Big Pharm providing doctor incentives to use their stuff. Cholesterol, blood pressure meds are common ones. Everyone also looks for an easy/magic pill to fix everything.

older article, 2010

April 2013 - antibiotic overuse

2002 study showing rise in Rx

Lack of transparency.

May 2012 study

This is tough because it's difficult to know where to start for a patient and often times the doctor.
05-15-2013 , 03:46 PM
Quote:
Originally Posted by neg3sd
The world isn't fair. What else is new? Did any of those ppl spend $10K for the WSOP main event?
Yeah, buying into the WSOP is just the same thing as being able to not die when you get sick...

Are you proposing that if someone in the bottom, say, 90% of the population (by wealth) gets cancer that they should just die? Because the world isn't fair?

Or do you just mean people who can't afford the proper insurance?

Sounds like a nice thousand-year step back in civilization.
05-15-2013 , 03:57 PM
Hey, if the bottom 90% can't afford to fly to Asia to save pennies on the dollar, whose fault is that? Clearly not enough bootstrap puller-uppers in this great nation anymore.
05-15-2013 , 04:01 PM
Quote:
Originally Posted by droopy0021
They're trying to undo this:

Forbes April 25 2013
That talking point was fundamentally dishonest and relied on people not understanding what Obamacare does.

http://www.washingtonpost.com/blogs/...rom-obamacare/

What would it even mean to "opt out" here? What do you think the options are for Congress that they could "opt out" of "Obamacare"?

Obamacare isn't a thing that you are "in" or "out" of, it's a pretty comprehensive reform of the health insurance industry as a whole, everyone will be subject to some of its provisions.
05-15-2013 , 06:11 PM
Quote:
Originally Posted by Benholio
Yeah, buying into the WSOP is just the same thing as being able to not die when you get sick...

Are you proposing that if someone in the bottom, say, 90% of the population (by wealth) gets cancer that they should just die? Because the world isn't fair?
I'm not proposing they die. Think that's what's happening. Hear anecdotal evidence hospitals allow ppl to die when they can't pay for operations in advance.
Think rich ppl are dying of cancer also.
05-15-2013 , 10:29 PM
Thanks Obamacare

Quote:
Washington’s consumers got their first, preliminary look at the cost of “Obamacare” on Tuesday. And the news, for many consumers, was good: Health insurance next year will cover more and cost less.
05-15-2013 , 10:52 PM
Quote:
Originally Posted by goofball

This is huge news. Those rates are very, very reasonable.
05-16-2013 , 01:00 AM
Quote:
Originally Posted by neg3sd
I'm not proposing they die. Think that's what's happening. Hear anecdotal evidence hospitals allow ppl to die when they can't pay for operations in advance.
Think rich ppl are dying of cancer also.
Rich people are dying of cancer, but not at the near 100% mortality rates that would happen if they just didn't get it treated at all. As far as people dying when they can't pay for operations - sounds like BS to me. I'm sure there is a single case of that happening somewhere, but it is not the general case. Hospitals are required to provide emergency treatment for anyone regardless of their ability to pay. I'm sure you know this.
05-16-2013 , 08:39 AM
Quote:
Originally Posted by droopy0021
Forbes article - obesity more impact than smoking on healthcare costs

2nd point (how to eat) more a subpoint to we're getting fat in the US.

Pharmacueticals overprescribed and overused (IMO) for things that can be controlled by diet/exercise/natural supplementation. Big Pharm providing doctor incentives to use their stuff. Cholesterol, blood pressure meds are common ones. Everyone also looks for an easy/magic pill to fix everything.

older article, 2010

April 2013 - antibiotic overuse

2002 study showing rise in Rx

Lack of transparency.

May 2012 study

This is tough because it's difficult to know where to start for a patient and often times the doctor.
Not a shread of evidence here to support your claim but thanks for playing.
05-16-2013 , 08:44 AM
Quote:
Originally Posted by Benholio
Rich people are dying of cancer, but not at the near 100% mortality rates that would happen if they just didn't get it treated at all. As far as people dying when they can't pay for operations - sounds like BS to me. I'm sure there is a single case of that happening somewhere, but it is not the general case. Hospitals are required to provide emergency treatment for anyone regardless of their ability to pay. I'm sure you know this.
Not all operations constitute emergency treatment cmon. I can tell you from experience that hospitals have some discretion. I'm not going to into details so take that FWIW.
05-16-2013 , 09:11 AM
I know they don't. The post I was responding to said "hospitals allow ppl to die when they can't pay for operations in advance." That sounds like an emergency situation.

      
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