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

01-22-2014 , 03:30 PM
Quote:
Originally Posted by Benholio
What are some of the regulations that are adding a lot of overhead that we can get rid of?
One thing I would do is allow importing of drugs from overseas at their prices. No reason why Americans should be paying more for prescriptions when so many are created here. It would force the drug companies to negotiate a world rate.

FDA could blanket approve anything the German/EU equivalent has approved. No reason to believe they are doing a worse job at certification than we are.

As Ashington mentioned many services could be moved to the domain of NPs instead of doctors. Removing regs that require certain training for certain procedures would help.

I'm not very knowledgeable about healthcare regulations, but from reading the news it seems there is quite a bit going on that increases the workload for delivery of care.
01-22-2014 , 03:38 PM
Quote:
Originally Posted by neg3sd
NOT betting money. When you lose on January 2015, you would be required to watch 30 hours of FoxNews. Watch John Stossel. Learn that people not on the far left think.
Obama delayed the open enrollment period to November 15 this year. He wants it after the mid-term elections. I still think many cancellation letters will be sent before election day.
I'm not asking you to bet, I'm asking you to back up your assertion with evidence.

Silly, I know.
01-22-2014 , 03:42 PM
Quote:
Originally Posted by yeSpiff

Here's your problem:

Quote:
dailycaller.com
http://www.washingtonpost.com/blogs/...ealthcare-gov/

Which leads to the supposed hacker's own blog: https://www.trustedsec.com/january-2...ealthcare-gov/

Which then has a bunch of well-known security guys saying that the site still has vulnerabilities. So, the security of the site is still bad, but the disclosure of personal information or health records has not happened.
01-22-2014 , 06:43 PM
Quote:
Originally Posted by neg3sd
6.2 million policies cancelled in 2013. I'm willing to bet you the number of policies cancelled in 2014 will be greater than 6.2 million.
Great thing about the ACA is all those people can easily sign up and get better insurance.

Woohoo.
01-22-2014 , 07:01 PM
Quote:
Originally Posted by surftheiop
What forest am I missing?

My position is that specialty salaries should be rebalanced such that specialists surpass generalists in total earnings maybe 15-20 years post-medschool, as it is now a lot of them are doing it less than 10 years post-medschool and then after a 30 year career they have made 4 times as much. You dont need nearly that much financial incentive to get people into specialties.

(The above numbers are mostly made up, but when internists are making like 180k and anesthesiologists/radiologists are pushing 300-500k you don't have to even do the math to see why we dont have enough internists and radiologists are moaning that the markets in big cities are saturated)
One of my best friends is an ob/gyn and he talks about how many anesthesiologists suck at just giving an epidural. The good ones do it effortlessly and the rest are total messes, yet the ball get paid the same, pretty much.
01-22-2014 , 07:40 PM
Quote:
Originally Posted by markksman
Great thing about the ACA is all those people can easily sign up and get better insurance.

Woohoo.
That is debatable. Not all small group insurance is total crap. Some of it is but not all. And there will be pissed people. The question will be how many.
01-22-2014 , 07:45 PM
Quote:
Originally Posted by markksman
One of my best friends is an ob/gyn and he talks about how many anesthesiologists suck at just giving an epidural. The good ones do it effortlessly and the rest are total messes, yet the ball get paid the same, pretty much.
you do realize giving epidurals is not all an anesthesiologist does right?
01-22-2014 , 08:08 PM
Quote:
Originally Posted by ikestoys
you do realize giving epidurals is not all an anesthesiologist does right?
They are also like a gigolo. Jamming tubes down people's throats.
01-22-2014 , 08:16 PM
Aetna CEO: Mark Bertolini says, "Aetna could be forced out of Obamacare.

http://www.cnbc.com/id/101354183?doc...20forced%20out
01-22-2014 , 08:19 PM
Quote:
Originally Posted by markksman
Great thing about the ACA is all those people can easily sign up and get better insurance.

Woohoo.
Hard to believe you work in the insurance business. People can get more expensive, more comprehensive insurance. Not better. It will cover many treatments they don't want or can afford.
01-22-2014 , 08:31 PM
Quote:
Originally Posted by maxtower
One thing I would do is allow importing of drugs from overseas at their prices. No reason why Americans should be paying more for prescriptions when so many are created here. It would force the drug companies to negotiate a world rate.

FDA could blanket approve anything the German/EU equivalent has approved. No reason to believe they are doing a worse job at certification than we are.

As Ashington mentioned many services could be moved to the domain of NPs instead of doctors. Removing regs that require certain training for certain procedures would help.

I'm not very knowledgeable about healthcare regulations, but from reading the news it seems there is quite a bit going on that increases the workload for delivery of care.
THE FWEE MARKET IS THE ANSWER but also we should try to leverage European monopsony prices and then also try to create a global international drug certification organization.
01-23-2014 , 12:39 AM
Quote:
Originally Posted by maxtower
I wonder what the best way to achieve this would be?


I would add a third thing to your list though. Reducing regulations could reduce a lot of overhead costs that don't actually result in healthier people.
Insurance companies saying no is the only way right now . Since, you know, we actually have our members interests in mind and want to protect them from spending money on crap (that could expose them to harm!) that they don't need.
01-23-2014 , 02:23 AM
Quote:
Originally Posted by Jim Russell
Cite for people with insurance unable to receive timely health care?
Still a whole ****load of crickets, except for someone linking an article that thhere could be shortages.


lol just stop the nonsense about an actual, existing, you know, right now, you know, not "invisible" shortage that may exist, but does not, exist right now.

ok, ikes?
01-23-2014 , 09:19 AM
it's been cited thoroughly you're just in denial.
01-23-2014 , 11:05 AM
Quote:
Originally Posted by Jim Russell
Still a whole ****load of crickets, except for someone linking an article that thhere could be shortages.


lol just stop the nonsense about an actual, existing, you know, right now, you know, not "invisible" shortage that may exist, but does not, exist right now.

ok, ikes?
Everyone keeps pointing to Mass as the example for Obamacare. Here you go.

http://www.massmed.org/News-and-Publ.../#.UuEvRCLnamQ
01-23-2014 , 11:22 AM
Quote:
Originally Posted by Ashington
I'm not asking you to bet, I'm asking you to back up your assertion with evidence.

Silly, I know.
IBM has announced that they are dropping retirees and spouses. Target has announced it is dropping part-timers. Many small companies(under 50 employees) are throwing their employees into the exchanges.
Are you ever willing to listen to anyone other than the left wing press?
01-23-2014 , 12:12 PM
Quote:
Mr Rick: Not sure what you mean by "increased risks"?

There are really only three aspects of Obamacare that would affect insurance company rates they charge employers who already had coverage for employees or for equivalent plans for companies that are about to get coverage for employees:
1) The insurance plans can no longer be capped at $1,000,000 lifetime per person
2) Children under 26 now are eligible to be covered on parents plans
3) Availability of contraceptives for women
...

Quote:
Originally Posted by droopy0021
Other than community rating, essential health benefits and no more medical underwriting....

These do impact premiums on both existing groups and new (at least in the 2-50 sized groups).
I agree that Community Rating will have an affect on plan rates. But I don't think it has to do with Increased Risk. Insurers now have to treat each Small Company as a part of a larger pool consisting of all small companies they insure. So if one company has one employee who gets very sick that won't force that company's plan costs to skyrocket. Instead that cost gets absorbed into the larger pool. Insurers understand full well how to assess risk for large pools of employees and set rates accordingly. Plan costs in the aggregate may go up as a result but not necessarily. It is likely only because currently insurers can incent small companies with large health expenses to abandon health insurance completely (sort of a post-condition screening) thus forcing those costs onto individuals, state and federal government.

I agree that forcing all plans to cover essential health benefits will increase plan costs for small companies whose prior plans didn't include them. But I don't think this has to do with Increased Risk. The costs for essential health benefits are well known because they are fairly standard for large company plans.

Eliminating medical underwriting may very well increase the costs of some or all existing small company plans but again not because of increased risk. Insurers are very well aware of the estimated costs for large pools of unscreened people. They will now be grouping them all together and charging one rate. The same as allowing individuals with pre-existing conditions to buy insurance at the same rate as other people in their age group and smoking status.

edit: the one caveat for all of the above is that currently insurance companies may not know the ultimate medical costs for people who have exceeded the $1,000,000 lifetime cap. And there is always the risk that some new type of deadly disease could extend the ratio of people who exceed the previous $1,000,000 cap. So this type of "Increased Risk" could very well impact plan rates in the future...

Last edited by Mr Rick; 01-23-2014 at 12:18 PM.
01-23-2014 , 12:41 PM
Quote:
Originally Posted by markksman
Great thing about the ACA is all those people can easily sign up and get better insurance.

Woohoo.
I mean these guys just completely ignore the fact that insurance is available. Oh noes my policy was canceled, yes this can be bad and I freely acknowledge that, but we've got people itt reduced to the talking point that Obamacare is causing people to LOSE INSURANCE, seemingly forever.
01-23-2014 , 12:43 PM
Quote:
Originally Posted by neg3sd
IBM has announced that they are dropping retirees and spouses. Target has announced it is dropping part-timers. Many small companies(under 50 employees) are throwing their employees into the exchanges.
Are you ever willing to listen to anyone other than the left wing press?
If you aren't going to back your assertion up with evidence (this is the third time I've asked for it btw) then don't bother responding to me. If I wanted to read dumb rando arguments over and over again I'd just go to redstate.
01-23-2014 , 01:27 PM
Quote:
Originally Posted by Ashington
I mean these guys just completely ignore the fact that insurance is available. Oh noes my policy was canceled, yes this can be bad and I freely acknowledge that, but we've got people itt reduced to the talking point that Obamacare is causing people to LOSE INSURANCE, seemingly forever.
Just curious about your own personal situation. Do you have health insurance through your employer? Obamacare? Mom and Dad?
01-23-2014 , 01:33 PM
Quote:
Originally Posted by V0dkanockers
Everyone keeps pointing to Mass as the example for Obamacare. Here you go.

http://www.massmed.org/News-and-Publ.../#.UuEvRCLnamQ
Now compare to the other parts of the country with similar make up.

Oh yeah I forgot, health care is perfect in the rest of the country - which is why Mass is going to vote to scrap their wildly unpopular plan any day now. Just like the rest of the developed world with their godawful socialized medicine. And seniors who are sick of a government bureaucrat coming between them and their doctor. I mean just because not one entity that's gone to socialized medicine has ever gone back to something like ours doesn't mean a thing. Any day now...

Here's where your brain switches to the duh free ponies argument - that people love free stuff - and you instantly forget that you were just arguing that UHC is a horrible socialist nightmare.
01-23-2014 , 02:38 PM
I've said from the beginning the GOP needs to come to terms with Obamacare and the expansion of Medicaid becoming very popular (to the point it will be taken for granted within a decade).

Calling for its imminent failure and repeal was never a political viable strategy. In essence, like on healthcare, abortion, gay rights, immigration, and probably gun rights, the GOP has opted to be on the wrong side of history.

How the **** did this happen? ****ing primaries, lack of leadership, and backlash against everything Bush (who was really quite moderate as a GOP, especially on social issues).
01-23-2014 , 02:38 PM
Quote:
Originally Posted by DKay
Just curious about your own personal situation. Do you have health insurance through your employer? Obamacare? Mom and Dad?
Obamacare and



ETA: I pay roughly $65 a week for better insurance than I had before the company I previously worked for closed. I was paying around $200/month there for individual coverage.
01-23-2014 , 02:52 PM
Quote:
Originally Posted by Ashington
Obamacare and

ETA: I pay roughly $65 a week for better insurance than I had before the company I previously worked for closed. I was paying around $200/month there for individual coverage.
Cool, how about backing up your assertion with evidence?
01-23-2014 , 02:54 PM
Quote:
Originally Posted by DKay
Cool, how about backing up your assertion with evidence?
LOL seriously have you ever made a post on the Internets that wasn't completely ****ing ******ed?

      
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