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

03-10-2014 , 10:50 AM
Quote:
Originally Posted by MrWookie
Malpractice lawsuits and insurance are a negligible reason why health care in the US is more expensive than elsewhere, and all capping payouts does is transfer money from those hurt by negligent medicine to insurance companies.
LOL, like insurance rates would remain the same.
03-10-2014 , 10:51 AM
Quote:
Originally Posted by ikestoys
Yeah just think of all the training lawyers get about the health care system compared to doctors!
Ike,

I don't know more than you do about health care policy because I'm a lawyer. I know more than you because I read.

Your pattern of behavior, shared by most doctors I have interacted with, is to start at the result you want (usually more money for yourself or confirmation that black people are dumb criminals or reinforcement regarding the idea that the best way to help poor people is to give them less money) then engineer a justification for policies that produce the result.

So for example, you want to bitch and moan about the cost of Obamacare but when anyone brings up paying doctors less you get your panties in a bunch and insist they will quit being doctors, which is ****ing absurd and blatantly counter-factual.

Stop arriving at policy choices by seeking confirmation of your deeply immoral, fact-averse view of the world.
03-10-2014 , 10:53 AM
Quote:
Originally Posted by FlyWf
ikes remember when you totally definitely 100% were aware of what changes Obamacare made to large group insurance but you weren't allowed to tell the thread because of... reasons? How much training does it take to read a ****ing press release?
Oh look, fly is lying again. This surprises no one. You fought tooth and nail against the doc shortage simply because it was inconvenient for the argument your were making at the time. You spewed so hard you didn't even care about people actually getting treatment. You don't get to talk down to anyone itt.
03-10-2014 , 10:55 AM
Quote:
Originally Posted by ogallalabob
LOL, like insurance rates would remain the same.
FOR THE FOURTH ****ING TIME, TEXAS ALREADY HAS HAD CAPS FOR LIKE 12 YEARS. PREMIUMS HAVE NOT GONE DOWN AND COSTS HAVE NOT GONE DOWN

****ING FACTS HOW DO THEY WORK
03-10-2014 , 11:12 AM
Quote:
Originally Posted by FlyWf
Actual medical malpratice cap laws do more than just limit punitive damages, so I'm somewhat unclear why we are talking about this, but your fundamental assumption that punitive damages are paid by "the many" doesn't make any ****ing sense.

If doctors can pass those costs on to their customers perfectly, why the **** do they even care?
.
If a Dr is going to stay in business he has to pass on his operating costs to the end users.

So we want to lower health care costs, but we should not **** care about the costs passed on to customers.
03-10-2014 , 11:28 AM
Quote:
Originally Posted by hoponpop
This study only looks at costs among the medicare population.
The documentary Hot Coffee had a section on this as well and they concluded that tort reform led to no reductions in costs to patients.
03-10-2014 , 11:33 AM
03-10-2014 , 11:35 AM
Pretty gross results. Need to get way more people to sign up.
03-10-2014 , 11:40 AM
Quote:
Originally Posted by Riverman
FOR THE FOURTH ****ING TIME, TEXAS ALREADY HAS HAD CAPS FOR LIKE 12 YEARS. PREMIUMS HAVE NOT GONE DOWN AND COSTS HAVE NOT GONE DOWN

****ING FACTS HOW DO THEY WORK
Please cite, because the articles I have read indicate it has.

http://www.insurancejournal.com/news.../03/303718.htm

http://en.wikipedia.org/wiki/Medical_malpractice

Quote:
According to the Texas Insurance Department, physicians in Texas have seen a 25% overall drop in medical liability insurance rates since 2003.[26]



But also keep in mind that Texas does not have a hard cap. It only caps noneconomic losses (pain suffering...) Most proponents want something like what Nebraska has, which caps everything at 1.750 Million.

Last edited by ogallalabob; 03-10-2014 at 11:46 AM.
03-10-2014 , 11:44 AM
That article confirms what I already said - that there are fewer suits and lower payouts.

What it doesn't say, because it isn't true, is that health care premiums for consumers and aggregate cost have decreased.
03-10-2014 , 11:45 AM
So doctors & hospitals, special snowflakes that they are, should not be required to make their victims economically whole again! And if they are, well by god that's not real tort reform! Just ****ing brilliant.
03-10-2014 , 11:49 AM
Quote:
Originally Posted by Riverman
That article confirms what I already said - that there are fewer suits and lower payouts.

What it doesn't say, because it isn't true, is that health care premiums for consumers and aggregate cost have decreased.
Wait wait wait, you're going off aggregate cost? So if the downward price pressure of tort reform doesn't overwhelm the various upward price pressures on health care it didn't work????
03-10-2014 , 11:50 AM
Quote:
Originally Posted by Ashington
So doctors & hospitals, special snowflakes that they are, should not be required to make their victims economically whole again! And if they are, well by god that's not real tort reform! Just ****ing brilliant.
The caps, afaik, do not effect making people economically whole. They affect punitive damages. Although I will cede to the lawyers on this one.
03-10-2014 , 11:57 AM
I enjoy hearing righties saying that the way to reduce health care costs is to 'reform' people's constitutional right to a fair trial by their peers.

Hey, let's also reduce gun violence by 'reforming' peoples supposed right to bear arms.
03-10-2014 , 11:58 AM
Ike even you are smart enough to find google and realize what I obviously meant, which is that the rate of increase in costs is not lower in tort reform jurisdictions. Shockingly, doctors, hospitals and insurance companies are the beneficiaries. Consumers, not so much.
03-10-2014 , 11:59 AM
Quote:
Originally Posted by ikestoys
Pretty gross results. Need to get way more people to sign up.
Yea it needs to be a lot lower.
03-10-2014 , 12:04 PM
Quote:
Originally Posted by Riverman
Ike even you are smart enough to find google and realize what I obviously meant, which is that the rate of increase in costs is not lower in tort reform jurisdictions. Shockingly, doctors, hospitals and insurance companies are the beneficiaries. Consumers, not so much.
In FL it was mostly insurance companies who benefitted. There are lots of docs who still can't afford med/mal insurance and choose not to carry it. They have signs posted prominently in their waiting rooms informing patients of this. Not sure if the sign is a requirement.
03-10-2014 , 12:06 PM
Quote:
Originally Posted by ikestoys
The caps, afaik, do not effect making people economically whole. They affect punitive damages. Although I will cede to the lawyers on this one.
You are right. lololabob seems to think this doesn't go far enough though.
03-10-2014 , 12:15 PM
Quote:
Originally Posted by Ashington
You are right. lololabob seems to think this doesn't go far enough though.
It's pretty damn rich to accuse someone else of being lolol after falling on your face. Bob actually nailed exactly what happened.

Quote:
Originally Posted by dinopoker
I enjoy hearing righties saying that the way to reduce health care costs is to 'reform' people's constitutional right to a fair trial by their peers.

Hey, let's also reduce gun violence by 'reforming' peoples supposed right to bear arms.
Your analogy is dumb. Despite gun ownership being a right it is still subject to regulation. There are plenty of other industries, specifically vaccination and aviation that have a much more sensical approach to liability.

If we're going the technocrat route, I'd love to see blanket immunity for any health care provider reporting a medical error within 48 hours (aviation does something similar) and have people paid out of a fund paid into by health care providers.

My current biggest problem with out malpractice system is that it strongly discourages doctors disclosing mistakes (hint: NOT negligence). This makes it a lot harder to come up with various QIs
03-10-2014 , 12:16 PM
Can we have Obamacare for pets? End of life care is expensive. Tempted to build an oxygen tank myself for less cost.
03-10-2014 , 12:55 PM
Texas capped more than just punitive, ikes, seattle was hypothetically discussing replacing punitive awards to the victim with civil/criminal charges. And to echo something earlier, that's not something I know because I'm a lawyer. It's not something I know because I researched the issue extensively. That's something I know because there are like 3 links to articles about it on this ****ing page. That **** takes literally seconds.

Quote:
Wait wait wait, you're going off aggregate cost? So if the downward price pressure of tort reform doesn't overwhelm the various upward price pressures on health care it didn't work????
Again, through the magic of giving the absolute mininum amount of **** to click a link and briefly skim,

"But, said Hyman, who worked on health policy for President George W. Bush at the Federal Trade Commission, "we found no evidence that Texas spending went up slower in comparison to all other states and may have had an increase."
The researchers said their study suggests that Medicare payments to doctors in Texas rose 1 to 2 percent faster than the rest of the country, Black said.""

LOL I know you really do want more money, and part of you has to be terrified that you'll ikes it up something awful once you start treating patients fulltime:

Quote:
If we're going the technocrat route, I'd love to see blanket immunity for any health care provider reporting a medical error within 48 hours (aviation does something similar) and have people paid out of a fund paid into by health care providers.
But that's your problem, not mine.
03-10-2014 , 12:57 PM
Anyway, back to the topic, here's a Slate article about a special election that is being lol promoted as the latest "referendum on Obamacare", just like every other election since 2009.
http://www.slate.com/articles/news_a...want_to.2.html

There's a big ole' block quote that is really everything about the state of American politics circa 2014:
Quote:
“We’re paying a couple hundred bucks a month to Aetna for a $10,000 deductible,” said Hickman. “We plugged that in and it worked. It was fine. It’s perfect! It’s perfect for retirees, for entrepreneurs, for people who hate their jobs, and are just doing them for the health insurance. I’m always amazed at the crap people think about it—you know, I don’t even think they’ve looked at the options. The year before, their premiums went up 15 percent. Now it goes up 10 percent and they’re like”—he shook his fist in a mock gesture—“goddamn Obamacare!”

...

Barbara Stephens, a 78-year-old retired teacher and Republican activist, had a few minutes to talk about her own nightmare. She’s invited Jolly to Republican events, and determined that “he could be another Ronald Reagan,” what with his easy charisma. That makes her optimistic. Nothing about the health care law does that.

“I had United Health Care Advantage,” she said. “I’ve had to take out insurance for eyes, and teeth, and hearing. Advantage, for no cost, covered that. Now I pay $400. Can I afford it? Yes. But I’d certainly like to use that $400 for something else in my life, and not something I didn’t have to pay for before. The idea that we’re using our monies for health care for these illegal aliens, who are here illegally—that’s for the birds. I’m at an age where I’m expendable. Let’s say I got a terrible disease. Would I get any coverage? The death panel would probably decide—we’ll give it to them, not to her.”

Stephens leaned in to share her larger, encompassing theory of the law. Why would the Democrats get behind something so obviously kludged and doomed? What would possibly make him do that, even at the cost of hurting his fellow Democrats?

“I think Obama put this in to bring America down economically,” said Stephens. “Just like in Germany, so people had to depend on him totally. You get people so poor that they have to depend on the government. You’re probably too young to remember that.”
ikes too bad you're already married, this lady seems like she's a real keeper.
03-10-2014 , 12:58 PM
Quote:
Originally Posted by ikestoys
It's pretty damn rich to accuse someone else of being lolol after falling on your face. Bob actually nailed exactly what happened.
lol?

Who gives a flying **** if med mal insurance rates went down if PATIENTS didn't see any savings? The EXPRESSED reason for passing all this garbage tort reform legislation was to CONTROL HEALTHCARE COSTS FOR CONSUMERS. This legislation, pretty much everywhere it's been passed, has demonstrably NOT done that.

And I was responding to lololbob's notion that capping financial awards that make victims financially whole is a good idea, anyway, so you're obviously paying so little attention that you're responding to the wrong person itt.

Jesus ****ing Christ it's like debating toddlers.
03-10-2014 , 01:03 PM
Quote:
Originally Posted by Ashington
You are right. lololabob seems to think this doesn't go far enough though.
Did not say what I supported.

But, if ACA stays in place, it would make sense to cap future meds. (economic loss) Probably in the top two most expensive with loss of earnings capacity as the other.

Why give someone the 100,000's of their future meds, when they will be able to still obtain insurance at a fraction of the cost?
03-10-2014 , 01:08 PM
Quote:
Originally Posted by ogallalabob
Did not say what I supported.
So this was just a non-post

Quote:
Originally Posted by ogallalabob
But also keep in mind that Texas does not have a hard cap. It only caps noneconomic losses (pain suffering...) Most proponents want something like what Nebraska has, which caps everything at 1.750 Million.
? +juan?

What do you support exactly?

      
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