31
   

Why Obamacare is a Failure

 
 
roger
 
  1  
Reply Mon 20 Mar, 2017 09:09 pm
@cicerone imposter,
Considering cost, deductibles, and copays, there could be lots of people who were forced into it. Most people want really nice cars; not all of us think they are worth the cost.
0 Replies
 
hightor
 
  4  
Reply Tue 21 Mar, 2017 03:46 am
@McGentrix,
Quote:
(C.I.) said that going to the emergency room costs everyone ellse.

Yes, he was correct. While we all pay for subsidies, these cover the costs of people's health insurance so that they can visit their doctors regularly or when the symptoms first appear. What drives up the costs more significantly is when uninsured people wait until their diseases or infirmities are so severe that they can no longer function. And by that time treatment is usually much more intensive. Plus you can add the reduced productivity from those workers suffering from chronic untreated conditions.
Olivier5
 
  3  
Reply Tue 21 Mar, 2017 03:49 am
@izzythepush,
Quote:
And they think they're free, poor delusional fools.

Like them poor delusional Brits, who voted against their kids' best interest just to piss off the continent...
Baldimo
 
  -1  
Reply Tue 21 Mar, 2017 10:46 am
@hightor,
Quote:
Yes, he was correct. While we all pay for subsidies, these cover the costs of people's health insurance so that they can visit their doctors regularly or when the symptoms first appear.

You say all of this without admitting that there are still co-pays and other costs prior to the insurance covering everything. Some of the cheaper plans on the exchanges had such high out of pocket costs that they would end up paying out of pocket for most of the stuff they would go to the doctor for.

CO has a state exchange and I looked into it when it first went live. The best plan I could find had a max out of pocket coverage of $10k! My work insurance had a coverage of $2000, of course both of these #'s were for family and not an individual cost, but the individual cost was half the family cost, $1000 and $5000.

Quote:
What drives up the costs more significantly is when uninsured people wait until their diseases or infirmities are so severe that they can no longer function. And by that time treatment is usually much more intensive. Plus you can add the reduced productivity from those workers suffering from chronic untreated conditions.

You don't think people with insurance have these same issues. You think someone having insurance automatically makes them healthier? You are living in la la land. If the people don't actually use the insurance and wait, that leads to higher costs for them, but not everyone does this. What's next mandate a yearly physical for every citizen and then Dr. visits every 6 months?

What drives up the costs is not paying for services rendered. If someone has insurance and doesn't pay their bill, it is the same effect as someone not having insurance and not paying their bill, although with insurance the hospital still gets a portion of payment but can still be stiffed by the patient.

hightor
 
  3  
Reply Tue 21 Mar, 2017 11:11 am
@Baldimo,
Quote:
You say all of this without admitting that there are still co-pays and other costs prior to the insurance covering everything.

Because that's how our insurance policies have been designed, in order to keep the costs down and dissuade people from abusing the healthcare system with trivial complaints. If we want to lower the cost of the co-pays and deductibles we'd need to provide for more subsidies and there was not sufficient political support for that — or a good source of funding.
Quote:
You think someone having insurance automatically makes them healthier?

Of course not. That's why people buy insurance — in case the get sick or meet an accident.
Quote:
What's next mandate a yearly physical for every citizen and then Dr. visits every 6 months?

Why so ******* harsh? Having a decent insurance policy allows someone to make an appointment when they feel it necessary to see a doctor instead of having to wait an arbitrary six months or one year.
cicerone imposter
 
  3  
Reply Tue 21 Mar, 2017 11:29 am
@MontereyJack,
So true. That's the reason we also buy uninsured drivers insurance.
0 Replies
 
cicerone imposter
 
  2  
Reply Tue 21 Mar, 2017 11:31 am
@McGentrix,
If it's government subsidized, we all pay taxes.
0 Replies
 
Baldimo
 
  -1  
Reply Tue 21 Mar, 2017 11:38 am
@hightor,
Quote:
Because that's how our insurance policies have been designed, in order to keep the costs down and dissuade people from abusing the healthcare system with trivial complaints. If we want to lower the cost of the co-pays and deductibles we'd need to provide for more subsidies and there was not sufficient political support for that — or a good source of funding.

Why is the answer more taxpayer money? Does every solution begin and end with the govt? Nothing you have said would lower the cost of healthcare, every time you guarantee govt money, you cement the cost of something. If the hospitals and DR. can rely on all that money, they have no reason to lower the costs of healthcare.

It's the same reason why education is so expensive in the US, the govt has guaranteed that the high costs of education can be continued with no incentive to lower the costs.

Quote:
Quote:
You think someone having insurance automatically makes them healthier?

Of course not. That's why people buy insurance — in case the get sick or meet an accident.

So why all the mandated "coverage" on every single plan? If I'm buying health insurance for this reason, why make me have birth control coverage? Neither me or my fiance can make babies, so why should we carry it?

Quote:

What's next mandate a yearly physical for every citizen and then Dr. visits every 6 months?

Quote:
Why so ******* harsh? Having a decent insurance policy allows someone to make an appointment when they feel it necessary to see a doctor instead of having to wait an arbitrary six months or one year.

It isn't harsh, it's the way of liberalism. When they don't get the results they seek, you create new mandates to try and match the results you want, you double down with more regulations and laws.

Look at unions. Unions have been on the decline for the last several decades because people don't want to be part of a union. So what is the answer, make unions mandatory via "closed shop" rules, forcing people to join a union if they want a job and therefore artificially increasing union representation and union power.
cicerone imposter
 
  3  
Reply Tue 21 Mar, 2017 11:45 am
@Baldimo,
The government makes the laws that we have to follow. As seniors, we are covered under Medicare. Our premiums are automatically deducted from our social security, and we have a co-pay for doctor visits and meds. All at reasonable rates.
Baldimo
 
  -1  
Reply Tue 21 Mar, 2017 12:04 pm
@MontereyJack,
Quote:
The only people who have to carryhealth insurance are those who are going to get sick or need a doctor's care sometime in their hopefully 80 odd years of life, i.e. everyone. Pretty good analogy.

That's just the problem, people don't have to carry health insurance just because you think they do. If they don't want it, why make them, if they aren't willing to accept personal responsibility for their health what baring does that have on your life? If someone has a car but no car insurance, that can indeed have a direct impact on you.
0 Replies
 
Baldimo
 
  -3  
Reply Tue 21 Mar, 2017 12:07 pm
@cicerone imposter,
Quote:
The government makes the laws that we have to follow. As seniors, we are covered under Medicare. Our premiums are automatically deducted from our social security, and we have a co-pay for doctor visits and meds. All at reasonable rates.

You seem to forget the Constitution and that it was created to limit the power of the govt, not to be used to force citizens to do things. You are thinking that every law passed is a just law because the govt said so...
0 Replies
 
izzythepush
 
  1  
Reply Tue 21 Mar, 2017 12:54 pm
@Olivier5,
I voted remain. At least we don't have the extreme right vying for control of the country. UKIP are bad enough but they're not in the same league as the National Front. Glass houses and all that.
0 Replies
 
hightor
 
  5  
Reply Tue 21 Mar, 2017 12:57 pm
@Baldimo,
Quote:
Nothing you have said would lower the cost of healthcare, every time you guarantee govt money, you cement the cost of something.

The cost to needy individuals can be lessened through subsidies (or tax refunds). Lowering the total cost of healthcare is another issue entirely and would require more of the government intervention you oppose such as negotiating drug prices and probably putting the private health insurance industry out of business — not likely to happen. (I really think single payer, Medicare for all, is the way to go, and moving away from the idea that illness and death should be sources of profit.)
Quote:

Look at unions. Unions have been on the decline for the last several decades because people don't want to be part of a union. So what is the answer, make unions mandatory via "closed shop" rules, forcing people to join a union if they want a job and therefore artificially increasing union representation and union power.

'Closed shop' was outlawed in '47 but 'union shop' rules predated the decline of organized labor. Taft-Hartley effectively killed organized labor in industry although its momentum carried through for a while. Most union growth since has been in the public sector and service industries, not really what trade unions were designed for.
Quote:
That's just the problem, people don't have to carry health insurance just because you think they do. If they don't want it, why make them...

The same could be said about getting an education.

Baldimo, this is a rich country. There's no reason to allow large numbers of people to rot on the fringes of society because they're sick, or poor, or ignorant. I'd really rather not live in a society where whole communities are stuck in generational poverty and I don't think you want to live there either. "Let 'em fend for themselves" is fine until they start rebelling on a large scale — I don't see an agency other than government as being able to act here.
cicerone imposter
 
  2  
Reply Tue 21 Mar, 2017 01:04 pm
@hightor,
I toaltally agree; equal opportunity for all is the best policy.
0 Replies
 
Baldimo
 
  0  
Reply Tue 21 Mar, 2017 01:29 pm
@hightor,
Quote:
The cost to needy individuals can be lessened through subsidies (or tax refunds). Lowering the total cost of healthcare is another issue entirely and would require more of the government intervention you oppose such as negotiating drug prices and probably putting the private health insurance industry out of business — not likely to happen. (I really think single payer, Medicare for all, is the way to go, and moving away from the idea that illness and death should be sources of profit.)

So the answer to a screwed up govt program is more govt programs. Like I said, when it fails the answer is always more govt. Market forces can be used to bring down the cost of health care and insurance. Look at the cost of laser eye surgery and breast augmentation, almost no insurance coverage for these things and yet the cost has been dropping steadily for the last couple of decades. I remember in the 90's that it was costing as little as $2000 per eye for surgery and now 20 years later you can find it for as little as $500 per eye. The same for breast augmentation, in the 90's it cost almost $20k to get a boob job done and now it can be done for under $5,000.

Quote:
'Closed shop' was outlawed in '47 but 'union shop' rules predated the decline of organized labor. Taft-Hartley effectively killed organized labor in industry although its momentum carried through for a while. Most union growth since has been in the public sector and service industries, not really what trade unions were designed for.

Do you really think it is any different? Instead of joining the union when you get hired, they force you to join the union or you can't keep the job. It's the same BS with a different name, govt forcing people to join a union or they can't work.

Quote:
The same could be said about getting an education.
Quote:
Quote:
That's just the problem, people don't have to carry health insurance just because you think they do. If they don't want it, why make them...


In what way? You are making no sense.

Quote:
Baldimo, this is a rich country. There's no reason to allow large numbers of people to rot on the fringes of society because they're sick, or poor, or ignorant. I'd really rather not live in a society where whole communities are stuck in generational poverty and I don't think you want to live there either. "Let 'em fend for themselves" is fine until they start rebelling on a large scale — I don't see an agency other than government as being able to act here.

Who said let them fend for themselves? So either we have more govt programs or those poor people will have nothing? You guys are a hoot. Either or is a poor substitute for actual discussion.
cicerone imposter
 
  4  
Reply Tue 21 Mar, 2017 02:02 pm
@hightor,
I agree that health insurance was designed to minimize abuse, but I would prefer to see a sliding fee system in place that makes it cheaper for the poor to access health care. It would help single mothers with children to ensure that they have proper medical care.
I hold this position, because our mother raised four children, and we were very poor.
My younger brother became a doctor, and he has gone to South America to volunteer. His oldest daughter also became a doctor. My nephew is a doctor, and he's now in Bhutan for two years to train doctors.
0 Replies
 
hightor
 
  3  
Reply Tue 21 Mar, 2017 02:15 pm
@Baldimo,
Quote:
Instead of joining the union when you get hired, they force you to join the union or you can't keep the job. It's the same BS with a different name, govt forcing people to join a union or they can't work.

So give the non-union workers a free ride? Maybe the employer could just pay them at a non-union wage scale.
Quote:
In what way? You are making no sense.

Think about it. Education is compulsory because society is better off with informed citizens. And healthy citizens.
Quote:
So either we have more govt programs or those poor people will have nothing?

We don't necessarily need "more" programs but many of them could be improved. Look, you've said you don't think people should have to have medical insurance and your president apparently agrees. So what happens to these people when they're sick and need care? Either people have access to medical care through their own wealth, through charity, or by buying health insurance. Either/or is not a false dilemma in this case — either you have access to affordable health care or you don't. What's the alternative?
Baldimo
 
  1  
Reply Tue 21 Mar, 2017 02:53 pm
@hightor,
Quote:
So give the non-union workers a free ride? Maybe the employer could just pay them at a non-union wage scale.

Why have a union in the first place? The unions are on a decline here in the US and that is a good thing. I've only had a union position once and it was horrible. I could only work for union jobs and was forbade from working for a non-union job, so I would go a month or more without work because there were no union jobs, but there were plenty of non-union jobs to be had. They didn't pay my bills while I waited for a job to open, so I told the union to screw off. I was never more than a few days without work for the next 2 years. Unions in today's modern world do not help the worker, they only increase the power of the few sitting at the top of the union table and like the mob, gets a taste to continue "protecting" you.

Quote:
Think about it. Education is compulsory because society is better off with informed citizens. And healthy citizens.

Education is only compulsory until you are 16 here in the US. After the age of 16, they can't make you go to school. You also are not forced to attend school for your entire life either. Another bad analogy.

Quote:
We don't necessarily need "more" programs but many of them could be improved. Look, you've said you don't think people should have to have medical insurance and your president apparently agrees. So what happens to these people when they're sick and need care? Either people have access to medical care through their own wealth, through charity, or by buying health insurance. Either/or is not a false dilemma in this case — either you have access to affordable health care or you don't. What's the alternative?

Once again you are on the track that the govt needs to force health insurance on the masses. Leave the choice open, and if someone doesn't do the right thing and cover themselves, then they have to live with the consequences. Why are you so anti-market and anti-personal responsibility?

0 Replies
 
glitterbag
 
  3  
Reply Tue 21 Mar, 2017 03:45 pm
@Baldimo,
Are you honestly going to use cosmetic and elective surgeries as evidence costs can be lowered???? Most people can go an entire life time without a breast augmentation, I can't think of a reason it's medically necessity unless you're talking about breast reconstruction. Currently many insurance policies pay for vasectomies, vasectomies reversed (once) viagra and fertility treatment. I see four things in that last sentence that I'm never going to need....but I'm not sure I want to prevent anyone else from availing themselves.

I understand that some men feel put upon by their plans offering maternity benefits, but since men don't get pregnant they won't need that benefit, which also means the insurance won't pay men's maternity expenses which means costs won't go up. We just can't fill out a score card for what kind of illnesses or conditions be might acquire. I'm pretty sure I'm not going to get the bubonic plague but if I did I sure hope I can be treated. Health insurance is not like choosing a cable subscription where you pick a package and they charge for premium channels, movies or sports packages.

A healthy population is a more productive population. A more productive population means more tax payers in the pool. More people paying taxes means more money for everybody's favorite expenditure (military, education, social, whatever's your pleasure)
Baldimo
 
  0  
Reply Tue 21 Mar, 2017 04:00 pm
@glitterbag,
Quote:
Are you honestly going to use cosmetic and elective surgeries as evidence costs can be lowered???? Most people can go an entire life time without a breast augmentation, I can't think of a reason it's medically necessity unless you're talking about breast reconstruction. Currently many insurance policies pay for vasectomies, vasectomies reversed (once) viagra and fertility treatment. I see four things in that last sentence that I'm never going to need....but I'm not sure I want to prevent anyone else from availing themselves.

Where did I deny anyone anything? Me saying I don't want to pay for birth control isn't the same as denying it to someone else. Only in the liberal mindset does not wanting to pay for someone else's stuff the same as denying it to them.

I'm sure they do cover it, but that doesn't mean it has to be paid for by everyone. Why should I, someone who can't have kids now, be forced to pay for your birth control?

Quote:
I understand that some men feel put upon by their plans offering maternity benefits, but since men don't get pregnant they won't need that benefit, which also means the insurance won't pay men's maternity expenses which means costs won't go up. We just can't fill out a score card for what kind of illnesses or conditions be might acquire. I'm pretty sure I'm not going to get the bubonic plague but if I did I sure hope I can be treated. Health insurance is not like choosing a cable subscription where you pick a package and they charge for premium channels, movies or sports packages.

If I were of child bearing age, I would carry such coverage, which would cover many different aspects of BC. Since I don't require it, why would I carry it? Besides BC isn't the same as caring for other issues. Getting pregnant can be prevented, it's how I only have 2 kids and not 10. I bought my own condoms and I would expect any other man to do the same thing. The rest of your weak analogy doesn't hold water. The plague isn't something I can account for but my finance getting pregnant is something I can account for. Once again personal responsibility plays a big part.

Quote:
A healthy population is a more productive population. A more productive population means more tax payers in the pool. More people paying taxes means more money for everybody's favorite expenditure (military, education, social, whatever's your pleasure)

Spoken like a true leftist. As I said to someone else, how long until the left mandates visits to the Dr's office?
 

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