18
   

TrumpCare: What will it look like?

 
 
Reply Wed 9 Nov, 2016 12:12 pm
Repeal and Replace has been the Republican mantra for the past 6 years. Now they control the White House and both houses of Congress. The repeal part is pretty easy to understand. But, what about the "replace".

One big issue is what to do about pre-existing conditions. It used to be that insurance companies could refuse to cover people who were sick, meaning that if you weren't covered or were under-covered when you got sick, you were screwed. I haven't heard what Republicans plan to do about this.

What would you do if you could design the replacement for ObamaCare? Would you go back to the old system (of not providing coverage for pre-existing conditions)? Would you care about the number of Americans who are uninsured?

The debate over TrumpCare is going to be interesting.
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Type: Question • Score: 18 • Views: 4,641 • Replies: 93

 
maporsche
 
  1  
Reply Wed 9 Nov, 2016 01:26 pm
@maxdancona,
maxdancona wrote:

Repeal and Replace has been the Republican mantra for the past 6 years. Now they control the White House and both houses of Congress. The repeal part is pretty easy to understand. But, what about the "replace".

One big issue is what to do about pre-existing conditions. It used to be that insurance companies could refuse to cover people who were sick, meaning that if you weren't covered or were under-covered when you got sick, you were screwed. I haven't heard what Republicans plan to do about this.

What would you do if you could design the replacement for ObamaCare? Would you go back to the old system (of not providing coverage for pre-existing conditions)? Would you care about the number of Americans who are uninsured?

The debate over TrumpCare is going to be interesting.



And what about costs? I mean everyone is so shocked that like 3% of the country might see UP TO 25% increases in their costs.

What does TrumpCare do to ensure this never happens again?
revelette2
 
  2  
Reply Wed 9 Nov, 2016 01:36 pm
I think it will be interesting to see how they operate when they have control at Washington, I mean, who are they going to blame, investigate and have hearings over? I dread the pick of the supreme court justice and wonder if we are going to hear a reverse of people saying what the other guy said. I imagine all they will do is give tax cuts and repeal Obamacare and not replace it. They will fill the supreme court with judges who never believed in the civil rights or any kind of right. We will go back (make American great again) to the good old days of pre-civil rights and no one will get any help whatsoever in this world. But hey, better than incremental change.
Robert Gentel
 
  4  
Reply Wed 9 Nov, 2016 02:39 pm
@maxdancona,
It's easy to criticize, hard to build. This will definitely be interesting. If they just take it away their base is going to feel pain and realize demonizing "Obamacare" the way they did was stupid.

The problem with Obamacare is that it's not socialist enough (i.e. single payer) and that it didn't go far enough. If they repeal it without a replacement I think they will suffer in future elections.
Foofie
 
  1  
Reply Wed 9 Nov, 2016 02:54 pm
@Robert Gentel,
Robert Gentel wrote:

It's easy to criticize, hard to build. This will definitely be interesting. If they just take it away their base is going to feel pain and realize demonizing "Obamacare" the way they did was stupid.

The problem with Obamacare is that it's not socialist enough (i.e. single payer) and that it didn't go far enough. If they repeal it without a replacement I think they will suffer in future elections.


I believe there are creative solutions. For example, physician assistants can do much of what doctors did in examining patients and they get paid less than doctors. Doctors can manage a cadre of physician assistants. All the nuances can be worked out, but once young people don't get penalized for not paying for rising premiums, I would think many would be happier with the replacement. Regarding pre-existing conditions, if the costs are minimized then paying for pre-existing conditions might not be the problem it was for the old paradigm. How much of this thread reflects not just a pessimism, but possibly an inability to see a replacement for the Affordable Health Act as anything but a lesser substitute. And, asking us lay people for a solution is inappropriate in my opinion.
boomerang
 
  6  
Reply Wed 9 Nov, 2016 03:01 pm
I'll be watching this too.

We were stuck in the middle with Obamacare. Our rates went up and our coverage went down but we were willing to take one for the team knowing that more people could enjoy the relief of having medical insurance.

If it is repealed I harbor no illusion that my rates will decrease or that my coverage will return to normal.
0 Replies
 
maxdancona
 
  2  
Reply Wed 9 Nov, 2016 03:31 pm
@Foofie,
Quote:
How much of this thread reflects not just a pessimism, but possibly an inability to see a replacement for the Affordable Health Act as anything but a lesser substitute


You got this exactly right. I don't see any politically viable replacement for the Affordable Care Act that provides coverage for people with pre-existing conditions. You are complaining about "pessimism", yet you fail to even attempt to address this problem.

This is going to be interesting...

Brandon9000
 
  1  
Reply Wed 9 Nov, 2016 04:26 pm
Obamacare's stated goals were okay, but in the end it didn't work. You usually couldn't keep your old insurance. It wasn't cheaper for most people. Insurer's were deserting in droves, leaving clients with a small choice with little competition. I just want everyone to be able to have first rate health care, without going broke, for any medical problem, including pre-existing conditions. I don't know how you do it, but they need to keep trying different approaches until they find one that works.
maxdancona
 
  1  
Reply Wed 9 Nov, 2016 06:34 pm
@Brandon9000,
.... like single payer?
Fil Albuquerque
 
  1  
Reply Wed 9 Nov, 2016 08:07 pm
Orange !
0 Replies
 
McGentrix
 
  -1  
Reply Wed 9 Nov, 2016 10:42 pm
The plan:

Quote:
Congress must act. Our elected representatives in the House and Senate must:

Completely repeal Obamacare. Our elected representatives must eliminate the individual mandate. No person should be required to buy insurance unless he or she wants to.

Modify existing law that inhibits the sale of health insurance across state lines. As long as the plan purchased complies with state requirements, any vendor ought to be able to offer insurance in any state. By allowing full competition in this market, insurance costs will go down and consumer satisfaction will go up.

Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system. Businesses are allowed to take these deductions so why wouldn’t Congress allow individuals the same exemptions? As we allow the free market to provide insurance coverage opportunities to companies and individuals, we must also make sure that no one slips through the cracks simply because they cannot afford insurance. We must review basic options for Medicaid and work with states to ensure that those who want healthcare coverage can have it.

Allow individuals to use Health Savings Accounts (HSAs). Contributions into HSAs should be tax-free and should be allowed to accumulate. These accounts would become part of the estate of the individual and could be passed on to heirs without fear of any death penalty. These plans should be particularly attractive to young people who are healthy and can afford high-deductible insurance plans. These funds can be used by any member of a family without penalty. The flexibility and security provided by HSAs will be of great benefit to all who participate.

Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals. Individuals should be able to shop to find the best prices for procedures, exams or any other medical-related procedure.

Block-grant Medicaid to the states. Nearly every state already offers benefits beyond what is required in the current Medicaid structure. The state governments know their people best and can manage the administration of Medicaid far better without federal overhead. States will have the incentives to seek out and eliminate fraud, waste and abuse to preserve our precious resources.

Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products. Congress will need the courage to step away from the special interests and do what is right for America. Though the pharmaceutical industry is in the private sector, drug companies provide a public service. Allowing consumers access to imported, safe and dependable drugs from overseas will bring more options to consumers.
Robert Gentel
 
  4  
Reply Wed 9 Nov, 2016 11:19 pm
@McGentrix,
But that is nearly all good for the businesses and not for the little guy.

Where is the part where a poor person with a pre-existing condition doesn't die?

There is a lot to criticize about the ACA, but losing sight of saving lives in healthcare would be backwards.
izzythepush
 
  1  
Reply Thu 10 Nov, 2016 02:52 am
Quote:
TrumpCare: What will it look like?


This.

http://www.hollywoodtake.com/sites/default/files/styles/large/public/2016/04/05/who-did-negan-kill-walking-dead.jpg?itok=baEFLhco

0 Replies
 
McGentrix
 
  -1  
Reply Thu 10 Nov, 2016 07:54 am
@Robert Gentel,
What did the little guy do before the ACA?

With people being allowed to shop across state lines, I think you will see many small insurance companies go away until there are 4-5 huge insurers with giant pools of people that can offer less expensive rates because of the size of the pools.

I also think that some of the "better" parts of the ACA will be carried over.
maxdancona
 
  1  
Reply Thu 10 Nov, 2016 08:09 am
@McGentrix,
Before the ACA, a lot of the little guys didn't have insurance. And some of these little guys had pre-existing conditions meaning that they needed medical care and would never ever be insured.

The issue of pre-existing conditions will continue to stump Republicans... and give them political problems.


0 Replies
 
maporsche
 
  1  
Reply Thu 10 Nov, 2016 08:19 am
@McGentrix,
McGentrix wrote:

I also think that some of the "better" parts of the ACA will be carried over.


"Completely repeal Obamacare."
McGentrix
 
  -1  
Reply Thu 10 Nov, 2016 08:22 am
@maporsche,
maporsche wrote:

McGentrix wrote:

I also think that some of the "better" parts of the ACA will be carried over.


"Completely repeal Obamacare."


"I" also think that some of the "better" parts of the ACA will be carried over.
boomerang
 
  2  
Reply Thu 10 Nov, 2016 08:35 am
Before the ACA people without insurance went to the ER for treatment, where they couldn't be denied service.

We all paid for that through higher hospital costs and taxes.
0 Replies
 
maporsche
 
  1  
Reply Thu 10 Nov, 2016 08:48 am
@McGentrix,
McGentrix wrote:

maporsche wrote:

McGentrix wrote:

I also think that some of the "better" parts of the ACA will be carried over.


"Completely repeal Obamacare."


"I" also think that some of the "better" parts of the ACA will be carried over.


There's been like 60 votes passed to repeal Obamacare. Did any of them keep the good parts?

Completely repeal Obamacare means everything goes.
McGentrix
 
  0  
Reply Thu 10 Nov, 2016 08:49 am
@maporsche,
Ever the optimist, huh?
 

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