Affordable Care Act (ACA) - Obamacare

[Dr JIM]

In order for OC to "work" those younger than roughly 35 will also need to purchase AT LEAST middle of the road plans.

Now let's think here folks, these people don't BELIEVE the NEED health insurance from the get go, so which plans will they choose?

Yep, the very "bare bones plans" your referring to Idster.

The net effect will be more government waste, bureaucracy and taxation of those that have for those that have not!

COUNT ON IT!

Another classic example of elitist, "it takes a village" meddling.

 

[nuncaquite]

And you dont even like George Carlin?
That says more that all the crap you have posted to date.

So, its easier to kill the messenger than to face the facts? Dude, Im sorry you bit into this aca thing. But to continue biting? The man made a chump of you and your ilk. Face it and learn from it. The aca only gets worse from here.

You have made some hateful immature statements to those in opposition to the aca. But to show there is no hard feelings here is a George Carlin youtube video. [ame=http://www.youtube.com/watch?v=AvF1Q3UidWM]George Carlin: Pro Life, Abortion, And The Sanctity Of Life - YouTube[/ame]

 

[Mr. Joe]

In order for OC to "work" those younger than roughly 35 will also need to purchase AT LEAST middle of the road plans.

Nice to see you around Jim. Do have a link to that analysis? I'd like to read it.

 

[Dr JIM]

Joe it is the very basis of ACA and the essence of OC.

Otherwise what would happen?

Well shit!

Those with complicating medical histories needing a Cadillac plan would NOT be able to "afford" one since it's not subsidized by the "healthful youth".

Consequently if our youth did not subsidize those requiring "high end" medical care would not be able to afford it.

When that happens in OC those folks only "option" is to acquire insurance using the "government plan" for the "uninsurable".

Then what we get is ANOTHER government subsidized Medicare or Medicaid, any anyone want to guess what percent of non-discretionary federal spending they encompass?


What I'm saying is 100% factual and an admission of the OC framers themselves.

 

[Dr JIM]

What I am also saying is: be careful what you ask for because you just may get it; we need to tread very carefully and slowly towards the enactment of OC or ANY other "all encompassing" HCP!

Jim

 

[Dr JIM]

One more thing. How anyone can listen to the absolute bigotry of George Carlin and Rush Limbaugh is beyond reason but to actually believe it is below human cognition, IMO.

Both are ENTERTAINERS and are more fitting in a traveling circus, lol!

 

[Dr JIM]

One last tid-bit for those whom really WANT to know how FORTUNATE we all are to possess such advanced medical diagnostic and therapeutic capabilities in the US.

I challenge all of you talk with friends, relatives and associates whom have traveled abroad and who have FIRST HAND EXPERIENCE with the alternatives elsewhere.

IME there is absolutely NO COMPARISON, so let's not fuck up what we already have!
Jim

 

[Mr. Joe]

One last tid-bit for those whom really WANT to know how FORTUNATE we all are to possess such advanced medical diagnostic and therapeutic capabilities in the US.

I challenge all of you talk with friends, relatives and associates whom have traveled abroad and who have FIRST HAND EXPERIENCE with the alternatives elsewhere.

IME there is absolutely NO COMPARISON, so let's not fuck up what we already have!
Jim

Yes, young healthy people have to sign up, I haven't read anything that suggests they must purchase AT LEAST silver plan coverage for the program to remain solvent. That's what I was referring to.

 

[nuncaquite]

Once this piece of shit idea is in process no one will want to be a part of it.
The stark difference between crony capitalism and crony socialism will be evident.
People will think back fondly on the days when they only wanted to fk us out of money.
This thing will start off bad, and get worse daily. People have no idea what they are in for. No idea what so ever. If I didnt have to be a part of it I'd be lmfao.

Get ready to wait in lines so long they go out the door, just to get the appointment.
Once you get an appointment, take a seat in a worn out thread bare uncomfortable dirty chair. Crammed into a waiting room with so many sick people that you walk in with the flu and leave with meningitis. Kids crying and puking, old people dying while they wait. Pass the whole day waiting to see an unqualified physician, get a diagnosis (kinda), go out to a pharmacy that looks like a dirty closet, wait even longer, get to the window/counter and then be told they are out of the medicine come back next week, you get back next week and they have lost your paperwork---get back in line to make an appointment to see the doctor Ive lived it fellas, I have walked the path. Oh what a surprise awaits when theory crashes with reality.

Yep, quoting myself:
One more thing I left out, some of the nurses dont even make their rounds. They fudge the paperwork and keep smoking cigs. Wont and cant be fired for this. Those who give a darn are forced to quit to keep their sanity.
Jim, the man loves Carlin. So I gave him Carlin. As for me, I cant listen to hate in any form. It is not entertainment to a sane mind.

 

[Mr. Joe]

http://www.nytimes.com/2013/10/27/opinion/sunday/douthat-but-what-if-obamacare-works.html?hp&_r=0

Sorry liberals, Obamacare’s problems go much deeper than the Web site

Two good articles on the real challenges ACA faces both in the next few weeks as well as years to come.

 

[zkt]

Hateful immature comments ? I wouldnt want to steal your thunder.
Can you honestly say that you prefer to let a significant proportion of the populace receive substandard overly expensive medical care which the rest foot the bill?
I for one am sick and tired of the likes of you quoting right wing crazies of the ilk of Fox enternainment , limbaugh, and the like, as truth. Perhaps you would get a taste of know truth if it were shoved up your vagina; just another one of your parties brillaint ideas.
Frankly, i havent concluded if if you and your supporters are simpley mean spirited, selfish, egocentric, bigoted, all of the above, or somethig that is of yet inconceivable as yet.
Keep talking.

 

[Dr JIM]

Joe the conservative OC estimate propped up by their pundits is somewhere between 8-10 healthy young folk will need to sign on for EACH currently UNINSURABLE/ UNCOVERED ADULT.

However the real time estimate probably comes closer to 15-18.

Now considering the cost of health insurance for these mates "exceeds 2-3 times the penalty imposed" by OC for those who don't sign up.

Well you do the math since these young folk only encompass 17% of today's population and based on CURRENT estimates only 20% believe, want or desire to be a part of OC (or at least pay for it!)

What form of plan will be required by youngsters to fund those in need, IMO the middle road estimate I suggested is LOW END!

 

[CensoredBoardsSuck]

One last tid-bit for those whom really WANT to know how FORTUNATE we all are to possess such advanced medical diagnostic and therapeutic capabilities in the US.

I challenge all of you talk with friends, relatives and associates whom have traveled abroad and who have FIRST HAND EXPERIENCE with the alternatives elsewhere.

IME there is absolutely NO COMPARISON, so let's not fuck up what we already have!
Jim

The quality of healthcare available in Canada "can" be as good as what you'll get in the US - if and when you can get it (and provided you don't die before you do). Excessive wait times and limited availability of doctors, particularly specialists, have destroyed it, IMO.



Leaving Canada for medical care 2011 http://www.fraserinstitute.org/uploadedFiles/fraser-ca/Content/research-news/research/articles/leaving-canada-for-medical-care-2011-ff0712.pdf


July/August 2012

Nadeem Esmail

Among the consequences of poor access to health care in Canada is the reality that some Canadians will ultimately receive the care they require outside of the country. Some of these patients will have been sent out of country by the public health care system due to a lack of available resources or the fact that some procedures or equipment are not provided in their home jurisdiction. Others will have chosen to leave Canada in response to concerns about quality (Walker et al., 2009); to avoid some of the adverse medical consequences of waiting for care such as worsening of their condition, poorer outcomes following treatment, disability, or death (Esmail, 2009); or simply to avoid delay.

Understanding how many Canadians receive their health care in another country each year gives some insight into the state of health care in Canada, as well as the state of medical tourism among Canadian residents. Data on this topic are not readily available but an estimation is possible using annual wait times data from the Fraser Institute and the numbers of procedures performed in Canada from the Canadian Institute for Health Information (CIHI)
.......
(snip)
.......
Conclusion

In 2011, an estimated 46,159 Canadians received nonemergency medical treatment outside Canada. In some cases, these patients needed to leave Canada due to a lack of available resources or a lack of appropriate procedure/technology. In others, their departure will have been driven by a desire to return more quickly to their lives, to seek out superior quality care, or perhaps to save their own lives or avoid the risk of disability. Clearly, the number of Canadians who ultimately receive their medical care in other countries is not insignificant.

 

[DTdr2]

In order for OC to "work" those younger than roughly 35

Joe the conservative OC estimate propped up by their pundits is somewhere between 8-10 healthy young folk will need to sign on for EACH currently UNINSURABLE/ UNCOVERED ADULT.

However the real time estimate probably comes closer to 15-18.

Now considering the cost of health insurance for these mates "exceeds 2-3 times the penalty imposed" by OC for those who don't sign up.

Note, thanks to the ACA nearly all young people can stay on their parents plan until age 26, even if they're married, financially independent and no longer live with their parents. Young adults who are offered coverage through their own jobs can choose that plan or stick with their parents plan. Wow, and if they don't work they can in some cases get free insurance, or at the least a large subsidiary.

 

[Dr JIM]

Yea baby nothing like a "longer" free ride for those "inter-dependent" youngsters of contemporary USA, lol!

 

[zkt]

Since you bring up the subject of "free rides" how do you feel about government corporate welfare? Corn subsdies; you know, the ones that bring us high fuctose cor syrup that is contaminating nearly our entire food supply. Should that subject be part of any inteligent healthcare discussion?

Farm Subsidies Must Die - Reason.com

Some of you are so fixated on making sure the the ACA fails and discrediting Obama that you cant see the forest for the trees. Or maybe you just dont care.

 

[DTdr2]

Why buy the cow when you can get the milk for free...

CBS News: Explosion in Medicaid Enrollments May ‘Threaten Entire Structure’ of Obamacare

Given the widely-reported problems associated with HeathCare.Gov, White House officials have taken to touting the successes the states are experiencing running their own health insurance exchanges. According to a CBS investigation, however, those exchanges are primarily funneling uninsured applicants into Medicaid. Experts tell CBS that this could “threaten the entire structure of Obamacare.”

“According to a CBS investigation, in many of the 15 states that have their own health insurance exchanges, more people are enrolling in Medicaid than are actually buying private health insurance,” CBS News reporter Jan Crawford revealed.

“There is concern that if that trend continues, there will not be as many healthy people buying insurance for this system to work,” she continued.

Crawford said that the majority of the enrollees at this stage in the process are “overwhelmingly low-income people” who qualify for Medicaid at no cost.

Of the 35,528 enrollees in the state of Washington, 87 percent signed up for Medicaid. In Kentucky, 82 percent of the state’s 26,000 enrollees were funneled into Medicaid. 64 percent of New York, 37,000 Affordable Care Act enrollees are now Medicaid beneficiaries.

“Supporters say this shows there’s demand but industry sources say if we don’t see real turnaround soon, there could be big problems for the entire system,” Crawford concluded.

http://www.mediaite.com/tv/cbs-news...ts-may-threaten-entire-structure-of-obamacare

 

[Dr JIM]

Define corporate "welfare" Z?

Moreover name one profitable business that isn't subsidized in some fashion by either local, county, state or federal taxes.

These subsidies are how jobs are created which generate revenue for the Feds mate!

Perhaps you would prefer the "government" control ALL EMPLOYMENT, I believe that's called socialism and MOST Americans believe they can DO IT BETTER, IMO.

What you do you think about "Governmental welfare", fella it's the same damn thing. The ONLY difference is who controls the allocation of funds provided thru our TAXES.

I'll chose the private sector over big government all day long for employing the masses.

Oh yea by the way I have TWO early adult aged sons both with chronic medical conditions whom might have benefited (my existing employer based health plan enacted the OC age limit of 26 when, God forbid, G. Bush was president) from the OC mandated age limit!

Consequently I believe SOME of these changes are long overdue.

But Z I try to see things FROM THE MIDDLE mate.

Jim

 

[Dr JIM]

Excellent post DT.

What is the problem with increasing Medicaid rolls exclusive of big government costs? About the only health care sector willing to accept "Medicaid patients" is those hospitals or health care facilities provided ADDITIONAL subsidies from either local, county , community, state taxes or thru federal "grants/matching funds".

I think that's called "HOSPITAL WELFARE"!

How much will a Physician be paid for a pediatric office visit of a 4 yo with an afebrile URI? (The amount varies by state as much as 30%)
= $17.00 no shit!

Ok let's do some simple match here. The average cost to MAINTAIN a SOLO office practice per hour is (including lease, utilities, employees etc)

Roughly $500.00/ hour! (In this scenario the Dr is NOT being paid)

Ok math whizzes how many $17.00 Medicaid visits are required PER HOUR to beak even?

THIRTY?

Now how much time should/could/would that physician spend with each patient to achieve that goal, about TWO seconds.

(Should ANY doctor even attempt to achieve such a goal the CMS police are just around the corner ready to file charges of " waste fraud and abuse"!) Damn greedy doctors.

Now you know why state, county or university based subsidized facilities will soon become the ONLY primary care facilities for CMS patients, IMO.

So what do the social elitists decide is the best means of "controlling spiraling health care costs" under OC?

A REDUCTION of physician reimbursement from both Medicaid and Medicare, lol!!!

Jim

 

[Mr. Joe]

Why buy the cow when you can get the milk for free...

CBS News: Explosion in Medicaid Enrollments May ‘Threaten Entire Structure’ of Obamacare

Given the widely-reported problems associated with HeathCare.Gov, White House officials have taken to touting the successes the states are experiencing running their own health insurance exchanges. According to a CBS investigation, however, those exchanges are primarily funneling uninsured applicants into Medicaid. Experts tell CBS that this could “threaten the entire structure of Obamacare.”

“According to a CBS investigation, in many of the 15 states that have their own health insurance exchanges, more people are enrolling in Medicaid than are actually buying private health insurance,” CBS News reporter Jan Crawford revealed.

“There is concern that if that trend continues, there will not be as many healthy people buying insurance for this system to work,” she continued.

Crawford said that the majority of the enrollees at this stage in the process are “overwhelmingly low-income people” who qualify for Medicaid at no cost.

Of the 35,528 enrollees in the state of Washington, 87 percent signed up for Medicaid. In Kentucky, 82 percent of the state’s 26,000 enrollees were funneled into Medicaid. 64 percent of New York, 37,000 Affordable Care Act enrollees are now Medicaid beneficiaries.

“Supporters say this shows there’s demand but industry sources say if we don’t see real turnaround soon, there could be big problems for the entire system,” Crawford concluded.

http://www.mediaite.com/tv/cbs-news...ts-may-threaten-entire-structure-of-obamacare

It makes sense that the first to sign up will be A) those who have pre-existing conditions and need quality coverage now and B) those who can sign up for little to no cost. Everyone else is going to wait until they have to sign up or receive a penalty. So that's gonna be march 31st. I'm interested to see the overall numbers come April. Then we'll see if there will be any major coverage imbalances.