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Orange Blooded [2153]
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All-TigerNet [11037]
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Oh yay, isn't that great? Meanwhile, people who can pay for insurance have
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Apr 30, 2024, 3:44 PM
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to pay 4 times as much for worse coverage, while everyone else gets government-subsidized insurance, and doctors' decisions are driven by regulations and insurance companies rather than their ability to practice medicine. Such a smashing success.
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Oculus Spirit [98068]
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In all fairness, doctors are stilll free to dole out medical care at their
Apr 30, 2024, 4:04 PM
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discretion.
My 3-day hospitalization for sepsis and subsequent surgery were declined by my health insurance. INITIALLY. They looked at the very first medical note and denied it. Cellulitis or something like that. They missed the part where the doctor specifically noted I should be admitted due to a better than average chance at death if I wasn't.
We just never bothered to do anything. The hospital evidently took care of it. I never paid a dime. My son's surgery set us back $8K, but evidently when you're admitted to a hospital they cover it all. Not even a copay.
My family doc said I needed a nuclear stress test. Insurance wouldn't pay. So he asked if I had any chest pains, with a wink. I said I had a few, usually in the mornings. I winked back. Got the stress test. He cussed insurance and said he's saved exactly three lives lying on the coding for stress tests because insurance would have denied it and he'd rather lie than have his patients dying.
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All-TigerNet [11037]
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cool story bro***
Apr 30, 2024, 7:12 PM
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All-In [34812]
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Orange Blooded [2153]
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We've always had an insane healthcare system, and the ACA didn't change that...
Apr 30, 2024, 4:43 PM
[ in reply to Oh yay, isn't that great? Meanwhile, people who can pay for insurance have ] |
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The ACA addressed a few things within the system, and has on balance been an incremental improvement. Prior to the ACA, unhealthy individuals who didn't get employer insurance were refused coverage or dropped from any individual coverage they had. Poor people couldn't afford any health insurance (public or private). And many people who thought they had coverage were booted off their policies, which were often junk policies.
The ACA cleaned up alot of that, and cut the uninsured basically in half. On top of that, the ACA did some reforms to rein in costs some (but not much). Much of the overall insane cost to the system was not addressed. Since ACA implementation, healthcare/gdp has stopped growing and remains around 17%. Prior to the ACA, it was growing much faster than GDP.
https://www.statista.com/statistics/184968/us-health-expenditure-as-percent-of-gdp-since-1960/
Now, there's alot more to do. But we need both political parties to engage, not just one party. Since about 2008, the GOP has been unwilling to be constructive in this area. If the GOP would once again engage, then more reforms could be made to essentially make uninsured a thing of the past, and start to cut costs.
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Oculus Spirit [81578]
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AC was always meant as a stepping stone to single payer.
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Apr 30, 2024, 5:42 PM
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There's simply no arguing that.
It never made it, so now we have...a mess.
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Orange Blooded [2153]
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No, not a stepping stone to single payer.....
Apr 30, 2024, 6:41 PM
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It was a way to attack our uninsured problem in the two segments of the population was was vulnerable: poor and/or unhealthy who didn't have access to employer coverage.
I would note that Biden and Dems passed reforms in 2021 and 2022 that made the ACA a much better deal for everyone who shops on the exchanges, including middle-class.
We'll never have single-payer in this country. And I think the ACA's existence is an admission of that.
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Orange Blooded [2032]
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All-TigerNet [11037]
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All-In [31988]
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Oculus Spirit [81578]
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So we upended our entire medical repayment infrastructure over
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Apr 30, 2024, 3:46 PM
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16% of the population. In the end it prob would have just been cheaper and easier to give that 16% medical care (as many didn't even want it) than do what we ended up doing.
Working in the medical industry, it's one big, expensive CF.
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All-In [34812]
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Yep, now we be stuck with it***
Apr 30, 2024, 4:29 PM
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All-In [31988]
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Why is the question....Trump railed against Obamacare for...
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Apr 30, 2024, 5:23 PM
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years. During the election he promised a "beautiful plan" or whatever BS thing he said. He won, got into office, had GOP majority in both houses of Congress and had absolutely 0 plan. Nothing. So then Paul Ryan tried to pick up the slack and Trump's undisciplined #### kept undercutting him at ever turn. We ended up with a crap plan out of the House that was hastily pasted together with d!ck-all leadership from the WH...and everyone holds McCain responsible for still having the ACA in place.
I can't stand to hear Trump supporters complain about the ACA...yes it sucks and the blame lies squarely on Trump.
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Orange Blooded [2153]
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That's right....
Apr 30, 2024, 8:01 PM
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The GOP screamed at the top of their lungs, "Repeal and Replace," for 7 years. Then when they had the keys to the kingdom, they came up with nothing.
We see this in other issues, too.
The GOP needs to start being constructive. If you HATE the ACA as many of you claim, then come up with something better. They never seem to do that.
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Orange Blooded [2153]
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It's not perfect by any means....
Apr 30, 2024, 4:46 PM
[ in reply to So we upended our entire medical repayment infrastructure over ] |
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The system we had prior to the ACA was already insane. But remember that 16% of the US population is over 50 million people. That's a lot of people.
So cutting the uninsured in half, reducing it by over 25 million people, is a big f'in deal.
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All-TigerNet [12725]
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Re: It's not perfect by any means....
Apr 30, 2024, 5:21 PM
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On the margins, the ACA act has been good for some folks such as self employed or workers for a small employer.
However, it’s not all roses, especially Medicaid which you want expanded. What happens when the Feds turn over part of that burden to the states which have taken the money and expanded the rolls?
What happens when more and more physicians drop Medicaid as the reimbursement does not begin to cover costs, no not even close. You can’t make that up in bulk in my experience.
The whole system is absolutely screwed up from the coding system, to the insurance companies looking for a way to deny claims, to the poor reimbursement from Medicare and especially Medicaid.
Costs would be contained with robust competition between doctors and hospitals on price, with the government as a fail safe for the truly indigent.
You wouldn’t believe the number of irresponsible Medicaid eligible people who don’t bother to even sign up for Medicaid.
Good business people need to sit down and come up with some ideas rather than just throwing this to the Feds to fix.
See the Osprey for governmental competence.
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Oculus Spirit [81578]
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Whats the income max limit to get medicaid now
Apr 30, 2024, 5:39 PM
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15K?
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Orange Blooded [2153]
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Orange Blooded [2153]
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I would probably set Medicaid reimbursements....
Apr 30, 2024, 6:47 PM
[ in reply to Re: It's not perfect by any means.... ] |
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to roughly the same level as Medicare. This would incentivize more doctors to take it. And government needs more power to bargain for prescriptions across the board (not just for Medicare).
There are some other reforms, too, that are needed. But making Medicaid a better deal for more doctors is a good idea.
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Oculus Spirit [81578]
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"not perfect" is the understatement of the day.
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Apr 30, 2024, 5:40 PM
[ in reply to It's not perfect by any means.... ] |
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Wait until you are a senior and need to spend $15K a year to get covered at all by a super high deductible plan.
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Oculus Spirit [98068]
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All-In [34812]
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Not enough money in the bank?***
Apr 30, 2024, 4:30 PM
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All-In [48035]
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I just got a $77K bill for my daughters surgery, not counting ancillary costs.
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Apr 30, 2024, 4:41 PM
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I gotta spend hours on the phone trying to figgure it out.
So fuckoff.
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Orange Blooded [4116]
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Is this post some sort of joke?
Apr 30, 2024, 5:03 PM
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Have you seen the market premiums?
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Orange Blooded [2153]
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Oculus Spirit [98068]
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And that's why everyone's going broke. Because the insurance company sure isn't.
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Apr 30, 2024, 7:31 PM
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They just make you pay more. Cover less.
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