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Health Care Reform is Dead

Toshi

butthole powerwashing evangelist
Oct 23, 2001
39,740
8,744
This, apparently is going to make the 2016 ballot here in CO. Single payer and pot? Clearly we have begun the slow slide into socialist hell.

Edit: @Toshi. Thoughts?
I think this will be good for those in the Medicaid group or employed but without an employer subsidy. Those with employer subsidies will continue to soldier on in their own plans.

Overall I am all for it as long as it has a good funding mechanism underlying it. (For an example of a bad funding mechanism, see Utah's attempt to expand Medicaid in a fiscally neutral way by raising licensing fees for doctors to something like $5k/year (!). That's not fair.)
 

Toshi

butthole powerwashing evangelist
Oct 23, 2001
39,740
8,744
He essentially wants an HSA with a fixed subsidy for everybody. It sounds like ~$666 of that $2k will go to insurance premiums for a mandatory catastrophic plan. I don't see how that will work for the whole population, as that's cheaper than even catastrophic plans for healthy people under 30 years old.

Of course, he could make the US government the issuer of this insurance, and call it "high deductible Medicaid/Medicare v2.0" instead...
 

jimmydean

The Official Meat of Ridemonkey
Sep 10, 2001
43,072
15,162
Portland, OR
Nursing home operator from Chicago jailed as feds allege $1 billion scheme

Thanks Obama.

The new federal indictment alleges that Philip Esformes and a handful of Miami co-conspirators bilked Medicaid and Medicare for 14 years by cycling some 14,000 patients through various Esformes facilities, where many received unnecessary or even harmful treatments. Drug addicts were allegedly lured to the facilities with promises of narcotics, and prosecutors say some received OxyContin and fentanyl without a physician's order to entice them to stay.
 

Pesqueeb

bicycle in airplane hangar
Feb 2, 2007
41,808
19,127
Riding the baggage carousel.
I think this will be good for those in the Medicaid group or employed but without an employer subsidy. Those with employer subsidies will continue to soldier on in their own plans.

Overall I am all for it as long as it has a good funding mechanism underlying it. (For an example of a bad funding mechanism, see Utah's attempt to expand Medicaid in a fiscally neutral way by raising licensing fees for doctors to something like $5k/year (!). That's not fair.)
Blue books are out Doc. Change your mind?
 

Pesqueeb

bicycle in airplane hangar
Feb 2, 2007
41,808
19,127
Riding the baggage carousel.
Blue books are out Doc. Change your mind?
Also, and perhaps it deserves it's own thread, but Prop 106. Finally, the death panels we deserve. I'm sure the usual religious loonies will be aghast, but jesus fuck is it about time we start behaving like a civilized society and allow people to die with some god damn dignity. I'm curious as to your thoughts as a "medical professional".
 

Toshi

butthole powerwashing evangelist
Oct 23, 2001
39,740
8,744
Blue books are out Doc. Change your mind?
I'm going to an info session tomorrow. From what I've read the funding mechanism is a new 10% income tax, capped at $450k. That's a lot of money for those of us making high incomes: I pay $19/month pre-tax for the family premium for a high deductible plan, for instance.

I will attend the session and see if it looks good despite the clear price tag, though.

Also, and perhaps it deserves it's own thread, but Prop 106. Finally, the death panels we deserve. I'm sure the usual religious loonies will be aghast, but jesus fuck is it about time we start behaving like a civilized society and allow people to die with some god damn dignity. I'm curious as to your thoughts as a "medical professional".
I'm all for allowing people choice in such matters. Two times verbal and one written request seems like plenty of evidence someone wants to move on already.
 

Pesqueeb

bicycle in airplane hangar
Feb 2, 2007
41,808
19,127
Riding the baggage carousel.
I'm going to an info session tomorrow. From what I've read the funding mechanism is a new 10% income tax, capped at $450k. That's a lot of money for those of us making high incomes: I pay $19/month pre-tax for the family premium for a high deductible plan, for instance.
Per month? :twitch:

I'd have to go back and look, but I seem to recall I did the math when this was first proposed and I would be coming out ahead paying the increased tax vs what I pay as my portion of our "healthcare" plan. Like, a not insignificant amount too.
 

Pesqueeb

bicycle in airplane hangar
Feb 2, 2007
41,808
19,127
Riding the baggage carousel.
"Section 11. ColoradoCare secondary payor- subrogation rights. (1) COLORADOCARE SERVES AS A SECONDARY PAYOR TO ANY HEALTH INSURANCE PLAN IN WHICH A BENEFICIARY IS ENROLLED OR WHICH MAY BE RESPONSIBLE FOR A BENEFICIARY’S HEALTH CARE EXPENSES. THE TOTAL OF COLORADOCARE’S PAYMENT AND ALL OTHER PAYMENTS SHALL NOT EXCEED THE AMOUNT THAT COLORADOCARE WOULD PAY IF IT WERE THE ONLY PAYOR. (2) COLORADOCARE SHALL SERVE AS A STATE HEALTH PLAN THAT PAYS FOR DESIGNATED 10 SUPPLEMENTAL HEALTH CARE SERVICES FOR MEDICARE BENEFICIARIES ; EXCEPT THAT COLORADOCARE SHALL NOT PAY FOR SERVICES: (a) COVERED BY MEDICARE PARTS A, B AND D ; OR (b) COVERED BY A MEDICARE ADVANTAGE PLAN THAT A BENEFICIARY HAS WITH AN ENTITY OTHER THAN COLORADOCARE ; OR (c) THAT WOULD HAVE BEEN PAID BY MEDICARE PARTS B OR D HAD THE BENEFICIARY PURCHASED THOSE OPTIONAL MEDICARE COVERAGES, UNLESS: (I) COLORADOCARE HAS AN AGREEMENT WITH THE CENTER FOR MEDICARE AND MEDICAID SERVICES THAT REQUIRES IT TO PAY FOR SERVICES THAT WOULD HAVE BEEN PAID UNDER PARTS B AND D ; OR (II) COLORADOCARE OFFERS A MEDICARE ADVANTAGE PLAN AND THE BENEFICIARY VOLUNTARILY ENROLLS IN THIS PLAN. (3)(a) COLORADOCARE HAS FULL RIGHTS OF SUBROGATION, AHEAD OF THE RIGHTS OF A WORKERS' COMPENSATION OR OTHER INSURER OR HEALTH CARE PLAN, INCLUDING THE RIGHT TO BRING AN INDEPENDENT LAWSUIT OR TO INTERVENE IN A LAWSUIT FILED BY A BENEFICIARY, IN ORDER TO RECOVER HEALTH CARE COSTS FROM COLLATERAL SOURCES FOR WHICH THE BENEFICIARY HAS A RIGHT OF ACTION FOR COMPENSATION AGAINST THE PERSON OR ENTITY THAT CAUSED HIS OR HER ILLNESS OR INJURY. COLORADOCARE MAY ASSERT A LIEN AGAINST ANY PROCEEDS RECOVERED BY THE BENEFICIARY. (b) COLORADOCARE MAY RECOVER HEALTH CARE PAYMENTS FROM ANY OTHER COLLATERAL SOURCE, SUCH AS A HEALTH INSURANCE PLAN, HEALTH BENEFIT PLAN, OR OTHER PAYOR THAT IS PRIMARY TO COLORADOCARE."
 

Jim Mac

MAKE ENDURO GREAT AGAIN
May 21, 2004
6,352
282
the middle east of NY
Yay free market!
http://khn.org/news/doctors-and-hospitals-say-show-me-the-money-before-treating-patients/

Doctors And Hospitals Say ‘Show Me The Money’ Before Treating Patients

"After arriving by ambulance at the emergency department, Susan Bradshaw lay on a gurney in her hospital gown with a surgical bonnet on her head, waiting to be wheeled into surgery to remove her appendix at a hospital near her home in Maitland, Fla. A woman in street clothes approached her. Identifying herself as the surgeon’s office manager she demanded that Bradshaw make her $1,400 insurance payment before the surgery could proceed.

“I said, ‘You have got to be kidding. I don’t even have a comb,’” Bradshaw, a 68-year-old exhibit designer, told the woman on that night eight years ago. “I don’t have a credit card on me.”

The woman crossed her arms and Bradshaw remembers her saying, “You have to figure it out.”"
 

Pesqueeb

bicycle in airplane hangar
Feb 2, 2007
41,808
19,127
Riding the baggage carousel.
Whelp, back to being halfway to a lifetime cap and keeping my fingers crossed that the wifes colitis doesn't ever turn into cancer.

— Defeated: Dem-led amendment preserving Obamacare's pre-existing conditions provision. The provision, which is perhaps the most popular piece of the health reform law, was defeated by Republicans in a 49-49 procedural motion.

— Defeated: Dem-led amendment allowing young adults to stay on parents' health plans. This is another popular provision of Obamacare, and the amendment sponsored by Sen. Tammy Baldwin would've allowed young adults to remain on their parents’ health plans until they turn 26. The measure failed by a 50-48 tally, largely along party lines.

Take that wetbacks!
 

pnj

Turbo Monkey till the fat lady sings
Aug 14, 2002
4,696
40
seattle
I have obamacare.

I broke my foot (three bones) this last fall. My insurance didn't pay for ANYTHING medically related to my injury.

AND, my insurance rates DOUBLED. It's like going to a restaurant, ordering and paying for food but not actually getting any food.

I am probably the only person who has obamacare and wants to see it removed.

THANKS OBAMA!
 

SkaredShtles

Michael Bolton
Sep 21, 2003
67,809
14,156
In a van.... down by the river
I have obamacare.

I broke my foot (three bones) this last fall. My insurance didn't pay for ANYTHING medically related to my injury.

AND, my insurance rates DOUBLED. It's like going to a restaurant, ordering and paying for food but not actually getting any food.

I am probably the only person who has obamacare and wants to see it removed.

THANKS OBAMA!
Let me guess - high deductible plan?
 

Westy

the teste
Nov 22, 2002
55,990
22,028
Sleazattle
Whelp, back to being halfway to a lifetime cap and keeping my fingers crossed that the wifes colitis doesn't ever turn into cancer.

— Defeated: Dem-led amendment preserving Obamacare's pre-existing conditions provision. The provision, which is perhaps the most popular piece of the health reform law, was defeated by Republicans in a 49-49 procedural motion.

— Defeated: Dem-led amendment allowing young adults to stay on parents' health plans. This is another popular provision of Obamacare, and the amendment sponsored by Sen. Tammy Baldwin would've allowed young adults to remain on their parents’ health plans until they turn 26. The measure failed by a 50-48 tally, largely along party lines.

Take that wetbacks!
Brian is going to save a bunch of money on his health insurance when they drop coverage of his kids, and any conditions he has.
 
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jimmydean

The Official Meat of Ridemonkey
Sep 10, 2001
43,072
15,162
Portland, OR
I have obamacare.

I broke my foot (three bones) this last fall. My insurance didn't pay for ANYTHING medically related to my injury.

AND, my insurance rates DOUBLED. It's like going to a restaurant, ordering and paying for food but not actually getting any food.

I am probably the only person who has obamacare and wants to see it removed.

THANKS OBAMA!
Maybe you should have gotten cancer instead?

Obamacare saved my life

In 2000 my insurance was 100% company paid. By 2015, I was paying $1200/month as a contracted employee. Don't thank Obama, thank the insurance industry.

Consider UnitedHealth, the nation's largest health insurer that is leaving the marketplace next year. UnitedHealth claims that Obamacare has reduced its 2016 earnings by $850 million. While they might have $850 million less than they wanted, UntedHealth’s profits are still soaring.

In fact, UnitedHealth announced record-breaking profits in 2015, followed by an even better year this year. In July 2016, UnitedHealth celebrated revenues that quarter totalling $46.5 billion, an increase of $10 billion since the same time last year. And company filings show that UnitedHealth’s CEO Stephen J. Hemsley made over $20 million in 2015. To be fair, that is a pay cut. The previous year, in 2014, Hemsley took home $66 million in compensation
How is the CEO supposed to live on only $20M in this day and age?

Some light reading:
https://www.consumeraffairs.com/news/health-insurance-industry-rakes-in-billions-while-blaming-obamacare-for-losses-110116.html
 

Toshi

butthole powerwashing evangelist
Oct 23, 2001
39,740
8,744
I have obamacare.

I broke my foot (three bones) this last fall. My insurance didn't pay for ANYTHING medically related to my injury.

AND, my insurance rates DOUBLED. It's like going to a restaurant, ordering and paying for food but not actually getting any food.

I am probably the only person who has obamacare and wants to see it removed.

THANKS OBAMA!
Your gripe is valid, but repealing the ACA won't do shit to fix what's broken here, which is a) misunderstanding of what high deductible plans cover and don't cover, and b) misunderstanding of the (lack of) relationship between the ACA and health insurance premiums.
 

Jm_

sled dog's bollocks
Jan 14, 2002
20,133
10,684
AK
I have obamacare.

I broke my foot (three bones) this last fall. My insurance didn't pay for ANYTHING medically related to my injury.

AND, my insurance rates DOUBLED. It's like going to a restaurant, ordering and paying for food but not actually getting any food.

I am probably the only person who has obamacare and wants to see it removed.

THANKS OBAMA!
How much did it cost?
 

AngryMetalsmith

Business is good, thanks for asking
Jun 4, 2006
22,047
12,757
I have no idea where I am
— Defeated: Dem-led amendment preserving Obamacare's pre-existing conditions provision. The provision, which is perhaps the most popular piece of the health reform law, was defeated by Republicans in a 49-49 procedural motion.
Sweet, my pre-existing condition will save some cash for sure then. Sounds like a good time to take up DH again. What could go wrong ?