Jump to content
rayspizza

Trumpcare

Recommended Posts

My chiropractor is $340 a visit for the 1 visit a year my insurance covers and $400 cash total for 12 more visits a year. If my insurance didn't cover 1 visit it would just be the cash price. Basically I pay 10% of what my insurance does.

Link to post
Share on other sites

So if the house pass the Ryan bill and the Senate conservatives ammend it to the right and have 50 votes plus VP to pass their version, does their version then go to the house for another vote and then to the President? Anyone that knows the ins and outs of the process educating us common folk would be much appreciated... I want to be able to make my take on how I see this playing out politically but it's not really possible without knowing the rules of the process. Thanks!

Link to post
Share on other sites
Thomas Massie? Verified account @RepThomasMassie 55m55 minutes ago

House leadership says don't let the Senate tell us how to vote, then introduces president of Senate to tell us how to vote #sassywithmassie

...

Link to post
Share on other sites

I had high hopes that Trump was going to do this right, dunno why, I guess because I felt it was time we had an asshole for president. Now that I see he has everything figured out within a matter of weeks, I'm shaking my head. Aint happening. The problem isn't really about who is going to pay what for healthcare.

The problem is that healthcare costs are OBSCENE. They are obscene because conventional market factors like fair competition and supply vs. demand don't apply. You can't get quotes on your bursting appendix. Your wife can't stand in line on Black Friday to get her pap smeared. And yet healthcare is a basic human (social) need. The real issue is...How much capitalism can we allow in a service that all of us need, but only some can pay for?

The government has all the actuarial numbers it needs to parse medical costs out fairly. But the healthcare industry is just a big money-grab. I hoped Trump was serious about stripping out the fraud and profiteering because that's the only way it will ever be affordable. But it's going to take more than a few months and a lot more brains than any group of politicians can muster.

It's gonna take seriously considered price-fixing. Good old fashioned socialism that takes the fun out of everything. And it's gonna take people with enough brains to figure out how to protect the consumer without stunting medical research. It's a tall task. Too much for Obama, Trump, Ryan or anybody with a magic wand.

Link to post
Share on other sites

sigh....

Medicare fee schedules says prices are already fixed guys, that's been part of the problem. So frustrating.

Can anyone come up with a successful example of government price fixing? I mean, we have to be talking about our salaries too right?

Link to post
Share on other sites

I think the clear path forward on this might be for the House to pass and send to the Senate, the Senate will signal their dis-like, then Trump could step in. Rather than listen to the conservative wing of the party are not going to make anything better.

Listening to them will not improve the costs which are the basis for Trump having any credibility on anything over the next 3 3/4 years.

Rather, Trump needs to invite in the Democratic leadership of the Senate with the Republican leadership and lock them in a room to start horsetrading. He's billed himself as "the dealmaker", start displaying that skill. I can see a bill that retains the taxes Obamacare created (that are going to be refunded to the top 2%), retain the Medicaid expansion and create some economic floor where some are eligible, others are not based upon their situation, buy coverage across state lines, and create a new "choice" with a version of the public option. The live with mom til your 26, pre-existing conditions and no lifetime caps stay.

There might even need to be pools created between insurers so that if one is getting hammered far more than their peers that the pool is distributed to offset the imbalance.

Dealing with the Freedom Caucus is going to be pointless. Trump should understand that and he should understand that if he fails on this his credibility is toast.

Do I have to do everything around here?

Link to post
Share on other sites

You mean invite the people that gave us the ACA? No thanks. There is a reason dems have been pretty much ostracized every where but 3 states. Obamacare is an abject failure. The freedom caucus is trying to prevent a slightly less shitty version from being passed, they are our only hope.

Link to post
Share on other sites

Obviously the bill would need to be sent back through the House, It could be changed as needed AND get a 60 vote margin in the Senate being bi-partisan. Trump committed to healthcare "for all" at a lower cost that was going to be wonderful and he said he's the only one who could get it done.

Embracing this version that is DOA anyway doesn't begin to meet that promise. If he can't meet this one, his bold talk just rings more hollow each day.

Link to post
Share on other sites

Raisethis2 watched Republicans win 80% of the counties across the country with more raw power than since the 1920s on a full repeal of Obamacare and he thinks it would be bad politics to repeal Obamacare. Holy shit. You are a dying breed of special stupid and it's about damn time.

Link to post
Share on other sites

Raisethis doesn't even know it yet but he should be rooting for Paul Ryan and the rest of the establishment goofs he hates so much.

If they are successful in passing any similar version of the turd sandwich they put forward, it will obviously fail and once both sides have officially not solved the issue, the road will be clear for the Dems to accomplish their stated goal of single payer when they take over.

As gin said, the freedom caucus and the true conservatives are our only hope for anything resembling elite healthcare in this country long term.

Link to post
Share on other sites

In a perfect world, if the Freedom Caucus (and Arron_Hacker) got their way, Obamacare would be repealed and the insurance industry would be free to write their own plans. Americans would get far less coverage, They would need to "prove" every little element of their illness or injury before service is available, lifetime limits, pre-existing conditions, kids would be required to get their own coverage at age 19 and all the rest.

The costs might well explode because they would again be negotiating with individuals rather than large groups.

It would be such a disaster Trump might not last a month through the confusion and anger he'd be held responsible for.

He said repeal and replace. No one put words into his mouth.

Link to post
Share on other sites

If the freedom caucus has their way, people will be able to join pools. Insurance will be open across 50 states, so if some insurance companies continued with nefarious practice, the competition would eat them alive. I'm fine with less coverage tailoring to MY needs, not EVERYONE'S needs. I could do without mammograms and pre-natal coverage.

Now if there were no competitors, an insurance company could do as they please. Do you understand why?

Do you think if the government allowed only 4 dealerships per state that the price of cars would go up or down?

You are most likely right about rioting though, blind squirrel and all.

Link to post
Share on other sites
In order to sell insurance across state lines you'd need 60 votes in the Senate. That's impossible without Democratic help.

Why shouldn't Democrats be in favor of that?

Educate me on how less choices and competition are good for the consumer and bad for the insurance companies.

Link to post
Share on other sites

I don't want anyone to suffer Jets. I want something fair and viable that will last well into the future. I happen to believe that the solution is Medicaid for everyone, but I'm willing to listen. The problem is everyone insists (as usual) upon having it their way and having this abomination their way is prohibitively expensive.

Link to post
Share on other sites
In order to sell insurance across state lines you'd need 60 votes in the Senate. That's impossible without Democratic help.

There is one logical reason to vote against that. You've been bought by the insurance lobby.

Would love to see a piecemeal fix to healthcare like that. Do one thing at a time instead of another 20K page vomit.

Link to post
Share on other sites
Democrats are not going to help pass legislation piece meal. Part of the grand bargain needed will be fairness for everyone.

You didn't answer my question. Or maybe you did.

I'll try again in a little bit different way:

Why shouldn't a simple bill that ONLY allowed insurance to be purchased across state lines be passed unanimously?

Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.



×

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.