FLBear5630 said:EatMoreSalmon said:FLBear5630 said:J.R. said:FLBear5630 said:Harrison Bergeron said:FLBear5630 said:Harrison Bergeron said:Realitybites said:Harrison Bergeron said:
So you guys have been jerking each other off for an entire page and yet you idiots still:
- Blame Republicans for OBAMAcare
- Cannot explain why Democrats are demanding a $62K / year subsidy to Big Insurance while the average healthcare costs / year is $14K / patient
- Claim to want to reduce costs but refuse to cap earnings of doctors and nurses
Republicans have had three years when they controlled the executive and legislative branches. They were not willing to repeal Obamacare and fix the system. This makes them complicit.
I'm opposed to Obamacare and the subsidies, but you can't simply blow up the machine without the replacement ready to install. First you pass a comprehensive Obamacare repeal with a pre-existing conditions clause which ends subsidies after the necessary transition period. You cannot simply let the subsidies expire while leaving the legislative framework of Obamacare in place.
If you look at physician salaries, they have (with some exceptions) steadily decreased or stagnated for decades. I'm guessing nurses (with the proliferation of NPs) have been able to increase their salaries.
Fair point. There was no appetite to repeal Obamacare back then; suddenly Biden used covid as a predicate to give trillions of dollars in kickbacks to Big Insurance. The so-called subsidies are simply that and led to the drastic increase in cost to people and profits to Big Insurance. The best proxy is the federal government subsidizing higher education - it does little to make college more affordable and accessible just puts more people in debt and enriches already-uber-rich universities.
Regarding salaries, compare the U.S. to the world and you can start to see the problem. However, this is a solution that AI can solve for - soon we really will not need most nurses and doctors; even today most are just a superfluous expense to mitigate liability.
AI is going to nurse? Do you have any idea what nurses do? AI is going to be your doctor?
You really do keep talking about things you have no knowledge. We have a nursing shortage, but they are superfluous? Have you ever stayed in a hospital? You are a kid aren't you?
Sweetie, I approach problems intellectually. I do not rely on wild-arse hysterical comments to make emotional arguments.
I get you're not in Mensa. So if you can formulate a response I will happily rebut.
Rebut? Why? You are a kid with no real life experience spouting theories not based on reality. So far you are against insurance companies in a system that relies on health insurance, doctors are over paid so we have to wage control them when there is a shortage and we have a surplus of nurses that AI is going to solve. Keep talking, it is good comic relieve. You have absolutely no idea what you are talking about. Go and talk to some nurses and tell them your thoughts.
he is the Poster Child for MAGA. ***** and moan, but collect govt HC, but offer no plan. Sounds like Hank's hero fat boy. NO EFFING PLAN. He has said he has a plan that will be ready in 2 weeks. you seen that yet Hank? Congress had forever to fix. No will. eff'em all
So far, his only solution is charge the hell out of the 23 million that rely on it.
I know what they will say... "But, but, but - Insurance Companies gouged..." No ****, that is why it needs to be reformed. If we have to err between killing people's health coverage and saving some money. I am on the side of making sure we keep people's health care. Hell, we waste more money on less productive items.
The US government itself put these people on subsidies in their lousy predicament. The problem right now is a "temporary" band aid that "must" be extended.
Let's say Congress went along with HSA payments to those on subsidies for a prescribed time for transition. When those payments are scheduled to sunset, the same "government can fix it" people will be clamoring for those payments to be extended. They can't ever seem to work toward something sustainable over payments to constituents. It's self destructive and ridiculous.
If a solution could come out of the quackery of Congress, you would think it would have been done by now. But Congress and the Executive bureaucracy are not capable. They are both prioritizing their job security over solutions. This is why largess to citizens needs to be taken away from the government. It would take a constitutional amendment of some kind to keep Congress from going from a reasonable safety net for truly destitute to giving monetary gifts to half of Americans.
Even Medicare could be saved for future generations if it was turned into major medical for our older retirees, and not a pay for it all type of coverage. Like anything else, the more money you pump into a business, the more inflation you will get.
https://fred.stlouisfed.org/series/CPIMEDSL
Notice what year healthcare CPI really started to rise, and has had a sharp trajectory since. It is when Congress started mandating that day to day preventive care start being covered by employers' insurance. That might have been well meaning, but it skyrocketed the cost of day to day preventive care like annual checkups and doctor visits.
Your solution - as you see it - of Congress cutting down benefits over time has historically been used by those who espouse single payer as a temporary speed bump. They will clamor for extensions and more later. You add in the representatives who are afraid of losing votes, and you end up keeping that inflationary interventionist government road to system collapse.
It really stinks for the millions of people with marketplace policies in the short term, but the band aid needs to be ripped off.
My immediate solution would be to help get these folks onto major medical plans and give them time to do so.
Those with major medical preexisting conditions will need to be allowed some continuation of coverage, perhaps through Medicaid.
Doctor offices with one or two docs should not have to hire 2-3 office workers to keep up with claims and the office's own insurance coverages. Doctors and hospitals should not have to be forced into large corporate groups in order to survive the present pay systems and reporting systems. Government mandates need to be heavily pruned to put more downward pressure on day to day healthcare costs.
What government can do is require pricing of medical procedures, doctor visits, and medical equipment be very straightforward for the average consumer. No more separate bills from every doc, PA, facility, anesthesiologist, and custodial service involved. And any bills showing up more than 60 days after any procedure. Insurance companies would be required to process payments in a timely manner. If fraud is suspected in a claim, the insurance company must report its suspicions to authorities immediately to get it taken care of in a timely manner should suspicions turn out as wrong.
Any solution MUST put downward pressure on healthcare costs. Otherwise it will become unaffordable for all.
"Any solution MUST put downward pressure on healthcare costs. Otherwise it will become unaffordable for all."
Yes, but you will not get there in time to prevent people from being harmed. No one is saying pass it and leave it. We all agree. What we did was just made people make a decision between health coverage for their families and eating. That helps no one and doesn't save crap when we have a 30T deficit.
The amount of the subsidy for 1 year will not break the Nation, but not having it will break people.
Keeping it as is as you say will harm millions more later. If you delay its sunset, you just postpone the harm, or have a dem controlled house block any fix you come up with.
This deadline has been talked about since Trump was elected. That's a full year. Subsidies are not disappearing. They are back to original levels. It really sucks what the two Democrat administrations have done to these people. They stoked the inflation fire with more fuel (more money) instead of working to reverse the healthcare inflation trend to make healthcare more affordable. They took the easy "quick fix" that isn't remotely sustainable.