EatMoreSalmon said:

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FLBear5630 said:

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EatMoreSalmon said:

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FLBear5630 said:

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EatMoreSalmon said:

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FLBear5630 said:

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J.R. said:

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The only solution I can come up with is "Single Payer". I think that is the only place to head. The HC Insurance and Pharma Lobby's have done a masterful job coining the phrase "socialized medicine I have lived under a single payer in Europe and it was great. I'm currently under both US HC Thai HC. I wiped out a motorbike on a southern island and had to have a CT and MRI and meds. Hell, I got an MRI and CT within an hour. The care I received in the ER was outstanding. I walked out with all that care and an itemized bill of $1900 which insurance will pay a good portion. We Mercans think we have the"Best" everything which we don't. I love my country, but let's be honest....we have fallen as a power and are a laughing stock.

---

I agree. I think the utility model, single payer or even a Nationalized system is the only way to get people health care.

Is it "socialized" under most on here's definition? Yeah, probably. But, I would rather the money go to treating people than Executive Bouses.

Capitalism in this Nation is broke. It is now who you know and patronage. Who do you think is going to re-build Gaza with Kurshner there? Same as who milked Iraq, Cheney and his cronies. At least with Government, we have elections where people at least pretend to have a say...

---

Where does the money go in Canada and the UK? Particularly Canada.

Putting our eggs in one basket like those two will lead to trouble and long term bad decisions. Full on political entities are not who needs to run medicine. People still don't get the services they need, but it just becomes institutionalized with no real chance for private help. The waste and grift in a government run system would be impossible to control. The ones who are supposed to adjudicate such issues will be the ones in control.

Independent medical research will be restricted greatly by the system and/or move to where single payer is not the system.

Most health issues need to be state regulated with entities in place for Federal response and coordination for national emergencies such as a pandemic or biological attack. This would be much more constitutional.

You can trace the high cost of common medical treatments to the 1970's when the move to mandate coverages and who provides insurance began. Once upon a time the regular Joe and Joanne could afford a doctor visit without having to need a copay. Now it is well beyond inflation what an office visit costs, much less the "price tag" on a procedure billed to insurance. The regulation has just encouraged a pricing shell game to make your insurance look better than it really is.

---

Is the current research model working? or are we rewarding treating symptoms. Curing something is not as profitable as keeping someone on meds for 30 years.

We do not reward prevention or cures. We reward keeping people on treatments.

Sp what is the answer? How do we get more healthcare to more people, not less?

---

The current research model can be adjusted by shifting reward toward prevention and cure. But, of course, the plans RFK have put forward to lessen symptom treatment have been met with a lot of resistance by Tempus types. If you want to keep on trucking toward symptom research, then keep trying to "get more healthcare to more people."
Prevention is good, but it is mostly common sense moderation and exercise. Not everyone needs the flu shot, or covid shot, or more than one doctor visit a year to keep up a doctor/patient relationship. If you want people to see a doctor when they need one, quit adding to the system that makes you pay hundreds of dollars a month to get a $35 copay one to four times a year for the healthy. What we have now is just bloating the beast.
Costs will come down with better outcomes if insurance companies and the government quit getting out of their lane. Force hospitals, doctors and clinics to compete with clear and simple pricing along with outcome reporting.
And just in case your ideas and mine are both wrong, let the states each have control of their health and insurance policies so we don't get stuck with one dud. Have state policies that work locally even as they *gasp* might not match what is done in another state on the other side of the continent.

---

Ok, let's start that we ALL agree that we have a bloated beast that is not serving anyone well. No one on this site is defending the status quo or even the Medical Insurance model. So, you guys constantly throwing out there that if we don't agree with you, we are pro-Insurance Company. It is a BS argument and I believe you know it.

The question is between totally private, or some type of Government provided and there are numerous models we don't have to go the worst. The people in Scandinavia seem happy with their system and innovation is still high. You mentioned Aussie, I have never heard any of the Aussies or New Zealanders I know complain of their system. Canada is a bit too socialist for me, you lose any efficiencies.

I am a fan of Revenue Agencies and Utilities. Both have Government oversight, regulation and standards, but have to operate wholly on the revenue they produce.

So, with Toll Authorities, Ports or Airways they receive no taxes and have Boards with Government oversight, but are only allowed to operate their roadways. The roadways are better maintained, customer driven and not profit driven. Being revenue driven they push innovations (or at least some do). Everyone pays by law, even the Governor has to pay their tolls. Revenue Agencies are as close to Government run as a Business as you get since there are no taxes paid to them.

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In all cases, government provided healthcare gives too much power to too few. It needs yo be spread out to keep the kleptomaniacs and the megalomaniacs in check. You keep avoiding the problem of single payer policy blunders being massive by nature. There won't be enough checks on it to keep its initial "simplicity" from becoming a bureaucratic nightmare. It's like trying to keep from being robbed by putting all your assets in one fancy treasure chest. It will become a target of thieves.

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EatMoreSalmon said:

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FLBear5630 said:

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EatMoreSalmon said:

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FLBear5630 said:

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EatMoreSalmon said:

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FLBear5630 said:

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J.R. said:

---

The only solution I can come up with is "Single Payer". I think that is the only place to head. The HC Insurance and Pharma Lobby's have done a masterful job coining the phrase "socialized medicine I have lived under a single payer in Europe and it was great. I'm currently under both US HC Thai HC. I wiped out a motorbike on a southern island and had to have a CT and MRI and meds. Hell, I got an MRI and CT within an hour. The care I received in the ER was outstanding. I walked out with all that care and an itemized bill of $1900 which insurance will pay a good portion. We Mercans think we have the"Best" everything which we don't. I love my country, but let's be honest....we have fallen as a power and are a laughing stock.

---

I agree. I think the utility model, single payer or even a Nationalized system is the only way to get people health care.

Is it "socialized" under most on here's definition? Yeah, probably. But, I would rather the money go to treating people than Executive Bouses.

Capitalism in this Nation is broke. It is now who you know and patronage. Who do you think is going to re-build Gaza with Kurshner there? Same as who milked Iraq, Cheney and his cronies. At least with Government, we have elections where people at least pretend to have a say...

---

Where does the money go in Canada and the UK? Particularly Canada.

Putting our eggs in one basket like those two will lead to trouble and long term bad decisions. Full on political entities are not who needs to run medicine. People still don't get the services they need, but it just becomes institutionalized with no real chance for private help. The waste and grift in a government run system would be impossible to control. The ones who are supposed to adjudicate such issues will be the ones in control.

Independent medical research will be restricted greatly by the system and/or move to where single payer is not the system.

Most health issues need to be state regulated with entities in place for Federal response and coordination for national emergencies such as a pandemic or biological attack. This would be much more constitutional.

You can trace the high cost of common medical treatments to the 1970's when the move to mandate coverages and who provides insurance began. Once upon a time the regular Joe and Joanne could afford a doctor visit without having to need a copay. Now it is well beyond inflation what an office visit costs, much less the "price tag" on a procedure billed to insurance. The regulation has just encouraged a pricing shell game to make your insurance look better than it really is.

---

Is the current research model working? or are we rewarding treating symptoms. Curing something is not as profitable as keeping someone on meds for 30 years.

We do not reward prevention or cures. We reward keeping people on treatments.

Sp what is the answer? How do we get more healthcare to more people, not less?

---

The current research model can be adjusted by shifting reward toward prevention and cure. But, of course, the plans RFK have put forward to lessen symptom treatment have been met with a lot of resistance by Tempus types. If you want to keep on trucking toward symptom research, then keep trying to "get more healthcare to more people."
Prevention is good, but it is mostly common sense moderation and exercise. Not everyone needs the flu shot, or covid shot, or more than one doctor visit a year to keep up a doctor/patient relationship. If you want people to see a doctor when they need one, quit adding to the system that makes you pay hundreds of dollars a month to get a $35 copay one to four times a year for the healthy. What we have now is just bloating the beast.
Costs will come down with better outcomes if insurance companies and the government quit getting out of their lane. Force hospitals, doctors and clinics to compete with clear and simple pricing along with outcome reporting.
And just in case your ideas and mine are both wrong, let the states each have control of their health and insurance policies so we don't get stuck with one dud. Have state policies that work locally even as they *gasp* might not match what is done in another state on the other side of the continent.

---

Ok, let's start that we ALL agree that we have a bloated beast that is not serving anyone well. No one on this site is defending the status quo or even the Medical Insurance model. So, you guys constantly throwing out there that if we don't agree with you, we are pro-Insurance Company. It is a BS argument and I believe you know it.

The question is between totally private, or some type of Government provided and there are numerous models we don't have to go the worst. The people in Scandinavia seem happy with their system and innovation is still high. You mentioned Aussie, I have never heard any of the Aussies or New Zealanders I know complain of their system. Canada is a bit too socialist for me, you lose any efficiencies.

I am a fan of Revenue Agencies and Utilities. Both have Government oversight, regulation and standards, but have to operate wholly on the revenue they produce.

So, with Toll Authorities, Ports or Airways they receive no taxes and have Boards with Government oversight, but are only allowed to operate their roadways. The roadways are better maintained, customer driven and not profit driven. Being revenue driven they push innovations (or at least some do). Everyone pays by law, even the Governor has to pay their tolls. Revenue Agencies are as close to Government run as a Business as you get since there are no taxes paid to them.

---

In all cases, government provided healthcare gives too much power to too few. It needs yo be spread out to keep the kleptomaniacs and the megalomaniacs in check. You keep avoiding the problem of single payer policy blunders being massive by nature. There won't be enough checks on it to make its initial "simplicity" become a bureaucratic nightmare. It's like trying to keep from being robbed by putting all your assets in one fancy treasure chest. It will become a target of thieves.

---

I agree on most services. Health care and education i believe are different they need to be non-profit oriented. That is why i put them in with public utilities and transportation infrastructure. They are items you need to use and attend, not own and the cost to provide one individual unit is too high for a typical profit based model. The cost for just one appendicitis you pay cash for is too high. Higher education you cant just hire individual teachers for one person. The cost prohibitive infrastructure provides the basis of the product.

Just one view.

BUDOS said:

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Interesting how we seem to avoid studying the countries with better healthcare systems like Australia & the Scandinavian countries and incorporating the best parts of their systems into a revamped one for us.

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It is impossible to compare, small relatively homogenous countries with a much different culture than the United States given our size and diversity. Every large, single-payer system is a disaster.

As I have noted, there must be a trade-off between Quality - Cost - Access. The free market is the only way to get close to maximizing all three.

It's funny because the same folks that claim to want single payer don't want to cut doctors' and nurses' salaries in half. These discussions require logic but too few approach with just emotion.

All we have to do is look at the Somali disaster in Minnesota - imagine the federal government being in charge of health care? Imagine injecting wokeness into health care where care is determined by physical traits and not need ... transplant lists based on race or gender ... priority surgery based on being gay or straight.

Harrison Bergeron said:

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BUDOS said:

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Interesting how we seem to avoid studying the countries with better healthcare systems like Australia & the Scandinavian countries and incorporating the best parts of their systems into a revamped one for us.

---

It is impossible to compare, small relatively homogenous countries with a much different culture than the United States given our size and diversity. Every large, single-payer system is a disaster.

As I have noted, there must be a trade-off between Quality - Cost - Access. The free market is the only way to get close to maximizing all three.

It's funny because the same folks that claim to want single payer don't want to cut doctors' and nurses' salaries in half. These discussions require logic but too few approach with just emotion.

---

You are the king of the False Dilemma.

You can redo Health Care without agreeing to cut Doctors salaries in half.

FLBear5630 said:

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Harrison Bergeron said:

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BUDOS said:

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Interesting how we seem to avoid studying the countries with better healthcare systems like Australia & the Scandinavian countries and incorporating the best parts of their systems into a revamped one for us.

---

It is impossible to compare, small relatively homogenous countries with a much different culture than the United States given our size and diversity. Every large, single-payer system is a disaster.

As I have noted, there must be a trade-off between Quality - Cost - Access. The free market is the only way to get close to maximizing all three.

It's funny because the same folks that claim to want single payer don't want to cut doctors' and nurses' salaries in half. These discussions require logic but too few approach with just emotion.

---

You are the king of the False Dilemma.

You can redo Health Care without agreeing to cut Doctors salaries in half.

---

Okay. Lay it out.

hank, all we hear from you is why things suck. No plan to improve. just carp and moan whilst in ur cube farm.

The result of an overwhelmed system is what has come to be euphemistically known as "corridor care."

Quote:

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The stats also showed that A&E departments are experiencing "worryingly high" levels of corridor care and demand heading into winter.
In November, some 50,468 people waited 12 hours or more in emergency departments, often on trolleys in corridors. This is the highest on record for that time of year. Some 2.35 million people went to A&E in November, the highest on record for that month.

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Socialized Medicine Falling Apart in the UK

J.R. said:

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hank, all we hear from you is why things suck. No plan to improve. just carp and moan whilst in ur cube farm.

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So, no one on this board has Obamacare? Assman? I find it hard to believe no one has it.

J.R. said:

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J.R. said:

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hank, all we hear from you is why things suck. No plan to improve. just carp and moan whilst in ur cube farm.

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So, no one on this board has Obamacare? Assman? I find it hard to believe no one has it.

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Too darned expensive for what you get. Currently on MediShare bill sharing. That's even too much, but the system won't let me do much else.

J.R. said:

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J.R. said:

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hank, all we hear from you is why things suck. No plan to improve. just carp and moan whilst in ur cube farm.

---

So, no one on this board has Obamacare? Assman? I find it hard to believe no one has it.

---

No, we only want to take it away from those that do use it, in the name of financial responsibility. We haven't really worried about that with many other subsidies, except for Medicaid.

Health care and Student loans, that is where the line must be held... Everything else is ok to spend on.

Interesting story. I split time living between Bangkok and Dallas. While I do realize it isn't apples and apples as to size of country, but the HC in Thailand is so, so much better than the US for a vast majority of issues. Since I go back and forth, I pay US insurance and Thai insurance. The full monty in Thailand which includes physicals, normal stuff, I pay $80/month. If I lived here full time, I'd be thrilled with the level of care. I wiped out a motorbike in Ko Lanta and had go to the ER. Long story short. I got and MRI, CT, Clean up, 5 prescriptions and the bill was $1850.00 which is will get back. Hell, you cant get a CT or MRI same day and $1000 for both. That is $25K easy in the US. Suffice it to say, our HC is a disaster.

Harrison Bergeron said:

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FLBear5630 said:

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Harrison Bergeron said:

---

BUDOS said:

---

Interesting how we seem to avoid studying the countries with better healthcare systems like Australia & the Scandinavian countries and incorporating the best parts of their systems into a revamped one for us.

---

It is impossible to compare, small relatively homogenous countries with a much different culture than the United States given our size and diversity. Every large, single-payer system is a disaster.

As I have noted, there must be a trade-off between Quality - Cost - Access. The free market is the only way to get close to maximizing all three.

It's funny because the same folks that claim to want single payer don't want to cut doctors' and nurses' salaries in half. These discussions require logic but too few approach with just emotion.

---

You are the king of the False Dilemma.

You can redo Health Care without agreeing to cut Doctors salaries in half.

---

Okay. Lay it out.

---

Sorry - did you forgot to post your solution that is not just trillions in kickbacks to Big Insurance?

ObamaCare Is a Money Pit for Taxpayers @WSJ @WSJopinion

"Using health insurers’ mandatory filings, our study, published Friday in JAMA Health Forum, shows that the ObamaCare individual market has become a money pit for taxpayers. In 2024 they paid nearly 80% of the premiums for… https://t.co/VfQGTwO5Lp pic.twitter.com/xRIPBOpJQc

— Ge Bai (@GeBaiDC) December 30, 2025

so, no one in on Obamacare on this board? I really find that hard to believe.

J.R. said:

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so, no one in on Obamacare on this board? I really find that hard to believe.

---

Just killing it and leaving people handle the tab is this boards preferred option.

Harrison Bergeron said:

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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.

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.

---

I'm not saying you are the voice of reason, perhaps a voice of reason. Over the last 50 years or so politics has moved so far away from reason that it has become a wee, small voice calling in the wilderness during a howling windstorm.

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.

---

Thank you for posting something that makes sense. What is the solution? I do not know, there were some good ideas on here yesterday that I hope are part of it. But, Congress has to solve this, not Milton Friedman or idealistic philosophers. AND they can't just kill what is existing with no other answers.

Assman, you are on govt cheddar, how about Obama Care or govt HC? Historian?

damn, I just love the hypocrisy of you maggot turds. you guys will lambast Ocare till the cows come home, but none of you have an answer or plan. The congress sure doesn't. So, we got Assman down for ACA, just glad you magites don't get any subsidies via employer or govt.

Harrison Bergeron said:

---

Harrison Bergeron said:

---

FLBear5630 said:

---

Harrison Bergeron said:

---

BUDOS said:

---

Interesting how we seem to avoid studying the countries with better healthcare systems like Australia & the Scandinavian countries and incorporating the best parts of their systems into a revamped one for us.

---

It is impossible to compare, small relatively homogenous countries with a much different culture than the United States given our size and diversity. Every large, single-payer system is a disaster.

As I have noted, there must be a trade-off between Quality - Cost - Access. The free market is the only way to get close to maximizing all three.

It's funny because the same folks that claim to want single payer don't want to cut doctors' and nurses' salaries in half. These discussions require logic but too few approach with just emotion.

---

You are the king of the False Dilemma.

You can redo Health Care without agreeing to cut Doctors salaries in half.

---

Okay. Lay it out.

---

Sorry - did you forgot to post your solution that is not just trillions in kickbacks to Big Insurance?

---

Sorry - did you forgot to post your solution that is not just trillions in kickbacks to Big Insurance?

If not for me, do it for Captain Quick Stop. He seems really invested.

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.

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?

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.

---

When Republicans had a chance before, Twiter was pure left wing dribble. Legacy media one sided hate was pure evil on the ariwaves. The whole nation's mindset was trending liberal. Never would have worked.

Quote:

---

Regarding salaries, compare the U.S. to the world and you can start to see the problem.

---

Physician Salaries By Country

Not really. Most first world countries are in the same general area.

All our salaries are higher. Physicians, lawyers, etc.

Now do C-suite minions.

Realitybites said:

---

Quote:

---

Regarding salaries, compare the U.S. to the world and you can start to see the problem.

---

Physician Salaries By Country

Not really. Most first world countries are in the same general area.

All our salaries are higher. Physicians, lawyers, etc.

Now do C-suite minions.

---

Thank you for agreeing and proving my point. Nice to not have to argue the Earth is round for once.

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.

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.

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.

---

Oh sweetie. Bless your heart. Your posts are adorable. It's so cute you think they're compelling.

Harrison Bergeron 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.

---

Oh sweetie. Bless your heart. Your posts are adorable. It's so cute you think they're compelling.

---

Yawn... Time foe ignore. I dont tolerate fools.

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

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.

since NONE of you good folks are in on the HCA or Medicaid, you shouldn't ***** about people who are on it till be have a better system.

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.

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.