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1/25/2017 2:15:13 PM Repealing the Affordable Care Act will kill... | Page 2  
alls_fair
Over 10,000 Posts!!! (29,562)
Thorlákshöfn
Iceland
97, joined May. 2011


Quote from nuffan:
That would be a FORM of the existing ACA...

You over simplify the issue...

Your plan which sounds like you want some different wording in the ACA is still for profit Insurance between the consumer and the doctor (provider)

but in the end you have either a form of ACA or you have a single payer system...

There is no other OPTION...

Private for Profit Insurance...or Medicare for all...

FOR PROFIT Healthcare Insurance needs regulation BECAUSE they will choose profit over the health of their customers EVERY TIME...This is why the ACA was created to avoid going into single payer where politicians would not get paid off from a for profit industry...

Changing the ACA is STILL the ACA...

And the things you think you can simply change can not work the way you want...

You can not remove the mandate (or the penalty for non-compliance) and expect the industry to maintain the pre-existing regulation...

PEOPLE will just wait until diagnosed and then go get insurance that they can not be turned down for...


While I agree the mandate is in my mind unconstitutional...it is the only way address the regulation...

Expanding Medicare to cover all citizens is a much better way to address healthcare...

Service Providers get paid...Billions in profits for an arbitrary middle man are removed....and cost comes down...


You have overlooked the nonprofit model Lad...

While it would NOT be a panacaea, it would be a far sight better than the current welfare for the rich model!

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1/25/2017 4:24:59 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from alls_fair:
You have overlooked the nonprofit model Lad...

While it would NOT be a panacaea, it would be a far sight better than the current welfare for the rich model!


The ACA is a Insurance regulation...KEYWORD Insurance...

Medicare for all is the non profit solution to Insurance...

Moving the Healthcare Delivery into non profit is not an option...unless you want VA for all...

1/25/2017 5:35:37 PM Repealing the Affordable Care Act will kill... | Page 2  
alls_fair
Over 10,000 Posts!!! (29,562)
Thorlákshöfn
Iceland
97, joined May. 2011


Quote from nuffan:
The ACA is a Insurance regulation...KEYWORD Insurance...

Medicare for all is the non profit solution to Insurance...

Moving the Healthcare Delivery into non profit is not an option...unless you want VA for all...


The overwhelming majority of US hospitals are nonprofit!

It is VERY workable...

1/25/2017 5:54:29 PM Repealing the Affordable Care Act will kill... | Page 2  
thread_killer
Turin, GA
22, joined Sep. 2016


Quote from alls_fair:
...more than 43,000 people annually

https://www.washingtonpost.com/amphtml/posteverything/wp/2017/01/23/repealing-the-affordable-care-act-will-kill-more-than-43000-people-annually/

That ^^^ is a headline to a story in the Washington Post. I didn't bother to read the rest of the garbage. The sum of it is propaganda and little else!


43,000?
That's a damn good start.

1/25/2017 6:21:23 PM Repealing the Affordable Care Act will kill... | Page 2  

cinnamonnhaze
Over 2,000 Posts (2,330)
Minneapolis, MN
53, joined Apr. 2014


Quote from alls_fair:
Repealing samBROcare will NOT kill a single soul...

You forget that the overwhelming majority of the hospitals in the US are nonprofit organizations. And there are standing orders in FED'RAL legislation that people must be treated regardless of their ability to pay...

Any insinuation that people will be dying in the streets is just f**king ludicrous!




You really don't get how that whole "must be treated" thing works, do you?

Let me explain. The ER must check you in (give you a bracelet & make you sign on the dotted line), but the quality of care you get without insurance coverage is far different than what you get if you can flip out that little card.

Trust me, I know. When Dub-ya tanked the economy, the last thing we could afford was COBRA.
I got really really sick. I finally ended up covered from head to toe in hives. My throat was swelling shut. (Keep in mind, I'm in the country.)
My husband had to drive me (like a crazy NYC taxi driver) to 3 different ER's before we could find ONE to give me the life saving epinephrine shot I needed. That's it. Just a shot of epi.

I nearly did die that day.

And about that treatment you all assume is "FREE". Oh no it's not!
I got 3 ER bills. Even the hospitals that wouldn't treat me managed to bill me.

There is no "free" treatment. Why do you think so many people end up filing bankruptcy for medical debt?
If ER's were "free" everyone would be going there.

Instead people without health care wait & wait & wait until an inexpensive preventative care measure turns into a life or death situation.

Just thought I should give all you uneducated a "heads up" on what's about to come your way.

Mine was hives. Yours could be a stroke or a heart attack.
Good luck with that.

1/25/2017 6:29:55 PM Repealing the Affordable Care Act will kill... | Page 2  

scarredandtatto
Over 10,000 Posts!!! (36,987)
Oral, SD
51, joined Aug. 2013


It's a disgrace that we still don't have health care for everybody in this country. Ted Kennedy was working on it as far back as the 70s.

1/25/2017 6:36:12 PM Repealing the Affordable Care Act will kill... | Page 2  

cinnamonnhaze
Over 2,000 Posts (2,330)
Minneapolis, MN
53, joined Apr. 2014


That was a part of the worldwide March.
Those other countries have universal health care & they see it as deplorable that the richest country in the world let's our citizens die from things that could have been fixed with preventative care!
???

1/25/2017 6:45:32 PM Repealing the Affordable Care Act will kill... | Page 2  
alls_fair
Over 10,000 Posts!!! (29,562)
Thorlákshöfn
Iceland
97, joined May. 2011


Quote from cinnamonnhaze:
You really don't get how that whole "must be treated" thing works, do you?

Let me explain. The ER must check you in (give you a bracelet & make you sign on the dotted line), but the quality of care you get without insurance coverage is far different than what you get if you can flip out that little card.

Trust me, I know. When Dub-ya tanked the economy, the last thing we could afford was COBRA.
I got really really sick. I finally ended up covered from head to toe in hives. My throat was swelling shut. (Keep in mind, I'm in the country.)
My husband had to drive me (like a crazy NYC taxi driver) to 3 different ER's before we could find ONE to give me the life saving epinephrine shot I needed. That's it. Just a shot of epi.

I nearly did die that day.

And about that treatment you all assume is "FREE". Oh no it's not!
I got 3 ER bills. Even the hospitals that wouldn't treat me managed to bill me.

There is no "free" treatment. Why do you think so many people end up filing bankruptcy for medical debt?
If ER's were "free" everyone would be going there.

Instead people without health care wait & wait & wait until an inexpensive preventative care measure turns into a life or death situation.

Just thought I should give all you uneducated a "heads up" on what's about to come your way.

Mine was hives. Yours could be a stroke or a heart attack.
Good luck with that.


It worked...however inconvenient!



1/25/2017 6:47:38 PM Repealing the Affordable Care Act will kill... | Page 2  
alls_fair
Over 10,000 Posts!!! (29,562)
Thorlákshöfn
Iceland
97, joined May. 2011


Quote from scarredandtatto:
It's a disgrace that we still don't have health care for everybody in this country. Ted Kennedy was working on it as far back as the 70s.


It's a disgrace that you think welfare for the rich and politicizing the entire US health care is somehow sane...



1/25/2017 6:52:20 PM Repealing the Affordable Care Act will kill... | Page 2  

scarredandtatto
Over 10,000 Posts!!! (36,987)
Oral, SD
51, joined Aug. 2013


Quote from alls_fair:
It's a disgrace that you think welfare for the rich and politicizing the entire US health care is somehow sane...




Why? F**k the poor? F**k the unfortunate? Aren't you supposed to be the GOD FEARING, do gooder party?!

That's mighty Christian of you.



1/25/2017 8:39:04 PM Repealing the Affordable Care Act will kill... | Page 2  

cinnamonnhaze
Over 2,000 Posts (2,330)
Minneapolis, MN
53, joined Apr. 2014


Quote from alls_fair:
It worked...however inconvenient!




If you call 11 hours of suffering & gasping for air as my husband thought I was going to die with each drive to the next ER......
FOR 5 BUCKS WORTH OF EPINEPHRINE !!!!

If you think "that works" come & let me shove a bag of cotton balls down your throat & drive you around for 1/2 a day.

It will be a blast!!!!!!!!!!!!!!!!!





And why are you even posting. You have health care in your country.
Nothing to whine about over there, right?

1/25/2017 9:37:58 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from alls_fair:
The overwhelming majority of US hospitals are nonprofit!

It is VERY workable...





I work for the Number three non profit...

While the facilities are not for profit, the medical groups (doctors) are for profit...

Kaiser Foundation Health Plan is also not for profit Insurance...the Permanente Medical Group is for profit...

So the idea of these not for profit Hospital systems are some form of universal healthcare is a fallacy...

They are not for profit facilities supported by for profit medical groups...

It is cheaper to operate this way...but these are not VA type hospitals or county hospitals under-funded by tax revenues...

1/25/2017 9:40:44 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


There are also Children's hospitals not for profit funded by community donations...

But these are not models for solving national healthcare issues...

1/25/2017 9:43:57 PM Repealing the Affordable Care Act will kill... | Page 2  
annamally
Over 10,000 Posts!!! (11,896)
Santa Clarita, CA
97, joined Feb. 2013


Quote from alls_fair:
It worked...however inconvenient!



Cinnamon is FULL OF SHIT ! NO ER would have turned her away ! LIAR !

And every ER is FULL of illegal aliens who will never pay a dime for their care .

1/25/2017 9:49:23 PM Repealing the Affordable Care Act will kill... | Page 2  

thunderpump
Over 2,000 Posts (3,509)
Tacoma, WA
53, joined Dec. 2009


Quote from cinnamonnhaze:
Those other countries have universal health care & they see it as deplorable that the richest country in the world let's our citizens die from things that could have been fixed with preventative care!
???

Sorry about your allergic reaction to hives or whatever. But what a major cause of bad health is the medicine that people don't take but is often right in front of their unbelieving eyes and mouth;; that is FOOD. FOOD is medicine or it could be poison if too adulterated or starchy, sugary or carbohydrate. Not so simple, but in a nutshell ffod is medicine and can be preventive so that no doctor or healthcare is necessary. That is in general and there are exemptions in every situation. Some people are cursed with bad genes or whatever.

I tell you I have cut back on Cola Much and dropped potatoes and corn to a standstill as much as I can, though manufacturers sneak it in all kinds of processed foods.

Herbs an blueberries would clean you out so doctor Thunder would never have to give you an enema even though that might be fun.

1/25/2017 9:53:53 PM Repealing the Affordable Care Act will kill... | Page 2  

lobo_corazon
Over 10,000 Posts!!! (37,308)
Orleans, ON
47, joined May. 2008
online now!


Quote from nuffan:
The ACA is a Insurance regulation...KEYWORD Insurance...

Medicare for all is the non profit solution to Insurance...

Moving the Healthcare Delivery into non profit is not an option...unless you want VA for all...

The whole developed world delivers healthcare via a public/non-profit system. (Obviously doctors and nurses get paid... Stockholders do not.)

So how do you figure it's "not an option"? You mean because the profiteers will never allow it?

1/25/2017 10:17:46 PM Repealing the Affordable Care Act will kill... | Page 2  

lobo_corazon
Over 10,000 Posts!!! (37,308)
Orleans, ON
47, joined May. 2008
online now!


Quote from nuffan:
There are also Children's hospitals not for profit funded by community donations...

But these are not models for solving national healthcare issues...

You really seem confused on what this "for profit" thing is and isn't.

Not-for-profit is not the same thing as volunteer. The hospitals in every other developed country are not run to make a profit which would then be paid out in dividends to stockholders if they were a for-profit corporation. They have a budget, and they spend that budget on equipment, staff salaries, etc. There is no accumulation of profit, as there is in an American insurance company or HMO.

There are some terrific side-effects of this lack of profit motive. Doctors and nurses have an incentive to cure patients, not to keep them coming back for repeat business. And, of course it's cheaper, because we don't have the layers upon layers of profiteers leeching out of the system...And "growth" isn't a goal, unlike every for-profit corporation - In healthcare growth either means more sick people, or forcing each sick person to pay more. That kind of thing.

1/25/2017 10:23:34 PM Repealing the Affordable Care Act will kill... | Page 2  

cinnamonnhaze
Over 2,000 Posts (2,330)
Minneapolis, MN
53, joined Apr. 2014


^^^^^
Nice post!

I don't think the majority of Americans (& none of the trump supporters) seem to understand that.

Curing people? What a concept?

1/26/2017 12:52:01 AM Repealing the Affordable Care Act will kill... | Page 2  
alls_fair
Over 10,000 Posts!!! (29,562)
Thorlákshöfn
Iceland
97, joined May. 2011


Quote from annamally:
Cinnamon is FULL OF SHIT ! NO ER would have turned her away ! LIAR !

And every ER is FULL of illegal aliens who will never pay a dime for their care .


It's her lie...

She can tell it howe'er she wants!



1/26/2017 1:14:46 AM Repealing the Affordable Care Act will kill... | Page 2  
alls_fair
Over 10,000 Posts!!! (29,562)
Thorlákshöfn
Iceland
97, joined May. 2011


Quote from nuffan:
I work for the Number three non profit...

While the facilities are not for profit, the medical groups (doctors) are for profit...

Kaiser Foundation Health Plan is also not for profit Insurance...the Permanente Medical Group is for profit...

So the idea of these not for profit Hospital systems are some form of universal healthcare is a fallacy...

They are not for profit facilities supported by for profit medical groups...

It is cheaper to operate this way...but these are not VA type hospitals or county hospitals under-funded by tax revenues...


I will take your expertise under advisement...

But I still disagree...

When I 'tended grajeate schoo', one of the perfessor's daughters attended medical school. She subsequently married another medical student. They collectively graduated $500,000 in debt. That does NOT include licensing, medical malpractice insurance, start up costs or staffing (which is made even more expensive by being forced to keep insurance paper shufflers on staff). I don't suppose you see the beginning of problem here??!

If a doctor is paid $250,000/year by a nonprofit or $250,000/yr by a for profit, I am still coming up with $250,000/year...

Nonprofit is the ONLY model!

1/26/2017 6:33:10 AM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from alls_fair:
I will take your expertise under advisement...

But I still disagree...

When I 'tended grajeate schoo', one of the perfessor's daughters attended medical school. She subsequently married another medical student. They collectively graduated $500,000 in debt. That does NOT include licensing, medical malpractice insurance, start up costs or staffing (which is made even more expensive by being forced to keep insurance paper shufflers on staff). I don't suppose you see the beginning of problem here??!

If a doctor is paid $250,000/year by a nonprofit or $250,000/yr by a for profit, I am still coming up with $250,000/year...

Nonprofit is the ONLY model!



That education and Malpractice insurance are inflated?

How does non profit healthcare solve that?

The services should be for profit...this creates competition...

The insurance should be non profit...which is single payer...

1/26/2017 6:57:43 AM Repealing the Affordable Care Act will kill... | Page 2  
alls_fair
Over 10,000 Posts!!! (29,562)
Thorlákshöfn
Iceland
97, joined May. 2011


Can you show me where competition has improved health care???

There is more money now than there ever has been in medicine...and the f**king quality is rolling straight down hill like a snow ball headed for hell!

"We need to run more tests"...before we can correctly diagnose the 8" chunk of steel stuck your head...



I have moral objections to gouging sick people!

1/26/2017 7:10:21 AM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from alls_fair:
Can you show me where competition has improved health care???

There is more money now than there ever has been in medicine...and the f**king quality is rolling straight down hill like a snow ball headed for hell!

"We need to run more tests"...before we can correctly diagnose the 8" chunk of steel stuck your head...



I have moral objections to gouging sick people!



I did not say it improved healthcare...it does keep cost down (surely you understand when for profits compete prices come down)


And you have not once said where non profit in the healthcare delivery will improve anything...

you claim most hospitals are not for profit then b*tch about where we are with healthcare...then claim it is the direction we should go?

The services should be for profit...The insurance middle men should be removed...

this removes billions in profit from an unnecessary entity between you and your doctor...

1/26/2017 5:13:36 PM Repealing the Affordable Care Act will kill... | Page 2  
alls_fair
Over 10,000 Posts!!! (29,562)
Thorlákshöfn
Iceland
97, joined May. 2011


Quote from lobo_corazon:
You really seem confused on what this "for profit" thing is and isn't.

Not-for-profit is not the same thing as volunteer. The hospitals in every other developed country are not run to make a profit which would then be paid out in dividends to stockholders if they were a for-profit corporation. They have a budget, and they spend that budget on equipment, staff salaries, etc. There is no accumulation of profit, as there is in an American insurance company or HMO.

There are some terrific side-effects of this lack of profit motive. Doctors and nurses have an incentive to cure patients, not to keep them coming back for repeat business. And, of course it's cheaper, because we don't have the layers upon layers of profiteers leeching out of the system...And "growth" isn't a goal, unlike every for-profit corporation - In healthcare growth either means more sick people, or forcing each sick person to pay more. That kind of thing.


I will be damned!

After years of nonstop disagreement, we finally ALMOST agree on something. I say almost because you used the dirty word "public" in the post above the one quoted...

1/26/2017 5:55:51 PM Repealing the Affordable Care Act will kill... | Page 2  

lobo_corazon
Over 10,000 Posts!!! (37,308)
Orleans, ON
47, joined May. 2008
online now!


Quote from nuffan:
I did not say it improved healthcare...it does keep cost down (surely you understand when for profits compete prices come down)

Obviously it doesn't work in for-profit healthcare, or your healthcare cost wouldn't be double what the rest of the developed world pays per capita... Right?

When you arrive in the ER unconscious from a car accident and needing surgery, do you haggle with the doctor about price and threaten to take your business elsewhere?

1/26/2017 6:02:53 PM Repealing the Affordable Care Act will kill... | Page 2  

lobo_corazon
Over 10,000 Posts!!! (37,308)
Orleans, ON
47, joined May. 2008
online now!


Quote from nuffan:
That education and Malpractice insurance are inflated?

How does non profit healthcare solve that?

Med school prices in the US are inflated because the whole healthcare industry is inflated. Doctors have an expectation (rightly or wrongly) that their MD degree is the key to vast riches, so the price of the degree goes up.

Malpractice insurance is inflated because the insurance industry is flush with money and happy to settle and pass the cost on to rate-payers with higher premiums.

In Canada if some ER doctor sews a scalpel up in your chest cavity, it's treated as the accident it is. Not an opportunity to get rich quick by suing the hospital, because the money for any settlement would come from innocent taxpayers. It wouldn't even have a "punitive" effect, because the money isn't the hospital's to lose.

Of course it's basically the same thing with insurance premium hikes levied on rate-payers who had nothing to do with the misplaced tool, but Americans seem to look past that... Maybe because they are secretly hoping that they'll be the next one to win the malpractice lottery?

1/26/2017 6:14:04 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from lobo_corazon:
You really seem confused on what this "for profit" thing is and isn't.

Not-for-profit is not the same thing as volunteer. The hospitals in every other developed country are not run to make a profit which would then be paid out in dividends to stockholders if they were a for-profit corporation. They have a budget, and they spend that budget on equipment, staff salaries, etc. There is no accumulation of profit, as there is in an American insurance company or HMO.

There are some terrific side-effects of this lack of profit motive. Doctors and nurses have an incentive to cure patients, not to keep them coming back for repeat business. And, of course it's cheaper, because we don't have the layers upon layers of profiteers leeching out of the system...And "growth" isn't a goal, unlike every for-profit corporation - In healthcare growth either means more sick people, or forcing each sick person to pay more. That kind of thing.



I am not at all confused...

Wellstar is a for profit hospital...Kaiser Permanente is a not for profit hospital...

and just as you state the difference is share holders vs no share holders...


I have compiled the daily census cost from both every year for over 20 years...

And what is true is for OB/GYN bed type the per diem is essentially the same...

same for surgical...same for medical...

transplant is a little higher in the for profit numbers but not significantly higher...

and for mental health bed type the not for profit are actually a little higher...

IE the cost per day for bed types is extremely uniform...

what you see a little difference in is average length of stay is about .75 days higher on the for profit side...but the reason for this is the competition...Hospital systems do compete in populated areas...and the non profits are competing with the for profits for business...

Most insurers use RBRVS (Resource Based Relative Value System) same exact methodology used by Medicare when approving cost for procedures...

IE What Aetna will approve for a procedure is the same as what Medicare approves...

A surgical procedure with a diagnosis code (ICD10) of 110.9 will pay x dollars in San Fransisco...and x dollars in Chicago...They line up in general but vary based on cost of living in a particular area...

The battle becomes what procedures are necessary to meet the patient care needs...

And in general you would think the doctor knows better than the underwriter at the insurance corp....lol

and the same battles go on with Medicare...lol

only difference is there is not billions of dollars allocated to a non essential middle man...

1/26/2017 6:20:45 PM Repealing the Affordable Care Act will kill... | Page 2  

cinnamonnhaze
Over 2,000 Posts (2,330)
Minneapolis, MN
53, joined Apr. 2014


^^^^^^
Until you get the bill, babe.

Until you get the "actual" bill.




You're basing medical shit the same way you're calculating a car repair estimate?
How has THAT worked out for you?

1/26/2017 6:24:41 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from cinnamonnhaze:
^^^^^^
Until you get the bill, babe.

Until you get the "actual" bill.




You're basing medical shit the same way you're calculating a car repair estimate?
How has THAT worked out for you?



No I am looking at actual billed and paid amounts...



[Edited 1/26/2017 6:24:58 PM ]

1/26/2017 6:27:56 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Hospitals operate on referrals...They do not do much without that referral...as it is the authorization from the payer for the services...

Your insurance company knows in general what your appendix surgery is going to cost before it is scheduled...lol

1/26/2017 6:31:32 PM Repealing the Affordable Care Act will kill... | Page 2  
annamally
Over 10,000 Posts!!! (11,896)
Santa Clarita, CA
97, joined Feb. 2013


Quote from nuffan:
Hospitals operate on referrals...They do not do much without that referral...as it is the authorization from the payer for the services...

Your insurance company knows in general what your appendix surgery is going to cost before it is scheduled...lol


Um .... No , illegal aliens just walk right into the closest ER with every sniffel .



[Edited 1/26/2017 6:32:02 PM ]

1/26/2017 6:34:41 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from annamally:
Um .... No , illegal aliens just walk right into the closest ER with every sniffel .


care mandates keep them in the ER and out of admissions...

1/26/2017 6:36:54 PM Repealing the Affordable Care Act will kill... | Page 2  

cinnamonnhaze
Over 2,000 Posts (2,330)
Minneapolis, MN
53, joined Apr. 2014


Kiss my ass, Anal-me!

I was sent away from TWO ER hospitals & all I needed was an epi shot.

I still have both letters from disputing the bills.

Those aren't the only horror stories I have from ER's.

Let me know when you have the time to tell you about how I nearly bled to death in the PUBLIC BATHROOM while having a miscarriage & I was escorted OUT of the ER facility.
My husband refused to bring me home because I was hemorrhaging. They shuffled me into a PUBLIC UNI-SEX bathroom & handed my husband a bucket & a mop. Where's your "bleeding PRO LIFE heart" on that one???

You want another story? I have several. My mothers BROKEN NECK. A migraine that broke blood vessels in my eye. There are a few more.

Just let me know. I've kept ALL the bills from all the non-care I was billed for.

Now I sue.

1/26/2017 6:38:03 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


But it is not just illegals...uninsured american citizens also show up at ER's....


And either Medicaid picks up the bill or it is spread across the cost of our services...raising our cost...the ones who actually take responsibility to maintain healthcare coverage...

1/26/2017 6:40:17 PM Repealing the Affordable Care Act will kill... | Page 2  

cinnamonnhaze
Over 2,000 Posts (2,330)
Minneapolis, MN
53, joined Apr. 2014


Tell that ANAL B*TCH to either unblock me or stop peeking in like a chicken shit.

I'll tell the little b*tch exactly what happens if you lapse in health care coverage.

And NO! It is not FREE!!!

1/26/2017 6:50:50 PM Repealing the Affordable Care Act will kill... | Page 2  
alls_fair
Over 10,000 Posts!!! (29,562)
Thorlákshöfn
Iceland
97, joined May. 2011


I continue to read along and learn...



1/26/2017 6:54:22 PM Repealing the Affordable Care Act will kill... | Page 2  

scarredandtatto
Over 10,000 Posts!!! (36,987)
Oral, SD
51, joined Aug. 2013


Quote from cinnamonnhaze:
Tell that ANAL B*TCH to either unblock me or stop peeking in like a chicken shit.





Search her name. When it comes up, you can block her also.

1/26/2017 7:03:11 PM Repealing the Affordable Care Act will kill... | Page 2  

lobo_corazon
Over 10,000 Posts!!! (37,308)
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Quote from nuffan:
No I am looking at actual billed and paid amounts...

Now compare with the same treatment in Canada, Germany, etc.

1/26/2017 7:39:17 PM Repealing the Affordable Care Act will kill... | Page 2  

thunderpump
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Tacoma, WA
53, joined Dec. 2009


Quote from cinnamonnhaze:
Kiss my ass, Anal-me!

God help me I wood.



1/26/2017 7:43:57 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
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Quote from lobo_corazon:
Now compare with the same treatment in Canada, Germany, etc.


I do not have data for those countries....nor would it matter...the point was the cost of service between not for profit and for profit does not vary greatly as it is mostly pre-negotiated based on RBRVS...

1/26/2017 7:57:38 PM Repealing the Affordable Care Act will kill... | Page 2  
alls_fair
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Thorlákshöfn
Iceland
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Quote from nuffan:


Most insurers use RBRVS (Resource Based Relative Value System) same exact methodology used by Medicare when approving cost for procedures...


In this post, you cite the demon as insurance actuaries...

In another, you cite doctors as the culprit...

Which is it??!

The reference to RBRVS above, if I understand it correctly, is the VERY reason that non profit insurers will fail in terms of making prices reasonable before they even begin. I agree that it would be a lesser evil than we currently have. However, I continue to advocate vigorously for the COMPLETE removal of paper pushing...I mean...insurance companies!

Catastrophic insurance offerings seem to make intuitive sense. The price fixing scam underway prevents that from happening though...

1/26/2017 8:21:20 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from alls_fair:
In this post, you cite the demon as insurance actuaries...

In another, you cite doctors as the culprit...

Which is it??!

The reference to RBRVS above, if I understand it correctly, is the VERY reason that non profit insurers will fail in terms of making prices reasonable before they even begin. I agree that it would be a lesser evil than we currently have. However, I continue to advocate vigorously for the COMPLETE removal of paper pushing...I mean...insurance companies!

Catastrophic insurance offerings seem to make intuitive sense. The price fixing scam underway prevents that from happening though...



RBRVS is essentially price oversight...

WE are talking about insurance the two choices are for profit (what we have) or single payer (medicare for all) both will pay a for profit healthcare delivery the same exact way...one keeps billions for share holders the other does not...

why is that so hard to grasp...



[Edited 1/26/2017 8:22:19 PM ]

1/26/2017 8:22:59 PM Repealing the Affordable Care Act will kill... | Page 2  
annamally
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Santa Clarita, CA
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Quote from thunderpump:
God help me I wood.



Ewwwwwww .... She has a nasty a** !

If you find it necessary ..... Wear a blindfold .



[Edited 1/26/2017 8:24:53 PM ]

1/26/2017 8:42:53 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from alls_fair:
In this post, you cite the demon as insurance actuaries...

In another, you cite doctors as the culprit...

Which is it??!

The reference to RBRVS above, if I understand it correctly, is the VERY reason that non profit insurers will fail in terms of making prices reasonable before they even begin. I agree that it would be a lesser evil than we currently have. However, I continue to advocate vigorously for the COMPLETE removal of paper pushing...I mean...insurance companies!

Catastrophic insurance offerings seem to make intuitive sense. The price fixing scam underway prevents that from happening though...



Actually you do not understand it at all...

Insurance profit comes from those who rarely need services..The concept is to spread the cost across all premiums received...

RBRVS deals with what the service provider will be paid...

Catastrophic is over priced individual plans...it is a gold mine for insurance corporations...most all their liability is covered unless you are in the hospital a very substantial amount of time...

1/26/2017 8:45:25 PM Repealing the Affordable Care Act will kill... | Page 2  
mysinglelife2
Over 2,000 Posts (2,154)
Waterford, CT
59, joined Aug. 2014


Quote from lobo_corazon:
The whole developed world delivers healthcare via a public/non-profit system. (Obviously doctors and nurses get paid... Stockholders do not.)

So how do you figure it's "not an option"? You mean because the profiteers will never allow it?


Pretty much. I don't see this happening as the profiteers are in our white house!

1/26/2017 8:46:22 PM Repealing the Affordable Care Act will kill... | Page 2  
annamally
Over 10,000 Posts!!! (11,896)
Santa Clarita, CA
97, joined Feb. 2013


Quote from nuffan:
But it is not just illegals...uninsured american citizens also show up at ER's....


And either Medicaid picks up the bill or it is spread across the cost of our services...raising our cost...the ones who actually take responsibility to maintain healthcare coverage...


So , we pay for the illegals ..... Build that wall !

1/26/2017 8:50:01 PM Repealing the Affordable Care Act will kill... | Page 2  

lobo_corazon
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Orleans, ON
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Quote from nuffan:
I do not have data for those countries....nor would it matter...the point was the cost of service between not for profit and for profit does not vary greatly as it is mostly pre-negotiated based on RBRVS...

The prices you are talking about are set by for-profit insurance companies. The providers just charge the maximum they can charge, naturally.

The whole system has to be not-for-profit vertically in order to realize the big savings. As long as insurance co's can just jack up prices and pass the cost on to rate-payers who are forced to pay by having their wages garnisheed, the system is bound to be "fat".

1/26/2017 9:09:30 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from lobo_corazon:
The prices you are talking about are set by for-profit insurance companies. The providers just charge the maximum they can charge, naturally.

The whole system has to be not-for-profit vertically in order to realize the big savings. As long as insurance co's can just jack up prices and pass the cost on to rate-payers who are forced to pay by having their wages garnisheed, the system is bound to be "fat".



You simply do not understand what I am talking about...

And for the record RBRVS was created by CMS (Center for Medicare Services) and is used in both directions...the battle between service providers and insurance companies has gone on for decades...

Both Medicare and Private Insurance work because they spread cost across lots of people paying in...

The difference is none of the money getting paid into medicare goes to share holders...

The service providers should be allowed to profit...

In the USA all that needs to happen is cutting out the additional layer of profit going to private insurance companies...

1/26/2017 10:25:59 PM Repealing the Affordable Care Act will kill... | Page 2  

lobo_corazon
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*facepalm*

As long as the service providers are allowed to profit, you will have profiteers forcing doctors to act against their patients' best interests - Treating symptoms instead of curing the disease, pushing inferior products that have a higher profit margin or better kickbacks, prescribing unnecessary tests or surgeries, etc.

What is the free market value of your child's life? Primary healthcare cannot ever be cost-effective in a capitalist model because it's just too easy to gouge.

1/27/2017 4:34:17 AM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from lobo_corazon:
*facepalm*

As long as the service providers are allowed to profit, you will have profiteers forcing doctors to act against their patients' best interests - Treating symptoms instead of curing the disease, pushing inferior products that have a higher profit margin or better kickbacks, prescribing unnecessary tests or surgeries, etc.

What is the free market value of your child's life? Primary healthcare cannot ever be cost-effective in a capitalist model because it's just too easy to gouge.



Total ignorance...

Anytime there is a profit involved it begets EVIL....lol

Competition solves this...

Doctor A) treats you driven by profit... Doctor B) cures you...

Think Doctor A) will stay in practice for long?

Your problem is your scenario requires collusion of all doctors...

1/27/2017 4:55:20 PM Repealing the Affordable Care Act will kill... | Page 2  
alls_fair
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Thorlákshöfn
Iceland
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Quote from nuffan:
RBRVS is essentially price oversight...

WE are talking about insurance the two choices are for profit (what we have) or single payer (medicare for all) both will pay a for profit healthcare delivery the same exact way...one keeps billions for share holders the other does not...

why is that so hard to grasp...


Sooooooo...

My choices are welfare for the rich or gubment bureaucracy???

I am holding out hope for nonprofits because the first two choices are woefully inadequate!

RBRVS is a direct function of insurance companies???

1/27/2017 4:59:13 PM Repealing the Affordable Care Act will kill... | Page 2  
mysinglelife2
Over 2,000 Posts (2,154)
Waterford, CT
59, joined Aug. 2014


I'm sure every participant of the "pro life" march is a vegetarian who opposes capital punishment, has never hunted or fished, pulled weeds from their gardens or set out a mouse trap. I'm sure they all fight for universal healthcare and have adopted unwanted babies. Right???

1/27/2017 5:39:22 PM Repealing the Affordable Care Act will kill... | Page 2  
waltree
Over 1,000 Posts (1,006)
Newton, NC
57, joined Oct. 2013


The Affordable Care Act! Is Not Affordable!

Greed! $$$ Serving Greed Is What Kills Millions, upon millions of Poor underprivileged human beings who Can Not Afford Health Care under this Capitalistic; for Profit System..

1/27/2017 6:13:49 PM Repealing the Affordable Care Act will kill... | Page 2  
61falcon
Over 10,000 Posts!!! (39,414)
New Hope, PA
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Rand Paul came up with his plan yesterday,doesn't seem to have generated much discussion.

1/27/2017 6:15:38 PM Repealing the Affordable Care Act will kill... | Page 2  
61falcon
Over 10,000 Posts!!! (39,414)
New Hope, PA
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Maybe you have failed to notice but MEDICAL CARE, in the good old USA, is not affordable.

1/27/2017 7:12:16 PM Repealing the Affordable Care Act will kill... | Page 2  

longbobby
Over 10,000 Posts!!! (91,594)
Lufkin, TX
56, joined Aug. 2010


Quote from The Minister of Propaganda: Dirty falcon_
Maybe you have failed to notice but MEDICAL CARE, in the good old USA, is not affordable.
-------------------------------------------------------------------

Mine is.



1/28/2017 4:32:31 AM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


Quote from alls_fair:
Sooooooo...

My choices are welfare for the rich or gubment bureaucracy???

I am holding out hope for nonprofits because the first two choices are woefully inadequate!

RBRVS is a direct function of insurance companies???


RBRVS was a price point model created by CMS (Center for Medicare Services)...

To make certain Medicare A) Paid correctly... B) to prevent over billing...

1/28/2017 1:23:00 PM Repealing the Affordable Care Act will kill... | Page 2  

nuffan
Over 4,000 Posts! (5,765)
Kennesaw, GA
53, joined Mar. 2014


@alls_fair

Do you think Medicare does not work...and work well?

I can see the correlation of government bureaucracy to the VA...That is government bureaucracy at it best...Having the Government run the healthcare delivery side is a disaster...

But the insurance side has worked quite well..AKA Medicare...it is efficient...it pays quite well and better than many private insurers do...with less hassle...

About the only REAL tangible difference between Medicare and Private Insurance is the share holder...both have over paid CEO's...lmao

but those share holders each take a piece of billions of dollars annually...that Medicare does not take...