I am hostile to the way it is often used to resist change for the better. The Constitution is subject to interpretation and keeps many lawyers in luxury arguing interminably about minutiae. Have you discovered yet why Johnson was able to get both Medicare and Medicaid through Congress?
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"There is no question former President Trump bears moral responsibility. His supporters stormed the Capitol because of the unhinged falsehoods he shouted into the world’s largest megaphone," McConnell wrote. "His behavior during and after the chaos was also unconscionable, from attacking Vice President Mike Pence during the riot to praising the criminals after it ended."
Althea (03-25-2017)
Is this a joke or do you intend it to be taken seriously? You are short on details.
I think, just about everybody (save for those with chronic/expensive conditions) would take the HSA. What happens when they run out of money and there is none left in the government's pot because only the really bad risks are paying into that?
What does this "private Industry" maintaining the "escrow account" get out of it?
How are you going to control doctors/patients overcharging/overusing?
Leviticus 19:33 And if a stranger sojourn with thee in your land, ye shall not do him wrong. 34 The stranger that sojourneth with you shall be unto you as the homeborn among you, and thou shalt love him as thyself; for ye were strangers in the land of Egypt: I am the LORD your God.
Doctors can 'charge' whatever they want but insurance companies decide how much they get paid. So it's a decidedly an un-free market from their perspective. The exceptions being high-end plastic surgeons whose clientele includes the uber wealthy. Possibly some others I can't think of.
But the cost-side of the equation needs to be approached. I think too much emphasis has been put on the insurance side of it: the cost of health insurance is only a reflection of the cost of healthcare. It's absolutely insane, how expensive even relatively simple procedures have become. Patients 'rent' an operating room by the minute---$20/minute last I heard.
Pharmaceuticals are totally out of hand.
Personally, I think they should loosen up some of the FDA restrictions for new drugs. It has risks, but it should at least be on the table for debate.
Coup has started. First of many steps. Impeachment will follow ultimately~WB attorney Mark Zaid, January 2017
anatta (03-25-2017), cancel2 2022 (03-25-2017)
Yes. That was one of the glaring flaws in Moosecare. He says that when (not if) HSA money dries up, the govt will step in.
Well hell....they'd better be prepared to fund all healthcare then. In essence, his HSA plan is nothing but self funding. That only works when you start with tens of thousands of dollars.
Once in a while you get shown the light, in the strangest of places if you look at it right.
Yes. Drugs drive the costs up more than anything else. Millions of people have never been in a surgical suite, but have hundreds of dollars of meds forced on them each month by complicit, scamming doctors. The problem, as it applies to ACA, is that the crafters of the law (insurance companies) knew that the first 3 to 5 years of the law would yield astronomical claims. That's not rocket science. In exchange for new mandatory minimum coverage, and pre existing conditions, the Feds guaranteed billions in cost sharing, and risk corridor programs.
Thus far, due to cuts by House Republicans, the insurers are owed billions in unpaid guarantees. This was by design in the House. They will continue to pick away at whatever aspects of the law they can, and then claim it was a failure.
The goal was never to create affordable healthcare. It was to do away with the taxes associated with ACA, and move on the more extensive tax cuts. Also...once you remove the ACA taxes, I believe the other 'bucket' issues would be easier to pass via budget reconciliation.
Once in a while you get shown the light, in the strangest of places if you look at it right.
The whole concept behind the ACA was fundamentally flawed and no amount of smoke and mirrors cost shuffling was going to fix it. It was going to wither on the vine with or without republicans help.
I'm wary of comprehensive government 'fixing' of such complex problems as healthcare. The mistake was in not doing it incrementally. For example, attack the pharmaceutical aspect. Get that right, then move on to something else.
You might even get some consensus if you do that approach.
Coup has started. First of many steps. Impeachment will follow ultimately~WB attorney Mark Zaid, January 2017
Even Obama admitted that it wasn't perfect when it passed. He tried to get insurers/Big Pharma to go willingly, and create a system that doesn't leave them out in the cold.
But...creating huge demand for costly procedures was going to be expensive. That expense was worked into the law, with Fed guarantees for the first 3 years of the law.
Republicans removed funding for those guarantees, and insurers are now owed billions.
The concept was NOT flawed. The concept was aimed at prevention, and improving overall health in the nation. That eventually brings down the cost of healthcare.
It doesn't happen overnight. It also doesn't happen when there's no desire by Congress to achieve it...opting for politicizing the issue while millions still struggle.
Once in a while you get shown the light, in the strangest of places if you look at it right.
it took Obama two years to get Obama care passed......why decide Trump has failed after sixty days?......
Too many different factions want too many different things to pass a comprehensive healthcare act: republicans can't even reach a consensus on it. And with the radical wing of the democrat party they'd do no better.
Consequently, you end up with a dysfunctional hodgepodge monstrosity no matter who passes it.
Tackle one aspect at a time or settle for something that doesn't work.
Coup has started. First of many steps. Impeachment will follow ultimately~WB attorney Mark Zaid, January 2017
Agree. There is no reason that the House could not have implemented their minor tweaks that trump referenced on the campaign trail. (all nonsense, of course). Allow sales across state lines. Allow low cost policies that cover nothing.
Those would have proven useless. If the goal was to provide healthcare, and eventually fix the problems with ACA (it wasn't), the House could have put the funding back into place that is owed to the insurers. That bolsters the exchanges immediately.
From there, work on the issues that are costly....mainly meds.
But the goal had nothing to do with improving the law. It was about tax cuts, and politicizing yet another Obama accomplishment.
Once in a while you get shown the light, in the strangest of places if you look at it right.
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