The message of the Ma election: we want the public option!

Almost none of the large health insurance companies have this restriction on corporate plans. When I change insurance my pre-existing conditions are covered. It is only on individual plans that this is a problem that needs to be fixed and it would be best to include the people who are going to be paying for it in the solution.

Corporate plans are regulated out of not providing for pre-existing conditions. We essentially have already done the reform, but only for people with employer coverage.
 
I would be open to opening access across state lines if it were coupled with good federal regulations. Opening access across state lines would render any state regulations ineffective.

How are we supposed to get people into the gym? How are we supposed to make people eat healthier?

What about the uninsured in your ideas?

The only real reform that would significantly reduce costs is to put price controls in place.
Incentivize it by allowing people who are without actual medical reasons for obesity to be charged more for their health coverage. For instance... Thyroid condition and no capacity to change it, not charged more. Seven big macs a day with bacon... charge more...
 
Corporate plans are regulated out of not providing for pre-existing conditions. We essentially have already done the reform, but only for people with employer coverage.
Right, and instead of changing only where we need change your "solution" is to make everybody's health care suck more. This is why Brown won. It's plain stupid to suggest that because 5% of people don't have coverage we have to make your health care coverage really bad.

We need to decouple insurance plans from corporations (instead of them paying for the plans directly we need to make it so that people buy their own plans with money set aside for that from the corporation) without changing that requirement, and we need to include individuals into larger group pools that allow for this same regulation.
 
I would be open to opening access across state lines if it were coupled with good federal regulations. Opening access across state lines would render any state regulations ineffective.

How are we supposed to get people into the gym? How are we supposed to make people eat healthier?

What about the uninsured in your ideas?

The only real reform that would significantly reduce costs is to put price controls in place.

I agree. We would need a set of Federal regulations for the opening of state lines to work. At least as a the foundation for the regulations.

You get people to the gym by making the obese pay more for their insurance than the fit. If I eat healthy and exercise regularly .... I should not pay the same as a co-worker who believes exercise consists of the walk from the couch to the fridge and eating healthy means McDonalds only twice a day instead of three times.

I think many of the uninsured (about a third) would sign up once costs come down. These are primarily the young (typically healthier) workers who don't think they need the insurance now and that would prefer spending those high premiums on other things. Others that cannot currently afford it, should be able to... especially if you eliminate the corporate structure and make people qualify again for insurance.

Then... for those who do not qualify or still cannot afford the insurance... THOSE are the people you create a 'government plan' for. Leave the rest of us out of it.
 
Right, and instead of changing only where we need change your "solution" is to make everybody's health care suck more. This is why Brown won. It's plain stupid to suggest that because 5% of people don't have coverage we have to make your health care coverage really bad.

Again, Damo, absolutely nothing would change about your coverage unless you have less than the minimum required or you get hit by the millionaires or Cadillac taxes.
 
Again, Damo, absolutely nothing would change about your coverage unless you have less than the minimum required or you get hit by the millionaires or Cadillac taxes.
Again, this is BeeEss... The "fine" for the corporation not covering you was FAR FAR less than the coverage itself, incentivizing them to remove you from your grandfathered care and forcing you onto care provided from the government's approved crappy care and there was no guarantee that you would receive any of the money they used to spend on your insurance to pay for the stuff you suddenly would be required to buy.
 
I agree. We would need a set of Federal regulations for the opening of state lines to work. At least as a the foundation for the regulations.

You get people to the gym by making the obese pay more for their insurance than the fit. If I eat healthy and exercise regularly .... I should not pay the same as a co-worker who believes exercise consists of the walk from the couch to the fridge and eating healthy means McDonalds only twice a day instead of three times.

I think many of the uninsured (about a third) would sign up once costs come down. These are primarily the young (typically healthier) workers who don't think they need the insurance now and that would prefer spending those high premiums on other things. Others that cannot currently afford it, should be able to... especially if you eliminate the corporate structure and make people qualify again for insurance.

Then... for those who do not qualify or still cannot afford the insurance... THOSE are the people you create a 'government plan' for. Leave the rest of us out of it.

We created subsidies instead of a government plan. It just goes through an intermediary.

For those who do not have employer coverage, pre-existing conditions are still a problem. And you can't regulate that out of existence in the individuals market without subsidies.
 
Again, this is BeeEss... The "fine" for the corporation not covering you was FAR FAR less than the coverage itself, incentivizing them to remove you from your grandfathered care and forcing you onto care provided from the government's approved crappy care and there was no guarantee that you would receive any of the money they used to spend on your insurance to pay for the stuff you suddenly would be required to buy.

In the house bill. The house bill is dead though.
 
Again, Damo, absolutely nothing would change about your coverage unless you have less than the minimum required or you get hit by the millionaires or Cadillac taxes.

Guess what water... many people have plans that are not as inclusive as what the government was proposing be included as 'mandatory' coverages. Many do not NEED those coverages. So why force them to pay for them?

A cookie cutter approach does NOT work.
 
In the house bill. The house bill is dead though.
No, I was talking about the Senate bill. They created the same required insurance levels to be on the government's approved list then incentivized corporations to drop you from insurance by providing a low fine to "punish" them for doing so and included no wording that would have ensured you received more money to buy your now-required insurance...
 
They literally stripped everything out of it that was even remotely liberal. It is the least radical change imaginable, almost a mirror image of the MA reform (although it's probably backed by bigger subsidies).

http://thomas.loc.gov/cgi-bin/bdquery/z?d111:H.R.3590:

The summary at wikipedia would probably be more useful if you don't have weeks of spare time to read it, though:

Patient Protection and Affordable Care Act - Wikipedia, the free encyclopedia

is it the real bill? i thought it wasnt public yet. What about all the throw in and payoffs.
 
Any company with more than 50 employees could face a penalty of $750 per worker, multiplied by the total number of full-time workers it employs, if just one obtains subsidized coverage through an exchange. That’s up from a penalty of $400 in an earlier draft."

The penalty is 750. But it's 750 that just goes down the drain instead of 3000 that goes directly into employer contributions and allows you to pay less in salaries. It doesn't make economic sense to not cover employees.
 
Guess what water... many people have plans that are not as inclusive as what the government was proposing be included as 'mandatory' coverages. Many do not NEED those coverages. So why force them to pay for them?

A cookie cutter approach does NOT work.
Their "mandatory" levels stank.
 
The penalty is 750. But it's 750 that just goes down the drain instead of 3000 that goes directly into employer contributions and allows you to pay less in salaries. It doesn't make economic sense to not cover employees.
There was no requirement that they give you that $3000 in salary (and that's the cheap end). That's the rub Watermark. Why do that when it isn't required? Just drop your employees, pay the fine, and move on...
 
is it the real bill? i thought it wasnt public yet. What about all the throw in and payoffs.

Nelson asked for the Nebraska payoffs to be removed.

I assume that a companion bill is going to be passed through the senate through reconcilliation. They won't need Laundrieu's vote or Nelsons vote. So they'll probably just remove those portions.

Obama promised unions that they wouldn't be taxed, but the legislative branch might not agree with that, or may adopt the millionaires tax in the house.
 
Guess what water... many people have plans that are not as inclusive as what the government was proposing be included as 'mandatory' coverages. Many do not NEED those coverages. So why force them to pay for them?

A cookie cutter approach does NOT work.

Everyone needs health coverage.
 
That makes you less competitive in the job market.
No. It doesn't. Nobody had that requirement or incentive. You are asking corporations that cut costs constantly by simply removing people from the payroll randomly to just give people more money that they aren't required to give. It's Bee Ess... Not only that, but salary increases take away from the tax incentives they had to give coverage to begin with. The $750 fine is easily less and they keep more money by simply stopping coverage.
 
No. It doesn't. Nobody had that requirement or incentive.

Paying 750 in fines instead of providing healthcare does make you less competitive.

And people who don't get healthcare from their employee's can simply grab subsidies and get a single plan. The public option isn't in the senate bill.
 
they should have been doing this in an open forum like they promised. I dont sign/vote for anything that is hidden from sight. Id like to see the final version.
 
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