Allow Americans to purchase health insurance across state lines?

Your article notes that it is essentially illegal to sell across state lines in most of the states. You fail

So if Federal government allows it, it's irrelevant.

If the Federal government forces it, then one might think that conservatives would object to the federal government interfering with the states.

Try to keep up here. The OP's premise of a national free market insurance market being legal is a myth. There was obviously many other problems present in the law to make it unworkable. Simply saying it was okay to offer the plans, does little to make it reality. It is the federal government's interference that makes it a problem. Again it boils down to free markets and less government.


The states are the ones prohibiting interstate purchasing, not the Federal government.

Is that really too hard for you to understand?

Selling insurance across state lines is not as easy as just writing checks to cover healthcare

An insurance company has to set up network of doctors, hospitals and pharmacies and establish rate structures. Each state is different as are specific rules and regulations
 
5) As someone who lost a grandmother who had end of life care, both deny and even resent the implication that Europeans don't value life and loved ones as much as Americans do.


Over 40 percent of patients who die with cancer are admitted to the intensive care unit (ICU) in the last six months of life, which is more than twice that of any other country in the study. Similarly, 39 percent of American patients dying with cancer received at least one chemotherapy treatment in the last six months of life more than any other country in the study.-
Actually I know this from first hand experience. As I pointed out my mother in law was was admitted repeatedly into ICU in her last year. My grandmother on the other hand, died in her own bed after a 4 month battle with cancer. Our end of life care consisted of my aunt being able to get on paid compassionate leave. Nurses coming to the house twice a day to help with meds and washing and social workers coming to prepare and incorporate my grandmother and the families wishes with what was both medically and personally best to make her last months as comfortable as possible. If you feel that keeping somebody alive as long as possible is the same as caring, you obviously have a different idea of what caring actually looks like.
 
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Your article notes that it is essentially illegal to sell across state lines in most of the states. You fail

So if Federal government allows it, it's irrelevant.

If the Federal government forces it, then one might think that conservatives would object to the federal government interfering with the states.

Try to keep up here. The OP's premise of a national free market insurance market being legal is a myth. There was obviously many other problems present in the law to make it unworkable. Simply saying it was okay to offer the plans, does little to make it reality. It is the federal government's interference that makes it a problem. Again it boils down to free markets and less government.

I agree. Competition brings prices down and if all insurance companies have to compete for you're dollar prices will go down.

Don't know bout you but I'm the cheapest bitch on the planet and I shop for the best I can get for the lowest price. So will everyone else. Insurance companies will have to lower prices to compete for you're dollar.
The problem with the US health care system isn't government. It's the whole idea that people's health is a tradable commodity. I'm European and I pay way less for at least comparable, if not better healthcare. Our system is government controlled and it's more efficient and cheaper. My wife is American so I can make these claims both by personal experience and researchable facts.

Cough!.............What percentage of the European income goes to taxes? Europe doesn't even have the capacity to defend itself. They rely on the USA. Then consider the USA is far more complex than say Switzerland. Europe is broke.
I already went into this.
There are not many countries anywhere with gov't run HC that don't have really high taxes and/or rationing and/or long waiting lines for specialists and testing. And everyone pays those taxes too, not just the upper half of the income earners. Show me the democrat who tells us that when they talk about how great Single Payer is.
Sure my taxes are way higher than yours. On the other hand my standard of living is just as high if not higher than most Americans. I own my house, Drive a 3 year old Mercedes, my kid is going to a nice school and will be able to go to college without me having to save my entire live to allow it. We all can go to the doctor and dentist without going broke. Taxes are not a punishment, they are simply a alternative way to fund a standard of living
And since this is a healthcare OP I always come back to this
Health expenditure per capita (current US$) | Data
Showing that your health care system is more then twice as expensive as mine. This has nothing to do with the percentage of the GDP going to defence. For the net effect of List of countries by life expectancy - Wikipedia
2 years less then mine.
 
Your article notes that it is essentially illegal to sell across state lines in most of the states. You fail

So if Federal government allows it, it's irrelevant.

If the Federal government forces it, then one might think that conservatives would object to the federal government interfering with the states.

Try to keep up here. The OP's premise of a national free market insurance market being legal is a myth. There was obviously many other problems present in the law to make it unworkable. Simply saying it was okay to offer the plans, does little to make it reality. It is the federal government's interference that makes it a problem. Again it boils down to free markets and less government.


The states are the ones prohibiting interstate purchasing, not the Federal government.

Is that really too hard for you to understand?

The federal government prohibits that for all products and services save health insurance. That's the difference, douche bag. A state can't impose a law saying that it will not allow oranges from California or cars from Detroit to be sold there. The Constitution explicitly grants such authority to the federal government. It's called the interstate commerce clause. You've heard of that, haven't you?
 
Showing that your health care system is more then twice as expensive as mine..


there are 5 reasons most countries have cheaper health care than the USA:

1) they are poorer so cant afford to pay what America pays
2) they have more efficient socialist health care than USA's convoluted redundant twisted piecemeal socialist system.
3) America invents health care and pays for the most of the world's inventions ( 70% of recent health care patents for example) while Europe just copies from us or buys from us. Take that away and Europe drops from 70% of our standard of living to 40%.
4) Europeans are far more health conscious and healthy than Americans so require less care
5) Europeans pay far less for end of life care while America, valuing life so much more, spend 70% of all health care dollars on end of life care.

Republican capitalist health care would reduce the price of health care here 80%.
 
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That's one of the GOP's big selling points of their healthcare 'plan'.

Problem is, it's already allowed.

The Federal government does not prohibit it. Some states do.

oops.

Selling health insurance across state lines is a favorite GOP 'reform.' Here's why it makes no sense

"Selling insurance across state lines is a vacuous idea, encrusted with myths.

The most important myths are that it’s illegal today, and that it’s an alternative to the Affordable Care Act.

The truth is that it actually is legal today and specifically enabled by the Affordable Care Act. The fact that Republicans don’t seem to know this should tell you something about their understanding of healthcare policy. The fact that it hasn’t happened despite its enablement under the ACA should tell you more about about why it’s no solution to anything."

The ACA allows for the sale of insurance across state lines already.

http://www.ncsl.org/research/health/out-of-state-health-insurance-purchases.aspx

Wrong. Read what you posted. The law still allows states to bar out-of-state companies from selling their products in-state.
 
Showing that your health care system is more then twice as expensive as mine..


there are 5 reasons most countries have cheaper health care than the USA:

1) they are poorer so cant afford to pay what America pays
2) they have more efficient socialist health care than USA's convoluted redundant twisted piecemeal socialist system.
3) America invents health care and pays for the most of the world's inventions ( 70% of recent health care patents for example) while Europe just copies from us or buys from us. Take that away and Europe drops from 70% of our standard of living to 40%.
4) Europeans are far more health conscious and healthy than Americans so require less care
5) Europeans pay far less for end of life care while America, valuing life so much more, spend 70% of all health care dollars on end of life care.

Republican capitalist health care would reduce the price of health care here 80%.
Edward I replied to every single one of your points. At length in some cases. Aren't you capable of debating your points,or do you refuse to?
 
Health insurance isn't feasible. I give you $20 you give me $100 in health care is the kind I want. If I don't get back more than I pay in then I don't want it.
 
Edward I replied to every single one of your points. At length in some cases. Aren't you capable of debating your points,or do you refuse to?

do you still think our system is capitalist???? 1+1=2
As I said I already answered this
You point to a fraction of your medical system to try to proof the entire system is not capitalistic as hell? You don't think that is a trifle dishonest? I'll give you some examples in my personal life. This is not hearsay, this happened to my wife's family. One of my brothers-in-law got hit by a car, it was a hit and run and he shattered his shoulder. This was the pre ACA times so he went to the ER where they stabilised the shoulder and put him on his merry way. He needed reconstructive surgery but had no insurance so he didn't get it done. So a healthy 30 year old male went on disability and stopped being a constructive member of society because he couldn't pay for a relatively easily corrected condition. This would not happen in Belgium.
My mother in law who was the head nurse in a ward for the criminally insane in a place in NY, was diagnosed with a pretty bad hernia in her middle fifties. She got surgery, but got addicted to morphine while in recovery. She was subsequently released home where she never fully finished her recovery process, she got bedridden was forced into early retirement and subsequently started to go in an out of hospitals, where her considerable savings including her house was used as funds to finance this. She had what Americans call full coverage but it still ended with her entire capital going into your "superior", health care system.
In your system their is a for profit motive in most of your insurance system, by your doctors, by the hospitals, by big pharma. I have grounds for comparison and what's best for the patients takes a back seat to profit in your system. The well documented cases of pharmaceutical companies price gouging on EPI pens and other medicines comes to mind, but even more sneaky things, for instance the overprescribing of heavy pain meds that caused my mother in law getting addicted something my wife said is SOP.America’s Addiction to Opioids: Heroin and Prescription Drug Abuse .
I can't fathom any other reason why health care professionals would do this if they don't have creating repeat customers by making them addicted to opioids in mind.
To making a person go through months of tests for a lap band surgery. Something my wife wanted to do here at one point. The tests lasted 1 afternoon here. Health care in your country is business. Saying that you have some limited programs who aren't, so your system isn't capitalistic. Is like claiming the fact that you see a cloud is proof that blue sky doesn't exist.
 
Yes and no, the ACA enables the possibility of selling across State lines, the reality however is that at this point it cannot be done. The ACA plans are PPO Plans and currently there are no National PPO's.


There are some states that already allow insurance sales across state lines.


>>>>

All you did was reiterate what I said. It has been made POSSIBLE by the ACA but currently there is no National Network so it is immaterial. One company, BCBS allows treatment in whatever states they are in to be classified as "in-network". The other companies restrict it to emergency care.
 
It’s such a perennial suggestion that when Len Nichols, a health policy professor at George Mason University and the author of a 2009 paper on the subject, was asked for comment, he said: “Are you kidding me? We’ve been through this about 30 decades ago.”

Selling insurance in a new region or state takes more than just getting a license and including all the locally required benefits. It also involves setting up favorable contracts with doctors and hospitals so that customers will be able to get access to health care. Establishing those networks of health care providers can be hard for new market entrants.

“The barriers to entry are not truly regulatory, they are financial and they are network,” said Sabrina Corlette, the director of the Georgetown University Health Policy Institute.

Neither America’s Health Insurance Plans, the lobbying group for most private insurers, nor the Blue Cross Blue Shield Association have endorsed such a plan when it has come before Congress.

sooooooooooooooo,

NO.
What utter horseshit. Only the truly delusional snowflake would swallow that pile of crap.

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All you did was reiterate what I said. It has been made POSSIBLE by the ACA but currently there is no National Network so it is immaterial. One company, BCBS allows treatment in whatever states they are in to be classified as "in-network". The other companies restrict it to emergency care.

No, it was not made POSSIBLE by the ACA, it was possible before ACA.

The premise of the thread is that there is a federal barrier to cross-state lines Health Insurance sales, there isn't. It's State barriers that exist.


>>>>
 
All you did was reiterate what I said. It has been made POSSIBLE by the ACA but currently there is no National Network so it is immaterial. One company, BCBS allows treatment in whatever states they are in to be classified as "in-network". The other companies restrict it to emergency care.

No, it was not made POSSIBLE by the ACA, it was possible before ACA.

The premise of the thread is that there is a federal barrier to cross-state lines Health Insurance sales, there isn't. It's State barriers that exist.


>>>>

LOL, would you "feel" better if I used an adjective like "more" possible? It's what I do and I've been doing it since 2001, semantics are for the weak minded. The ACA has come the closest to standardizing of Healthcare Plans. PRIOR to the ACA EVERY State had different plans and differing plan requirements making portability virtually impossible. Differing coverages, differing networks and even differing pricing were an insurmountable problems prior to the ACA.
 
In your system their is a for profit motive in most of your insurance system,.

we always have to start in kindergarten with you:

1) Most health care is for older folks who have Medicare Medicaid wherein insurance is not involved so we would not call that capitalism

2) in segment where insurance is important liberals made competition illegal in 1945 so we would not call that capitalism

can you graduate from kindergarten now??
 
. Differing coverages, differing networks and even differing pricing were an insurmountable problems prior to the ACA.
insurmountable????? all we have to do is switch to capitalism and require that prices be published in a comparable way. See how easy that was.
 
The premise of the thread is that there is a federal barrier to cross-state lines Health Insurance sales, there isn't. It's State barriers that exist.
it's a fed/state problem started when Feds exempted states from anti trust laws allowing each to set up its own Nazi/soviet heath care bureaucracy. If they did same for toothpaste industry we'd have the same soviet problems there too. 1+1=2
 
The ACA has come the closest to standardizing of Healthcare Plans. PRIOR to the ACA EVERY State had different plans and differing plan requirements making portability virtually impossible. Differing coverages, differing networks and even differing pricing were an insurmountable problems prior to the ACA.

If someone in New York gets an insurance policy from Texas, are the birth control and abortion options guided by Texas law or New York law? Such as if abortions aren't covered in Texas, or are limited to the first 20 weeks in Texas, will Texas insurance cover the procedure after 30 weeks in New York, like a New York insurance policy would?
 
If someone in New York gets an insurance policy from Texas, are the birth control and abortion options guided by Texas law or New York law?

who cares?? it can be decided later. Most contracts of any kind cover this issue in the beginning so there are no surprises in the end.
 
That's one of the GOP's big selling points of their healthcare 'plan'.

Problem is, it's already allowed.

The Federal government does not prohibit it. Some states do.

oops.

Selling health insurance across state lines is a favorite GOP 'reform.' Here's why it makes no sense

"Selling insurance across state lines is a vacuous idea, encrusted with myths.

The most important myths are that it’s illegal today, and that it’s an alternative to the Affordable Care Act.

The truth is that it actually is legal today and specifically enabled by the Affordable Care Act. The fact that Republicans don’t seem to know this should tell you something about their understanding of healthcare policy. The fact that it hasn’t happened despite its enablement under the ACA should tell you more about about why it’s no solution to anything."
Useful thread but it falls on mostly deaf ears. It points out that the gop is against the basic economic justification of Obamacare policies. Yes states can agree to have policies sold over state lines. But each state governs policies, and policy provisions, differently. And yuuuge insurers within states have the bargaining power to force hospitals and docs to accept lower payments. That's Obamacare's concept of competition. Monopolies. If a monopoly is really gouging another monopoly will move it. (it doesn't work)

The gop doesn't have the votes to repeal. But it's basic ideology (not that the gop lacks corrupt statists too) is that there shouldn't be monopolies. Wait, the gop loves monopoles. Msft.
 

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