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It's time to move on. The ACA didn't work, plain and simple. Yeah, people signed up for it mostly cuz it was free or mostly subsidized; people love free stuff. But the truth is that we as a nation cannot afford free health care for everybody, to believe otherwise is to ignore reality. Not unless you want to have everybody paying a huge increase in taxes, and I mean everybody rather than just the top 50%. I think we can do better than the ACA and better than what we had before that, and better than a single payer system too. The problem is the politicians in Washington are too involved in their power games to do what's best for the rest of us, and we're too stupid to vote the bastards out of office.
lets be honest, the reason they sign up is because of the fines if they don't in as much as anything.
So obiecare will be left to fail. Not a risky gamble, many will be hurt though.
I guess we will see what happens in CA.Neither statement is true. It is not market-based
Yes, it is market-based because there is literally a marketplace exchange where insurance plans compete with one another on a level playing field. That is the very definition of market-based.
it is subsidy based,
No, the subsidies are a consequence of the market because insurers cannot be profitable if they have to provide universal coverage. That's why the subsidies are necessary. Trump campaigned on the promise that his repeal of Obamacare would provide universal coverage. Now, the realities of that promise show that you can't make a promise like that. That's why the Conservative bills are basically Obamacare minus Medicaid and subsidies. There literally is no other place to go than a) back to the system we had before or b) single payer.
be it the bailouts for insurance companies or tax payer subsidized premium payments. Single payer is a loser. It is not workable.
It's workable in every other First World, single-payer nation. All our allies have some form of it. You all don't seem to understand the difference between health care and health insurance. Health care is delivered to you, health insurance just pays for it. Apart from that function, insurance companies serve no other role when it comes to your health care other than restricting access.
this is how to *pay* for healthcare, not improving the quality of care out there. if anything this is an insurance act, not healthcare.
GREAT NEWS!! Now we can let Obamacare completely collapse. Why should we clean up the Dems mess!Can't win without votes! Three GOP or more vote, "Nyet(?)" or however that is said(?)!
Enough GOP senators to block Obamacare replacement will announce opposition: NBC News, citing source
"Crow, James Crow: Shaken, Not Stirred!"
(At GOP, the "Nyet" votes have it. . . .speaking of Lands of Many Nations!)
Do you think AETNA and Humana are the only two companies that can be the middle man? All they do is shuffle paper. They make nothing. They suck balls. Get out! We should move to single payer Medicare for all. If not, we will just let the free market push out the Humana's who are greedy and the Oscar's who will do it better for less.
our insurance companies are not profitable? well they were until saddled with stupid things they had to now pay for.lets be honest, the reason they sign up is because of the fines if they don't in as much as anything.
You can't achieve universal coverage and still have profitable insurance companies. So you need to decide what is more important to you; coverage or profits. Because you can't have both.
I guess we will see what happens in CA.
its not that i disagree with you - but when we also reference all these 3rd world countries with great healthcare, how do they do it? is "socialized medicine" just cheap insurance?this is how to *pay* for healthcare, not improving the quality of care out there. if anything this is an insurance act, not healthcare.
Which is all Obamacare was too. You can't reform the system, provide universal coverage, and maintain profits for insurance companies. So we have a choice to make; do we provide universal coverage, or do we preserve insurance company profits. Patient needs or shareholder needs? We have to make a choice.
The problem of bringing insurers to the table has back fired as they now are leaving for political points. I believe it was Aetna that was caught doing this even in markets where they were making money so as to win gop favor.So obiecare will be left to fail. Not a risky gamble, many will be hurt though.
Lol! Yep, the first thing everyone thinks of when dealing with a Federal bureaucracy is efficiency. Ocare has already cost twice the BS estimates feed to us.I guess we will see what happens in CA.
Yes, we will. It should work because it works in nations with single-payer systems that have equal population sizes to California. A better experiment would be to introduce a Public Option to the exchanges to offer patients more choices. But Conservatives oppose that because a Public Option would further fan the flames of the pointlessness of private insurance. And we can't have those flaws exposed, can we?
They are leaving because the bailouts are ending. It's not complicated.The problem of bringing insurers to the table has back fired as they now are leaving for political points. I believe it was Aetna that was caught doing this even in markets where they were making money so as to win gop favor.So obiecare will be left to fail. Not a risky gamble, many will be hurt though.
our insurance companies are not profitable? well they were until saddled with stupid things they had to now pay for.
when i was unemployed and didn't buy insurance (choosing to pay the fine) every time i needed something i got 50% off and paid in cash. care to tell me why i got 50% off? maybe that's insurance profits...
our insurance companies are not profitable? well they were until saddled with stupid things they had to now pay for.lets be honest, the reason they sign up is because of the fines if they don't in as much as anything.
You can't achieve universal coverage and still have profitable insurance companies. So you need to decide what is more important to you; coverage or profits. Because you can't have both.
when i was unemployed and didn't buy insurance (choosing to pay the fine) every time i needed something i got 50% off and paid in cash. care to tell me why i got 50% off? maybe that's insurance profits...
it's a grotesque entitlement to think i have to pay for someone elses coverage when you boil it down like that. you think only their rates are going to go up?our insurance companies are not profitable? well they were until saddled with stupid things they had to now pay for.
You mean they were until they had to start paying claims for people they previously excluded because of pre-existing conditions. You can't have a profitable insurance company and guarantee universal coverage for specifically that reason. That's why subsidies are necessary to defray the cost of having to cover pre-existing conditions. This is the model Conservatives were in support of about 23 years ago, for 15 years. So it's confusing to see them oppose it today. Makes me think their opposition to it is wholly political and ideological. Not economic or fiscal. Because the realities of a for-profit insurance system is that it only is for-profit if it doesn't pay out claims. Which is in direct conflict with the guarantee Trump made of universal coverage.
when i was unemployed and didn't buy insurance (choosing to pay the fine) every time i needed something i got 50% off and paid in cash. care to tell me why i got 50% off? maybe that's insurance profits...
That 50% you didn't pay didn't just magically vanish. It was redistributed to providers and insurers. So that means a provider has to charge more for something like aspirin so the insurer can use that reimbursement and apply it to things like giving a 50% off to someone with no insurance. That means your premiums will increase too to cover those costs. It is grotesque entitlement to think you get a discount on health care and that discount isn't passed onto the provider and policyholders.
The problem of bringing insurers to the table has back fired as they now are leaving for political points. I believe it was Aetna that was caught doing this even in markets where they were making money so as to win gop favor.So obiecare will be left to fail. Not a risky gamble, many will be hurt though.