Slade3200
Diamond Member
- Jan 13, 2016
- 66,979
- 17,026
We are villains for making a law that requires hospitals to treat sick people? You think it better to let them suffer and/or die in the streets or in the waiting room if they can't verify that they can pay for the service?I understand your points and you make some good ones. I'd much rather see measures to lower healthcare costs and handle these things personally, but that just isn't our reality and unfortunately we need insurance to cover medical costs. When a week in the hospital can run over a quarter of a million dollars, people just don't have that kind of cash laying around.I've only heard analysis that referred to the 22 mill being those who won't get Medicaid, those who get prices out and those who opt outwell did the CBO state who the 22 million would be? if they didn't, then how can anyone answer that? Why doesn't the CBO give who those 22 million are? Because they can't because it's made up.I'll do some digging. In the mean time please provide your data that shows all 22 million that will lose their insurance are voluntary opt outs
Can you not see the point? They aren't the exact same situations but carry similar principles.so where is the legislation that is written for that? You think everyone carries car insurance? LOL. only people who drive carry insurance.Is it being a dictator to require car insurance to drive a car? How about to charge taxes to buy or sell goods and earn an income? Or charge a HOA fee to live in a residential community?
LOOK I copied directly from the CBO...https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/52849-hr1628senate.pdf
CBO and JCT estimate that, in 2018, 15 million more people would be uninsured under this legislation than under current law—
primarily because the penalty for not having insurance would be eliminated.
NOW people!!! THINK!!!! Everyone I mean everyone talks about "more people would be uninsured"!!!!
NOT one person,i.e. CBO, Obama even GOPers ask this simple question..."How many of these 15 million really NEED and WANT health insurance?
Listen folks....
AGAIN...18 million were under 34 years, make over $50,000 and didn't WANT or need employers' health programs!
Over half of them (9.7 million) in households with incomes that exceed $75,000 annually. -
CRISIS OF THE UNINSURED: 2009
WHY didn't they want or need insurance?
A) Many had health savings accounts which met their needs better then their employers' plan! Seriously why have money deducted to go to a group plan
when you can have BEFORE tax deduction going to your savings account and YOU control the spending!
B) Many UNDER 34 just didn't NEED insurance! Seriously folks look at reality from the insurance companies perspective!
QUESTION for all of you who haven't thought about this! Why would a health insurance policy for a 30 year old cost less then for a 50 year OLD???
DUH!!! I know I KNOW! But translate that to reality! Because the insurance companies KNOW from experience that a 30 year will NOT need health services! PERIOD!
Comprehend?
So we can't just go from our current system to nothing. I'm fine with young people opting into health savings plans instead of insurance. Just know that the more that do that the higher premiums are going to get for those in the marketplace. There is a cause and effect for everything
You want a villain in all this? Want to know WHY hospital bills are so high?
ANSWER! EMTALA!
In 1986, Congress enacted the Emergency Medical Treatment & Labor Act (EMTALA) to ensure public access to emergency services regardless of ability to pay. Section 1867 of the Social Security Act imposes specific obligations on Medicare-participating hospitals that offer emergency services to provide a medical screening examination (MSE) when a request is made for examination or treatment for an emergency medical condition (EMC), including active labor, regardless of an individual's ability to pay. Hospitals are then required to provide stabilizing treatment for patients with EMCs. If a hospital is unable to stabilize a patient within its capability, or if the patient requests, an appropriate transfer should be implemented.
Emergency Medical Treatment & Labor Act (EMTALA) - Centers for Medicare & Medicaid Services
Now this was a compassionate idea that once again turned into an avalanche with people with no insurance go into the emergency room for sniffles.
The hospital then absorbs the costs known as "Uncompensated Care" costs were $6,822,970
So if you are from the Northwest may know this hospital:
Legacy Emanuel Medical Center in Portland Or.
Their gross revenues in 2016 were $1,674,267,308.
So how do they recover this $6,822,970 costs?
As one hospital CEO when asked "How do hospitals deal with the cost of the uninsured? His answer" Like any business, we pass it on to the paying customers."
They pass it on in the form of billing the paying customers, i.e. Medicare, health insurance companies, etc.
So how do they pass it ON?
Again Legacy Emanuel...
Well for example they performed CT Scans on 1,765 patients that the AVERAGE CHARGE per scan is: $1,576
Yet the Average Cost to do the scan: $135
What Medicare Paid per claim: $182
Guess who pays the $1,576 IF there is no negotiations i.e. the insurance companies?
This is how the health care system works...the organizations that pay are overcharged to cover the "uninsured"!
Solution? There is one and I'll share if you want to know!
ANSWER! Defensive Medicine!
View attachment 135861
I guess our definitions of Villain are quite different.
Can the operations of the bill be improved... of course, anything can be improved!!