Latest problem with Obamacare. Too many people now have access to healthcare.

BornRuff

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Nov 17, 2013
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What happens after 2022?

The act states that it will cover 90% of the cost in "all subsequent calendar years", so as far as I can tell, it will cover 90% of the cost until someone decides to defund it.

So if republicans are worried about the possibility of the program being defunded, that is really a self inflicted concern.
 

BaalsTears

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Jan 25, 2011
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Did he? Please show me any sort of proof of this claim.

Talking about the cost of a program that has both revenues and expenditures only in terms of gross expenditures doesn't make any sense, so I am pretty skeptical that he ever spoke in those terms.

Let's assume for the sake of argument that you are correct and that the original Obama lie on cost was $900 billion net over ten years. And let's assume the CBO's recent report was a net cost from the federal treasury of $1.5 +/- over ten years. If this assumption is correct then does it not follow that there is an unsustainable drain from the federal treasury of $600 billion over ten years? How will that ongoing deficit be paid for? It will be borrowed won't it?



That is false. It puts more money into the system to pay for more staff and resources.

Almost all things in life are determined by a cost/benefit analysis. Obamacare has altered the reduced the benefit of becoming a Medical Doctor. Obamacare will squeeze the medical profession by decreasing the incentives to go through the laborious, rigorous and protracted process of acquiring the credentials and developing the skills necessary to be an MD capable of providing a high quality of health care. Obamacare only adds health care workers at the low end of the skill spectrum. Additionally, insurance companies are going to try to make the ACA requirements pencil out by limiting doctors and medical facilities available to its ACA insureds. That means a reduction in the quality of health care to the extent the best doctors and hospitals aren't available for the insureds.



It will be funded the same way any other government expenditure is funded.

In other words Obamacare will increase the annual budget deficit, and accumulated national debt at the same time that Medicare and Social Security go into the red due to the retirement of the Baby Boom generation. That retirement will last for the next quarter of a century at least. No polity in all of recorded history has been able to survive an extended period of financial instability. America's ability to borrow from the rest of the world will come to an effective end when the dollar is abandoned as the world's reserve currency.



If you call setting basic minimums and then letting you buy insurance from whoever you want and for whatever you want "seizing control", so be it, but I don't think that is accurate.

Actually that's not true. Obamacare doesn't allow competition between health insurance companies on an interstate basis.

The government is not preventing anyone from getting care for whatever they want.

I don't want pre=natal care, or contraceptives. I'm being forced by the federal govt. to subsidize other people.



You don't think that Medicare has always rationed healthcare? How on earth do you think they operate?

The IPAB was created by the ACA. Why was it created now? It's new isn't it?

Medicare is a huge program. It is going to cost the US 8.1 trillion dollars over the next 10 years.

It would be incredibly irresponsible not to have people looking over that spending and looking at ways that costs can be kept down.

The ACA did not introduce the idea of having bureaucrats try to keep Medicare costs down. It just set up a new committee to do that.

Why was the IPAB created by Obama?



Lol, do you have any examples of this actually happening? What sane company would do that rather than just pay the fine?

America will be a less productive country if people don't work on a full time basis. Reduced productivity means America will be a poorer country. The CBO report said that Obamacare will cause a loss of work equal to 2 million full time jobs by 2017 and 2.5 million full time jobs by 2024. Consequently, America will be a less productive and poorer country.

As I said before most intentional actions in life are determined by a cost/benefit analysis. By keeping the number of covered workers below fifty it is possible for an employer to escape the employer mandate of the ACA. Another approach is to use a part time work force so that workers aren't covered employees.

Why on earth do you think that seniors health care would be in any way reduced or their lives ended early? Are you going back to the death panels stupidity again?

What will the IPABs impact be on "end of life" medical care designed to extend life as much as possible?



They have plenty of time until what? People need health care now. They needed it 50 years ago.

There is no crisis in health care. The majority of Americans were satisfied with their health care and health insurance.

Exactly how long is it ok to allow people to suffer without access to healthcare in the richest country in the world?

That's the wrong question. The right question is how can health care be provided without empowering the federal bureaucracy and politicians.

For me the problem is the ideal held by a lot of Americans and all the health insurance companies that a 'for profit' system is going to give the best healthcare to everyone. That is ridiculous! Universal healthcare, which every human is entitled to equally, doesn't come from a 'for profit' system. This is one area where capitalism is simply wrong. If that means it has to be controlled and administered by the feds so every person can have equal care then so be it. It far outweighs the negatives that come with the alternative. Remove profit from the system and it will be much more fundamentally sound and fair.

Why did so many Canadians come to the United States for medical care even though they had coverage under Canada's single payer system?

BT, you mention tailored coverage. You ask why a 50 year old man needs coverage with pre-natal care? I ask you why not have a system where all treatment is available to all people? Why would you promote a system where if I didn't buy coverage for endo-pancreatic carcinoma because I couldn't afford it I don't get care for it and people like you just watch me die? I don't in any way think ACA is perfect but it sure beats what was in place in the Loser States of America last year.[/QUOTE]

People like me will never accept Govt. control and empowerment. Thus, the ACA will always be the cause of dissension and strife in the US.

I favor letting each state adopt its own approach because one size doesn't fit all. I support cost cutting measures like tort reform, and permitting insurance companies to sell health insurance across state lines. I don't support cutting the quality of health care.

I would prefer no USA if there is an ACA. Seriously. I'm not good with Big Govt. and tens of millions like me will never accept it. The ACA will continue to be a source of estrangement, hatred, and alienation.

You buy more of the constrained resource if you're the provider. Demand just increased. That's a good thing.

How does one fund the ACA's annual deficit? Borrowing? But Social Security and Medicare are already going broke as the Baby Boom generation moves into retirement and lives for a very long time. The debt service on the national debt is going to skyrocket...especially when America's ability to borrow is constrained due to the loss of low interest rates derived from the role of the dollar as the world's reserve currency.

Well we have universal health coverage here in Canada and we do not have a utopian system .
People waiting over a year in some instances to see a specialist is maybe universal but somewhat lacking in healthcare .

My aunt Kay from Edmonton died from cancer while waiting for her turn for surgery and treatment. That is an instance of reduced health care quality.
 

Sal

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Sep 29, 2007
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I don't want pre=natal care, or contraceptives. I'm being forced by the federal govt. to subsidize other people.
Yes.

And when someone is dying of cancer, you will subsidize that too.

And if you get sick others will subsidize you.

It's a throw back to tribal days when they cared for each other as a group.

Most civilized countries in the world do this for their people.

It's the caring thing to do.
 

EagleSmack

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Feb 16, 2005
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I think that you need to read the quote a little more carefully.

"Nevertheless, Republicans are actively, single-handedly blocking health coverage for 5 million Americans in 24 states. One academic study suggests that of those 5 million, 10,000 Americans will die this year alone due to lack of insurance."

This is not a quote about people dying because the ACA isn't working properly. It is a quote about people dying because republican lawmakers are blocking the implementation of the bill in their states and therefore blocking 5 million people from getting health care.

Oh... then it is typical Democrat BS and lies. Got it.
 

BaalsTears

Senate Member
Jan 25, 2011
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The doctor's salaries are a fixed cost within the system just like nurses. The 'for profit' part that needs to go is all the insurance companies and private hospitals. Their need as corporations to maximize the ROI to shareholders means decisions are made based upon potential profits/losses instead of best care for the patient. To me any form of private health-care system is going to be bad for everyone but the richest 5%. All healthcare systems should be public and receive FULL funding and the #1 priority in the budget.

When you think that the US could have fully funded Obamacare (even at 2.5 trillion) with the money spent invading Iraq for the first year it makes one wonder just where the priorities of the US govt and people are. They will gladly spend trillions killing people in a foreign sovereign nation but complain about spending a billion or 2 keeping their own population healthy.

Most doctors in the US are essentially in professional partnerships, professional corporations, or small practice groups. They are small business people.

Why would they endure the protracted rigor of becoming MDs, and the endless hours of practice, if there aren't sufficient incentives for them from a cost/benefit standpoint? There are easier ways to make a living.
 

EagleSmack

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This is an amazing deal for the states. Where else are they going find the opportunity to provide healthcare to all of these people and pay so little of the cost themselves?

We had Romney Care in Massachusetts. Rates and Premiums went up... now with the ACA they are going up higher.

Amazing deal for sure!
 

BaalsTears

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Jan 25, 2011
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Meh, I am not going to argue over semantics.

The fact is that the ACA provides states with money to expand medicaid to cover more people, and 24 states with Republican governors have decided to refuse that and leave this group with no health coverage.

It probably would have been a good idea to proceed incrementally on health care on a bipartisan basis rather than to fundamentally change one-sixth of the US economy on a party line vote. A better approach would have been to cut the military budget in an amount sufficient to begin funding health care for the uninsured. It probably would have been a good idea to adopt tort reform, and to let insurance companies sell insurance policies across state lines. That would have brought over enough Republicans to permit characterization of the ACA as bipartisan legislation.

Yes.

And when someone is dying of cancer, you will subsidize that too.

And if you get sick others will subsidize you.

It's a throw back to tribal days when they cared for each other as a group.

Most civilized countries in the world do this for their people.

It's the caring thing to do.

Was it necessary to empower and increase the size of the federal govt. in order to accomplish these things?
 

JLM

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Nov 27, 2008
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What happens after 2022?


That is about # 653 on my list of important things, a little higher up the list is just getting to 2022! -:)

I am still confused here. It comes across that some of our members are arguing against everyone receiving adequate healthcare. Maybe I'm reading it wrong.


It's a common syndrome, Nick, generally found among the 'HAVES' and translates to "F**K you, Jack, I'm alright"
 

EagleSmack

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Feb 16, 2005
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It's a common syndrome, Nick, generally found among the 'HAVES' and translates to "F**K you, Jack, I'm alright"

Oh that's the old days.

Now the Have Nots say "F**k you Jack... pay me. I want it all... I'm entitled."
 

BornRuff

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Nov 17, 2013
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Oh... then it is typical Democrat BS and lies. Got it.

Wow. It is amazing how when you think a stat supports your point, then it is good enough to use in your argument, and then as soon as you realize it doesn't, it is "typical Democrat BS".

Is it really hard to believe that if you deny 5 million people healthcare, that it will have adverse health affects on them?

Put even more simply, if you think healthcare is good for people and can help keep them alive, then implicitly not having access to that care makes them less healthy and less likely to be alive than if they had healthcare.

We had Romney Care in Massachusetts. Rates and Premiums went up... now with the ACA they are going up higher.

Amazing deal for sure!

You are not following the conversation.

This is about states refusing federal money to provide Medicaid to millions of more people.

The feds pay for 100% of those costs initially, but it goes down to 90% by 2020.

Where do you think the states are going to get a better deal than that? If they implement their own program to provide healthcare for these people, they will have to pay 100% of the cost.

In this case they can provide a very important service to their citizens and only pay 10% of the price tag.

It probably would have been a good idea to proceed incrementally on health care on a bipartisan basis rather than to fundamentally change one-sixth of the US economy on a party line vote. A better approach would have been to cut the military budget in an amount sufficient to begin funding health care for the uninsured. It probably would have been a good idea to adopt tort reform, and to let insurance companies sell insurance policies across state lines. That would have brought over enough Republicans to permit characterization of the ACA as bipartisan legislation.

This clearly would never have happened.

Massive cuts to the military budget would in no way be something that would increase the likelihood of Republicans supporting the bill.
 

PoliticalNick

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Mar 8, 2011
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We had Romney Care in Massachusetts. Rates and Premiums went up... now with the ACA they are going up higher.

Amazing deal for sure!

Amazing deal for the insurance companies. They get to have more customers and raise rates to keep the ROI for investors stable. All they look at is that bottom line. They could care less how many people die or cannot get care as long as that profit margin remains the same and investors are happy with their dividends and that my friend is where your problems with healthcare start and finish. Remove the investors and the need to turn a huge profit and your system will become far more accessible and reasonably priced.
 

EagleSmack

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Wow. It is amazing how when you think a stat supports your point, then it is good enough to use in your argument, and then as soon as you realize it doesn't, it is "typical Democrat BS".

Stull having comprehension problems I see.

Is it really hard to believe that if you deny 5 million people healthcare, that it will have adverse health affects on them?

Hard to believe that you think 5 million people were denied health care. However facts and sense bounce off your brain.
 

EagleSmack

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Feb 16, 2005
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You are not following the conversation.

This is about states refusing federal money to provide Medicaid to millions of more people.

The feds pay for 100% of those costs initially, but it goes down to 90% by 2020.

Where do you think the states are going to get a better deal than that? If they implement their own program to provide healthcare for these people, they will have to pay 100% of the cost.

In this case they can provide a very important service to their citizens and only pay 10% of the price tag.

And if you like your plan you can keep your plan! And if you like your doctor you can keep your doctor!

Such fail...

 

BornRuff

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Nov 17, 2013
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Stull having comprehension problems I see.



Hard to believe that you think 5 million people were denied health care. However facts and sense bounce off your brain.

Do you have a different figure for the number of people who would have been covered by medicaid but were blocked?

And if you like your plan you can keep your plan! And if you like your doctor you can keep your doctor!

Such fail...

Again, you don't seem to be following. How does this relate to the issue of governors refusing money to expand medicaid?
 

EagleSmack

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Do you have a different figure for the number of people who would have been covered by medicaid but were blocked?

Hard to believe 5 million were denied health care... you know.... with the law and all.



Again, you don't seem to be following. How does this relate to the issue of governors refusing money to expand medicaid?

And if you like your doctor you can keep your doctor!

 

BornRuff

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Hard to believe 5 million were denied health care... you know.... with the law and all.

So this is a semantics issue for you?

I am talking about the number of people who could have been covered under medicaid if the governors had not refused to implement the expansion of medicaid in their state.

And if you like your doctor you can keep your doctor!

It is starting to seem like you might not have anything to add to this discussion.
 

EagleSmack

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Feb 16, 2005
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So this is a semantics issue for you?

I am talking about the number of people who could have been covered under medicaid if the governors had not refused to implement the expansion of medicaid in their state.

So you decided to switch from your ridiculous statement of 5 million denied health care to medicaid expansion.

lol.... you fail... this is why I mostly mock you. You are useless to debate.







It is starting to seem like you might not have anything to add to this discussion.



 

BornRuff

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So you decided to switch from your ridiculous statement of 5 million denied health care to medicaid expansion.

lol.... you fail... this is why I mostly mock you. You are useless to debate.

If you were following along you would know that is what we were talking about from the start.
 

BornRuff

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Let's assume for the sake of argument that you are correct and that the original Obama lie on cost was $900 billion net over ten years. And let's assume the CBO's recent report was a net cost from the federal treasury of $1.5 +/- over ten years. If this assumption is correct then does it not follow that there is an unsustainable drain from the federal treasury of $600 billion over ten years? How will that ongoing deficit be paid for? It will be borrowed won't it?

How do you have so little shame about completely making up numbers? How many times now have I pointed out that your numbers are fabricated, and you just trudge on.

If all of the facts you are basing your opinions on continue to be shown to be wrong, maybe you need to reevaluate.

What is the difference between the 600 billion and the 900 billion? Why is only one of them considered unsustainable to you? What exactly is your criteria for unsustainable?

You seem pretty fixated on the fact that healthcare costs money. That is not something that is ever going to change. In order to provide healthcare to those who can't afford it, it is going to have to take money out of government revenues, which ultimately has to be funded by taxes.

If you can think of a free way to provide healthcare for people who can't afford it, please let us know.

Almost all things in life are determined by a cost/benefit analysis. Obamacare has altered the reduced the benefit of becoming a Medical Doctor. Obamacare will squeeze the medical profession by decreasing the incentives to go through the laborious, rigorous and protracted process of acquiring the credentials and developing the skills necessary to be an MD capable of providing a high quality of health care. Obamacare only adds health care workers at the low end of the skill spectrum. Additionally, insurance companies are going to try to make the ACA requirements pencil out by limiting doctors and medical facilities available to its ACA insureds. That means a reduction in the quality of health care to the extent the best doctors and hospitals aren't available for the insureds.


What on earth makes you think that Obamacare reduces the benefit of becoming a doctor?

Why would insurance companies limit doctors and medical facilities available to people insured by ACA policies? What policies are you actually talking about? Private, medicaid, medicare? They are all affected by the ACA.

In other words Obamacare will increase the annual budget deficit, and accumulated national debt at the same time that Medicare and Social Security go into the red due to the retirement of the Baby Boom generation. That retirement will last for the next quarter of a century at least. No polity in all of recorded history has been able to survive an extended period of financial instability. America's ability to borrow from the rest of the world will come to an effective end when the dollar is abandoned as the world's reserve currency.

If you look at the books, the real issue you are talking about here is Medicare, not the ACA. When people retire, they are going on medicare, and it is a very expensive program. You seem to think that attempts to reduce costs in medicare are evil though, so your alternative is to prevent younger poorer people from getting health care?

Actually that's not true. Obamacare doesn't allow competition between health insurance companies on an interstate basis.

That is not something that Obama imposed, it is something that he simply didn't change.

It is a puzzling argument coming from you, since you repeatedly talk about allowing states to figure out healthcare for themselves, yet this proposal from you dramatically reduces a state's ability to control healthcare in their state.

I don't want pre=natal care, or contraceptives. I'm being forced by the federal govt. to subsidize other people.

The nature of insurance is risk pooling. You use things that some other people don't, and visa versa.

The IPAB was created by the ACA. Why was it created now? It's new isn't it?

Why was the IPAB created by Obama?

Because, as you have pointed out, Medicare is extremely expensive, and enrollment is only going to go up. They need to be doing everything they can to fight waste in this massive bureaucracy.

The previous system of oversight was inefficient, so this allows Medicare to hopefully act more efficiently.

I am still waiting for your reasoning on how this proves that Obama Care is imposing "government panels" on people. Medicare has always been government run and the government has always made attempts to keep costs down. Any rational insurance plan, public or private, has to do that.

America will be a less productive country if people don't work on a full time basis. Reduced productivity means America will be a poorer country. The CBO report said that Obamacare will cause a loss of work equal to 2 million full time jobs by 2017 and 2.5 million full time jobs by 2024. Consequently, America will be a less productive and poorer country.

As I said before most intentional actions in life are determined by a cost/benefit analysis. By keeping the number of covered workers below fifty it is possible for an employer to escape the employer mandate of the ACA. Another approach is to use a part time work force so that workers aren't covered employees.

You are going to have to start posting direct links to your posts about what you claim the CBO says, because you have so far been dramatically off the mark every time you have "cited" their numbers in the past.

What will the IPABs impact be on "end of life" medical care designed to extend life as much as possible?

Nothing. Please show me any evidence to the contrary.

There is no crisis in health care. The majority of Americans were satisfied with their health care and health insurance.

What does that even mean? Lets see what report you are getting those numbers from?

That's the wrong question. The right question is how can health care be provided without empowering the federal bureaucracy and politicians.

Why is that the right question?

Why did so many Canadians come to the United States for medical care even though they had coverage under Canada's single payer system?

People like me will never accept Govt. control and empowerment. Thus, the ACA will always be the cause of dissension and strife in the US.

I favor letting each state adopt its own approach because one size doesn't fit all. I support cost cutting measures like tort reform, and permitting insurance companies to sell health insurance across state lines. I don't support cutting the quality of health care.

I would prefer no USA if there is an ACA. Seriously. I'm not good with Big Govt. and tens of millions like me will never accept it. The ACA will continue to be a source of estrangement, hatred, and alienation.

The number of people who come to the US for healthcare is a very very small portion of the population in Canada. Far smaller than the number of US citizens who travel outside of the US to get affordable healthcare in other countries.

You being a **** about it isn't really a reason not to reform healthcare.

How does one fund the ACA's annual deficit? Borrowing? But Social Security and Medicare are already going broke as the Baby Boom generation moves into retirement and lives for a very long time. The debt service on the national debt is going to skyrocket...especially when America's ability to borrow is constrained due to the loss of low interest rates derived from the role of the dollar as the world's reserve currency.

Again, the fact that it costs money isn't a reason not to implement it. Any plan is going to be expensive.

My aunt Kay from Edmonton died from cancer while waiting for her turn for surgery and treatment. That is an instance of reduced health care quality.

That is obviously sad, but there are countless stories of the exact same thing happening in the US because people didn't have enough money or the right insurance. Anecdotes are not good evidence of anything.