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I Have Good News & Bad News … Some Subjective & Perspective

  

Category:  News & Politics

Via:  a-macarthur  •  9 years ago  •  171 comments

I Have Good News & Bad News … Some Subjective & Perspective

First … the BAD NEWS

The billions of dollars in health insurance subsidies Trump has taken to "REPEAL & REPLACE" and end Obamacare ... thus opening the era of TRUMPCARE … will …

• Make health insurance unaffordable for millions of Americans currently living at or below poverty levels, meaning …

• They will no longer have Health Insurance coverage, and, many, including children, will die

• Insurance companies, because of the resultant diminished premium base, will either leave certain markets altogether, or ...

• Make up their losses by significantly raising premiums on everyone else, cover fewer items, deny more claims, raise deductibles, or, some/all of the above

• The uninsured will go to ERs, the costs of which will be recovered by raising premiums on everyone who buys health insurance, and/or, on costs to employers who provided health insurance for their employees.

• Some hospitals will close meaning even those with insurance could have difficulties being treated!

Again, that's the bad news.

Now … the GOOD NEWS!

Of the 10 states that will be hurt most by Trump's "REPEAL & REPLACEMENT" of Obamacare, 9 out of the 10 of those states, voted for Trump!

Now, the SUBJECTIVE

According to Donald Trump … Everyone will have "Great, great health care" 

And now, the PERSPECTIVE*

* Return to the BAD NEWS portion of the article (see atop the page)

Red Box Rules

Trump's "REPLACE & REPEAL" is THE TOPIC … the ONLY TOPIC … stay on it!

• No personal attacks

• No off topic comments

• No Obama/Clinton/Ryan/McConnell, etc. … Trump's Executive Order and what may likely result is "on topic" … 


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A. Macarthur
Professor Guide
1  seeder  A. Macarthur    9 years ago

Agree or disagree with ANYTHING SPECIFIC IN MY ARTICLE … where you disagree, if you can, briefly tell us your SPECIFIC reason(s) for your disagreement.

On-topic Equivocation is acceptable …

 
 
 
Rex Block
Freshman Silent
1.1  Rex Block  replied to  A. Macarthur @1    9 years ago

Yeah....the "bad news" bullet points is already happening with Obamacare.

 
 
 
A. Macarthur
Professor Guide
1.1.1  seeder  A. Macarthur  replied to  Rex Block @1.1    9 years ago

To an extent I certainly agree ... But after what Trump did yesterday, The ACA will shortly look like the good old days.

Trump didn't fix Obamacare ... He broke it all the way.

 
 
 
A. Macarthur
Professor Guide
1.1.2  seeder  A. Macarthur  replied to  Rex Block @1.1    9 years ago
Yeah....the "bad news" bullet points is already happening with Obamacare.
And here's why …

How States Have Sabotaged Obamacare

Take the law's Medicaid expansion,   which 19 states   still have not implemented. In the refusing states, low-income families that would otherwise be eligible for government insurance have been pushed onto the exchanges, where they've been some of the   most enthusiastic customers , since they qualify for generous subsidies. As the Department of Health and Human Services   pointed out in a September report , households that earn between 100 and 138 percent of the poverty line make up about 40 percent of the exchange market in non-expansion states, on average. In states that did expand Medicaid, they make up just 6 percent.

Herding poorer families into the exchanges has almost certainly left insurers with a sicker customer base, since low-income Americans tend to be less healthy. That, in turn, drives up costs for everybody. Controlling for other variables, the Department of Health and Human Services researchers estimated that in 2015, premiums were 7 percent lower in states that decided to expand Medicaid than those that didn't. It seems entirely possible that difference has grown with time as carriers have had to further adjust their prices to reflect the health of their customer bases.

State governments may have undermined their insurance markets in other, less overtly political ways. The majority have allowed their residents to hold onto so-called grandmothered or transitional plans that they purchased after the Affordable Care Act was passed but before healthcare.gov opened for business. That means people who were healthy enough to obtain affordable insurance back when carriers could discriminate against people with pre-existing conditions have been allowed to stay off the exchanges, leaving insurers with a sicker customer base.

 
 
 
A. Macarthur
Professor Guide
2  seeder  A. Macarthur    9 years ago

Trumping the Obamacare legacy -- one uninsured child at a time.

"Repeal Obamacare ... If it's broken, break it some more!"

 
 
 
TOM PA
Freshman Silent
3  TOM PA    9 years ago

  May be off topic but?  After reading your "bad news" section I was reminded of something I read decades ago.  That is that during the "great depression" banks failed but not one insurance company went out of business.  

 
 
 
A. Macarthur
Professor Guide
3.1  seeder  A. Macarthur  replied to  TOM PA @3    9 years ago

The insurance companies are exempt from anti trust laws ... Part of an overall fucking of the middle class.

 
 
 
Dulay
Professor Participates
5  Dulay    9 years ago
First … the BAD NEWS

I think that is the first thing that you posted that was 'subjective'.

Though they may not want to admit it, the GOP don't think that most of the things on your list are 'BAD NEWS'. The fact is, every one of the bills that they've filed would cause the consequences you listed. They WANT it to happen and they care not what the fallout is. They want to take every dime of 'savings' and give the top 10% a tax break. Though the 'savings' won't come close to offsetting the tax breaks they've proposed. 

 
 
 
A. Macarthur
Professor Guide
5.1  seeder  A. Macarthur  replied to  Dulay @5    9 years ago

I mostly agree.

 
 
 
Rex Block
Freshman Silent
5.2  Rex Block  replied to  Dulay @5    9 years ago

Giving the rich a tax break is not true, besides being off topic.

 
 
 
Dulay
Professor Participates
5.2.1  Dulay  replied to  Rex Block @5.2    9 years ago
Giving the rich a tax break is not true, besides being off topic.

Nope on both.

 
 
 
A. Macarthur
Professor Guide
5.2.2  seeder  A. Macarthur  replied to  Rex Block @5.2    9 years ago
Giving the rich a tax break is not true, besides being off topic.

Please … don't make pronouncements about things with which you are uninformed.

Repealing ObamaCare has always been

about tax cuts for the rich

 
 
 
A. Macarthur
Professor Guide
5.3  seeder  A. Macarthur  replied to  Dulay @5    9 years ago

I think that is the first thing that you posted that was 'subjective'.

And you're likely to think that until the first thing items come to pass …

… at which time I promise not to say "I told you so."

 
 
 
Dulay
Professor Participates
5.3.1  Dulay  replied to  A. Macarthur @5.3    9 years ago
And you're likely to think that until the first thing items come to pass … … at which time I promise not to say "I told you so."

I think you misunderstood my point. 

While WE may think that all of those items are "BAD NEWS", the GOP think it's 'GOOD NEWS' and it's what they've wanted all along. That's what I mean by it being subjective...

 
 
 
A. Macarthur
Professor Guide
5.3.2  seeder  A. Macarthur  replied to  Dulay @5.3.1    9 years ago

Fair enough. Subjective from Republican perspective ...  Objective based on the likely realities to come.

 
 
 
Dean Moriarty
Professor Silent
6  Dean Moriarty    9 years ago

This is great news I won’t be stuck subsidizing the lazy bums Nancy Pelosi told to quit their jobs because they can stick others with the bill for their healthcare. It returns the burden to the people that purchase healthcare. 

 
 
 
A. Macarthur
Professor Guide
6.1  seeder  A. Macarthur  replied to  Dean Moriarty @6    9 years ago

Off topic

 
 
 
Dean Moriarty
Professor Silent
6.1.1  Dean Moriarty  replied to  A. Macarthur @6.1    9 years ago

It's on topic as it pertains to this quote from the article. 

"The billions of dollars in health insurance subsidies Trump has taken to "REPEAL & REPLACE" and end Obamacare"

 
 
 
lennylynx
Sophomore Silent
6.1.2  lennylynx  replied to  A. Macarthur @6.1    9 years ago

Off rocker too!

 
 
 
A. Macarthur
Professor Guide
6.1.3  seeder  A. Macarthur  replied to  Dean Moriarty @6.1.1    9 years ago
It's on topic as it pertains to this quote from the article.

Pelosi is off topic.

 
 
 
A. Macarthur
Professor Guide
6.1.4  seeder  A. Macarthur  replied to  lennylynx @6.1.2    9 years ago

Off topic … no personal comments, please.

 
 
 
lennylynx
Sophomore Silent
6.1.5  lennylynx  replied to  A. Macarthur @6.1.4    9 years ago

Lol, yes Mac, sorry about that!

 
 
 
Ender
Professor Expert
9  Ender    9 years ago

I don't see a big surge in the young and healthy running out to buy cheap junk plans. Why would someone want a limited plan that hardly covers anything? Just to say they have insurance? I don't see it happening, it would be a waste. They would be better off saving their money and going without.

The plans with good coverage will be out of reach for a lot of people and the cheaper plans would simply not be worth it.

 
 
 
Rex Block
Freshman Silent
9.1  Rex Block  replied to  Ender @9    9 years ago

They aren't rushing out to buy any plans, especially the fatally flawed ACA.

 
 
 
A. Macarthur
Professor Guide
9.1.1  seeder  A. Macarthur  replied to  Rex Block @9.1    9 years ago
They aren't rushing out to buy any plans, especially the fatally flawed ACA.

Instead of sounding like Donald Trump, give some specifics.

 
 
 
Cerenkov
Professor Silent
9.1.2  Cerenkov  replied to  A. Macarthur @9.1.1    9 years ago

Specifically, I know many people who don't qualify for subsidies (handouts) but can't afford any ACA plans. Admittedly, my data is anecdotal. 

 
 
 
Cerenkov
Professor Silent
9.2  Cerenkov  replied to  Ender @9    9 years ago

"Why would someone want a limited plan that hardly covers anything?"

Lots of people would prefer to pay less for a catastrophic health plan. Obama made that illegal.

 
 
 
magnoliaave
Sophomore Silent
10  magnoliaave    9 years ago

AL was one state that did not do Medicaid extension.  Al, also, voted for Trump.  If one is not employed....no ACA.  This is my State.

Blue Cross-Blue Shield was the ONLY health insurance available in AL under the ACA.  They are, also, one of the most expensive to do business with.

 
 
 
lennylynx
Sophomore Silent
10.1  lennylynx  replied to  magnoliaave @10    9 years ago

Would it help you if we brought 'single prayer' into it? :)

 
 
 
lennylynx
Sophomore Silent
10.1.2  lennylynx  replied to  Release The Kraken @10.1.1    9 years ago

So, you want to teach people to fish rather than just give them a fish?? :)

 
 
 
magnoliaave
Sophomore Silent
10.1.3  magnoliaave  replied to  lennylynx @10.1.2    9 years ago

Good idea!

 
 
 
Rex Block
Freshman Silent
10.1.4  Rex Block  replied to  lennylynx @10.1    9 years ago

Do you mean "government run health insurance"

That's too horrible to contemplate!

 
 
 
Galen Marvin Ross
Sophomore Quiet
10.1.5  Galen Marvin Ross  replied to  Release The Kraken @10.1.1    9 years ago
No but if we improve the economy and cut welfare entitlements, more people will work and purchase insurance.

I love the part that I bolded, it is such a good thing to bring this phrase into the conversation. Working isn't the problem, we've been steadily improving the job force since Obama's first term in office, what is lacking is a LIVING wage, with a LIVING wage everyone could afford health insurance but, then again we would have to live in a utopian society, wouldn't we.

 
 
 
A. Macarthur
Professor Guide
10.1.7  seeder  A. Macarthur  replied to  Release The Kraken @10.1.1    9 years ago

We agree! 

Stop exporting jobs and pay living wages.

 
 
 
A. Macarthur
Professor Guide
10.1.8  seeder  A. Macarthur  replied to  Rex Block @10.1.4    9 years ago

Do explain why.

Medicare works well ... dismissing something out of hand with no specifics is indicative of a biased presupposition. That is part of the problem.

Those in bed with the insurance racket like dismissiveness ... It keeps the facts in obscurity.

 
 
 
lennylynx
Sophomore Silent
10.1.9  lennylynx  replied to  Release The Kraken @10.1.6    9 years ago

Those items are one shot deals (Removed, CoC, BT)  insurance is something you have to pay for regularly your entire life.  If you work at Walmart, you simply can't afford it without some sort of subsidy.  A full time job should pay a living wage, period, I will accept nothing less for this great country!

 
 
 
magnoliaave
Sophomore Silent
10.1.10  magnoliaave  replied to  Release The Kraken @10.1.6    9 years ago

The way my mom and dad did it.  But, not today.  What can I get for free and how will the federal government support me? 

 
 
 
magnoliaave
Sophomore Silent
10.1.13  magnoliaave  replied to  A. Macarthur @10.1.8    9 years ago

There are some in our wonderful Country who try and try and never know any comfort from the hard work they do everyday. So innocent they were to think that they could marry their special one, have children and live happily ever afterwards. 

We will work together they said.  But, they didn't know that daycare, after school care would be part of the plan to encumber them into a life of strife.

It is all sad. 

 
 
 
magnoliaave
Sophomore Silent
10.1.14  magnoliaave  replied to    9 years ago

Even with Medicare, I pay $300 per month.  Some people think Medicare is free.....it is not!

 
 
 
A. Macarthur
Professor Guide
10.1.15  seeder  A. Macarthur  replied to  magnoliaave @10.1.3    9 years ago

Good idea!

Agreed, provided you don't outsource the lakes, ponds, rivers 

 
 
 
A. Macarthur
Professor Guide
10.1.16  seeder  A. Macarthur  replied to  Release The Kraken @10.1.6    9 years ago

It's simple, you wake up in the morning, go to work and take care of your family like the rest of us. Sell your Iphone, don't buy the big screen and get some health insurance. It's not anyone else's responsibility but yours.

Yeah, they do that in India and China where the "work" gets sent.

 
 
 
A. Macarthur
Professor Guide
10.1.17  seeder  A. Macarthur  replied to    9 years ago
The problem is that nobody wants to offer up an option that would basically eliminate the health insurance industry.

I refer you to the Jon Conyers Universal Health care proposal. He addresses what would happen with insurance company employees.

I have no problem with "laying off" insurance company CEOs who "earn" many thousand dollars per HOUR plus stock options.

Wendell Potter, former public relations executive for Cigna, where CEO David Cordani raked in a   $14.5 million   salary in 2014, said, “There's no doubt that one of the reasons why Americans pay more for health insurance and for healthcare than people in any other country in the world is because of this high executive ... Jun 26, 2015
 
 
 
A. Macarthur
Professor Guide
10.1.18  seeder  A. Macarthur  replied to  lennylynx @10.1.9    9 years ago

Those items are one shot deals (Removed, context, No CoC. BT),

No personal insults … I'll have to flag that … repost the comment without the name calling.

 
 
 
pat wilson
Professor Quiet
10.1.19  pat wilson  replied to  magnoliaave @10.1.14    9 years ago
Even with Medicare, I pay $300 per month

Is that what they take out of your social security check ? Just curious, the issue is coming up soon for me.

 
 
 
Cerenkov
Professor Silent
10.1.21  Cerenkov  replied to  pat wilson @10.1.19    9 years ago

Yes, they take it out of your SS check. If you get an advantage plan, you send a check for the extra. Dad pays an extra 80 dollars a month for his medicare advantage plan.

 
 
 
Nowhere Man
Junior Participates
10.1.22  Nowhere Man  replied to  magnoliaave @10.1.13    9 years ago

You get up in the mornin', you hear the ding dong ring
Now you look up on the table, you see the same darn thing
You find no food upon the table and no pork up in the pan
But if you say a thing about it, you be in trouble with the man

----- Midnight Special, Johnny Rivers version.....

Mags said;

But, they didn't know that daycare, after school care would be part of the plan to encumber them into a life of strife.

It is all sad. 

Amen sister, Amen....

Far too many get pulled down no matter how hard they try....

Life under excessive government is a prison that no one can escape.

 
 
 
ausmth
Freshman Silent
10.1.23  ausmth  replied to  pat wilson @10.1.19    9 years ago
Is that what they take out of your social security check ? Just curious, the issue is coming up soon for me.

Medicare comes out of the SS check and the supplement insurance is paid by you.  I have a plan F supplement that makes up the difference in what medicare pays and the actual bill.

My old private plan while more expensive than medicare/supplement was much better coverage.

I use a C-pap and medicare won't cover long term use of one.  My heart doctor even tried to get them to cover it but medicare won't.  If medicare won't cover the supplement won't either.

I wish we had the Swiss universal and we could cover all at a lower cost and get employers out of the insurance business.

 
 
 
Cerenkov
Professor Silent
10.1.24  Cerenkov  replied to  ausmth @10.1.23    9 years ago

I use a cpap. What aren't they covering for you?

 
 
 
lennylynx
Sophomore Silent
10.1.25  lennylynx  replied to  A. Macarthur @10.1.18    9 years ago

An insult Mac?  While I see how it can be taken that way, I like the fish, we both have a sense of humor and a very positive history together.  It wasn't meant as an insult, just a humorous jab and I'll bet my Fishy friend takes it that way too.  Take a look at our back and forths from today.  You aren't wrong, technically, but you don't understand either.

 
 
 
A. Macarthur
Professor Guide
10.1.26  seeder  A. Macarthur  replied to  lennylynx @10.1.25    9 years ago
technically, but you don't understand either.

If BF is ok with it … then you two work it out.

 
 
 
pat wilson
Professor Quiet
10.1.27  pat wilson  replied to  ausmth @10.1.23    9 years ago

Thank you to you, ausmth, Cerenkov and Gunny for the info !

 
 
 
ausmth
Freshman Silent
10.1.28  ausmth  replied to  Cerenkov @10.1.24    9 years ago

my supplies.

 
 
 
ausmth
Freshman Silent
10.1.31  ausmth  replied to  XXJefferson51 @10.1.30    9 years ago

It won't get any better.  I learned how to disinfect the tank, hose and nose pillows.  Ebay has replacement parts as well.

 
 
 
Dulay
Professor Participates
10.1.32  Dulay  replied to  Release The Kraken @10.1.1    9 years ago

Lot's of middle class jobs open in Alabama? Lot's of educated, trained, employable welfare recipients lining up for jobs? 

Because the ONLY way to get the vast majority in your state or any other off of 'welfare' is to get them better paying jobs. You see, 75% of those on 'welfare' are from WORKING families. So maybe their 'lazy' kids need to get jobs if they want to eat. 

 
 
 
Cerenkov
Professor Silent
11  Cerenkov    9 years ago

How many people died before the ACA was signed? I assume it was ok then?

 
 
 
A. Macarthur
Professor Guide
11.1  seeder  A. Macarthur  replied to  Cerenkov @11    9 years ago
How many people died before the ACA was signed? I assume it was ok then?

Wrong question …

Right question …

How many millions of Americans who had no health care before the ACA … died in an average year of cancer, heart disease, pre-existing conditions?

 
 
 
pat wilson
Professor Quiet
11.1.2  pat wilson  replied to    9 years ago

Everyone who pays taxes pays for medical indigent patients whether it's ACA or the emergency room. You will pay something regardless. The question is , is it cheaper to pay into a healthcare plan for indigents or pay the costs of indigents' emergency room visits ?

 
 
 
ausmth
Freshman Silent
12  ausmth    9 years ago

There is a simple solution.  The subsidy to the insurance companies should go through the regular appropriation process.

I don't like subsidising insurance companies.  I don't mind helping individuals but not the insurance companies.

 
 
 
A. Macarthur
Professor Guide
12.1  seeder  A. Macarthur  replied to  ausmth @12    9 years ago

We pretty much agree! 

Universal Health insurance … take it off of the employer … improve profit margins … more revenue for the U.S. Treasury from both profits and employee pay increases, consumer spending = more jobs …

 
 
 
ausmth
Freshman Silent
12.1.1  ausmth  replied to  A. Macarthur @12.1    9 years ago

I am a fan of the Swiss universal.  It still gives market choices and helps the poor with coverage.

 
 
 
Ender
Professor Expert
12.1.2  Ender  replied to  ausmth @12.1.1    9 years ago

I have to read about what has been happening since I haven't in a while yet, I like the Australian system. It is a combination of Medicare for all and private insurance. A mix of public and private hospitals. 

Last time  I was reading about it, most of them seem happy with it.

 

Everyone is involved, whether they want to be or not

Voting in Australia is compulsory. Failure to vote incurs a fine, and virtually everyone votes, diluting the impact of any party’s extremists. I watched election coverage with a sense that the two major parties were fighting for the middle, aiming to govern rather than stand firm on ideology. The impact reaches to all facets of public life, and the pragmatic influence on health policy seems less divisive than what is currently going on in Washington and frankly, better for citizens living with the impact of health policies.

Republicans have abandoned the refrain “America has the best healthcare in the world,” common at the time of my Australian journey. Today, they see the system as urgently broken and even the President even seems envious of the Australians. Why not turn to Australia for ideas on how to fix it?

 
 
 
ausmth
Freshman Silent
12.1.3  ausmth  replied to  Ender @12.1.2    9 years ago
Australia for ideas on how to fix it?

American stubbornness I guess.

The frugal Swiss created a system that both Forbes and Krugman endorse.  Politicians can't see that far.

 
 
 
pat wilson
Professor Quiet
12.3  pat wilson  replied to  ausmth @12    9 years ago
I don't like subsidising insurance companies.

Nobody does. It would be brilliant if we could shrink the insurance industry to the size that we could drown it in a bathtub. (Thank you Grover).

Seriously, when the HMO's came to be in the 70's I wondered why medical care needed "management". Before all the HMO's, PPO's and now EPO's people knew how to get their health care needs met. Insurance should be primarily for catastrophic events. Not for every little damn thing. The cost savings to the government and private citizens would be astronomical.

 
 
 
Nowhere Man
Junior Participates
12.3.1  Nowhere Man  replied to  pat wilson @12.3    9 years ago

And the loss of revenue to the profit margins of the huge medical corporations would also be huge.

Can't wait for it to happen......

Of course I grew up in an environment where the visiting nurses came around every six months or so and taught basic medical care right in your home, minor emergencies were handled in the Dr office which was right around the corner.

The only reason for hospitals were for major medical emergencies and insurance for major medical catastrophies.

It was still expensive for the average jane/joe back then, but a lot more manageable, and everyone got taken care of.........

Today, you can't get a hangnail taken care of without it costing a fortune......

 
 
 
ausmth
Freshman Silent
12.3.2  ausmth  replied to  pat wilson @12.3    9 years ago
Insurance should be primarily for catastrophic events. Not for every little damn thing.

For sure!

It is cheaper to see a family doctor than the ER though.  It would be nice to lower the costs of a good general practitioner visit.  Some GPs don't take insurance and make their fee reflect the savings.  The system has become too bloated.

 
 
 
pat wilson
Professor Quiet
12.3.3  pat wilson  replied to  ausmth @12.3.2    9 years ago

I pay out of pocket for routine care and screenings. It's not only cheaper for me in the long run it's great for the doctor's office too.

 
 
 
Larry Hampton
Professor Quiet
14  Larry Hampton    9 years ago

The US is the richest, strongest, most powerful country; yet, can't take care of their citizen's health care. When are Americans going to wake up a realize we are being screwed by big pharma, banking, and insurance?!

We have a horrendous uninsured population (We place between Mexico and Chile at #33 LINK ).

We don't even place in the top 25 world wide in healthiest countries ( 34th ).

We NEED a revolution or our grandchildren will continue, in an even worse degree, to be serfs to the almighty American economic empire.

 
 

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