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The PPACA Implementation Phase II - Love it or Lose it!

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I'm hardly the biggest proponent of Obamacare, but this is why journalism is a dying art. At no point in that article does he stop pleasuring himself under the desk and use both hands to type. I can't find anything about what the actual changes are other than a few bits and pieces. No mention of premiums, no mention of choices offered (because I'm guessing Harvard offers at least two or three options), no mention of OOP maximums, nothing. Just a bunch of rubbing little ronnie.
Better journalism on same subject:


http://www.washingtonpost.com/blogs/wonkblog/wp/2015/01/05/harvard-professors-are-angry-that-their-amazing-health-insurance-is-getting-slightly-less-generous/?tid=HP_business?tid=HP_business
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

Dying? Outside of a handful of old-timers in your local news market, good journalism is dead. It's all about hiring partisan hacks and bubble-headed blondes now.

There are probably more good investigative journalists working today than ever before. They're just scattered across a million little websites and blogs.

The people are there; the tools have never been better. Now it's just a technical problem of hooking up real journalists with audiences. The "news" model has failed, reduced to entertainment, so we will find another way. There is always another way.
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

I'm hardly the biggest proponent of Obamacare, but this is why journalism is a dying art. At no point in that article does he stop pleasuring himself under the desk and use both hands to type. I can't find anything about what the actual changes are other than a few bits and pieces. No mention of premiums, no mention of choices offered (because I'm guessing Harvard offers at least two or three options), no mention of OOP maximums, nothing. Just a bunch of rubbing little ronnie.


From the NYT:

"The university is adopting standard features of most employer-sponsored health plans: Employees will now pay deductibles and a share of the costs, known as coinsurance, for hospitalization, surgery and certain advanced diagnostic tests. The plan has an annual deductible of $250 per individual and $750 for a family. For a doctor's office visit, the charge is $20. For most other services, patients will pay 10 percent of the cost until they reach the out-of-pocket limit of $1,500 for an individual and $4,500 for a family."

Having been on Harvard insurance myself, it is generous, but if this above is in fact the changes, what's the problem? $250 per individual? $1,500 per year per person??? On a Harvard salary, especially the professors, I'm not sure we're talking poverty and slave wages here. :rolleyes:

Oh, and Fishy, you really do need to get laid. ;)
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

From the NYT:

"The university is adopting standard features of most employer-sponsored health plans: Employees will now pay deductibles and a share of the costs, known as coinsurance, for hospitalization, surgery and certain advanced diagnostic tests. The plan has an annual deductible of $250 per individual and $750 for a family. For a doctor's office visit, the charge is $20. For most other services, patients will pay 10 percent of the cost until they reach the out-of-pocket limit of $1,500 for an individual and $4,500 for a family."

Having been on Harvard insurance myself, it is generous, but if this above is in fact the changes, what's the problem? $250 per individual? $1,500 per year per person??? On a Harvard salary, especially the professors, I'm not sure we're talking poverty and slave wages here. :rolleyes:

Oh, and Fishy, you really do need to get laid. ;)

That is one of the most generous plans I have ever heard of.
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

Wow. Out of pocket limit is only $1500? We should all be so lucky!
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

Uninsured rate hits new low...

http://www.cnbc.com/id/102313931?trknav=homestack:topnews:3

This is proof positive that knuckledragging (aka conservatism) is a ideology for people frustrated with their own lives and unwilling to add anything positive to the discussion or life in general. Lower uninsured rates + lowering the increases in health care spending were the goals of the ACA. Done and done. Time to declare victory and mock the critics (well, I guess I've already been doing the latter ;)).
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

Uninsured rate hits new low...

http://www.cnbc.com/id/102313931?trknav=homestack:topnews:3

This is proof positive that knuckledragging (aka conservatism) is a ideology for people frustrated with their own lives and unwilling to add anything positive to the discussion or life in general. Lower uninsured rates + lowering the increases in health care spending were the goals of the ACA. Done and done. Time to declare victory and mock the critics (well, I guess I've already been doing the latter ;)).

The criticism will never end because it was never substantive, it was always purely political. Plus, they've got their captives hermetically sealed. My coworkers absolutely believe the rate of change of cost is increasing and that more people are uncovered, just as they believe there are hundreds of thousands of cases of voter fraud every election, that global warming is a hoax, that evolution is false, and that ISIS is streaming across the Arizona border.
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

The criticism will never end because it was never substantive, it was always purely political. Plus, they've got their captives hermetically sealed. My coworkers absolutely believe the rate of change of cost is increasing and that more people are uncovered, just as they believe there are hundreds of thousands of cases of voter fraud every election, that global warming is a hoax, that evolution is false, and that ISIS is streaming across the Arizona border.

Global warming must be a hoax! It's cold today!
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

Whoops.

The Silly Party gets its arse handed to it yet again, convening a panel to slam Obamacare and winding up with their own witnesses testifying one after another how much Obamacare is necessary.

In effect a panel that held to show how Obamacare is not working or needs repealing showed how much further it needs to go. It showed that when a sensible discussion is held with real employers a common answer can be reached. When a common answer is reached one can develop much more effective policy.

As I said many times before, Obamacare is just the first step toward the only effective method to pay for health care, a single payer system, with Medicare for all. That is why Republicans are fighting it as hard as they are. They see the end to a system where the healthcare consumer can be fleeced for the profit of a few.
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

Whoops.

The Silly Party gets its arse handed to it yet again, convening a panel to slam Obamacare and winding up with their own witnesses testifying one after another how much Obamacare is necessary.

As a party they sure do enjoy being on the wrong side of history on a plethora of issues.

Rape, wrong side.
Immigration, wrong side.
Health Care, wrong side.

And those are just the current ones that come to mind.
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

Whoops.

The Silly Party gets its arse handed to it yet again, convening a panel to slam Obamacare and winding up with their own witnesses testifying one after another how much Obamacare is necessary.

Every system has its flaws. The biggest flaw with the single payer system is right in front of your nose: the single payer. There's no such thing as a free lunch. One party is paying, and therefore one party determines who does or does not receive care. This party usually also has the tendency to create what I am going to coin as a "regulated monopoly", where instead of pricing competition out via free market, they are using regulations to ensure they are the only person providing this sort of thing. We see it today in Medicare, where it is a felony for a person to pay for some portion of care that is not allocated in that manner through the Medicare plan.

I can't believe I'm actually going to type this, but Vermont actually came up with a halfway decent idea: a hybrid of the two systems. Sure, there's the single payer option for those requiring as such, but then there is also a caveat that if you have the ability to pay for it yourself, you may do so without penalty. With all of this, let's add one more caveat to this plan: the opt out clause. If you don't want to participate in the single payer system for whatever reason, you don't have to opt in. In those cases, bill the people for whatever is done, and actually enforce it. Most ambulance services have been sold off to private companies as it is, consider some sort of system like that if it's still public. Allow emergency rooms to prioritize not only on severity, but also on payment ability. Don't want to opt in but can't pay for something? Just watch the others go past you.

Remember, regulated monopolies are still monopolies. They have only two things to do to be successful: Cut supply, and increase the price.
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

Every system has its flaws. The biggest flaw with the single payer system is right in front of your nose: the single payer. There's no such thing as a free lunch. One party is paying, and therefore one party determines who does or does not receive care. This party usually also has the tendency to create what I am going to coin as a "regulated monopoly", where instead of pricing competition out via free market, they are using regulations to ensure they are the only person providing this sort of thing. We see it today in Medicare, where it is a felony for a person to pay for some portion of care that is not allocated in that manner through the Medicare plan.

I can't believe I'm actually going to type this, but Vermont actually came up with a halfway decent idea: a hybrid of the two systems. Sure, there's the single payer option for those requiring as such, but then there is also a caveat that if you have the ability to pay for it yourself, you may do so without penalty. With all of this, let's add one more caveat to this plan: the opt out clause. If you don't want to participate in the single payer system for whatever reason, you don't have to opt in. In those cases, bill the people for whatever is done, and actually enforce it. Most ambulance services have been sold off to private companies as it is, consider some sort of system like that if it's still public. Allow emergency rooms to prioritize not only on severity, but also on payment ability. Don't want to opt in but can't pay for something? Just watch the others go past you.

Remember, regulated monopolies are still monopolies. They have only two things to do to be successful: Cut supply, and increase the price.

First, all long-standing monopolies are regulated into existence. If they weren't protected by law, other large competitors would eventually break the monopoly. It's been proven time and again.

Second, Vermont didn't come up with the idea for the hybrid health care system. The Brits and Australians both utilize versions of said system. During the original PPACA debates, I said that we could go that route based upon the Australian model and make the largest number of people happy, but also said that with class warfare in this country that it would be shouted down for being an unequal system. I was then shouted down.
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

Remember, regulated monopolies are still monopolies. They have only two things to do to be successful: Cut supply, and increase the price.

Those are the incentives of a private sector service provider. The reason health insurance has to ultimately have a public sector service provider is the same reason the military does: we are unwilling to leave it to market incentives.

The entire point of public health insurance is that covering people who can't pay for themselves can not be cost effective. There are three solutions:

1. Rely on market incentives and let the poor die.

2. Create a hybrid where rich people pay for their own insurance and poor people are subsidized. Given lobbyist-politician bribery, this leads to cycles of private sector firms amassing fortunes on the backs of the taxpayers followed by reactionary cycles where the subsidized services are cut and the poor suffer because the middle class doesn't care. (This has typically been the American solution to most social programs.)

3. Single-payer, eliminating insurance and directly paying health care costs. This saves money by removing private insurance profiteering. Cost, quality and coverage are more directly under the control of the taxpayer, and we get the configuration we can politically agree on.

Don't worry -- if you can get enough of a public consensus to kill the poor, you can still do it, but democratically.
 
Re: The PPACA Implementation Phase II - Love it or Lose it!

Just have the middle class pay for the rich and the poors health care. Problem solved.
 
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