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The PPACA Thread Part III - Let's have a healthy debate!

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Re: The PPACA Thread Part III - Let's have a healthy debate!

Clinics are prospering. Good!

My insurance will not cover the MinuteClinics in CVS, but will cover the clinics in Target (which CVS is acquiring). The more the merrier!
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

Clinics are prospering. Good!

My insurance will not cover the MinuteClinics in CVS, but will cover the clinics in Target (which CVS is acquiring). The more the merrier!

In your case, it will probably be less, as the Target clinics will be subject to CVS's regulations.

Plus, I doubt this will hurt big pharma. If anything, it will help them, as they'll have even more outlets to push their overly expensive crud that only makes you sicker.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

ACA is shaping up to be a serious success. I mentioned that research I had done professionally found that insiders said the ACA was revolutionizing the healthcare industry in a positive way.

Now Forbes (not exactly a socialist rag), It covers that the uninsured has dropped at record rates due to the ACA, that states that expanded Medicare have extended coverage and hospitals/healthcare have added tons of jobs.

http://www.forbes.com/sites/dandiam...rst-time-americas-uninsured-rate-is-below-10/
 
ACA is shaping up to be a serious success. I mentioned that research I had done professionally found that insiders said the ACA was revolutionizing the healthcare industry in a positive way.

Now Forbes (not exactly a socialist rag), It covers that the uninsured has dropped at record rates due to the ACA, that states that expanded Medicare have extended coverage and hospitals/healthcare have added tons of jobs.

http://www.forbes.com/sites/dandiam...rst-time-americas-uninsured-rate-is-below-10/
Interesting metrics for success. You're using the number of people buying insurance and the number of jobs created. Whatever happened to better and more affordable care?
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

Interesting metrics for success. You're using the number of people buying insurance and the number of jobs created. Whatever happened to better and more affordable care?

As for more affordable I get the impression that pretty much everybody agrees the inflationary curve for health care has been bent lower. But I may only get the impression due to self-selected source material.

As for better care, I'm going to go out on a limb and say some care is better than no care, which is what people without insurance were getting before.

This may be one of those cases where the GUBMINT BAD!!!1! types take it in the butt from the facts. Doesn't happen very often but it does happen. :)
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

When an industry progresses, its difficult to tell how it will unfold. For example as the automotive industry has progressed, cars have gotten faster, bigger, more fuel efficient, smarter, etc...but not necessarily cheaper. Regardless, the US does not have a planned economy...the marketplace decides not government. Today's healthcare innovation is in large part driven by aging baby boomers.

It doesn't surprise me what Kep is saying about moderated costs...if that's not cheap enough, one can fly to Botswana. But this is a case where healthcare in America is just much better than it was. More services, better services, better procedures.
 
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Re: The PPACA Thread Part III - Let's have a healthy debate!

As for more affordable I get the impression that pretty much everybody agrees the inflationary curve for health care has been bent lower. But I may only get the impression due to self-selected source material.

As for better care, I'm going to go out on a limb and say some care is better than no care, which is what people without insurance were getting before.

This may be one of those cases where the GUBMINT BAD!!!1! types take it in the butt from the facts. Doesn't happen very often but it does happen. :)

No doubt any care is most often preferable to no care at all. But what percentage of the US had no care? What percentage of the US that had care is now getting worse care? That's the information that needs to be balanced. For all I know, the number of people who are now insured that weren't could be more than the number of people who are receiving worse care. Or it could be significantly less which makes it difficult to hail this as an outright victory for everyone.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

Interesting metrics for success. You're using the number of people buying insurance and the number of jobs created. Whatever happened to better and more affordable care?


Holding conservatives to their own predictions Lynah. The only jobs the ACA was supposed to create was on the death panels. :eek: Otherwise it was a "Job Killer" which I think was the name of an actual repeal bill that The Impotent Boner and crew passed in the House. Funny when job growth went UP post implementation. I guess it didn't kill very many jobs, and those death panels haven't actually started operating yet. That we know of.....

Next, righties also said more people would LOSE insurance than would gain it. Well, I guess that one's swirling the bowl too right now.

Finally, it was supposed to blow a whole in the deficit. Deficit's going down and according to CBO repeal would increase the deficit.

So, for cons, its three strikes and you're out. More people are insured. The cost increases have slowed. It hasn't prevented job growth. Apologies for holding people to their word, but I am getting a little older and didn't realize that's no longer allowed.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

Don't the full effects of PPACA hit after the 2016 election?
 
Holding conservatives to their own predictions Lynah. The only jobs the ACA was supposed to create was on the death panels. :eek: Otherwise it was a "Job Killer" which I think was the name of an actual repeal bill that The Impotent Boner and crew passed in the House. Funny when job growth went UP post implementation. I guess it didn't kill very many jobs, and those death panels haven't actually started operating yet. That we know of.....

Next, righties also said more people would LOSE insurance than would gain it. Well, I guess that one's swirling the bowl too right now.

Finally, it was supposed to blow a whole in the deficit. Deficit's going down and according to CBO repeal would increase the deficit.

So, for cons, its three strikes and you're out. More people are insured. The cost increases have slowed. It hasn't prevented job growth. Apologies for holding people to their word, but I am getting a little older and didn't realize that's no longer allowed.
Did you used to work in agriculture? I haven't seen cherry-picking skills like those in years! :D

We're to compare costs to where they "would have been", but jobs to where they were - is that how it goes? Also, the article was referring only to health care jobs, not jobs over all. I don't think anyone doubted that handing a captive revenue stream to insurers would increase *their* payrolls. Speaking of net effects, the net uninsured rate does not shed any light on the number of people who liked their policies but couldn't keep them. I liked mine, but it no longer exists. Sure, I have a completely new policy, so I am a net zero (one policy lost, one policy gained) in the uninsured math. Doesn't mean that the loss didn't happen.

Talk about swinging and missing....
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

Did you used to work in agriculture? I haven't seen cherry-picking skills like those in years! :D

We're to compare costs to where they "would have been", but jobs to where they were - is that how it goes? Also, the article was referring only to health care jobs, not jobs over all. I don't think anyone doubted that handing a captive revenue stream to insurers would increase *their* payrolls. Speaking of net effects, the net uninsured rate does not shed any light on the number of people who liked their policies but couldn't keep them. I liked mine, but it no longer exists. Sure, I have a completely new policy, so I am a net zero (one policy lost, one policy gained) in the uninsured math. Doesn't mean that the loss didn't happen.

Talk about swinging and missing....


Problem is I'm talking about things you can quantify, while you are oddly trying to judge the law based on anecdotal evidence, which is all knuckledraggers have left! Fortunately for you, I've been consistent on this as I had two criteria for judging its success. 1) Did the uninsured rate go down. 2) Did the growth in cost increases slow down. Yes and Yes to both. No offense, but WHO CARES how you personally feel about your policy? I know I don't. :D So, unless someone decides to survey every single person who has an insurance policy, find out how they feel before and after, and then eliminate the people who's insurance either hasn't changed over that time even if they've changed their opinion, or those who have changed but not because of the law (job change, birth of a child, etc) this whole exercise is useless. I expect this kind of impossible to verify nonsense out of Fishy. Are you sure he hasn't stolen your password? :D
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

So Alaska's Governor gets elected on a "expand Medicaid in Alaska" platform. Legislature refuses to enact. Governor issues executive orders to expand it. Legislature sues Governor. *facepalm* State's going broke, Republican Legislature wastes money on lawsuit...
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

So Alaska's Governor gets elected on a "expand Medicaid in Alaska" platform. Legislature refuses to enact. Governor issues executive orders to expand it. Legislature sues Governor. *facepalm* State's going broke, Republican Legislature wastes money on lawsuit...

With oil prices the way they are, how long would they have to stay that way until AK starts instituting taxes on its citizens?
 
With oil prices the way they are, how long would they have to stay that way until AK starts instituting taxes on its citizens?
Depends on who controls the Legislature. R keeps control they'll cut anything and everything to the bone. D gets a majority? 2017.

The one major polling firm released results last week showing people are willing to pay a small sales or income tax and/or give up part of their PFD check to fund the State and keep services.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

Depends on who controls the Legislature. R keeps control they'll cut anything and everything to the bone. D gets a majority? 2017.

The one major polling firm released results last week showing people are willing to pay a small sales or income tax and/or give up part of their PFD check to fund the State and keep services.

Obviously don't live there. But I would be in favor of paying something. Having a government whose hand is forced by trying to stay under those kinds of unrealistic spending restraints just cannot be good for the state as a whole.
 
Obviously don't live there. But I would be in favor of paying something. Having a government whose hand is forced by trying to stay under those kinds of unrealistic spending restraints just cannot be good for the state as a whole.
Sadly, with the way our Legislature is gerrymandered, that's what will probably happen. :(
 
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Re: The PPACA Thread Part III - Let's have a healthy debate!

Problem is I'm talking about things you can quantify, while you are oddly trying to judge the law based on anecdotal evidence, which is all knuckledraggers have left! Fortunately for you, I've been consistent on this as I had two criteria for judging its success. 1) Did the uninsured rate go down. 2) Did the growth in cost increases slow down. Yes and Yes to both. No offense, but WHO CARES how you personally feel about your policy? I know I don't. :D So, unless someone decides to survey every single person who has an insurance policy, find out how they feel before and after, and then eliminate the people who's insurance either hasn't changed over that time even if they've changed their opinion, or those who have changed but not because of the law (job change, birth of a child, etc) this whole exercise is useless. I expect this kind of impossible to verify nonsense out of Fishy. Are you sure he hasn't stolen your password? :D

A trouble with PPACA is that it will create a government bureaucracy whose sole function will be to issue rules and regulations to justify their existence. Another trouble is that having health insurance does not guarantee access to good healthcare.

If you want more people insured, find a civilian equivalent to the the Federal Employees Health Benefit Plans. The premiums are reasonable, the deductibles are reasonable, and it works.

FYI Here are the costs for HMO plans, and Fee for Service Plans (Nationwide).

My plan is JN5 under HMO. The only question would be what premium the non feds would pay. What the feds pay, or the total premium, or somewhere inbetween?
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

A trouble with PPACA is that it will create a government bureaucracy whose sole function will be to issue rules and regulations to justify their existence. Another trouble is that having health insurance does not guarantee access to good healthcare.

I don't see what extra bureaucracy you're talking about, as this is all run via the existing one (the Dept of HHS). Also, its not the law's job to mandate everyone gets good healthcare immediately. Some of that is going to be dictated by the private sector, and by consumers. I personally want to see how healthcare gets delivered change, with Minute Clinics and the like taking over for a lot of minor trips to the doctor's office.
 
Re: The PPACA Thread Part III - Let's have a healthy debate!

I don't see what extra bureaucracy you're talking about, as this is all run via the existing one (the Dept of HHS). Also, its not the law's job to mandate everyone gets good healthcare immediately. Some of that is going to be dictated by the private sector, and by consumers. I personally want to see how healthcare gets delivered change, with Minute Clinics and the like taking over for a lot of minor trips to the doctor's office.

It might not create a new department, but it's sure as heck going to expand it. In addition, the PPACA is actually run by the IRS, because if you recall, it is a tax.

"Minute Clinics" already exist, but people are still going to emergency rooms. Why? Follow the greenbacks. Take a look at the premium charges for a visit to Urgent Care or any other brand on most plans for which an average salary maker would qualify (i.e. not Medicaid). And what, do you suppose, is the resisting factor?
 
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