How will Republicans deal with the Affordable Care Act?

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Re: How will Republicans deal with the Affordable Care Act?

Postby Supposn » Thu Aug 31, 2017 3:28 pm

spacemonkey wrote:I think it would be ok if they took the extortion part out (buy it or pay a penalty). Apparently many don't mind being extorted, or may not even know they are.

Spacemonkey, it's not financially feasible to have no penalty for previous medical conditions unless almost everyone is insured. If young adults can opt-out from being insured, the cost of insurance becomes extremely more expensive.
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Re: How will Republicans deal with the Affordable Care Act?

Postby spacemonkey » Fri Sep 01, 2017 11:47 am

Supposn wrote:
spacemonkey wrote:I think it would be ok if they took the extortion part out (buy it or pay a penalty). Apparently many don't mind being extorted, or may not even know they are.

Spacemonkey, it's not financially feasible to have no penalty for previous medical conditions unless almost everyone is insured. If young adults can opt-out from being insured, the cost of insurance becomes extremely more expensive.
Respectfully, Supposn

Exactly the reason the middleman needs out. Young people and all other working ages already pay into a plan they probably CAN'T access. Its the job of lobby/bribery by the middleman to keep it that way, and so far they are.
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Re: How will Republicans deal with the Affordable Care Act?

Postby Supposn » Sat Sep 16, 2017 9:05 am

spacemonkey wrote:I think it would be ok if they took the extortion part out (buy it or pay a penalty). Apparently many don't mind being extorted, or may not even know they are.

SpaceMonkey, among the basic concept of financial insurance is the accumulation of funding to sustain constant but often erratic timing and amounts of pay-out for instances of insurable occurrences.
Insurance is beneficial to those that would otherwise be unable or much less able to achieve such accumulations. If they encounter instances of insurable occurrences when their accumulated financial reserves are insufficient, they're forced into financial insolvency,

Medical insurance that does not discriminate upon the condition of the applicant is not financially sustainable unless the “insured pools' are very large and diverse; (i.e. Affordable Care Act's disregard for previous medical conditions is financially unsustainable unless almost everyone participates in the insurance plan).

Eliminating mandatory requirement to be insured is inconsistent with lesser per-capita insurance costs and disregard for applicants previous medical conditions. Opponents of the a national policy for medical insurance seek to increase insurance costs and thus undermine the Affordable Care Act by permitting individuals refrain from joining or remaining in the insured pool until they're sick or more likely to become sick.

The alternative to disregarding previous medical conditions and permitting persons to “opt-in” or “opt-out) of the insured pool is greatly increased insurance costs that leaves many portions of our nation's population inadequately medically insured, reduces the level of our health, and increases bankruptcies due to medical costs.

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Re: How will Republicans deal with the Affordable Care Act?

Postby spacemonkey » Sat Sep 16, 2017 11:07 am

So far not much effort has been on making medical costs (pharma included) reasonable. Until that happens , it just remains a huge money suck.
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Re: How will Republicans deal with the Affordable Care Act?

Postby Supposn » Tue Oct 17, 2017 11:23 pm

spacemonkey wrote:So far not much effort has been on making medical costs (pharma included) reasonable. Until that happens , it just remains a huge money suck.

SpaceMonkey, governments' administration and enforcement of their insurance enterprises are generally done as well or superior to that of non-government insurance enterprises. Administration and enforcement of the insurance enterprises' regulations are medical insurance enterprises' lesser expenditures. The Medicare program, government provided basic insurance, (i.e. socialized basic medical insurance) augmented by by additional commercial or non-profit insurance enterprises seems to work well. Government medical insurance is not socialized medicine.

The greater expenses are payments for to providing the medical goods and services on behalf of the patients. As you correctly point out, the problem of providing quality care at lesser per patient is the crux of our medical insurance problems. The major expenses are for technology. If a solution is to be found, I expect that techies rather than politicians will find it.

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