Republican Healthcare

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Engineer

Elite Member
Oct 9, 1999
39,234
701
126
If the actual numbers go down then that is clearly a cut, agreed. Have you seen the actual numbers anywhere?

The bill states that all of the Medicaid expansion from the ACA would be rolled back to none and that the remaining Medicaid would be slowed and capped and given to the states as block grants. The expansion of the ACA being rolled back is a cut. The other can be called a non cut if you wish but it's less money that what was previously given under current law.

There's a reason that 22 million people will lose coverage and it's not 100% voluntary either.
 
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jackstar7

Lifer
Jun 26, 2009
11,679
1,944
126
The bill states that all of the Medicaid expansion from the ACA would be rolled back to none and that the remaining Medicaid would be slowed and capped and given to the states as block grants. The expansion of the ACA being rolled back is a cut. The other can be called a non cut if you wish but it's less money that what was previously given under current law.

There's a reason that 22 million people will lose coverage and it's not 100% voluntary either.
Weirdly, it is like 60+ million people volunteered for this exactly.
 

buckshot24

Diamond Member
Nov 3, 2009
9,916
85
91
The bill states that all of the Medicaid expansion from the ACA would be rolled back to none and that the remaining Medicaid would be slowed and capped and given to the states as block grants. The expansion of the ACA being rolled back is a cut. The other can be called a non cut if you wish but it's less money that what was previously given under current law.

There's a reason that 22 million people will lose coverage and it's not 100% voluntary either.
Just keep in mind that those 22 million haven't really lost health coverage, that is a projection based on some assumptions that may or may not play out.

How much of that 22 million projection is voluntary? Why buy insurance when you don't need it if you can buy it at no penalty when you do? You actually end up paying less than the responsible people who buy it when they don't need it. No mandate, no penalty for preexisting conditions and it can't work. Huge mess.
 

Azuma Hazuki

Golden Member
Jun 18, 2012
1,532
866
131
Yes, and that was Romney's idea. It's a very Republican thing to do. I was surprised when Obama went along with it.

And now the Repubs don't even like a Republican idea. Of course.
 
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jackstar7

Lifer
Jun 26, 2009
11,679
1,944
126
Only way ACA could work is by forcing people who wouldn't otherwise buy insurance to buy it.
Only way to get people to pay for a military they don't want is to force them.
Only way to get people to pay for roads they don't want is to force them.
Only way to get people to pay for schools they don't want is to force them.
Only way to get people to pay...
 

Engineer

Elite Member
Oct 9, 1999
39,234
701
126
Just keep in mind that those 22 million haven't really lost health coverage, that is a projection based on some assumptions that may or may not play out.

How much of that 22 million projection is voluntary? Why buy insurance when you don't need it if you can buy it at no penalty when you do? You actually end up paying less than the responsible people who buy it when they don't need it. No mandate, no penalty for preexisting conditions and it can't work. Huge mess.

There is a new 6 month lockout added today. If you go without insurance for 63 days, you have to wait 6 months to get it after you apply. Still, if you have a multi year (or decade) disease and only have to wait 6 months to get it, especially if you haven't paid a dime for years (or decades).....you're sucking off of what everyone else paid. Make it a national plan and make everyone pay via a sales tax or similar. Everyone will have skin in the game then (something that the GOP loves to put out there when talking about people at the bottom who don't pay taxes - i.e. broaden the tax base).
 
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buckshot24

Diamond Member
Nov 3, 2009
9,916
85
91
There is a new 6 month lockout added today. If you go without insurance for 63 days, you have to wait 6 months to get it after you apply. Still, if you have a multi year (or decade) disease and only have to wait 6 months to get it, especially if you haven't paid a dime for years (or decades).....you're sucking off of what everyone else paid. Make it a national plan and make everyone pay via a sales tax or similar. Everyone will have skin in the game then (something that the GOP loves to put out there when talking about people at the bottom who don't pay taxes - i.e. broaden the tax base).
That's better at least.
 

senseamp

Lifer
Feb 5, 2006
35,787
6,195
126
This is so stupid. The 6 month lockout. The chronically sick will wait, and defer treatment until it is even more expensive, and the young and healthy will not bother signing up. This is what happens when Republicans write bills without listening to anyone.
 

zzyzxroad

Diamond Member
Jan 29, 2017
3,244
2,260
136
This is so stupid. The 6 month lockout. The chronically sick will wait, and defer treatment until it is even more expensive, and the young and healthy will not bother signing up. This is what happens when Republicans write bills without listening to anyone.

If I don't know any better I'd think these guys were financially beholdened to the wealthiest Americans.
 
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deathBOB

Senior member
Dec 2, 2007
566
228
116
This is so stupid. The 6 month lockout. The chronically sick will wait, and defer treatment until it is even more expensive, and the young and healthy will not bother signing up. This is what happens when Republicans write bills without listening to anyone.

Maybe they hope the expensive cases will simply die during the waiting period?

It's absolutely absurd in its face.
 
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zzyzxroad

Diamond Member
Jan 29, 2017
3,244
2,260
136
Maybe they hope the expensive cases will simply die during the waiting period?

It's absolutely absurd in its face.

Yeah I'd love to get someone's take on the need for this. I'm open to supporting if anyone has a valid reason for it.
 
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TheVrolok

Lifer
Dec 11, 2000
24,254
4,076
136
You'll get health care in the emergency room for the car accident. It should "hurt" to not have insurance. Can't you see how being able to buy insurance when you need health care can't work?

Who's paying for the healthcare in the emergency room? What about the life time of healthcare needed for the chronic disability from your having been paralyzed in said accident?

Maybe you don't understand the word being used. Neurosurgery is a hella lot more than brain surgery. Sheesh. Neurosurgery....surgery on the nervous system, wherever it's found.

BTW...your lauded report is only on ELECTIVE procedures, not life threatening.

Hell, elective back surgery for chronic back pain (don't get me started ...) often sees neurosurgery, and that could wait months (and perhaps ever).
 
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buckshot24

Diamond Member
Nov 3, 2009
9,916
85
91
Ah. I was giving you the benefit of the doubt as you were having a reasonable discussion (at least in this thread), but thank you for now making your intentions to troll overtly evident.
You can't subsidize bad decisions. If you tell healthy people that you can buy insurance when you get sick at no significant penalty, that is exactly what they are going to do.

As for who is going to pay for the emergency room care, we're only talking 40 billion a year in unpaid hospital bills in total. This isn't a significant source of inflating healthcare cost. Charity needs to be a factor here, we don't need the federal government to take over the entire health system to fix things like this. If we guarantee people housing if they fail to purchase fire insurance and their house goes up in flame then nobody is going to buy fire insurance.
 
Feb 4, 2009
34,703
15,951
136
You can't subsidize bad decisions. If you tell healthy people that you can buy insurance when you get sick at no significant penalty, that is exactly what they are going to do.

As for who is going to pay for the emergency room care, we're only talking 40 billion a year in unpaid hospital bills in total. This isn't a significant source of inflating healthcare cost. Charity needs to be a factor here, we don't need the federal government to take over the entire health system to fix things like this. If we guarantee people housing if they fail to purchase fire insurance and their house goes up in flame then nobody is going to buy fire insurance.

Just saying in vague terms what's your opinion on something like Medicare for all as a base, that has deductibles based on income. Plus maybe private insurance for those that want quicker coverage?
 

TheVrolok

Lifer
Dec 11, 2000
24,254
4,076
136
You can't subsidize bad decisions. If you tell healthy people that you can buy insurance when you get sick at no significant penalty, that is exactly what they are going to do.

As for who is going to pay for the emergency room care, we're only talking 40 billion a year in unpaid hospital bills in total. This isn't a significant source of inflating healthcare cost. Charity needs to be a factor here, we don't need the federal government to take over the entire health system to fix things like this. If we guarantee people housing if they fail to purchase fire insurance and their house goes up in flame then nobody is going to buy fire insurance.

While I would love to support your assertion that "you can't subsidize bad decisions," it's just not realistic. My libertarian core would love that we could practice in such a way, but we can't because it some point, the government will be picking up the check because we have agreed that we are not going to allow people to starve and die in the streets.

As I mentioned earlier, what if charity doesn't cover the bill, or there is no charity? Who pays? The hospital just takes the loss? We can't exactly require providers to treat, and then expect them to do it for free, can we?

How do you define a bad decision? What about the 19 year old type 1 diabetic that is finally realizing the gravity of his condition after poorly controlling it for the past decade and now living with permanent health issues because of it? Too bad? Your 10 year old self made bad choices, deal with it? Blame the parents perhaps?

I agree with you (earlier in this thread) that health insurance is not really insurance, and that's a huge part of problem. The entire system is set up for failure, unless of course you're a large hospital system, pharmaceutical company, or medical device maker in which case you're making tons of money privatizing gains and socializing losses.
 

buckshot24

Diamond Member
Nov 3, 2009
9,916
85
91
Just saying in vague terms what's your opinion on something like Medicare for all as a base, that has deductibles based on income. Plus maybe private insurance for those that want quicker coverage?
Totally against it. That would mean you have to means test everybody in the country.
 
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