Trumps Health Care Reform Plan

linthat22

Senior member
Dec 2, 2011
207
2
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Here are the points:

1. Completely repeal Obamacare. Our elected representatives must eliminate the individual mandate. No person should be required to buy insurance unless he or she wants to.

2. Modify existing law that inhibits the sale of health insurance across state lines. As long as the plan purchased complies with state requirements, any vendor ought to be able to offer insurance in any state. By allowing full competition in this market, insurance costs will go down and consumer satisfaction will go up.

3. Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system. Businesses are allowed to take these deductions so why wouldn’t Congress allow individuals the same exemptions? As we allow the free market to provide insurance coverage opportunities to companies and individuals, we must also make sure that no one slips through the cracks simply because they cannot afford insurance. We must review basic options for Medicaid and work with states to ensure that those who want healthcare coverage can have it.

4. Allow individuals to use Health Savings Accounts (HSAs). Contributions into HSAs should be tax-free and should be allowed to accumulate. These accounts would become part of the estate of the individual and could be passed on to heirs without fear of any death penalty. These plans should be particularly attractive to young people who are healthy and can afford high-deductible insurance plans. These funds can be used by any member of a family without penalty. The flexibility and security provided by HSAs will be of great benefit to all who participate.

5. Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals. Individuals should be able to shop to find the best prices for procedures, exams or any other medical-related procedure.

6. Block-grant Medicaid to the states. Nearly every state already offers benefits beyond what is required in the current Medicaid structure. The state governments know their people best and can manage the administration of Medicaid far better without federal overhead. States will have the incentives to seek out and eliminate fraud, waste and abuse to preserve our precious resources.

7. Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products. Congress will need the courage to step away from the special interests and do what is right for America. Though the pharmaceutical industry is in the private sector, drug companies provide a public service. Allowing consumers access to imported, safe and dependable drugs from overseas will bring more options to consumers.

Some of it doesn't seem bad, but I've read counter points to what Trump has outlined. What are some of y'alls thoughts? Granted of course, this is if Congress plays ball.
 

fskimospy

Elite Member
Mar 10, 2006
85,647
50,885
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Here are the points:

Some of it doesn't seem bad, but I've read counter points to what Trump has outlined. What are some of y'alls thoughts? Granted of course, this is if Congress plays ball.

1. Selling plans across state lines does virtually nothing.

2. Has no plan for people with pre-existing conditions, which is one of the primary purposes of the ACA.

3. Slow death of Medicaid through block grants.

Sounds like a good plan for healthy and well off people. Sounds like the poor and the sick would get totally screwed though. It's basically a return to our old system with a new coat of paint.
 
Feb 4, 2009
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States don't want selling across state lines. The problem is several:

Who is in network in a different states health plan
What about billing practices, which state do they follow
What about deductibles and minimum coverage
Which state regulates them
 

Anubis

No Lifer
Aug 31, 2001
78,712
427
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States don't want selling across state lines. The problem is several:

Who is in network in a different states health plan
What about billing practices, which state do they follow
What about deductibles and minimum coverage
Which state regulates them

TBH there should only be 1 network, period

and the govt should regulate everything else. 1 set of rules for everyone. BOOM done
 

DrPizza

Administrator Elite Member Goat Whisperer
Mar 5, 2001
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No person should be required to buy insurance unless he or she wants to.

No doctor, hospital, ambulance crew, etc., should be forced to provide services for anyone without the means to pay. If you're 20, in great physical shape, opt for no insurance, and are the victim of a hit and run, then the ambulance crew, upon checking your wallet for cash and/or insurance card, should just leave you slowly bleeding out in the street, for your next of kin to come and scrape up.

Else, we agree that everyone should be treated, thus everyone should pool their risks.
 

DrPizza

Administrator Elite Member Goat Whisperer
Mar 5, 2001
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5. Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals. Individuals should be able to shop to find the best prices for procedures, exams or any other medical-related procedure.
This actually misses a huge point - larger hospital chains have a lot more clout and can demand higher payments from insurance companies. Smaller hospitals often don't get reimbursed at the same rate, for the same type and level of care. The issues are far deeper than the average layman understands.
 

DrPizza

Administrator Elite Member Goat Whisperer
Mar 5, 2001
49,601
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TBH there should only be 1 network, period

and the govt should regulate everything else. 1 set of rules for everyone. BOOM done
Boom! Agreed.
Holy shit, that would simplify so many things! That would reduce the need for dozens of staff at some hospitals, just for figuring out billing to different insurance companies.
 

realibrad

Lifer
Oct 18, 2013
12,337
898
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1. Selling plans across state lines does virtually nothing.

2. Has no plan for people with pre-existing conditions, which is one of the primary purposes of the ACA.

3. Slow death of Medicaid through block grants.

Sounds like a good plan for healthy and well off people. Sounds like the poor and the sick would get totally screwed though. It's basically a return to our old system with a new coat of paint.

Yes, but its also not bat-shit crazy either. Lets see how he addresses those issues, because I am sure someone will point those out to him.
 
Feb 16, 2005
14,061
5,405
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1. Selling plans across state lines does virtually nothing.

2. Has no plan for people with pre-existing conditions, which is one of the primary purposes of the ACA.

3. Slow death of Medicaid through block grants.

Sounds like a good plan for healthy and well off people. Sounds like the poor and the sick would get totally screwed though. It's basically a return to our old system with a new coat of paint.

No pre-existing coverage? Fuck that, and fuck drumpf with a sandpaper corncob.
 

Anubis

No Lifer
Aug 31, 2001
78,712
427
126
tbqhwy.com
Boom! Agreed.
Holy shit, that would simplify so many things! That would reduce the need for dozens of staff at some hospitals, just for figuring out billing to different insurance companies.

we would get there eventually its just going to be a slow process.
 
Feb 4, 2009
35,248
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No pre-existing coverage? Fuck that, and fuck drumpf with a sandpaper corncob.

Its hard to tell what Trump is serious about but he has stated on multiple occasions during and before his Presidential run that everyone should be treated and have care available to them regardless if they can pay. I'm going to guess he would either expand medicare or run some kind of Government subsidy to allow everyone to get some kind of healthcare. However I could be wrong Trump changes his mind frequently.
 

sactoking

Diamond Member
Sep 24, 2007
7,583
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2. Modify existing law that inhibits the sale of health insurance across state lines.

This is a clusterfuck idea waiting to happen. Under McCarran-Ferguson insurance regulation is left to the states unless specifically preempted by federal law. This was done because pretty much everyone agreed that states respond faster and more accurately (in general) to extraordinarily diverse populations. Part of the deal is that an insurer must be licensed to do business in a state, thereby submitting to the jurisdiction of the state. "Selling across state lines" is a ridiculous idea. Let's take the basic point: if you're in Idaho and buy health insurance from a company in Montana "selling across state lines" what laws do the insurer have to abide by? If you have a complaint who do you complain to? Hell, in many cases we can't even buy insurance across county lines (e.g., in Nevada Reno and Carson City are in different counties and different service areas. If I live in Carson City and buy a plan I can be forced to drive to Reno for all of my care but if I live in Carson City an insurer in Reno can refuse to sell me a plan).
 

poofyhairguy

Lifer
Nov 20, 2005
14,612
318
126
Else, we agree that everyone should be treated, thus everyone should pool their risks.

That isn't the problem. Everyone gets pooling.

The problem is that the government expects to fool young people into being screwed. On one hand the actual government agencies spend millions on catchy advertisements about how great healthcare coverage is targeted at young people. On the other hand politicians at the top like Obama blatantly say that these young people signing up are subsidizing the old people in the system. ACA enrollment isn't hitting its target goals for a reason- young people aren't as easily to manipulate as politicians think they are. They would rather take the tax hit, which doesn't do crap to help the pools.

If we "need" a pool we "need" single payer or something like it. I would prefer a two tier system myself, which is something I could see Trump supporting. The current system is broken because young people don't want to "do their part" for the small risk that they will need a lot of healthcare. The best system is one where everyone can be selfish and it works just fine.
 
Last edited:
Feb 16, 2005
14,061
5,405
136
Its hard to tell what Trump is serious about but he has stated on multiple occasions during and before his Presidential run that everyone should be treated and have care available to them regardless if they can pay. I'm going to guess he would either expand medicare or run some kind of Government subsidy to allow everyone to get some kind of healthcare. However I could be wrong Trump changes his mind frequently.

I don't trust drumpf in any way whatsoever, well, I do trust him to be a flip-flopping fucktard who will pander to whatever he feels he needs to pander to. He's got all the empathy of boomslang
 

nakedfrog

No Lifer
Apr 3, 2001
59,243
13,843
136
The ACA currently allows plans to be sold across state lines provided they meet the minimum requirements. That's exactly what you asked for.
Perhaps you should re-read his post. I've read it a couple times now and don't see where you're coming from at all.
 

fskimospy

Elite Member
Mar 10, 2006
85,647
50,885
136
Its hard to tell what Trump is serious about but he has stated on multiple occasions during and before his Presidential run that everyone should be treated and have care available to them regardless if they can pay. I'm going to guess he would either expand medicare or run some kind of Government subsidy to allow everyone to get some kind of healthcare. However I could be wrong Trump changes his mind frequently.

So he's going to repeal the ACA and then basically recreate it?

This health care plan of his is basically warmed over Mitt Romney's health care plan, which is to say, basically nothing.
 
Feb 4, 2009
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