Politics and healthcare - both parties

bendog

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Mar 4, 2013
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Dog House in back yard
The Dems play for control because they are liberal elitists rather than New Deal progressives. The gop plays for the 1% because they are shits. And Reagan was not and Orrin Hatch didn't start out as one.

Medicaid expansion for healthy people is efficient and low cost (comparison to other US delivery system). Provider rates are below both medicare and private insurance, and the administrative cost is on a par with medicare. In terms of improving HC in the US, it factually cannot be disputed. However, it’s politically stupid.


Medicaid is a huge problem for poorer states. It’s 20% of a state budget. Talk about expanding it sends shivers down state politicians lives. Here in Miss, you have to add together ALL state spending on K-12, community colleges and universities to say education gets more funding than medicaid. Saying the feds would cover 100% for ten years is akin to saying "Kid you should try smoking this really cheap good shit." The only way the dems could even try this route was they tried to make expanding medicaid mandatory, unless states wanted to lose ALL federal medicaid dollars. That was holding a gun to the kid until he took a hit off the pipe. Justice Roberts rewrote the law to let states choose to keep the original medicad match.

Medicaid is also politically stupid because it pits taxpayer against taxpayer. Toro put up the excellent Vox link.

Why Obamacare enrollees voted for Trump

The problem with medicaid all along is you have families with two earners making 35K apiece, and their kids’ insurance isn’t as good as an unemployed, never married single mom. Anyone think that doesn’t rub workers the wrong way? But then, Obamacare made it even worse by expanding it to 130% over the poverty rate. You could sell Schips to the people paying for the less good insurance, because Schips was for kids. People are generally nice to kids.

Assuming the gop had ANY interest in actually making HC more accessable and affordable, they could just double the Obamacare taxes on things like short term stock trades that add NOTHING positive to the economy. But that was never the gop’s aim. The gop’s aim is to cut the 1%’s taxes, first and foremost. Don’t try to even argue otherwise because the gop had done Roberts’ rewrite on steroids. NOW they won’t even keep the original medicaid match. So poor states will have to cut care.

As a goper, I COULD argue that, while Trump Ryan and McConnell are shitty human beings, simply adding money into the pot for insurance subsidies is throwing good after bad. The ENTIRE US HC delivery system rests on paying doctors (and all providers like hospitals) a set dollar figure for each service they provide. So NOBODY has any incentive to not deliver (or get) as much treatment as they can possibly consume. That is, at some point even private insurance pays 100% after co-pays.

Now in fairness to the three shits in the Swamp, we could as a nation budget how much, on average, it takes to provide HC to the entire population, and pay for it with non-deficit dollars. But that is not what the three shits are doing. They’re only doing that to the poorest, sickest and powerless among us.
 
This is fact; the reason the GOP didn't pass this shit, is because the minute they took it to the white house, Trump would have called them out on it.....and got points with the american people while the sorry ass kiss ass GOP looked on.....cowards they are!! This is once again Karma coming to a fucked up party who scare their way into office year after year after year with no real policy idea and a leader that is insane like they are....LOVE it,
 
The Dems play for control because they are liberal elitists rather than New Deal progressives. The gop plays for the 1% because they are shits. And Reagan was not and Orrin Hatch didn't start out as one.

Medicaid expansion for healthy people is efficient and low cost (comparison to other US delivery system). Provider rates are below both medicare and private insurance, and the administrative cost is on a par with medicare. In terms of improving HC in the US, it factually cannot be disputed. However, it’s politically stupid.


Medicaid is a huge problem for poorer states. It’s 20% of a state budget. Talk about expanding it sends shivers down state politicians lives. Here in Miss, you have to add together ALL state spending on K-12, community colleges and universities to say education gets more funding than medicaid. Saying the feds would cover 100% for ten years is akin to saying "Kid you should try smoking this really cheap good shit." The only way the dems could even try this route was they tried to make expanding medicaid mandatory, unless states wanted to lose ALL federal medicaid dollars. That was holding a gun to the kid until he took a hit off the pipe. Justice Roberts rewrote the law to let states choose to keep the original medicad match.

Medicaid is also politically stupid because it pits taxpayer against taxpayer. Toro put up the excellent Vox link.

Why Obamacare enrollees voted for Trump

The problem with medicaid all along is you have families with two earners making 35K apiece, and their kids’ insurance isn’t as good as an unemployed, never married single mom. Anyone think that doesn’t rub workers the wrong way? But then, Obamacare made it even worse by expanding it to 130% over the poverty rate. You could sell Schips to the people paying for the less good insurance, because Schips was for kids. People are generally nice to kids.

Assuming the gop had ANY interest in actually making HC more accessable and affordable, they could just double the Obamacare taxes on things like short term stock trades that add NOTHING positive to the economy. But that was never the gop’s aim. The gop’s aim is to cut the 1%’s taxes, first and foremost. Don’t try to even argue otherwise because the gop had done Roberts’ rewrite on steroids. NOW they won’t even keep the original medicaid match. So poor states will have to cut care.

As a goper, I COULD argue that, while Trump Ryan and McConnell are shitty human beings, simply adding money into the pot for insurance subsidies is throwing good after bad. The ENTIRE US HC delivery system rests on paying doctors (and all providers like hospitals) a set dollar figure for each service they provide. So NOBODY has any incentive to not deliver (or get) as much treatment as they can possibly consume. That is, at some point even private insurance pays 100% after co-pays.

Now in fairness to the three shits in the Swamp, we could as a nation budget how much, on average, it takes to provide HC to the entire population, and pay for it with non-deficit dollars. But that is not what the three shits are doing. They’re only doing that to the poorest, sickest and powerless among us.
Why would you increase taxes on every American who has savings in stocks, which is almost every American?

All while you ignore the elephant in the room - the root cause of high HC costs.
 

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