Trump’s former health secretary: Americans will pay more because GOP weakened Obamacare

Discussion in 'ObamaCare' started by Synthaholic, May 1, 2018.

  1. Monk-Eye
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    Monk-Eye Active Member

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    " Throwing Fits "

    * Survive Will It *

    The program is designed so that the government will compensate individuals with earnings between 0% and 400% of the poverty line so that their out of pocket maximum does not exceed some progressive percentage of their gross income .

    Thus , the affordable care act was recently funded by congress for those affording to purchase subsidized insurance from federal exchanges administered by privatized insurance providers .


    * Bass Ackwards *

    en.wikipedia.org/wiki/Fifth_Amendment_to_the_United_States_Constitution#Text ...; nor shall private property be taken for public use, without just compensation.

    The growth in costs to health care for government as a portion of the national debt is a fiscal concern .

    In essence , government sought to negotiate and purchase health insurance for any individual earning between 0% and 400% of the poverty line , and progressively set monthly reimbursements to those individuals depending upon their earning percentage .

    The affordable care act did get government out of the medical insurance business , by shifting government administration for medicaid claims to the private health care industry for management of patient records , premium collection , cost schedules and payments for treatment .

    Prior to the affordable care act , government interfaced with private health care providers , set cost schedules to pay for billed procedures , and paid for the balance through collected taxes or increased national debt to creditors .

    After the affordable care act , private insurers collect premiums and actuaries calculate methods to offsets losses through private investment including liquidity in the money supply .

    As government cannot be supposed to subsidize or socialize insurance premiums for individuals with gross earnings beyond 400% of the poverty line , government does not have any say and cannot leverage any penalty upon those individuals for not holding personal insurance .

    Removing the individual mandate was a political cop out for the republicans who wanted a tax increase on the poor , since the affordable care act does not completely compensate those qualifying for socialized insurance , and removing the individual mandate only exacerbates the original problem that medicaid payments by government are a compelling concern because its costs adds to the national debt .

    Thus , those individuals opting out of paying the premiums and bilking the government when they are admitted for medical treatment are costing taxpayers by not contributing their part for the overall costs of citizen health care to government .

    The affordable care act changes the means by which the statistic of cost to government for citizen health care are calculated ; and , whether the affordable care act has been or is expected to be less costly to government and more efficient and effective for private citizens and health care providers has yet to be presented to the public for evaluation .

    The primary issue is the whimsical manner by which private health care providers bill and by which private insurers make payment decisions for valid costs of treatments .

    These health care issues can be wildly indeterminate : paying cash for a procedure is a different cost to paying for the same procedure with HSA that is different than paying for the same procedure through the insurance provider ; procedures have different costs depending upon the service provider ; whether a pharmacy is a friendly affiliate of ones health care network determines cost of medications .
     
    Last edited: Jun 7, 2018
  2. Political Junky
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    Political Junky Gold Member

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    No doubt.
     
    • Agree Agree x 1
  3. deanrd
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    deanrd Gold Member

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    Because let them die works so well as a cost saver. I'm sure most Trump voters would agree. Because they are able to explain that to their sensible families.
     
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  4. Monk-Eye
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    Monk-Eye Active Member

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    " Way Off Base "

    * Reaching Out *

    The ACA changed the statistic of government expense for citizen health care from one similar with a single-payer system to one similar with a multi-payer system .

    Before the ACA , the statistic of government expense for citizen health care was measured as the total of direct payments from government to private health care providers for medical services rendered to the uninsured , that is similar with a single-payer system .

    After the ACA , the statistic of government expense for citizen health care is measured as the total of direct payments from government to private insurance agencies to administer patient records and to administer compensation of costs for patient treatment , that is similar with a multi-payer system .

    The ACA represents government negotiating health insurance policy preferences on behalf of citizens , as private entities would negotiate insurance policy preferences on behalf of themselves or their employees , again , as occurs in multi-payer systems .

    The ACA includes a tax on individuals whose annual earnings are between 100% and 400% of the poverty line , where the tax is money not compensated to those individuals and the tax varies by factors ; see references , below .

    en.wikipedia.org/wiki/Single-payer_healthcare
    en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act
    en.wikipedia.org/wiki/Premium_tax_credit

     
  5. Penelope
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    Penelope Platinum Member

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    And I suppose you don't have ins now and are letting tax payers pick up you bills.
     
  6. Penelope
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    Penelope Platinum Member

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    You won't need to worry about that in the future:


     
  7. dblack
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    dblack Gold Member

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    I'll believe it when the ink dries on the Court decision striking it down. I don't have high hopes. Congress is loathe to give up power once they've grabbed it.
     
  8. Monk-Eye
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    Monk-Eye Active Member

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    " Equal Endowment Challenging Positive Liberties "

    * CBO Assessing Affordability Groups "

    A technical element within the ACA that may be unconstitutional is whether the government is capable of fining individuals for not having health insurance when their net earnings are greater than 400% of the poverty line .

    It is certainly clear that those between 100% and 400% are being taxed under the ACA because only a portion of total costs to purchase private health care insurance is being remitted back to those taxpayers .

    For those with earnings between 100-400% who optioned to purchase a plan compliant with the ACA , did the portion of uncompensated costs for monthly premiums make individual health affordable and effective for the group , as would be expected for just compensation from property being taken by government in the form of a forced financial transaction ?

    Consider if the ACA were to compensate individuals with earnings above 400% of the poverty line ; would remitting all but some portion of health care costs be consistent with a constitutional requirement for receiving just compensation ?

    How does the portion of uncompensated costs for monthly premiums paid by individuals in the 100-400% translate into a congruent proportion of respective health care costs to government ?

    How does the portion of uncompensated costs for monthly premiums paid by individuals over 400% translate into a congruent proportion of respective health care costs to government ?

    When government chose to subsidize health insurance premiums for the earnings range of 100-400% , was that group chosen as those most representative of costs to government health care ?

    If those above 400% also represent a significant portion of those most representative of costs to government health care , why were proportional incentives as tax credits not extended to those with earnings greater than 400% of the poverty line ?
     
  9. dblack
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    dblack Gold Member

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    "Positive Liberties" is an oxymoron. The power to force someone else to act against their will is not a 'liberty'. It's a power that is held only by government and should only be used in the protection of actual liberty.
     
  10. Monk-Eye
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    Monk-Eye Active Member

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    " Attempting To Clarify Confusion "

    * Seems Okay From Here *

    A negative wright is any law phrased proscribing an authoritative or assertive action of government .

    A positive wright is any law phrased prescribing an authoritative or assertive action of government .

    A negative liberty is analogous with a freedom to act independent of authoritative or assertive actions of government or to act independent of authoritative or assertive actions of other private individuals .

    A negative wright can provide negative liberties only from the authoritative or assertive actions of government .

    A positive wright may provide negative liberties to individuals for freedom to act independent from the authoritative or assertive actions of other private individuals .

    Alternatively , a positive wright may provide positive liberties that endow private individuals with greater capabilities than have had they been allowed to act independently of government or of other private individuals .

    * Tax Structures *

    A direct tax is known as a per capitation tax , or an excise tax , that is based upon the value of private property , and in theory direct taxes are to be used as near as possible for the direct benefit of the individual taxed .

    An indirect tax is known as a commerce tax that is based upon the volume of currency exchanged during sales transactions , and in theory indirect taxes may be used indirectly for the administration of commerce infrastructure .


    * Back To The Issue *

    It does not make sense to me that positive liberties is an oxymoron , even though it may be conjectured that the endowments providing an individual with more resources that they had originally are wholly illegitimate .

    Local property taxes are direct taxes often applied to local schools and many do not even have children enrolled and those enrolled are being given positive liberties .

    Gasoline taxes are indirect taxes fabled for use indirectly through the administration of commerce infrastructure for highways , bridges and roads .

    Income taxes are indirect taxes based upon an exchange of labor for wages .
     

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