Whatever Happened To That Obamacare Replacement?

[pknopp]

Maybe, not all doctor's will accept Medicare assignment and even some won't see you.

With UHC if they don't want to accept payment, well, they dont get paid.

 

[debbiedowner]

Out-of-pocketing spending constituted 12% of national health spending in 2010; by 2022 it was 10%. Per capita, it fell from 2.5% of income to 2.1% over that perio

With UHC if they don't want to accept payment, well, they dont get paid.

They don't have to see you at all. Just like ACA some provider's didn't want to accept payment or have anything to do with an insurance co that sold insurance. Most did get over it. But there are docs now that are practicing in wealthy areas and only take cash.

 

[HikerGuy83]

It did happen but who's fault was it the doctor's pulled our of their respective contracts with an insurer? The doctor or provider. When you know understand how networks work you never will understand why people lost their provider.

I really don't care for ACA but until people get over this goddamn lie that ACA kicked them out that is simple a fucking lie.

Even Obama had to pull back on this statetment.

And there was a clip from John Stewart on youtube where he excoriated Obama for the "qualifiers" he added to this statement.

So, while I don't think it was as prevelant as many think, there is no getting around the fact that it did change things enough such that some doctors would not participate in certain plans and people lost them. Hiding behind "it's the plan" is crap. It happened because of the ACA (not a lot, but it happened).

 

[pknopp]

They don't have to see you at all.

They don't. Now it's been awhile since I studied this but in Canada one is not allowed to accept direct payment as a doctor.

So as I said, accept payment or not get paid.

Just like ACA some provider's didn't want to accept payment or have anything to do with an insurance co that sold insurance. Most did get over it. But there are docs now that are practicing in wealthy areas and only take cash.

There will generally always be small outliers.

 

[AveMarica]

Actually, our plan is get a job and pay into your employer health plan.

 

[Greenbeard]

So, while I don't think it was as prevelant as many think, there is no getting around the fact that it did change things enough such that some doctors would not participate in certain plans and people lost them. Hiding behind "it's the plan" is crap. It happened because of the ACA (not a lot, but it happened).

"Some doctors" not participating in "certain plans" has always been the case, it's how the market works. That's what a network is. The network is what you're buying when you choose an insurance plan.

Impeding the right of providers and insurers to contract or the market to function was not the intent or function of the ACA.

 

[candycorn]

We never did see that Obamacare replacement the GOP and then Donald Trump promised us they had. Trump's was "terrific". It was swell. It was the best health care plan ever. You were going to get tired of being so healthy.

While Obama was President, the Republican House partially or fully repealed Obamacare more than 60 times!

And yet, strangely, when they had full control of both houses of Congress, and the White House, there were no more repeals!

Hmmmm...

They had a partial repeal, with no replacement, which passed the House while Trump was president, and Trump held a prematurely ejaculatory celebration on the White House lawn. But then John McCain spoiled the whole thing with a thumbs down since it was all a hoax and did not actually replace Obamacare.

There's a way you can always tell when Trump is lying. He repeats the lie three times. Like this:

“Make no mistake,” (one!) the president said at one point, “this is a repeal and a replace of Obamacare, make no mistake (two!) about it. Make no mistake.”(three!)

https://www.washingtonpost.com/news...donald-trump-promised/?utm_term=.e5e1b3b65072


Since then, the organization formerly known as the Republican Party has failed to cough up a replacement for Obamacare.


You see, folks, if you want to win, you have to have better ideas than your opposition.

That's the key to long term success.


The real evilness is that the GOP told you they did have a better idea. But they didn't. They wanted you to bleev what turned out to be a total hoax.

And you never held them accountable. That's why they lie to you.

You never hold Trump accountable. That's why HE lies to you.



Guess what the number one issue on the minds of Americans is?

Health care costs.

This has been at or near the top of the list for DECADES. And the GOP has come up with NOTHING in all that time.


The organization formerly known as the Republican Party is now the party of, "LOOK! SQUIRREL!"

Nothing but pointless and hateful distractions to keep you from focusing on their total incompetence.


When will you finally, finally, finally start holding them accountable?

Which issues Americans care about most and how they evaluate their current congressional leaders | YouGov

More Americans see health care, as well as jobs and the economy, as very important than they do any other issues polled.

today.yougov.com

Like Ron and Nicole's killer...the solution to healthcare is being searched for on every golf course.. Remember when OJ said he was going to do that search? Ironic that they both have the same legal support.

 

[HikerGuy83]

"Some doctors" not participating in "certain plans" has always been the case, it's how the market works. That's what a network is. The network is what you're buying when you choose an insurance plan.

Impeding the right of providers and insurers to contract or the market to function was not the intent or function of the ACA.

Yes, all this was part of the response to the backlash Obama got when things went into effect.

Just like catastrophic plans (which were never mentioned in his campaign) suddenly became "junk plans" when people complained about losing them too.

Not saying it was a mess. And I am sure you are right....it was not intent.

But it did happen.

 

[Grumblenuts]

The intent was never a "public option" as Obama promised. First, say anything to get elected. Second, do whatever your biggest corporate sponsors demand. Finally, lie like hell using statistics.

Hey people. Define your use of your terms.

Example: First hit from Google.. Shameless corporate BS:

What is a public option? | healthinsurance.org

A public option is a government-run or government-regulated health benefit plan (or plans) that competes with other private health plans in a given area. The Affordable Care Act initially included a provision that would have created a public option plan to be sold alongside the private plans in...

www.healthinsurance.org

No. "public" literally means not private.

So.. a "public option" would be like Medicare used to be. Not simply "run by the state or federal government" but paid for through everyone's taxes. Not for profit. Not fee for service, although cash is and always will be an option. The general idea being "Private insurance companies suck!"

Health care is a human right. Not some option. No one should be allowed to profit from denying people health care and insurance is, in fact, not "care" in any logical sense whatsoever.

 

[pknopp]

The intent was never a "public option" as Obama promised. First, say anything to get elected. Second, do whatever your biggest corporate sponsors demand. Finally, lie like hell using statistics.

Hey people. Define your use of your terms.

Example: First hit from Google.. Shameless corporate BS:

What is a public option? | healthinsurance.org

A public option is a government-run or government-regulated health benefit plan (or plans) that competes with other private health plans in a given area. The Affordable Care Act initially included a provision that would have created a public option plan to be sold alongside the private plans in...

www.healthinsurance.org

No. "public" literally means not private.

So.. a "public option" would be like Medicare used to be. Not simply "run by the state or federal government" but paid for through everyone's taxes. Not for profit. Not fee for service, although cash is and always will be an option. The general idea being "Private insurance companies suck!"

Health care is a human right. Not some option. No one should be allowed to profit from denying people health care and insurance is, in fact, not "care" in any logical sense whatsoever.

While all of this is true, it's also true Republicans have done nothing to make it better and more affordable.

 

[Greenbeard]

So.. a "public option" would be like Medicare used to be. Not simply "run by the state or federal government" but paid for through everyone's taxes. Not for profit. Not fee for service, although cash is and always will be an option. The general idea being "Private insurance companies suck!"

Other than some start-up funding, the public option would’ve been funded by premiums from its enrollees, like any other insurance plan. The only subsidies available to it would be the ones available for any marketplace plan.

 

[debbiedowner]

Even Obama had to pull back on this statetment.

And there was a clip from John Stewart on youtube where he excoriated Obama for the "qualifiers" he added to this statement.

So, while I don't think it was as prevelant as many think, there is no getting around the fact that it did change things enough such that some doctors would not participate in certain plans and people lost them. Hiding behind "it's the plan" is crap. It happened because of the ACA (not a lot, but it happened).

I know it happened but it not have to. Many insurers kept grandfather plans and one I know allowed people to keep them, yep their rates are going sky high as people die and drop them.

I guess all the docs at the time went to straight cash because every legit health insurance plan out there is ACA and just about the majority have networks.

 

[debbiedowner]

They don't. Now it's been awhile since I studied this but in Canada one is not allowed to accept direct payment as a doctor.

So as I said, accept payment or not get paid.




There will generally always be small outliers.

It would be a whole different animal in the U.S.

 

[konradv]

Hmmm…lets look at this logically.
Wetbacks have fucked up healthcare
Wetbacks have fucked up jobs and the economy
Wetbacks have fucked up national security
Wetbacks have fucked up inflation/prices
Wetbacks have fucked up crime
Wetbacks have fucked up education
Wetbacks have forced higher taxes and more government spending

Hmmm…who has begged wetbacks to break in and fuck shit up?
Thanks for bringing this up…WOW Democrats are so fucked…there’s no doubt, people are going to “HOLD THEM ACCOUNTABLE”.

Substitute MAGA for Wetback.

 

[JustAGuy1]

We never did see that Obamacare replacement the GOP and then Donald Trump promised us they had. Trump's was "terrific". It was swell. It was the best health care plan ever. You were going to get tired of being so healthy.

While Obama was President, the Republican House partially or fully repealed Obamacare more than 60 times!

And yet, strangely, when they had full control of both houses of Congress, and the White House, there were no more repeals!

Hmmmm...

They had a partial repeal, with no replacement, which passed the House while Trump was president, and Trump held a prematurely ejaculatory celebration on the White House lawn. But then John McCain spoiled the whole thing with a thumbs down since it was all a hoax and did not actually replace Obamacare.

There's a way you can always tell when Trump is lying. He repeats the lie three times. Like this:

“Make no mistake,” (one!) the president said at one point, “this is a repeal and a replace of Obamacare, make no mistake (two!) about it. Make no mistake.”(three!)

https://www.washingtonpost.com/news...donald-trump-promised/?utm_term=.e5e1b3b65072


Since then, the organization formerly known as the Republican Party has failed to cough up a replacement for Obamacare.


You see, folks, if you want to win, you have to have better ideas than your opposition.

That's the key to long term success.


The real evilness is that the GOP told you they did have a better idea. But they didn't. They wanted you to bleev what turned out to be a total hoax.

And you never held them accountable. That's why they lie to you.

You never hold Trump accountable. That's why HE lies to you.



Guess what the number one issue on the minds of Americans is?

Health care costs.

This has been at or near the top of the list for DECADES. And the GOP has come up with NOTHING in all that time.


The organization formerly known as the Republican Party is now the party of, "LOOK! SQUIRREL!"

Nothing but pointless and hateful distractions to keep you from focusing on their total incompetence.


When will you finally, finally, finally start holding them accountable?

Which issues Americans care about most and how they evaluate their current congressional leaders | YouGov

More Americans see health care, as well as jobs and the economy, as very important than they do any other issues polled.

today.yougov.com

Why does Joe lie so much? Who has held him accountable? Schumer and Pelosi lie when they move their lips?
Why hasn't anyone held them accountable? Selective outrage by you Progs eh?

 

[JustAGuy1]

The false dichotomy tards think I am a liberal groomer Bidenista because of my utter hatred of a man who steals from cancer kids.

Yet here are my thoughts on health care in America:

Health care costs have been skyrocketing for at least half a century. The Democrat answer to this problem was, is, and always will be what was originally called "socialized medicine" and is now known as Universal Health Care. The stigma of "socialized" has been removed by the ad men.

Ted Kennedy was not the first advocate, but he was the biggest.

What I am saying is that for basically forever, the Democrats have been telegraphing exactly what their goal is. They did not make it a secret. They shouted it from the mountain. But for most of that time, they were screaming into the void.

But over all that time, the Democrats have succeeded in incrementally achieving the goal. George W. Bush even chipped in by creating a whole new government health care program to pander votes, and it has added more to the debt than Obamacare. Most right wingers are completely ignorance of this. Hell, Bush didn't even bother to try to offset the cost! At least Obama made an attempt to do so with the ACA.

Speaking of the ACA, which was a Great Leap Forward for socialized medicine, the Republicans immediately promised to repeal and replace Obamacare if they were given the power. This was the greatest political hoax of the modern era.

While they were out of power, the GOP passed, what, over 60 repeals knowing Obama would veto every one of those bills. But boy it was great theater for the rubes, wasn't it? They just kept voting for those hucksters until finally that glorious day arrived when the Republicans were given the House, the Senate, and the White House.

Then, suddenly, the GOP repeal and replacement program went dark. If that was not solid proof it had all been a hoax, then nothing is.

And yet the rubes didn't catch on! Unbelievable! They STILL have not caught on!

A "skinny repeal" was passed in the House on Trump's watch, and he did that repeat-a-lie-three-times thing he does. On the White House lawn, Trump held a party and prematurely ejaculated, stating, "“Make no mistake, (one!) “this is a repeal and a replace of Obamacare, make no mistake (two!) about it. Make no mistake.”(three!)

https://www.washingtonpost.com/news...-health-care-bill-that-donald-trump-promised/

But it wasn't even close to a full repeal, and it certainly was not a replacement.

Hoax.

And who did the rubes get mad at?

John McCain.

You can't make this shit up.

As a result of all this hucksterism by Trump and the Republicans, Obamacare is now immortal. A third rail like Social Security and Medicare. Thanks, Drumpf!

The Democrats have moved the ball MUCH closer to the goal. UHC is now inevitable.

That's because the Republicans have never had a plan to get health care costs under control. They are too intellectually bankrupt, and so they have silently assented to UHC. They sold us all down the river to UHC decades ago.

Decades ago.

So what is G5000's plan for better health care?

Go ahead and call me a commie Democrat Biden-loving groomer homo, but I believe we have to get the government the fuck out of health care entirely.

With the exception of Medicare.

Ladies and gentlemen, the government is the biggest player in the healthcare market, and they get to write the rules for their private sector competitors! Does it get more fucking commie than that!?!?


You know how you can pick up your phone and dial ANY car insurance company in America and personally negotiate for the car insurance which best suits your needs?

You know how you can pick up your phone and dial ANY life insurance company in America and personally negotiate for the life insurance which best suits your needs?

Avoid whole life insurance. Those are a scam. Go with term life insurance. And tell your beneficiaries to punch any insurance person who tries to tell them to accept your life insurance in annuities right in their fat gob. That's another scam. Tell your survivors to take the lump sum. My dad was an underwriter for 30 years, this is him talking.

But I digress.

You know how you can pick up your phone and dial ANY home insurance company in America and personally negotiate for the home insurance which best suits your needs?


I'm not one for conspiracy theories as you all well know. But the fact you CANNOT pick up your phone and call ANY health insurance company in America and personally negotiate for the health insurance which best suits your needs IS a vast bipartisan conspiracy.

You are deliberately being held hostage to your employer insurance. How's that been working for you?

You know how I feel about exemptions, deductions, and credits. Well, the tax deduction corporations get for employer-sponsored health insurance is bending the cost of healthcare UP.

Obama worked very hard to keep that alive. It was a big boon he gave to labor unions.

So that's my solution to healthcare. Get government the fuck out, and let Americans be able to call any health insurance company in America and negotiate for the best insurance which fits their needs.

The best part is that if you bundle all your insurance together with one insurance company, you get big discounts.

No, actually the best part is that you would be able to take your health insurance with you wherever you go. You would no longer be hostage to your employer. You know when you get a new job and you have to wait several months before they let you into their health plan and you pray to god you don't need medical care in the meantime?

That bullshit is gone.

FREEDOM, BABY!

You know how you can pick up your phone and dial ANY car insurance company in America and personally negotiate for the car insurance which best suits your needs?

You know how you can pick up your phone and dial ANY life insurance company in America and personally negotiate for the life insurance which best suits your needs?

These are lies. The only way to lower the Actuarial calculated cost is to drop some additions/riders if there are any. Otherwise demographics are entered and the cost spits out.

 

[JustAGuy1]

You're back?
Yes, but have cross state line competition could drive the premiums down just the same, slugger.

The problem is deeper than most realize. The ACA simply mandates a minimum standard coverage, States can still individually mandate more coverages. That means there is no standard Nationally which makes it nearly impossible to price it correctly, couple that with the fact is where you live poses different threat levels.

 

[JustAGuy1]

That's about health plans, not doctors. And the reality is that the ACA grandfathered in any health plan in effect when it was signed.

The number of people who gave up a grandfathered plan, picked a noncompliant plan between the time the law was signed and implemented, then switched to a compliant one when the law took effect was something like a quarter of a percent of the population (mitigated even further by Obama unnecessarily deciding to "grandmother" in the noncompliant plans of people who had willingly switched out of their grandfathered plans).

Expanding coverage to 30 million more Americans was, in fact, good.

The dirty little secret about "Grandfathered" plans was it was another con. Once grandfathered it froze the pool of insureds, as the yearly increases started rolling in on those plans it forced folks off of them. With each increase they had fewer and fewer folks to spread it around to, the increases crushed those plans very quickly.

 

[Grumblenuts]

Other than some start-up funding, the public option would’ve been funded by premiums from its enrollees, like any other insurance plan. The only subsidies available to it would be the ones available for any marketplace plan.

By "marketplace" you mean this BS?

Still need health insurance? | HealthCare.gov

Still need health insurance? You can enroll or change plans if you have certain life events or income, or qualify for Medicaid or CHIP.

www.healthcare.gov

CMS has been hollowed out. An embarrassing shadow of its former self. Corporate insurance run horse patootie. They barely even try to hide it now. Only a shill could refer to that thing without spitting today. Health care is a human right, not some "market" for greedy fuckers to hide behind just to fleece everybody one by one.

Email​

Sorry, we can’t accept questions or documents by email.

I used to call Medicare to report fraudsters who kept trying to con my demented mother. Pain? No problem! We can easily get you a nice tens unit. Want one? How about a new wheelchair? They thanked me profusely back then. Now you can't presume it says "U.S. Treasury" as the payor on their paychecks.

The fraudsters have won this round. Real Medicare 4 All or bust. Stamp Money OUT of Politic$!

 

[pknopp]

It would be a whole different animal in the U.S.

Probably but it doesn't have to be.