Nearly 13 years old the ACA has proven GOP dead wrong... again, again, and again.

[Lesh]

You said gas everywhere under 3.00 a gallon

He did not

 

[bigrebnc1775]

He did not

In another thread he did dumbfuck

 

[Greenbeard]

The quality of healthcare is exponentially worse than it was 15 years ago and you get to pay exponentially more.

Lots of evidence to the contrary. For instance:

Fewer Patients Dying From Hospital Errors Since Obamacare Started

Report says about 87,000 lives have been saved since 2010.

www.huffingtonpost.com

Out-of-hospital cardiac arrests fell under the Affordable Care Act

In Oregon, the rate of cardiac arrests happening outside of hospitals fell significantly after implementation of the Affordable Care Act and its expansion of health insurance coverage, researchers report.

www.reuters.com

Medicaid Expansion Linked to Lower Infant Mortality

Is this a sign that the Affordable Care Act works?

www.newsweek.com

Medical care, health have improved for low-income adults under ACA

The Affordable Care Act's health coverage expansions have produced major improvements in medical care and health for low-income adults, including reduced out-of-pocket spending, better access to primary care and preventive services, improved self-reported health, and improved care for those with...

www.eurekalert.org

The Affordable Care Act and Cancer Care Delivery

The Affordable Care Act (ACA) has reformed U.S. health care delivery through insurance coverage expansion, experiments in payment design, and funding for patient-centered clinical and health care delivery research. The impact on cancer care specifically ...

www.ncbi.nlm.nih.gov

Medicaid Expansion Linked to Lower Maternal Mortality Rates

A study presented at the AcademyHealth 2019 National Health Policy Conference, held February 4-5 in Washington, DC, found that the adoption of Medicaid expansion under the Affordable Care Act has been linked to lower rates of maternal mortality.

www.ajmc.com

ACOs Improve Quality, Physician Burnout As New Opportunities Emerge

Accountable care organizations have helped advance value-based care by improving spending and quality and can be a potential solution to addressing physician burnout.

revcycleintelligence.com

The CBO originally estimated that Obamacare would cost $940 billion over ten years.
That cost has now been increased to $1.683 trillion.

Not even close. The CBO score just before the ACA passed did predict it would raise spending by $938 billion over that first ten years (2010-19): $898 billion in Medicaid & CHIP spending above the baseline and new spending on marketplace subsidies + $40 billion in tax credits to help small employers buy insurance.

I'm not sure where the final spending on the small employer tax credit landed--I'm guessing south of $40 billion in that decade, but to be generous let's assume it came in at the expected $40 billion.

Meanwhile, Medicaid & CHIP spending above the pre-ACA baseline + new marketplace spending was not $898 billion after all. It was $273 billion.

Let that sink in. Medicaid & CHIP spending over that decade was more than $400 billion lower than expected, and spending on insurance int he new marketplaces was more than $200 billion less than expected.

In its first decade, coverage under the ACA cost more than $600 billion less than predicted.

Can you note these reductions and tax increases for us?

But the ACA’s remaining spending reductions and tax increases will more than offset the cost of its coverage expansions.

You don't have to look further than the Medicare savings. The ACA's Medicare reforms were predicted to save about $500 billion over that first decade. Reducing Medicare spending to ~$500 billion below the pre-ACA baseline was needed to make the ACA slight-better-than-budget-neutral (it was predicted to reduce the deficit by ~$30 billion or so in its first decade). Actual Medicare spending over the 2010-19 period was more like $900 billion below the pre-ACA baseline.

So with its costs coming in ~$600 billion below projections and its savings coming in ~$400 billion above projections, the new revenues the ACA raised (of which there were some!) don't even matter. It undeniably reduced the deficit, way, way more than anyone predicted.

 

[pknopp]

Lots of evidence to the contrary. For instance:

Fewer Patients Dying From Hospital Errors Since Obamacare Started

Report says about 87,000 lives have been saved since 2010.

www.huffingtonpost.com

Out-of-hospital cardiac arrests fell under the Affordable Care Act

In Oregon, the rate of cardiac arrests happening outside of hospitals fell significantly after implementation of the Affordable Care Act and its expansion of health insurance coverage, researchers report.

www.reuters.com

Medicaid Expansion Linked to Lower Infant Mortality

Is this a sign that the Affordable Care Act works?

www.newsweek.com

Medical care, health have improved for low-income adults under ACA

The Affordable Care Act's health coverage expansions have produced major improvements in medical care and health for low-income adults, including reduced out-of-pocket spending, better access to primary care and preventive services, improved self-reported health, and improved care for those with...

www.eurekalert.org

The Affordable Care Act and Cancer Care Delivery

The Affordable Care Act (ACA) has reformed U.S. health care delivery through insurance coverage expansion, experiments in payment design, and funding for patient-centered clinical and health care delivery research. The impact on cancer care specifically ...

www.ncbi.nlm.nih.gov

Medicaid Expansion Linked to Lower Maternal Mortality Rates

A study presented at the AcademyHealth 2019 National Health Policy Conference, held February 4-5 in Washington, DC, found that the adoption of Medicaid expansion under the Affordable Care Act has been linked to lower rates of maternal mortality.

www.ajmc.com

ACOs Improve Quality, Physician Burnout As New Opportunities Emerge

Accountable care organizations have helped advance value-based care by improving spending and quality and can be a potential solution to addressing physician burnout.

revcycleintelligence.com

Not even close. The CBO score just before the ACA passed did predict it would raise spending by $938 billion over that first ten years (2010-19): $898 billion in Medicaid & CHIP spending above the baseline and new spending on marketplace subsidies + $40 billion in tax credits to help small employers buy insurance.

I'm not sure where the final spending on the small employer tax credit landed--I'm guessing south of $40 billion in that decade, but to be generous let's assume it came in at the expected $40 billion.

Meanwhile, Medicaid & CHIP spending above the pre-ACA baseline + new marketplace spending was not $898 billion after all. It was $273 billion.

Let that sink in. Medicaid & CHIP spending over that decade was more than $400 billion lower than expected, and spending on insurance int he new marketplaces was more than $200 billion less than expected.

In its first decade, coverage under the ACA cost more than $600 billion less than predicted.



You don't have to look further than the Medicare savings. The ACA's Medicare reforms were predicted to save about $500 billion over that first decade. Reducing Medicare spending to ~$500 billion below the pre-ACA baseline was needed to make the ACA slight-better-than-budget-neutral (it was predicted to reduce the deficit by ~$30 billion or so in its first decade). Actual Medicare spending over the 2010-19 period was more like $900 billion below the pre-ACA baseline.

So with its costs coming in ~$600 billion below projections and its savings coming in ~$400 billion above projections, the new revenues the ACA raised (of which there were some!) don't even matter. It undeniably reduced the deficit, way, way more than anyone predicted.

We predict a $10 million increase in cost and it's only $6 million and you consider that a reduction.

 

[bigrebnc1775]

Lots of evidence to the contrary. For instance:

Fewer Patients Dying From Hospital Errors Since Obamacare Started

Report says about 87,000 lives have been saved since 2010.

www.huffingtonpost.com

Out-of-hospital cardiac arrests fell under the Affordable Care Act

In Oregon, the rate of cardiac arrests happening outside of hospitals fell significantly after implementation of the Affordable Care Act and its expansion of health insurance coverage, researchers report.

www.reuters.com

Medicaid Expansion Linked to Lower Infant Mortality

Is this a sign that the Affordable Care Act works?

www.newsweek.com

Medical care, health have improved for low-income adults under ACA

The Affordable Care Act's health coverage expansions have produced major improvements in medical care and health for low-income adults, including reduced out-of-pocket spending, better access to primary care and preventive services, improved self-reported health, and improved care for those with...

www.eurekalert.org

The Affordable Care Act and Cancer Care Delivery

The Affordable Care Act (ACA) has reformed U.S. health care delivery through insurance coverage expansion, experiments in payment design, and funding for patient-centered clinical and health care delivery research. The impact on cancer care specifically ...

www.ncbi.nlm.nih.gov

Medicaid Expansion Linked to Lower Maternal Mortality Rates

A study presented at the AcademyHealth 2019 National Health Policy Conference, held February 4-5 in Washington, DC, found that the adoption of Medicaid expansion under the Affordable Care Act has been linked to lower rates of maternal mortality.

www.ajmc.com

ACOs Improve Quality, Physician Burnout As New Opportunities Emerge

Accountable care organizations have helped advance value-based care by improving spending and quality and can be a potential solution to addressing physician burnout.

revcycleintelligence.com

Not even close. The CBO score just before the ACA passed did predict it would raise spending by $938 billion over that first ten years (2010-19): $898 billion in Medicaid & CHIP spending above the baseline and new spending on marketplace subsidies + $40 billion in tax credits to help small employers buy insurance.

I'm not sure where the final spending on the small employer tax credit landed--I'm guessing south of $40 billion in that decade, but to be generous let's assume it came in at the expected $40 billion.

Meanwhile, Medicaid & CHIP spending above the pre-ACA baseline + new marketplace spending was not $898 billion after all. It was $273 billion.

Let that sink in. Medicaid & CHIP spending over that decade was more than $400 billion lower than expected, and spending on insurance int he new marketplaces was more than $200 billion less than expected.

In its first decade, coverage under the ACA cost more than $600 billion less than predicted.



You don't have to look further than the Medicare savings. The ACA's Medicare reforms were predicted to save about $500 billion over that first decade. Reducing Medicare spending to ~$500 billion below the pre-ACA baseline was needed to make the ACA slight-better-than-budget-neutral (it was predicted to reduce the deficit by ~$30 billion or so in its first decade). Actual Medicare spending over the 2010-19 period was more like $900 billion below the pre-ACA baseline.

So with its costs coming in ~$600 billion below projections and its savings coming in ~$400 billion above projections, the new revenues the ACA raised (of which there were some!) don't even matter. It undeniably reduced the deficit, way, way more than anyone predicted.

Interesting. My father passed away in July 2022 with Covid, my uncle died one month later. With Covid or at least that was what was on his death certificate. Thing is with my father I had to wear all the ppe at his death bed but with my uncle no such thing not even a mask.

 

[Greenbeard]

Proof?

Overall, the fiscal stress from federal health programs continues to grow while the need for fundamental reform gets more urgent.

In reality, it's shrunk tremendously since the ACA was enacted.

Look at the CBO's Long Term Budget Outlook before the ACA was enacted (back in June of 2009). Back then, federal spending on major health programs--which then consisted only of Medicare + traditional Medicaid--was on track to constitute 12.5% of GDP by 2052.

Now look at the most recent CBO Long Term Budget Outlook (from July 2022). Federal health spending--which now consists of Medicare + traditional Medicaid + ACA Medicaid expansion + ACA marketplace subsidies--is on track to constitute 8.8% of GDP by 2052.

That's a whopping 30% decline, despite adding financial support for tens of millions of Americans to achieve an all-time low in uninsurance. Pretty astonishing stuff.

 

[Greenbeard]

We predict a $10 million increase in cost and it's only $6 million and you consider that a reduction.

A reduction in cost growth is a reduction. Indeed, it's the holy grail of all health policy. Health care cost growth plummeted to all-time lows after the ACA passed.

 

[pknopp]

A reduction in cost growth is a reduction. Indeed, it's the holy grail of all health policy. Health care cost growth plummeted to all-time lows after the ACA passed.

No it didn't.

 

[Greenbeard]

No it didn't.

It did. That's why the ACA was $600 billion cheaper than expected and Medicare cost $900 billion less than expected pre-ACA. The health care cost slowdown since 2010 has saved the nation trillions of dollars.

 

[pknopp]

It did. That's why the ACA was $600 billion cheaper than expected and Medicare cost $900 billion less than expected pre-ACA. The health care cost slowdown since 2010 has saved the nation trillions of dollars.

LOL, if you say so.

 

[Greenbeard]

LOL, if you say so.

I do, and already demonstrated it above.

 

[bigrebnc1775]

Someone posted a link about heart attack death rate dropping because of Obamacare.
Heart attacks were dropping before Obamacare implementation. But wait there's more heart attack rates are on the rise since 2020.
Study Finds Increase in Heart Disease Death Rates During COVID-19 Pandemic

 

[g5000]

On March 23, 2010 Obama and a democratic House and Senate passed the ACA (Obamacare) 100% on party lines. Not one single Republican supported this plan. None. 58 Democratic Senators and 2 independents pushed the ACA through congress. The GOP issued doomsday warning of impending doom to our healthcare system. So where do we sit today?

• Zero increase in the out of pocket trend from ACA
• Zero increase in overall spending increase from ACA
• Historically low percentage of people uninsured
• Zero death panels are in place
• You can go to the doctor you want to go to

The GOP's dire warning regarding the Obamacare (ACA) have all ended up in the wasteland of unrealized fear mongering by people who only care about election, not service. Why would anyone support a group this wrong about everything? Tens of millions of lives improved with no corresponding economic downside.

OVERALL HEALTH CARE EXPENSES OVER TIME - Notice no change the to the trend line

View attachment 747265

OUT OF POCKET SPENDING OVER TIME - Notice no change ot the trend line

View attachment 747267


NUMBER OF UNINSURED AMERICANS - Notice all the lives positively impacted by legislation
View attachment 747269

Sources

U.S. national health expenditure per capita 1960-2022 | Statista

Per capita national health expenditures in the United States have increased significantly since 1960.

www.statista.com

How Many Americans Are Uninsured?

Around 30 million Americans have no health insurance. MoneyGeek explores the demographic of the uninsured and their reasons for remaining uninsured.

www.moneygeek.com

Out-of-pocket spending - Peterson-KFF Health System Tracker

Country Comparison: Trend over time: By diagnosis: By race/ethnicity: By age: By sex: By insurance status: By health status: By amount, total population: Among people with large employer coverage, amount by setting: Among people with large employer coverage, distribution of cost-sharing by setting:

www.healthsystemtracker.org

Obamacare has done jack shit about lowering our national healthcare costs.

It was a bait-and-switch con job.

 

[Winco]

30 million uninsured, some number as before.

Same as before when?
Time reference would help.
Can you provide that?

 

[g5000]

Obamacare is a total disaster. It's a hoax, and always has been.

 

[g5000]

Obamacare is nothing more than a stepping stone to single payer healthcare. And the GOP let it happen.

 

[Greenbeard]

Obamacare has done jack shit about lowering our national healthcare costs.

The ACA wasn't going to lower health care spending in nominal terms (deflation in health care spending is pretty much impossible, particularly with an aging population). It was hoped that it could bend the cost curve, slowing the rate at which growth in health care costs outpaced growth in the rest of the economy.

Meanwhile, Altarum calculates that health care spending right now is at 17.2% of GDP (December 2022 Health Sector Economic Indicators Briefs). That's what it was in 2010, when the ACA passed. That would be remarkable, completely unprecedented, and utterly astonishing.

 

[bigrebnc1775]

Obamacare is nothing more than a stepping stone to single payer healthcare. And the GOP let it happen.

How did the GOP let it happen?

 

[healthmyths]

A reduction in cost growth is a reduction. Indeed, it's the holy grail of all health policy. Health care cost growth plummeted to all-time lows after the ACA passed.

Where are your facts health care costs plummeted?
For whom did they lower, because here is a FACT:
As Table 1 shows, the national average monthly premium paid in the individual market in 2013 was $244,
while by 2019 it was $558—more than doubling (a 129 percent increase) from 2013 to 2019.
In contrast, over the same period, the average monthly premium paid in the large-group employer market increased by only 29 percent—from $363 in 2013 to $468 in 2019. (For comparison purposes, we applied the same analysis to the MLR data for the large-group employer market).
Data on how much Americans actually paid for their health insurance confirm that the ACA’s mandates and regulations dramatically increased the cost of individual market health insurance in almost all states.

Obamacare Has Doubled the Cost of Individual Health Insurance

The Affordable Care Act (ACA), known as Obamacare, produced major dislocations in the individual (non-group) health insurance market by imposing a raft of new mandates and regulations, coupled with new income-related coverage subsidies. The results have been not only reduced insurer choice and...

www.heritage.org

It did. That's why the ACA was $600 billion cheaper than expected and Medicare cost $900 billion less than expected pre-ACA. The health care cost slowdown since 2010 has saved the nation trillions of dollars.

Then you need to tell that to these people!

Obamacare Has Doubled the Cost of Individual Health Insurance

The Affordable Care Act (ACA), known as Obamacare, produced major dislocations in the individual (non-group) health insurance market by imposing a raft of new mandates and regulations, coupled with new income-related coverage subsidies. The results have been not only reduced insurer choice and...

www.heritage.org

Only 1 state saw a decline the rest anywhere from 20% increase in NJ to 244% INCREASE in Alabama.
Again Obama promised...“cut the cost of a typical family’s premiums by up to $2,500 a year."

Obameter: | PolitiFact

www.politifact.com

 

[citygator]

Obamacare has done jack shit about lowering our national healthcare costs.

It was a bait-and-switch con job.

If you look at the line it’s gone up the same as it has been going up except 20M Americans are now covered. That’s an enormous win.