Now this HC plan might work

[eagle7_31]

The single-payer plan Trump should embrace

and it would drive the Dems right up the wall.

 

[Admiral Rockwell Tory]

The single-payer plan Trump should embrace

and it would drive the Dems right up the wall.

Not a snowballs chance in hell!

 

[flacaltenn]

The single-payer plan Trump should embrace

and it would drive the Dems right up the wall.

That's actually pretty brilliant and along the lines of what I've been proposing to the LParty. Because it DOES fix a lot of things about O-Care. AND it recognizes what insurance should always be about. Not general maintenance or wear or tear -- but actual "break-down"..

Shifting folks into O-Care from MediCaid was NEVER gonna work. Because you're giving them shitty policies with deductibles that are guaranteed to bankrupt them if they ever really NEED insurance. And under O-Care the Feds were subsidizing the premiums -- rather than the deductibles which was guaranteed to drive up premiums for everybody.

There are really 3 layers to health care. The first is "general maintenance". Which is routine preventatives and period exams and short term illness. The second is "chronic disease maintenance and remission" which we do quite well for all manner of chronic disease like hypertension, cholesterol mgt diabetes, COPD, etc. And the 3rd is catastrophic coverage like you'd NEED for long and regular hospitalization, surgery, end of life care, and all the diseases that can't be easily managed.

If the Fed govt wanted to design a subsidized catastrophic care plan with a subsidized DEDUCTIBLE that ruled out pre-existing and other constraints -- it would remove those much rarer expensive cases.

The "general maintenance" is something the free market could focus on. By having doctor groups offer Fixed price annual fees that cover all of that. Competition on price would be IMMENSE. And prices for that BIGGEST case load would drop astronomically, getting the insurers TOTALLY out of the picture.

Which leaves the sector in the middle. Which is solved with a combo of MSAs, additional insurance and typical MEDICAID subsidies.

It's a complicated problem. You have to BREAK the association that you have just ONE PLAN to cover everything from a bandage to a heart transplant.

That's how EVERY OTHER insurance concept works. For Home, or life or disability or your car.

 

[eagle7_31]

The single-payer plan Trump should embrace

and it would drive the Dems right up the wall.

Not a snowballs chance in hell!

You maybe right, but if Trump makes a push for this, it would change the landscape of the debate.

 

[eagle7_31]

The single-payer plan Trump should embrace

and it would drive the Dems right up the wall.

That's actually pretty brilliant and along the lines of what I've been proposing to the LParty. Because it DOES fix a lot of things about O-Care. AND it recognizes what insurance should always be about. Not general maintenance or wear or tear -- but actual "break-down"..

Shifting folks into O-Care from MediCaid was NEVER gonna work. Because you're giving them shitty policies with deductibles that are guaranteed to bankrupt them if they ever really NEED insurance. And under O-Care the Feds were subsidizing the premiums -- rather than the deductibles which was guaranteed to drive up premiums for everybody.

There are really 3 layers to health care. The first is "general maintenance". Which is routine preventatives and period exams and short term illness. The second is "chronic disease maintenance and remission" which we do quite well for all manner of chronic disease like hypertension, cholesterol mgt diabetes, COPD, etc. And the 3rd is catastrophic coverage like you'd NEED for long and regular hospitalization, surgery, end of life care, and all the diseases that can't be easily managed.

If the Fed govt wanted to design a subsidized catastrophic care plan with a subsidized DEDUCTIBLE that ruled out pre-existing and other constraints -- it would remove those much rarer expensive cases.

The "general maintenance" is something the free market could focus on. By having doctor groups offer Fixed price annual fees that cover all of that. Competition on price would be IMMENSE. And prices for that BIGGEST case load would drop astronomically, getting the insurers TOTALLY out of the picture.

Which leaves the sector in the middle. Which is solved with a combo of MSAs, additional insurance and typical MEDICAID subsidies.

It's a complicated problem. You have to BREAK the association that you have just ONE PLAN to cover everything from a bandage to a heart transplant.

That's how EVERY OTHER insurance concept works. For Home, or life or disability or your car.

I concur. Covering the most serious life threating illnesses in one layer and having the adjusted deductible would go quite a way to solving this issue. Also taking elective surgery out of mix helps as well. And abortion is elective surgery (except in the case of life endangerment to the mother)

 

[flacaltenn]

The single-payer plan Trump should embrace

and it would drive the Dems right up the wall.

That's actually pretty brilliant and along the lines of what I've been proposing to the LParty. Because it DOES fix a lot of things about O-Care. AND it recognizes what insurance should always be about. Not general maintenance or wear or tear -- but actual "break-down"..

Shifting folks into O-Care from MediCaid was NEVER gonna work. Because you're giving them shitty policies with deductibles that are guaranteed to bankrupt them if they ever really NEED insurance. And under O-Care the Feds were subsidizing the premiums -- rather than the deductibles which was guaranteed to drive up premiums for everybody.

There are really 3 layers to health care. The first is "general maintenance". Which is routine preventatives and period exams and short term illness. The second is "chronic disease maintenance and remission" which we do quite well for all manner of chronic disease like hypertension, cholesterol mgt diabetes, COPD, etc. And the 3rd is catastrophic coverage like you'd NEED for long and regular hospitalization, surgery, end of life care, and all the diseases that can't be easily managed.

If the Fed govt wanted to design a subsidized catastrophic care plan with a subsidized DEDUCTIBLE that ruled out pre-existing and other constraints -- it would remove those much rarer expensive cases.

The "general maintenance" is something the free market could focus on. By having doctor groups offer Fixed price annual fees that cover all of that. Competition on price would be IMMENSE. And prices for that BIGGEST case load would drop astronomically, getting the insurers TOTALLY out of the picture.

Which leaves the sector in the middle. Which is solved with a combo of MSAs, additional insurance and typical MEDICAID subsidies.

It's a complicated problem. You have to BREAK the association that you have just ONE PLAN to cover everything from a bandage to a heart transplant.

That's how EVERY OTHER insurance concept works. For Home, or life or disability or your car.

I concur. Covering the most serious life threating illnesses in one layer and having the adjusted deductible would go quite a way to solving this issue. Also taking elective surgery out of mix helps as well. And abortion is elective surgery (except in the case of life endangerment to the mother)

The thing to understand and that we've discussed out in the "hinterland" of politics is --- that WHAT WORKS --- doesn't sell as well as DON'T WORRY Bout a THING promises from pandering politicians. So if it's a complicated problem, there's a LOT of education to be done about stuff that would ACTUALLY WORK and reduce costs.

That's not what typical politicians do...

 

[Admiral Rockwell Tory]

The single-payer plan Trump should embrace

and it would drive the Dems right up the wall.

Not a snowballs chance in hell!

You maybe right, but if Trump makes a push for this, it would change the landscape of the debate.

Yeah, it would make him appear to be dumber than dirt in that changed landscape!