CDZ OK, I'll Try Again, How Can We Save Obamacare and Make it Actually Work for ALL of Us?

[Syriusly]

OK, Trump could take the wind out of a lot of Democrat sails if whe would do two things:
1) Adopt this Personalized Health Care proposal; Personalized Healthcare - Healthcare for You

Putting patients in charge by removing barriers that separate them from their doctors.

• We must remove unnecessary red tape that separates doctors and patients. Under Obamacare’s electronic health record (EHR) regulation, doctors are required to spend about half of their time on paperwork and data entry instead of patient care. Regulations like that have put a literal and figurative screen between doctors and patients.
• Red tape and regulations are driving physicians out of private practice; we need more independent doctors, not fewer. 53 percent of doctors are now payroll physicians employed by hospitals. Those doctors are beholden to the hospital and not their patients.
• The doctor-patient relationship is intimate and personal; no one knows better what kind of treatment a patient needs than that patient’s doctor.

Reform: Eliminate unnecessary government red tape that create hours of unnecessary paperwork and strangle the patient-doctor relationship.

Personal Health Management Accounts to give patients more control over their healthcare dollars.

• Personal Health Management accounts allow patients to purchase insurance plans that are customized to their needs and portable—similar to life and auto insurance—so individuals can take it with them from job to job. This eliminates the fear of losing health insurance when you change jobs or move.
• Employers can opt to contribute directly to these accounts, getting them out of the insurance business which puts healthcare decisions in the hands of their employees, not employers and their third-party administrators.
• This allows employees to use pre-tax dollars to pay for healthcare and gives them the same tax benefits enjoyed by employers.
• Allows patients to only pay for what they need, not a one size fits all government plan like Medicare For All.

Reform: Change current rules around Health Savings Accounts by a) increasing the maximum HSA contribution, b) allowing people to pay for insurance premiums from an HSA account so individuals have the same tax advantage currently enjoyed by corporate employees, c) repeal the requirement that exclusively links HSAs to certain high deductible plans and d) allow people to contribute to an HSA and use it to fund a Medical Cost Sharing plan or a Direct Medical Care arrangement.

Expanding Direct Medical Care to increase choices and lower costs.

• Putting patients back in charge of their healthcare spending through expanded pre-tax accounts will vastly increase direct medical care, which cuts out middlemen to lower costs and gives patients more choice.
• For family care needs, direct medical care is known as direct primary care, which offers families all their primary medical care needs for one low monthly membership fee – no insurance or middlemen necessary. Patients can get access to their regular doctors at any time through call, text, or telemedicine.
• For other procedures – at surgery centers, for instance – direct medical care means transparent cash prices, which will allow patients to price shop, lowering prices.
• Cash prices are often cheaper than what insurers can offer. According to Vanderbilt economist Larry Van Horn, cash healthcare prices are 40 percent lower than insurers’ negotiated rates.
• Whether it’s a monthly membership fee for Direct Primary Care, posted pricing at a surgical center, or fee for service from a specialist, patients will be able to get healthcare at a lower price and have more choice.

Reform: Eliminate rules that restrict the use of direct medical care and encourage patients to take advantage of alternative avenues to receiving health services.

Lowering insurance premiums through increased choice and price transparency.

• In every industry where we have more choice and price transparency, we see lower prices and more innovation; healthcare is not an exception to this economic fact.
• End inefficient federal rules and requirements on private insurance plans and allow states to expand and regulate their private insurance markets to offer more choice and better options.
• Let patients purchase plans that are customized to their needs like they do with auto and life insurance
• Rather than another centralized federal experiment, we should remove federal regulations on this private market and let the state insurance departments and lawmakers tackle problems or concerns. What works best in New York may not work for Kansas. You should not be required to pay for features that you don’t want.
• End federal restrictions on modern healthcare advances like telemedicine, which allows patients to access their physicians via text, email and SKYPE, decreasing time spent waiting in doctors’ offices to be seen for minor issues.

Reform: End rules that regulate what should be included in a healthcare plan, how you can access it and when you can keep it.

Lowering drug prices.

• Return savings back to the patients instead of medicine middlemen; right now $250 billion per year goes to middlemen.
• Nearly all the recent increases in drug list prices can be chalked up to rising rebates.

Reform: Repeal the legislation that exempts these middlemen from penalty for violating the federal anti-kickback law.

Protecting against pre-existing conditions.

• Patients will be covered even if they have a pre-existing condition.
• Allow employees to use Personal Health Management Accounts to buy their own health insurance which prevents any lapse in coverage when changing jobs. This change helps address some of the problems of pre-existing conditions.

Reform: Give states the autonomy to guarantee a health insurance policy that cannot raise people’s rates or drop them from coverage due to health conditions. Many states have these laws in place, but they are moot under the ACA. Others can amend their laws to include it, or they can set up risk pools.​

And ...
2) Reform MedicAID into a government run health insurance system that is pro-rated for income level and the premium based on national averages - 20%.

I think if you do that, most moderates thinking about a Democrat will jump over to Trump because we get national health care coverage for everyone, and keep our private insurance too.

This presumes that Trump is willing to do anything that still will have the word "Obama' attached to it.

Frankly- if Trump had provided any real leadership his first two years- he and the Republicans could have provided a real alternative to Obamacare- but they couldn't.

One part of the Republican Party just doesn't think government should be involved at all, another just hates Obamacare and the small third that at least talks of reforming health costs just gets shouted down.

RE: pre-existing conditions- this is the issue that the GOP has a real problem with- giving states the authority to decide whether or not pre-existing conditions will be covered will pretty much gut them- because some states will certainly not require coverage of pre-existing conditions- and the GOP enthusiastically believes that coverage will not be limited by state.

 

[sparky]

I post FACTS

you post opinions insisting they're facts

~S~

Show us!

A Department of Health spokesperson said: “We are making the NHS the safest healthcare system in the world which is why we have invested £10 billion to fund the NHS’s own plan for its future. We know there are areas where the NHS can improve which is why we have prioritised investment in the frontline and there are already more than 21,400 extra clinical staff, including 10,500 additional doctors and more than 7,600 additional nurses on our wards since May 2010.

“The OECD report shows there are many indicators where the NHS continues to be the envy of the world.”

From... your own link. Try reading them before posting.

NHS the safest healthcare system in the world which is why we have invested £10 billion to fund the NHS’s own plan for its future

They've invested in their own future....

So objectively , what's so horrible about that, given that would be chump change in what we invest in our pentagon for other countries futures.....?

~S~

 

[Markle]

I post FACTS

you post opinions insisting they're facts

~S~

Show us!

A Department of Health spokesperson said: “We are making the NHS the safest healthcare system in the world which is why we have invested £10 billion to fund the NHS’s own plan for its future. We know there are areas where the NHS can improve which is why we have prioritised investment in the frontline and there are already more than 21,400 extra clinical staff, including 10,500 additional doctors and more than 7,600 additional nurses on our wards since May 2010.

“The OECD report shows there are many indicators where the NHS continues to be the envy of the world.”

From... your own link. Try reading them before posting.

Those were lofty goals that they did NOT ACHIEVE. As you well know. You guys are so easy!

N.H.S. Overwhelmed in Britain, Leaving Patients to Wait
The emergency ward at King’s College hospital in London. Over the past week, hospitals have increasingly declared “black alerts,” an admission that they are unable to cope with demand.
Andrew Testa for The New York Times
By Ceylan Yeginsu
Jan. 3, 2018

• LONDON — At some emergency wards, patients wait more than 12 hours before they are tended to. Corridors are jammed with beds carrying frail and elderly patients waiting to be admitted to hospital wards. Outpatient appointments were canceled to free up staff members, and by Wednesday morning hospitals had been ordered to postpone nonurgent surgeries until the end of the month.

Cuts to the National Health Service budget in Britain have left hospitals stretched over the winter for years, but this time a flu outbreak, colder weather and high levels of respiratory illnesses have put the N.H.S. under the highest strain in decades.

The situation has become so dire that the head of the health service is warning that the system is overwhelmed.

N.H.S. Overwhelmed in Britain, Leaving Patients to Wait

More?

 

[Grumblenuts]

The UK has one of the worst healthcare systems in the developed world according to a damning new report which said the nation has an “outstandingly poor” record of preventing ill health.

Okay, well, let's check out this "damning new report"!
Hmm, "Health at a Glance 2019 OECD Indicators".. Oh, I see.. So you go to the chart thing, select each tab, compare to the United Kingdom results to those of the United States and.. I don't get it.. Brits are more self-loathing?

 

[Grumblenuts]

I post FACTS

you post opinions insisting they're facts

~S~

Show us!

A Department of Health spokesperson said: “We are making the NHS the safest healthcare system in the world which is why we have invested £10 billion to fund the NHS’s own plan for its future. We know there are areas where the NHS can improve which is why we have prioritised investment in the frontline and there are already more than 21,400 extra clinical staff, including 10,500 additional doctors and more than 7,600 additional nurses on our wards since May 2010.

“The OECD report shows there are many indicators where the NHS continues to be the envy of the world.”

From... your own link. Try reading them before posting.

Those were lofty goals that they did NOT ACHIEVE. As you well know. You guys are so easy!

N.H.S. Overwhelmed in Britain, Leaving Patients to Wait
The emergency ward at King’s College hospital in London. Over the past week, hospitals have increasingly declared “black alerts,” an admission that they are unable to cope with demand.
Andrew Testa for The New York Times
By Ceylan Yeginsu
Jan. 3, 2018

• LONDON — At some emergency wards, patients wait more than 12 hours before they are tended to. Corridors are jammed with beds carrying frail and elderly patients waiting to be admitted to hospital wards. Outpatient appointments were canceled to free up staff members, and by Wednesday morning hospitals had been ordered to postpone nonurgent surgeries until the end of the month.

Cuts to the National Health Service budget in Britain have left hospitals stretched over the winter for years, but this time a flu outbreak, colder weather and high levels of respiratory illnesses have put the N.H.S. under the highest strain in decades.

The situation has become so dire that the head of the health service is warning that the system is overwhelmed.

N.H.S. Overwhelmed in Britain, Leaving Patients to Wait

More?

OMG! "Hospitals Overwhelmed by Flu Patients Are Treating Them in Tents"

Want More?

Really? 'Cause there's literally a f-ton more..

 

[JimBowie1958]

We need to fix MedicAID. so why not do it by a top to bottom overhaul and charge a pro-rated premium? That will bring in more money into its coffers and make it work.

And when (not if) that fails, then what?

Better than Medicare failing, isnt it?

And how would it fail anyway?

The goobermint already runs trillion dollar debts as it is.

 

[JimBowie1958]

True. And I've always found trusting others more lucrative than fearing them

How old are you?

 

[JimBowie1958]

Didn't say all my trust. Reasonable caution, always.
eta: The ongoing funding is always a legitimate concern. The bureaucracy far as actually running Medicare is concerned has only proven remarkable.

After watching the circus in DC, I would not feel comfortable with any of them dog sitting for me.

Lol, you would get back and the Federalis would tell you, "Your dog ran away and the Russians have been pooping in the hallway!"

 

[Markle]

The UK has one of the worst healthcare systems in the developed world according to a damning new report which said the nation has an “outstandingly poor” record of preventing ill health.

Okay, well, let's check out this "damning new report"!
Hmm, "Health at a Glance 2019 OECD Indicators".. Oh, I see.. So you go to the chart thing, select each tab, compare to the United Kingdom results to those of the United States and.. I don't get it.. Brits are more self-loathing?

I really do appreciate that you work so hard to get all this information about Socialized healthcare out for people to read! Keep up the good work!

THANK YOU!

MARCH 16TH, 2017
7 Things You Need To Know About Britain’s Failing Nationalized Health System
By Aaron Bandler
DailyWire.com

The Left has a penchant for constantly citing Britain’s National Health Service (NHS) to support their clamors for socialized medicine. However, the NHS is failing; a new report states that the NHS has reached its “breaking point”:

“Pressure on all services is rising and care is increasingly being rationed. Waiting lists should not be rising, and yet they are,” said Mark Porter, council chair of the British Medical Association (BMA).

“Doctors always want to deliver the best possible care for our patients, but we can’t continuously plug gaps by penny pinching and poaching from elsewhere in an overstretched NHS.”
[...]
7 Things You Need To Know About Britain's Failing Nationalized Health System

 

[Markle]

The UK has one of the worst healthcare systems in the developed world according to a damning new report which said the nation has an “outstandingly poor” record of preventing ill health.

Okay, well, let's check out this "damning new report"!
Hmm, "Health at a Glance 2019 OECD Indicators".. Oh, I see.. So you go to the chart thing, select each tab, compare to the United Kingdom results to those of the United States and.. I don't get it.. Brits are more self-loathing?

OECD, a French organization. Thank you!

 

[Markle]

OMG! "Hospitals Overwhelmed by Flu Patients Are Treating Them in Tents"

Want More?

Really? 'Cause there's literally a f-ton more..

In CALIFORNIA! Keep up the good work!

From your source:
"In California, which has been particularly hard hit by this season’s flu, several hospitals have set up large “surge tents” outside their emergency departments to accommodate and treat flu patients. Even then, the LA Times reported this week, emergency departments had standing-room only, and some patients had to be treated in hallways."

I am shocked, SHOCKED I SAY that folks in California were being treated for a flu epidemic in TENTS. Their streets are lined with folks living in tents!

 

[Grumblenuts]

OECD, a French organization. Thank you!

Your source? Don't thank me. Thank yourself.

In CALIFORNIA! Keep up the good work!

So healthcare worse here than in the UK. And you approve of this. Great. Why are you here again?

 

[JimBowie1958]

Health care is too important for a family to have the government to be involved.

You would have to be very confused to think that the government would in any way make health care better for you.

If the government privided for free heatlh care for the indigent it would cover the bills at community hospitals and still allow for private health insurance.

What is wrong with that?

 

[Markle]

OECD, a French organization. Thank you!

Your source? Don't thank me. Thank yourself.

In CALIFORNIA! Keep up the good work!

So healthcare worse here than in the UK. And you approve of this. Great. Why are you here again?

 

[JimBowie1958]

It can't be saved. It was written in a manner that it would fail and provide the excuse for Single Payer to be enacted as a "rescue" plan.
Best to scrap it completely and start over.

Well we could do that too by doing it as ACA reform.

People are more hung up on labels than providinmg needed health care coverage.

But Medicare is one of the few goobermint programs that actually work and so everyone is trying to shoe-horn universal health care for all into it, and that will destroy Medicare most likely.

 

[Grumblenuts]

True. And I've always found trusting others more lucrative than fearing them

How old are you?

I should say I have no regrets about generally trusting others. No guarantees. On average, nothing ventured - nothing gained tends to pan out. That's all.
And I'm as old as I make you feel, LOL

 

[Markle]

Then there is that other country with health care similar to that offered in Great Britain, Canada.

Waiting Your Turn: Wait Times for Health Care in Canada, 2018 Report
— Published on December 4, 2018

This edition of Waiting Your Turn indicates that, overall, waiting times for medically necessary treatment have decreased since last year. Specialist physicians surveyed report a median waiting time of 19.8 weeks between referral from a general practitioner and receipt of treatment—shorter than the wait of 21.2 weeks reported in 2017. This year’s wait time is 113% longer than in 1993, when it was just 9.3 weeks.

One chart contained in the report cited:

You are being redirected...

 

[Grumblenuts]

Well we could do that too by doing it as ACA reform.

Oh, how I miss it! Ran across this earlier by accident. Ah, the memories..

 

[Markle]

But Medicare is one of the few goobermint programs that actually work and so everyone is trying to shoe-horn universal health care for all into it, and that will destroy Medicare most likely.

How can anyone say that a program "actually works" when it has $31 TRILLION in Unfunded Liability?

 

[Grumblenuts]

You are being redirected...

Freudian slip in.