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Old 09-13-2019, 01:45 PM  
RodeoPants2 RodeoPants2 is offline
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Health Care

The Democrats spent a lot of time last night debating public option vs. Medicare for all. Often times resorting to punchlines and demagoguery, but getting pretty nuanced as well.

Mean while, trump is suing to bring back pre existing consitions.

If you were able to change healthcare in this country however you thought were best, what would you do.
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Old 09-13-2019, 02:58 PM   #16
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Quote:
Originally Posted by Donger View Post
No, I wouldn't require a mandate.

No, I wouldn't continue subsidies. If you can't afford the above, you go on Medicaid.
So I think the idea you're sketching out here is interesting, and there are areas for middle ground that I could probably get to if I was responsible for dragging the Democratic caucus along.

The fact that it's not truly universal healthcare is problematic, but I think your ideas would have a shot at bringing us closer.
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Old 09-13-2019, 03:01 PM   #17
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The question was asked a couple of years ago and here was my response then.

I've argued this point for a long time. Obamacare actually placed a cap on how much insurers can make off it. That means with Obamacare, if you are overcharged, they have to pay you back. That addresses a problem on the insurance company side.

The problem is, it's like blaming the local gas station for the high price of gas when it really comes down to the price of a barrel of oil. The law didn't deal with the cost of services, pharmacy, DME, etc. The issue is, there isn't a free market solution to that. With Health Care, everything is basically a monopoly. There are very few areas where I feel a Socialist answer is the solution, but this is one of them. Costs need to be controlled by forcing providers to accept Medicare rates. Rates on medication needs to be negotiable, and we need to stop paying $600 for items like Nebulizers which are basically just a cheap plastic air compressor.

I'd deal with all malpractice out of the normal court system. All providers contribute a % of revenue to fund it. Standard reimbursement rules if things go wrong and if a provider shows a propensity for bad service, they lose their license. There would also be a focus on inappropriate billing. If someone needs a CT, you give them a CT, you don't need an MRI, X-ray, and 15 other tests to go with it. That removes wasteful spending habits which are rampant in the system today.

I'd still leave in perhaps a 10% coinsurance responsibility up to $2000 so people just don't run up to their doctor for every little hangnail. That means this is paid by taxes instead of payroll deductions. It would be a flat tax that is not refundable and there isn't a cap like we have on Social Security. However, when you reign in those up front costs, it will be far cheaper than our current solutions. Health Care needs to be handled like the rest of the first world, it's a service we pay for just like our roads and military.
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Old 09-13-2019, 03:33 PM   #18
RodeoPants2 RodeoPants2 is offline
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Quote:
Originally Posted by Donger View Post
For the liberals, what would you say to moving health insurance companies to non-profit only?
I don't have a strong opinion, I don't really care about health insurers making profits provided they're behaving ethically and providing the access to care that they promise. I don't see how this would address the most acute health care problem in this country - people who are uninsured.

Quote:
Originally Posted by scho63 View Post
I would turn the healthcare industry upside down.

-Starting at X years old, each person gets a complete physical paid for by their insurance. Let's start putting kids in the right frame of mind and condition them to think about theor health.
-Then every year you get the same, including bloodwork and checking for things like diabetes or other major issues. Make it a way of life and SHAME people into being more concerned about their health.
-Then after age 50 you get some more detailed exams like colonoscopies.
-Healthcare and exercise is brought back into schools with nutrition studies
-Fitbit and all other forms of keeping track of your health are made a way of life.
-Drug costs have to resolved so the US isn't paying $500 a pill and some Indian or Chilean is paying $1 for the same exact pill or medicine. That's just ****ed up

Healthcare HAS to become PROACTIVE to lower costs and improve health. If it remains a REACTIVE business, we are doomed.

Also, people who drink, take drugs, or are morbidly obese have to pay more.
Would you force people to get these physicals? Also people who smoke do have to pay more, i see nothing wrong with also charging risk premiums for weight, but alcohol / drug consumptoin would be hard to enforce

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Originally Posted by notorious View Post
Im spending 10k a year for my wife and I. No family history of anything notable, no smoking. Im 41 and shes 37. We are in perfect health.

Thats ****ed up. Thought about dropping it to be honest.
You're insuring against one of you getting a serious medical condition and incurring hundreds of thousands of dollars worth of care. When you dont' end up using your benefits that's a good thing.

Quote:
Originally Posted by Direckshun View Post
So I think the idea you're sketching out here is interesting, and there are areas for middle ground that I could probably get to if I was responsible for dragging the Democratic caucus along.

The fact that it's not truly universal healthcare is problematic, but I think your ideas would have a shot at bringing us closer.
Many of the problems with the healthcare system were fixed by obamacare. Obamacare standardized coverage, banned pre-existing conditions and ended lifetime caps. Unless trump and co are successful in bringing back pre-existing conditions, the most acute problem is getting universal coverage - making sure everyone has health insurance.
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Old 09-13-2019, 03:36 PM   #19
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Libs idea is to offer “free” healthcare to the world if they want to come here. Really weird idea but that is their plan. They all raised their hands and swore to it publicly.
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Old 09-13-2019, 04:46 PM   #20
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Quote:
Originally Posted by RodeoPants2 View Post



Many of the problems with the healthcare system were fixed by obamacare. Obamacare standardized coverage, banned pre-existing conditions and ended lifetime caps. Unless trump and co are successful in bringing back pre-existing conditions, the most acute problem is getting universal coverage - making sure everyone has health insurance.

Obamacare stands as proof that government can **** up a one man parade, it reduced the quality of care, increased the cost and was and will stand for all time as an example of bad design, worse implementation, and accomplished almost none that it was supposed to deliver
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Old 09-13-2019, 05:19 PM   #21
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I'd be alright with some sort of "free healthcare" as long as we got stricter on immigration and had a zero tolerance policy for illegal immigration.
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Old 09-13-2019, 05:28 PM   #22
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Originally Posted by RodeoPants2 View Post


If you were able to change healthcare in this country however you thought were best, what would you do.
Take away yours.
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Old 09-13-2019, 05:56 PM   #23
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Old 09-13-2019, 05:57 PM   #24
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Take away yours.
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Old 09-14-2019, 04:19 AM   #25
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Take away yours.
Typical scumbag response
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Old 09-14-2019, 05:18 AM   #26
RodeoPants2 RodeoPants2 is offline
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Originally Posted by HonestChieffan View Post
Obamacare stands as proof that government can **** up a one man parade, it reduced the quality of care, increased the cost and was and will stand for all time as an example of bad design, worse implementation, and accomplished almost none that it was supposed to deliver
This is a jumble of false nonsense, either due to misinformation or just straight up lying.

Are you in favor of bringing back pre-existing conditions?
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Old 09-14-2019, 08:57 AM   #27
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Originally Posted by scho63 View Post
I would turn the healthcare industry upside down.

-Starting at X years old, each person gets a complete physical paid for by their insurance. Let's start putting kids in the right frame of mind and condition them to think about theor health.
-Then every year you get the same, including bloodwork and checking for things like diabetes or other major issues. Make it a way of life and SHAME people into being more concerned about their health.
-Then after age 50 you get some more detailed exams like colonoscopies.
-Healthcare and exercise is brought back into schools with nutrition studies
-Fitbit and all other forms of keeping track of your health are made a way of life.
-Drug costs have to resolved so the US isn't paying $500 a pill and some Indian or Chilean is paying $1 for the same exact pill or medicine. That's just ****ed up

Healthcare HAS to become PROACTIVE to lower costs and improve health. If it remains a REACTIVE business, we are doomed.

Also, people who drink, take drugs, or are morbidly obese have to pay more.
Quote:
Originally Posted by RodeoPants2 View Post
Would you force people to get these physicals? Also people who smoke do have to pay more, i see nothing wrong with also charging risk premiums for weight, but alcohol / drug consumptoin would be hard to enforce
I'm really scared at having the government FORCE people to do anything. I think they can come up with a way if it's FREE or super cheap to incentivize people to begin a lifetime of monitoring and improving their health.

Maybe a tax deduction or annual cash payment?
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Old 09-14-2019, 04:29 PM   #28
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Originally Posted by scho63 View Post
I would turn the healthcare industry upside down.

-Starting at X years old, each person gets a complete physical paid for by their insurance. Let's start putting kids in the right frame of mind and condition them to think about theor health.
-Then every year you get the same, including bloodwork and checking for things like diabetes or other major issues. Make it a way of life and SHAME people into being more concerned about their health.
-Then after age 50 you get some more detailed exams like colonoscopies.
-Healthcare and exercise is brought back into schools with nutrition studies
-Fitbit and all other forms of keeping track of your health are made a way of life.
-Drug costs have to resolved so the US isn't paying $500 a pill and some Indian or Chilean is paying $1 for the same exact pill or medicine. That's just ****ed up

Healthcare HAS to become PROACTIVE to lower costs and improve health. If it remains a REACTIVE business, we are doomed.

Also, people who drink, take drugs, or are morbidly obese have to pay more.
Completely agree. We don't have health care in the US...we have sickness care. Prevention has gotten better, but has a long way to go.
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