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Egalitariat

(1,631 posts)
Fri Mar 22, 2013, 07:13 PM Mar 2013

Obamacare is Single Payer with a time delay

It's one of the most brilliant pieces of legislation in US history. As more and more of the law comes into effect, there's more and more bad news for insurers and people used to having "normal" insurance.

It will probably take a few years, but our traditional insurance model is doomed with this law, and Single Payer will end up being the only solution.

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Obamacare is Single Payer with a time delay (Original Post) Egalitariat Mar 2013 OP
From your lips to God's ears Freddie Mar 2013 #1
With any luck, I'll live to see it... Wounded Bear Mar 2013 #2
I'd like to believe this proclamation, but upon what do you base it? n/t Egalitarian Thug Mar 2013 #3
The robber-baron insurance companies are victiims of SoCalDem Mar 2013 #4
My premiums in effect dropped 50% this year. I was able to switch. Last year I couldn't. graham4anything Mar 2013 #5
My premiums have skyrocketed every year since it became law. nt LWolf Mar 2013 #18
so have mine nt freedom fighter jh Mar 2013 #20
Mine, too. Fantastic Anarchist Mar 2013 #68
Mine have been skyrocketing for years SalviaBlue Mar 2013 #137
Anyone else have premiums going UP? Beartracks Mar 2013 #21
Well, I actually now HAVE premiums... MoonchildCA Mar 2013 #50
That's good news. Most of folks griping about their premium increases miss that point. Hoyt Mar 2013 #104
My premiums have gone up every year. Period. ramapo Mar 2013 #26
Same here. n/t Lugnut Mar 2013 #47
But it's not fully in effect and premiums have been skyrocketing for years. pnwmom Mar 2013 #53
My premiums went up every year. Moderately. LWolf Mar 2013 #58
Same here. City Lights Mar 2013 #66
Me too! Ron Obvious Mar 2013 #70
The "can't deny coverage" LWolf Mar 2013 #97
Yeah, that's what I'm afraid of... n/t Ron Obvious Mar 2013 #100
Tell us the prices. Are you selfemployed or with a company? How much before and now? graham4anything Mar 2013 #79
Well, I won't go back and look at paystubs LWolf Mar 2013 #96
I'd like to catch a rocketship to your planet. Which one is it? /nt Marr Mar 2013 #74
so what are your montly/yearly #s? Work for a company or self employed? graham4anything Mar 2013 #80
Can you please cite exactly which provision of... bvar22 Mar 2013 #91
I Suspect There Is Something To That, Sir The Magistrate Mar 2013 #6
Senator Bernie Sanders said something very similar to this right after the patrice Mar 2013 #7
great idea, now is the time for dems to take this up and run with at the state level nt msongs Mar 2013 #8
IT is cruel, evil, and horribly expensive in lives and money, and may destroy the economy Demeter Mar 2013 #9
Tell that to the people who will finally qualify for health insurance in 2014 pnwmom Mar 2013 #54
Tell that to the 30 million that AREN'T covered Demeter Mar 2013 #62
This^^^ Cal Carpenter Mar 2013 #71
War is Peace. woo me with science Mar 2013 #108
And anyone who STILL won't have health *care*, because they've been granted the Marr Mar 2013 #75
But now they can get it. Before they couldn't. graham4anything Mar 2013 #81
You don't give a shit-- I got it. /nt Marr Mar 2013 #98
Only if they can afford to pay for care dflprincess Mar 2013 #123
On what basis are the insurance companies refusing to pay for their treatments? nt pnwmom Mar 2013 #87
I don't know what their most recent reasons are. Marr Mar 2013 #99
I hope this person gets advice on how the new regulations affect his or situation. pnwmom Mar 2013 #103
Yup. graham4anything Mar 2013 #130
What part of the ACA caused them to lose their coverage? Bradical79 Mar 2013 #84
Do you have a link for that? n/t pnwmom Mar 2013 #86
Mengele?! Seriously?! mac56 Mar 2013 #72
Unless we get a Republican President to go along with our Cleita Mar 2013 #10
The day that happens, every thing will go poof! mountain grammy Mar 2013 #11
It's a good first step but it is no panacea. lumberjack_jeff Mar 2013 #12
Profits are OK timdog44 Mar 2013 #14
If I own a product upon which your life depends, my profits will be obscene. lumberjack_jeff Mar 2013 #15
I guess this could turn into timdog44 Mar 2013 #16
We don't allow water companies or electric companies to take the public hostage BlueStreak Mar 2013 #34
unless your in Detroit, the EFM is pushing through drastic water rate hikes, and talking of making putitinD Mar 2013 #46
All turned over to for-profit companies, no doubt BlueStreak Mar 2013 #56
You could sign up for a "non-profit" plan when available in your area. Hoyt Mar 2013 #105
I was referreing to the Detroit utilities BlueStreak Mar 2013 #107
you got that right icarusxat Mar 2013 #22
I generally agree with you. timdog44 Mar 2013 #39
It need not be out of kindness of the human heart. lumberjack_jeff Mar 2013 #41
I am not really arguing with you. timdog44 Mar 2013 #42
When I hear phrases like "out of the kindness of their hearts" it is usually used in this context; lumberjack_jeff Mar 2013 #43
Sorry for my misuse of that turn of word. timdog44 Mar 2013 #44
Fully agree. lumberjack_jeff Mar 2013 #45
Just wanted to point out a new thread timdog44 Mar 2013 #145
Obscene profits have to be returned to the policyholders. It's already happening with the ACA. Zen Democrat Mar 2013 #132
No there are plenty of people besides insurance companies who are making obscene profits. n/t lumberjack_jeff Mar 2013 #140
If we're going to argue that treestar Mar 2013 #60
You should know that the prior to the passage of the Egalitarian Thug Mar 2013 #61
That would be great! mercymechap Mar 2013 #13
this is what i suspected. pansypoo53219 Mar 2013 #17
Obamacare is going to save my financial hiney! flamingdem Mar 2013 #19
"Oh, Dear Great Egalitariat... ReRe Mar 2013 #23
small businesses and those who buy individual policies will, as far as I can tell, be screwed Flaxbee Mar 2013 #24
No ProSense Mar 2013 #25
Unfortunately I have to agree with you, it WILL hurt small business. still_one Mar 2013 #29
Small businesses ProSense Mar 2013 #32
NOPE. 50% less starting in April self employed. NO existing clause. NO lifetime cap. graham4anything Mar 2013 #82
I hope you are right, but I really doubt it. In fact what I see in California is that both still_one Mar 2013 #27
every time a repub state turns down aca, i see single payer getting closer to reality. eom ellenfl Mar 2013 #28
In the meantime, the number of underinsured will continue to grow dflprincess Mar 2013 #30
... SammyWinstonJack Mar 2013 #31
Well yeah sure, but the campaign contributors will make out like crazy. Egalitarian Thug Mar 2013 #36
+1 n/t area51 Mar 2013 #51
The term "Medical Bankruptcy" is unknown in civilized countries. bvar22 Mar 2013 #92
Hope you're right. joanbarnes Mar 2013 #33
Hope you are right, tell me when the annual out of pocket expenses will decline ... slipslidingaway Mar 2013 #35
What's your hypothesis as to why RomneyObamaCare will turn to single payer? MannyGoldstein Mar 2013 #37
Then there is this. reteachinwi Mar 2013 #38
I find it interesting ... 1StrongBlackMan Mar 2013 #40
Brilliant isn't what I would call me not being able to get insurance for 15 months. Gravitycollapse Mar 2013 #48
I tend to agree with this, Volaris Mar 2013 #49
Democrats are going to pay a big price in elections before single payer happens uselessobot Mar 2013 #52
What on ProSense Mar 2013 #55
I do not think you really understand the bigger picture uselessobot Mar 2013 #64
Oh ProSense Mar 2013 #67
(She never does) Demeter Mar 2013 #106
+1 woo me with science Mar 2013 #110
I got ProSense Mar 2013 #112
See Reply uselessobot Mar 2013 #144
"She" does ProSense Mar 2013 #113
+1 Bobbie Jo Mar 2013 #136
"edit: I did not mean to slander the men of DU, sorry." ProSense Mar 2013 #129
I have rapidly figured that out already uselessobot Mar 2013 #143
I hope you are right. 99Forever Mar 2013 #57
Now that's optimism ! treestar Mar 2013 #59
kick Dawson Leery Mar 2013 #63
which is exactly how single payer came to Canada, in increments. grantcart Mar 2013 #65
^ This. ^ mac56 Mar 2013 #73
It started with for-profit insurance companies enlightenment Mar 2013 #94
It started with a very limited program, the Saskatchawan Hospitalization Act grantcart Mar 2013 #135
So, cutting to the chase - enlightenment Mar 2013 #138
Cutting to the chase of the 30 some single payer systems in the world only one turned from a private grantcart Mar 2013 #139
A plan developed to essentially protect and extend the longevity of the insurance cartel TheKentuckian Mar 2013 #69
Exactly. /nt Marr Mar 2013 #77
Here's ProSense Mar 2013 #95
No they won't. They are governors on the engine to limit the speed and consumption, at best. TheKentuckian Mar 2013 #116
Who is making that ProSense Mar 2013 #117
This is the correct answer. nt woo me with science Mar 2013 #109
Great post! dreamnightwind Mar 2013 #141
I'm going to assume this is satire. /nt Marr Mar 2013 #76
they just don't get it think_critically Mar 2013 #78
I think a lot of people in need will suffer for years. Zax2me Mar 2013 #83
Single payer will have to happen state by state eridani Mar 2013 #85
my medicare payments are just starting to arrive this week madrchsod Mar 2013 #88
Yep. THAT is WHY all the Health Insurance Corporations are Running Scaird!!!! bvar22 Mar 2013 #89
Amazing, how simple observation of reality woo me with science Mar 2013 #111
+1 LWolf Mar 2013 #119
Let's hope you are right. David Zephyr Mar 2013 #90
Calling it one of the most brilliant pieces of legislation in US history.... NCTraveler Mar 2013 #93
It was a brilliant piece of legislation. Or rather, woo me with science Mar 2013 #114
Fully agree with your post. NCTraveler Mar 2013 #115
It ProSense Mar 2013 #128
A friend was offered medical, life, disability and dental for $104 per month, this is the same Thinkingabout Mar 2013 #101
So, should I expect LWolf Mar 2013 #118
The plan he is on is a group offer and I think if the insurance companies are going Thinkingabout Mar 2013 #121
My plan is a group plan through my employer. LWolf Mar 2013 #122
I think some shopping is going to be in order, let's see how many of the insuramce companies Thinkingabout Mar 2013 #124
Why don't you tell us what Insurance Company... bvar22 Mar 2013 #127
The company is Blue Cross-Blue Shield of Texas, remember it was a group rate through Thinkingabout Mar 2013 #131
State run health systems with health contributions from salary Rosa Luxemburg Mar 2013 #102
No. Obamacare is corporate welfare and a payoff to the insurance industry Demo_Chris Mar 2013 #120
Funny, ProSense Mar 2013 #125
In this case I am. Demo_Chris Mar 2013 #133
spot on eom arely staircase Mar 2013 #126
Premiums going up are not really a bad thing madville Mar 2013 #134
We're already paying WAY more dreamnightwind Mar 2013 #142

SoCalDem

(103,856 posts)
4. The robber-baron insurance companies are victiims of
Fri Mar 22, 2013, 07:28 PM
Mar 2013

a...their own greed
b...demographics
c....low wage jobs


They will milk it for every last dollar they can, but eventually they MUST die.

The Boomer generation (the laboratory for the whole scheme) is aging into SS and bidding a not-so-fond-farewell to the greed-based system..

the kids of Boomers and the younger Boomer-ish ones are less likely to have stable workplaces that offer insurance, and if they do, it's probably too costly for them.

Super rich don't need the insurance they offer in enough numbers to keep all the plates spinning and the millions of dollars in bonuses rolling in..

 

graham4anything

(11,464 posts)
5. My premiums in effect dropped 50% this year. I was able to switch. Last year I couldn't.
Fri Mar 22, 2013, 07:35 PM
Mar 2013

Last year was beholden as I have been for decades now, to the one I had.

Am self-employed, or just a family without any company paying the vast majority,
it goes up 15% every year, and to get the same type requires each payment to be made

We are now saying 50% starting next month, as finally I was able to make the switch.

NO PREEXISTING restrictions
NO lifetime cap.

saving $18,000 a year.

100% due to President Obama.

and it's going to get even better as the years go on.

Beartracks

(12,809 posts)
21. Anyone else have premiums going UP?
Fri Mar 22, 2013, 09:08 PM
Mar 2013

What accounts for some going down so drastically, but others skyrocketing?

My premium thru my employer stayed around the same from last year.

==================

MoonchildCA

(1,301 posts)
50. Well, I actually now HAVE premiums...
Sat Mar 23, 2013, 02:03 AM
Mar 2013

Which I have not been able to have until now. I have Obamacare, in the form of CA PCIP (pre-existing insurance plan.) I couldn't even get insurance before. I love paying my premiums and I love the fact that I was able to get my life-saving surgery!

 

Hoyt

(54,770 posts)
104. That's good news. Most of folks griping about their premium increases miss that point.
Sat Mar 23, 2013, 11:55 PM
Mar 2013

And, anyone who has had health insurance for any length of time has seen premium increases almost every year. Yet they gripe and blame it on Obama.

pnwmom

(108,977 posts)
53. But it's not fully in effect and premiums have been skyrocketing for years.
Sat Mar 23, 2013, 04:22 AM
Mar 2013

The expensive parts for the insurers -- having to accept all comers and not exclude people with preexisting conditions -- don't take effect till next year. So the increases can't be blamed on that.

It's up to the legislatures in the states now to rein them in -- they're supposed to be in charge of approving rate increases.

LWolf

(46,179 posts)
58. My premiums went up every year. Moderately.
Sat Mar 23, 2013, 10:31 AM
Mar 2013

That's not "skyrocketing." Since the ACA, they have literally skyrocketed.

My employer offers a choice of plans. I started off with the best plan; highest premium, lowest deductible. I've been downgrading every year, trying to stay within budget. I now have the CHEAPEST plan, which costs more than the most expensive used to. My employer pays twice as much for that premium than my son pays for the mortgage, taxes, and insurance for the house he just bought. Then I pay more. I've got the highest deductible going, which means that when I start getting the bills for last month's 4 trips to urgent care, I'll have to borrow money to pay them, because they won't be covered. That's the only time I've used the insurance; I can't afford to unless I can't function without immediate care.

 

Ron Obvious

(6,261 posts)
70. Me too!
Sat Mar 23, 2013, 03:09 PM
Mar 2013

I feel like an old-time AOL user, but: me too! In fact, they've doubled in the last few years. Also, whereas I used to be healthy, I now have a heart condition and fear the next rate increase. I know we're not supposed to be denied coverage, but I'm not convinced they're not going to take it out of me in any case.

LWolf

(46,179 posts)
97. The "can't deny coverage"
Sat Mar 23, 2013, 08:12 PM
Mar 2013

part ignores the part about denying coverage that we can actually afford to pay for, regardless of the name of the law.

 

graham4anything

(11,464 posts)
79. Tell us the prices. Are you selfemployed or with a company? How much before and now?
Sat Mar 23, 2013, 06:39 PM
Mar 2013

only asking, if you don't wish, not a problem.

But in general also asking-
did it go up 15% every single year?

And it isn't even 2014 yet, so not every area and not every company in every state is in on it yet.

LWolf

(46,179 posts)
96. Well, I won't go back and look at paystubs
Sat Mar 23, 2013, 08:10 PM
Mar 2013

for the last decades, since that's how my premiums are paid. But I'll give you estimates.

My current premium is $989 a month. My son's mortgage, with taxes and insurance added in, is $678 a month.

My deductible is $2500. I just today got the bill for my recent visits to urgent care; urgent care because it couldn't wait, and because they wanted to do the followups for the procedure they performed. I still haven't met the deductible, and I don't know where I'm going to find the extra $1600 in my budget. It was about $600 for the first visit, $300 for the 3 subsequent visits, plus $93 for lab work, plus the prescriptions, of which my copays added up to about $60.

In 2005, I had no deductibles, and no copay higher than $8.00. My premium then was about the same as now. The premium rose a bit each year, $25 - 50; about 3-6% a year. Those increases were a concern. The premium was at about $1100 before the ACA took effect. The next round of raises bumped it up to $1250, an increase of 13-14%,so I signed on to the next lowest plan, which kept the premium the same, but the deductible went from 0 to $250. The following year, the premiums went up again, by about 15%. To keep premium costs the same, I signed on to the next lowest plan, but the deductible went to $750, and the copays went up. Finally, the last time I had to sign up, the premium for the same plan increased by about $250, which I could't afford. So I dropped to the bottom of the barrel plan, with the premium that is about a third more than my son's mortgage, and the huge deductible.

My available plans are negotiated by my employer. We have to re-up every year.

bvar22

(39,909 posts)
91. Can you please cite exactly which provision of...
Sat Mar 23, 2013, 07:19 PM
Mar 2013

...The Affordable Care Act allowed you to do this.

I have read the entire bill, and can't find anything that would enable or facilitate the type of thing you are claiming.

So help us all out, and cite the provision in the Affordable Care Act that you are using so we can all take advantage of it.

Thanks!

patrice

(47,992 posts)
7. Senator Bernie Sanders said something very similar to this right after the
Fri Mar 22, 2013, 07:55 PM
Mar 2013

PATIENT PROTECTION and Affordable Care Act passed.

He made those remarks on his regular Friday Townhall on Thom Martmann's radio show.

 

Demeter

(85,373 posts)
9. IT is cruel, evil, and horribly expensive in lives and money, and may destroy the economy
Fri Mar 22, 2013, 08:31 PM
Mar 2013

That's not brilliant. Not unless Mengele is considered brilliant.

pnwmom

(108,977 posts)
54. Tell that to the people who will finally qualify for health insurance in 2014
Sat Mar 23, 2013, 04:25 AM
Mar 2013

despite having preexisting conditions,
and all the parents whose students are now covered,
and all the cancer patients and others who no longer have to fear losing their coverage,
and to the millions of low income people who now will qualify for Medicaid.

Tell them how cruel and evil Obamacare is and they'll laugh in your face.

Cal Carpenter

(4,959 posts)
71. This^^^
Sat Mar 23, 2013, 03:19 PM
Mar 2013

And while I'm here on this thread, I have no idea what the OP thinks they are saying, but it doesn't make sense.

You don't pass a bill that institutionalizes the insurance companies even more than they already are, and have it result in single payer.



woo me with science

(32,139 posts)
108. War is Peace.
Sun Mar 24, 2013, 11:32 AM
Mar 2013

Freedom is Slavery.
Ignorance is Strength.
The chocolate ration has been increased.


The Chained CPI is "Superlative."
http://www.democraticunderground.com/10022417077

Drone murders are "Legal, Ethical and Wise."
http://www.democraticunderground.com/10022318984

Obama "reassures" Americans he will cut Social Security.
http://www.democraticunderground.com/10022511871

"It doesn't make sense...You don't pass a bill that institutionalizes the insurance companies even more than they already are, and have it result in single payer."


No, it doesn't make sense, but the propaganda doesn't have to make sense anymore. They just repeat the outrageous, until it becomes Truth.

 

Marr

(20,317 posts)
75. And anyone who STILL won't have health *care*, because they've been granted the
Sat Mar 23, 2013, 06:29 PM
Mar 2013

wonderful privilege of sending their hard-earned money away to insurance companies for "coverage", which means whatever the insurance company says it means.

This issue really pisses me off, as I know a lot of people who regularly forgo doctor visits and checkups because they can't afford to pay for both insurance *and* non-emergency visits to the doctor. Two women I know would very likely have discovered their cancer much earlier if they'd been able to afford a checkup every three months. They couldn't, because they had to pay for insurance every month-- and add insult to injury, the insurance companies refuse to pay for most of their treatments now.

dflprincess

(28,075 posts)
123. Only if they can afford to pay for care
Sun Mar 24, 2013, 08:14 PM
Mar 2013

the large deductibles and other out of pockets will still keep people from getting care.

 

Marr

(20,317 posts)
99. I don't know what their most recent reasons are.
Sat Mar 23, 2013, 09:08 PM
Mar 2013

Insurance companies refuse to pay all sorts of things, if the math says it's profitable to do so. Sometimes they roll over the instant the customer pushes back, sometimes not. They bank on a certain percentage of their (weakened, sick) customers being incapable of asserting their rights.

Ask an insurance lawyer about this.

pnwmom

(108,977 posts)
103. I hope this person gets advice on how the new regulations affect his or situation.
Sat Mar 23, 2013, 10:35 PM
Mar 2013

Part of the reason for the law is exactly this problem.

Cleita

(75,480 posts)
10. Unless we get a Republican President to go along with our
Fri Mar 22, 2013, 08:31 PM
Mar 2013

Republican House and Republican controlled Senate. Watch it go. Poof!

 

lumberjack_jeff

(33,224 posts)
15. If I own a product upon which your life depends, my profits will be obscene.
Fri Mar 22, 2013, 08:40 PM
Mar 2013

Unless government steps in.

Medicine should be about health outcomes, period.

timdog44

(1,388 posts)
16. I guess this could turn into
Fri Mar 22, 2013, 08:48 PM
Mar 2013

post of who should get profits and who should not. I see some profit as an encouragement to do further good things.

 

BlueStreak

(8,377 posts)
34. We don't allow water companies or electric companies to take the public hostage
Fri Mar 22, 2013, 10:59 PM
Mar 2013

If they are private corporations, they are HEAVILY regulated.

putitinD

(1,551 posts)
46. unless your in Detroit, the EFM is pushing through drastic water rate hikes, and talking of making
Sat Mar 23, 2013, 01:18 AM
Mar 2013

toll roads out of our freeways

 

BlueStreak

(8,377 posts)
107. I was referreing to the Detroit utilities
Sun Mar 24, 2013, 11:22 AM
Mar 2013

If the emergency manager is doing it, I bet he is sending the business to friends who whoo be able to harvest an easy profit at taxpayer expense.

timdog44

(1,388 posts)
39. I generally agree with you.
Fri Mar 22, 2013, 11:22 PM
Mar 2013

But I don't see medicine being about outcomes due to the kindness of the human heart.

Actually, my wife and I are health care professionals, and we both agree with you. But we don't see any pure research anymore. There is always a profit motive behind anything done in the field, and usually not very honestly. The place where you would think research would be done for research sake is in the universities. But they have been hijacked by monied interests. Some kind of regulation needs to be in place, and supposedly is, but those agencies have been hijacked as well. So even with government having stepped in we are being taken.

 

lumberjack_jeff

(33,224 posts)
41. It need not be out of kindness of the human heart.
Fri Mar 22, 2013, 11:51 PM
Mar 2013

It should be about self-interest. It is in citizens best interest to promote our collective wellbeing.

Does that include big pharma? I'd say no. Most research happens in the universities we own, so I argue that this research should result in public domain medicine.

I think that a national health service is a better solution than even single payer.

timdog44

(1,388 posts)
42. I am not really arguing with you.
Fri Mar 22, 2013, 11:59 PM
Mar 2013

I am talking about where I think we are at. And I guess that I equate the collective well being as from the kindness of the human heart.

As far as research at public universities goes, the research I have done on those shows big money interests involved. And you are correct, that research "should" result in the public domain, but the key word is "should". But when you dig, you find all kinds of funding coming from big pharma or big cancer centers or makers of medical devices.

I really don't have a problem with a national health service.

 

lumberjack_jeff

(33,224 posts)
43. When I hear phrases like "out of the kindness of their hearts" it is usually used in this context;
Sat Mar 23, 2013, 12:21 AM
Mar 2013

"Of course they should make a profit (selling a drug/being a doctor/being an insurance company/making a new gizmo)! Do you expect companies to do these things out of the goodness of their heart?"

To which my answer is no. I don't expect companies to do it at all. As open source software shows, creative people have much more diverse set of motivations than simple profit. People love to do research, but the universities want the corporate cash.

timdog44

(1,388 posts)
44. Sorry for my misuse of that turn of word.
Sat Mar 23, 2013, 12:25 AM
Mar 2013

We need more creative people who love to do the research and find a way to keep the dirty, moneyed hands off.

treestar

(82,383 posts)
60. If we're going to argue that
Sat Mar 23, 2013, 10:36 AM
Mar 2013

We need to describe "obscene."

I'm with you but right wingers specifically ask the question and we need to be prepared for it - how much is too much?

A second mansion, maybe.

 

Egalitarian Thug

(12,448 posts)
61. You should know that the prior to the passage of the
Sat Mar 23, 2013, 11:47 AM
Mar 2013

Health Insurance Profit Protection Act, The most profitable health insurance company in America was reporting a net profit of 18%. That likely has a great deal to do with why the cap was raised from the original 15% to 20%.

mercymechap

(579 posts)
13. That would be great!
Fri Mar 22, 2013, 08:35 PM
Mar 2013

I knew it was imperative that ACA be passed even though most of us wanted single-payer, because once it was passed it would be easier to change it than to try and pass single-payer. Especially when conservatives who believe it is the worst thing that could have happened, with Michelle Bachmann telling them it is going to kill women, children and seniors, hate it so much and want it repealed they are willing to waste taxpayer money on bills that can't get past the Senate.

flamingdem

(39,313 posts)
19. Obamacare is going to save my financial hiney!
Fri Mar 22, 2013, 08:59 PM
Mar 2013

Just at the age where I am getting hosed 2x per year by huge hikes on my insurance. I will qualify for a decent subsidy and was told by Blue Cross that the new plans are much better.

ReRe

(10,597 posts)
23. "Oh, Dear Great Egalitariat...
Fri Mar 22, 2013, 09:39 PM
Mar 2013
K&R

... exactly when willst this miracle that thou speakest of come to pass?" Just kidding... I think you might be right, and here's why I think it. I recently was in the hospital for 4 days. First bill I got, my part was a whopper of $1,668.00. Of course I didn't pay it right off. (I have Humana to the hilt,) because as time passes by, it usually goes down when the ins pays dribble by dribble. I called today to see if it had come down a bit and to see if I should pay my bill yet, and I was astounded to hear that my part had fallen to $450.00, and was told to wait for a month until I get the next bill and to then pay it. They said it will come down more! Year before last I was in and out of the hospital 4 times (short stays, 3-4 days.) It cleaned me out. Something happened to allow me this good fortune, and I have nothing to attribute it to, unless it was some part of Obamacare kicking in! I do hope you are right about Single Payer being the only solution, since Insurance Companies are now having to pay more.

Flaxbee

(13,661 posts)
24. small businesses and those who buy individual policies will, as far as I can tell, be screwed
Fri Mar 22, 2013, 09:44 PM
Mar 2013

Those policies will go up; mine has gone up considerably. I shudder to think what I'll see next year.

For those who get health insurance through bigger companies, their premiums will probably decrease.

It's only those who lack the power to negotiate who suffer. Unfortunately, I think I fall into that category.

ProSense

(116,464 posts)
25. No
Fri Mar 22, 2013, 09:51 PM
Mar 2013

"small businesses and those who buy individual policies will, as far as I can tell, be screwed"

How Small Business Owners Get Health Insurance

As with any economic policy issue, there has been much discussion of how the Affordable Care Act (ACA) will affect small businesses...As our recently released Employer Health Benefits Survey shows, small businesses are much less likely than larger businesses to offer health benefits to their workers. Half of businesses with 3-9 workers and 73% of firms with 10-24 workers provide health insurance. That contrasts with 98% of firms with 200 or more workers that offer health coverage.

The workers in these firms that do not offer coverage must rely on employer-based insurance through a family member, buying insurance in the individual market (assuming they can afford the coverage and do not have a pre-existing health condition), or in many cases going uninsured.

But what about the owners of these small businesses? They’re pretty much in the same boat. The following chart shows how small business owners with 1-24 employees now get insurance:



<...>

A few striking things emerge from this analysis:

<...>

This suggests that the biggest effects the ACA will have on small business owners may not be changes in the rules for the small business insurance market, but rather the changes in the individual insurance market: guaranteed access to coverage and no premium surcharges for people with pre-existing health conditions, limits on how much premiums can vary by age, a requirement that all insurers cover a set of “essential” benefits, the creation of health insurance exchanges, the requirement to be insured, and tax credits to make premiums more affordable. In fact, an estimated 60% of small business owners now buying insurance in the individual market have incomes up to 400% of the poverty level and would be eligible for tax credits in exchanges or Medicaid, and 83% of owners who are now uninsured would be eligible for subsidized coverage (split about equally between tax credits and Medicaid).

http://healthreform.kff.org/notes-on-health-insurance-and-reform/2012/september/how-small-business-owners-get-health-insurance.aspx

Good stuff.

still_one

(92,187 posts)
29. Unfortunately I have to agree with you, it WILL hurt small business.
Fri Mar 22, 2013, 10:17 PM
Mar 2013

They will be subsidizing a lot of the costs, and a small business really may not be able to afford it.

They should have done Medicare for all when we had the majority in 2008

also,

http://www.democraticunderground.com/10022554154


ProSense

(116,464 posts)
32. Small businesses
Fri Mar 22, 2013, 10:34 PM
Mar 2013

"Unfortunately I have to agree with you, it WILL hurt small business.

They will be subsidizing a lot of the costs, and a small business really may not be able to afford it."

...will get subsidies.

Fewer than 25 Employees:

Beginning in 2010, business with fewer than 25 full time equivalents and average annual wages of less than $50,000 that pay at least half of the cost of health insurance for their employees are eligible for a tax credit. The full credit is available to employers with 10 or fewer employees and average annual wages of less than $25,000. The credit phases-out as firm size and average wage increases. The credit is capped based on the average health insurance premium in the area where the small business is located.

The tax credit will be introduced in two phases. For tax years 2010 to 2013, eligible employers may receive a tax credit of up to 35% of the employer's contribution toward the employee’s health insurance premium. For tax years 2014 and later, eligible small businesses that purchase coverage through the state Exchange may receive a tax credit of up to 50% of the employer’s contribution toward the employee’s health insurance premium. Employers are eligible to take the tax credit for two years. Tax-exempt small businesses meeting these requirements are eligible for tax credits of up to 25% of the employer’s contribution toward the employee’s health insurance premium for tax years 2010 to 2013, and up to 35% for tax years 2014 and later.

http://healthreform.kff.org/faq/how-are-small-businesses-affected-by-health-reform.aspx




I responded to the OP at the link you provided: http://www.democraticunderground.com/10022554154#post3

still_one

(92,187 posts)
27. I hope you are right, but I really doubt it. In fact what I see in California is that both
Fri Mar 22, 2013, 10:13 PM
Mar 2013

Insurance rates and prescription drugs have gone up

dflprincess

(28,075 posts)
30. In the meantime, the number of underinsured will continue to grow
Fri Mar 22, 2013, 10:17 PM
Mar 2013

as more employers and individuals find they can only afford "consumer driven" plans that have annual deductibles in the thousands.

The current legal limits for a high deductible plan are $6,250 for a single and $12,500 for a family. You pay this before insurance coughs up a dime except for some screening and preventative care (and what good does screening do if you have no money for the follow up?). Meanwhile the legal limits for pretax contributions to the Health Savings Account that are used to help sell these plans are $3,250 for a single and $6,450 for a family (you can contribute and extra $1,000 annually if you are 55 or over).

These plans are most detrimental for people with chronic conditions. There is a growing body of evidence that people with conditions that need monitoring (diabetes, asthma, heart failure to name a few) tend to delay routine tests and try to stretch medications.

So even with the Affordable "Care" Act the U.S. will remain a country where people pay insurance companies for a product they can't afford to use, wind up declaring bankruptcy when they can't avoid running up medical bills and die before they should have because they couldn't get the care they needed in time.

 

Egalitarian Thug

(12,448 posts)
36. Well yeah sure, but the campaign contributors will make out like crazy.
Fri Mar 22, 2013, 11:06 PM
Mar 2013

Ya gotta break some eggs, and so forth. We'll fix it later. It will be so bad that single payer will gain the support it needs. And it isn't like the people that will die are important anyway.

What did I forget.

bvar22

(39,909 posts)
92. The term "Medical Bankruptcy" is unknown in civilized countries.
Sat Mar 23, 2013, 07:32 PM
Mar 2013

In the USA Medical Bankruptcy will STILL be Big Business,
even after every provision of the ACA is enacted.

Maybe even Bigger Business as those MANDATED onto "The Exchange"
attempt to access actual Health Care with their mandated "Bronze" (junk) Health Insurance Policies.


There are going to be many MILLIONS of angry, sick Working Class Americans,
who, even with a "subsidy" will be forced to dig into ever emptying pockets to cough up their part of the MANDATE,
and ALL the Republicans have to do for a sweep in 2016 is say,
"YEP! We voted against it."

2014 is going to be an interesting year.

slipslidingaway

(21,210 posts)
35. Hope you are right, tell me when the annual out of pocket expenses will decline ...
Fri Mar 22, 2013, 11:02 PM
Mar 2013

how long will people have to pay these expenses before the SP system becomes a reality?

Our annual out of pocket expenses are about 10K per year and we're going on year four, how long can people continue to pay those expenses?

Looking forward to this brilliant legislation, when does that happen, before or after bankruptcy?











 

MannyGoldstein

(34,589 posts)
37. What's your hypothesis as to why RomneyObamaCare will turn to single payer?
Fri Mar 22, 2013, 11:08 PM
Mar 2013

Seems like it's mostly a taxpayer subsidy for insurance companies and the working poor, but perhaps I'm missing something.

 

reteachinwi

(579 posts)
38. Then there is this.
Fri Mar 22, 2013, 11:11 PM
Mar 2013

WASHINGTON — The Obama administration will soon take on a new role as the sponsor of at least two nationwide health insurance plans to be operated under contract with the federal government and offered to consumers in every state.
These multistate plans were included in President Obama’s health care law as a substitute for a pure government-run health insurance program — the public option sought by many liberal Democrats and reviled by Republicans. Supporters of the national plans say they will increase competition in state health insurance markets, many of which are dominated by a handful of companies.
http://www.nytimes.com/2012/10/28/health/us-to-sponsor-health-insurance-plans-nationwide.html

Two nationwide health insurance plans to be operated under contract with the federal government? Dual payer?

 

1StrongBlackMan

(31,849 posts)
40. I find it interesting ...
Fri Mar 22, 2013, 11:47 PM
Mar 2013

that DUers are reporting such vastly different experiences with respect to insurance. Personally, my rates have stayed the same ... after experiencing yearly increases, prior to the ACA's passage ... And I received a small check with a note from my employer indicating that our insurer didn't meet the medical-loss ratio.

I, also, noticed that some of the same people decrying ObamaCare as a huge President Obama sell-out, seem to be the same one's indicating that their either having problems getting insured coverage under the ACA or are experiencing these huge increases.

That's just an observation ... I'm sure it's just a coincidence.

Volaris

(10,270 posts)
49. I tend to agree with this,
Sat Mar 23, 2013, 01:37 AM
Mar 2013

ESPECIALLY if the Ins. Co's. just say "well fuck it, since everyone has to by our product now, we can just jack up the price to whatever we want, and if Congress says that's a violation of the law, well, we have more money now to bribe Congress and get that law changed."

The next time We The People get pissed off about the UN-availability of Health Care in America, Health Insurers are indeed doomed, because there will be PROOF that we tried to do it their way, and it didn't work.

 

uselessobot

(43 posts)
52. Democrats are going to pay a big price in elections before single payer happens
Sat Mar 23, 2013, 04:21 AM
Mar 2013

the ACA is the Heritage Foundation/GOP Plan endorsed by both McCain and Hillary in 08 and frankly that is why Hillary lost the primary battle.

Anyone with a brain knew it was 100% crap without a public option and price controls and would make things even worse in America, yet that is what we got like it or not.

Sure the current form of the ACA is doomed but before single payer actually happens their will be a whole bunch of casualties both political and actual due to lack of and unaffordable HC.


ProSense

(116,464 posts)
55. What on
Sat Mar 23, 2013, 10:14 AM
Mar 2013

"Democrats are going to pay a big price in elections before single payer happens...their (sic) will be a whole bunch of casualties both political and actual due to lack of and unaffordable HC."

...earth are you talking about? Republicans lost big time on health care in 2012.

Top GOP Senator: We Lost On Obamacare, But We’re Going to Keep Trying To Repeal It Anyway

By Rebecca Leber

Senate Minority Leader Mitch McConnell repeated the siren call that Republicans are not going to give up on repealing Obamacare.

But in the same speech at the Conservative Political Action Conference, McConnell admitted there is little plausibility to the idea, since Republicans have already lost. “When it came to Obamacare, we gave it everything we have, everything we have, and we just lost.”

McConnell explained that won’t stop Republicans, in a speech where he assured his audience that the GOP is not stuck in the past:

This law is a disaster. Anyone who thinks we’ve moved beyond it is dead wrong. Obamacare should be repealed root and branch. We’re not backing down from this fight.

“It may not seem like it now,” McConnell concluded, “but we’re actually winning.”

Republicans are not, in fact, winning. After more than 30 votes in Congress, a Supreme Court challenge, and a presidential campaign failed to repeal the health reform law, even House Speaker John Boehner admitted “Obamacare is the law of the land.”

- more -

http://thinkprogress.org/health/2013/03/15/1727721/mcconnell-lost-obamacare/

One of the reasons they're determined to repeal it is because it raised taxes on the rich: http://www.democraticunderground.com/10022552023

 

uselessobot

(43 posts)
64. I do not think you really understand the bigger picture
Sat Mar 23, 2013, 01:56 PM
Mar 2013

The GOP efforts to repeal Obamacare is a side show and linked in with continued GOP nullification efforts.

In the mean time HC costs will rise and the system will become even worse and more people will do without HC and Democrats will get the blame for Obamacare over the next few years. Great suffering is going to happen before single payer becomes a reality. Case in point:


http://www.democraticunderground.com/10022556033

This is the price of pragmatism.

I hope you think it is worth it, I do not.

ProSense

(116,464 posts)
67. Oh
Sat Mar 23, 2013, 02:21 PM
Mar 2013

"I do not think you really understand the bigger picture"

...I fully understand the big picture, and an article quoting a wingnut paper is nothing but fear mongering.

Health Insurers Threaten To Increase Premiums, Even As Profits Soar

By Igor Volsky

Some of the nation’s largest health insurance companies are warning investors that they’ll raise insurance premiums by as much as 116 percent next year, as the coverage expansion provisions in the Affordable Care Act go into effect and millions of uninsured Americans begin purchasing coverage.

The threats of premium increases come as the industry is experiencing record profits and are part of a well-coordinated publicity campaign to alarm Americans about the cost of coverage, while downplaying mechanisms in the law that will cushion them from rate shock. The effort comes as insurers seek more favorable regulatory changes that would, in part, allow companies to charge older people more for coverage.

United Health Group Inc., Aetna, and Blue Cross and Blue Shield are ringing the alarm, attributing the possible cost increases to general health care inflation as well as provisions in the health care law, which require insurers to offer more comprehensive coverage, particularly in the individual health care market, and limit the companies’ ability to set premiums based on beneficiaries’ health care histories, age, or sex.

<...>

Insurers have long complained that the law’s more rigorous standards would raise prices, although since the Affordable Care Act was signed into law, national health expenditures have decreased and insurers in the individual market have followed the trend, posting fewer double digit increases. Sudden rate hikes were considered the norm before the law went into effect and applicants were regularly denied coverage or priced out of it altogether. Insurance commissioners have also begun reviewing rates more carefully and insurers have had to spend 80 cents out of every premium dollar on health benefits, rather than administrative overhead.

- more -

http://thinkprogress.org/health/2013/03/22/1761011/health-insurers-threaten-to-increase-premiums-even-as-profits-soar/

Health insurers are full of shit, and there are other mechanisms that will keep them in check.

Seniors saved over $6 billion on prescription drugs as a result of the health care law
http://www.hhs.gov/news/press/2013pres/03/20130321a.html

April 2012: $1 Billion In Rebates Coming Under ‘Obamacare’
http://www.democraticunderground.com/1002613579



Sec. Kathleen Sebelius

Holding Insurance Companies Accountable for High Premium Increases

The Affordable Care Act prohibits some of the worst insurance industry practices that have kept affordable health coverage out of reach for millions of Americans. It provides families and individuals with new protections against discriminatory rates due to pre-existing conditions, holds insurance companies accountable for how they spend your premium dollars, and prevents insurance companies from raising your insurance premium rates without accountability or transparency.

For more than a decade before the Affordable Care Act health insurance premiums had risen rapidly, straining the pocketbooks of American families and businesses. Oftentimes, insurance companies were able to raise rates without explanation to consumers or public justification of their actions.



The Affordable Care Act brought an unprecedented level of scrutiny and transparency to health insurance rate increases by requiring insurance companies in every state to publicly justify their actions if they want to raise rates by 10% or more. Insurance companies are required to provide easy to understand information to their customers about their reasons for significant rate increases, and any unreasonable rate increases are posted online.

And it's working.

A new report released today shows that the health care law is helping to moderate premium hikes. Since this rule was implemented, the number of requests for insurance premium increases of 10% or more has dropped dramatically, from 75% to 14%. The average premium increase for all rates in 2012 was 30% below what it was in 2010. And available data suggest that this slowdown in rate increases has continued into 2013.

- more -

http://www.huffingtonpost.com/sec-kathleen-sebelius/holding-insurance-compani_b_2742501.html


Rules finalized for the good stuff in Obamacare
http://www.democraticunderground.com/10022415967

Wendell Potter Agrees: Big-Profit Health Insurance Almost Dead
http://www.democraticunderground.com/1002390746
 

Demeter

(85,373 posts)
106. (She never does)
Sun Mar 24, 2013, 09:05 AM
Mar 2013

Last edited Sun Mar 24, 2013, 02:23 PM - Edit history (1)

personal observation over months---save your breath.

edit: I did not mean to slander the men of DU, sorry.

ProSense

(116,464 posts)
113. "She" does
Sun Mar 24, 2013, 11:57 AM
Mar 2013

"personal observation over months---save your breath."

Personally, I think those "personal observations" not only suck, but they're silly as hell.



 

uselessobot

(43 posts)
143. I have rapidly figured that out already
Mon Mar 25, 2013, 06:37 PM
Mar 2013

The person is entitled to be wrong, what do I care. Most people have no clue what is really happening and would rather cheer for their fav player then face the reality of what really is happening. Life is not a sporting event. Some of us will be prepared and others will not.

99Forever

(14,524 posts)
57. I hope you are right.
Sat Mar 23, 2013, 10:26 AM
Mar 2013

In the meantime, how many are going to die for lack of health care? How long are people supposed to hang on by their finger tips and suffer?

I personally don't believe that short of a revolution, we will ever see real justice in any area of our society again, including health care. Corporate America will NOT stand for it and they OWN all venues of power. ALL of them.

treestar

(82,383 posts)
59. Now that's optimism !
Sat Mar 23, 2013, 10:35 AM
Mar 2013


This is a board that can use some of that! Some people need to stop trashing Obamacare and talking up its benefits. It is the one thing that will give the public the political will to want single payer and quit buying the right wing's bullshit.

enlightenment

(8,830 posts)
94. It started with for-profit insurance companies
Sat Mar 23, 2013, 07:56 PM
Mar 2013

being given a mandate by the government?

Perhaps you could provide a link to the history that explains that part, because I've read about it and don't seem to recall any point where for-profit insurance companies were given a mandate by any of the provincial governments.

I'm sure you have it right to hand, since you seem quite positive that is the way single-payer was enacted in Canada.

Thanks!

grantcart

(53,061 posts)
135. It started with a very limited program, the Saskatchawan Hospitalization Act
Sun Mar 24, 2013, 09:58 PM
Mar 2013

http://en.wikipedia.org/wiki/Health_care_in_Canada#The_beginning_of_coverage

A very limited benefit in only one province.

Over time it proved that the government could handle these services well and slowly expanded. After 2 years that was expanded to prepaid (included private insurers) and after 4 years it was expanded to a province wide government scheme.

Eleven years after the SHA was passed a bill for a nation wide plan that covered 50% of the costs.

It took 15 years from the passing of the first SHA until full single payer care came to Canada in 1961.

The same is true with virtually all of the major US federal initiatives whether Social Security, Medicare, the Civil Rights Act of 1964, or operational agencies like the CDC, FDA, NOAA. The hardest step is to create a precedent for federal involvement, it is much easier to expand after that.

Creating federal power to control the Medical Loss Ratio, and having it confirmed by the Supreme Court is a huge first step forward by virtually any standard for expansion of federal power. Had the OHCA been any bolder in asserting federal power in controlling the health industry it would most certainly NOT survived the conservative Supreme Court.

enlightenment

(8,830 posts)
138. So, cutting to the chase -
Sun Mar 24, 2013, 10:28 PM
Mar 2013

the Canadian system did not start with mandated premiums payments to for-profit insurance companies.



grantcart

(53,061 posts)
139. Cutting to the chase of the 30 some single payer systems in the world only one turned from a private
Sun Mar 24, 2013, 11:21 PM
Mar 2013

to a public system in a single step, the UK system.

That had two significant caveats. First the entire nation had gone through a terrrible war experience and there was a spirit of shared sacrifice and that there was a terrible shortage of medical personnel after the war. The concept of sharing the sacrifice going forward ws universally accepted.

Secondly they had a parlimentary system which combined both executive and legislative power.

The idea of a universal mandate is inherent in single payer. Taxation is in fact a universal mandate. So yes there was a time when the Canadian system had a universal mandate and 50% of the insurance providers were still for profit.

The idea of having a universal payer and maintaining private insurance companies as the means of providing care, is not unique to the American system. Both the German (the oldest single payer system) and the Netherlands, for example, both use private for profit insurance companies as options in their systems.

In fact Medicare doesn't have government bureacracies to process claims but use private for profit TPAs (Third Party Administrators) to process the insurance claims.

The issue isn't whether at some point there is a 'for profit' company (for that matter look at how "not for profits" like Blue Cross have exhorbitant overheads and prices) but how much of each dollar is spent on administration (Medical Loss Ratio).

Medicare runs about 3%.

In the US MLR used to run 36%

With the AHCA large plans were put at 20% ceiling and billions of overchargers were refunded this year.

While still not at Europe's 8-9%, the 20% ceiling was a BFD.

More importantly it CREATED FEDERAL PRECEDENT THAT WAS AFFIRMED BY THE SUPREME COURT that the federal government had the authority to establish prices and gross profit.

That is a very very very big first step.

In all of the other federal single payer systems there is mandated participation, either with premiums or taxes. In all but a few (the UK being the most notable) there is some degree of 'for profit' participation.

There is no question that from a constitutional and historical perspective we are much much closer to a single payer system than we have ever been.

TheKentuckian

(25,026 posts)
69. A plan developed to essentially protect and extend the longevity of the insurance cartel
Sat Mar 23, 2013, 03:02 PM
Mar 2013

while giving them a captured costumer base and a key to the Treasury to make up the difference between the blood squeezed from stones and what they want to make is not a bridge to single payer. The cartel was closer to doomed under unchecked avarice as more and more would be priced out and so forced to give up their coverage which in turn would shrink pools and further increase costs again forcing more and more out until the system underwent cascade failure, choking on systemic entropy and unchecked avarice while an ever growing portion of the American people would lose access and consequentially support for the system that left them, their children, parents, and associations behind to die.

At the same time the health care sector would create enemies across the spectrum of capital because the the skyrocketing costs would tie up and consume an ever increasing percentage of the economy as long as folks and their employers could keep up and other industries and sectors would be forced to turn on them as their ability to produce profits were choked off, commerce gobbled up by high priority players burning the candle far too quickly. The rate of medical inflation alone was the cartel's demise, with them already controlling over 16% of the economy the time was quickly approaching exceeding the carrying capacity of consumers and the overall economy, especially in a time of stagnant and declining wages and slow overall growth.

Of course these conditions are still operative but now maybe mitigated to a large enough degree to extend the vitality of the cartel more than anything else, giving them maybe a generation of additional time in the sun before the inevitable happens and employers, government, and individuals are priced out and pool collapse becomes unstoppable.

The cartel has now been bolstered by the full faith and credit of the United States and compulsory customers, they are more viable going forward than in twenty years.
Cutting a man's calories who is to morbidly obese to leave his room without taking down a wall is not killing them softly, it is extending their health and long term viability. Of course it is possible that there is no calorie reduction anyway, more a different distribution.

The logic also forces one to pretend the cartel didn't participate in the writing of the law and weren't involved in every step of the path but CLEARLY they did and were, it wasn't even a wink and a nod deal. The cartel was all up in Baucus' mark, were a part of about every major negotiation, had very friendly people heading the effort like Zeke Emanuel, and a framework built from acorn to leaf to bolster the industry and maintain the existing profit centers.

I hope you are right as rain but it seems pretty far past wishful to me and approaching delusion. The Heritage Foundation didn't design this scam to take down the insurance cartel but rather to kill off actual systemic reform and keep the money rolling as long as possible before the bottom falls out.

ProSense

(116,464 posts)
95. Here's
Sat Mar 23, 2013, 07:57 PM
Mar 2013
A plan developed to essentially protect and extend the longevity of the insurance cartel while giving them a captured costumer base and a key to the Treasury to make up the difference between the blood squeezed from stones and what they want to make is not a bridge to single payer. The cartel was closer to doomed under unchecked avarice as more and more would be priced out and so forced to give up their coverage which in turn would shrink pools and further increase costs again forcing more and more out until the system underwent cascade failure, choking on systemic entropy and unchecked avarice while an ever growing portion of the American people would lose access and consequentially support for the system that left them, their children, parents, and associations behind to die.

...why this is inaccurate. The insurance companies were making more and more money while the number of uninsured climbed. The notion that they've got a "captured costumer base" ignores that the law forces them to cover the people who they did not want to cover under the status quo. If they do not comply, there are mechanism to address that, including penalties, being kicked out of the exchanges, and moving people into federal exchanges.

The reforms in the health care law are going to speed their demise. Also, states will look at those that move to single payer in the next few years and follow suit. Guaranteed.



TheKentuckian

(25,026 posts)
116. No they won't. They are governors on the engine to limit the speed and consumption, at best.
Sun Mar 24, 2013, 06:41 PM
Mar 2013

That is assuming great implication, newly empowered state regulators from nowhere resource wise, and that the penalties and limitations are meaningful and practically enforceable.

There is also (assuming the best intent and wisest design) the baked into the cake assumption the the insurance industry is a rational group of competing businesses looking to turn an honest buck in exchange for value added services that benefits the broad population doing business in a rational market rather than a predatory cartel that rules an irrational and therefore immoral miking scheme, none of which is true.

The state by state single payer path is a glimmer of hope or better but it has handcuffs too and has a better than serious chance of actually being limited to too small a proportion of the population to mean much. Subsidized access to the exchanges is pretty strictly limited which is likely to only impact the populations in them which means they will operate as little test labs with highly distorted samples to compare and contrast. This means your time line is longer than implied, even if it goes exactly as hoped with no or only minor set backs.

You are also assuming that states will generally act and function substantially differently without budgets and regulatory tools to support such a turning of the leaf and that corporate capture is inherently diminished.

ProSense

(116,464 posts)
117. Who is making that
Sun Mar 24, 2013, 07:16 PM
Mar 2013

"There is also (assuming the best intent and wisest design) the baked into the cake assumption the the insurance industry is a rational group of competing businesses looking to turn an honest buck in exchange for value added services that benefits the broad population doing business in a rational market rather than a predatory cartel that rules an irrational and therefore immoral miking scheme, none of which is true."

...assumption? I fully expect the insurance companies to remain greedy predators, which is what will doom them under this law.

"You are also assuming that states will generally act and function substantially differently without budgets and regulatory tools to support such a turning of the leaf and that corporate capture is inherently diminished."

If anything, I think those making the assumptions that favor Republicans and insurance companies are in for a surprise.
http://www.democraticunderground.com/10022560359

dreamnightwind

(4,775 posts)
141. Great post!
Mon Mar 25, 2013, 05:30 AM
Mar 2013

That's how I see it too, excellent job laying it out there, I think your analysis is precisely correct, unfortunately.

 

think_critically

(118 posts)
78. they just don't get it
Sat Mar 23, 2013, 06:33 PM
Mar 2013

I've been saying the same thing the whole time. Big changes come in increments and this is the first step. That is why republicans hate it so much b/c they know where this path leads. It's only a matter of time. Folks need to realize that this is a process.
 

Zax2me

(2,515 posts)
83. I think a lot of people in need will suffer for years.
Sat Mar 23, 2013, 06:56 PM
Mar 2013

There's nothing good about that.
Lower middle class facing higher and higher premiums as the plan squeezes out insurance companies? Okay, well -
Care will suffer. Working families will go into health care debt. Many qualified Drs will leave the profession while others opt for different fields of study in college. This will add a decade vacancy of top talent at a minimum.


And who is to say that what we end up with is going to better than what we have now?
No one can convince me it is 100% certain.

eridani

(51,907 posts)
85. Single payer will have to happen state by state
Sat Mar 23, 2013, 07:04 PM
Mar 2013

ACA allows state plans starting in 2017, and many state health care groups are moving full speed ahead with single payer.

madrchsod

(58,162 posts)
88. my medicare payments are just starting to arrive this week
Sat Mar 23, 2013, 07:10 PM
Mar 2013

so far i`m somewhere between 5-10%. the most expensive bills for my heart attack-stent and the 7 acute care days i was in the hospital has`t come yet. the 10 days in a rehab center has`t arrived either. i`m figuring somewhere between 40-70 thousand. this does`t include the next two procedures i will be having in the coming weeks.

if this was regular insurance it would be 20% and by the time i was was over with everything my wife and i would have to declare chapter 7.

bvar22

(39,909 posts)
89. Yep. THAT is WHY all the Health Insurance Corporations are Running Scaird!!!!
Sat Mar 23, 2013, 07:15 PM
Mar 2013

Wait?... What?
They aren't running scaird and selling out?
[font size=3] They are posting RECORD Profits?[/font]
How can that BE?

Because they are NOT scaired.
They a Popping Champagne Corks
.
.
.
.
.
Because the ACA is NOT a step toward National Publicly Owned Government Administered Health Insurance.
Enshrining and Codifying the For Profit Health Insurance Industry (The Mandate) IS a step toward Privatization .


We WILL be Paying a guaranteed 15% Skim-Off-the-Top to an Industry that:

*Manufactures NOTHING

*Keeps NO "Inventory"

*Provides NO useful service

*Creates NO Valued Added Wealth

....for a long, LONG time.

Hear Rahm gloat to the Chamber of Commerce:
"White House chief of staff Rahm Emanuel argued.. that the overhaul of health care preserved the private (For Profit) delivery system"

http://dyn.politico.com/printstory.cfm?uuid=B2F85DDF-18FE-70B2-A835FE1E7FA8D74C



You will know them by their WORKS,
not by their excuses.
[font size=5 color=green]Solidarity99![/font][font size=2 color=green]
--------------------------------------------------------------------------------------------------------------------------------[/center]

David Zephyr

(22,785 posts)
90. Let's hope you are right.
Sat Mar 23, 2013, 07:18 PM
Mar 2013

I never saw the Roberts decision coming. I am pleased the SCOTUS ruled in favor, but I was convinced (and wrong) that they would shoot it down on the mandate.

I agree with you that it is a step toward Single Payer...with a time delay. It certainly wasn't a step backward.

 

NCTraveler

(30,481 posts)
93. Calling it one of the most brilliant pieces of legislation in US history....
Sat Mar 23, 2013, 07:40 PM
Mar 2013

isn't even a debatable position. Although, I am guessing that this is satire, that went right over the heads of many.

woo me with science

(32,139 posts)
114. It was a brilliant piece of legislation. Or rather,
Sun Mar 24, 2013, 11:57 AM
Mar 2013

the marketing of it was brilliant.

The ironically named ACA was perhaps the slickest bipartisan political scam by the corporate one percent in recent memory. It is an absolutely perfect example of how owning both parties allows the one percent to play them against each other to pass legislation that neither party would have accepted had it been presented honestly.

They fired up one side with the promise of universal healthcare, and they fired up the other side with the fear of government-controlled healthcare, and then they passed a "compromise" that favored neither but just happened to be a corporate wet dream: an unprecedented mandate for EVERY SINGLE AMERICAN to buy an outrageously overpriced corporate product FOR THEIR ENTIRE LIVES.

I remember watching the corporate shills hawking this around the time of the vote. One of them noted the polls showing that Republicans hated it and that Democrats hated it and said (I am not making this up), "This shows they must be charting a good middle course."

The "Affordable Care Act": Orwell would be impressed with that name. Its entire purpose is to entrench the predatory, for-profit companies into our health system and ensure that not a single American, from birth to death, will be able to avoid these bloodsucking middlemen.
 

NCTraveler

(30,481 posts)
115. Fully agree with your post.
Sun Mar 24, 2013, 03:23 PM
Mar 2013

Every bit of it. I was just thinking of brilliant in a different way. Brilliant, as in it would lead to something or be beneficial to all. But I agree with the way you see it a brilliant.

Thinkingabout

(30,058 posts)
101. A friend was offered medical, life, disability and dental for $104 per month, this is the same
Sat Mar 23, 2013, 09:42 PM
Mar 2013

Amount paid monthly for Medicare. His company was offered this through PayCheck. There are going to be more offerings by 2014. If our seniors can afford Medicare premiums sp can many more. A lot of the insurance increases are the works of insurance companies pushing the rate increases but when they have to start competing with government exchanges watch the direction the go in. Our health care cost is too much, more than any other country,

LWolf

(46,179 posts)
118. So, should I expect
Sun Mar 24, 2013, 08:01 PM
Mar 2013

my outrageous premiums, more than a small mortgage, to miraculously drop down into a reasonable range next year?

I won't hold my breath.

Thinkingabout

(30,058 posts)
121. The plan he is on is a group offer and I think if the insurance companies are going
Sun Mar 24, 2013, 08:07 PM
Mar 2013

To have to compete. I have heard stories lately of insurance companies telling customers they need to sign up this year to maintain this years rates but think they perhaps doing damage control. I would not believe much of what they say right now.

LWolf

(46,179 posts)
122. My plan is a group plan through my employer.
Sun Mar 24, 2013, 08:09 PM
Mar 2013

We have to renew the plan, at a higher premium, every year.

Thinkingabout

(30,058 posts)
124. I think some shopping is going to be in order, let's see how many of the insuramce companies
Sun Mar 24, 2013, 08:16 PM
Mar 2013

Wants to stay in the business. When the Medicare advantage programs started there was presentation after presentation and with competing offers.

bvar22

(39,909 posts)
127. Why don't you tell us what Insurance Company...
Sun Mar 24, 2013, 08:23 PM
Mar 2013

... this friend of a friend managed to secure his deal with?

Then we can ALL go shopping for this miraculous reduction in Premiums.
No sense in keeping this a secret.
The more who enroll in this plan will only reduce rates further,
so gives us the 411.

Thinkingabout

(30,058 posts)
131. The company is Blue Cross-Blue Shield of Texas, remember it was a group rate through
Sun Mar 24, 2013, 08:34 PM
Mar 2013

Pay Check, a payroll companion. There are many organizations associated with different types of businesses which will probably get offers allowing group rates.

Rosa Luxemburg

(28,627 posts)
102. State run health systems with health contributions from salary
Sat Mar 23, 2013, 09:43 PM
Mar 2013

I would make it like the British NHS but state run rather than federal.

 

Demo_Chris

(6,234 posts)
120. No. Obamacare is corporate welfare and a payoff to the insurance industry
Sun Mar 24, 2013, 08:04 PM
Mar 2013

It's also one of the most twisted pieces of conservative garbage ever passed into law, and it will be a NIGHTMARE down the road.

ProSense

(116,464 posts)
125. Funny,
Sun Mar 24, 2013, 08:18 PM
Mar 2013

"It's also one of the most twisted pieces of conservative garbage ever passed into law, and it will be a NIGHTMARE down the road. "

...you scream "NIGHTMARE," but Howard Dean say "asset": http://www.democraticunderground.com/10022560359

Wonder who is likely correct?



madville

(7,408 posts)
134. Premiums going up are not really a bad thing
Sun Mar 24, 2013, 09:03 PM
Mar 2013

It means the costs of covering the previously uninsured are just transferring to the healthy people, that's the way it is supposed to work. We are all in this together right? I'm pretty healthy at 35 yo and don't mind paying 20% extra this year to help people that didn't have coverage before.

dreamnightwind

(4,775 posts)
142. We're already paying WAY more
Mon Mar 25, 2013, 05:43 AM
Mar 2013

than pretty much any other country for our healthcare, and not getting good results either. Premiums going up is not a bad thing?

I agree with the philosophy behind your point, we're all in this together is the way healthcare should be, with the healthy paying more than they use and those needing more care getting a break.

But premiums are already way too high, and it's because of the huge profits that are being extracted.

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