Author Topic: "Nobody knew that health care could be so complicated.”  (Read 7387 times)

Common Sense

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Re: "Nobody knew that health care could be so complicated.”
« Reply #135 on: October 26, 2017, 01:43:28 PM »
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    If Republicans are smart, they are teeing up Obamacare to fail and then be replaced by the GOP prior to 2020.  They have to get immigration, tax reform and infrastructure bills passes first; then tackle healthcare.  I can see Dems stalling the death of Obamacare until 2020 and use it as a campaign platform.  Either way, it will be used as a bargaining chip by both sides at the expense of the peoples welfare.

    The death of the ACA isnt being stalled and the implementation of the Trumpcare isn't being held up by Democrats....its beings STOPPED by Republicans! Everytime a new healthcare bill or idea to fix hits the floor its voted down by Republicans. Remember....the Republicans have control of the House AND the Senate!
    "It is common sense to take a method and try it. If it fails, admit it frankly and try another. But above all, try something." - POTUS #32

    Solon

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    Re: "Nobody knew that health care could be so complicated.”
    « Reply #136 on: November 09, 2017, 07:14:22 PM »
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  • Despite Trump's attempted sabotage, enrollment in the ACA during the first week is over 600,000. That is a robust number that belies the claim by Republicans that it is failing. Because the enrollment period has been cut short and registration on the weekends is limited, predictions about the final number are not possible. Current numbers suggest, however, that enrollment could actually be higher this year than last.

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    Separately, acting counter to Trump’s efforts to unravel “Obamacare,” millions of consumers eligible for income-based financial assistance will have access to basic “bronze” plans for no monthly premium. Some experts that quirk this year could increase enrollment.

    The Kaiser foundation estimates 4.5 million uninsured people are eligible for subsidies that would allow them to get a free bronze plan for 2018.

    Despite Trump’s scorn, early ‘Obamacare’ sign-ups top 600k
    https://www.apnews.com/79dbdbf3392b4af4b71a42d971e7aeb6
    On some great and glorious day, the plain folks of the land will reach their heart’s desire at last, and the White House will be occupied by a downright fool and a complete narcissistic moron.
    ...H. L. Mencken

    Solon

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    Re: "Nobody knew that health care could be so complicated.”
    « Reply #137 on: November 10, 2017, 11:01:10 AM »
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  • Interestingly, the top issue in the Virginia election was health care, and we see how that went. If that holds true in 2018, the Republican efforts to destroy health insurance for millions of Americans could be a real problem for the party. I have never believed that Dems could overcome Republican's 2010 gerrymandering of the House, but, and this is a big but, the anger of voters over the health care issue could change that calculation.


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    Fox News Voter Analysis     Virginia

    Most Important Issue Facing The State

    Health Care                             28%

    Economy                                  26%

    Education                                14%

    Taxes                                       9%

    Gun Policy                              8%

    Immigration                            7%

    Confederate Monuments        4%

    Energy Policy                          3%

    http://www.foxnews.com/politics/2017/11/08/northam-wins-virginia-fox-news-voter-analysis-summary.html
    On some great and glorious day, the plain folks of the land will reach their heart’s desire at last, and the White House will be occupied by a downright fool and a complete narcissistic moron.
    ...H. L. Mencken

    Solon

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    Re: "Nobody knew that health care could be so complicated.”
    « Reply #138 on: November 11, 2017, 01:08:48 PM »
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  • Obamacare enrollment is surging at the beginning of the registration period. The info below cites several reasons. The irony is that two of the most important ones are the result of Trump administration actions. On the one hand, Trump is openly trying to sabotage the program, but, on the other, incompetent planning is actually pushing enrollments. As someone once said we may be saved because Trump's malevolence is tempered by his incompetence.

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    1. More Americans can get more generous subsidies this year.

    This is a phenomenon stemming from Trump’s decision to cut off extra payments to insurers for cost-sharing reductions they must offer.

    To make up for losing the payments, many insurers hiked prices for their mid-grade “silver plans.” And because premium subsidies are based on silver plan prices, the subsidies are going up too, making bronze and gold plans even cheaper for many low-income people.

    “I really believe the availability of these very low-cost plans could be a game changer,” said Josh Peck, who served as Healthcare.gov’s chief marketing officer under Obama and now heads up the group Get America Covered.

    Enrollees eligible for subsidies will get $555 on average to offset the cost of their plans, up 45 percent from this year’s $382 average tax credit, according to the Department of Health and Human Services.


    2. People with a Healthcare.gov account are still getting reminder emails.

    I know this because I created an account several years ago. I’ve received at least four reminder emails in the last week, telling me I should visit the website to search for a plan. So have others

    3. Maybe brokers are kicking butt.

    Before the Obama administration instituted more restrictions on the role of private brokers, they’d helped enroll an estimated 40 to 50 percent of marketplace customers. In California, brokers accounted for 43 percent of new enrollments on the state’s Covered California exchange during the second year of enrollment.

    The Trump administration reversed the crackdown in a rule last spring, allowing brokers to once again enroll people in marketplace plans through their own websites. This could lead to brokers filling a hole left by the administration’s refusal to promote the law.

    4. Advertising drives enrollment near the end of signup season, not the beginning of it.

    If the reduced advertising dollars do have a dampening effect on enrollment, that effect won’t be apparent until near the end of the signup season

    The Health 202: Four possible explanations for the shocking Obamacare enrollment figures
    https://www.washingtonpost.com/news/powerpost/paloma/the-health-202/2017/11/10/the-health-202-four-possible-explanations-for-the-shocking-obamacare-enrollment-figures/5a04720530fb045a2e002ecb/?tid=a_inl&utm_term=.27a3fa07a63b
    « Last Edit: November 11, 2017, 01:31:31 PM by Solon »
    On some great and glorious day, the plain folks of the land will reach their heart’s desire at last, and the White House will be occupied by a downright fool and a complete narcissistic moron.
    ...H. L. Mencken

    Solon

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    Re: "Nobody knew that health care could be so complicated.”
    « Reply #139 on: November 14, 2017, 04:09:39 PM »
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  • The health of the American people just took a nosedive. How can that be, you ask?

    A committee of medical experts looked at more than 1000 studies of blood pressure plus a major 2015 report by the federal government and determined that a reading above 130/80 constituted a health threat. The previous standard was 140/90. Some of you may not be concerned about this, but let me tell you. My reading was below the 130/80 when I had my first heart attack, so pay attention.

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    Under the guidelines, formulated by the American Heart Association and the American College of Cardiology, the number of men under age 45 with a diagnosis of high blood pressure will triple, and the prevalence among women under age 45 will double.

    This is ironic when another part of the federal government has made and continues to make a concerted effort to take health insurance from millions of Americans. It was reported today that Trump wants to add an item to the tax cut for the rich legislation. He is proposing to end the ACA mandate that everyone be required to have health insurance or pay a fine. Interestingly, the mandate was the cornerstone of the right wing Heritage Foundation health insurance scheme that eventually became Romneycare, then Obamacare.

    So, on the one hand you have a heightened health risk identified for the pre-45 crowd at the same time millions may face the loss of health insurance. The people facing that immediate threat, assuming the tax cut for the rich passes and the mandate is added, are those who depend on the state markets for their insurance purchases from private companies. Those who earn too much money to receive a government assist, will find the markets destabilized by this action and the price of insurance skyrocket--if policies are even offered. One of our own contributors from this pool of customers talked about the cost increases his wife faced in the past. That is nothing compared to what she will face in the future if Trump's plan becomes law.

    Republicans have expressed a concern that the election a week ago might result in Virginia expanding Medicaid under the ACA regulations. I cannot fathom why it is considered fiscally prudent to sanction the subpar work and lost productivity that comes from sick people showing up to spread their illness because they can't afford health care. I am willing to bet that many from the hundreds of thousands of Virginians who would qualify for this suffer from high blood pressure under the new guidelines and have no clue. It's not called the silent killer for nothing.

    UPDATE
    Senate Republicans agreed this afternoon to include repeal of the ACA mandate in their tax cut for the rich bill. Yay! The bipartisan efforts to stabilize state health insurance markets was just destroyed in a matter of minutes. Great job you bozos. This is one serious injustice that working people who cannot afford health insurance pay taxes that provide the best health care in the world to a Congress that denies a minimum of care to them.

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    The Congressional Budget Office said axing the mandate would result in 13 million more Americans without insurance over the next 10 years, but would save $338 billion—money that could be used to reduce the tax bill’s overall impact on the deficit.
    Top GOP Senator: Tax Bill Will Scrap Obamacare Individual Mandate
    https://www.thedailybeast.com/top-gop-senator-tax-bill-will-scrap-obamacare-individual-mandate

    So a tax cut for the rich that will actually increase taxes on millions of low, middle, and upper middle federal income taxpayers, and STILL adds over a trillion dollars to the national debt, requires that we take health insurance away from 13 million poor Americans. Wow! Is this a great democracy or what?
    « Last Edit: November 14, 2017, 04:48:49 PM by Solon »
    On some great and glorious day, the plain folks of the land will reach their heart’s desire at last, and the White House will be occupied by a downright fool and a complete narcissistic moron.
    ...H. L. Mencken

    Solon

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    Re: "Nobody knew that health care could be so complicated.”
    « Reply #140 on: November 15, 2017, 12:32:38 PM »
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  • The mandate to buy health insurance was not initially part of either Romneycare or Obamacare proposals. In the end, both programs included it as a vital element that would make possible protection for people with preexisting conditions. Supposedly healthy, mostly young, people would not buy insurance unless compelled to do so. That made the mandate unpopular and Republicans think they can take advantage of that in their tax cut for the rich proposal.

    The original calculation by the budget office, however, that 13 million people would lose health insurance and $338 billion would be saved from government expenditures, however, is being challenged by conservative health care analysts and the Budget Office is taking another look. Their goal is to minimize the importance of the mandate.

    It is clear that eliminating the mandate will drive up premiums and deductibles for people who purchase policies with government assistance. Those costs could be sufficient to drive people from health insurance and save the government the subsidies paid to help them. However, much of the $338 billion in savings came from the reduced number of people on Medicaid if the mandate were eliminated. It seems that a significant number of people who gained Medicaid services would not know that they qualify if there were no mandate and the government would not be out the expenditures to subsidize their care. Now, if you WANT people to have health insurance and expanding coverage is your purpose, then the mandate makes sense. If, on the other hand, you DO NOT want people to have health insurance at government expense, you are happy to end the mandate.

    Repealing the mandate, however, could backfire on Republicans. If the Republican tax cut for the rich scheme becomes law and the mandate is eliminated, it is entirely possible that the returns to the US Treasury will be much less than the anticipated $338 billion, now that Medicaid users are hip to their eligibility. That could put a huge dent in the Republican budget goals.

    Ah, the eternal curse of unintended consequences.

    Obamacare’s Insurance Mandate Is Unpopular. So Why Not Just Get Rid of It?
    https://www.nytimes.com/2017/11/14/upshot/obamacares-insurance-mandate-is-unpopular-so-why-not-just-get-rid-of-it.html?em_pos=small&emc=edit_up_20171115&nl=upshot&nl_art=2&nlid=515863&ref=headline&te=1&_r=0
    On some great and glorious day, the plain folks of the land will reach their heart’s desire at last, and the White House will be occupied by a downright fool and a complete narcissistic moron.
    ...H. L. Mencken

    Solon

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    Re: "Nobody knew that health care could be so complicated.”
    « Reply #141 on: December 16, 2017, 10:36:07 AM »
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  • Trump's successful effort to sabotage the Affordable Care Act took a hit on Friday. A judge blocked his attempt to allow anyone who wants to claim a religious exemption to deny women coverage for birth control.

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    A federal judge in Pennsylvania on Friday blocked the Trump administration from enforcing new rules that would allow virtually any employer to claim a religious or moral objection to Obamacare's birth control coverage mandate.

    Judge Wendy Beetlestone granted Pennsylvania's request for a preliminary injunction, saying the commonwealth could suffer "serious and irreparable harm" from the rules. The long-anticipated policies, imposed Oct. 6, greatly expand the exemptions to the health law's requirement to provide FDA-approved contraception at no cost.

    ...Pennsylvania Attorney General Josh Shapiro said in a statement Friday that Congress hasn't changed the birth control requirements in the ACA, so the president "can’t simply ignore it with an illegal rule."

    "Donald Trump broke the law to undermine women’s health, and women here in Pennsylvania stood up and proved that in court. Together we’ve won a nationwide halt to these rules, protecting women across the country," he said.

    Judge blocks Trump rollback of Obamacare contraception mandate
    https://www.politico.com/story/2017/12/15/judge-trump-obamacare-contraception-mandate-298605
    On some great and glorious day, the plain folks of the land will reach their heart’s desire at last, and the White House will be occupied by a downright fool and a complete narcissistic moron.
    ...H. L. Mencken

    Solon

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    Re: "Nobody knew that health care could be so complicated.”
    « Reply #142 on: December 21, 2017, 09:20:31 AM »
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  • At this point it appears that the Children’s Health Insurance Program will not be renewed before Congress adjourns. A clean bill to push the budget crisis to January and avoid shutting the government down tomorrow is  the best this Congress can do. We know that millions of kids will lose their health insurance at the end of December unless Congress acts now. Too bad for them. Tax cuts for the rich are what matters—and all that matters—to Republicans. Democrats are unwilling to take responsibility for shutting down the government over the issue by refusing to vote for a continuing resolution. It’s a though call, but it seems to me that there are plenty of Republicans who want to renew CHIP. Would they be so cynical as to shut down the government as a political ploy and deny CHIP renewal on a bet that Dems will suffer the consequences of a shut down? Sometimes you have to take a stand or what is the point. It’s not my job at stake, but there will never be a more worthy cause to take a risk for.
    On some great and glorious day, the plain folks of the land will reach their heart’s desire at last, and the White House will be occupied by a downright fool and a complete narcissistic moron.
    ...H. L. Mencken

    Solon

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    Re: "Nobody knew that health care could be so complicated.”
    « Reply #143 on: December 26, 2017, 06:47:49 PM »
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  • Why Obamacare is a success in two charts.

    The first shows the significant increase in the population of people with health insurance since Obamacare went into effect. (It's not perfect because we are still a long way from universal coverage--unlike every other industrialized nation.)

    The second shows how Obamacare bent the cost curve. The cost of subsidies has been far less than predicted by the CBO.


    1.


    2.

    On some great and glorious day, the plain folks of the land will reach their heart’s desire at last, and the White House will be occupied by a downright fool and a complete narcissistic moron.
    ...H. L. Mencken

    Solon

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    Re: "Nobody knew that health care could be so complicated.”
    « Reply #144 on: January 16, 2018, 10:39:47 AM »
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  • The Trump effect, or the assault on the Affordable Care Act, has damaged the health outlook for 3.2 million Americans. It could have been much worse. The uninsured rate is now 12.2% up by 1.3% in 2017. That translates into 3.2 million people who no longer have health insurance now who had it in 2016. In a time of economic prosperity and low unemployment we should see a decline in the uninsured rate. If the economic recovery was not continuing, how much worse would the uninsured rate be? With the repeal of the individual mandate the number will rise again in 2018.



    http://news.gallup.com/poll/225383/uninsured-rate-steady-fourth-quarter-2017.aspx?g_source=Well-Being&g_medium=newsfeed&g_campaign=tiles
    On some great and glorious day, the plain folks of the land will reach their heart’s desire at last, and the White House will be occupied by a downright fool and a complete narcissistic moron.
    ...H. L. Mencken

    Solon

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    A couple of economists provide some info on Medicaid and explain why it is a highly beneficial, cost effective program of health care. It is politically popular with overwhelming support from Democrats and Republicans. So why are Congressional Republicans and the Trump administration so determined to cut it? It's a way they can pay for their tax cut for the rich. Has America become so callous that we really want to take tax dollars that make the poor healthier and more productive and give them to the rich who already have whatever they want?

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    Medicaid coverage means access to health coverage for a sick child or a family member with a chronic illness, or long-term care for an elderly parent. It means significantly improved financial well-being, and over the long term, better educational outcomes for kids covered by the program. It means having a regular doctor and getting care when you need it, with comparable access to care as private coverage.

    Medicaid achieves these outcomes at a rate of spending growth that’s far below that of private insurance. Between 1987 and 2015, spending per beneficiary grew by about 4 percent per year for Medicaid, compared to about 7 percent for private coverage.

    ...Slashing Medicaid would worsen low-income Americans’ access to care, health and financial security, as recent studies comparing outcomes for people and places with and without Medicaid show:

    — The uninsured rate among the low-income adults eligible for the ACA’s Medicaid expansion fell by more than 20 percentage points more in Arkansas and Kentucky, which adopted the expansion, than in Texas, which didn’t. In Kentucky, the share of people with a personal doctor rose by about one-fourth, as did the share who got a checkup in the prior year.

    — With greater access to care came better outcomes: The share of people who said they were in “excellent” health rose by 42 percent, and the share having trouble paying their medical bills dropped by 25 percent.

    — Access to Medicaid coverage has long-run benefits for kids. For example, people eligible for Medicaid during childhood are likelier to attend and complete college; they also earn more as adults. Medicaid eligibility during early childhood reduced mortality rates for African American teenagers by 13 to 20 percent.

    — Medicaid is particularly valuable to women, particularly women of color. Among women age 15 to 44, 31 percent of African American women and 27 percent of Hispanic women get coverage through Medicaid. The ACA’s Medicaid expansion has allowed many women to maintain continuous access to primary care and family planning services before and after pregnancy, and to avoid unintended pregnancy. When women have health coverage before becoming pregnant as well as between pregnancies, they are healthier during pregnancy, and their babies are more likely to be healthy at birth.

    — Medicaid also helps women as they age, even when they become eligible for Medicare. Women live longer than men and are significantly more likely to need long-term care services through Medicaid.

    ...About three-quarters of Americans have a favorable view of the program — including 84 percent of Democrats and 61 percent of Republicans — and 67 percent say Medicaid is working well for most low-income people in their state. Only 12 percent of Americans support cutting federal Medicaid funding.

    Medicaid is an effective, efficient program, highly valued by its beneficiaries. And yet, Republicans are relentlessly trying to cut it.
    https://www.washingtonpost.com/news/posteverything/wp/2018/01/17/medicaid-is-an-effective-efficient-program-highly-valued-by-its-beneficiaries-and-yet-republicans-are-relentlessly-trying-to-cut-it/?hpid=hp_hp-cards_hp-posteverything%3Ahomepage%2Fcard&utm_term=.86051132a308
    On some great and glorious day, the plain folks of the land will reach their heart’s desire at last, and the White House will be occupied by a downright fool and a complete narcissistic moron.
    ...H. L. Mencken