The ACA/ Obamacare Website Fiasco Thread

[TLDR20]

A


Agree with this so much. Welfare recipients should be required to Buy from a preapproved list of foods, and forfeit their right to vote until off of welfare.

Forfeit their right to vote? Are you kidding me? I hope you never find yourself in dire straights friend.

 

[Brill]

Welfare recipients should be required to Buy from a pre-approved list of foods, and forfeit their right to vote until off of welfare.

Well, I don't advocate taking away their choice exactly BUT a system should be set up where it is financially beneficial (and conversely disadvantageous) to purchase certain foods.

If we have to pay for something, let's be proactive to enable health vice reactive and providing treatment.

 

[Brill]

I have also already pointed out, and I don't know how it keeps getting brought up, that at no point will the government administer care similarly to the VA. It is not a fair comparison to compare the two.

There are absolutely problems with Obamacare, however there are some positives, many of the plans are expensive in the case of deductibles. People like to point out how the deductibles go up to almost 10k in some plans. What isn't pointed out is that with zero insurance(which is the likely alternative to those plans) those people would be liable for way more than just the 10k deductible. Many of those high deductible plans have monthly premiums less than a 100 dollars. If you don't think you are paying for others healthcare now, you live in a fantasy world.

I'm interested in more info in the first. Would you expound on the point?

Secondly, Obamacare cannot and will not be able to support itself financially without significant injection of cash (either by new healthy enrollees or government takeover).

I got into a heated discussion at work yesterday: I firmly believe that Tricare will be converted to Obamacare and military healthcare will go the way of BAH (you'll get some cash intended to cover a large percentage. Back in the day, we had to take our leases into S1 and THAT (to a max amount of course) was the amount of VHA we received). Obamacare needs cash AND enrollees. Politically it would be disastrous to nationalize the program but if Tricare is converted, it's still "free market choice). It's going to happen.

 

[TLDR20]

I'm interested in more info in the first. Would you expound on the point?

Secondly, Obamacare cannot and will not be able to support itself financially without significant injection of cash (either by new healthy enrollees or government takeover).

I got into a heated discussion at work yesterday: I firmly believe that Tricare will be converted to Obamacare and military healthcare will go the way of BAH (you'll get some cash intended to cover a large percentage. Back in the day, we had to take our leases into S1 and THAT (to a max amount of course) was the amount of VHA we received). Obamacare needs cash AND enrollees. Politically it would be disastrous to nationalize the program but if Tricare is converted, it's still "free market choice). It's going to happen.

How do you want me to expand, in the VA your doctors PAs and nursing staff are all govt employees who decide your treatment and care. Under The ACA you still have a private doctor you are at a private hospital, and you and your doctor make care decisions without input from the .gov. Pretty much the system is unchanged today from what it was in Sept 30th. Except now you must have health insurance.

Now as far as the tricare thing, I don't think that is coming, because you already have insurance. Just like congress, the senate and the entire federal govt and 85% of people in this country. You are only subject to the ACA if you don't have insurance.

 

[JHD]

Forfeit their right to vote? Are you kidding me? I hope you never find yourself in dire straights friend.

Hard to believe, maybe, but i dont mean this in a harsh way. I don't think all welfare recipients are there by choice. But I say the above as we are in desperate need of welfare reform and other entitlement reform. This will never happen as there are so many in they system that will always vote for candidates that won't do a damn thing about it.

There needs to be a strong enough incentive to get those who are able to work off of their behinds and out of the system. Right none, there is none for those who don't really care to be out.

 

[Chopstick]

Et tu Huffington Post?
http://www.huffingtonpost.com/2013/...id7|htmlws-main-bb|dl18|sec1_lnk3&pLid=393171

Under these circumstances, the lion's share of the people who do whatever is necessary to sign up through HealthCare.gov are likely to be the sickest and most expensive to cover because they have the greatest need, Laszewski said. That would make the pool of people covered very costly, causing health insurers to lose money and likely rethink whether they want to participate in the exchanges, he said. "The fundamental threat to Obamacare is we don't get enough healthy people in the pool to keep the rates reasonable, and they are in grave danger of that problem," he said.

If these problems persist longer -- weeks, months, a whole year -- the entire Obamacare project falls apart, Laszewski said: "It's a holy shit moment."

 

[DA SWO]

Veterans Administration...

If people want to know how the managed care portion of this will go all they have to do is take a visit to a couple VA hospitals and poll those patients. After speaking to quite a few Vietnam and Korea vets who choose to drive hundreds of miles to be treated at Walter Reed instead of waiting on the shoddy care provided by the contract physicians I am not looking forward to those same years in my own life now when I have to choose between shoddy care in the VA system or through Obama Care...

Maybe I too will one day be one of those old guys driving monthly 500+ miles to WRNMMC because it's the lesser of three evils.

I used the VA as an example why a National System would fail, my liberal friends just couldn't (or wouldn't) comprehend the level of fail in that system.

 

[TLDR20]

I used the VA as an example why a National System would fail, my liberal friends just couldn't (or wouldn't) comprehend the level of fail in that system.

I also think that a single payer system would lead to a system like the VA. We are a long way from a single payer system.

 

[DA SWO]

I also think that a single payer system would lead to a system like the VA. We are a long way from a single payer system.

Yup, 10 years, maybe 15.

ACA wll devastate the rural health care system, and then work itself into urban private practice. Corporations will take over the entire system, then work a political deal to reform the reform (aka Tort Reform).

I would have supported ACA had it included Tort Reform.

 

[Brill]

These rockstars that created the website...are they the same people who designed the security measures to PROTECT the enrollment data?

Just imagine all the PII that's out there for the taking.

 

[Chopstick]

It looks like the cost of the coverage available on the exchanges will actually leave quite a few people unable to afford the "affordable" coverage. Take a look at the chart on the link illustrating how many will be left out of the exchanges. Note the footnote on it "excludes legal immigrants who have been in the country for five years or less and immigrants who are not lawfully present".
http://wallstcheatsheet.com/stocks/these-are-the-americans-obamacare-forgot.html/4/

“It is unlikely that people who fall into the coverage gap will be able to afford Marketplace coverage: The national average premium for a 40-year-old individual purchasing coverage through the Marketplace is $270 per month for a silver plan and $224 per month for a bronze plan, which equates to about half of income for those at the lower income range of people in the gap and about a quarter of income for those at the higher income range of people in the gap,” explained the October 2013 issue brief.

“Further, people in the coverage gap are ineligible for cost-sharing subsidies for Marketplace plans and may face additional out-of-pocket costs up to $6,350 a year if they were to purchase Marketplace coverage. Given the limited budgets of people in the coverage gap, these costs are likely prohibitively expensive.”

 

[comrade-z]

If we have to pay for something, let's be proactive to enable health vice reactive and providing treatment.

As far as I know, at least a few European countries subsidize the crap out of multivitamins. A friend from The Hague at one point was confused upon entering an American CVS and seeing the prices of vitamins because he figured that subsidizing things that promoted good health would be an obvious thing to subsidize.

 

[Brill]

As the saying goes, "When in doubt, act like a viking."

http://www.commonwealthfund.org/Top...y Profiles/New Folder/Norway_profile_2012.pdf

What is the role of government?
Much of the health system is government-controlled. Norway’s 429 municipalities, with additional funding from the
Norwegian Health Economics Administration, are responsible for funding and delivering primary care services, including health promotion, preventive medicine, rehabilitative services, emergency care, and long-term nursing care.

Who is covered?
Coverage is universal. The nationally managed and financed health system is built on the principle that all legal residents have equal access regardless of socioeconomic status, country of origin, and area of residence. European Union residents have, through common agreements within the EU, the same access to health services as legal residents. For undocumented immigrants, the access is limited to emergency acute care. Private health insurance is growing, but covers only about 5 percent of health care services—mainly elective services.

http://www.legemiddelverket.no/engl...-and-pharmaceutical-system/sider/default.aspx

Health care system
The Norwegian health care system is founded on the principles of universal access, decentralisation and free choice of provider.

It is financed by taxation, together with income-related employee and employer contributions and out-of-pocket payments (co-payments). All residents are covered by the National Insurance Scheme (Folketrygden, NIS), managed by the Norwegian Health Economics Administration (Helseøkonomiforvaltningen, HELFO). Private medical insurance is limited.

While health care policy is controlled centrally, responsibility for the provision of health care is decentralised. Local authorities at municipal level organise and finance primary health care services according to local demand. The central Government has overall managerial and financial responsibility for the hospital sector. Norway’s four regional health authorities control the provision of specialised health services by 27 health enterprises.

Most hospitals in Norway are public hospitals, funded and owned by the state. A small number of hospitals are privately owned. However, most private hospitals are funded by the public.

All Norwegian citizens are invited to choose their general practitioner (GP) from a list. 99% of Norwegians have chosen to do so. Outpatient doctors act as gatekeepers for specialied care.

 

[TLDR20]

If only our country had 5 million people.

 

[Brill]

If only our country had 5 million people.

Size matters?:wall:

 

[comrade-z]

Size matters?:wall:

Probably somewhat; while it is still possible for such a system to work in the US (I think it is definitely doable), the difference in populations is a factor of ~63. It is likely a logistical issue that can be overcome, but it is still too large a difference to try and ignore.

 

[Ranger Psych]

A


Agree with this so much. Welfare recipients should be required to Buy from a preapproved list of foods, and forfeit their right to vote until off of welfare.

Erm, you are if you're on WIC. Welfare doesn't even fucking pay that much.

 

[JHD]

WIC, yes. Food stamps? I don't know for certain, but I don't think so.

 

[medicchick]

WIC, yes. Food stamps? I don't know for certain, but I don't think so.

Yes and no. Hot food (deli), energy drinks, booze, household goods (paper products, cleaners, pet food) and no fountain drinks were not allowed when I worked at Fred Meyers. I do not know if not items have been added.

 

[Chopstick]

This is what is currently posted on the USDA site.
http://www.fns.usda.gov/snap/retailers/eligible.htm