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Treasured Social Butterfly
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Re: Senator Shaheens Take On Trumpcare

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Message 11 of 21

Gail  We in the US actually use more health care than the rest of the industrialized nations? How is that possible when people barely can afford their co pays even if they have insurance to actually deal with all of those technological advances that you are speaking about.

Please, I would appreciate a little more realistic posts. about the issue of HealthCare in the US.

Instead of all the amount of hoopla about any of this, and the situation of repeal and replace Obamacare, 

Why don't we work together both Republicans and Democrats and put in place a single payer system that will provide Health Care for all, will be paid by all in our taxes, and if people want more, get the insurances to provide plans for those people that want more.

But, yes the failure of Obamacare was the fact that unfortunately  because of the mentality that exists in thie country was not mandatory for all. Every American has to be involved in Health care, whether they are sick or not. 

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Re: Senator Shaheens Take On Trumpcare

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Message 12 of 21

rker321

I believe you are confusing "older people" with "seniors".

 

In this thread we are talking about the individual healthcare marketplace and it's risk factors to premiums.  We are NOT talking about Medicare.

 

The individual marketplace has to have a weighted balance of healthy to unhealthy in order for premiums to be held down.  One of the problems with Obamacare (ACA) was that younger people ( 20 - 35 ) did not sign up because they didn't see the need based on their health or that it was too expensive based on their finances.  Paying the penalty, if they couldn't find a way out of it, was a better option for them financially.

 

So we have to find a way to get these young and healthy into the marketplace to balance out the healthy to the unhealthy, many of which are older people, the age before they can go on Medicare.

 

Under Obamacare and legislated by Obamacare, the premium ratio is 1: 3 - an older person pays 3X what a younger person pays in premiums.  To bring down premiums for younger people to get them into the marketplace and keep them enrolled, the AHCA has offered a ratio of 1:5; with older people ( 55 - 64 ) paying 5X what younger people pay.

 

However, this move should help everybody by keeping premiums lower for everybody because more younger and healthier people are brought into the marketplace to help to balance the healthier to the unhealthy.

 

I guess we could also do like some other countries, like Switzerland, and if a person does not sign up for their selection of coverage, the government just selects coverage for them and then bills them.

 

In order for this private marketplace to work, everybody that has no other option, has to get covered and stay covered.  

 

As as far as our healthcare cost in this country compared to other industrialized nations, in the US, we use MORE care and we use MORE technologically advanced and costly care than any other country.

 

 

 

 

* * * * It's Always Something . . . Roseanne Roseannadanna
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Treasured Social Butterfly
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Re: Senator Shaheens Take On Trumpcare

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Message 13 of 21

Gail

I see a problem with what you are saying.

for example me. just a few years ago, I didn't have the health issues that I have today. of course, it has to do with age. but, let's speak about my generation. You can't deny the fact that this country has the highest cost of health care in the world. and if the aged are going to pay more than the younger generation, The seniors are being penalized ten fold by your argument.

Seniors don't work. so they don't have the opportunity to make or have a bigger income, they live with what they have been able to save for their old age. If they find themselves with bigger costs in their old age, you are actually infringing in their quality of their life.

We can all die to please your theory. but the problem lies, in the fact that I truly believe that eventually this country will capitulate and realize that the only way to go is to provide a health care system that provides basic health care for all its citizens. 
The insane cost of the drugs that we at our age and normal aging requires is not excuse so that the government should expect us, to pay more than a younger generation that does not get sick at all.

If we all pay the same. yes,  we need to have a mandatory system that will provide health care for all. no execptions. and that is the problem the inability to understand that we have no options when it comes to health care and the need to cover everyone.

I am now thinking seriously in looking into moving into Canada. don't know the restrictions that they have for people my age, but If I can prove that I won't be destitute, Perhaps they will allow me to leave the rest of my life there.
It is very sad. when leaving this country is becoming an alternative. 
I am getting concerned about me, and what is going to happen to me. 
The states that offer more will have an increase in population and the States that offer less will have populations that will leave for greener pastures.  Again, the theory, of having 50 States functioning as 50 different countries.
Sad days ahead for this country.

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Valued Social Butterfly
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Re: Senator Shaheens Take On Trumpcare

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Message 14 of 21

@Richva wrote:

When the doctors' associations, the hospital associations, and the associations representing the patients (AARP) all say it is a bad bill, you have to wonder if polticians really are the ones you want to be "fixing" your nation's healthcare. I seem to remember Obamacare was crafted over 2 years with input from insurance companies and medcal associations.  None of that happened with the Republican version. I suspect it was typed up by a group of monkeys on PCP over a weekend. 


Richiva,

 

Health care problem?  What health care problem? As far as I know, we don’t have one. Our health care system is one of the best on this planet. However….

 

We do have a health “insurance” problem. Is that the problem you are referring to?

 

Note: The Republicans said their ACA market based  health “insurance” program would fix our health “insurance” problem Unfortunately it did not. So now they say their replacement will. Why am I skeptical?

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Re: Senator Shaheens Take On Trumpcare

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Message 15 of 21

Historically, reading what the people in the Heritage Foundation propose is like reading what actual advocates of Communism and Socialism used to propose. It always sounded good but not only did it not work. It could not be made to work.

 

The Heritage Foundation crafted The ACA (Obamacare) health insurance program. The Republicans got the Democrats to pass it.  

 

Question: Who crafted today’s Republican ACA replacement program?

 

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Valued Social Butterfly
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Re: Senator Shaheens Take On Trumpcare

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Message 16 of 21

@mickstuder wrote:

@Richva wrote:

When the doctors' associations, the hospital associations, and the associations representing the patients (AARP) all say it is a bad bill, you have to wonder if polticians really are the ones you want to be "fixing" your nation's healthcare. I seem to remember Obamacare was crafted over 2 years with input from insurance companies and medcal associations.  None of that happened with the Republican version. I suspect it was typed up by a group of monkeys on PCP over a weekend. 


Thats really not fair - I mean look at the Marvelous Job they did with the Muslim Ban - I think it was Heroin.....................................................

 

No wonder they've taken a significant amount of coverage for Opioid abuse out of their plan!

 

 


Good point!  Maybe it's time to have mandatory random drug testing for our Congress and our President !!!!!


"The only thing man learns from history is man learns nothing from history"
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Re: Senator Shaheens Take On Trumpcare

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Message 17 of 21

@Richva wrote:

When the doctors' associations, the hospital associations, and the associations representing the patients (AARP) all say it is a bad bill, you have to wonder if polticians really are the ones you want to be "fixing" your nation's healthcare. I seem to remember Obamacare was crafted over 2 years with input from insurance companies and medcal associations.  None of that happened with the Republican version. I suspect it was typed up by a group of monkeys on PCP over a weekend. 


Thats really not fair - I mean look at the Marvelous Job they did with the Muslim Ban - I think it was Heroin.....................................................

 

No wonder they've taken a significant amount of coverage for Opioid abuse out of their plan!

 

 

( " China if You're Listening - Get Trumps Tax Returns " )

" )
" - Anonymous

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Re: Senator Shaheens Take On Trumpcare

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Message 18 of 21

When the doctors' associations, the hospital associations, and the associations representing the patients (AARP) all say it is a bad bill, you have to wonder if polticians really are the ones you want to be "fixing" your nation's healthcare. I seem to remember Obamacare was crafted over 2 years with input from insurance companies and medcal associations.  None of that happened with the Republican version. I suspect it was typed up by a group of monkeys on PCP over a weekend. 

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Re: Senator Shaheens Take On Trumpcare

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Message 19 of 21

Personally, I believe, that the government entity that is closest to the actual people need to control their own help programs.  Actually, all states do this today.

The either run their own Medicaid program(s) or they sub-contract all or a portion of it to managed care companies.  Medicaid already gives waivers for states to try new and different programs to manage their population needs and cost.  I posted one that Vermont is trying now a few days ago.

 

Your state might have one far reaching problem and another state another.

One may have more elderly in nursing home care than another.  We are not all the same in population and their various health care needs especially under Medicaid.  Many states that expanded their Mediciad program were issued waivers - some states actually buy coverage for these participants, some make them pay a monthly premium of a few bucks, others assign a low co-pay for certain services.   States already set the fee schedule for Medicaid providers in their state.  They also get any medication rebate under the Federal rule for this.

 

My point is, states are in the best position to design their respective programs based on their budget.   We often talk about other industrialized countries and their system of health care coverage - the overwhelming number of them, including those who have a single payer system, all use global budgets and work within that financial capsule to cover their populace.  

 

I also don't see anything wrong with older people paying more and younger less because it is those young and healthy which will hold down the prices for everybody and younger people need more of an incentive to get insured and stay insured because they have fewer needs for it.

 

Everybody needs to place their healthcare in a priority position in their finances.

By having some coverage options, people can figure out what they need based on their finances and health needs.  Self-employed people have done this even before the ACA (Obamacare) and most of us had great policies, meaning no junk.

 

I am not elated by the Republican plan; I would have wanted a more severe change in the whole system but it is a try to preserve this individual marketplace because if not it may just go away in many places.  If there are no insurers in a geographical area, it will not matter what, who or how they are covered.

 

 

* * * * It's Always Something . . . Roseanne Roseannadanna
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Re: Senator Shaheens Take On Trumpcare

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Message 20 of 21

Shaheen Letter.png

 

Shaheen Letter one.png

 

 

 

 

 

 

( " China if You're Listening - Get Trumps Tax Returns " )

" )
" - Anonymous

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