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Statisticians Study Who Was Helped Most By Obamacare

HughPickens.com writes We know that about 10 million more people have insurance coverage this year as a result of the Affordable Care Act but until now it has been difficult to say much about who was getting that Obamacare coverage — where they live, their age, their income and other such details. Now Kevin Quealy and Margot Sanger-Katz report in the NYT that a new data set is providing a clearer picture of which people gained health insurance under the Affordable Care Act. The data is the output of a statistical model based on a large survey of adults and shows that the law has done something rather unusual in the American economy this century: It has pushed back against inequality, essentially redistributing income — in the form of health insurance or insurance subsidies — to many of the groups that have fared poorly over the last few decades. The biggest winners from the law include people between the ages of 18 and 34; blacks; Hispanics; and people who live in rural areas. The areas with the largest increases in the health insurance rate, for example, include rural Arkansas and Nevada; southern Texas; large swaths of New Mexico, Kentucky and West Virginia; and much of inland California and Oregon.

Despite many Republican voters' disdain for the Affordable Care Act, parts of the country that lean the most heavily Republican (according to 2012 presidential election results) showed significantly more insurance gains than places where voters lean strongly Democratic. That partly reflects underlying rates of insurance. In liberal places, like Massachusetts and Hawaii, previous state policies had made insurance coverage much more widespread, leaving less room for improvement. But the correlation also reflects trends in wealth and poverty. Many of the poorest and most rural states in the country tend to favor Republican politicians.

739 comments

  1. how many small businesses has Obama killed? by Anonymous Coward · · Score: 0, Flamebait

    They're driving us out
    We're closing up shop
    Lonely is the mom-and-pop
    Where are the protestors?
    Where are their slogans and signs?
    This will be a swift decline

    1. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 5, Insightful

      Bullshit. There are many other factors to blame for it.

      I'm watching the same thing happen in New Zealand right now, but it's because of right wing "I've got mine!" policies.

      The wealthy are hoarding away their money, pay rates for the rest of us are dropping through the floor. It's only a matter of time until we can't afford to spend, and the economy will grind to a halt. That is, unless the wealthy suddenly drop their trillions back into the pockets of the people who actually do the hard work.

    2. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 5, Insightful

      By far the biggest impact from Obamacare has been the expansion of Medicaid. That could've been accomplished without messing with my private insurance.

    3. Re:how many small businesses has Obama killed? by Lumpy · · Score: 5, Informative

      The same number that Romneycare killed. remember, Obamacare is BASED ON good Ol' Mitt Romney, the GOP shining example's own Romney care that he put in place in his home state.

      Are republicans so stupid that they can not see it's a Republican system? Because as a Democrat I wanted a system closer to Canadian Healthcare as it works.

      Repubs made sure the insurance companies would be happy with it so they could get max profits. And that is what we got...... Romneycare.

      --
      Do not look at laser with remaining good eye.
    4. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 1

      It's not the implementation that was the problem. It was the legal basis for implementing Romneycare on a Federal level. That states can individually create their own health care system is actually a selling point of States' rights proponents...the other point being that if you disagree with it (or were adversely affected), you can always move to another state more in-line with your ideology without renouncing your citizenship.

    5. Re:how many small businesses has Obama killed? by drinkypoo · · Score: 1

      Are republicans so stupid that they can not see it's a Republican system?

      Their memories are simply that short. That's how they forget that none of their interests have been served by their elected politicians, and proceed to re-elect them.

      Here in California, however, we re-relected Jerry Brown. That's very like re-electing Marion Berry. Heh heh heh.

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
    6. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Exactly this. Insurances is a good way to distribute costs among large groups of people. Taxes is another good way to distribute costs among among large groups of people. Choosing one or another is fine. Having both just adds the overhead of both systems and adds more expenses without providing extra benefits.

    7. Re:how many small businesses has Obama killed? by thaylin · · Score: 4, Insightful

      you can always move to another state more in-line with your ideology without renouncing your citizenship.

      In theory that works great, in practice it does not work at all.

      --
      When you cant win, ad hominem.
    8. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 1

      There *is* no more actual work to be done, we have high technology and everyone is so productive, remember?

      Your fucking problem is that you still think like a 12th century lord in the 21st century. Why does everyone "need" to work? We work more hours now than they did in the 12th century precisely because our technology has uncoupled us from the natural rhythm of the seasons for example.

      So what do you expect all these people to do all year long? There's nothing left to do!

    9. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0, Insightful

      "In theory that works great, in practice it does not work at all."

      Republican policies in a nutshell.

    10. Re:how many small businesses has Obama killed? by Charliemopps · · Score: 4, Interesting

      They're driving us out
      We're closing up shop
      Lonely is the mom-and-pop
      Where are the protestors?
      Where are their slogans and signs?
      This will be a swift decline

      Actually, quite the opposite is happening. My best friends father is basically despises Obama to the core. He runs his own insurance resale shop. He complained that Obamacare was going to destroy him. Well, it didn't turn out that way. Because the law made the old policies illegal, the insurance companies had to create new policies and everyone had to re-sign up for their health insurance. He gets a commission on every single one of those changes and is making a fortune. He still doesn't like Obama but he certainly loves the government teat.

    11. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 1

      It's not the implementation that was the problem. It was the legal basis for implementing Romneycare on a Federal level. That states can individually create their own health care system is actually a selling point of States' rights proponents...the other point being that if you disagree with it (or were adversely affected), you can always move to another state more in-line with your ideology without renouncing your citizenship.

      I've seen this argument a few times, but didn't Republicans make a big stink because there is no interstate competition? There are new federal requirements, but it's entirely up to the insurance companies to set plans and prices for each state. It is staggeringly stupid that so many Republicans think this is socialized healthcare.

      Anyway, in case we haven't figured it out by now, very few people will leave their home to protest their own state's or country's policies. Moving is expensive both in terms of money and time, so the vast majority of people literally can't afford to do anything other than try to change the offending policy. Saying, "if you don't like it, move" is just naive.

    12. Re: how many small businesses has Obama killed? by orlanz · · Score: 2

      True if you ignore the 10 million that the old systems didn't cover but we all provided more expensive emergency care anyway and the new system does cover.

    13. Re:how many small businesses has Obama killed? by RoccamOccam · · Score: 2, Insightful

      Are republicans so stupid that they can not see it's a Republican system? Because as a Democrat I wanted a system closer to Canadian Healthcare as it works.

      Because a single Republican governor implemented a similar system in a Democrat-controlled state, then automatically, this is a Republican plan that all (or even a majority of) Republicans across the nation supported? What a stupid statement! It completely flies in the face of actual facts.

      Every single Republican in Congress opposed this plan. Republican voters overwhelmingly opposed (and still oppose) this plan.

      The Democrats had complete control of Congress and the Executive Branch and they passed what they wanted to pass.

      This clusterfuck is all on them. If it wasn't so terrible, it would be laughable that Democrats keep trying to pin the blame on the Republicans for this mess

    14. Re: how many small businesses has Obama killed? by Attila+Dimedici · · Score: 2, Funny

      That's the great thing about Obamacare, now those people pay for health insurance coverage and can't get care. Whereas before, they didn't pay for health insurance, but were able to get health care when they needed it. Isn't Obamacare great?

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    15. Re:how many small businesses has Obama killed? by RoccamOccam · · Score: 1

      Are republicans so stupid that they can not see it's a Republican system?

      Their memories are simply that short.

      It has nothing to do with short memories. The overwhelming majority of Republicans never supported this plan. A single Republican governor of a liberal state supported a state-local version of this plan.

      You know, until very recently, a Democrat President opposed gay marriage. So, does that mean that Democrats are so stupid that they can not see it's a Democrat ideal?

    16. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Sorry, you have it all wrong. We call it "Obamacare" at the moment because of who is in the White House. In a couple years, and *if* things change, then we rename, call it "Romneycare," and then deem it a great success. This is not about serving people. This is about the power.

    17. Re:how many small businesses has Obama killed? by serviscope_minor · · Score: 0

      The Democrats had complete control of Congress and the Executive Branch and they passed what they wanted to pass.

      If that's true, then the Republicans never managed to block passing of the budget until the 11th hour.

      --
      SJW n. One who posts facts.
    18. Re: how many small businesses has Obama killed? by O('_')O_Bush · · Score: 5, Interesting

      And by "never supported", you mean were dictated their position following their party line after the GOP chose to make the ACA a wedge issue.

      And Romney wasn't just some RINO rebel GOP governor in a backwater state that the GOP could write off as being a product of a liberal constituent... he was who the GOP chose to be the shining star and face of their party to combat the derivative of the very plan Romney pushed for in his home state.

      You had to put some powerful spin to make that jive in your red worldview.

      --
      while(1) attack(People.Sandy);
    19. Re:how many small businesses has Obama killed? by dywolf · · Score: 5, Insightful

      They opposed it because they oppose everything that Obama does.
      Whatever he does, they support the opposite. No one cared about Common Core originally, and it was implemented in 43 states. But as soon as Obama said it was a good idea, everyone on the started freaking out and saying it was the worst EVAH.
      When he suggested bombing Syria they said no way.
      When he was reluctant to bomb Russia/Ukraine they said we needed to.
      If he said cyanide was toxic they would stand on the Capitol Steps and chug it just to spite him.
      If he cured cancer they'd complain he was putting doctors out of work.

      It's a Republican plan because they came up with it 20+ years ago.
      Nearly every key aspect of it comes from the GOP plan that Heritage came up with around 1989.
      Most everything in the plan is oriented around implementing and supporting a free market, ie existing insurance industry, based solution to expanding care. Even the mandate originates with Heritage, and is essential to preventing free riders so that the insurance based approach can work.

      Further, the GOP HAS NO HEALTHCARE PLAN. They keep saying they want to repeal Obamacare, but when asked about what they'd replace it with, they have no answer. the few who actually give an answer, invariably end up describing something that resembles Obamacare.

      Dems went with a Romneycare clone because they figured, hey, we're never going to get a nationalized healthcare system through congress, not yet. But they themselves implemented this thing up in Mass., and it's working pretty good, so lets do that. Let's compromise. Instead of pushing for a NHS, we'll push for increased access using the a market based approach thorugh the insurance companies. So thats what they did.

      Its not terrible.
      Its not a cluster.
      And GOP opposition is just smoke and mirrors.
      The only one flying in the face of the facts is YOU.
      You completely ignorant of the facts, of history, and the context.

      --
      The guy who said the election was rigged won the presidency with the second-most votes.
    20. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      What works and what doesn't has long ago ceased to be of importance. The only question people from either party ask is 'how can I use this to separate myself from, or burn the other party?'. Some issues that would have great support amongst all politicians aren't even taken up by them because it can't be framed in a left-vs-right decision. Heck, the fact that 'bipartisan' is a thing and people proudly claim they reached that is indicative of how truly broken the political system is.

    21. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      How did the republicans have anything to do with this. Every republican amendment was struck down (when they were actually allowed into committee) No republican senators voted for it. This all lies at the feet of the Democrats.

    22. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      "Romneycare" is and always was Dimasi and Travaglini's baby. Its only a republican plan when its politically convenient.

    23. Re:how many small businesses has Obama killed? by nucrash · · Score: 4, Insightful

      "In theory that works great, in practice it does not work at all."

      Republican policies in a nutshell.

      The first statement holds true for a lot of political ideologies. Welfare sounds like a great system to end hunger, and we assume that no one would want to live on government assistance. Some people are perfectly happy giving the minimum though.

      Taxes and exemptions sound ideal too except you have people who are going to take every exemption to end up not paying a dime.

      --
      Place something witty here
    24. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      A Republican system would be implemented at a state level (Romneycare) instead of federal (Obamacare).

      The state level policy approach allows 50 different experiments and if one is terrible, we aren't all stuck with it. 50 experiments that we can all learn from, adapt and improve.

      Federal level policies are voted in and no matter what, we are stuck with them. Changing federal policies has proven virtually impossible.

      Also, poorer areas favor Republican policies because every new expense hurts us more, squeezes us more, and leaves us more broke. There are extremely good reasons we favor those policies.

    25. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      So, your saying that somebody who profits directly from the biggest insurance sale of all time no longer feels as bad about it.

      Go figure.

    26. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0, Insightful

      No one cared about Common Core originally, and it was implemented in 43 states.

      Common Core was another piece of legislation that "had to be adopted first to see what was in it". The federal government offered millions of dollars to states that would commit to Common Core before the standards had even been decided/disclosed..

    27. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      The thread of losing one's job is another issue that needs to be handled. I'd prefer a negative income tax to deal with that.

      Anyways, I assume single-payer universal health care would put your best friend's father out of business, correct?

    28. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      I only have to walk outside to see empty storefronts that have been vacant for years now, ever since stupid assholes like you elected Obama for Bush Junior's third term. Small business owners gave up and closed down because they knew for a fact that economic recovery wasn't coming. Nobody wants to move in to those empty stores. Everyone is just waiting for Obama to go the fuck away already and take all his Bush era policies with him.

    29. Re:how many small businesses has Obama killed? by RoccamOccam · · Score: 3, Insightful

      So, which Republicans voted for the ACA? Which provisions were inserted into the ACA to garner those votes? For that matter, what Republican support was needed to overcome a filibuster? Which provisions were inserted into the ACA to get Republican support in order to overcome that filibuster? Geez, just own up to the responsibility for what your party has done.

    30. Re: how many small businesses has Obama killed? by David_Hart · · Score: 1

      That's the great thing about Obamacare, now those people pay for health insurance coverage and can't get care. Whereas before, they didn't pay for health insurance, but were able to get health care when they needed it. Isn't Obamacare great?

      Yeah, cause emergency rooms are turning away people in droves.... try again...

    31. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Except that romneycare was enacted at the state level. Constitutionally the federal goober meant shouldn't be in the wealth redistribution (excuse me healthcare tax or is it a form of slavery to take from one person what they have earned and give it to someone who has not earned it) business.

    32. Re: how many small businesses has Obama killed? by gtall · · Score: 4, Insightful

      Not only that, if the polls are to be believed, Romney is now the frontrunner for the GOP Prez candidate for 2016.

      The basic problem is that the U.S. let the insurance companies into the health care system back in the 60's and didn't implement national health care under Teddy Roosevelt who wanted it.

      Now we have death panels...not the panels the Republicans waxed wet dream like during the passage of the ACA but the ones the insurance companies run. Yes, those are indeed death panels just like the ones the Republicans warned us about.

      Currently, Americans pay for health care through a company and individual tax. That allows the insurance companies to suck up as much as they can because they amortize risk, they do not amortize outcomes. So if your doctor schedules extra needless tests to protect against possible lawsuits, that cost has been built into the system if you have health insurance. The doctors are only too happy to order them because the insurance company will pay, it is built into their risk assessment of what your life is worth to them.

    33. Re:how many small businesses has Obama killed? by gtall · · Score: 2

      I see, so instead of constructively engaging to modify a plan built on a Republican plan, they decided to take their ball and go home. That's so mature of Republicans.

    34. Re: how many small businesses has Obama killed? by laird · · Score: 5, Funny

      I agree that they should have expanded Medicare to cover everyone who wanted it - that's by far the most efficient system with the highest patient satisfaction. Much better than private insurance, so likely the competition would have forced insurers to become at least marginally efficient and improve coverage.

      That being said, I don't follow your comment about your private insurance. The only thing that happened to your private insurance is that the worst abuses were now outlawed, so (for example) insurance companies aren't allowed to waste more than 20% of what you pay them, resulting in $billions in refunds being sent to customers who were previously being really ripped off. Well, and you also indirectly benefitted in that the exchanges are so competitive that private insurance rates are going up much more slowly than they have in the past, so you're probably having money paying a 2-3% annual increase (that's the average post-ACA) compared to the historical 7-9% annual increases.

    35. Re: how many small businesses has Obama killed? by butalearner · · Score: 3, Interesting

      That could've been accomplished without messing with my private insurance.

      I know this is a personal anecdote, but since I work for large aerospace corporations, this is a personal anecdote for a significant number of people. Before the provisions of Obamacare went into effect, my healthcare premiums rose 20% to 33% per year since 2008. From 2013 to 2014, when all the major provisions went into effect, my deductible went up 20%, but my premium stayed the same (and I never hit the old deductible limit anyway). I changed jobs this year, and in 2015, my premiums and coverage are both staying the same.

      I have no idea if Obamacare is responsible for this state of affairs or if it's just coincidence, but it's a damn sight better than what was happening before it came along.

    36. Re:how many small businesses has Obama killed? by laird · · Score: 3, Informative

      Really? It was the formal GOP healthcare reform plan for 30 years or so, since Nixon, then Clinton, pretty much whenever healthcare reform came up, they proposed the market/exchange plan. And when Romney implemented it, the Republicans *loved* it, and acclaimed it as proof that Republican policies worked. And they advocated expanding it at the Federal level.

      Republicans didn't distance themselves from this plan, or come up with the "states rights" spin until Obama endorsed doing what the Republicans were planning.

    37. Re:how many small businesses has Obama killed? by pr0t0 · · Score: 5, Insightful

      I disagree with the premise that "ObamaCare" and the ACA are the same thing. When Obama introduced his framework for health care reform, it included, among other things, a single-payer system. Controversial to be sure, but a key part of the plan. The republicans focused on that and the individual mandate as their two key talking points of opposition. The former was framed as a government takeover of healthcare, and the latter as unconstitutional. The democrats dropped the former to make it more palatable, presumably thinking something is better than nothing and perhaps it will be added in time. The republicans were quick to jump on board with that probably thinking without the single-payer element, the whole thing was dead. The latter was deemed constitutional by the supreme court, breathing new life into the legislation.

      While the republicans termed the whole notion of healthcare reform as "ObamaCare" as a pejorative, in my mind the ACA is actually more of an inadvertent compromise between the democrats and the republicans. It wasn't the intention of the republicans to add things in and take things out as a means of compromise. What they did, they did to kill the legislation; but it didn't work out that way. In the end, the ACA is a democrat-led effort for healthcare reform with many compromises made to please, and at the behest of, republicans.

      While the republicans didn't vote for the legislation; the legislation that passed has their fingerprints all over it.

      But all of this is just political theater and bullshit. If any of you think your party is "right" or fighting for and representing your interests, you are deluded and probably of only average intelligence.

      --
      I'm sorry, but your opinion seems to be wrong.
    38. Re:how many small businesses has Obama killed? by TubeSteak · · Score: 4, Informative

      Because a single Republican governor implemented a similar system in a Democrat-controlled state, then automatically, this is a Republican plan that all (or even a majority of) Republicans across the nation supported? What a stupid statement! It completely flies in the face of actual facts.

      Feel free to read the original source of the Romneycare idea:
      http://healthcarereform.procon.org/sourcefiles/1989_assuring_affordable_health_care_for_all_americans.pdf

      --
      [Fuck Beta]
      o0t!
    39. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Hold up and fuck the hell off! You can't blame republicans for this bullshit. Obamacare and Romneycare have exactly one thing in common: individual mandate. After that they diverge so completely that one is nothing like the other.

      Also, I should point out, that Romneycare worked fairly decently here in MA. Obamacare managed to fuck all that up by forcing us to get rid of the (semi)working MassHealth Connector website and piss away millions on an exchange that still doesn't fucking work right. Also, the very few republicans here were opposed to Romneycare, too.

      All I can say is that I've seen my heath insurance costs go up the past several years. This was not the case before ACA, as Patrick was able to hold insurance rates pretty constant.

    40. Re: how many small businesses has Obama killed? by kenai_alpenglow · · Score: 2

      Another anecdote: I work at another large aerospace corporation (co-located, not as an employee). Everyone there is griping that their premiums, that used to rise by 10-15%, are now going up 20-30% or more. And the coverage is now less.

    41. Re:how many small businesses has Obama killed? by ganjadude · · Score: 1

      talk to teachers. this isnt D vs R, every last teacher I know (and I know quite a few in NY) HATES common core with a passion

      --
      have you seen my sig? there are many others like it but none that are the same
    42. Re:how many small businesses has Obama killed? by ganjadude · · Score: 1

      if you want to be techincal hillary started all this mess when bill was president. or did you forget hillarycare??

      --
      have you seen my sig? there are many others like it but none that are the same
    43. Re: how many small businesses has Obama killed? by ganjadude · · Score: 0

      This times 1000

      --
      have you seen my sig? there are many others like it but none that are the same
    44. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 2, Insightful

      Costs have gone up and coverage down for a lot of people exactly because of the 'Affordable' Care Act. The only people who really benefit are those who get highly subsidized coverage now because they don't make much money.

    45. Re:how many small businesses has Obama killed? by ScentCone · · Score: 2, Insightful

      I see, so instead of constructively engaging to modify a plan built on a Republican plan, they decided to take their ball and go home. That's so mature of Republicans

      The legislative agenda surrounding the 100% partisan ramming-through of the ACA precluded any Republican involvement. The Republicans put forth a constant barrage of their own ideas and (looking back on them) very accurate predictions about all of the wreckage that the ACA is now causing. Harry Reid and Nancy Pelosi ran the entire show, and shut down any involvement by Republicans. Those two leaders of the Democrat party, and the chief executive, actively and deliberately lied - over an over again - about the nature of the law and the fallout that would come from it. That's why more people opposed than supported it as it was being rammed through, and why even more people are opposed to it now. The way in which the Dems carried on at the time is about to cost them a lot of legislative seats, and the president who championed this new tax/entitlement redistribution plan is spiraling downward in terms of any public support for his priorities.

      The Republicans had no ability to "constructively engage" in the creation and underhanded passage of the ACA. They could only shout out loud about how outrageous so much of it is, since their votes - in committee and generally in the house and senate - were incapable of impacting the law.

      --
      Don't disappoint your bird dog. Go to the range.
    46. Re: how many small businesses has Obama killed? by ScentCone · · Score: 3, Insightful

      Yeah, cause emergency rooms are turning away people in droves.... try again...

      No, they're not, of course. But people with modest income are no more "insured" than they were before. That's the whole point. What is a family who makes $45,000 a year (gross) supposed to do with a $12,000 deductible? Well, at least they're insured now, right? Right. Thanks, Pelosi, Reid, and a Obama! Oh, and of course millions of other people who DID have insurance they wanted and could use, no longer do, and that's about to happen to millions more when the illegally-delayed changes hit the employer-provided plans. After the election, of course.

      --
      Don't disappoint your bird dog. Go to the range.
    47. Re:how many small businesses has Obama killed? by sribe · · Score: 1

      Sure. Oh, never mind, that it doesn't apply to true small businesses AT ALL. Somehow it's still driving them bankrupt.

    48. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      sadly, i am fairly confident a good plurality of people think this way, much of the bottom do not even think at all, leaving us with some some pretty depressing inferences about average intelligence. the partisan charge over the "issues" I see on slashdot only confirms what I uncomfortably warmed too over the last ~12 years: slashdotters are average, at least those who participate.

    49. Re:how many small businesses has Obama killed? by sribe · · Score: 1

      This clusterfuck is all on them. If it wasn't so terrible...

      How exactly is it "so terrible"; facts please, not campaign lies.

    50. Re: how many small businesses has Obama killed? by j127 · · Score: 4, Interesting

      Another anecdote: Heath care rates for me went down significantly, and I'm a small business owner.

    51. Re:how many small businesses has Obama killed? by Trailer+Trash · · Score: 1

      The Democrats had complete control of Congress and the Executive Branch and they passed what they wanted to pass.

      If that's true, then the Republicans never managed to block passing of the budget until the 11th hour.

      You need to look to see how this bill was passed. The Republicans couldn't block it due to Harry Reid playing fast and loose with the rules.

    52. Re:how many small businesses has Obama killed? by naasking · · Score: 1

      Are republicans so stupid that they can not see it's a Republican system?

      Partly, but they also don't want the Democrats to get the credit for something that could be very successful.

    53. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      ===> They opposed it...
      So you confirmed the poster you've responded to. All the blah blah blah afterwards is just excuses.

    54. Re:how many small businesses has Obama killed? by j127 · · Score: 1

      Every single Republican in Congress opposed this plan. Republican voters overwhelmingly opposed (and still oppose) this plan.

      That's only because Obama was proposing it. He was trying to be diplomatic by compromising, but Republicans systematically oppose anything that Obama does, because they want the country to suffer during his term. If Obama is liked by the population, Republicans have less of a chance of getting their extreme policies enacted. The ACA is basically Romneycare. It's a right-wing idea. The left wanted something different, but they settled for the Republican plan.

    55. Re:how many small businesses has Obama killed? by TheNastyInThePasty · · Score: 5, Informative

      Lets look at the history of the Affordable Care Act, a.k.a. Obamacare. Back in 2008, then-presidential nominee Barack Obama ran a campaign with healthcare reform as one of its central issues. He advocated for universal healthcare but opposed an individual mandate. However, after input from experts that claimed that government-guaranteed healthcare would encourage too many free-riders, Obama decided to include an individual mandate as a central part of his healthcare reform efforts.

      The individual mandate is largely credited as an idea by the conservative think-tank The Heritage Foundation as an alternative to a system in which the government pays for healthcare. It required each person to pay for their own healthcare and was proposed by Republicans during the Clinton era as a free-market solution that embodies the tenant of personal responsibility that Republicans claim to hold.

      Once adopted by the Democrats and proposed in a bill on September 17, 2009, the Republicans staunchly opposed the measure. The Republicans, some of whom have been around long enough to have supported a similar bill during the Clinton administration, claimed that the individual mandate was an unconstitutional assault on freedom.

      After 3 weeks of debate and town hall meetings, the bill passed through the House of Representatives and was sent to the Senate. The Democrats attempted to gain the support of moderate Republicans like Olympia Snowe, Bob Bennet, Mike Enzi, and Chuck Grassley. However, the moderate Republicans found themselves subject to intense pressure by the party to fall in line and oppose any healthcare reform effots.

      The bill continued to be opposed by conservatives in the Senate who claimed that the bill's "public option" was a deal-breaker. The public option was government-run healthcare insurance that would be available to people alongside private health insurance in the market. Conservatives claimed that the public option would put private insurance out of business because the government is under no pressure to compete or turn a profit. After over 3 months of debate, the public option was dropped from the bill. Senator Grassley was quoted as saying:

      "No public option. No play-or-pay. No things that are going to lead to any rationing of health care. No interference with the doctor-patient relationship," says Grassley. "About the only place we haven't made progress along the lines of what Republicans are wanting on the bill is in tort reform."

      Despite this, it still took several last-minute concessions for conservatives to get the bill passed through the Senate on December 24, 2009, with support from independents and conservative Democrats to overcome the Republican threat of fillibuster.

      The bill languished in the House of Representatives for 3 more months. In order to gets the admendments made to the bill back in the House, the Democrats had to win support from pro-life Representatives who worried that the bill would allow federal funds to be used to pay for abortions. To assuage anti-abortion politicians' fears, Barack Obama signed an executive order on March 21, 2010 to affirm that no federal funds could or would be used to fund abortions. The amendments were finally passed through the House and signed into law by Obama on March 23, 2010 (over 6 months after being proposed).

      --
      The best thing about UDP jokes is I don't care if you get them or not
    56. Re:how many small businesses has Obama killed? by j127 · · Score: 1

      Right. A 1989 plan from a conservative think tank that never had enough support to even be proposed when Republicans controlled the House, Senate, and Presidency. That's a plan that "belongs" to the Republicans.

      The Republicans did implement it and test it in Massachusetts only about 15 years after Heritage proposed the idea.

    57. Re:how many small businesses has Obama killed? by jtwiegand · · Score: 2

      Romeny's system was a state system. Implementing that is orders of magnitude simpler than a national system. They might be alike in some ways, but the problem of scale is fairly obvious with the national plan. The flaws of Romney's system are significantly amplified on the national level due to these complexities.

      What would have really helped national health care is interstate competition between insurance providers, or some other mechanism to drive costs down, to create a truly national market for health insurance. Instead we got single-payer light, which doesn't work and benefits very few. The fundamental problem with health care is the cost; not the access.

      Obamacare attempted to solve the health care problem in the worst possible way: forcing everyone to buy a product that almost no one actually wanted. This will naturally raise costs, which is the exact opposite of what will actually help health care in the country. What might have helped would have been allowing interstate competition, or specialized clinics. There's no good reason, for instance, that an MRI needs to cost $2k+ in the United States, or that a single aspirin tablet costs $18. These costs are insane because of hilariously bad capital structures in the medical care industry.

    58. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Every single Republican in Congress opposed this plan

      So what? They oppose EVERYTHING the democrats support, even if the idea came from the Republicans themselves. We even had a case where the Republicans fillibustered THEIR OWN BILL. They introduced it expecting it would never get Democrat support. Then when the Democrats decided to go along with the bill, suddenly the Republican decided to fillibuster it so it couldn't pass.

      Their #1 priority in washington right now is to make sure that NOTHING gets accomplished under Obama and a Democrat controlled congress. That's not just my opinion. The Republicans have publicly stated that time and again that it's their #1 priority. To quote a line from Game of Thrones, they "would see this country burn if [they] could be king of the ashes"

    59. Re:how many small businesses has Obama killed? by jon3k · · Score: 1
    60. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      The Democrats had complete control of Congress and the Executive Branch and they passed what they wanted to pass.

      And that is where Obama went wrong. If he was willing to kamikaze and accept that to do the right thing he would be a 1 term president he could have done the right thing.
      If he went 1 term when the Dems had control he could have held presidential addresses to show the the Big Insurance paid Republican FUD was FUD. After that he could have used his JFK like charisma to get our country Single Payer health care.
      We could be looking at an insurance system like Hong Kong or Japan instead of one where the middle class head towards being lower class as Big Insurance siphons cash from their pockets.
      Add on some nice TV addresses to get America to go back to Reagan Tax rates (no chance of Eisenhower tax rates, besides neo-cons love anything with the name Reagan) and we'd be back on our way to prosperity.

    61. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      So, which Republicans voted for the ACA?...For that matter, what Republican support was needed to overcome a filibuster?

      Apparently you don't know much about this history of what you are talking about. The answer to that question (which I think you suspected had no answer): the Republican Senator from Maine, Olympia Snow.

      Which provisions were inserted into the ACA to get Republican support in order to overcome that filibuster?

      Which one? It was provision after provision after provision. The process was

      1) The Republicans said "we don't support that...we need the bill to do X"
      2) The Democrats eventually reluctantly agreed, and gutted the bill just a little bit to accommodate X
      3) The Republicans decided that STILL wasn't enough. Go to #1
      4) Eventually, after the bill was completely gutted, Olympia Snowe finally got onboard and broke out of the nearly infinite loop
      5) The bill passed
      6) They House passed a different version of the bill
      7) I don't recall the exact details, but they used some controversial process to reconcile the differences between the house and senate bills without requiring the Senate to have to vote on it again (Since Senator Snowe had come under immense pressure from Republican to not support it any more)

    62. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Will be curious to see if this trend continues, though I am somewhat pessimistic about it.

      The Act has only been operating for a year now and something tells me the government under estimated the costs involved ( has any government run system EVER come in at or under budget ? )

      Just to make a fun prediction, watch what happens to premiums and coverage AFTER the mid-term elections have finished. ( They wouldn't dare announce the new pricing schedule ahead of them due to voter backlash )

      Tip: The prices aren't going to go down. They're going to go up. Way up. See how popular the program is in a few years if you really want to measure it.

    63. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      talk to teachers. this isnt D vs R, every last teacher I know (and I know quite a few in NY) HATES common core with a passion

      And when did Republicans (or Democrats, really) start listening to teachers? Right, when it's politically convenient. That's the point the GP was making. The fact that Common Core and NCLB are shit*? Only one is being effectively attacked at the national level and it's wholly on anti-Obama leverage. If the standard was actually having an honest debate, listening to teachers, and having a study of metrics, then I think we'd be a wholly different situation. That's just not the care, though. We're not seeing the result of reasoning guiding the legislative process, especially when it comes to (as the GP notes) Republicans and what Obama supports. Because as much as there's plenty that Republicans have reason to be against that Obama supports, there's no reason for the near wholly anti-anything-Obama-supported.

      * As implemented. Perhaps in some very specific implementation, with States with the mindset of using the provided tools to better their circumstance and not merely to use yet another Federal initiative to milk money and cut their own Education budget, things would be different. Or it could be that the standards are just outright terrible. Honestly, it's near impossible to say at this point given how design vs implementation become so intermingled; usually the best one can do is point at various design elements and show how they're neutral or negative or how certain implementations are bad and try to argue that it's not merely the implementer's fault.

    64. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      And a lot of people were forced off of private insurance due to the increased costs forcing their employers to stop coverage and put their employers on Obamacare.

      The bottom line is that Obamacare is an intrusion into the private lives of everyone, dictating insurance coverages, etc. It is the very incarnation of Big Government. And those of us who were responsible, paid attention in school, selected disciplines that actually paid well, or choose trades that are in demand, etc are being penalized.

    65. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      That is true, and I hear this a lot as my girlfriend is a teacher. As she hears it from other teachers she meets at conferences. But we're talking apples and kiwis here. One deals with the pseudo free-market*, insurance, and your ability to stay healthy against income. The other deals with whether science, the bible, and making the next 2 generations of workers can type on a keyboard vs. applying critical thinking skills against every aspect of their entire lives (which they aren't teaching now). It's 2 highly complex topics that have no business in the same message board. Don't start this talk here!

    66. Re:how many small businesses has Obama killed? by cant_get_a_good_nick · · Score: 1

      Obamacare is Romneycare is a system created by the conservative Heritage Foundation.

      I just read an interesting article on how Mississippi tried to be ahead of the curve, create a Romneycare style insurance exchange way back in 2007, but when it became an Obama led initiative, they let politics come in and forced it to crash and burn, with huge amounts of collateral damage in unhealthy citizens and both lost and wasted money.

      I know it's sometimes too easy to input racism in certain situations, but when it was espoused by a white think tank and rolled out by a white governor, it's OK. A black President says so, and now it's evil. The fact it hurts poor black folk more than it hurts poor white folk may or may not be intentional, but it is OK.

    67. Re:how many small businesses has Obama killed? by boristdog · · Score: 1

      Let me see...In the past two years, almost every person on my street has started a side business. Two of them have quit thier jobs and now just work on their small business. I hope to quit in a few years when mine is built up enough, it's doing well so far, I've gotten an effective 20% raise for a few hours a week extra work. One neighbor's business has failed, but his idea was stupid.

      The fact is that MOST small businesses fail in a few years. Blaming "Obamacare" is just covering for your stupidity.

    68. Re:how many small businesses has Obama killed? by TheNastyInThePasty · · Score: 1

      In response to being modded FLAMEBAIT for simply recounting (relatively recent) history, I present to the mods a shit-ton of sources at this location: Tada and that quote by Grassley

      --
      The best thing about UDP jokes is I don't care if you get them or not
    69. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      I like how the fucking ignorant idiot who doesn't know a god damn thing about recent history is modded UP while the people who posted WHAT ACTUALLY HAPPENED are being modded down. GOOD JOB MODS! +1 echo chamber.

    70. Re:how many small businesses has Obama killed? by tburkhol · · Score: 2

      How exactly is it "so terrible"; facts please, not campaign lies.

      It's all terrible. Every last bit.

      Except for the "pre-existing conditions" ban. And keeping kids on their parents' insurance until age 27. The new transparency of equivalent policies isn't really that bad. And you know, even Mitch McConnell likes the exchanges - he'd keep the web sites.

      But everything else: the making people buy insurance, limiting the profit companies can make, forcing companies to care for their employees...bad, bad, bad. We've got to remove all of these bits that pay for the features that are actually kind of not terrible.

    71. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      It's, at best, a one or two time windfall for him.

      Wait two years, and he'll be out of business.

    72. Re: how many small businesses has Obama killed? by smaddox · · Score: 1

      There's an argument to be made there, but in order to make that system (a welfare state) work in the long term you need to strictly control population growth in the welfare class, and maintain a productive middle class. High technology doesn't maintain itself.

      Of course this is ignoring limited resources which demand eventual improvements in technology, or a decrease in population.

    73. Re: how many small businesses has Obama killed? by Opportunist · · Score: 0

      Are you seriously complaining about "having to have" affordable health care?

      What the fuck is wrong with you people?

      --
      We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
    74. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      That's not a teat!

    75. Re: how many small businesses has Obama killed? by NoImNotNineVolt · · Score: 0

      you need to strictly control population growth in the welfare class

      Don't worry, the 1% have rigged society to ensure minimal economic mobility, which should be sufficient to prevent any significant growth in the number of parasites at the top.

      Oh, you mean the other welfare class...

      --
      Chuuch. Preach. Tabernacle.
    76. Re:how many small businesses has Obama killed? by Chordonblue · · Score: 1

      Making something affordable by making it more expensive for others isn't a sustainable solution, IMHO. The ACA (first part being 'Affordable'), did NOTHING to control out of control healthcare costs. But they did manage to pile it on to the middle class... Again.

      "If you like your healthcare plan, you can...", oh what the hell. it doesn't actually matter what the man says - just pull that Blue Lever again.

      --
      "...Well, there's egg and bacon; egg sausage and bacon; egg and spam; egg bacon and spam; egg bacon sausage and spam..."
    77. Re:how many small businesses has Obama killed? by TheNastyInThePasty · · Score: 1

      I see, so instead of constructively engaging to modify a plan built on a Republican plan, they decided to take their ball and go home. That's so mature of Republicans

      The legislative agenda surrounding the 100% partisan ramming-through of the ACA precluded any Republican involvement. The Republicans put forth a constant barrage of their own ideas and (looking back on them) very accurate predictions about all of the wreckage that the ACA is now causing. Harry Reid and Nancy Pelosi ran the entire show, and shut down any involvement by Republicans.

        [...]

      The Republicans had no ability to "constructively engage" in the creation and underhanded passage of the ACA. They could only shout out loud about how outrageous so much of it is, since their votes - in committee and generally in the house and senate - were incapable of impacting the law.

      I guess this never happened. I quote:

      A small group of key senators known as the Gang of Six was once looked at as the key to passing a bipartisan health care bill in the Senate.

      But the group of Senate Finance Committee members has, instead, proved a time-sucking bust, with no compromise after months of negotiations and plenty of Senate Democrats peeved at the influence ceded to the gang's GOP members.

      [...]

      "No public option. No play-or-pay. No things that are going to lead to any rationing of health care. No interference with the doctor-patient relationship," says [Republican] Grassley. "About the only place we haven't made progress along the lines of what Republicans are wanting on the bill is in tort reform."

      --
      The best thing about UDP jokes is I don't care if you get them or not
    78. Re:how many small businesses has Obama killed? by NoImNotNineVolt · · Score: 1

      You appear to be suggesting that we keep the "pre-existing conditions" bit but eliminate the individual mandate. Do you have an explanation for why people would carry health insurance coverage while they're healthy instead of simply waiting to sign up until they need it?

      --
      Chuuch. Preach. Tabernacle.
    79. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Which is worse?
      A 12k debt you can't pay (and please show me where there is a 12k deductible...)?
      Or a 300k debt you cant pay?

      And no, millions did not lose insurance.

    80. Re:how many small businesses has Obama killed? by dywolf · · Score: 1

      my wife is a teacher. im not disputing that.
      my point was that it didnt blow up, it didnt recieve massive amounts of attention, and most people didnt care until he said something.
      and at that point it did sadly become somewhat of a R/L issue for a lot of folks.

      --
      The guy who said the election was rigged won the presidency with the second-most votes.
    81. Re:how many small businesses has Obama killed? by dywolf · · Score: 4, Insightful

      Actually they did propose it. Several times. Especially in the 90s they would dust off their plan and push it as the alternative freemarket alternative to socialized medicine aka HillaryCare.

      No, they're not embarrassed by the plan, some candidates in comeptitive disctricts trying to keep their jobs aside.
      The website was a disaster, but for anyone familiar with government contracting, not surprising either. That's not a flaw with the law, but with governemtn contracting practices.

      And what deleterious effects?
      You're the one that needs to face reality.
      The law is working. It is doing what it was supposed to do.
      Not one GOP dire prediction has come true.

      --
      The guy who said the election was rigged won the presidency with the second-most votes.
    82. Re:how many small businesses has Obama killed? by CaptainLard · · Score: 1

      This clusterfuck is all on them.

      What clusterfuck? The fact that 10M more people (many in red states) have health insurance now than last year? That the economy continues to improve? That the world didn't explode? Or are you talking about the congressional clusterfuck due largely (but not entirely) to the GOP caucus deciding to spend the past 4 years refusing to try making any improvements, instead introducing 50+ bullshit repeal bills just so they can use it in their campaign ads?

    83. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      "flies in the face of actual facts."
      "Every single Republican in Congress opposed this plan"

      You discovered the reason! It is a republican plan, but a Democrat supported it, so suddenly all republicans are against it, despite all facts.

    84. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      If he said cyanide was toxic they would stand on the Capitol Steps and chug it just to spite him.

      You might have an idea there...

    85. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      GDP $181.1 billion (2013 est.) according to the International Monetary Fund, with a currency conversion that's not zimbabwe dollars, so what trillions are you talking about? It seems like you also believe the rich place their money inside of mattresses and don't invest it, grow the fuck up.

    86. Re:how many small businesses has Obama killed? by RoccamOccam · · Score: 1

      So, which Republicans voted for the ACA?...For that matter, what Republican support was needed to overcome a filibuster?

      Apparently you don't know much about this history of what you are talking about. The answer to that question (which I think you suspected had no answer): the Republican Senator from Maine, Olympia Snow.

      So, the Democrats created this whole crapload to satisfy one Republican Senator? Even though they didn't need her vote and she didn't wind up voting for it? And it's the Republicans' fault? Talk about delusional!

    87. Re: how many small businesses has Obama killed? by jedidiah · · Score: 1

      We are free citizens of a democracy?

      It is not the role of government to force people to buy things.

      Furthermore, Obamacare has done NOTHING to make health care more affordable. It does not address health care at all. It's a gift to the health INSURANCE industry.

      You are laboring under the bogus notion that "health insurance" == "health care"

      Insurance rates have not gone down and insurance plans haven't gotten better. If anything, people's attempts to be responsible and self-reliant are being actively sabotaged.

      AVOIDING insurance still remains the cheapest option in many cases.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    88. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Here's the deal: The biggest winners in the ACA expansion have been insurance companies. In order to get them to play 'nice' and drop pre existing condition clauses and cut back on overhead (significant, but not deal breaking issues) they got 5 years of guaranteed fee hikes. So you are seeing that now - premiums are rising fast. They will eventually flatten - after they jump 40-50% along with increased deductibles. Then the government will declare victory, quite a number of people will be newly insured but find out that actually utilizing the benefit clobbers your finances in terms of deductibles and other out of pocket costs.

      One step forward, one step back, four steps sideways.

    89. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Oh! Saving is hoarding. Come back when you've learned some real economics.

    90. Re: how many small businesses has Obama killed? by ConceptJunkie · · Score: 1

      so (for example) insurance companies aren't allowed to waste more than 20% of what you pay them, resulting in $billions in refunds being sent to customers who were previously being really ripped off.

      I'm sure this is a consolation to those folks who lost their policies. Or those folks whose premiums doubled and deductibles quadrupled.

      Fortunately, no one seems to mind the President arbitrarily, and unconstitutionally pushing the employer mandate back past successive elections, because once that kicks in, it will really hit the fan.

      Must be nice, passing a big boondoggle like ACA, taking all the credit and making sure all the bad stuff happens when you're out of office, or almost out of office, and are regardless, wholly unaccountable.

      --
      You are in a maze of twisty little passages, all alike.
    91. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      I don't get it... What is it about Obama that's so dark it just drives the GOP insane with frothing, spittle-flecked hate?

    92. Re: how many small businesses has Obama killed? by riverat1 · · Score: 2

      AVOIDING insurance still remains the cheapest option in many cases.

      As long as you remain healthy that may be true. If you happen to be one of the unlucky ones who develops cancer or multiple sclerosis or crashes your car uninsured then we all end up paying for you and the quality of care you get as an uninsured person is not as good as you otherwise would.

      I agree with you that the ACA was a gift to the health insurance industry but it's still better than the situation before it was enacted. The evidence from all of the other comparable countries that have enacted universal health care is that you will get generally as good if not better care for half to two thirds of the cost we were paying. Yes, if you're young and healthy it's going to cost you more than you otherwise might pay but most people don't stay that way forever.

    93. Re: how many small businesses has Obama killed? by kabulykos · · Score: 1

      Another anecdote: my copays are going way up, though my deductibles are staying stable and my employer is incentivizing me to switch to a high-deductible plan (with a generous HSA contribution to offset.) Basically, some well-paid professionals who had a lot of income by way of cushy health coverage are going to see some of that slip away as the new regulations ("Cadillac Tax") essentially close that loophole.

      If you were used to being well-paid via colonoscopies, yeah this change sucks. If you've been at all concerned with healthcare inflation (via Medicare) destroying the federal budget in your lifetime, then it seems an okay tradeoff.

    94. Re:how many small businesses has Obama killed? by Optic7 · · Score: 1

      They opposed it because they oppose everything that Obama does.
      Whatever he does, they support the opposite. No one cared about Common Core originally, and it was implemented in 43 states. But as soon as Obama said it was a good idea, everyone on the started freaking out and saying it was the worst EVAH.
      When he suggested bombing Syria they said no way.
      When he was reluctant to bomb Russia/Ukraine they said we needed to.
      If he said cyanide was toxic they would stand on the Capitol Steps and chug it just to spite him.
      If he cured cancer they'd complain he was putting doctors out of work.

      Yes, and here's a video reference of exactly this happening: http://www.cc.com/video-clips/...

    95. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      They stayed stable for me. I work at a medium sized college (a few hundred employees). One thing at work here may be that our negotiated policy didn't have to change much to meet the minimum requirements set forth by the ACA...the only one I can think of that changed was the dependent coverage age increasing.

      That being said, the previous few years were brutal...we had some years of 15-20% increase in premiums. In fact, due to our premiums holding steady, this is the first year in the past 4 or 5 that I'll actually take home *more* than the previous year, despite getting some (albeit small) raises.

    96. Re:how many small businesses has Obama killed? by cakiwi · · Score: 1

      The Democrats needed the vote of Olympia Snow to break the filibuster and get the bill passed in the Senate. It then went to the house where a modified bill was eventually passed. It then came back to the Senate and was passed using budget reconciliation rules requiring only a 50% vote and thus not needing the vote of any Republicans.

      Please become better informed before calling people delusional.

    97. Re: how many small businesses has Obama killed? by sirshannon · · Score: 1

      Probably due to ACA's Rate Review Provision. Insurance companies have to justify rate hikes of over 10% to the State. I was on BCBSNC at the time and they were prevented from raising their customary yearly increase that year.

    98. Re:how many small businesses has Obama killed? by amiga3D · · Score: 1

      Romney was one of the least popular Republican nominees ever. He inspired no excitement at all in the ordinary people but only among the party elites....the one's that tried to shove Jack Kingston down our throats in the primary in Georgia and now refuse to fully support David Perdue because he's not "their boy." The last Republican candidate I actually voted for for President that I liked was Reagan. Romney was so bad I didn't even bother making a choice, I skipped that one and moved down to the state elections. I think I actually prefer President Obama to that dickhead.

    99. Re: how many small businesses has Obama killed? by ConceptJunkie · · Score: 1

      You sound like you think you are a free and sovereign citizen of a republic founded on the inherent rights of the individual as bestowed upon by his Creator.

      You have no place in the United States.

      --
      You are in a maze of twisty little passages, all alike.
    100. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Welfare did end hunger. Welfare was passed by the Johnson administration. It was the first social war: War on Hunger.

      The US used to have massive malnutrition issues. Hundreds of thousands of people, mostly in the rural south, suffered from malnutrition (it was even worse before Big Brother required fortification of food staples).

      Learn your history. There are many success stories when it comes to big government. The programs that waste the most money tend to be the ones the Republicans actually like: defense, police, etc.

    101. Re: how many small businesses has Obama killed? by ConceptJunkie · · Score: 1

      As, yes, you can thank the "Getting Some" amendment that was slipped in the night before it was passed.

      --
      You are in a maze of twisty little passages, all alike.
    102. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      a $12,000 deductable? deductables are only paid when the service is required.

      I'd rather a $12,000 deductible on a $45,000 income than a $100,000 hospital bill any day of the week.

    103. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      ACA came from the plan proposed by the Heritage Foundation, a conservative Christian think tank. This is the Republican plan co-opted by the Democrats. They were before it, before the were against it.

    104. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Republicans are proof-positive that the standard economic model of rational agent actors is unrealistic, as most poor people are Repubican, yet they routinely vote against their immediate and long-term interests.

      We have to treat large parts of the country as developing economies. That means capitalism (which is one of mankind's greatest inventions, where capitalism means protection of private property interests and private financing) won't lead to net gains in wealth. When people can't vote with their feet (immobility, skills gaps, etc) all the assumptions about free labor markets must be thrown out the window).

      The irony is that Obamacare improves worker mobility tremendously, because you get to keep your insurance for cheap after leaving a job. In many respects Obamacare is a prerequisite for a more free market economy.

    105. Re:how many small businesses has Obama killed? by amiga3D · · Score: 1, Troll

      It's mandated that people must have insurance. Must have it whether they want it or not. That's as un-American as it gets. It goes beyond the usual Democratic party socialism.

    106. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      No, Hillary took the plan from the Heritage Foundation. Please, give credit where credit is due.

    107. Re:how many small businesses has Obama killed? by ConceptJunkie · · Score: 1

      > In theory that works great, in practice it does not work at all.

      Actually, it works just fine. The problem is that the people adversely affected by bad policies don't realize the bad policies are to blame and keep voting for them.

      See Detroit.

      --
      You are in a maze of twisty little passages, all alike.
    108. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Give credit where credit is due and thank the Republicans. This was their plan before the Democrats co-opted.

    109. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      Middleclass family head here. At lunch I reduced my retirement contribution by 3% to help pay for our increased health costs under our great new compliant plan. I was a supporter but I've never had to worry about medical costs for my young healthy family before. I'm hoping the retirement reduction will be enough to not have to actually make a drastic life change like downgrading the house or selling a vehicle.

    110. Re:how many small businesses has Obama killed? by ConceptJunkie · · Score: 2

      Saying, "if you don't like it, move" is just naive.

      I don't think anyone thinks this is socialized healthcare, but it is closer to socialized healthcare than it was before. The most important point is that it is not a free market. Not even close. So anyone expecting any of the benefits of a free market aren't going to find it. All that's happening is that the government is distorting the market in order to fix problems that were largely caused by the government distorting the free market. It's a vicious cycle of trying to fix the broken fixes with more broken fixes, with the same results.

      Also, enacting ACA has just replaced, "If you don't like it, move to another state." with "If you don't like it, move to another country." I've moved between states (for job reasons, not policy reasons) and it wasn't any more effort than getting a new driver's license and figuring out a new state income tax form. People move all the time. It's really not a big deal.

      However, I don't think leaving the U.S. is quite that simple. Plus it's the U.S. It's the country everyone in the world goes to to escape the crapholes they currently live in. I'd prefer we not ruin it.

      So your argument is, if I my be so bold, just a little flawed.

      --
      You are in a maze of twisty little passages, all alike.
    111. Re: how many small businesses has Obama killed? by ConceptJunkie · · Score: 1

      And Romney wasn't just some RINO rebel GOP governor in a backwater state that the GOP could write off as being a product of a liberal constituent... he was who the GOP chose to be the shining star and face of their party to combat the derivative of the very plan Romney pushed for in his home state.

      You really don't understand the Republican Party if you think those things are mutually exclusive. Nominations are as much a smoke-filled back-room process as they ever were and the leadership of the GOP neither respects, nor is respected by, the majority of people who consider themselves Republican.

      --
      You are in a maze of twisty little passages, all alike.
    112. Re: how many small businesses has Obama killed? by ConceptJunkie · · Score: 1

      What is worse, a million people with a 12k debt they cannot pay or a thousand with a 300k debt they cannot pay?

      --
      You are in a maze of twisty little passages, all alike.
    113. Re:how many small businesses has Obama killed? by ConceptJunkie · · Score: 1

      I think the moderators have adjusted your score because it's plus 5 informative now.

      Also, a lot of those "last minute concessions" were nothing but naked bribes. Those "conservative" Democrats who voted for ACA were bought and sold.

      --
      You are in a maze of twisty little passages, all alike.
    114. Re: how many small businesses has Obama killed? by ConceptJunkie · · Score: 1

      Yeah, that ship has sailed. Now it's Federal Government uber alles and the states can, um, I guess they can still vote whether or not they use Daylight Saving Time.

      What 10th Amendment?

      --
      You are in a maze of twisty little passages, all alike.
    115. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      He still doesn't like Obama but he certainly loves the government teat.

      Best summary I've seen of most Republican voters.

    116. Re: how many small businesses has Obama killed? by tribeca.kaji · · Score: 1

      Are you actually consuming healthcare via ACA? My co-payment is $20 and my prescriptions are less than $5. My monthly insurance payment is 25% less than what it was with my last company. Perhaps my story is a bit of a unicorn but I did nothing special. I went to the website, picked a similar plan compared to the one I would be giving up and it just so happens that the fine print has really worked out in my favor. I have a few friends with similar experiences. We are tech workers, above average incomes. We're not eligible for some of the tax breaks. I don't *think* we are the ones people are upset about subsidizing. My payments is completely out of pocket with no incentives, but I'm saving $150 per month and paying far less for regular doctor visits (about 4-5 times a year).

    117. Re: how many small businesses has Obama killed? by oh_my_080980980 · · Score: 1

      You really are an ass-hole aren't you. What Doctor sees you without health insurance. Go make an appointment to see a doctor and then tell them you don't have health insurance.

    118. Re:how many small businesses has Obama killed? by CosaNostra+Pizza+Inc · · Score: 1

      Also, If everyone decides to move in to just a few states because they have great healthcare, those states will eventually be overburdened and then it will suck to live in those states too.

    119. Re:how many small businesses has Obama killed? by oh_my_080980980 · · Score: 1

      You mean like contraception coverage that was boycotted by the Churches because it got their panties in a twist...

    120. Re:how many small businesses has Obama killed? by oh_my_080980980 · · Score: 1

      Republican want to end flood insurance. Nice try Zippy.

    121. Re: how many small businesses has Obama killed? by Attila+Dimedici · · Score: 1

      There are doctors who will see you without health insurance. Doctors who will arrange a payment plan.

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    122. Re: how many small businesses has Obama killed? by fustakrakich · · Score: 1

      I agree that they should have expanded Medicare to cover everyone who wanted it - that's by far the most efficient system with the highest patient satisfaction. Much better than private insurance, so likely the competition would have forced insurers to become at least marginally efficient and improve coverage.

      I'm sure you understand why that didn't happen, right? And you do know that it will never happen while the voters keep reelecting lying carpetbaggers into office, right?

      The old cliche, "Follow the money" could not be more important than it will be on Tuesday. Maybe people might start voting for *Medicare for all* instead of the insurance companies their regular politicians represent. And my Romex watch really is authentic. See, I have to believe that if I'm going to believe anything out of the ordinary is going to happen.

      --
      “He’s not deformed, he’s just drunk!”
    123. Re:how many small businesses has Obama killed? by ganjadude · · Score: 1

      the heritage foundation plans were never intended to be federal, hillary did that

      --
      have you seen my sig? there are many others like it but none that are the same
    124. Re:how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      There is unemployment but there is plenty left to do in a wider variety of jobs, and plenty of people slacking away on government funds and giving the real poor (many of which work whenever they get a job) a bad name.
      But more to the point: most workers in the 12th century were little better than slaves that payed the slacking of some lord that didn't want to work (and was forbidden to do anything but war in some places). Rings a bell?

    125. Re:how many small businesses has Obama killed? by david_thornley · · Score: 1

      If Obama comes out 100% for oxygen, and Republican leaders come out very strongly in favor of food, perhaps we can eliminate several million party fanatics and get back to governing.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
    126. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      For the Government: 1,000,000 people owing 12,000

      For the individuals owing money: being one of the 1,000 people.

    127. Re: how many small businesses has Obama killed? by s0nicfreak · · Score: 1

      and please show me where there is a 12k deductible...

      Right over here, for my 6 person family where the deductible went up to 2k per person.

    128. Re: how many small businesses has Obama killed? by ScentCone · · Score: 1

      My wife and I, who are in our fifties, had a plan that cost us about $250/month, and which had a $2,500 annual deductible. Then came the affordable care plan. Now we have to buy insurance that covers babies we'll never be having, treatment for drug addictions and mental problems we don't have, and our monthly rates that have jumped to over $800, with a $12,000 deductible. We're also no longer able to use our familiar doctor unless we pay cash that doesn't count against that deductible. That is the least expensive plan available in our state's Obamacate-compliant regulated market. Yay!

      --
      Don't disappoint your bird dog. Go to the range.
    129. Re:how many small businesses has Obama killed? by sribe · · Score: 1

      You appear to be suggesting that we keep the "pre-existing conditions" bit but eliminate the individual mandate. Do you have an explanation for why people would carry health insurance coverage while they're healthy instead of simply waiting to sign up until they need it?

      Read it more carefully. I'm pretty sure he was being sarcastic and parodying some of the ridiculous right-wing arguments, and agreeing with you, albeit in a somewhat subtle non-obvious manner.

    130. Re: how many small businesses has Obama killed? by ZorglubZ · · Score: 1

      _So anyone expecting any of the benefits of a free market aren't going to find it._
      You mean, you have to pay a premium to call it _free_? That's the most popular one I've seen... besides lowering costs for manufacturers by lowering wages. That one's a favourite!

    131. Re: how many small businesses has Obama killed? by laird · · Score: 0

      Actually, since ACA passed, healthcare costs have gone up more slowly than any time decades - 2-3% instead of the 7-9%. And everyone benefits from the reforms limiting insurance company waste, etc.

      Want to try again with some facts?

    132. Re: how many small businesses has Obama killed? by laird · · Score: 0

      Nice theory. In reality, "While some larger firms who have to provide insurance for employees come 2015 are cutting back employee hours to part-time to avoid paying for their health coverage, others like Walmart have moved tens of thousands of workers from part-time to full-time to embrace the law. Also, many smaller firms will be able to hire more workers due to their ability to provide them with better benefits at cheaper rates." So the total impact is, at worst a fraction of a percent of workers losing coverage.

      And for employers that cut hours to avoid providing healthcare benefits, I don't have much sympathy. They're cutting their costs a tiny bit, in order to increase their employee's costs much more, which IMO is pretty obnoxious.

    133. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      If nobody needs to work in Utopia, who is going to grow the food, provide health care, dig the ditches, and take out the garbage?

    134. Re:how many small businesses has Obama killed? by gzuckier · · Score: 1

      Are republicans so stupid that they can not see it's a Republican system?

      Their memories are simply that short. That's how they forget that none of their interests have been served by their elected politicians, and proceed to re-elect them.

      Here in California, however, we re-relected Jerry Brown. That's very like re-electing Marion Berry. Heh heh heh.

      Being a republican means having no long term memory. Most of them don't even remember voting for Bush, and those that do vaguely remember how great things were when Bush was president and how much worse they are now.

      --
      Star Trek transporters are just 3d printers.
    135. Re: how many small businesses has Obama killed? by gzuckier · · Score: 1

      We are free citizens of a democracy?

      It is not the role of government to force people to buy things.

      Furthermore, Obamacare has done NOTHING to make health care more affordable. It does not address health care at all. It's a gift to the health INSURANCE industry.

      You are laboring under the bogus notion that "health insurance" == "health care"

      Insurance rates have not gone down and insurance plans haven't gotten better. If anything, people's attempts to be responsible and self-reliant are being actively sabotaged.

      AVOIDING insurance still remains the cheapest option in many cases.

      Absolutely, for the young and healthy, not getting insurance is always financially best. Of course, this just means they will pay more later, when they are old and sick. Which means they will not get insurance longer and longer. Which means the costs will be even higher when they do get it, when they are older and sicker. Which means they will not get insurance even longer. You see where this goes? Any competent engineer will tell you that if you want to eliminate an undesirable positive feedback, you need to damp it out. Like by requiring people to buy insurance. Or charging them a penalty if they don't. If people are responsible and self-reliant, they will buy insurance anyway, and they won't face either of those and won't be sabotaged, will they?

      --
      Star Trek transporters are just 3d printers.
    136. Re: how many small businesses has Obama killed? by gzuckier · · Score: 1

      By far the biggest impact from Obamacare has been the expansion of Medicaid. That could've been accomplished without messing with my private insurance.

      If your insurance is through your employer, then it's not really messed with. If your insurance was through individual plans or a small group employer, then it really needed to be messed with. Insuring small groups or individuals is a disaster area, and insurers behaved accordingly; by having a lot of people end up on Medicaid, fror example. If you happened to come out ahead of the game by accident, that doesn't make it a wonderful feature of American life

      --
      Star Trek transporters are just 3d printers.
    137. Re: how many small businesses has Obama killed? by kenh · · Score: 1

      Define 'efficient'?

      Whole industries have been created because of lax oversight by Medicare - like, for instance, the personal 'scooter' (chair) industry.

      The fraud in Medicare is staggering, it is a multiple of the 'fraud, waste, and abuse' of even the worst 'for profit' insurance company.

      For example, two people, over 7 years, committed $258M in Medicare fraud - http://www.miamiherald.com/new...

      Even Planned Parenthood was charged with Medicare fraud:

      Texas - http://online.wsj.com/articles...

      Ad Naseaum...

      --
      Ken
    138. Re: how many small businesses has Obama killed? by ArtDvl · · Score: 1

      You have no idea how hard farmers work, getting up at the crack of dawn and finishing up the day well after 6 or 7 o'clock in the evening. Yes there's a lot of downtime in the winter time. But generally farmers also have live stock to take care of also and that is also hard work. Under communism Russian farmers didn't have it any easier than either some people know what hard work is some people just bitch that they don't get as much money as I'd like to. If you're unhappy with your lot in life perhaps you should have worked towards making yourself one of those CEO people I'm seeing lots of stories and CEO is coming up from nothing so it's not like you have to have a silver spoon in your mouth just have to go to school get your NBA and work your butt off to get to the top.

    139. Re: how many small businesses has Obama killed? by ArtDvl · · Score: 1

      I just noticed a lot of typos in my previous post faulty speech to text

    140. Re: how many small businesses has Obama killed? by laird · · Score: 1

      And even with all of that Medicare is vastly more efficient, and has higher patient satisfaction rates, than private healthcare.

    141. Re:how many small businesses has Obama killed? by laird · · Score: 1

      Sure. Only mandatory insurance Nixon's proposal, and Romney's, and numerous other Republicans over the years, because only by making it mandatory does it work for the insurance companies. It only became "un-American" when Obama endorsed their proposal.

    142. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      So.... If we were not so lazy, we would all be CEOs. Nice try. In your world who would do the work??

    143. Re: how many small businesses has Obama killed? by kenh · · Score: 1

      most poor people are Repubican, yet they routinely vote against their immediate and long-term interests.

      Defend this assertion please.

      Do you imagine the nebulously-defined 'middle class' is the exclusive providence if the Democrats, and that all the 'poor' and the '1%ers' are all Republicans? That seems to be what you are saying...

      --
      Ken
    144. Re:how many small businesses has Obama killed? by NoImNotNineVolt · · Score: 1

      Indeed, on second read, the sarcasm is apparent. I feel especially stupid.

      --
      Chuuch. Preach. Tabernacle.
    145. Re:how many small businesses has Obama killed? by sribe · · Score: 1

      Indeed, on second read, the sarcasm is apparent. I feel especially stupid.

      Sarcastic parody yes, but it really wasn't that far off from what the right wing was suggesting. It's not your fault that it has literally become difficult to distinguish between what Republicans are proposing vs parody ;-)

    146. Re: how many small businesses has Obama killed? by Anonymous Coward · · Score: 0

      It is not the role of government to force people to buy things.

      ...

      AVOIDING insurance still remains the cheapest option in many cases.

      Does this mean you have no objection to hospitals turning away anyone who cannot demonstrate ability to pay, or do you just prefer to have uninsured/underinsured folks paid for directly out of taxpayer pocket and come in contagious so you don't have to pay for insurance? You cannot have no insurance mandate and mandatory hospital provided care for free, the money has to come from somewhere.

    147. Re:how many small businesses has Obama killed? by Ororo · · Score: 1

      Moving is expensive both in terms of money and time, so the vast majority of people literally can't afford to do anything other than try to change the offending policy. Saying, "if you don't like it, move" is just naive.

      Thank you. This argument drives me batshit crazy. It assumes resources that in all likelihood do not exist. There's also that little problem of finding a job in the new location. It's not easy to find a job out of state, most of the time when you apply they tell you to, "Call when you're in town and available." Moving a family is hard. Moving yourself without the family pretty much doubles your expenses. Then there's finding a new job without an address and getting a new place to live without a job. Yeah, you can always move.

    148. Re: how many small businesses has Obama killed? by jwhitener · · Score: 1

      Or we can stop with the anecdotes and look at a study: McKinsey Center for U.S. Health annual report

      Some quotes from the Forbes article:

      Any self-respecting conservative knows all too well that McKinsey is immune from attack as an organization committed to presenting a left leaning political slant as it remains a bastion of business advice and a company that simply cannot be painted with a blue brush.

      When was the last time we saw insurance premiums experience an annual increase of less than 5 percent? I cannot remember such a time and doubt that you can either.

      All in all, it is going to be quite a stretch for Obamacare opponents to turn this data into bad news. Increased competition among insurers means better prices and better policies. An increase in the number of policies one can choose from also means improvements in policy quality and premium costs.

    149. Re: how many small businesses has Obama killed? by jwhitener · · Score: 1

      I just went to https://www.coveroregon.com out of curiosity. I pretended to be a family of 4 with a 45,000 dollar income. There were a bunch of plans to choose from, including ones with 1,500 dollar deductibles. I think that one looked like it covered 35% of costs after the 1,500, but like all plans, caps the total amount you would ever have to spend per year to cover emergencies. Like, you would never get stuck with 35% of a 100,000 dollar bill. The cap is something like 10k or 12k.

  2. Lemme guess by marcello_dl · · Score: 5, Insightful

    A: the insurance companies.

    --
    ---- MISSING MISCELLANEOUS DATA SEGMENT --- [sigdash] trolololol
    1. Re:Lemme guess by Anonymous Coward · · Score: 0

      Gotta keep those corps happy. Corporations are voters too!

    2. Re:Lemme guess by marcello_dl · · Score: 3, Funny

      > RTFA
      Not even once.

      --
      ---- MISSING MISCELLANEOUS DATA SEGMENT --- [sigdash] trolololol
    3. Re:Lemme guess by Gr8Apes · · Score: 5, Informative

      Doctors, hospitals, insurance companies, patients and employers have only had unneeded and unwanted intrusion, regulation and control into all their interrelationships. None of them benefit. The Government (i.e., "the people of the government" or the ruling class) are the only winners. Everyone else pays and loses at their expense.

      Seriously? Insurance companies are part of the problem in health care, interfering with doctors, patients, and hospitals in providing/receiving care. They need to be regulated to doing their job (providing averaged risk assessment policies) and stay out of the hospitals and doctors business.

      --
      The cesspool just got a check and balance.
    4. Re:Lemme guess by krygny · · Score: 2, Interesting

      I stopped at the very first line of TFA.

      "After a year fully in place, ..." I call BULLSHIT!! right there.

      So, why bother? It's a sales pitch.

      --
      Research shows that 67% of those who use the term "research shows", are just making shit up.
    5. Re: Lemme guess by orlanz · · Score: 1

      Ignoring the insults in your post... You still provided the far more expensive emergency medical care to the former group in the old system. What has changed? Now you know you are doing it?

    6. Re:Lemme guess by mrlinux11 · · Score: 1

      Do you mean the same Doctors who have filed fraudulent claims to the tune of Billions ? While I can not stand medical insurance companies, someone needs to monitor the system.

    7. Re: Lemme guess by Anonymous Coward · · Score: 2, Insightful

      Ignoring the insults in your post... You still provided the far more expensive emergency medical care to the former group in the old system. What has changed? Now you know you are doing it?

      Insurance is just cost shifting. These people are still going to have heart attacks and cancer and strokes. Now the cost channels run directly through the insurance co.s, instead of running indirectly through the insurance costs of the uncovered (because the hospital had to charge more due to the poorest being unable to pay etc).

      So basically nothing has changed, except insurance co.s get to insert their useless selves into more people's lives and pocket more money. ACA has always been a corporate handout, it just doesn't explicitly name Haliburton, Boeing, etc and so it gets a pass. The ACA done correctly would have been single payer, put the insurance co.s out of business, etc

    8. Re:Lemme guess by Anonymous Coward · · Score: 0

      Doctors, hospitals, insurance companies

      Yeah, they preferred the OLD government intrusion that created HMO's and made them all rich at your expense. That's the kind of government lead intrusion into healthcare they can all get behind.

    9. Re:Lemme guess by Anonymous Coward · · Score: 0

      Reporting facts isnt a sales pitch.

      This is a sales pitch:
      I'm saving over $200 a month having switched to the exchange for coverage for myself.
      The company plan was a PPO, 500$/mo, 2k deductible, 20% coinsurance, 4k OOP limit.
      My exchange plan is an HMO, $300/mo, 0 deductible, 0% coninsurance (couple of flat fee copays, none over 40$ except for Xrays and MRIs), 1k OOP limit.
      And that's without subsidies (I make too much money).

      If I move my family to the plans the company plan jumps to 1200/mo, but my exchange plan only goes to about 900$/mo, 200 for my kid, 400 for my wife.

    10. Re: Lemme guess by Anonymous Coward · · Score: 0

      Well I'm not GP but here is my problem. Most everything in ACA were things we needed as a society, but I've been working for 10 years in a good career in a strong industry. I am for the first time ever carrying medical debt on my credit card (something I didn't even have to do before my wife and I had insurance). This isn't because of some strange new medical condition, it is because we had a child. Our previous two children, born under a traditional plan, were covered enough to protect us from debt. I'm in the bottom of the top quintile. My support for ACA wasn't to make more people go into debt for health care.

    11. Re: Lemme guess by Anonymous Coward · · Score: 0

      You mean the same insurance companies that the government incentivized business to use in the first place (leading to the mess we have today)?

      Federal policy always causes these issues. Always.

    12. Re:Lemme guess by JaredOfEuropa · · Score: 1

      Yes, but certainly not just the insurance companies. I see the same issues in my own country with its weird system (insurance is private but it's mandatory to have it). In our case at least I suspect that there is some collusion between insurers going on; competition is failing. And if there is no real competition or no way for one insurer to get much better prices than others, do you think insurers will prefer a $100 bill for setting a bone, or a bill for $2.000? They'll just up the premiums.

      --
      If construction was anything like programming, an incorrectly fitted lock would bring down the entire building...
    13. Re: Lemme guess by Anonymous Coward · · Score: 0

      Now I pay more and my taxes get spread thinner. Considering we borrow a trillion dollars a year(do a little math and calculate how big that pile of money is in $100 bills) do you think we should go more into debt? Wouldn't it make more sense to enact a bit of tort reform and make healthcare a bit more streamlined rather than more complicated? Y'all want universal healthcare. Actually talk to someone who lives in Canada or the UK sometime.

    14. Re:Lemme guess by cold+fjord · · Score: 5, Insightful

      Quite right. Obamacare won't be "fully in place" until all of those "temporary wavers" go away, and we are past the front loaded funding to see what it really costs.

      There is still a lot of smoke and mirrors being used to obscure the real cost and ultimate impact of Obamacare. Why do you think that is?

      --
      much of left-wing thought is a kind of playing with fire by people who don't even know that fire is hot - George Orwell
    15. Re:Lemme guess by Anonymous Coward · · Score: 0

      Quite right. Obamacare won't be "fully in place" until all of those "temporary wavers" go away

      Who are they? Maybe the people who were happy with their existing plan but were forced to wave goodbye to it?

    16. Re:Lemme guess by Oligonicella · · Score: 2

      "Reporting facts isnt a sales pitch." Reporting only a portion of the facts is.

    17. Re:Lemme guess by u38cg · · Score: 1

      I'm not an expert on US insurance, but I do work for an insurer and I'm pretty sure US health insurers don't enjoy the position they're in. Insurers should be top-slicing excess of risk; instead, they're left with an expensive involvement every time you get your flu vaccination.

      --
      [FUCK BETA]
    18. Re: Lemme guess by Oligonicella · · Score: 1

      Newsflash : you are not living alone on an island but in a society.

      Newsflash back at'cha AC. We're not ants or bees either, but a collection of individuals working (ideally not being bludgeoned) to cooperate. I prefer that to living in a drone society - like those bees and ants.

    19. Re:Lemme guess by Anonymous Coward · · Score: 0

      No, insurance companies are the only thing advocating for lower costs in the healthcare system - everyone else's incentives are toward higher costs. Patients (after co-pay/deductible) are not directly paying for care, so have no incentive to choose a significantly cheaper option that is 90-95% as effective (their premiums won't be impacted by their own individual claims). Doctors similarly have no incentive to choose a significantly cheaper option that is 90-95% as effective. Insurance companies do have a significant incentive to push doctors toward that cheaper option that is 90-95% as effective.

    20. Re:Lemme guess by dywolf · · Score: 1

      And what part are they leaving out, pray tell?

      --
      The guy who said the election was rigged won the presidency with the second-most votes.
    21. Re: Lemme guess by Anonymous Coward · · Score: 1

      Only because WWII.
      80 years ago we didnt have time to worry about helathcare, we had other things to attend to, namely, kicking Nazi butts.
      We started incentivizing employer provided insurance. It's still around today. And yes the resulting market and practices Suck.
      Contrast with say England, who just nationalized the whole thing during hte war cause it was simpler and people needed treated, since they were actually being attacked and stuff. And they likewise still have it today. And while it has its problems, is a far better system than ours, and helped lead the way for nationalized systems across Europe.

      So you cant really say its defacto always government's fault or government always causes problems.
      the actual choice made matters more than the entity making the choice.

    22. Re: Lemme guess by dywolf · · Score: 1

      You are correct but this country still isnt ready to adopt single payer. especially as it has shifted further rightward in recent history. remember its been almost 50 years since the last round of large social programs was implemented with LBJ's Great Society package. This country, sadly, may never be ready for single payer.

      --
      The guy who said the election was rigged won the presidency with the second-most votes.
    23. Re: Lemme guess by dywolf · · Score: 1

      No, because tort reform would only lead to a 3-5% cost savings, at best.
      Its been studied. The source of our outrageous costs isnt lawsuits.

      --
      The guy who said the election was rigged won the presidency with the second-most votes.
    24. Re:Lemme guess by Archangel+Michael · · Score: 2, Insightful

      Reporting only the fact you like, ignoring the facts you don't on an incomplete process is factually inaccurate at BEST. I've always said, liberal bias isn't what is being reported as much as what is not being reported.

      Case in point, Sarah Palin's daughter Bristol's Bruhahah has been reported on several times (as many as a dozen on one network), while the more serious charge of Cocaine possession caused him to be discharged by the Navy was not covered by most and only once by those that did.

      What is the difference other than liberal disdain for anything "Palin" and covering up anything that makes the current Administration look bad? FYI, the Bidens are part of the "1%" that liberals love to hate (except when it is liberal democrat)

      Mind you, I don't have a dog in this fight between (R) and (D), since I am an (L). I just wish coverage was equal. But then again, I believe that politics is so infused in reporting these days, watching news from either MSNBC or FOX NEWS is only getting part of stories, and why we all should spend more time getting news from raw sources.

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
    25. Re: Lemme guess by Anonymous Coward · · Score: 0

      And while it has its problems, is a far better system than ours,

      Citation needed.

    26. Re: Lemme guess by matbury · · Score: 1

      From my experience, Canada doesn't actually have universal healthcare. Under certain conditions, Canadians and Permanent Residents can lose their healthcare coverage and have to pay out of their own pockets. There are also charges for medicines that are over and above the prescription fee. I'd call that semi-public healthcare. If I go back to any country in the EU, the fact that I have an EU passport is enough to get me healthcare without any charges, except a modest prescription charge if I'm earning a salary. EU countries still spend less per capita on healthcare than the US' "competitive" privatised healthcare system.

      In addition, in makes more sense for public healthcare systems to pursue policies that reduce the overall cost of the system. In EU countries, there's a greater emphasis on early intervention, e.g. in Germany doctors can prescribe preventative therepeutic massage and spa visits to reduce stress and overwork (that would normally lead to sickness and longer periods of time off work and in treatment), and on prevention, rather than the more profitable "sick-care" that people in the US get, i.e. later, more expensive interventions and unnecessary drug therapies. People in the US take far more prescription drugs than anywhere else and it takes a toll on their overall health, e.g. through not attending to underlying causes of health problems, masking symptoms, and adverse side-effects.

    27. Re:Lemme guess by Archangel+Michael · · Score: 3, Insightful

      The fact that cash price for surgery is $65,000 while insurance paid only $6200 is criminal.

      That, and adding middlemen always increases prices. Insurance is middleman.

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
    28. Re:Lemme guess by Jawnn · · Score: 1

      Seriously? Insurance companies are part of the problem in health care, interfering with doctors, patients, and hospitals in providing/receiving care. They need to be regulated to doing their job (providing averaged risk assessment policies) and stay out of the hospitals and doctors business.

      +1 for actually understanding the real problem. Well put, sir.

    29. Re:Lemme guess by CrimsonAvenger · · Score: 1

      In our case at least I suspect that there is some collusion between insurers going on; competition is failing.

      More likely, they're all using the same actuarial tables, and thus getting pretty much the same answers as to costs of insuring the general population.

      Which, along with government regulation of insurance providers, will generally mean that "competition is failing".

      Note, of course, that lack of government regulation of insurers produces other undesirable results. Which is why you have government regulation of same. But it still reduces competition when everyone is pretty much required to provide exactly the same services without price discrimination....

      --

      "I do not agree with what you say, but I will defend to the death your right to say it"
    30. Re:Lemme guess by Jawnn · · Score: 1

      Do you mean the same Doctors who have filed fraudulent claims to the tune of Billions ? While I can not stand medical insurance companies, someone needs to monitor the system.

      The insurance industry is, clearly and demonstrably, not who consumers want in that role. And BTW, straw man much?

    31. Re:Lemme guess by sound+vision · · Score: 1

      Indeed... while it's good that there are less uninsured people now, it doesn't fix the problem that the whole profit-driven (lack of) healthcare system is rotten to the core. I sure don't have any type of health care, public or private. I am expecting a fine at some point, though. Some of the regulatory patchwork like expanding medicare, or letting college students stay on their parents' insurance until 25, will pump up the numbers -- for a while. For some. Meanwhile, people will continue slipping through the cracks, costs will continue to rise. The only question for me is, how many years will it take for the house of cards to come tumbling down? When do we establish an actual healthcare system like every other developed country? How far will my teeth and spine have deteriorated and my carpal tunnel syndrome progressed in the meantime? Even if I do end up with a shitty, expensive healthcare plan before then, how much debt will the necessary surgeries put me in?

    32. Re:Lemme guess by Anonymous Coward · · Score: 0

      The only group that has seen a 100% benefit from this and the surrounding hype is the New Media...

    33. Re:Lemme guess by Anonymous Coward · · Score: 0

      The fact that cash price for surgery is $65,000 while insurance paid only $6200 is criminal.

      You realize that the "criminal" there is organization charging $65k, not the insurance company.

      That, and adding middlemen always increases prices. Insurance is middleman.

      No, the insurance company is saving you $58.8k (assuming you are paying all $6.2k out of pocket).

    34. Re:Lemme guess by thrich81 · · Score: 1

      I would guess that the difference in reporting is that the Palin family has been far more entertaining over the years than the Biden family, and that is what the media is in the business of now -- entertainment to draw in those ratings. The Biden cocaine case raises far more useful questions about the drug laws in this country and how the upper 1% are treated by the justice system -- but that's not going to bring in the ratings. This is the free market at work -- isn't that how the (L)s want it?

    35. Re:Lemme guess by Anonymous Coward · · Score: 0

      Why guess when you can RTFA? Then you might get the right answer. Or was that not what interested you?

      No, he's read the stock charts of AET and WLP.

      Democrats had to pass something, anything, in order to claim they'd brought healthcare reform.
      Republicans had to oppose whatever was passed, anything, in order to gain political advantage over Obama.

      In the end, we got exactly what we deserved: a law written by, and for, the insurance companies. And a debate rancorous enough (to the present day, given the size of this thread) to guarantee that single-payer will never be on the table again. That suits Aetna and Wellpoint just fine.

      We continue to have the highest health care costs on the planet, and most of the revenue goes to middlemen (insurance companies) and administrative overhead (doctors offices spend more time processing claims than providing care), not to providing medical care. It's nice that a kid with cancer can get insurance instead of being left to die. But the flip side is the system will still bleed him dry because there'll always be one out-of-network provider who guarantees he dies broke. Because we reformed heath *insurance*, but we didn't do anything to reform health *care*. (That also suits Aetna and Wellpoint just fine.)

    36. Re:Lemme guess by fahrbot-bot · · Score: 1

      The fact that cash price for surgery is $65,000 while insurance paid only $6200 is criminal.

      The list price for a 1 month supply of my wife's brain tumor medicine, Temodar, was $11,000 in 2005. My BCBS only required a 10% co-pay, and her Optima only required $40 - what we paid. I still can't wrap my head around the discrepancy.

      Pro tip: When your pharmacist says, "I hope you have insurance." - worry.

      --
      It must have been something you assimilated. . . .
    37. Re: Lemme guess by Anonymous Coward · · Score: 0

      But you can pay out of pocket for medical care in Europe (as a US tourist) and only pay 10-20% of what you would in the United States. Those cost savings are built into the various heath systems in Europe.

    38. Re:Lemme guess by Anonymous Coward · · Score: 0

      Statisticians....

    39. Re:Lemme guess by Anonymous Coward · · Score: 0

      My wife racked up something like $250,000 in medical bills over the past three years and our private HSA insurance paid the vast majority of that. It still broke the bank for us, but insurance still saved us ~90% of the retail cost. But yeah, insurance companies are "evil."

    40. Re:Lemme guess by Anonymous Coward · · Score: 0

      Doctors, hospitals, insurance companies, patients and employers

      which one of these is different from the others? that's right: insurance companies. it's health care to all the others, and money care to the insurance companies.

      have only had unneeded and unwanted intrusion, regulation and control into all their interrelationships.

      sounds like what the insurance companies are doing to all of the others.

    41. Re:Lemme guess by oh_my_080980980 · · Score: 1

      Somebody watches FoxNews...

    42. Re:Lemme guess by Archangel+Michael · · Score: 1

      You probably don't even realize what you did, but you admitted there is a double standard and that you don't care. Nicely done.

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
    43. Re:Lemme guess by Archangel+Michael · · Score: 1

      Why is there such a price difference. I don't care what insurance saved me, I want the same price for everyone. Is that so hard ?

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
    44. Re:Lemme guess by Gr8Apes · · Score: 1

      Patients can't choose cheaper care, because there are no posted rates. This is one of the primary problems with the current system, the fact that what you're charged depends upon who you are and how you're paying. That should have been one of the first things to go in the ACA.

      --
      The cesspool just got a check and balance.
    45. Re:Lemme guess by Gr8Apes · · Score: 1

      US insurers are in one of the best industries out there, with an incredible position. Name me another business where you're guaranteed 20% profit after costs, and those costs can include building office buildings and the profit excludes renting those office buildings after 2-3 years? Ever wonder why banks and insurance companies buy real estate and build office buildings during recessions?

      Yeah, let's just say that insurance companies are not getting a sympathy card from me anytime soon.

      --
      The cesspool just got a check and balance.
    46. Re:Lemme guess by Gr8Apes · · Score: 1

      This would be called "posted rates", something forced on the auto repair industry and auto insurance companies in the 70s. It worked well there.

      --
      The cesspool just got a check and balance.
    47. Re:Lemme guess by BasilBrush · · Score: 1

      Pro tip: When your pharmacist says, "I hope you have insurance." - worry.

      None of the pharmacists here ever say that. The cost is always the same fixed fee per item - about $5. Where an item tends to be a 28 day supply of whatever the drug is.

      And it's completely free for those on means tested welfare.

      No insurance ever required.

      Thank you Britain's National Health Service.

    48. Re:Lemme guess by BasilBrush · · Score: 0

      Is that so hard ?

      Without regulation, yes. One of the many flaws in your libertarian ideology.

    49. Re: Lemme guess by david_thornley · · Score: 1

      You're overlooking a few things. For one: people without coverage tend to get care at emergency rooms, which is cost-ineffective and clogs them for real emergencies. If they have insurance, they can get care in more reasonable places. Another thing: the country isn't divided into lazy bums with bad health and hard-working people with good health. Or: Last I talked to people in the field, the number one reason people stayed on welfare when they could get a job is that they'd lose medical benefits. How about: If you're the person in your family with the employer-provided health insurance, with the ACA you can now go into business for yourself without leaving your family uncovered.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
    50. Re:Lemme guess by Anonymous Coward · · Score: 0

      Unfortunately it didn't help as many as they claim. The metrics they are using are who is now covered that was not before. The cost of insurance has not gone down, in fact it has increased a bit. So basically those who are covered now are those who could have afforded it before but for some reason or another had not bought it.

    51. Re:Lemme guess by Anonymous Coward · · Score: 0

      Insurance companies cannot compete across states, leaving essentially monopolies that can do what they want - federal bureaucracy constraints excepted.

      If I had a real choice, I wouldn't pick an insurance company that interfered with the most reasonable health/expense combo.

    52. Re:Lemme guess by gzuckier · · Score: 1

      Quite right. Obamacare won't be "fully in place" until all of those "temporary wavers" go away, and we are past the front loaded funding to see what it really costs.

      There is still a lot of smoke and mirrors being used to obscure the real cost and ultimate impact of Obamacare. Why do you think that is?

      Because we don't know what the real cost and ultimate impact of obamacare is, so it can't be "obscured", but after 1 year it might still be interesting to see what is happening, despite the rightwing's devotion to coming to conclusions based entirely on fantasies of evil Democrats lying to them to hide their foul agenda, and allergy to any sort of data because it might potentially puncture their bubble?

      --
      Star Trek transporters are just 3d printers.
    53. Re:Lemme guess by gzuckier · · Score: 1

      Doctors, hospitals, insurance companies, patients and employers have only had unneeded and unwanted intrusion, regulation and control into all their interrelationships. None of them benefit. The Government (i.e., "the people of the government" or the ruling class) are the only winners. Everyone else pays and loses at their expense.

      Seriously? Insurance companies are part of the problem in health care, interfering with doctors, patients, and hospitals in providing/receiving care. They need to be regulated to doing their job (providing averaged risk assessment policies) and stay out of the hospitals and doctors business.

      The insurance companies are the only ones who don't make money from unnecessary medical procedures and excessive medical costs. Doctors who prescribe antibiotics and schedule a couple of visits when you have the sniffles make money from that. Hospitals who give you infections then have you stay another two weeks make money from that. Insurance companies who tell doctors and hospitals they won't pay for that nonsense save themselves money, and the patient money as well, not to mention a lot of discomfort, suffering, and death.

      --
      Star Trek transporters are just 3d printers.
    54. Re:Lemme guess by gzuckier · · Score: 1

      Do you mean the same Doctors who have filed fraudulent claims to the tune of Billions ? While I can not stand medical insurance companies, someone needs to monitor the system.

      Indeed. Individuals don't have the knowledge or the power to monitor the doctors and hospitals, insurance companies do. The government could too, as in Medicare; but for now we've decided to have the government monitor the insurance companies and have the insurance companies monitor the doctors and hospitals. Just eliminating that step in the hopes that unregulated medicine will do a better job than unregulated finance seems a bit dubious.

      --
      Star Trek transporters are just 3d printers.
    55. Re:Lemme guess by gzuckier · · Score: 1

      The fact that cash price for surgery is $65,000 while insurance paid only $6200 is criminal.

      That, and adding middlemen always increases prices. Insurance is middleman.

      The fact that the insurance companies have enough individuals that they can bargain with the hospitals and doctors to take $6200 for the surgery but individuals don't have that bargaining power so the hospitals and doctors charge them $65,000 suggests that your analysis is overly simplistic.

      --
      Star Trek transporters are just 3d printers.
    56. Re:Lemme guess by Gr8Apes · · Score: 1

      They can - interstate commerce is only regulated by the feds, and there are no restrictions to selling insurance across state lines at the federal level that I'm aware of.

      --
      The cesspool just got a check and balance.
    57. Re:Lemme guess by Gr8Apes · · Score: 1

      The insurance companies are the only ones who don't make money from unnecessary medical procedures and excessive medical costs.

      This is incorrect. Insurance companies increase the cost basis, add 20%, and profit soars. Remember that insurance the way it's currently regulated is a skimming game. The more cash flows, the larger the skim.

      Doctors who prescribe antibiotics and schedule a couple of visits when you have the sniffles make money from that.

      If doctors make money on prescriptions, there's a big big problem. Visits are something you can control.

      Hospitals who give you infections then have you stay another two weeks make money from that.

      Hospitals that give you infections get sued. I'm pretty sure that's a money losing proposition. The more that happens, the more suits get filed, the more their insurance increases..., wait, who profits again?

      Insurance companies who tell doctors and hospitals they won't pay for that nonsense save themselves money, and the patient money as well, not to mention a lot of discomfort, suffering, and death.

      Yep, have a baby, you get 24 hours from the first midnight. Unless you're dying. Maybe. Have an operation where they cut you open and swab you out? Yep, insurance says you need to leave the hospital within 24 hours, even though you were near death. That's what insurance companies do when they tell doctors what they should do. In one case I'm personally aware of, that process nearly killed the patient who wound up back in the hospital, and the insurance company wanted them out. The family refused to sign the patient out, so there was no one to take the patient, so they had to stay a few days longer. (The patient was in such condition that they could not leave the hospital on their own, nor really do anything on their own, my personal set of conditions for saying someone should be in a hospital.)

      --
      The cesspool just got a check and balance.
    58. Re:Lemme guess by Optali · · Score: 1

      Mind you, I don't have a dog in this fight between (R) and (D), since I am an (L).

      A (L)esbian?

      Haaawwwwttt!!!

      --
      -- 29A the number of the Beast
    59. Re:Lemme guess by Optali · · Score: 1

      Dunno, why don't the Democrats just pass a bill not to fund all the Dutch ? The Reps would oppose and they would pass a bill to fund us Dutch!!! Not that we are in need of any cash, but Xmas is coming and... well, you know we are a greedy lot :)

      --
      -- 29A the number of the Beast
    60. Re:Lemme guess by u38cg · · Score: 1

      Get back to me about that guaranteed profit when the next Katrina hits in the middle of a major flu epidemic. Hint: "guaranteed profit" and "insurance company" are not phrases that sit well together, ever.

      --
      [FUCK BETA]
    61. Re:Lemme guess by romons · · Score: 1

      Indeed... while it's good that there are less uninsured people now, it doesn't fix the problem that the whole profit-driven (lack of) healthcare system is rotten to the core. I sure don't have any type of health care, public or private. I am expecting a fine at some point, though. Some of the regulatory patchwork like expanding medicare, or letting college students stay on their parents' insurance until 25, will pump up the numbers -- for a while. For some. Meanwhile, people will continue slipping through the cracks, costs will continue to rise. The only question for me is, how many years will it take for the house of cards to come tumbling down? When do we establish an actual healthcare system like every other developed country? How far will my teeth and spine have deteriorated and my carpal tunnel syndrome progressed in the meantime? Even if I do end up with a shitty, expensive healthcare plan before then, how much debt will the necessary surgeries put me in?

      One of the nice things about obamacare is the yearly caps on out of pocket expenditures. Even the cheapo policies have these. So, your out of pocket for a year is something like $6500 (not including the premiums.) If you are poor, you get subsidies, so the premiums are not bad. Considering that a typical surgery can cost $250,000, this is pretty good news.

      Also, the US price spiral for healthcare seems to be calming down, possibly due to obamacare's vast array of controls.

      I want a public option too, but it was not going to get through the democrats in charge, so we ended up with something that is less of a punch in the mouth for healthcare providers, similar to the German system which has been so effective for so long. If the red states would just stop blocking the medicaid expansions for political reasons, we could have a system that actually works for most people.

      It still won't be the most cost effective system, and it still won't give us the best outcomes, but it will be better than having people die of cancer because they couldn't afford chemotherapy or surgery, or lose their retirement and house because they refused to just die. And no, they don't do chemotherapy in an emergency room, Mitt.

      --
      Go to Heaven for the climate, Hell for the company -- Mark Twain
    62. Re:Lemme guess by Gr8Apes · · Score: 1

      So a couple of different companies didn't make their 20% two years out of the last 20 (Allan and Katrina, IIRC) Also note that insurance skyrocketed in those areas. They made their money back.

      --
      The cesspool just got a check and balance.
    63. Re:Lemme guess by Archangel+Michael · · Score: 1

      Even if I was being "overly simplistic" (I'm not, but lets go with the uninformed version), so what? The bill coming from the hospital claims it. Let us assume that the hospital claims it, then that becomes a blatant lie in my books. A deliberate untruth. Which, when conducting business is "fraud". Making fraudulent claims is huge no-no in my books. But Hospitals and doctors get away with it for what reason?

      --
      Agent K: A *person* is smart. People are dumb, stupid, panicky animals, and you know it.
  3. Redistribution by jamesl · · Score: 3, Insightful

    It has pushed back against inequality, essentially redistributing income ...

    So it is an income redistribution plan. What we really need is a prosperity plan and other than getting out of the way, that is not something government can do.

    1. Re:Redistribution by pijokela · · Score: 5, Insightful

      People with health care should be more able to prosper because they are healthy and can work. People with untreated sickness are not going to prosper regardless if how incentivized they are to work harder.

    2. Re:Redistribution by mwvdlee · · Score: 4, Insightful

      Every single government thing involving any money at all is an income redistribution plan.

      Corporate tax benefits are income redistribution plans.
      Military spending budgets are income redistribution plans.
      Spectrum auctions are income redistribution plans.

      This particular income redistribution plan is only different in that income is redistributed to the poor instead of the rich.

      --
      Slashdot social media options: AIM, ICQ, Yahoo, Jabber and Mobile Text. Why no MySpace?
    3. Re:Redistribution by Anonymous Coward · · Score: 1

      A prosperity plan? Not something government can do, you say? Ever heard of the Works Progress Administration? You know, that government program way back in the 1930s that actually gave useful productive jobs to the jobless? No? Maybe you should learn some history, hmm?

    4. Re:Redistribution by Anonymous Coward · · Score: 1, Insightful

      It's a fucking health insurance plan. You know, like you'd expect from a modern society? Once you secure your people's (aka workforce) health, prosperity is more likely to follow. Even a republican should be able to understand the basic economies of scale and return on investment involved here.

      Or you can just do it like Kansas and watch the world burn, I guess.

    5. Re:Redistribution by Anonymous Coward · · Score: 0, Insightful

      It is another of the many trillions of examples of why Republicans have a severe problem with understanding reality around them, that is the low end of the poverty scale of the right wing, the upper scale are the ones that their lives and insurance didn't change one bit, because they already had enough spare money to spend on such things that NO publicly offered option would be better than what they already spend 100k per year or more on (seriously when you're that rich, why do you even need insurance, its not like you couldn't afford a full round of terminal cancer treatment or some other astronomically pricey emergency need with pocket change.)

      in summary: This proves again that the large majority of Republicans are completely and hopelessly retarded, not only did they not see it coming that they were the ones that would benefit most by the change, but they supported those who would run this country into the ground financially and ethically just so they could get another "George Dubyah" in office rather than a member of a minority group. I weep for the future of the Republican party!

    6. Re:Redistribution by drinkypoo · · Score: 4, Insightful

      This particular income redistribution plan is only different in that income is redistributed to the poor instead of the rich.

      And it is no different in that income is redistributed from the middle class instead of the rich.

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
    7. Re:Redistribution by Morky · · Score: 5, Insightful

      Also, a workforce not afraid to lose insurance if they leave their jobs is a more mobile workforce, able to migrate to regions with better job markets.

    8. Re:Redistribution by Anonymous Coward · · Score: 4, Insightful

      Which is why Republicans hate it so much.

      Each party has a contingent that is acting against its personal interests. For Republicans it is the poor and for Democrats it is the rich.

      Either way the middle class is screwed, which is why it is disappearing.

    9. Re:Redistribution by Anonymous Coward · · Score: 0, Insightful

      Right wing bullshit, More of that please! Income redistribution my hairy ass. Fucking disgusting ignorant country.

    10. Re:Redistribution by DamonHD · · Score: 5, Interesting

      Bingo! I would not have been able to do multiple start-ups and freelance in banking and writing if tied to a job by health insurance given that I have had imperfect health.

      Score one for the UK NHS, even though also imperfect, for giving me mobility.

      Rgds

      Damon

      --
      http://m.earth.org.uk/
    11. Re:Redistribution by Anonymous Coward · · Score: 4, Insightful

      the people who cry about wealth redistribution never seem to cry about the last 30 years of American productivity re-distribution to the rich.

    12. Re: Redistribution by Anonymous Coward · · Score: 0

      Dead wrong as always. Government "getting out of the way" will not magically reduce corporate power, nor will it increase your wages.

      Government is the ONLY thing that can reel in and break up megacorporations and the dynastic wealth that threaten all but the uber rich. What is needed is government which does the bidding of the people, kind of like when (Republican) Teddy Roosevelt was in office trust-busting.

      That's why most Americans are constantly brainwashed by the corporate media and the corporate megachurches to believe that all government is always bad. To believe otherwise threatens the rich. They need threatening.

    13. Re:Redistribution by Anonymous Coward · · Score: 0

      This is pretty much it, it is also very close to social liquidity.
      There is an idea that if you work hard enough you can move from one social class to another, occasionally called "The American Dream".
      The opposite would be that if you are born rich you stay rich, if you are born poor you stay poor.
      When measuring social liquidity between different countries the US doesn't do very well. The American Dream continues to be a dream whereas in countries with a functional welfare system there is a higher possibility for you to make it a reality.

    14. Re:Redistribution by Anonymous Coward · · Score: 0

      Well, I personally had to convert four non-benefits positions into three positions with insurance. Directly because of the ACA, I had to lay someone off. I'm sure they were grateful for the opportunity to gain medicaid and no paycheck.

    15. Re:Redistribution by Anonymous Coward · · Score: 0

      horse shit

    16. Re:Redistribution by Mr+D+from+63 · · Score: 4, Insightful

      It is worth noting this article and effort was pushed forth by O-Care supporters. It fails to answer the most important questions.. has your healthcare improved or lowered in cost? Are you using it? There were a lot of free health services available to people before they were required to sign up for O-Care. The fact that many of the (very optimistically estimated) number of those who were added to O-Care rolls did not want or feel they needed it should be considered as well. In other cases, such as ones I am very familiar with, previously covered spouses were forced to move to their own plan if their work provider had coverage available. This means that although a new health care subscriber can now be counted, that person was already covered and that family is now paying more and having to deal with two health plans, which adds its own set of complications and reduces the value of deductibles on a per person basis.

      It is interesting, but not surprising, that the liberal talking points are heavily embedded, a clear flag that the study has an inherent bias. The "poorest states" being conservative sounds counter to only the picture that liberals try to paint of conservatives, not to reality for anyone who pays any attention. Hard working rural America has always been conservative. More often than not, it is the large urban populations that shift state's support bias to liberal, and it is those same urban areas that hold the most desperate and dependent populations of the truly underprivileged.

      Polls can give you the result you intend. This is simply a poll result, not a sophisticated statistical analysis as the title would have you believe. Its not that hard to play with numbers to make any point you want. Those that want to believe the results will, those that don't won't.

    17. Re:Redistribution by Charcharodon · · Score: 2, Interesting
      Not sure how well the mobile part works when you actually have to pay for the insurance. A lot of people I know don't leave a job not because of their health insurance but because of all the other debt payments and obligations. P>

      ACA does not get "free" until you are pretty heavy out of pocket on expenses or have been unemployed for some time. Also thanks to the stipulations in the ACA if you move to another State guess what does NOT follow you there, that's right your insurance, because now you have to join an insurance provider in that State. Yours in most cases will not be waiting for you there.

      If anything it binds you even tighter to a job and location.

    18. Re:Redistribution by Anonymous Coward · · Score: 0

      Hmm, the gub'ment "gave" them jobs. Please inform me of where the gub'ment gets anything? Oh, that's right, from taxes. derp

    19. Re:Redistribution by Attila+Dimedici · · Score: 4, Insightful

      Yes, but the article is NOT about health care. It is about health insurance. They are not the same thing. Having health insurance is not a benefit if there is no one to provide you with health care, which is what is happening with this law. Most of those who now have health insurance that did not have it before are those who have been added to the Medicaid rolls. Yet the number of health care providers who accept Medicaid patients has fallen.

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    20. Re:Redistribution by apcullen · · Score: 4, Interesting

      It is, only in that it redistributes money from the healthy to the insurance companies. Saying that "these people are better off because they now have insurance" is misleading. They now have to pay for that insurance, and the cost of insurance has skyrocketed since the law was passed. Furthermore, they can only be said to have benefited from having insurance if they get sick, or if they were already sick and would have been denied coverage.

    21. Re:Redistribution by jeffmeden · · Score: 2

      Not sure how well the mobile part works when you actually have to pay for the insurance. A lot of people I know don't leave a job not because of their health insurance but because of all the other debt payments and obligations. P>

      ACA does not get "free" until you are pretty heavy out of pocket on expenses or have been unemployed for some time. Also thanks to the stipulations in the ACA if you move to another State guess what does NOT follow you there, that's right your insurance, because now you have to join an insurance provider in that State. Yours in most cases will not be waiting for you there.

      If anything it binds you even tighter to a job and location.

      While insurance plans are still regulated state by state (this is a bigger problem with the industry) at least now they are available via one very similar channel (the insurance exchanges) so you can pick one up wherever you go. You may not see an advantage to this, but anyone with a family (or is interested in starting one) certainly does, and many DO stick to jobs that are inadequate just because the insurance benefits amount to several hundred dollars a month (and possibly several tens of thousands of dollars if they are starting a family) that they would be spending out of pocket without the plan.

    22. Re:Redistribution by laird · · Score: 5, Informative

      "Not sure how well the mobile part works when you actually have to pay for the insurance"

      ACA helps because when you switch jobs, you know that you can get reasonably priced insurance afterwards. And because the insurance companies can no longer use the job change to declare any current medical conditions "pre-existing" and deny you insurance.

      Previously there are _many_ people trapped in jobs for the health insurance, because if they went to a startup or became an independent consultant they had to pay absurdly high rates for insurance. Or because they had any medical condition that the new insurance company didn't want to cover they'd be denied insurance completely if they change jobs.

    23. Re: Redistribution by Anonymous Coward · · Score: 0

      We are not living in the 30s. The world has changed. The 30s brought a world war needing a massive work force. Today most of the stuff is cheaply produced in China.

    24. Re:Redistribution by jimbolauski · · Score: 1

      You can keep you health insurance 18 months after you leave the company under COBRA. You will be responsible for paying the premiums which is typically much higher than what is deducted from your paycheck. You still have the exact same coverage but now you are paying for all of it.

      --
      Knowledge = Power
      P= W/t
      t=Money
      Money = Work/Knowledge so the less you know the more you make
    25. Re:Redistribution by Anonymous Coward · · Score: 1

      Given that subsidies apply at up to 400% of the poverty line (or around $95K for a family of four), it doesn't sound like the middle class is having their money taken, unless you have a warped impression of what constitutes the middle class. The rich pay more in taxes, the middle class buy subsidized health insurance (if they didn't already have it), and the poor get heavily subsidized or free health insurance.

      The only members of the middle class that lose at all are people with "cadillac plans"; it takes a really ridiculous plan to hit that cap though. My wife has a zero deductible, $15 copay PPO plan (it covers 100% in network, 80% out of network, and covers non-medically meaningful stuff like acupuncture, and elective stuff like multiple rounds of IVF, etc.) for our family, and that plan is still over $5K below the "cadillac plan" threshold. Obviously, it's not hard to get a very good plan below the threshold.

      Posted Anon because I've voted on other posts way up the chain.

    26. Re:Redistribution by Anonymous Coward · · Score: 0

      While I agree with the sentiment of all of this, I've seen (anecdotally, waiting for actual hard numbers) people who were forced to purchase insurance still refuse to go to the doctor because they can't afford the copay or medication anyway, especially with a chunk of their check going towards insurance that they didn't have to carry before. This absolutely helps the poor, negatively affects those making greater than $100k in most places the very least, and screws the middle class.

      I'm all for helping the poor. I don't care so much about helping the rich. But who is going to help the middle class?

    27. Re:Redistribution by Anonymous Coward · · Score: 0

      ... corporate tax breaks ...

      The company makes the money and they keep the money. A significant percentage goes to shareholders (other companies) but there's no redistribution.

      ... Spectrum auctions are ...

      They're a license for exclusive use of public-owned air-waves.

      ... redistribution plan is only different ...

      I'm guessing brown people didn't ask that American wealth be redistributed as flying lead.

      I agree with the gist of your message but you chose bad examples.

    28. Re:Redistribution by ScentCone · · Score: 0

      Ever heard of the Works Progress Administration? You know, that government program way back in the 1930s that actually gave useful productive jobs to the jobless?

      That didn't boost prosperity, it just prolonged the depression and set the stage for decades for more endlessly growing expensive government bureaucracy and entanglement in every last aspect of your life. It used force to make one person work part of their day in order to support another person who was assigned make-work that had nothing whatsoever to do with growing the economy. Real prosperity comes from actual economic growth, not a fake economy powered by the threat of jail time that uses confiscatory entitlement programs to whistle past the economic graveyard.

      I'm guessing you're a big fan of Hillary Clinton, who just asserted that it's not businesses/employers who provide new jobs. There are plenty of places on the planet where you can see the fantastic prosperity that comes with the government deciding which jobs should exist, and which launders all economic activity through corrupt labyrinth of smarter-than-you bureaucrats. Pure paradises, every one of them, right? Maybe instead of lecturing the GP about reading some history, you should do so yourself, and take on board some actual facts about what happens when you rely on central government command and control over jobs and wages. That's been tried over and over, and results in exactly the opposite of real prosperity.

      --
      Don't disappoint your bird dog. Go to the range.
    29. Re:Redistribution by ScentCone · · Score: 0

      It's a fucking health insurance plan

      No, it's not. It's an income re-distribution plan. It takes people (like me) who already had insurance at a good rate, and takes it away in order to give it to somebody else. The "affordable" care act has tripled my monthly costs, and quadrupled my deductible, while forcing us to give up on the family doctor and rule out the use of good local hospitals. This, so that the much higher new health tax that we now pay (which is what it is, a new tax) can be handed over to someone else. That's NOT a health insurance plan. It's taking more money, by force, from one person, and giving it to another person.

      --
      Don't disappoint your bird dog. Go to the range.
    30. Re:Redistribution by Anonymous Coward · · Score: 1

      Unfortunately, while I support the changes, the changes to my existing plans to comply have led to me avoiding healthcare and carrying medical debt on a credit card for routine life events. I'm not more able to prosper. If I'm sick I'm off work longer because I need to save my HSA for real medical stuff. My new plan now costs the same, I've got to wait until I've spent 10% of my salary before I get to 80%, and health care providers are doing all sorts of strange things with fees or payments to cover shortfalls or to make sure they get paid.

    31. Re:Redistribution by cold+fjord · · Score: 1

      This particular income redistribution plan is only different in that income is redistributed to the poor instead of the rich.

      It is far more than that. It is also a healthcare rationing plan. It is a scheme to cripple the medical device industry. It is a ill considered regulatory scheme that has caused many people to lose their existing health insurance that they were satisfied with. It is a ill considered regulatory scheme that has caused many companies to dump health insurance for their workers, or made it much more expensive. It is a ill considered regulatory scheme that has caused many small businesses to limit their growth and employment to avoid the punative Obamacare regulation. It is a ill considered regulatory scheme that has caused many companies to greatly increase percentage of part time workers they use and reduce full time employment which has resulted in many people losing benefits, including health insurance.

      This particular "income redistribution plan" is different in that it has so many bad intended and unintended consequences with many more yet to come. It is almost enough to make you wonder if seizing control of 100% of a major sector of the economy to "solve" a 10% problem with massive regulation and social engineering that continually invokes the law of unintended consquences was really a good idea.

      --
      much of left-wing thought is a kind of playing with fire by people who don't even know that fire is hot - George Orwell
    32. Re:Redistribution by Anonymous Coward · · Score: 0

      ... for Democrats, it is the rich ...

      More taxes don't hurt the mega-rich in the same way that less welfare hurts the poor. The rich will disagree with the Democrats because they deny a duty to the rest of society. A few mega-rich individuals like Bill Gates and Warren Buffet, do take an interest in the rest of society.

      For Republicans, it is the poor ...

      The poor support lower taxes and less welfare because they believe uncontrolled capitalism will give everybody a living wage; contrary to the evidence.

    33. Re:Redistribution by ScentCone · · Score: 0

      Income redistribution my hairy ass.

      So how else would you describe it. One year, our health plan costs about $250/month and has a $2,500 deductible. The next year, as new entitlements and subsidies are being dished out under a brand new law that was passed in 100% partisan fashion in the middle of spectacular lies about its actual costs and requirements, our monthly costs have gone up to over $800, and our deductible is now $12,000. We no longer have access to our family doctor unless we want to pay cash, and we can no longer use two of the best local hospitals. So, we get less service, and thousands of dollars more each year are taken from our family budget and given to another family's budget. That is redistribution of income, by definition. Huge new government-enforced costs placed on one person, and bloated-with-overhead bureaucracy hands some part of it over to another person under a law written and put into place entirely by one political party that lied about it from beginning to end.

      --
      Don't disappoint your bird dog. Go to the range.
    34. Re:Redistribution by Anonymous Coward · · Score: 0

      I thought it was just about access.

    35. Re:Redistribution by dmr001 · · Score: 5, Informative
      As a physician, the new system doesn't feel particularly more intrusive than what we had previously. What we do have is a lot of new patients who were previously uninsured. They don't seem angry about it; they seem happy (to a person, at least amongst the newly insured). And we can get to work preventing their modest problems from turning into gigantic, expensive once that got handled "for free" in the emergency department by spreading the cost of their uncompensated care around to everyone else.

      Some of our previously insured patients seemed miffed because, just like before, medical care is expensive and the system is complicated. Some of them who used to blame the insurance companies now blame Obamacare.

    36. Re:Redistribution by Zontar_Thing_From_Ve · · Score: 2

      It is worth noting this article and effort was pushed forth by O-Care supporters. It fails to answer the most important questions.. has your healthcare improved or lowered in cost? Are you using it?

      Let me give the experience of my best friend. He's probably in upper half of what one would call the Middle Class in the USA. I work for The Man so I've always had health insurance via my job. He is a small business owner. His business employees his wife and between 1 and 3 other employees at any given time, depending on a variety of factors. He does not offer health insurance to his employees. As a small business owner, he's had to get insurance on his own for himself, his wife and one child. He is a Republican voter who almost never votes Democratic. He's not a wing nut, but he is relatively conservative politically. He originally completely opposed "Obamacare", saying the usual Republican stuff about how it was going to be the worst thing ever, destroying the country once it got implemented. He admitted to me that now that he can use the state health exchange that his insurance payments per month have dropped about $300 over what he previously paid and he thinks he has better coverage now. He no longer complains about "Obamacare" although he's still going to vote Republican.

    37. Re:Redistribution by Anonymous Coward · · Score: 0

      There's plenty of prosperity.

      If you're upset about a little tiny bit of redistribution, and succeed in stopping it, you really won't like the big redistribution that will inevitably result (think pendulum swinging, then think French Revolution).

      Even if you think that those 47%er's don't deserve anything, it is really a matter of self-preservation to ensure that they are not so disillusioned that they decide that it is time for a very ugly change.

      One of the fundamental things government should do is protect the less powerful (poor, disenfranchise, minority, etc.) form the powerful (rich, connected, etc). Income redistribution is part of that. So is limiting corporate and personal power.

      When the government abdicates its function, in the short run, the rich and powerful make out like bandits (like now for instance). Eventually, unless they show some self-restraint (it happens occasionally) things get ugly.

    38. Re:Redistribution by Anonymous Coward · · Score: 0

      Don't worry. Both parties are working long and hard to make sure the middle class gets successfully and completely integrated in with the poor.

    39. Re:Redistribution by sribe · · Score: 0

      The fact that many of the (very optimistically estimated) number of those who were added to O-Care rolls did not want or feel they needed it should be considered as well.

      Bullshit. Forcing stupid assholes who do not have the intelligence to plan for the future to NOT free-ride is not a problem at all. Because those people get sick too, without insurance, and then burden the system.

      In other cases, such as ones I am very familiar with, previously covered spouses were forced to move to their own plan if their work provider had coverage available. This means that although a new health care subscriber can now be counted...

      Bullshit. There was a NET increase of 10,000,000 covered, not counting those who changed from one plan to another. If you want more info about how many people moved from uninsured to medicaid, uninsured to exchange policies, medicaid to exchange, employer-provided to exchange, individual to exchange, employer-provided to different employer-provided, individual to different individual, google it. Those questions are being studied by multiple groups.

      ..and it is those same urban areas that hold the most desperate and dependent populations of the truly underprivileged.

      Bullshit. Urban areas concentrate their most desperate and dependent population together where they're easily visible. But the largest total number of the most desperate and dependent live in rural areas.

    40. Re:Redistribution by Anonymous Coward · · Score: 0

      Well, you didn't 'have to' do anything, but I guess you have to keep your profits high!

      Regardless, I'm sure those 3 people who now have benefits are much happier. Only one person loses out, so that's a 75% success right there. Show me anything the government does with a 75% approval rate, and that is a pretty damn good program.

    41. Re:Redistribution by Anonymous Coward · · Score: 0

      Healthcare.gov says that I'm not eligible for any help based on my income and my employer offering a plan. The changes to my employer's plan to gain compliance have resulted in a plan where I pay just as much for a high deductible plan as I previously did for a traditional plan. Plus I need to sack away in an HSA to provide SOME protection from costs before hitting my 80%. We spent $5500 out of pocket/HSA this year before we hit our $3000 80% threshold because of new provider policies to protect themselves from not being paid. We now have health care credit card debt for the first time even though we had no health insurance for the first year and a half of marriage.

    42. Re:Redistribution by naasking · · Score: 1

      So it is an income redistribution plan.

      Obamacare is an income redistribution plan the way having a job is a coffee cup redistribution plan. Just because A can cause B, does not entail that A is a B in the sense you are implying.

    43. Re:Redistribution by GameboyRMH · · Score: 2

      Likewise, it's only class warfare when the lower classes fight back.

      --
      "When information is power, privacy is freedom" - Jah-Wren Ryel
    44. Re:Redistribution by Anonymous Coward · · Score: 0

      11 Million American works without jobs... Today, all time high. So lets say all the new people just died, we would still have 10 Million American workers without jobs. How does that effect the economy? Oh, the unemployment rate would go down and the Administration would take a bow, just like they did when it dropped because so many people completely gave on on getting a job.

    45. Re:Redistribution by Geoffrey.landis · · Score: 3, Informative

      ...The fact that many of the (very optimistically estimated) number of those who were added to O-Care rolls did not want or feel they needed it should be considered as well.

      I personally know several people who were able to get insurance under Obamacare but didn't have it before. Not one says that they "did not want or feel they needed" insurance. What they say is, "Thank God, this is saving my life."

      However, even if what you said was true: what you are implying is that there is a body of people who previously were saying "I don't want or need insurance, because if I get sick I'll go to a hospital that is legally is not allowed to turn me away, and the taxpayers will pay for it," -and they are now paying for their own health care. That's a win for the taxpayers.

      In other cases, such as ones I am very familiar with, previously covered spouses were forced to move to their own plan if their work provider had coverage available. This means that although a new health care subscriber can now be counted, that person was already covered

      That's not the way the number of uninsured is counted. That would count as a wash: neither an addition nor a reduction to the number of uninsured.

      ... More often than not, it is the large urban populations that shift state's support bias to liberal, and it is those same urban areas that hold the most desperate and dependent populations of the truly underprivileged.

      Sorry, the belief that poverty is an urban phenomenon is another myth. It's a myth that's pervasive among liberals and conservatives, but simply not true. There are actually more poor and underprivileged people in rural America. You're right about urban areas being liberal and rural conservative, but wrong about being able to attribute that to "dependent populations of truly underprivileged": the greatest use of food stamps, as a percentage of population, in poor rural areas, not urban areas.

      .... Its not that hard to play with numbers to make any point you want.

      But you don't have to do that, because it's even easier to simply say "Those numbers don't support my political bias, so they are wrong."

      --
      http://www.geoffreylandis.com
    46. Re:Redistribution by frank_adrian314159 · · Score: 1

      Which is why we should be focused on redistribution from the wealthy.

      --
      That is all.
    47. Re:Redistribution by Mr+D+from+63 · · Score: 1

      1. I see plenty of anecdotal stories that support many views. People hear what they listen for. Numbers from objective studies are what I'd pay attention to.

      2. Added policies is the count that I've seen touted the most, not total number insured. The numbers are simply not clear. They could be higher than stated, but the fact is you'll see very different numbers from different organizations, so I'd guess the truth is in between. Regardless, there is still a complete failure to account for the care that was previously available and used by the 'uninsured".

      3. Rural areas may contain a greater number of what classifies as 'poor', but if you break that group into various levels, you will see very high concentrated levels of the bottom tier in urban areas, that is, as a percent of the surrounding population. And, rural "poor" don't vote heavily conservative as might be implied or inferred, but the lower income, but not poor, population is much more conservative than their urban counterparts.

    48. Re:Redistribution by Anonymous Coward · · Score: 0

      I don't know a single time in my lifetime when that has worked out. Policies are written and passed. The rich use their wealth and power to shift the burden to the middle class. The policies are never removed unless the are onerous enough on the rich for them to actually do something about it. Then Democrats are so clueless about the real world effects of their policies that they'd rather call middle-class small government Republicans crazy than figure out what is wrong.

    49. Re:Redistribution by Anonymous Coward · · Score: 0

      It has pushed back against inequality, essentially redistributing income ...

      So it is an income redistribution plan. What we really need is a prosperity plan and other than getting out of the way, that is not something government can do.

      If you realize that poor healthcare = poor productivity, you will see why better healthcare as a form of wealth redistribution IS the format which leads to prosperity via production increase. Increase production and you get economic growth. Go to countries where there is little healthcare infrastructure and you will see the population diseased, sick and not working. And we wonder why they can't just "pick themselves up by their bootstraps". They are too tired and sick. A healthy population = a strong economy.

    50. Re:Redistribution by dave420 · · Score: 5, Insightful

      You don't seem to realize it's the perverse notion that health insurance companies need to exist which has caused this situation. You should see what happens in civilized countries - people don't even have to think about health insurance (or, if they desire, they can spend up to $100 a month for some perks, but no improvement in treatments, as all treatments are available to everyone). If they need treatment, they go see a doctor. No money changes hands (except in some areas a token fee of ~$10), and people get treated. If a country has true universal healthcare, the amount of bargaining power the health service has means they can get drugs at a fraction of the cost, and in some countries the price for a prescription is the same regardless of what drugs are being prescribed (and usually free for 65s, and pregnant women). How does ~$10 for a prescription sound? Impossible to you, I'm sure. Here's another thing to think about: no-one goes bankrupt because of medical bills. No-one. Not a single person. And this costs less of a portion of the GDP, with comparable (and frequently better) outcomes.

      People who live in these more civilized countries read this shit about the US and simply scratch their heads. The numbers alone are mind-boggling to people whose entire annual medical expenditure is usually under $100, and frequently 0.

      Stop bitching about Obamacare and start bitching about your insurance overlords who simply should not exist, or should be in the business of topping-up an already good healthcare system with comfier pillows and colder sodas.

    51. Re:Redistribution by Anonymous Coward · · Score: 0

      I prefer to work smarter, not harder. These 2 things are not mutually equal though. And from this, if smarter involves me quitting my job, and losing health insurance, it's entirely possible I'll get a fine from the Government for doing so. (You can claim that what the Gov does by taking money out of your IRS refund for not having med. insurance is not a fine, but it is. It's also industry propping, and downright corrupt!). Don't think that's possible? Go read the fine print! This is, IMO, not a just act, and does not serve the public good. That is the point of Government, right? Serving the public? In this case, that also includes, and prioritizes, the medical insurance industry over the public.

    52. Re:Redistribution by dave420 · · Score: 4, Insightful

      Get rid of the insurance companies, get universal healthcare, and join the rest of the civilized world. Complaining about the symptoms of a broken system and not the broken system itself is never going to help anyone. Not allowed to use hospitals?? Thousands of dollars a year?? Pathetic. First-world my ass.

    53. Re:Redistribution by Charcharodon · · Score: 1
      Forgot about the pre-existing conditions part.

      So why didn't they just pass a law banning pre-existing condition exclusions instead of the whole ass-hat thing they came up with?

    54. Re:Redistribution by Anonymous Coward · · Score: 0

      Are you really that fucking stupid. We've had prosperity plans coming the right has turned into a properity plan for the top 1% and even more so for the top .1%. Nearly all the profits for the economic growth since the internet bomb have all to the top 1%.

      Yeah, we do need income redistribution. You think you're cute little IT job paying 150K/year or 180K/year in CA is good? You're still a sucker.

      When the company has a record quarter and there isn't money for raises and bonuses; except for execs, and the VPs are saying: "Be happy you have a job" yeah its time for income redistribution.

      It's time to bring back the 70% tax bracket and penalize the mother fuckers, not for making too much money, but for screwing over their employees and keeping all the profits from the business at the top.

    55. Re:Redistribution by ThisOrThat · · Score: 1

      I could not agree more. We'll said.

    56. Re:Redistribution by Anonymous Coward · · Score: 0

      Wrong. For Republicans, it is new money. For Democrats, it is established money. Either way, the poor AND middle class get beat down.

    57. Re:Redistribution by Anonymous Coward · · Score: 0

      One of the quickest ways to become poor is to be middle class family without insurance, and then have something happen.
      Boom. Instant bankruptcy.

    58. Re:Redistribution by cduffy · · Score: 5, Insightful

      Because if you banned pre-existing condition exclusions without forcing folks to be insured, people wouldn't get insured until after they were sick.

    59. Re:Redistribution by Shortguy881 · · Score: 1

      Thank you. People fail to realize healthcare is a limited resource. You can give everyone health insurance but you can't give everyone healthcare. Its just not feasible, yet. A perfect example is organ transplant waiting lists.

      Now with the addition of more people, these resources are even scarcer. So who gets that heart transplant? The 9-5er who had health insurance and has contributed a lot of time and effort to society or the newly added single mother of seven on food stamps and well fare.

      Im using that anecdote to segue into the larger issue of political ideology, mainly capitalism vs socialism. Fundamentally, capitalism is the idea that those who produce in a society reap the benefits of living in it were as socialism everyone benefits equally (one could argue those who don't work benefit the most from socialism as they still get the same quality of living as everyone else with no effort). As this applies to healthcare, I think those who work should be first in line for healthcare.

      Before anyone tries to use the US as an example of corrupt failed capitalism, I'd like to add we are more a socialist oligarchy. This is ultimately the shortcoming of Democracy in a country full of voter apathy, not socialism or capitalism.

      --
      Brilliance without wisdom, power without conscience. Ours is a world of nuclear giants and ethical infants.
    60. Re:Redistribution by thrich81 · · Score: 5, Insightful

      I guess you weren't around during the Great Depression. There is a reason so much of the country became solidly Democratic for a generation after that -- the people who were in it credited FDR for saving their butts when no one else cared. They certainly didn't see the invisible hand of "economic growth" putting food on the table anytime soon back then. You have to live through the hard times in order to be around when things get better through growth. So where are these places on the planet of fantastic prosperity where the government is less intrusive than in the USA now ('less intrusive' includes 'no government provided health care')?

    61. Re:Redistribution by Anonymous Coward · · Score: 1

      I think you could say the same about public education. I think its a fallacy to look at either as income redistribution. What we are talking about is necessary human services that are required for a modern society. Education and health care are required for people to function and be effective. Yes there are abuses, but the system as a whole is beneficial to everyone.

    62. Re: Redistribution by dywolf · · Score: 3, Insightful

      Not really no it hasnt.
      Know why our infrastructure sucks?
      Cause a lot of it was built way back then, and then later in the 50s witht he Interstate expansion, and hasnt touched since.

      We still need roads built and replaced. Bridges. Dams. Airports. Etc. Thats what hte WPA built, and that stuff will always be needful.

      --
      The guy who said the election was rigged won the presidency with the second-most votes.
    63. Re:Redistribution by Anonymous Coward · · Score: 0

      You are so far off base from reality its not even funny.
      You're obviously refering to UPS. IT's always beens tructurally cheaper for companies to offload worker spouses to their own job's plans.
      That's not new or changed with the ACA.

      Nor does it automatiicaly raise costs for those families. Previously UPS DID NOT COVER the costs of hte spouse being on the plan.
      But the spouses company usually does. The spouse was usually on the UPS plan because the plan was better, but UPS did not cover the additional cost of the spouse, making the worker and his family pay the difference for access toa better plan.

      It helps to actually the specifics of what you're talking about.

    64. Re:Redistribution by Anonymous Coward · · Score: 0

      I was going to reply to this same line. Wealth redistribution is a bad idea as it takes the hardest working and keeps forcing more work onto them. Since obamacare my premiums have skyrocketed and I pay way to much for insurance for me and my wife. Problem is we both work so we can't get any assistance if we went the obamacare route. You are correct in stating that we need a prosperity plan so people on the bottom can get an education and work their way up. As it stands now this is just an extension of entitlement programs.

      I also believe that this market was created to help boost the failing american economy. In the absence of physical goods to buy and sell they keep building more service sector markets to build income out of.

    65. Re:Redistribution by ganjadude · · Score: 1

      shh, dont let reality get in the way of good spin

      --
      have you seen my sig? there are many others like it but none that are the same
    66. Re:Redistribution by Anonymous Coward · · Score: 0

      This.

      As an independent contractor, I bounce from client to client and firm to firm every 3-18 months, switching from W-2 to 1099 and from group insurance to individual insurance as the situation dictates. As a obese American, I'm considered part of the new normal by everyone but the insurance companies; they deem me uninsurable for individual coverage. It's frustrating to earn in the top 5% and WANT to pay for health insurance but be unable to get a policy. With Obamacare, I'm free to choose my work without the possibility that I might lose my health insurance.

    67. Re:Redistribution by Anonymous Coward · · Score: 0

      That's only true if you've been with the company for 18 continuous months BEFORE you leave. If you've been with that company for less than 18 months, they are not obligated to offer you COBRA. Speaking from extensive experience, if a company doesn't have to offer you something upon departure, they generally don't offer it.

    68. Re:Redistribution by Anonymous Coward · · Score: 0

      Which the ACA did nothing to fix, and possibly made worse. Seriously, when the government can come down on you for not having health insurance, it makes you a lot less likely to leave a job where you have health insurance, mostly just because of the stupid hassle and expense of getting health insurance on your own.

      The ACA was the wrong solution for a huge problem that needed to be addressed.

      The right solution would have been tort reform. Clamp down hard on ambulance-chasing lawyers (summary execution works nicely), and suddenly medical malpractice insurance can be a hell of a lot cheaper, or even optional (depending on how many lawyers you shoot). Once that happens, healthcare costs can drop to a sane level and the insurance companies can stop worrying about a single patient wiping out the capital from several hundred premium-payers. And those who don't trust or just don't want to bother with insurance can pay out-of-pocket and not go into insane amounts of debt.

      Meanwhile, we have a poorly-thought-out "solution" that only props up an unsustainable system for a bit longer. Its collapse will leave a slightly larger crater than it would have without the ACA.

      This is what greed and stupidity get you.

    69. Re:Redistribution by 91degrees · · Score: 1

      True. Although one of the main aims of this is to redistribute wealth to the poor. And this is what Republicans mean when they talk about "Wealth Redistribution".

      Also, many have been claiming that this is what it is for some time. I don't know if proponents of Obamacare ever denied this though. I'm not all that familiar with US politics. Do Democrats consider wealth redistribution, in this sense, a bad thing?

    70. Re:Redistribution by Anonymous Coward · · Score: 1

      Bull.

      You think its the hardest working?

      You think that just because you're in the top 10% or even 5% wage earners that wealth redistrubution is aimed as you?

      What you make is still boot scraping compared with the people this is happening to. The American economy is not failing, the economy is going gangbusters; but you're not getting any benefit from it because the alleged job providers are keeping the profits to themselves and keeping the jobs scarce because it makes them even more money.

      You need to actually study Alan Greenspan's economic policy; then remember that the people at the top are keeping the gains at the top.

    71. Re:Redistribution by ComputerGeek01 · · Score: 1

      Just because A can cause B, does not entail that A is a B in the sense you are implying.

      Nor does it preclude the possibility. The entire concept of insurance is cost distribution to begin with, by taking a small portion of the income of all of those involved so as to mitigate the large expenses when those in the group require them. Now this law has made it mandatory to include more people in these groups. More people means more risk, more risk means more cost, that cost is distributed among the group by taking more of their income. Ergo, more income is being redistributed. So although you are technically correct in your statement about causality; in the context of this scenario your statement is wrong.

    72. Re:Redistribution by Anonymous Coward · · Score: 0

      There were a lot of free health services available to people before they were required to sign up for O-Care.

      Yeah. The most popular free health service was called "work until you land in the hospital and then run off leaving taxpayers/paying patients with the bill".

    73. Re:Redistribution by Anonymous Coward · · Score: 0

      The US Dollar has always been a redistribution plan.

      The government prints them. They're essentially worthless claim checks against the government's services. When the government needs something, it pays you in claim checks. Since most of what the government does with those claim checks is A) pay their employees, B) buy military equipment, or C) buy infrastructure-building materials, that's what most of the government's budget is. And that budget is defined as the limit of the number of claim checks they'll issue for the current fiscal period.

      People then trade those claim checks around. "The government owes me all these claim checks, but I'll let you make some of those claims from them if you give me your product or service." Thus an economy is born trading government IOU's.

      When taxes or sales of government assets occur, they're not earning money, they're destroying money. When the government buys things, they're creating money. All of the money is theirs. It has their name on it.

      Your piddly "wealth" is an illusion. Enjoy what you have while you have it and shut up. Tomorrow, they may just decide to default on their claim checks and leave you in a very sorry state. (And that warning goes for everyone all the way up to the rich bastards running the banks. They're not immune. And with all that military power already built up, the government could probably pull it off. It would be the largest armed robbery in history, currently standing at just under 18 trillion claim checks.)

    74. Re:Redistribution by IronChef · · Score: 1

      > ACA helps because when you switch jobs, you know that you can get reasonably priced insurance afterwards.

      Depends on your definition of reasonable. My wife an I are in our early 40s. Catastrophic coverage which will help if we get hit by a bus, but offers nothing short of that due to a giant deductible, is about $500/mo. Health care which isn't quite as good as the typical white-collar job benefit I currently have would cost about $800/mo.That's more than it costs to lease a base model Tesla.

      Those values do not feel especially reasonable, and they do keep me less mobile as a worker. Maybe things are cheaper in other states.

    75. Re:Redistribution by sound+vision · · Score: 1

      Either that, or a real public healthcare system where we could take advantage of cutting out the inefficiencies and the armies of middlemen taking their cut. What we have now is the worst of both worlds.

    76. Re:Redistribution by Anonymous Coward · · Score: 0

      What other option is there? The poor have nothing to take, and the rich have the power to say no. Having no government interdiction at all would mean the rich would take directly from the middle class until all that was left is a class of extreme wealth at the top and a massive class of abject poverty below.

    77. Re:Redistribution by NoImNotNineVolt · · Score: 3, Insightful

      So it is an income redistribution plan. What we really need is a prosperity plan

      I'd argue that there's certainly plenty of wealth in this country. Net national wealth is $83.7T, so that's about $280k per person (or $301k per person according to a recent Credit Suisse Global Wealth report); most people wouldn't be complaining if their net worth was $280k --- most Americans today have a net worth that is less than $45k. While more prosperity is always nice, it's somewhat unreasonable to make baseless claims that redistribution of wealth is less needed than prosperity. While I can sympathize with the fact that redistribution of wealth may not be compatible with your personal ideology, it would probably be better for everyone if we could discuss these issues in terms of numbers and facts, not political preferences.

      --
      Chuuch. Preach. Tabernacle.
    78. Re:Redistribution by NoImNotNineVolt · · Score: 1

      How does one freelance in banking?

      --
      Chuuch. Preach. Tabernacle.
    79. Re:Redistribution by NoImNotNineVolt · · Score: 1

      Thank you for reminding me that I still mix up COBRA and CORBA.

      --
      Chuuch. Preach. Tabernacle.
    80. Re:Redistribution by NoImNotNineVolt · · Score: 0

      If your costs went up that significantly, then your coverage has changed dramatically. It's overwhelmingly likely that your previous policy had terrible coverage, coverage which doesn't meet requirements set forth in the ACA. Your costs have increased, but so has your coverage, comparably. If the increases you claim are accurate, then your previous policy was total shit and wouldn't have helped you much were you to actually need it for anything serious.

      In short, you're complaining that passage of the ACA has forced you to upgrade your previous Fischer-Price insurance (which is a lot more like "no insurance" than it is like "today's insurance") so that your unpaid medical bills wouldn't be spread amongst the rest of us. Welcome to the world of personal responsibility and pulling your own weight.

      --
      Chuuch. Preach. Tabernacle.
    81. Re:Redistribution by NoImNotNineVolt · · Score: 1

      How about the out of pocket maximums? Lifetime maximums? Every other detail that you've omitted? They've all stayed the same?

      I didn't think so.

      --
      Chuuch. Preach. Tabernacle.
    82. Re:Redistribution by mspohr · · Score: 1

      Yes, of course it redistributed income from higher income people to lower income people (as one of it's side effects).
      This is actually a good thing since most of the rest of the US economy is set up to redistribute income from the poor and middle class to the 1%.
      ACA is a small step in the right direction.

      --
      I don't read your sig. Why are you reading mine?
    83. Re:Redistribution by phantomfive · · Score: 1

      So it is an income redistribution plan.

      The worst part is, if it had actually been framed as an income redistribution plan, "hey, let's give these people free medicaid," then it would have been cheaper and easier to insure 10million people that way, and it wouldn't have involved bailout payments to insurance companies.

      --
      "First they came for the slanderers and i said nothing."
    84. Re:Redistribution by Anonymous Coward · · Score: 0

      I think you'd find American to suddenly be very seriously impoverished if every public works program's outputs were to vanish.

      Start with the highway system and work from there.

    85. Re:Redistribution by Anonymous Coward · · Score: 0

      Perhaps because those people realize that Keynesianism is a sham and Mises got human action right. The cry is that there are no free markets by design. By Dunning-Kruger poster children.

    86. Re:Redistribution by Anonymous Coward · · Score: 0

      It fails to answer the most important questions.. has your healthcare improved or lowered in cost?

      Are you mental? My costs have been going up for the last 7+ years. How was the ACA magically going to fix that? Bush and his high deductible plans are largely to thank for the biggest change. This coincided with right about the time I started a family - great time for my max out of pockets to triple. We were able to plan for having a family though (the save money and pay off debt kind of planning not the take pills and get an abortion kind.) The one thing my experiences in life have taught me: it is better to live conservatively than to vote conservative.

    87. Re:Redistribution by Anonymous Coward · · Score: 0

      So it is an income redistribution plan. What we really need is a prosperity plan and other than getting out of the way, that is not something government can do.

      All government income and spending redistributes wealth. Even "getting out of the way" allows wealth to be distributed according to whatever market system the nation in question has.

      So the question is: how do you want your wealth redistributed?
      The free market will redistribute the nation's wealth. The term free market advocates use is "winners and losers" but it's all just redistribution by another name and another mechanism.
      Government policies that don't overtly try to redistribute wealth will redistribute wealth. Don't think giant defense contracts redistribute wealth? Think again.
      Government policies that do overtly try to redistribute wealth will redistribute wealth, although it's doubtful they'll have the intended effect.

      So guess what? We're all in favor of redistribution of wealth. The political divide is over where the money ends up, and the political theatre is over whether or not people admit that's what they want to do. Your so-called "prosperity plan" redistributes wealth--please have the decency and honesty to admit it.

    88. Re:Redistribution by DamonHD · · Score: 1

      It's called "contracting" or "consulting"; I have spent the best part of 20 years working in IT in the City of London, none of it permanent.

      I have also founded a retail finance start-up. I'm not sure if start-ups count as freelancing; there's matching insecurity and worry and no steady income!

      Rgds

      Damon

      --
      http://m.earth.org.uk/
    89. Re:Redistribution by Anonymous Coward · · Score: 0

      You have a biased view: you are only seeing the people USING AND BENEFITING from the insurance. There are a bunch of people you don't see that a) didn't want to buy the insurance and b) still have no used it.

    90. Re:Redistribution by NoImNotNineVolt · · Score: 2

      I've worked as a freelance software developer with clients in the finance industry, but I would never say freelanced in finance. I freelanced in software development. I thought you meant that you freelanced in banking, not IT. In which case I pictured you spending weekends sitting at the door to your gold-filled vault, ala Scrooge McDuck, offering to loan your cash out to strangers at interest.

      --
      Chuuch. Preach. Tabernacle.
    91. Re:Redistribution by Anonymous Coward · · Score: 0

      I have some friends who moved to one of those "civilized countries". They tried to take their son to the dentist for his check up and, guess what, they got told we don't do semi-annual preventative checkups here, only every 18 months after the problems have already developed to the point where they cannot be prevented only corrected.

    92. Re:Redistribution by Anonymous Coward · · Score: 1

      Wealth redistribution used to be an in-the-open, uncontested goal of the US government. Unfortunately now we have to resort to bizarre tricks and compromises to get the job done. The ACA is vastly inferior to plain old socialized health care but it's the best we could do for now.

      Unchecked concentration of wealth is the root cause of most failed states. Corruption begets massive inefficiency. The standard of living drops until it becomes unsustainable. Entire populations just don't lay down and die. Revolution eventually happens, and everyone loses. The guilty and innocent suffer alike. Revolution isn't a solution, it's a failure mode.

      At some recent point we fucked up bad. We let the rich take hold and steer our culture in to a place where most of us believe that wealth concentration is a good thing and we're suffering for it it badly. Crumbling infrastructure. Wage stagnation. Rising costs of living. Reduced public services. Longer work hours. Fewer benefits.. All while a very small handful of people increase their wealth exponentially.

      Even the dumbest of the dumb start to notice. No amount of fox news or conservative talk radio will placate you once you're unable to feed your children.

    93. Re:Redistribution by Anonymous Coward · · Score: 0

      I'm middleclass, and have yet to get healthcare even if mister 1% Obama says that I'm required to. Why don't I have healthcare? I'm required to so I should right? Because I can't afford it. There are serious holes in the plan. I make too much money to get subsidized or free, but I don't have enough money because I support a 4 person family, even though we aren't married and I can't claim her child, and I can't claim my child because his mother does. So even if Obama says I'm required to, if I can't afford it, I can't afford it...even if his income checkers say I can.

      If we're going to have a national healthcare plan lets just fucking do it right. Free basic healthcare for everyone, premium options available for reasonable pricing. Instead we have: it's really no different from before, we're just going to penalize you if you can't afford it..

    94. Re:Redistribution by DamonHD · · Score: 1

      Hmm, I hear what you say, but it wasn't generally stand-alone IT that would be much use outside finance, and I was the CTO of the virtual credit card start-up.

      But I assure you that there is no gold-filled vault, no not even slightly full of warm lovely glowing metal; nothing to see here, move along.

      Rgds

      Damon

      --
      http://m.earth.org.uk/
    95. Re:Redistribution by Anonymous Coward · · Score: 0

      If your costs went up that significantly, then your coverage has changed dramatically. It's overwhelmingly likely that your previous policy had terrible coverage, coverage which doesn't meet requirements set forth in the ACA. Your costs have increased, but so has your coverage, comparably. If the increases you claim are accurate, then your previous policy was total shit and wouldn't have helped you much were you to actually need it for anything serious.

      There are two kinds of low-end insurance plans.

      The first are the $50/month bullshit scams that you're talking about. Sucker pays $50/month, and gets the *first* $2000 of his $100K medical bill paid for, but is on the hook for the remaining $98K. (i.e. "You get $2000 off your first bill!") These are gone, and good riddance.

      The second were the $150/month genuine catastrophic plans. Insured pays $150/month, and in exchange the obligation of paying the first $10K of the bill, the insurance company might actually cover the remaining $90K. (Also, the insurance company might be able to bargain the hospital down from $100K to $20K, so even if they refuse to cover it, the insured isn't bankrupt.) These are gone, and that kinda sucks.

      It only *kinda* sucks because the replacement (the bronze plans) are issued at around $300/month with $6300 deductibles, but, and this is where ACA detractors miss the point, they're issued to everybody, even to people with cancer and known expenses of at least $100K/year chemotherapy. You pay $300/month for a $6000 deductible, or $800/month for a $0 deductible. If you go Bronze, you pay ($300*12 + 6000 deductible) = $9600/year. If you go Gold/Platinum, you pay ($800*12 + 0 deductible) = 9600/year. It's still, to within an order of magnitude, the same amount of money at risk.

      What ACA proponents don't get is that YES, premiums *DO* have to rise, markedly, and that as long as insurance companies remain middlemen, everyone is going to pay $10K. Because that's your actual actuarial risk including the middlemen's 50% cut.

      Please (this isn't directed at you, parent poster), can we stop talking about Republicans and Democrats and which party wants to protect/harm you, and concentrate on actual policy?

    96. Re:Redistribution by Anonymous Coward · · Score: 0

      Boom! Headshot!

      All the whinging going around, and this post hits the nail right on the head.

    97. Re:Redistribution by fahrbot-bot · · Score: 1

      If a country has true universal healthcare, ...

      Furthermore, we actually already have *two* universal health insurance systems in the US - Medicare (for the elderly) and Tricare (for the military). I have trouble with people who oppose a universal health care system for the rest of us -- like my mother, who is 70+ and, therefore, gets Medicare, but opposes universal health care and the Affordable Care Act (aka Obamacare).

      --
      It must have been something you assimilated. . . .
    98. Re:Redistribution by fahrbot-bot · · Score: 1

      ...those who were added to O-Care rolls did not want or feel they needed it should be considered as well...

      Uh-huh. Until they get into an accident or get sick. Sure, no one *needs* health (or auto/home) insurance -- until they actually need health care (which is often quite expensive). Then they go to a hospital ER, which is *required by law* to care for them. Many do/can not pay and the expense gets passed along to the rest of us. Now, if everyone is fine with doctors and hospitals denying care to anyone w/o insurance, then I'm fine with people not having any insurance.

      --
      It must have been something you assimilated. . . .
    99. Re:Redistribution by NoImNotNineVolt · · Score: 3, Insightful

      The second were the $150/month genuine catastrophic plans. Insured pays $150/month, and in exchange the obligation of paying the first $10K of the bill, the insurance company might actually cover the remaining $90K. (Also, the insurance company might be able to bargain the hospital down from $100K to $20K, so even if they refuse to cover it, the insured isn't bankrupt.) These are gone, and that kinda sucks.

      Are these plans outlawed by the ACA, like the first set of plans you describe? Or have insurers merely stopped offering them of their own volition? I'm genuinely asking, as I don't know. I haven't heard of any limitations on deductibles imposed by the ACA.

      What ACA proponents don't get is that YES, premiums *DO* have to rise, markedly, and that as long as insurance companies remain middlemen, everyone is going to pay $10K. Because that's your actual actuarial risk including the middlemen's 50% cut.

      If premiums do have to rise (because of the ACA), why? What are the increasing costs? Most arguments I've heard boil down to "my premiums went up, my coverage went down", but something's not adding up. The ACA has capped insurers' profits (to what extent this is effective remains to be seen), so I'm comfortable assuming that the alleged difference in cost isn't simply being pocketed. So where is it going? I can't answer that. The conclusion this brings me to is that either premiums are not going up, or coverage is not going down.

      --
      Chuuch. Preach. Tabernacle.
    100. Re:Redistribution by fahrbot-bot · · Score: 1

      ... and the cost of insurance has skyrocketed since the law was passed.

      [ citation needed ]

      --
      It must have been something you assimilated. . . .
    101. Re:Redistribution by Mr+D+from+63 · · Score: 1

      While I agree there could be some cost reduction if ER visits for benign stuff were eliminated, it really appears to be a very small percent of the care costs we see as a whole, and in those cases where emergency care is needed, costs are the same. But even with the new laws, ERs are still required to provide care.

      I believe in a safety net, but one that doesn't drag down its own support system unnecessarily.

    102. Re:Redistribution by Anonymous Coward · · Score: 0

      Do you and your patients actually sit down and discuss how they feel about their insurance plans? I have never discussed my insurance with any of my doctors. They would never know if I am angry, happy, or upset with my plan. To the best of my knowledge, no one I know discusses their insurance with their doctor, either. The closest I have come to discussing insurance with a doctor is asking for generic medication because it is cheaper under my plan or simply asking about other treatment options. That is unrelated to my opinion of my insurance coverage. If you truly know how your patients feel about their insurance, your relationship with your patients must be very different from any I have ever had.

      You are correct in stating that some people do just blame Obamacare when they should blame the insurance company. However, the ACA forced new plans created by insurance companies to meet certain requirements that their other plans may not have covered. When this happens they have to adjust their business model so they can avoid loss. So many insurance companies raised prices on new plans and/or ended old plans. Around the time that the ACA was passed, my employer had to change insurance plans. Now, I have to pay more, but also have a higher deductible and co-pay. Was this a case in which the insurance company cancelled a plan to adjust their business model? Perhaps... or maybe it was just an insurance company taking advantage of the situation, knowing the customers would blame Obamacare. I don't know. But I cannot ignore the fact that when the ACA passed, I was forced to pay more for my insurance, but go less for it.

    103. Re:Redistribution by Gryle · · Score: 1

      Every single government thing involving any money at all is an income redistribution plan.

      Corporate tax benefits are income redistribution plans. Military spending budgets are income redistribution plans. Spectrum auctions are income redistribution plans.

      This particular income redistribution plan is only different in that income is redistributed to the poor instead of the rich.

      I'll buy your bit about military spending and spectrum auctions, but I'm not following your logic on corporate tax benefits. I'm assuming "tax benefits" means "not paying tax on something". I'm don't quite follow how not collecting taxes on something is the same thing as income redistribution. Could you elaborate?

      --
      Only two things are infinite, the universe and human stupidity, and I'm not entirely sure about the universe - Einstein
    104. Re:Redistribution by Anonymous Coward · · Score: 0

      I'd like to see which mythical countries you're talking about. Maybe Germany, based on the ~$10 token fee statement? Lots of insurance companies there. Private insurance plans instead of or on top of national coverage are also quite common there. Same in many other European countries. Japan maybe? A truly different health care system that most Americans would not bee in favor of.

    105. Re:Redistribution by rhazz · · Score: 1

      People who live in these more civilized countries read this shit about the US and simply scratch their heads. The numbers alone are mind-boggling to people whose entire annual medical expenditure is usually under $100, and frequently 0.

      I really do scratch my head. I honestly cannot fathom what it must be like to live in a society where if I break my leg or get seriously ill I might have to choose between treatment and paying the rent.

    106. Re:Redistribution by riverat1 · · Score: 1

      You must be kind of young. When I was a kid the top marginal Federal income tax rate was over 90%. JFK's tax reforms moved it down to a bit over 70%. Then Reagan dropped it to under 40%. Frankly we were better off with the high marginal tax rates.

    107. Re:Redistribution by HCase · · Score: 1

      Because that would be the equivalent of letting you wait to buy car insurance until you had already had an accident.

      It would be actually be worse because health coverage is more than just insurance, and portions of the premiums go toward preventative care to help avoid worse scenarios.

    108. Re: Redistribution by Anonymous Coward · · Score: 0

      That's just what they want you to think: government is the only thing that ensures monopolies and wealth to the parasites and works for the protection of the parasites.
      Whether or not the parasites are rich or poor is irrelevant.

    109. Re:Redistribution by riverat1 · · Score: 1

      And yet the US Dollar is still the strongest currency in the world.

    110. Re:Redistribution by riverat1 · · Score: 1

      ... and the cost of insurance has skyrocketed since the law was passed.

      You're going to have to justify that statement. From what I've heard the rise in the cost of health care and health insurance has been at it's lowest rate in over a decade lately.

    111. Re:Redistribution by riverat1 · · Score: 1

      More people means more risk, more risk means more cost, ...

      More people also means the risk gets distributed more widely as well which probably doesn't hurt. In the case of the ACA, since people who were formerly denied health insurance can not be now be denied it the risk may have gone up a bit but in general the wider risk is spread the better for everyone involved. Just look at all of the European countries with universal coverage whose cost per person is something like one half to two thirds of the cost in the US with substantially equal or better health care.

    112. Re:Redistribution by david_thornley · · Score: 1

      Fundamentally, capitalism is the idea that whoever owns the means of production reaps the benefits, and the actual low-level workers get screwed. Pure capitalism and pure socialism both suck.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
    113. Re:Redistribution by drinkypoo · · Score: 1

      Having no government interdiction at all would mean the rich would take directly from the middle class until all that was left is a class of extreme wealth at the top and a massive class of abject poverty below.

      How does that differ from our present system of government?

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
    114. Re:Redistribution by jfengel · · Score: 1

      I've always found it kind of odd that Republicans wanted to eliminate the latter, without eliminating the former, which is obviously more popular. It seems to me that Democrats at some point should have said, "Sure! Hey, everybody, you can stop paying for insurance."

      I know that it wouldn't actually get that far, but it seems to me that they could at least have gotten the insurance companies mad at the Republicans for making "paying for insurance" the problem. It's the only unpopular provision in the law, but necessary.

    115. Re:Redistribution by jfengel · · Score: 1

      Because that's your actual actuarial risk including the middlemen's 50% cut.

      One of the specific provisions of the ACA is to limit that cut to 20%. Companies have had to actually send rebates when they took in more than that.

      Whether the middleman's value is worth even that much is a different question. It's not completely valueless: they negotiate the price with the hospital, and they're on your side in wanting to pay less. It would much much harder for you to do that yourself, since you're not an expert in the cost of care or on what anybody else paid. That's a benefit to some, and a cost to those more savvy negotiators. I can tell you that I'm not in the latter category.

    116. Re:Redistribution by ScentCone · · Score: 1

      If your costs went up that significantly, then your coverage has changed dramatically.

      No, that's just what the government-mandated plans cost, now, as produced by the regulators in the liberal-monoculture government of this state, where rates are set by the government. Yes, my coverage changed ... it's worse. We can't use the two best local hospitals, and we can no longer use our doctor of 20 years. We do have primo coverage, though, for maternity-related matters that we can't possibly use. So, yeah, significant change in coverage: triple the monthly cost and quadruple the deductable for a big drop in what we get out of it.

      In short, you're complaining that passage of the ACA has forced you to upgrade your previous Fischer-Price insurance (which is a lot more like "no insurance" than it is like "today's insurance") so that your unpaid medical bills wouldn't be spread amongst the rest of us. Welcome to the world of personal responsibility and pulling your own weight.

      Had the same plan for many years, always paid what's not covered by insurance, and always had a plenty-large cap. The "toy" insurance you think I had dealt with medical matters large and small. The exact same situations would now involve far more cash out of pocket, on top of the much higher monthly rates. This isn't because I've been forced to buy better insurance, it's so the difference in cash can be used to cover subsidies for other people.

      --
      Don't disappoint your bird dog. Go to the range.
    117. Re:Redistribution by ScentCone · · Score: 1

      How about the out of pocket maximums? Lifetime maximums? Every other detail that you've omitted? They've all stayed the same?

      My out of pocket maximum has gone up under the "affordable" care act. I had a lifetime max of $2M, since I was carrying a long-held policy before it was declared unfit for the new market because it didn't provide no-deductible birth care, which is completely irrelevant to me.

      And "every other" detail? Like what? Like the fact that even though the new policy also covers the same preventative screening procedures/tests as my old policy, there are now much higher co-pays during those visits? Or that the co-payments on prescriptions are now higher than they were on the plan I was forced to give up? What sort of details are you looking for? I was happy with my old plan, and was lied to about whether I'd get to keep it. I was lied to about how monthly costs would go down, I was lied to about how the entire new arrangement was going to lower real health care costs and not contribute to the federal deficit (wrong on both!). And now we're looking at another 48% increase in rates for the coming year. So affordable, this new affordable care act.

      --
      Don't disappoint your bird dog. Go to the range.
    118. Re:Redistribution by ScentCone · · Score: 1

      Not allowed to use hospitals?? Thousands of dollars a year??

      Right. Can you choose any hospital you want for any procedure you choose without any wait, where you come from? No? You mean you have some sort of system that makes sure that not everyone in the country lines up at the same one best hospital to use the one most famous cardiologist in your country? So, how does that work, exactly? Obviously you don't allow normal market pressures to impact that. Could it be that there is some committee or even a normal government bureaucrat that decides how to deal with 1000 people who all want their heart surgery performed by the same couple of people in the same one hospital? Or does nobody ever get told that they'll have to go across town to a different facility because the one they want can't accommodate them that week, or that the very popular neurosurgeon they want can only work 12 hours a day, and they'll have to go somewhere else?

      And yes, thousands of dollars a year for health care. Oh, wait, I get it. You're one of the people in your country that doesn't pay any of the taxes that fund your healthcare system. I guess it does feel like a pretty good system, having other people buy for you the professional services you want. Does it work that way for electricians, too? If you want someone to write a sophisticated piece of software, do you just demand it, and the government gets other people to pay the professionals needed to make you that software? No? Why not? If you have the right to the use of a podiatrist because you're too lazy to trim your own toenails, why don't you have a right to an electrician's services to come and change a lightbulb in your house?

      --
      Don't disappoint your bird dog. Go to the range.
    119. Re:Redistribution by lars_stefan_axelsson · · Score: 1

      No, it's usually yearly for kids, and that's quite frankly often enough.

      Also, dentistry (same as in the US) is usually not part of the universal healthcare, but a separate system, so there's a lot more variability in dental care than healthcare proper in the EU. In Sweden for example, only kids (until 18 yo) get free dentistry, as an adult you have to pay your own. Unless of cours it becomes a systemic health care problem.

      --
      Stefan Axelsson
    120. Re:Redistribution by lars_stefan_axelsson · · Score: 1

      So, how does that work, exactly? Obviously you don't allow normal market pressures to impact that. Could it be that there is some committee or even a normal government bureaucrat that decides how to deal with 1000 people who all want their heart surgery performed by the same couple of people in the same one hospital?

      In that case there's no solution anyway, so the only question becomes whether you do it like in Sweden, i.e. where the patient in most need gets the best surgeon at the best hospital, or you do it likt in the US, where the "richest" patient gets the best surgeon in the best hospital.

      And that's, incidentally, why we have much, much better outcomes for the same money.

      But in general the answer to your question is "yes". In Sweden you can go to any hospital/doctor to seek treatment. If the same treatment is available by your own county, you can be made to wait a couple of weeks, but even that's not a hard rule, if you push, you can go directly. It's not uncommon for your local doctor to discuss with you where you'd want to go, when you're going for a speciality that is of the "one of a kind in the country" that you seem so afraid you'll miss.

      Oh, wait, I get it. You're one of the people in your country that doesn't pay any of the taxes that fund your healthcare system. I guess it does feel like a pretty good system, having other people buy for you the professional services you want. ... No? Why not? If you have the right to the use of a podiatrist because you're too lazy to trim your own toenails, why don't you have a right to an electrician's services to come and change a lightbulb in your house?

      No, I pay out the nose. No question about that. :-) However, I pay a lot less than you do, since that how insurance works (or rather, I pay about the same, but get much, much better care for my money). If you have a large pool with no individual management then insurance gets dirt cheap. Ask any insurance company, it's individually that costs money. (That's why so called group plans for i.e. home insurance you can get from e.g. your union in Sweden are so popular. They're usually about a quarter of the cost for the same service, and that's not because insurance companies are cutting their profits.)

      Now, of course your "podiatrist" spiel is just silly. With health care based on need, you'll just be sent home if it turns out that you don't actually have a need. And that's the way it should work. Now of course, if you'd actually go to the doctor because you're to lazy to cut your own toe nails, I'd prefer our system. If you think that's why you're at the doctor there's a good chance there's something wrong with you, but at the other end of your body, and I'd much better that you'd actually go to the doctor then, then not being able to, due to cost. I'd much prefer to have those people in the hands of psychiatrists than running around complaining they can's see a doctor.

      --
      Stefan Axelsson
    121. Re:Redistribution by Cederic · · Score: 1

      Although to be fair, after 20 years contracting in the city that is now a viable proposition for him. Guess that explains the retail finance startup..

    122. Re:Redistribution by Anonymous Coward · · Score: 0

      Exactly. Then everyone's premiums would go up by many orders of magnitude, since the majority of those insured would be active claimants.

    123. Re:Redistribution by naasking · · Score: 1

      More people means more risk, more risk means more cost, that cost is distributed among the group by taking more of their income.

      More people does not necessarily mean more risk. More people can in fact, and often does, mean less risk.

      Ergo, more income is being redistributed. So although you are technically correct in your statement about causality; in the context of this scenario your statement is wrong.

      Income redistribution plans apply to everyone. Obamacare applies only to those who get health insurance. Therefore, it's not an income redistribution plan.

    124. Re:Redistribution by dmr001 · · Score: 1
      Among my commercially insured patients there's a mix of folks who are happier, angrier or ambivalent about changes in their coverage. For some folks things have gotten better (especially among the individually insured whose risk is now spread around) and for many worse, though worsening coverage with each passing year has been the rule.

      Regrettably, the cost of insurance comes up frequently in my practice by necessity. Not just with figuring out which medicines an insurance company will reimburse for (down to needing to figure out if they prefer I prescribe capsules vs tablets of the sane medicine) but which procedures are reimbursable, which specialists they can see, how they get psychotherapy, if they can afford a followup visit with me, how their colonoscopy might get billed, or if their finances will be nuked to high heaven if they end up in the emergency department of hospital.

      14 years ago in residency I did a rotation in Ireland and was amazed how much different practice was there (at least in rural County Clare) than what I'm used to in the US. Our copay here cost the same as the cost of their entire visit. The state paid for hospitalizations for everyone. Dr Gerry ran his entire practice on a 500 Euro piece of software with one nice lady in the front office and he got paid about the same as his US peers. He also had a nurse who handled much of the lady business. 16 year old girls were counseled on not imbibing more than two (imperial) pints a night.

      Here, we need about 5 support people per primary physician to handle all the rules, paperwork, insurance reimbursement, claims and billing; and our computer system costs something on the order for $30,000 per doc per year all told. The Irish marveled at tales of how nuts our system is. Canadians (politely) make fun of it when we're at the same conferences. Seriously, WTF?

    125. Re:Redistribution by riverat1 · · Score: 1

      I think you meant that reply for ComputerGeek01.

    126. Re:Redistribution by Anonymous Coward · · Score: 0

      See, Democrats are collectivists... they've been pushing for it for decades, and we all know where the road of socialism leads: tyranny and complete communistic control of everyone's lives.

    127. Re:Redistribution by Anonymous Coward · · Score: 0

      And we all know how many kinds of lies there are: Lies, Damned Lies, and Statistics.
      The Credit Suisse Global Wealth Report is making an erroneous assumption that wealth is spread evenly in the US. Which it is not.
      The report is seriously misleading, and in fact, I would call it a lie.

    128. Re:Redistribution by Anonymous Coward · · Score: 0

      Well, this explains why income inequality has gotten far worse under Obama than Bush - because the Democrats so hate the rich. It also explains why the richest people in Congress are Democrats - they like to keep their enemies closer. It also explains why the Clintons were ordinary poor folk until they got into the White House - because Democrats.... It explains why the Obama administration has more Wall Street bankers on it's cabinet than any administration is history too.

      It also explains why conservatives give to charity at a rate that's triple or quadruple what liberals do - it's because they hate the poor.

      What it does explain, however, is that the party of the well rehearsed talking point, a.k.a. "The Narrative" will never, ever change said narrative because so many fools simply repeat it without question.

      Which explains why liberals would celebrate 10 million insured under ObamaCare when they cancelled the policies of six million... When, in fact, they refuse to release the real numbers, and instead let the organ of the DNC, the NYT, fabricate some electioneering piece purporting to be news, right?

    129. Re:Redistribution by Anonymous Coward · · Score: 0

      I am also a small business owner with 3 employees. We had a great insurance plan for our employees through BCBS. This policy was cancelled by Obamacare. Our new policy premiums went up 35% with higher deductibles, and less coverage. Our employees hate it.

      NOBODY I have talked to has had their premiums decline. With all due respect, Sir, you are a troll. So please explain why the ObamaCare rate increases were MANDATED to be moved AFTER the election?

    130. Re: Redistribution by Anonymous Coward · · Score: 0

      Nonsense. The WPA built very few of our bridges, dams, and airports that we have today.

      Much of what the WPA built was substandard... We spend more on infrastructure per capita TODAY than we were during the Eisenhower administration, which was building the Interstate Highway System. Look it up. "Infrastructure" is DNC code speak for "More money for the corrupt Teamsters" which equals more money into the DNC coffers.

    131. Re:Redistribution by gzuckier · · Score: 1

      It has pushed back against inequality, essentially redistributing income ...

      So it is an income redistribution plan. What we really need is a prosperity plan and other than getting out of the way, that is not something government can do.

      Depends who you mean as "we", doesn't it? Some of "us" are getting quite prosperous.

      --
      Star Trek transporters are just 3d printers.
    132. Re:Redistribution by gzuckier · · Score: 1

      Bingo! I would not have been able to do multiple start-ups and freelance in banking and writing if tied to a job by health insurance given that I have had imperfect health.

      Score one for the UK NHS, even though also imperfect, for giving me mobility.

      Rgds

      Damon

      Bingo! I would not have been able to do multiple start-ups and freelance in banking and writing if tied to a job by health insurance given that I have had imperfect health.

      Score one for the UK NHS, even though also imperfect, for giving me mobility.

      Rgds

      Damon

      So, the need to arrange for a new health provider if you leave your job and move to another state is more restrictive than not being able to get health insurance at all if you leave your job? I'll have to think about that for a looooooong time.

      --
      Star Trek transporters are just 3d printers.
    133. Re:Redistribution by gzuckier · · Score: 1

      Yes, but the article is NOT about health care. It is about health insurance. They are not the same thing. Having health insurance is not a benefit if there is no one to provide you with health care, which is what is happening with this law. Most of those who now have health insurance that did not have it before are those who have been added to the Medicaid rolls. Yet the number of health care providers who accept Medicaid patients has fallen.

      8 million people have individual insurance through exchanges in March 2014. This is 30% more than people with individual insurance policies in Dec. 2013. Surveys of these people have 60% saying they were uninsured before getting the exchange policies. Meanwhile, Medicaid enrollment rose by 10 million people between 2006 and 2013, before Obamacare, mostly children, indicating that the big driver here is the collapsing economy. One of the biggest effects of Obamacare is children under 26 without insurance signing onto their parents' policies, which counteracts this long term rising enrollment of children into Medicaid. Isn't Medicaid run by the individual states, who set the rates, in any event? If the cost of healthcare is too high, as everybody seems to worry about, you can't possibly provide it to more people and not raise costs without keeping payments low. The money has to come from somewhere. Right now, the money to cover the few services uninsured get in emergency rooms, etc. comes from the hospitals adding it to the bills of patients with insurance, which automatically makes healthcare more expensive. Pay for those costs with insurance subsidized by the government, and the cost of insurance to those not subsidized will drop accordingly.

      --
      Star Trek transporters are just 3d printers.
    134. Re:Redistribution by drinkypoo · · Score: 1

      This particular "income redistribution plan" is different in that it has so many bad intended and unintended consequences with many more yet to come.

      Unintended, huh? The eternal optimist. I don't believe in major unintended consequences any more. Oh sure, when we're dicking around with nature, they're still possible. But when it comes to government regulation leading to consequences that many, many people saw coming? Nah.

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
    135. Re:Redistribution by gzuckier · · Score: 1

      It is, only in that it redistributes money from the healthy to the insurance companies. Saying that "these people are better off because they now have insurance" is misleading. They now have to pay for that insurance, and the cost of insurance has skyrocketed since the law was passed. Furthermore, they can only be said to have benefited from having insurance if they get sick, or if they were already sick and would have been denied coverage.

      "the cost of insurance has skyrocketed"? really? for whom? you? not me. Or most people, apparently. The cost of insurance has to track the insurance companies' payouts to the actual medical care delivered; 80% of the premium has to go to actual payouts to medical providers. So the cost of insurance can't skyrocket unless the utilization of medical care by the members of the plan skyrockets. In any event, Obamacare only affects the individual and small group insurance markets, which are a small fraction of US health insurance which is dominated by big employer coverage and Medicare. The highest increase in annual healthcare cost was in 2002, over 8%; it dropped steadily from there to about 3% in 2009, where it's been stable ever since, and shows every indication of staying this year. Do you in fact have insurance? If so, why? you believe you won't benefit if you don't get sick, why is that worth it to you, but not too people who got insurance for the first time this year?

      --
      Star Trek transporters are just 3d printers.
    136. Re:Redistribution by gzuckier · · Score: 1

      If your costs went up that significantly, then your coverage has changed dramatically. It's overwhelmingly likely that your previous policy had terrible coverage, coverage which doesn't meet requirements set forth in the ACA. Your costs have increased, but so has your coverage, comparably. If the increases you claim are accurate, then your previous policy was total shit and wouldn't have helped you much were you to actually need it for anything serious.

      There are two kinds of low-end insurance plans.

      The first are the $50/month bullshit scams that you're talking about. Sucker pays $50/month, and gets the *first* $2000 of his $100K medical bill paid for, but is on the hook for the remaining $98K. (i.e. "You get $2000 off your first bill!") These are gone, and good riddance.

      The second were the $150/month genuine catastrophic plans. Insured pays $150/month, and in exchange the obligation of paying the first $10K of the bill, the insurance company might actually cover the remaining $90K. (Also, the insurance company might be able to bargain the hospital down from $100K to $20K, so even if they refuse to cover it, the insured isn't bankrupt.) These are gone, and that kinda sucks.

      It only *kinda* sucks because the replacement (the bronze plans) are issued at around $300/month with $6300 deductibles, but, and this is where ACA detractors miss the point, they're issued to everybody, even to people with cancer and known expenses of at least $100K/year chemotherapy. You pay $300/month for a $6000 deductible, or $800/month for a $0 deductible. If you go Bronze, you pay ($300*12 + 6000 deductible) = $9600/year. If you go Gold/Platinum, you pay ($800*12 + 0 deductible) = 9600/year. It's still, to within an order of magnitude, the same amount of money at risk.

      What ACA proponents don't get is that YES, premiums *DO* have to rise, markedly, and that as long as insurance companies remain middlemen, everyone is going to pay $10K. Because that's your actual actuarial risk including the middlemen's 50% cut.

      Please (this isn't directed at you, parent poster), can we stop talking about Republicans and Democrats and which party wants to protect/harm you, and concentrate on actual policy?

      If you read the documents for the now obsolete low-end plans, they basically come out and tell the purchaser that they aren't going to pay for anything much, but were just in effect a giant group purchase plan, so that you could get the discounts providers give insurance plans (typically way more than 50%) and not get stuck paying the "list price" the providers charge to the uninsured, who don't have the clout of 2000000 paying customers to bargain with. Which brings me to the quibble: the middleman doesn't take a 50% cut. The insurer is legally required to spend 80% of premiums on actual medical expenses; and that 80% is the insurers' low negotiated cost, as I described above, not the list price. So that, from actual example, if you have no insurance and get a minor outpatient operation, you would pay $4,000; if you have insurance, your immediate cost would be $200 with the insurer paying out another $600 because their contracted cost is $800; averaged out over the entire membership, you would of course pay this amount in your premiums, plus an additional $200 max in overhead, for a grand total of $1000. There isn't any 50% cut in there no matter how you arrange the numbers.

      --
      Star Trek transporters are just 3d printers.
    137. Re:Redistribution by gzuckier · · Score: 1

      The second were the $150/month genuine catastrophic plans. Insured pays $150/month, and in exchange the obligation of paying the first $10K of the bill, the insurance company might actually cover the remaining $90K. (Also, the insurance company might be able to bargain the hospital down from $100K to $20K, so even if they refuse to cover it, the insured isn't bankrupt.) These are gone, and that kinda sucks.

      Are these plans outlawed by the ACA, like the first set of plans you describe? Or have insurers merely stopped offering them of their own volition? I'm genuinely asking, as I don't know. I haven't heard of any limitations on deductibles imposed by the ACA.

      What ACA proponents don't get is that YES, premiums *DO* have to rise, markedly, and that as long as insurance companies remain middlemen, everyone is going to pay $10K. Because that's your actual actuarial risk including the middlemen's 50% cut.

      If premiums do have to rise (because of the ACA), why? What are the increasing costs? Most arguments I've heard boil down to "my premiums went up, my coverage went down", but something's not adding up. The ACA has capped insurers' profits (to what extent this is effective remains to be seen), so I'm comfortable assuming that the alleged difference in cost isn't simply being pocketed. So where is it going? I can't answer that. The conclusion this brings me to is that either premiums are not going up, or coverage is not going down.

      Exactly; more members are not a windfall for insurers like they are for cell phone companies or such, because insurers are legally required to have their total premiums be 125% or less of their total medical costs.

      --
      Star Trek transporters are just 3d printers.
    138. Re:Redistribution by Anonymous Coward · · Score: 0

      The "poorest states" being conservative sounds counter to only the picture that liberals try to paint of conservatives, not to reality for anyone who pays any attention.

      I'd consider myself very much a liberal (to the point that I consider Democrats as right-wingers), and have never believed or tried to paint such a picture.

      What I do believe is that there are many poor hard-working American conservatives who repeatedly vote against their own (and the country's) best interests because they are manipulated into this by rich elites. Case in point: Tea Party & Koch brothers. FWIW, the (smaller number?) rich elites on the left, by definition, are not trying to screw the little guy ... although, meh, that's how you usually get rich, so I know they're not saints either.

      IMO everyone deserves to be respected as a worthy individual; but some ideas are just dumb. Creationism is stupid. A political party that (effectively) doesn't believe in government is stupid.

      If only Scotty could beam me up!

    139. Re:Redistribution by DamonHD · · Score: 1

      The need to worry about *not having proper health cover* as tangled up in any way with changing job would be restrictive.

      I have no such issue at all, ie I can change jobs or have no job or do my start-up and it makes no difference to how I access medicine.

      Rgds

      Damon

      --
      http://m.earth.org.uk/
    140. Re:Redistribution by Anonymous Coward · · Score: 0

      Well, it may have resulted in income redistribution, but that is not the reason for the plan. Just as if a policy has a racist result, it can't be called "racist" unless the people in charge got together and explicitly planned a racist result. At least, that's according to the SupCt.

    141. Re:Redistribution by Attila+Dimedici · · Score: 1

      Pay for those costs with insurance subsidized by the government, and the cost of insurance to those not subsidized will drop accordingly.

      Except that that does not appear to be happening.

      --
      The truth is that all men having power ought to be mistrusted. James Madison
    142. Re:Redistribution by laird · · Score: 1

      Under ACA, all health insurance covers preventative medicine 100%, before the deductible. So the plan you're describing doesn't exist.

      As for healthcare costing as much as leasing a nice car, well, OK. Prices were going up faster before ACA, so at least the costs are better than they would have been. But you're right - healthcare in the US is absurdly over-priced. It'd be good to really fix the underlying problem - making everything for-profit and fee-for-service, with insurance companies in the middle to maximize waste while minimizing health care being provided, is a horrible, horrible mess. But apparently the obvious solution, which the voters support (i.e. expand Medicare to everyone) is inconceivable to Congress for some reason.

    143. Re:Redistribution by NoImNotNineVolt · · Score: 1

      No, that's just what the government-mandated plans cost, now, as produced by the regulators in the liberal-monoculture government of this state, where rates are set by the government. Yes, my coverage changed ... it's worse. We can't use the two best local hospitals, and we can no longer use our doctor of 20 years. We do have primo coverage, though, for maternity-related matters that we can't possibly use. So, yeah, significant change in coverage: triple the monthly cost and quadruple the deductable for a big drop in what we get out of it.

      So where is the money going? You're paying more, and getting less. This means that the insurance company is making more. However, the ACA caps their profits at roughly the levels they were at. Executive compensation in the health insurance industry hasn't increased markedly (it's been quite obscene since well before the ACA). So where is the money going? Are you suggesting that the new maternity-related coverage is what's driving up your costs so much? How would that make sense, considering the relatively low cost of maternity-related procedures (as far as inpatient procedures go)?

      --
      Chuuch. Preach. Tabernacle.
    144. Re:Redistribution by NoImNotNineVolt · · Score: 2

      The Credit Suisse Global Wealth Report is making an erroneous assumption that wealth is spread evenly in the US. Which it is not.

      The statistic that I quoted from the report didn't make any claims about how wealth is distributed. It merely divided the total wealth by the total population, which yielded a figure for wealth per person that corresponds to how much wealth each person would have if wealth were distributed equally. Let's call this number the average wealth per person. It doesn't imply that any given person actually has this level of wealth, let alone that all people do.

      I question your intelligence.

      --
      Chuuch. Preach. Tabernacle.
    145. Re:Redistribution by IronChef · · Score: 1

      You're correct, preventative care is covered. But what does that actually mean?

      http://www.hhs.gov/healthcare/...

      Those are mostly screening services, not treatments. The "preventative care" list for women is a little better, but this is not a lot of care for your money.

    146. Re:Redistribution by Anonymous Coward · · Score: 0

      Actually capitalism is the idea that those who take the risks (those with capital invested) reap the rewards of success.

    147. Re:Redistribution by Anonymous Coward · · Score: 0

      Children under 26?!?!? Just another problem here. When I was 26 I was OUT of the military, married and had 2 kids of my own. Why do we expect ADULTS under 26 o be on their parent's insurance plan?

    148. Re:Redistribution by Anonymous Coward · · Score: 0

      That's because it was productive. Sure, the rich gained more than the poor. But the standard of living, even for the poor, skyrocketed.

    149. Re:Redistribution by jwhitener · · Score: 1

      It is interesting, but not surprising, that the liberal talking points are heavily embedded, a clear flag that the study has an inherent bias. The "poorest states" being conservative sounds counter to only the picture that liberals try to paint of conservatives, not to reality for anyone who pays any attention. Hard working rural America has always been conservative. More often than not, it is the large urban populations that shift state's support bias to liberal, and it is those same urban areas that hold the most desperate and dependent populations of the truly underprivileged.

      "poorest states" being conservative is accurate. Last time I checked, more federal tax dollars (spent on social support) flows into red states than goes into blue states. Blue states are 'richer' and tend to take care of their population more, but also have overall higher wages and less unemployment.

      TL:DR - The 'big urban' areas make a lot of money. A lot more than rural areas. Rural areas are tax moochers, urban areas are tax generators.

    150. Re:Redistribution by dave420 · · Score: 1

      There are no "good" and "bad" hospitals where I live - they're all up to the same standard. If one hospital is better at a certain procedure (due to it specialising in it), and you need that procedure, that's where you go. That's it. It's that simple. The decisions are made by the doctors. People don't know who the most famous cardiologist is, as they have no need to. And if they did, it would cost precisely the same amount of money to have them treat you as it would anyone else.

      I live in a country where we all pay for healthcare. I pay, and everyone else who can pays. That means should you need healthcare, you never have to open your wallet. You don't have to have contingency plans in case you get sick, as you are not financially affected. If everyone paid some money a year to cover electricians' visits, and when you needed one they came over and didn't charge you, that'd be cool. They'd probably be fine with it as they're getting paid, and everyone else would be fine as the sharing of the costs would lower them for everyone.

      You can keep on making up these excuses as to why the US's pathetic, expensive, unfair, and corrupt healthcare industry is better than other countries' healthcare services all you want. The statistics are in, the analyses performed, and the US's system is an absolute fucking joke the world over. Congratulations! The same outcomes for 4x the price, and the lovely prospect of being bankrupted due to simply being born. You must be so proud! USA! USA! USA!

    151. Re:Redistribution by fche · · Score: 1

      "they're all up to the same standard. If one hospital is better at a certain procedure ... "

      Both those can't be so, unless the "same standard" is minimal.

      "That means should you need healthcare, you never have to open your wallet." ... unless it's one of the many healthcare services delisted by the so-called insurance, or if you can't bear to wait for the rationed specialists and need to travel to USA USA USA for timely service, or ...

    152. Re:Redistribution by Anonymous Coward · · Score: 0

      My best guess would be the droves of people the insurance companies could weasel their way out of paying for because of "pre-existing conditions." It's a lot easier to offer cheap insurance when you don't actually have to pay out to anyone with a problem.

  4. Re:Proof Republicanism is the major cause of pover by Anonymous Coward · · Score: 0

    Rich or poor, Republicans are united by their insatiable lust for more money.

  5. Camps mixed up by allcoolnameswheretak · · Score: 1

    Many of the poorest and most rural states in the country tend to favor Republican politicians.

    I've observed this myself. Quite baffling that those who would profit most from social reforms mostly advocated by the left are very often politically oriented towards the right.

    And then you have the super rich, who are strongly favored by right-leaning policies, asking the government to tax them more...

    Crazy world.

    1. Re:Camps mixed up by drinkypoo · · Score: 2, Insightful

      And then you have a tiny minority of the super rich, who are strongly favored by right-leaning policies, asking the government to tax them more...

      FTFY. For every Warren Buffet there's a hundred fucks who won't cough up a dime unless you punch them in the gut.

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
    2. Re:Camps mixed up by Anonymous Coward · · Score: 0

      It's only a very small subset of the super rich that favor left-leaning policies. Most of them are just quietly bankrolling conservative groups and hoping it doesn't come to too much attention.

    3. Re:Camps mixed up by Anonymous Coward · · Score: 0

      FWIW: "Obamacare" was actually Romney's plan (compare vs. what he did as governor of Massachusetts).

      Democrats would much prefer a single-payer system (i.e. the US government), but now we're stuck with a golden goose for the insurance companies (aka a Republican wet dream).

    4. Re:Camps mixed up by Bing+Tsher+E · · Score: 1, Insightful

      Warren Buffet never coughs up a dime without being forced to. He just grandstands about the issue. Rhetoric is not action.

    5. Re:Camps mixed up by Charcharodon · · Score: 1
      but now we're stuck with a golden goose for the insurance companies (aka a Republican wet dream).

      Not a single Republican voted for Obamacare, so exactly how does it make it their "wet dream"? The Democrats are bought and paid for by the banking industry and Wallstreet. The insurance industry is just a sublet of the banking. The Republicans are bought and paid for by farming, energy, and military industries. At least try to get the group you want to blame right or you come off sounding like a moron.

    6. Re:Camps mixed up by RoccamOccam · · Score: 1
      From investors.com

      Right after the Supreme Court's decision to lift limits on campaign contributions, Democrats and their left-wing supporters assaulted the decision as a boon to Republicans, "the party of the rich."

      This of course is part of a far-wider narrative — slavishly repeated by largely unquestioning liberal media — that the GOP outspends Democrats on campaigns thanks to big-buck donors like the billionaire Koch brothers.

      But, as it turns out, that's a lie — as big a lie, in fact, as "you can keep your insurance," "you can keep your doctor" and "ObamaCare will bend the cost curve down."

      By almost every measure, in fact, it's the Democrats, not the Republicans, who are the party of the rich.

      Start with Congress itself. Who are the wealthiest members? Well, there are 269 millionaires among Congress' 535 members. And most of them are Democrats.

      And contrary to the hand-wringing on the left about the Supreme Court's 5-4 McCutcheon v. Federal Election Commission ruling Wednesday, Democrats far outspend Republicans on elections. It isn't even close.

      According to OpenSecrets.org, from 1989 to 2014 rich donors gave Democrats $1.15 billion — $416 million more than the $736 million given to the GOP. Among the top 10 donors to both parties, Democrat supporters outspent Republican supporters 2-to-1.

      But what about the villainous Koch brothers, those conservative plutocrats supposedly seeking to control American politics? They rank 59th on the list of big givers — behind 18 unions and No. 1 Act Blue, the massive left-wing fund raiser that gives only to Democrats.

      Indeed, a recent book, "The New Leviathan," says donations to Democrats outstrip those to Republicans 7-to-1. How can this be? Democrat support soars when you include unions, universities, superPACs, nonprofits, left-wing interest groups, and — ready for this? — Wall Street (which overwhelmingly favors Democrats).

      So Democrats don't really want to restrain money in politics. Just the money that goes to Republicans.

    7. Re: Camps mixed up by Time_Ngler · · Score: 0

      It's because the poor people that do vote, senior citizens mostly, don't like living next to drug addicts that engage in petty theft, sell drugs and sometimes do much worse deeds, and live off the government dole. For whatever sins the republicans are known for, the thought is they will help prevent theiving meth heads from living next door to them.

    8. Re:Camps mixed up by Anonymous Coward · · Score: 0

      First of all, I live in MA and have been subject to the bullshit insurance requirements before after I was laid off from a previous job in 2009.

      That having been said, Obamacare is nothing like Romneycare. It's night and day when you actually compare the plans. The only similarity is that they both require everyone to purchase health insurance or pay a fine.

      Obamacare has actually really fucked up the (semi)working insurance exchange benefits here. We were forced to shut down the already working MassHealth Connector website and piss away millions of dollars on a new exchange that still doesn't fucking work right. The rather excellent health insurance plan I used to have through work, which had no deductible now has a $2000 deductible and won't pay for a fucking thing anymore.

      I ask you, what good is forcing everyone to buy insurance when the insurance won't pay for any fucking thing we need it to pay for? This was a total cockup.

    9. Re:Camps mixed up by laird · · Score: 5, Insightful

      Question: Not a single Republican voted for Obamacare, so exactly how does it make it their "wet dream"?

      Answer: Because Obama adopted the Republican plan in an attempt to unify the parties in implementing healthcare reform. The Democratic plan was Single Payer, which was cheaper, simpler, and more effective. Obama agreed to the more expensive, complex and ineffective Republican plan in an attempt to get Republicans to engage in the reform.

      Unfortunately, Republicans immediately turned against their own plan, because they cared more about preventing reform than in their own reform plans.

      The shame is that the Democrats didn't then go back to their own plan and push that through. Unfortunately there were enough Democrats tied to the insurance industry (Lieberman....) that, combined with 100% Republican obstruction, they were able to force the country to waste $trillions on insurance company waste. Because what's waste to us is record profits for insurance companies.

    10. Re:Camps mixed up by Anonymous Coward · · Score: 0

      Religion or a lack thereof probably has a big hand in that.

    11. Re:Camps mixed up by Anonymous Coward · · Score: 0

      The Republicans are bought and paid for by farming, energy, and military industries.

      And, of course, the banking industry and Wallstreet as well.

      Both parties are beholden to these groups. If you think otherwise, you're the one who comes off sounding like a moron.

    12. Re:Camps mixed up by Oligonicella · · Score: 1

      House Speaker Nancy Pelosi: "We have to vote for the bill before we can read it." **That** is what the Republicans turned against, not the contents they weren't allowed access too.

    13. Re:Camps mixed up by colin_young · · Score: 4, Informative
    14. Re:Camps mixed up by Charcharodon · · Score: 1
      That is some pretty fucked up logic. The Republicans thought it up, but the Democrats took it ran with it and shoved it down our throats, but really it's the Republican's fault.

      How did you not manage to snap your spine pulling of those contortions?

    15. Re: Camps mixed up by Anonymous Coward · · Score: 0

      Just because they didn't vote for it, doesn't mean they aren't in favor of it. You can correct me if I'm wrong, but I believe this was going to pass whether or not the Republicans voted yea or nay. So why not go ahead and staunchly bad mouth and oppose it to gain more points with your constituents?

    16. Re:Camps mixed up by Charcharodon · · Score: 1
      So if they were bought and paid for by the same groups, why pray tell did they not vote for it?

      Oh look your bias is showing, might want to pull your pants back up and wipe off your mouth.

    17. Re:Camps mixed up by Anonymous Coward · · Score: 0

      That was not to the government. He says he needs to pay more taxes but does not even though he can write a check to the US treasury to voluntarily pay more. I'm all for private charity but don't equate that with government spending.

    18. Re:Camps mixed up by clickety6 · · Score: 1

      Donating is not the same as paying taxes...

      --
      ----------------------------------- My Other Sig Is Hilarious -----------------------------------
    19. Re:Camps mixed up by ganjadude · · Score: 1

      FWIW, no, it was not. implementing it at the state level is fine, and within the bounds of the 10 amendment. forcing this on the entire nation is unconstitutional (regardless of what SCOTUS says, they said slavery was legal at one point as well, remember that)

      --
      have you seen my sig? there are many others like it but none that are the same
    20. Re:Camps mixed up by ganjadude · · Score: 1

      no, obama CONVINCED you thats what he wanted, he never planned to do what you claim. The plan is not constitutionally sound, on a state level it is the republican plan, but they never planned to implement it federally

      funny how when obamacare is failing by every measure except for enrollment (which doesnt mean jack shit in reality) obamas supporters are trying to blame romney and the republicans

      or did you guys forget about hillary care, which is older than obamacare (oh thats right, we cant have anything bad out there about hillary in the next 2 years...)

      I dont care who implemented it, it fucking sucks.

      --
      have you seen my sig? there are many others like it but none that are the same
    21. Re:Camps mixed up by Anonymous Coward · · Score: 0

      Do you?

    22. Re:Camps mixed up by Gavrielkay · · Score: 1

      Personally, I think it's fairly obvious that it's the result of the insane marriage between the financial and social conservatives. The super-rich really don't have to care about draconian rules that stem from the social conservatives - they can send their daughters anywhere for an abortion. But the rural poor care a great deal about those issues and will vote against their financial interests if it means electing someone who will at least pay lip service to their religious ideology.

    23. Re:Camps mixed up by Gavrielkay · · Score: 1

      Republicans plainly and publicly announced their intention to make Obama's a failed presidency. They voted and still vote against just about anything that might make him look good. Including approving appointed positions. At this point, American politics depends on nothing getting fixed because both sides then use those issues as talking points. If something got fixed, not only might the credit go to the "wrong" side, but then it couldn't be turned into a wedge issue to try to distinguish otherwise mostly identical (sold-out greedy bastard) candidates.

    24. Re:Camps mixed up by Anonymous Coward · · Score: 0

      FWIW, no, it was not. implementing it at the state level is fine, and within the bounds of the 10 amendment. forcing this on the entire nation is unconstitutional (regardless of what SCOTUS says, they said slavery was legal at one point as well, remember that)

      Not that I necessarily disagree with your overall sentiment, abolishing slavery required an amendment. You should probably use a better argument. Just sayin'.

    25. Re:Camps mixed up by fahrbot-bot · · Score: 2

      Unfortunately, Republicans immediately turned against their own plan, because they cared more about preventing reform than in their own reform plans.

      To be fair, the Republicans simply care most about preventing *any* success by President Obama, quoting Senator Mitch McConnell, "The single most important thing we want to achieve is for President Obama to be a one-term president." They're apparently willing to tank the entire country to see that Republicans get voted into office - Senate, House and White House.

      --
      It must have been something you assimilated. . . .
    26. Re:Camps mixed up by colin_young · · Score: 1

      The item in question wasn't whether or not he pays taxes, but whether or not his statements that the rich in the US should be taxed more are consistent with his actual behavior.

    27. Re:Camps mixed up by hendrips · · Score: 1

      I assume that he was talking about only taxes. Berkshire Hathaway is probably second only to GE in terms of corporate skill at manipulating the tax code.

    28. Re:Camps mixed up by ganjadude · · Score: 1

      you actually make my point for me. if this is going to be federal law, it should be amended to the constitution "life liberty the persuit of happiness...and health insurance" (i wont use healthcare because thats not what it is)

      --
      have you seen my sig? there are many others like it but none that are the same
    29. Re:Camps mixed up by david_thornley · · Score: 1

      At least he points out that his secretary has a much greater tax burden than he does. I've taken advantage of things I disapproved of before, when I couldn't change the situation.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
    30. Re:Camps mixed up by david_thornley · · Score: 1

      First, while everybody who's paying attention thinks the Supreme Court has made a lot of bad calls, the bad calls are the fundamental law of the land. Second, slavery was legal at one point. We don't want the Supremes legislating what they think morality is (I'm uncomfortable with that even when they do it for things I favor), we want them as the final authority on what the law means.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
    31. Re:Camps mixed up by gzuckier · · Score: 1

      but now we're stuck with a golden goose for the insurance companies (aka a Republican wet dream).

      Not a single Republican voted for Obamacare, so exactly how does it make it their "wet dream"? The Democrats are bought and paid for by the banking industry and Wallstreet. The insurance industry is just a sublet of the banking. The Republicans are bought and paid for by farming, energy, and military industries. At least try to get the group you want to blame right or you come off sounding like a moron.

      Yeah. I'll believe "the insurance industry is just a subset of the banking", the first time an insurance company sells policies for less than cost and then packages them and sells them off as investments to people who sell them to other people, and so on, until the sucker holding the hot potato when the music stops goes broke. (Hint: they can't. Government regulation and al that).

      --
      Star Trek transporters are just 3d printers.
    32. Re:Camps mixed up by gzuckier · · Score: 1

      Question: Not a single Republican voted for Obamacare, so exactly how does it make it their "wet dream"?

      Answer: Because Obama adopted the Republican plan in an attempt to unify the parties in implementing healthcare reform. The Democratic plan was Single Payer, which was cheaper, simpler, and more effective. Obama agreed to the more expensive, complex and ineffective Republican plan in an attempt to get Republicans to engage in the reform.

      Unfortunately, Republicans immediately turned against their own plan, because they cared more about preventing reform than in their own reform plans.

      The shame is that the Democrats didn't then go back to their own plan and push that through. Unfortunately there were enough Democrats tied to the insurance industry (Lieberman....) that, combined with 100% Republican obstruction, they were able to force the country to waste $trillions on insurance company waste. Because what's waste to us is record profits for insurance companies.

      The Clinton administration tried that. Didn't work out well. Considering how hard it's been to get this watered down former Republican dream past the 'fear of a Kenyan socialism Muslim' idiots, going back to a rational single payer plan wasn't going to work any better how than it did for the Clintons.

      --
      Star Trek transporters are just 3d printers.
    33. Re:Camps mixed up by gzuckier · · Score: 1

      From investors.com

      Right after the Supreme Court's decision to lift limits on campaign contributions, Democrats and their left-wing supporters assaulted the decision as a boon to Republicans, "the party of the rich."

      This of course is part of a far-wider narrative — slavishly repeated by largely unquestioning liberal media — that the GOP outspends Democrats on campaigns thanks to big-buck donors like the billionaire Koch brothers.

      But, as it turns out, that's a lie — as big a lie, in fact, as "you can keep your insurance," "you can keep your doctor" and "ObamaCare will bend the cost curve down."

      By almost every measure, in fact, it's the Democrats, not the Republicans, who are the party of the rich.

      Start with Congress itself. Who are the wealthiest members? Well, there are 269 millionaires among Congress' 535 members. And most of them are Democrats.

      And contrary to the hand-wringing on the left about the Supreme Court's 5-4 McCutcheon v. Federal Election Commission ruling Wednesday, Democrats far outspend Republicans on elections. It isn't even close.

      According to OpenSecrets.org, from 1989 to 2014 rich donors gave Democrats $1.15 billion — $416 million more than the $736 million given to the GOP. Among the top 10 donors to both parties, Democrat supporters outspent Republican supporters 2-to-1.

      But what about the villainous Koch brothers, those conservative plutocrats supposedly seeking to control American politics? They rank 59th on the list of big givers — behind 18 unions and No. 1 Act Blue, the massive left-wing fund raiser that gives only to Democrats.

      Indeed, a recent book, "The New Leviathan," says donations to Democrats outstrip those to Republicans 7-to-1. How can this be? Democrat support soars when you include unions, universities, superPACs, nonprofits, left-wing interest groups, and — ready for this? — Wall Street (which overwhelmingly favors Democrats).

      So Democrats don't really want to restrain money in politics. Just the money that goes to Republicans.

      Yes, if you ignore all the 'dark money', there is more open donation to Democrats than to Republicans. Of course, if you look at the nondisclosing groups, such as Americans for Prosperity, which hapens to be run by the Koch Bros. by coincidence, they account for 80% of Republican funding, but only 30% of Democrats. No wonder the Republicans think it's a Constitutional crisis when the IRS asks groups with the name "Tea Party", etc to further document their request to be considered anonymous nonpartisan campaign funding organizations.

      --
      Star Trek transporters are just 3d printers.
    34. Re:Camps mixed up by Anonymous Coward · · Score: 0

      Quite baffling that those who would profit most from social reforms mostly advocated by the left are very often politically oriented towards the right.

      They're smarter than you are: they realize perfectly well they aren't going to "profit most" from poorly thought out and badly conceived attempts at social reform created by incredibly ignorant big city folks. If any ordinary people profit, it's going to be those in the big cities (which control the most votes), and usually at the expense of rural areas.

      The USA spends massively more today on social welfare programs of all kinds than it did 30 years ago (and that doesn't even count the indirect or hidden taxation), but hasn't seen the kind of improvement that spending should produce. Nobody with any sense trusts the left to magically turn things around and get things right over the next 30 years. Too many people on the left have no clue about the practical details needed to make policies work in the real world.

    35. Re:Camps mixed up by laird · · Score: 1

      Republicans were the ones doing the negotiating. Remember, they held out the promise of votes until the end, which is why the Democrats were negotiating with them, implemented dozens of Republican proposals, etc. Nothing was hidden from Republicans - they were the ones in the middle of the negotiations.

      What Pelosi said was that the bill was still being negotiated, and that until negotiations were done we wouldn't know what the result of the negotiations was. Too complex for you?

    36. Re:Camps mixed up by laird · · Score: 1

      As to your theory that Republicans never wanted to implemented it federally, luckily there's documented history. In his book published in early 2010, Romney, after reviewing the success of health care in Massachusetts, wrote, “We can accomplish the same thing for everyone in the country.” A few years later, in the paperback, the line had been deleted.

      "obamacare is failing by every measure except for enrollment (which doesnt mean jack shit in reality)" - more BS. First, Republicans were claiming for a year that the gauge of success of Obamacare was enrollment, and that if fewer than 7m people enrolled the plan would collapse. Once 10m people enrolled, suddenly the claims of the previous year "doesnt mean jack shit in reality"?! Really?

      If you want some more metrics, how about 37m more people covered (kids, working poor, etc.), $billions refunded to consumers who had been getting ripped off by insurance companies (whose waste level is now capped at 20%). And healthcare costs are going up at only 2-3% annually, compared to 7-9% annually for decades before this. And insurance companies can no longer bankrupt people by throwing them off the plans that they've been paying for, just because they need the coverage.

      So really, if it "fucking sucks" what would you prefer, that could have passed over united Republican opposition? Single Payer, while clearly better in every way, wasn't an option as long as Lieberman's vote was needed to pass health care reform. And if you're proposing going back to how things were - tell me how you're going to cover the $1.5 trillion higher cost? And explain why in return for massively higher costs, we'd get worse coverage, and 37M people losing coverage completely.

    37. Re:Camps mixed up by laird · · Score: 1

      Exactly. A watered down, overpriced reform is still better than how things were.

      If it helps, that's how the UK got the NHS - they were forced by the Doctors to "stuff their mouths with gold" to overcome their objections. And the result is much more effective than the US healthcare system.

  6. Puff piece before the elections by Squidlips · · Score: 3, Insightful

    It must be nice to have the State-run Media on you side

    1. Re: Puff piece before the elections by Anonymous Coward · · Score: 0

      I didn't know ACA was introduced in Russia?!

    2. Re:Puff piece before the elections by gzuckier · · Score: 1

      It must be nice to have the State-run Media on you side

      Oh, Fox News and the WSJ aren't state-run, but it's an easy mistake to make, the way they wrap themselves in the flag and scream socialist traitor and everybody who disagrees.

      --
      Star Trek transporters are just 3d printers.
  7. But are they better off ... by Anonymous Coward · · Score: 0

    They gained insurance because they had to buy it. It doesn't mean their health or access to healthcare is any better. This is income redistribution if you're an insurance company - from our pockets to theirs.

  8. Re:how many small businesses by Anonymous Coward · · Score: 0

    Move to Kansas, mouth. HTH. HAND.

  9. Re:Proof Republicanism is the major cause of pover by Anonymous Coward · · Score: 0, Insightful

    Republicanism === 'the right to be born well' W.E.D. Stokes, 1917

    A fascinating read about the core principals of the Republican party.
    (Note, this only applies to the top Republicans, the average "joe" working
    republican isn't like this.)

    Republicans === Eugenics

  10. You shouldn't need insurance for most things by MikeRT · · Score: 4, Interesting

    For most visits, you should be paying in cash. A doctor's visit should not require a full time staffer processing insurance paperwork just for a visit and a prescription or two. Heck, even most basic hospital operations (like lab work, fixing broken bones and such) should be payable in cash by anyone who has been mildly responsible with their savings and paychecks.

    Price gouging, fraud and EMTALA are the main culprits. My favorite example of price gouging here is a snake anti-venom that costs $100 to make and is sold to patients in hospitals for as much as $30k. If the state is going to prosecute people who charge a 100%-200% markup for a generator after a hurricane, what possible excuse do they not have to prosecute people for a 3000% markup on a drug that is absolutely necessary to the patient's immediate survival? Fraud? How about the trending practice of having one doctor in network and one out of network so that the in-network partner can use the out of network partner to deceptively rape the assets of the patient? Or drive by doctoring at hospitals?

    This is a target-rich environment for massive law enforcement clean up. Enforcing the laws combined with efforts to increase access to medical school and some other subsidies on the supply side would force the market to act like a real market, not a state-protected industry.

    1. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 1

      Were the people selling the generators also designing, manufacturing, and distributing the generators?

      Were the people selling the medicine also designing, manufacturing, and distributing the medicine?

    2. Re:You shouldn't need insurance for most things by Lumpy · · Score: 1

      Doctors price gouge.

      20 minute visit with 120 seconds of the doctors time, 18 minutes of sitting in a room with only yourself. $325.00 if you dont have insurance and pay cash. Sorry, that is a complete ripoff, Doctors should be ashamed of themselves for charging that.

      The ripoff that is the american health system starts with the Greedy asshole doctors.

      --
      Do not look at laser with remaining good eye.
    3. Re:You shouldn't need insurance for most things by SomeoneFromBelgium · · Score: 1

      Still, there lies the heart of the problem. Poor families that have trouble to let the ends meet will often postphone a doctersvisit.
      And who can blame them? Visit a docter can often wait more easily than paying the rent.
      Result is that their health is undermined and serious problems arise. They wait, in other words, to see the doctor until it can't wait anymore. An this means that the problems have gotten beyond a simple docter's visit. International studies have shown time and time again that (just like with a car) having people look afther their health properly is many times more cost effective than only treating the life treathning cases.

      So giving poor people access to good, preventive medical care is actually good for everyone. The health of the poor and the wallet of everyone.
      This means that what you see now is only the beginning. As the program goes further the total cost of health care will continue to go down because people are helped before they get seriously ill.

    4. Re:You shouldn't need insurance for most things by DamonHD · · Score: 1

      For most things maybe you just shouldn't be paying, at all denying treatment to those who happen not to have spare cash, eg students and young adults in general getting going in their jobs. I couldn't have paid anything much as a teenager for my epilepsy diagnosis and treatment; should I have just rotted before I even got to uni? I had left home, BTW.

      (In the UK I do pay for a few things at point of use under the NHS, but often even then fairly small fixed/tiered charges.)

      Rgds

      Damon

      --
      http://m.earth.org.uk/
    5. Re:You shouldn't need insurance for most things by Extensa30 · · Score: 5, Insightful

      That you have to pay "cash" to get medical attention strucks me as hard as if you'd had to pay to have the police assiting you, or that if you had to pay to get your children into the school. All of those are basic rights that any development country considers "essential". Of course you pay for them, but you do so in your taxes... and if you want a premium service, then yes: you can use your cash as much as you want, and have hot blonde nurses for all I care. American republicans are fucked up around private healthcare. Why don't they ask for only-private police? that only serves and protects those that can afford it? or only-private education?

    6. Re:You shouldn't need insurance for most things by Bing+Tsher+E · · Score: 2

      Your claim needs to be statistically demonstrated, not just rambling anecdotes. When health care is 'free' costs go up. But people still don't like to go to the doctor. The notion that people, any time they are feeling out of sort, should surrender themselves to a doctor who will 'make it better' is just as wrong as the notion that people will delay health care until near death. People need to take responsibility for their own health.

    7. Re:You shouldn't need insurance for most things by Bing+Tsher+E · · Score: 1

      I had left home, BTW.

      You probably shouldn't have been a runaway teenager. Clearly the demise of the cultural value of a nurturing family failed you.

    8. Re:You shouldn't need insurance for most things by Bing+Tsher+E · · Score: 1

      Or, for that matter, only-private food and nutrition. Food should be freely available at public dispensaries.

      And free internet. And poker, and hookers.

    9. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      Thanks to my new workplace policy, in 2015 when I go see the doctor (outside of the free yearly poke-n-prod) I do get to pay cash. Because my insurance won't cover it until I've spent something like $6,000 on healthcare.

      We've gone from a pretty decent policy that got stripped to nothing thanks to the ACA. Now, my insurance is more like catastrophic insurance only. Pathetic.

    10. Re:You shouldn't need insurance for most things by CRCulver · · Score: 1

      When health care is 'free' costs go up. But people still don't like to go to the doctor.

      In many developed countries, in order to still get paid for the day when you call in sick, you must visit your local clinic and get your sick day signed off on by a doctor or RN there. That's a powerful motivator not to tough it out on your own. But that works best in a place where the visit to the clinic is free or involves a negligible fee, whereas in the US the fear of crushing bills and insurance premium increase would keep many away.

    11. Re:You shouldn't need insurance for most things by DamonHD · · Score: 1

      Yep, it made me the failure that I am today. %-P

      Rgds

      Damon

      --
      http://m.earth.org.uk/
    12. Re:You shouldn't need insurance for most things by Extensa30 · · Score: 1

      funny thing is: all the political systems that provided "free food" (I never talked about free, I talked about payed by taxes), by being commnunist, ended up pretty wrong. Now take a look at the countries with a public healthcare system. Yes, every single developed country on the world EXCEPT the US. If you don't want to see the reality, it does not matter how many proofs we have for you. Yours is a good example of being a fanatic taliban...

    13. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 1

      Not quite. Some doctors and doctor's associations in Canada are starting to either refuse to sign such notes, or are charging $30 to do so. They are encouraging employers to reconsider their policies. There are multiple reasons: 1) it's a waste of time and medical resources for something as uncomplicated as a regular cold, where the best advice is to sit at home, rest, drink plenty of fluids and take care of yourself until it is over (no, antibiotics won't help with a viral infection); 2) the doctors don't want their other patients exposed to cold viruses in the waiting room.

      If it's serious, they want you to come in and get looked at, but if it's a regular cold, they'd rather you stay at home and have your employer trust you. However, even in a "free" system (really, a system already paid for by taxes), there are strong incentives to be efficient because doctors are expected to prioritize within the limited resources available. If the system was only interested in making money, then they'd be happy to treat unecessarily as long as it did no harm.

    14. Re:You shouldn't need insurance for most things by pecosdave · · Score: 1

      THAT PROBLEM IS CREATED BY THE INSURANCE INDUSTRY

      They don't have as much overhead and staff without it.

      --
      The preceding post was not a Slashvertisement.
    15. Re:You shouldn't need insurance for most things by mark_reh · · Score: 5, Interesting

      You don't understand. Your visit to the doctor costs what it does because of the complexities of the insurance system, including both health insurance and malpractice insurance. Doctors have a lot of overhead to pay, and in hospitals, they are just employees with no control over their schedules. If the administrators put 40 people per day into their schedule, they see 40 people per day. People without insurance use the emergency room to fix problems after they occur, a very expensive way to deal with health problems - something which Obamacare was feebly attempting to address. Everyone else who uses the place has to pay more to cover those costs. Every time a doctor makes an error the patient calls a lawyer. Doctors order test after test to cover their asses against malpractice suits- they are told to do so in "risk management" seminars put on by insurance companies that they must attend every year to maintain their malpractice insurance. The system is full of waste at every level. Doctors are not the cause of the problem. They have been made to look that way by insurers and hospital administrators who want to deflect attention away from themselves.

      When you look at Las Vegas, what do you see? You see huge luxury hotels, bright lights, excitement, partying, etc. Where does that money come from? From losers. Yet it's the winners who get the attention. Yeah, great, Vegas baby! Now look at insurance companies. Huge luxury office buildings, executives who make millions- it's a lot like Vegas. Where does the money come from? Losers like you and me who have to pay ridiculous premiums for minimal coverage. Yeah, Insurance baby!

      My son has expressed an interest in studying medicine when he graduates from high school. My wife is a physician and I am a dentist. We have suggested that he get a degree in business and become a hospital administrator. Those people make $ millions with no special skill set and without the arduous training imposed on healthcare providers.

    16. Re:You shouldn't need insurance for most things by CRCulver · · Score: 1

      In Canada it might be the employer's policy, but in other countries it is the government's policy: the government reimburses the employer, and then your employer pays you as if you showed up (or at least 80% of what you'd get if you had showed up). The enforcement by demanding a note might be the employer's burden, but since the practice is part of the national health system, the doctors at one's local municipal clinic are quite happy to sign (or say there's no grounds for sick leave and refuse to sign).

    17. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      I must admit I read the sentence "For most visits, you should be paying in cash." twice, sure that I missed a negation somewhere.

    18. Re:You shouldn't need insurance for most things by Mr+D+from+63 · · Score: 1

      Great post.

    19. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      I recently got billed over $600 from an ER doctor for what amounted to about 90 seconds of poking my back for internal injuries and then ignoring me for an hour and a half when he realized what I told the fucking EMTs was correct: I was perfectly fine.

      Then throw in the $700 the hospital billed me for "ER services," add on the $45 billed by the radiology lab for the x-rays they took of my elbow (I was actually shocked by how reasonable this seemed to me), and top it off with the $1,600 the ambulance service billed me for what was a 5 minute ride (I had been involved in a rollover motor vehicle accident).

      This right here is what's wrong with healthcare costs. Insurance is only going to cause this to get worse, not better. Expanding Medicade won't help this get better either. The only thing that fixes this is to actually do something to directly address the root cause of these asinine prices: Medicare reimbursements.

      There needs to be a uniform, enforceable, and transparent price list for basic services. Charging $75 for two baby aspirin is insanity.

    20. Re:You shouldn't need insurance for most things by GoCrazy · · Score: 1

      Agreed. HMO != Health insurance. Not all insured use their HMO's, but still have to pay.

      --
      No beer and no TV make Homer something something
    21. Re:You shouldn't need insurance for most things by laird · · Score: 2

      "When health care is 'free' costs go up. "

      It turns out that when health care is free, costs go down. Yes, immediately after healthcare becomes free costs go up for due to pent-up healthcare needs that were unmet. But longer-term, costs go down because people go to the doctor sooner and get things taken care of when it's easier and less expensive to treat. For example, detecting diabetic trends and changing your diet is much cheaper than taking insulin for the rest of your life.

      And if it's literally free, you eliminate massive overhead. The cost of actually delivering healthcare in the US is less than the cost of administration piled on top of it. Not just the direct cost of money wasted paying insurance companies, but also the huge administrative overhead of doctors paying for a huge staff to try to get paid by the insurance companies, pharma companies' overhead, doctors being forced by insurance companies to perform medically unnecessary testing, paperwork dragging out over months and even years to try to get approvals, the cost of providing extremely expensive ER treatment instead of much cheaper, more effective medical care (not the same thing!), etc. All that waste is covered by inflated rates paid for by everyone.

      If all we paid for is the salary of medical caregivers and the cost of their supplies, we'd save $trillions! That's how other countries manage to have superior medical outcomes than the US, and 1/2 the cost or less.

    22. Re:You shouldn't need insurance for most things by GoCrazy · · Score: 1

      American republicans

      Can I remind you it was a Democratic president who implemented forced privatization of health care services through mandatory HMO's?

      --
      No beer and no TV make Homer something something
    23. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      You want to blame the 'insurance company' the gp wants to blame the 'doctor'.

      I am here to blame the gov.

      They have enacted poor regulations. The first set they enacted in the 90s enabled the doctors to basically slowly over time raise prices to nearly 10x what they should be. As employers 'must carry' anyone with a job. So any market where suddenly there is more money they charge more. Take for example a ferrari. You do not actually think they are made for 150k? No it is what the market will bear. The same is with doctors. They get away with charging 80 dollars for a cotton swab and 3 mins of their time. Because the market will pay it. Not because that is what it is worth.

      The second set of gov regulations is 'obama care' which is telling the insurance companies they 'must carry'. They have responded by raising rates and dropping 'silly' coverage. My rates went up by 3x. My employer 'ate' it. But they just gave me a smaller raise. So from my pov nothing really changed. Other than instead of a 3000 dollar raise I got a 1000 dollar raise.

      If people thought rates were high before obama care you have not seen anything yet. I fully expect 5-10x what they are now. The gov has created a cash rich environment and some sort of magic to keep rates low.

      Right now is the 'rosey' part of obama care. A few people are doing better. Many are not doing 'that much worse'. Soon everyone will pay. Just read the bill (I have unlike our senators and congressmen who didnt, it is quiet the slog). It is basically a license to print money for the insurance companies. Dont think so? All of those competing companies? That will magically keep rates low? Will start massive consolidations (already the small ones are grouping up). You will end up with something like our internet. 1-3 providers.

    24. Re:You shouldn't need insurance for most things by thegarbz · · Score: 1

      For most visits, you should be paying in cash. A doctor's visit should not require a full time staffer processing insurance paperwork just for a visit and a prescription or two.

      I don't believe one causes the other. We have free health care covered by a government medical insurance business and private medical insurance. We don't pay for doctors out of pocket, yet I don't know of any doctor employing a full time staffer to process insurance paperwork.

      In fact when I go to the doctor they keep my insurance details on file from the first time I swiped my medicare card. Now I walk in, see the doctor, they push a button on a computer I get my receipt. If I have something that needs specialist treatment (xray, fracture clinic, etc) I go to the clinic and swipe a medicare card instead of a credit card.

      If sorting out the insurance is harder than counting the till at the end of the day then your system is fundamentally broken.

    25. Re:You shouldn't need insurance for most things by misexistentialist · · Score: 1

      You have no say in police or school operations, and in general rather than serving you, your participation is mandatory.

    26. Re:You shouldn't need insurance for most things by Extensa30 · · Score: 1

      If I had moderator points, you'd be insightfull.

      But the truth is that TODAY, most republicans are against of additional public healthcare

    27. Re:You shouldn't need insurance for most things by GrumpySteen · · Score: 2

      look at insurance companies. Huge luxury office buildings, executives who make millions- it's a lot like Vegas. Where does the money come from? Losers like you and me who have to pay ridiculous premiums for minimal coverage. Yeah, Insurance baby!

      That's how it has worked in the past, yes, but the affordable care act actually did something about that. Insurance companies' profits and overhead margins are now capped at either 20% or 15%, depending on the size of the company. If they don't pay out the rest in claims, they have to refund it.

      It's not perfect and insurance companies will still make a lot of money, but it is a start.

    28. Re:You shouldn't need insurance for most things by Tran · · Score: 1

      For most of us in the private sector it was like that already before the ACA.
      That is what is pathetic.

    29. Re:You shouldn't need insurance for most things by mark_reh · · Score: 4, Insightful

      That's like saying that rich people have to pay taxes shown in the tables that the IRS provides to everyone with their tax forms. There are so many accounting tricks and loop-holes in the laws that that 15-20% limit is NEVER going to be achieved. The real solution to the problem is universal healthcare funded directly by tax payers. The republican complaint against it is that you'll have to hire an army of people to administer it- BIG GOVERNMENT! What we have now is insurance companies with armies of administrators and lawyers working to prevent spending on health care because it is more profiable to collect premiums and not pay money out. With a single-payer system you have an army of people working to ensure spending is going to health care and not fraud. I know which I would rather fund.

    30. Re:You shouldn't need insurance for most things by frank_adrian314159 · · Score: 1

      Well, why not? Do you have some sort of moral aversion to people doing what they enjoy? They'd be injecting activity into the non-finance economy, something that we actually need to rebalance that split. You act as if something horrible will happen. But there's only so much poker and hookers a person can use. The cost is probably lower than what you're paying for the crime that funds it right now.

      --
      That is all.
    31. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      $325.00 if you don't have insurance and pay cash.

      I don't think that you gave enough consideration to this part of the parent's post. My father recently had minor surgery, and the hospital billed $15,000 for that surgery. After negotiation, the hospital received $3,000 total from my father and the insurance company. The hospital can obviously do the surgery for $3,000, otherwise they would refuse the work (it wasn't an emergency surgery or anything).

      Without the insurance company to negotiate on his behalf, he would have been billed the full $15,000. Ask for the cash discount you say? I asked about it before the surgery, and it doesn't exist.

      In this case, the benefit of having insurance was not protection from unforeseen medical costs ($3,000 could have come from savings), but protection from getting gouged from the hospital.

    32. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      True. Imagine if a family doctor did only charge for service to make a living. A generous 200k salary per year working 240 days for 8 hours and an avg of 3 patients per hour (20 min each avg). That's only roughly $40 per patient (to cover docs salary). Add in test equipment and a nurse/secretary/office space/malpractice/freeloaders/supplies and that bumps up to less than $100 per patient. But lets double that to $200 to cover any misc. Xrays and other tests would be billed separately/similarly. So, a sore throat and test for strep will be quicker and have less supplies needed. Knocks that down quite a bit, but still affordable for most (unless you have the unlucky combo of poor and chronic illness). Where does the rest of the money go? Insurance and greedy doctors/hospitals.

    33. Re:You shouldn't need insurance for most things by silentcoder · · Score: 1

      Last month, after careful saving, I bought an xbox one. A luxury for sure but I bought it cash and I had saved up for it.
      The next day I hit a pothole and destroyed two tyres on my car. With a six month old child - I don't dare buy anything but the best tyres.

      Full set of new tyres was actually more expensive than the xbox one - which by South African standards costs about a quarter of my monthly income as a high earning programmer.

      That was my savings gone... then I got sick. Thank bloody goodness we have sane medical insurance regulation system so I didn't need cash to go to the doctor and get medicine because really bad luck in the same month as a rare big purchase and then getting sick is something nobody could plan for - and even the relatively healthy can't control that.

      --
      Unicode killed the ASCII-art *
    34. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      What's somewhat nice about my small suburb (70k) is that on your electric bill if you opt in for just $3 per month, any ambulance run will be covered. Seems fairly reasonable since this is an affluent area and most insurances don't cover it or if they did, the deductible would easily be more than any amount you've paid over a decade.

    35. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      Yep, that would be a democrat plan. If you make a profit your evil. If you waste a lot of money and do no good "at least your heart was in the right place".

    36. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      My son has expressed an interest in studying medicine when he graduates from high school. My wife is a physician and I am a dentist. We have suggested that he get a degree in business and become a hospital administrator. Those people make $ millions with no special skill set and without the arduous training imposed on healthcare providers.

      That's okay as a suggestion, I guess, but it sure sounds as if you made your career choice based solely on money and are encouraging your son to do the same.

    37. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      Apparently consider providing access to health care for millions of people who couldn't afford it before to be wasting a lot of money and doing no good. Definitely a Republican point of view.

    38. Re: You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      Just a minor quibble: most doctors at hospitals are NOT employed by the hospital. They're more like contractors.

    39. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      This is the part that gets left out the most, if you combine your post with the one above by liard that explains how with actually came to be, without resorting to grand conspiracy theories about death panels and government takeovers, it is pretty obvious that this wasn't a complete and total failure that either side seems to think. Its a nice compromise that keeps an (greedy and opportunistic) insurance system in place, but regulates them more, to try and limit their (greedy and opportunistic) capitalist tendencies in check by making it more difficult for them to deny claims and also takes away the incentives to do so while at the same time making people buy into a system thus giving more money and larger pool of people available to the insurance companies.

      I never had insurance through my 20's not because i didn't have access or could afford it or thought i was invincible, but because i saw it as a scam, I'm pretty healthy, so the chances of me needed care are pretty low, in my mind im lucky and i always have had a feeling that i'm too lucky, that something major will happen one day and i will wish i had insurance, but if the insurance company was just going to fight and claw and kick and scream and do everything in there power to deny my claim and i was just going to have to pay out of pocket anyway then whats the point i might as well put that money into savings and hang on to it if i need it one day.

      I don't feel that way anymore, i have fairly expensive health insurance now through my company, but that what i get for working with a small/medium business, we are a smaller pool and the owners can only do so much (despite being fairly generous). At least now in the back of my mind im not worried that if i need it, there not going to go back to when i was a teenage and broke my wrist to claim a preexisting condition when i'm 80 and break my hip just so they don have to pay for it.

      Its not perfect but like you said, its a start.

    40. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      You're an asshole. Fuck you.

    41. Re:You shouldn't need insurance for most things by judoguy · · Score: 1

      And if it's literally free, you eliminate massive overhead.

      NOTHING THE GOVERNMENT "PROVIDES" IS FREE! /shouting

      Great galloping $deity! Who is really that stupid?

      The military is "free", right? You didn't get a bill for the latest military action did you? Oh wait, it costs a freaking fortune. If you pay taxes you paid for *some* of the military action. A great deal of the cost is simply being passed on to "the future" along with all the other "free" services delivered by the government.

      There is no perpetual motion machine. There is no system that provides output without input and the government is a FAR from frictionless engine.

      If you want to say that the current U.S. healthcare system is extremely screwed up, I agree wholeheartedly.

      There are a number of serious problems with cost merely being one. As for ObamaCare, anyone who thinks that adding thousands of pages of new legislation created in secret meetings with the insurance industry and passed in late night voting will simplify healthcare and lower costs in the U.S. is a moron and every legislator that voted for it is a scoundrel and a thief.

      --
      Peace is easy to achieve, just surrender. Liberty is much harder get/keep.
    42. Re:You shouldn't need insurance for most things by tazan · · Score: 4, Insightful

      Yeah, a few years ago when I was young and didn't have insurance there was a cash doctor in town. Her office didn't take insurance at all, you paid in cash. And her cash price was the same as I would later pay for a copay when I did get insurance. That does make me think most of the cost of a doctors visit is overhead for insurance record keeping and wonder if there is any benefit to it.

    43. Re:You shouldn't need insurance for most things by Payden+K.+Pringle · · Score: 1

      The problem with universal healthcare is that it lacks incentive for actually curing people and adds pressure to cut corners in their treatment. I personally am for a hybrid system. I'm not sure what it'd look like, but I've learned so far in life that the best answer rarely lies in extremes and is usually a balance of those extremes.

      In the public healthcare system, as you've said, "Doctors order test after test to cover their asses against malpractice suits", but there's another side effect of that: diseases/illnesses are more likely to be found. A higher screening rate generally leads to more lives saved, admittedly at greater cost. I agree there's way too much waste and lack of efficiency in the system, but in a system that is set up to save people's lives, how do we establish efficiency if, to be more efficient, we have to let more people slip through the cracks?

      Admittedly, that's probably counter-acted by the number of people who don't get treatment when they should due to cost, but in a universal healthcare system, even if tax payers do foot the bill, there is a budget. So in that system, you take the incentive of more tests for CYA & profits and trade it for pressure to avoid more tests as it cuts into what budget you have. i.e. less screening means more people fall through the cracks due to budget concerns.

      To me, that choice between private & public health care is a catch-22 as, either way, the system is set up in a way that an excessive amount of people fall through the cracks. Which is why I'd prefer a hybrid system.

    44. Re:You shouldn't need insurance for most things by Shortguy881 · · Score: 1

      Hmmm... from an insurance company perspective, if I wanted my 20% of margin to represent the amount I was making before, what would I do? Oh yeah increase costs. This sounds like a great way to cause runaway costs.

      --
      Brilliance without wisdom, power without conscience. Ours is a world of nuclear giants and ethical infants.
    45. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      Or, for that matter, only-private food and nutrition. Food should be freely available at public dispensaries

      We have those. They're called food banks.

      Republicans wants to close them.

    46. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      They get to make 15-20% net profit. You act as though that is a small NET profit. It isn't at all. Most companies net profit is WAY, WAY lower than that. Walmart is a hugely successfully company and their net profit is around 3.5%. Exxon Mobil (the devil of profits that Obama railed against in the election) is around 7.5%.

      So shut-up about them being limited in profit. Oh, and the ACA also guarantees that they will never lose money.

      And those millions made by their executives are not part of that meager 15-20% you are talking about. You don't get it at all or you are trying to mislead other people.

      So again - SHUT-UP.

    47. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      I'm just going to leave this here...

    48. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      Who is really that stupid?

      You, apparently. Did you really think the original commenter doesn't understand that government services are paid for by taxes?

      In an adult conversation, you use words in context. If you want to sound immature, you take words out of context and immediately start shouting.

    49. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      When you look at Las Vegas, what do you see? You see huge luxury hotels, bright lights, excitement, partying, etc. Where does that money come from? From losers. Yet it's the winners who get the attention. Yeah, great, Vegas baby! Now look at insurance companies. Huge luxury office buildings, executives who make millions- it's a lot like Vegas. Where does the money come from? Losers like you and me who have to pay ridiculous premiums for minimal coverage. Yeah, Insurance baby!

      My mom works in a hospital and she took me to a rich neighborhood with huge houses. As she drove along she pointed and said, "Doctor. Doctor. Doctor." Don't tell me doctors aren't part of the problem. Specialists are making out like bandits. I do feel sorry for the GPs.

    50. Re:You shouldn't need insurance for most things by ganjadude · · Score: 1

      And if it's literally free,

      Nothing is free

      --
      have you seen my sig? there are many others like it but none that are the same
    51. Re:You shouldn't need insurance for most things by ganjadude · · Score: 1

      exactly, We all deserve free housing, in a modern society, with free electric, internet phones, and food as well. I mean it should be FREE right? no one should have to pay for those things ina "civilized" society....

      --
      have you seen my sig? there are many others like it but none that are the same
    52. Re:You shouldn't need insurance for most things by Lumpy · · Score: 1

      "Charging $75 for two baby aspirin is insanity."

      No it's not insanity, It's Criminal and sociopathic to charge those rates.

      Yet the populace is happy to pay it because they dont vote for or demand any change.

      --
      Do not look at laser with remaining good eye.
    53. Re:You shouldn't need insurance for most things by Glarimore · · Score: 1

      I believe limiting profit in that way will just lead to clever accounting -- a la Hollywood. I assure you, insurance companies will find a way to be making just under that threshold.

    54. Re:You shouldn't need insurance for most things by Straif · · Score: 1

      There are several studies that show preventative healthcare does NOT in fact save money. It can be either cost neutral or in many cases cost more. Where savings are show it's usually a fraction of a percent.

      The simple reason is that in order to discover 1 positive case of a serious illness you tend to have to test thousands of false cases. The cost of testing then far outweighs the savings in treatment. For that one positive, early detection can make the difference between life and death, but using a pure cost/benefit analysis the overall drain on the system (both financially and in person-hours) is not worth it.

      Some preventative measures such as immunizations however, have almost no negative economic effects. Due to the large scales of production and distributions, as well as next to no need for a doctors involvement, these programs are very cost effective.

      --
      Of course that's just my opinion...... you could be wrong!
    55. Re:You shouldn't need insurance for most things by Ly4 · · Score: 1

      Where does diabetes fall on the cost-effectiveness spectrum? Testing isn't expensive (sometimes you just need a scale), and complications from untreated diabetes can be extremely costly (and go up if you include disability costs).

      A quick bit of googling turned up this article: Preventive Efforts in Type 2 Diabetes Are Cost Effective.

    56. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      And the state-run liquor stores should give out free booze (glory to Pennsylvania! -- They're bound to attract a new wave of migrants that way!).

    57. Re:You shouldn't need insurance for most things by Lightning+McQueen · · Score: 1

      ... and I am a dentist.

      Is that considered a dangerous profession?!?!

    58. Re:You shouldn't need insurance for most things by painandgreed · · Score: 1

      THAT PROBLEM IS CREATED BY THE INSURANCE INDUSTRY

      They don't have as much overhead and staff without it.

      I work in health care and have seen everything from care to billing, and you are correct about it being because of the insurance industry, but not because of staff overhead (at least on the hospital side). Historically, insurance companies pay a certain percentage on the dollar of hospital costs. Usually around 33 cents but some of the better insurances pay up to 66 cents on the dollar based on the hospital's master charge record, the official cost of their procedures. Therefore, to break even, hospitals have to up their official prices to at least two or three times of what it actually costs just to break even. Of that $325 dollars the OP was charges, the hospital will most likely only see around a $108 of from the insurance company. As for self payers that get charged the $325, hospitals through experience have already written than off as non-payment. Sure some people pay the full amount, others work out a deal after months or years of nonpayment, but that is usually just considered bonus as they never expected to see that money anyway.

      Of course, what is happening now, is that clinics are opening up and then contacting the insurance companies and making contracts for a set price per procedure. Thus they advertise their prices which are half to one third of the other hospitals and don't have to have the additional personel or equipment to do things like run tests, diagnose, or deal with inpatients. The regular hospitals are thus having their patients taken away after all the hard work is done. They'd like to redo their master charge record to reflect the actual costs too, but that includes new contracts with all the insurers and getting them to agree to do so, pretty much all at the same time.

    59. Re:You shouldn't need insurance for most things by hendrips · · Score: 1

      I know it's fashionable to hate on health insurance companies, and I agree that there are very many good reasons to do so. But circumventing the restrictions on loss ratios is certainly not one of those reasons.

      Insurance companies in the US are subject to Statuatory Accounting Principles, which are distinct from the typical GAAP accounting requirement. Under SAP, insurance companies required to report earned premiums and loss costs, both of which are well defined terms that leave no room for creativity in reporting. The company's loss costs (dollars paid to doctors & hospitals, in this case) divided by earned premiums is its loss ratio. You can calculate these numbers yourself from any insurance company's financial report.

      There is no such thing as Hollywood accounting when it comes to U.S. insurance companies. An insurance company CFO would have to be exceptionally stupid or exceptionally desperate to try to fiddle with SAP compliance. I'm not saying it doesn't happen sometimes, but executives absolutely will face federal PMITA prison if they get caught deliberately manipulating SAP figures, not to mention the company being immediately forced into receivership by a bunch of angry state insurance regulators (as an aside, it seems like most Americans really don't understand how harshly deliberate accounting fraud is punished in the US).

      And "NEVER" is a demonstrably false adverb - I got my refund check for the first half of 2014 from Blue Cross three months ago. Apparently their loss ratio in my state came in at 84.8%, so I got .2% of my premium refunded.

      Again, I don't want to sound like I'm defending health insurance companies, because they can be pretty slimy. But in some ways, their sliminess actually comes because their profit margins are so small - they have to fight and scrap for every penny.

    60. Re:You shouldn't need insurance for most things by riverat1 · · Score: 1

      The problem with universal healthcare is that it lacks incentive for actually curing people and adds pressure to cut corners in their treatment.

      It doesn't seem to work that way in the European countries that have universal health care.

    61. Re:You shouldn't need insurance for most things by riverat1 · · Score: 1

      They get to make 15-20% net profit.

      No, what the ACA actually says is they have to spend 80-85% of their premiums on providing health care. All of their overhead and net profits has to come out the the remainder.

    62. Re:You shouldn't need insurance for most things by hawkingradiation · · Score: 1

      This is complete nonsense in countries with public health care. Half of the reason why price-gouging doesn't exists is because most everybody carries a card which identifies their provider which is paid by the government through taxes or through a modest monthly fee i.e. here in Alberta it is approximately $60.00 Canadian per month for Blue Cross. The government (oooo bad word) regulates how much a doctor can charge for a covered service. Not all things are covered, however - only the things that are considered essential. So in Alberta, for instance, you can see the doctor regardless if you do or do not have the cash at the time. All it takes is a computer linked to the insurance provider to bill for the service. No gouging or extensive paperwork. The only "responsibility" is that you pay your bills within a reasonable period of time, not whether or not you have the cash on hand. No laws are needed other than that every doctor charges an appropriate fee. I have a question. The repubs in the states like to say how great the free market and capitalism work, and most people agree - for the most part they do. However, for the unfettered one, there is always a caveat like "if only monopolies didn't exist that go against public interest", or "if only the companies responsible for the mess would clean it up before they go bankrupt" or "we would have great infrastructure if only somebody would pay for the roads". How come so often under the fabled unfettered free market (Now I am adding my own in a reverse way), these objectives are seldom met except to say that under a "real free market system" they would be? I guess we just have to keep on hoping and trying.

      --
      Society use your Sciences
    63. Re:You shouldn't need insurance for most things by mark_reh · · Score: 1

      I don't know. I get exposed to a lot of stuff others wouldn't. I now test positive on TB skin tests so I have to have chest x-rays instead of skin tests. Every time I get a cold and start coughing I wonder "is this TB?".

    64. Re:You shouldn't need insurance for most things by laird · · Score: 1

      If you actually read what I wrote, instead of picking a few words out of context and yelling, you'd have understood that I was talking about whether healthcare is provided without fees to patients, and that the cost of charging for healthcare the way we do in the US being more than the cost of providing healthcare, which is why single payer is so much more efficient.

      The term "single payer" should give a clue - it's free to patients, in that there are no fees, insurance scams, etc., but that everyone pays for the healthcare system so that it's available when needed. You know, like police, fire, army, education, etc.

      While I think that ACA is overly complex - as I said, single payer is far more effective and efficient - the previous system was so utterly horrible that ACA's already demonstrably much better than what was going on before. We all benefit from the cap on insurance company waste ($billions have been refunded to people who were being ripped off before), insurance companies can't cut people off just for getting sick, people can change jobs without fear of being shut out of healthcare, etc. And 10m people have healthcare coverage that didn't before. And healthcare costs are going up at 2-3% annually instead of the previous 7-9%, so costs are lower than they would have been.

    65. Re:You shouldn't need insurance for most things by laird · · Score: 1

      "There are several studies that show preventative healthcare does NOT in fact save money."

      Feel free to cite them, then. My doctors over the years have all been pretty emphatic that it's important (cheaper, and more effective) to get things diagnosed and treated as early as possible, rather than waiting until it's an emergency. In fact, I can't think of any cases where you'd be advised to put off going to a Doctor as long as possible.

    66. Re:You shouldn't need insurance for most things by Payden+K.+Pringle · · Score: 1

      From what I've heard and experienced, that's exactly how it works in the European countries that have UHC.

    67. Re:You shouldn't need insurance for most things by gzuckier · · Score: 1

      You don't understand. Your visit to the doctor costs what it does because of the complexities of the insurance system, including both health insurance and malpractice insurance. Doctors have a lot of overhead to pay, and in hospitals, they are just employees with no control over their schedules. If the administrators put 40 people per day into their schedule, they see 40 people per day. People without insurance use the emergency room to fix problems after they occur, a very expensive way to deal with health problems - something which Obamacare was feebly attempting to address. Everyone else who uses the place has to pay more to cover those costs. Every time a doctor makes an error the patient calls a lawyer. Doctors order test after test to cover their asses against malpractice suits- they are told to do so in "risk management" seminars put on by insurance companies that they must attend every year to maintain their malpractice insurance. The system is full of waste at every level. Doctors are not the cause of the problem. They have been made to look that way by insurers and hospital administrators who want to deflect attention away from themselves.

      When you look at Las Vegas, what do you see? You see huge luxury hotels, bright lights, excitement, partying, etc. Where does that money come from? From losers. Yet it's the winners who get the attention. Yeah, great, Vegas baby! Now look at insurance companies. Huge luxury office buildings, executives who make millions- it's a lot like Vegas. Where does the money come from? Losers like you and me who have to pay ridiculous premiums for minimal coverage. Yeah, Insurance baby!

      My son has expressed an interest in studying medicine when he graduates from high school. My wife is a physician and I am a dentist. We have suggested that he get a degree in business and become a hospital administrator. Those people make $ millions with no special skill set and without the arduous training imposed on healthcare providers.

      Again, no. Insurers are restricted by law to paying at least 80% of their premium income out again as actual medical costs. That leaves maximum 25% overhead, which ends up as maybe 3% profit in a good year. What they do have going for the is volume, which works two ways; they use those massive numbers of patients to negotiate much lower prices from doctors and hospitals, and on the actuarial side, having a huge number of insured people makes that 3% profit very predictable with no risk, which is good when you run a big company. The risk comes in whenever conditions change, like currently, and the past doesn't predict the future very well. In general, the insurance industry isn't a "luxury" industry; there are a handful of well paid CEOs and VPs, supported by a huge army of overworked underpaid peons in little cubicles worried about the next layoff. Ironically, the healthcare plans insurance companies sell to their big clients are better than what they give to their own employees; they just don't make enough profit to offer anything better.

      --
      Star Trek transporters are just 3d printers.
    68. Re:You shouldn't need insurance for most things by gzuckier · · Score: 1

      That's like saying that rich people have to pay taxes shown in the tables that the IRS provides to everyone with their tax forms. There are so many accounting tricks and loop-holes in the laws that that 15-20% limit is NEVER going to be achieved. The real solution to the problem is universal healthcare funded directly by tax payers. The republican complaint against it is that you'll have to hire an army of people to administer it- BIG GOVERNMENT! What we have now is insurance companies with armies of administrators and lawyers working to prevent spending on health care because it is more profiable to collect premiums and not pay money out. With a single-payer system you have an army of people working to ensure spending is going to health care and not fraud. I know which I would rather fund.

      As far as I know, unlike the tax code, there are no "accounting tricks and loop-holes" in the "Medical Loss Ratio". If you know of any, clue me in, please.

      --
      Star Trek transporters are just 3d printers.
    69. Re:You shouldn't need insurance for most things by gzuckier · · Score: 1

      That you have to pay "cash" to get medical attention strucks me as hard as if you'd had to pay to have the police assiting you, or that if you had to pay to get your children into the school. All of those are basic rights that any development country considers "essential". Of course you pay for them, but you do so in your taxes... and if you want a premium service, then yes: you can use your cash as much as you want, and have hot blonde nurses for all I care. American republicans are fucked up around private healthcare. Why don't they ask for only-private police? that only serves and protects those that can afford it? or only-private education?

      Things you'll never see conservatives demanding: privately funded military replacing out of control government spending. Even though they're all stocked up on their Second Amendment supplies just in case.

      --
      Star Trek transporters are just 3d printers.
    70. Re:You shouldn't need insurance for most things by mark_reh · · Score: 1

      I think you missed something. She is a physician and I am a dentist and we are telling him if he wants to make real money, skip medical/dental school and become an administrator. How does that sound like my wife and I chose our professions because of money? And of course, money should enter into one's career decisions. It seems like it doesn't for many people, which is why you have people studying anthropology/paleontology/art history/french poetry/etc. and racking up $50-100k in student loan debt without any thought as to how they will repay it with a degree in anthropology/paleontology/art history/french poetry/etc.

      I used to be an engineer. After going back to school for 6 years to become a dentist and accumulating $150k+ (at 6.8%) in student loan debt I now make about what I used to make as an engineer. Clearly, $ is not my only motivation.

    71. Re:You shouldn't need insurance for most things by Anonymous Coward · · Score: 0

      There isn't any benefit - other than lining the pockets of insurance companies and government.

      If you go overseas and sample their health care systems, you find, surprise, that the costs are akin to what you found with the cash doctor.

      In Taiwan I didn't have the national health insurance so I paid double the "co-pay": so I was spending US$14 instead of US$7. This is how MOST health care systems on the planet work - to actually deliver healthcare rather than extract money or line the pockets of 3rd parties without another skin in the game (insurance companies or government).

    72. Re:You shouldn't need insurance for most things by TheRaven64 · · Score: 1

      You realise that, in most civilised societies, all of those things are paid for by the state for people who are unable to find work? The standard of living isn't great (you'll most likely be in a shared house with quite a small bedroom), but it's enough to survive and look for work.

      --
      I am TheRaven on Soylent News
    73. Re:You shouldn't need insurance for most things by Straif · · Score: 1

      The New England Journal of Medicine did a study of 599 articles and 1500 ratios between 2000 and 2005 and there conclusion was "Although some preventive measures do save money, the vast majority reviewed in the health economics literature do not.". There have also been more recent studies that comes to similar conclusions.

      As for your doctors advice, of course on a personal level it's generally cheaper to catch things early but that assumes you are actually going to develop something. For those that never do, or for those cases where advanced warning is of little benefit, cost-wise, those thousands of dollars of tests are effectively wasted money. The math is simple, [(cost of testing) x number in target population] - [(cost of treatment) x number of affected]

      For prostate cancer, for example, it's been estimated only 1 in 1000 affected men will be saved by preventative screening. For the other 999, as well as those who never get prostate cancer, the early screening was essentially needless costs. Because of it's rate of growth, in most cases knowing early before symptoms arise, won't affect outcomes or treatments. Of course for that one man the preventative screening is a lifesaver, but on purely economic front, it's not cost-effective.

      --
      Of course that's just my opinion...... you could be wrong!
    74. Re:You shouldn't need insurance for most things by jwhitener · · Score: 1

      Price gouging, fraud and EMTALA are the main culprits.

      It is vastly more complex than your three reasons.

      But it can all be simplified down to two words: "for profit".

      If you can't shop around for the best heart doctor, while you are having a heart attack, a free market solution to health care is not possible. Using market forces to shape things like preventative care might be possible, but that market would have to be completely separated from the emergency care market (everything, like supply chains, supplies of doctors and nurses, wages, etc.. ), which isn't really feasible.

    75. Re:You shouldn't need insurance for most things by jwhitener · · Score: 1

      In a 'for profit' health care system, like any other service in a free market, every step along the supply chain someone is taking their cut. And each of those steps from source (like, making a scapel) to final product (like, a surgery) is constantly seeking to maximize profit. The very concept of making a profit while someone is dying.... doesn't that just feel wrong on so many levels?

      The only way that costs are kept in check in a free market are 1) an informed consumer and 2) competition.

      1 and 2 are nearly impossible to do well in healthcare. Anyone who thinks otherwise hasn't really thought the issue through, or talked with hospitals and other healthcare infrastructure that has to deal with service coverage areas and understand how much of healthcare services are basically natural monopolies that form around community need. (As opposed to say, having 6 competing hospitals built in one small town, and 1 hospital ends up "winning" the free market war, and 5 hospitals shut down. It just doesn't work that way).

  11. Socialism by Anonymous Coward · · Score: 0

    Socialism isn't that bad after all, isn't it?

  12. The end... by Anonymous Coward · · Score: 0

    When the lion befriends the sheep, the woman wears pants and short hair, and socialism is seen in USA, the end is near!

    1. Re:The end... by Anonymous Coward · · Score: 0

      American women have been bobbing their hair for over a hundred years now. If the end is near, the end sure is slow.

    2. Re:The end... by jsepeta · · Score: 1

      flapper chicks, woot!

      --
      Remember kids, if you're not paying for the service, YOU ARE THE PRODUCT THAT IS BEING SOLD.
  13. This is what the polls say by Dorianny · · Score: 4, Informative

    People hate Obama-care and like the Affordable Care Act.

    1. Re:This is what the polls say by will_die · · Score: 1

      So if you ask them about the item they know they hate it but if you hide it under a nice sounding name that everyone is trying to get they don't know about they like it? Sounds right to me.

    2. Re:This is what the polls say by Anonymous Coward · · Score: 0

      Actually, if you ask them about every individual component of either Obamacare or the ACA they love it. If you ask them about Obamacare, they hate it. They don't actually know what Obamacare is, just what fearmongerers have told them it is.

    3. Re:This is what the polls say by Anonymous Coward · · Score: 0

      Affordable Care Act is the original name, not a nice sounding name attempting to hide it.

      Obama-care is a name created by the Republican Party because their reasoning was
      - People dislike Obama, so they will dislike this.
      - When it fails (and it will) Obama's name will be stamped on it, and the Republicans will have a political advantage.

      Of course, both of those thoughts work the other way as well, so this name thing may backfire on the Republican party if
      - The ACA is a huge success. AND/OR
      - People like Obama.

    4. Re:This is what the polls say by radl33t · · Score: 4, Insightful

      to be fair, none of them know any details about it no matter what you call it.

    5. Re:This is what the polls say by Anonymous Coward · · Score: 0

      My favorite was a guy who signed up for the affordable care, and thought it was great, until he found out it was Obama-care. Then he didn't pay the premium because he didn't like that Obama. He also said he wasn't prejudiced, but he doesn't like n*****s.

      The only difference between him and most "conservative" legislators is he is mostly honest (he only lies to himself).

      "Conservatives" love these guys.

    6. Re:This is what the polls say by Anonymous Coward · · Score: 0

      So if you ask them about the item they know they hate it but if you hide it under a nice sounding name that everyone is trying to get they don't know about they like it? Sounds right to me.

      Wait, what? I think you have it exactly backwards. The Affordable Care Act is the ACTUAL name of it. The term "Obama Care" was an attempt by Republicans to hide it under a bad sounding name (and associating it with pictures of Obama as a witch doctor and other negative stuff).

    7. Re:This is what the polls say by Anonymous Coward · · Score: 0

      Actually, it was the other way around. When you listed (near) everything* in the ACA, people liked it. It was by calling it Obama-care that they didn't like it. Through sheer repetition Obama-care has become a toxic term. Just like how "liberal" has become a toxic term. It matters not if the person is actually liberal or if you even agree with the major points of liberalism.

      * Everything but the mandatory insurance and the new taxes on various medical providers. But, then, no one seems to like taxes no matter what. If tomorrow there was an assured way for Jesus to return in 10 years but it required a 10 year 5% tax increase, I don't think the majority would approve of it.

    8. Re:This is what the polls say by Oligonicella · · Score: 1

      My favorite is the AC troll, pretending his lies are real stories.

    9. Re:This is what the polls say by Anonymous Coward · · Score: 0

      That's how you interpreted that post? Way to represent everything that's wrong with the country. The general population is literally too stupid to comprehend reality.

    10. Re:This is what the polls say by Anonymous Coward · · Score: 0

      Its ok. You should be familiar with the type, since lying is what you do as well do evertime this topic comes up.

    11. Re:This is what the polls say by ganjadude · · Score: 1

      obama has refereed to it as obamacare (up until it was politically important to stop attaching his name to it) look it up. google is your friend

      --
      have you seen my sig? there are many others like it but none that are the same
    12. Re:This is what the polls say by swan5566 · · Score: 1

      I've heard this before, but the problem is that those items that are referred and somewhat spun in a positive light are cherry-picked. In particular, they don't talk about the "items" of how this all gets paid for (more taxes, more deficit, taken out of medicare, etc...) and the general downstream ramifications of the law. Sure, there is partisanship going on, but it's not what this study suggests.

      --
      In debates about Christianity, there are two groups: those looking for answers, and those looking to just ask questions.
    13. Re:This is what the polls say by Anonymous Coward · · Score: 0

      Yeah how dare I complain that my insurance costs more and covers less. How dare I complain that my perfectly good insurance was cancelled. How dare I complain that the Administration lied about every single aspect of this thing. And when the rates go way up - conveniently mandated to happen after the election, how dare I complain about that! I should substitute buying food for healthcare and be happy.

    14. Re:This is what the polls say by gzuckier · · Score: 1

      to be fair, none of them know any details about it no matter what you call it.

      To be fair, half the electorate knows approximately nothing about anything; of what they do know, half is false and cancels out the other half.

      --
      Star Trek transporters are just 3d printers.
  14. The biggest winners . . . by smooth+wombat · · Score: 2

    are the insurance companies who are raking in tens of millions of free dollars from all the people who are forced to hand over their money to a private company or have the government reach into their bank account and forcibly extract the money.

    This had nothing to do with getting insurance for people because it started with a Republican governor who saw a way to pay back his political supporters and what better way then to have the public hand over their money whether they want to or not.

    --
    We will bankrupt ourselves in the vain search for absolute security. -- Dwight D. Eisenhower
    1. Re:The biggest winners . . . by Anonymous Coward · · Score: 0

      You spelled "billions" wrong

  15. Wow by Anonymous Coward · · Score: 0

    You guys really aren't even trying to hide your agenda anymore, are you? Now a propaganda piece trying to show how great Obamacare is right before the November elections? You are really despicable.

  16. Republicans say Obama is to blame for Katrina by Anonymous Coward · · Score: 0, Funny

    29% of Louisiana Republican say Obama is to blame for the govt. response to Katrina. http://www.huffingtonpost.com/2013/08/21/obama-hurricane-katrina_n_3790612.html

    and you probably can't convince them otherwise. It's sad. Knee jerk hatred.

    1. Re:Republicans say Obama is to blame for Katrina by Anonymous Coward · · Score: 0

      All DNC All The Time publication (you do know which party its founder ran under for Governor, right?) says something nasty about the opposition.

      seems legit.

      Do you believe when Fast Food Monthly tells you vegetarians are satanists? Stormfront says all sorts of nasty things about Obama's parentage too.

      Vested interest is a b*tch. And so is documented, for-profit cheerleading.

  17. Re:Dupes by Bing+Tsher+E · · Score: 1

    The rest of us are gobsmacked at how the political left is so determined that they know exactly what everybody else wants and should just follow their lead.

    Those stupid motherfucker poor people. Don't they know we have their lives figured out for them?

  18. Re:Dupes by SargentDU · · Score: 1

    Benjowler, when over half of the people decide to let others work and sweat to make the money and then use the political process to take it from them to support the ones who won't work, the nation is doomed to fall into poverty. This redistribution will probably convince many tired working people to just do as the majority and throw in the towel and get on the government dole too.

  19. Let look at the actual data. by Charcharodon · · Score: 2
    You are telling me that the insured rates for "poorer" areas has gone up because we now have a law that say that you have to buy insurance? How is that an improvement?

    Show me a study that shows how much the health of people and the quality of health care has improved and what the price changes of said health care and I might find that interesting.

    Just because they now have "health care" doesn't mean life got any better for them or those that have to pay for their health care.

    1. Re:Let look at the actual data. by Anonymous Coward · · Score: 0

      ... doesn't mean life got any better

      Life should be better because they've got health care now and can access it at any time.
      It should be better because a poor person can see a doctor before her ailments become critical, before the doctor's first priority is avoiding malpractice and before the doctor has to see the another patient in 5 minutes. That should also lower the cost of your health services.

    2. Re:Let look at the actual data. by Trailer+Trash · · Score: 0

      You are telling me that the insured rates for "poorer" areas has gone up because we now have a law that say that you have to buy insurance? How is that an improvement?

      Show me a study that shows how much the health of people and the quality of health care has improved and what the price changes of said health care and I might find that interesting.

      Just because they now have "health care" doesn't mean life got any better for them or those that have to pay for their health care.

      Who says they have health care? I have a friend who was just diagnosed with stage 4 cancer. She had a crummy job and - guess what - no health insurance. It seems that making a law that says "you have to buy health insurance" doesn't really mean anything when people don't have enough money to buy health insurance.

      The saddest part is that in the unlikely event that she lives until next April she'll get dinged a couple thousand bucks at tax time. That'll sure help her.

      Thankfully the hospital is providing care to her for free, so we're paying for it one way or another.

    3. Re:Let look at the actual data. by Oligonicella · · Score: 1

      Three sentences, three shoulds.

    4. Re:Let look at the actual data. by Anonymous Coward · · Score: 0

      ... doesn't mean life got any better

      Life should be better because they've got health care now and can access it at any time.

      No. What they got was some type of health insurance, not health care. Enormous difference.

    5. Re:Let look at the actual data. by Trailer+Trash · · Score: 1

      It says a lot about someone who would moderate that comment as "overrated". I'm sorry, Obamacare was a massive handout to the health insurance industry, nothing more. Get over yourselves.

    6. Re:Let look at the actual data. by ganjadude · · Score: 1

      if yuo have a 10 K deductible before they will pay a dime of anything, and they still collect 6-8 grand a year from you. that means you would need to spend 16-18 GRAND before insurance would help you

      tell me how this helps the poor?

      --
      have you seen my sig? there are many others like it but none that are the same
    7. Re:Let look at the actual data. by Anonymous Coward · · Score: 0

      My catastrophic plan costs me less than $2k/yr (*). It has a $6k limit and zero deductable. Oh, and there are two free well checkups.

      (*) = I'm over 30, so I only qualify for the plan because I earn less than the poverty level and I live in a state that doesn't support the medicaid expansion, so I'm exempt me from the individual mandate. If I made more money, the US government would pay for me to have a free platinum plan. Right now I pay more than 20% of my income for the lowest possible health care coverage. :/

    8. Re:Let look at the actual data. by Anonymous Coward · · Score: 0

      Dammit. I meant NO deductable. As in everything is out of pocket until I hit the $6k limit.

    9. Re:Let look at the actual data. by Anonymous Coward · · Score: 0

      >Just because they now have "health care" doesn't mean life got any better for them

      You're in left field if you don't think having health care improves your life, in a variety of ways. If you don't think so, then why don't you cancel your health care, and pay the penalty, and see how you fare. Hope you don't have any health issues crop up for your or your family.

    10. Re:Let look at the actual data. by Charcharodon · · Score: 1

      Someone already pointed it out to me earlier. The poor didn't get health care, they go health insurance. A large portion of doctors have bowed out of Medicare and Obamacare so the reality is they pretty much have nothing but a piece of paper and a monthly bill.

  20. Direct payment reduces overconsumption by swb · · Score: 2

    I've heard several economists say that what really skews our health system is the lack of direct payment. Since we don't pay for anything we don't know what it costs and it makes it easier to over consume health care because we're one or more steps removed from what things cost.

    I totally agree with your criticisms of what really seems like fraudulent billing with in/out of network doctors and drive-by doctoring (I read those NY Times articles, too). It really seems like a deliberately dishonest way to screw patients, especially when it involves surgeries where you had no control over the "assisting" doctor or emergency rooms where, well, it's an emergency.

    It's like buying stock and selling it only to be told by your broker that they had to use another clearinghouse to sell your stock and there will be an additional brokerage fee they didn't tell you about.

    I'm afraid that these and other unsavory practices will become more common, not less, with ACA and insurance providers squeeze health care costs and doctors look for more ways to rake in fees.

    Sadly, I think the "market solution" probably involves having the majority of people pay more out of pocket and either refuse to buy or not be able to buy medical services to force medicine to produce a lower-cost product. As long as they can get paid at current pricing levels they won't charge less.

    1. Re:Direct payment reduces overconsumption by Mr+D+from+63 · · Score: 1

      I've heard several economists say that what really skews our health system is the lack of direct payment. Since we don't pay for anything we don't know what it costs and it makes it easier to over consume health care because we're one or more steps removed from what things cost.

      I totally agree with your criticisms of what really seems like fraudulent billing with in/out of network doctors and drive-by doctoring (I read those NY Times articles, too). It really seems like a deliberately dishonest way to screw patients, especially when it involves surgeries where you had no control over the "assisting" doctor or emergency rooms where, well, it's an emergency.

      Maybe not direct payment, but not even seeing the actual costs and having some skin in the game certainly has been a large part of the problem. Some of this has been improved for those that are not on CDHO plans (as I am). I pay 100% of everything (up to a max), but have a little more control. I am not one who uses medical services unless I really know I need them, but I could see how this plan would deter those that take doctor visits on a whim.

      I was hospitalized for a few weeks with some post-operative complications (I'll spare the gory details). My general physician, who was located nearby, stopped by daily to check on me before he went to work. I thought that was pretty nice until I saw the hospital bill that include $250 a day for his services. It was quite disappointing, particularly because this guy is a very good doctor. I don't hold it against him, he is doing it because of the system he works in. But I may have told him to skip a day or two, or just come in by request, had I had the information available to me in advance.

    2. Re:Direct payment reduces overconsumption by Hognoxious · · Score: 1

      I've heard several economists say that what really skews our health system is the lack of direct payment.

      Same as Britain, France, etc.

      Since we don't pay for anything we don't know what it costs and it makes it easier to over consume health care because we're one or more steps removed from what things cost.

      Hmmm. Not the same as Britain, France, etc.

      Are you sure these economists weren't actually Fox presenters or talk radio jocks?

      --
      Confucius say, "Find worm in apple - bad. Find half a worm - worse."
    3. Re:Direct payment reduces overconsumption by swb · · Score: 1

      It's not really much of a comparison between single payer health systems and the US system.

      I was against ACA because it wasn't single payer. All ACA did was cast into stone a really broken health payment system in which for-profit entities will quickly learn and exploit loopholes for maximum profit and the mandate side of ACA will have us all paying more for it.

    4. Re:Direct payment reduces overconsumption by dywolf · · Score: 1

      it also reduces all consumption, leading to worse health outcomes.
      there is a balance that has to be struck when going that route.

      --
      The guy who said the election was rigged won the presidency with the second-most votes.
  21. From Today's New York Times by Anonymous Coward · · Score: 0

    To the Editor:

    My Blue Cross Blue Shield policy is scheduled to be canceled next summer because of Obamacare. We were promised that this would not happen. I have a very good policy with a low deductible. I have no pre-existing illnesses, but I want to have a choice in my medical providers, as I have always enjoyed. That is important to me as a former health care provider myself.

    I do not qualify for a subsidy and was quoted a new premium that is close to 100 percent more than what I pay now (from $501 a month to just under $1,000 a month) for an individual policy. And to add insult to injury, from a $250 deductible to a $6,000 deductible. This is squeezing the middle class.

    BARBARA SIBLEY
    Key Largo, Fla., Oct. 27, 2014

    1. Re:From Today's New York Times by jsepeta · · Score: 1

      Yes, even idiots can send letters to the NYT.

      1) Don't blame the President for laws written by and enacted by Congress. President Obama is the chief executive, not a legislator.

      2) Forcing everyone to get health care insurance was how Congress signed away your rights. Don't bitch to the NY Times, call your congressman.

      3) Insurance companies used the confusion over healthcare as cover for dropping plans that were less profitable, and creating new plans that are more profitable. Don't blame Congress or the President for your insurance company's greed.

      --
      Remember kids, if you're not paying for the service, YOU ARE THE PRODUCT THAT IS BEING SOLD.
    2. Re:From Today's New York Times by Anonymous Coward · · Score: 0

      Yes, even idiots can send letters to the NYT.

      1) Don't blame the President for laws written by and enacted by Congress. President Obama is the chief executive, not a legislator.

      Presidents can introduce legislation to congress, which can then approve, reject, or amend it. Although BHO didn't author the bill directly it is absolutely his work, he owns it, and gets credit/blame.

      2) Forcing everyone to get health care insurance was how Congress signed away your rights. Don't bitch to the NY Times, call your congressman.

      Complete fucking cop out and you know it. He could have vetoed the signaway and forced them to restart it, and could have done so long before Scott Brown would have been in the picture. Its called controlling your fucking party that you lead as Pres.

      3) Insurance companies used the confusion over healthcare as cover for dropping plans that were less profitable, and creating new plans that are more profitable. Don't blame Congress or the President for your insurance company's greed.

      I will when they enable them, which they did.

    3. Re:From Today's New York Times by halivar · · Score: 1

      This right here is some willful ignorance. The law was not written by congress. Few in congress even read it. The administration peddled it through several House committees, but in the end, they gave up and just voted on the Senate version (which many Democratic senators admitted they had not read, either).

    4. Re:From Today's New York Times by Anonymous Coward · · Score: 0

      Democrats did this. Congress? Obama signed it. It has one signature on it - and it is his.
      Not one Republican did this.
      And if it weren't for identified voter fraud in the Al Franken election, Democrats wouldn't have had that 60th vote to force this through. And, since it started in the Senate, and the U.S. Constitution says all tax bills have to start in the House - it shouldn't be at all. I know, Obama says it isn't a tax bill - but the only reason it passed Supreme Court Scrutiny is because they determined it WAS a tax bill.

    5. Re:From Today's New York Times by Anonymous Coward · · Score: 0

      1) Don't blame the President for laws written by and enacted by Congress. President Obama is the chief executive, not a legislator.

      True, but apparently you are unfamiliar with how bills become law. You see, the president can chose to veto a bill, or sign it into law. Obama chose to officially sign this clusterfuck into law. Therefore he's got to bear his fair share of the blame.

    6. Re:From Today's New York Times by ScentCone · · Score: 1

      Don't blame the President for laws written by and enacted by Congress. President Obama is the chief executive, not a legislator.

      The law was passed by not-veto-proof 100% partisan vote.If he wasn't in support of it, he could have stopped it cold or used his ability to kill it (by not signing it) to insist that changes were made. He did absolutely nothing along those lines. He is equally responsible, and don't kid yourself about the administration's direct involvement in the writing of the bill.

      --
      Don't disappoint your bird dog. Go to the range.
    7. Re:From Today's New York Times by Anonymous Coward · · Score: 0

      LOL. The law wasn't written by congress, they didn't even read it. DON't blame conGRess for passing it?

      I think that metal plate in your head shifted a bit too far into your frontal lobe!

    8. Re:From Today's New York Times by Anonymous Coward · · Score: 0

      This right here is some willful ignorance. The law was not written by congress.

      Myth.

      Few in congress even read it. .

      Another myth.

      The administration peddled it through several House committees, but in the end, they gave up and just voted on the Senate version (which many Democratic senators admitted they had not read, either).

      Yet another myth, not even close to the actual legislative history of the bill.
      And do you even understand how a bill is made? You dont just go to the other house if you stall in the first one.

    9. Re:From Today's New York Times by Anonymous Coward · · Score: 0

      so then what were all those amendment about, you know the added in the house and senate, hundreds of them, mostly form republicans

      "This right here is some willful ignorance"

      Well i'll give you half credit.

    10. Re:From Today's New York Times by ganjadude · · Score: 1

      ok, so then blame the democrats as an entirety. mrs "we have to vote for it because we can find out whats in it" pelosi and the rest of the dems who voted for it.
      obama rubberstamped it, it was his "biggest accomplishment" remember

      stop trying to blame republicans for your peoples mess

      --
      have you seen my sig? there are many others like it but none that are the same
  22. Nope. Just got through tussling over a DME by jpellino · · Score: 1

    - one that was billed at $900 that I can buy on Amazon for $117. Reason? That's the Medicare "book" price and no one else is interested in spending the time to create a realistic price sheet. Of course their first excuse was that it took time to size and fit the device. When I pointed out that's a personnel/visit charge not a hardware charge, they came up with the "real" reason for charging so much.

    --
    "Win treats sysadmins better than users. Mac treats users better than sysadmins. Linux treats everyone like sysadmins."
  23. republicans sucker the masses by jsepeta · · Score: 4, Insightful

    the republican party is incredibly successful at turning the victims of their legislation into their voter base. democrats SUCK at messaging.

    --
    Remember kids, if you're not paying for the service, YOU ARE THE PRODUCT THAT IS BEING SOLD.
    1. Re:republicans sucker the masses by cold+fjord · · Score: 1

      democrats SUCK at messaging.

      If you like your insurance you can keep your insurance? If you like your doctor you can keep your doctor?

      Race baiting and lies go a bit beyond "suck".

      the republican party is incredibly successful at turning the victims of their legislation into their voter base.

      I see that African Americans have fared unusually poorly under the Obama administration and yet are still solidly behind him. That isn't the only part of the Democratic voter base like that.

      --
      much of left-wing thought is a kind of playing with fire by people who don't even know that fire is hot - George Orwell
    2. Re:republicans sucker the masses by Trailer+Trash · · Score: 1

      the republican party is incredibly successful at turning the victims of their legislation into their voter base. democrats SUCK at messaging.

      It's funny because the most heavily Republican areas here in the south were controlled 100% by Democrats for a century. Ask black folks how that turned out.

      In case you're scratching your head look up "bull connor" in wikipedia and start from there.

    3. Re:republicans sucker the masses by Ryanrule · · Score: 1

      the democratic party of 1920 is the republican party of today.

    4. Re:republicans sucker the masses by dywolf · · Score: 1

      Do we REALLY need to have the discussion about political party hsitory again? How the Southern Democrats, who became the Dixiecrats, and then became Republicans, were always a very conservative segment of the old democratic party, and who had more in common with todays Tea Party?

      Youre using the party label, but ignoring that the people you are talking about switched parties some time ago.

      We jsut covered this a few days ago.
      But here you go: http://slashdot.org/comments.p...

      --
      The guy who said the election was rigged won the presidency with the second-most votes.
    5. Re:republicans sucker the masses by Dan667 · · Score: 1

      no, the gop is able to get voters to focus on issues that more or less unimportant to most of those voter's lives to get bad policies passed to benefit the rich. An example is abortion.

    6. Re:republicans sucker the masses by Anonymous Coward · · Score: 0

      The Republicans are successful the media eats it up, DEMANDS seconds and punches the Democrats when they try to bring their own message to the table. The Republican message is basically:

      "Democrats/Obama fucked up the economy/the war/Afghanistan/Benghazi/the government/your job/your mortgage/Iraq/Benghazi/ISIS/Iran/North Korea/China/poisoned your water/Benghazi/kicked your dog/raised taxes/punched a baby/made The Simpsons suck/Benghazi/clogged the internet tubes/are unAmerican/Benghazi/is secretly Kenyan/can't see Russia from their backyard/Benghazi/thinks you fucked things up/won't bend over for the Republicans/Benghazi/won't let Republicans kill Big Bird/(insert reason here)."

    7. Re:republicans sucker the masses by Anonymous Coward · · Score: 0

      Alternatively, the democrats admit when someone loses out, republicans are amazing sociopaths.

    8. Re:republicans sucker the masses by Anonymous Coward · · Score: 0

      You're wasting your time dywolf. You're not going to get a response. There never is one, but you can be sure he'll continue to frequently repeat this "lie by omission" elsewhere. You can count on that. Furthermore, just look at the username - "Trailer Trash" says it all. There's really nothing else to say really. Sadly enough, that label probably fits the majority of Slashdot commentators these days. This website has become part trailer park, part nursing home, and has been that way for awhile (10+ years at least). Nothing now but a bunch of old, bitter, backwater burnouts who simply can't deal with the modern world. Everybody else has long since abandoned this site.

  24. Redistribution of wealth is theft by kgroombr · · Score: 1

    I honestly don't care how you color code this to make it sound warm and fuzzy. The premise of this is redistribution of wealth. I work very hard long hours to make a comfortable living for me and my family. I shouldn’t have to work even harder to pay for the insurance of the “poor”. In most instances “poor” is a life choice. What you subsidize you will get more of. Redistribution of wealth is theft.

    1. Re:Redistribution of wealth is theft by ledow · · Score: 1

      From someone who's had state-paid health services since the day they were born, and not had cause to use them since I became an adult, and could comfortably afford additional medical cover if necessary:

      - - Welcome to your first glimpse of civilisation. - -

      By your argument, all kinds of things are redistributions of wealth. Back in the dark ages, you had to pay for fire insurance. If you didn't, and your house burned down, fire trucks would turn up to watch it burn or ask for a huge premium before they would pour water on it. Your insured neighbours, however, they'd douse with water to make sure they weren't damaged. You used to get little badges to put on your house to show your premium was up-to-date and which houses which fire brigade (because there were several competing ones) was to save.

      Police, fire and medical are three essential services in a modern civilisation. You don't want people paying to get their own private police force that responds to them in preference to you. You benefit from paying into a central fund that funds all police activity for everyone.

      You don't want to do the same for fire. And you don't want to do the same for medical. Trust me. You're blinkered by living in a country that's not known anything else. Even medical insurance is a disgusting state of affairs, before we get into actually having to PAY for medical attention.

      If "poor" is a life choice, it's amazing that those people don't just go and make money, isn't it?

      You work hard and you pay tax. That tax goes to the country. The country spends it on things that need doing WHETHER OR NOT YOU PERSONALLY BENEFIT. Street lighting on roads that you never intend to use, pregnancy and childcare services even if you're a man, flood defences even if you live inland, tornado funds even if you don't live in an affected state.

      If you don't get this, it's just sheer arrogance.

      What an ignorant... Really not worth my time to reply.

      To be honest, the rest of the developed world is still pointing and laughing at you as a country for NOT GOING FAR ENOUGH. Making people pay private companies in order to get medical attention... it's abominable.

    2. Re:Redistribution of wealth is theft by Anonymous Coward · · Score: 0

      Then fuck off and go live in the ocean, because you're stealing public land.

    3. Re:Redistribution of wealth is theft by dwpro · · Score: 1

      You wouldn't have to work so hard if you bothered to use all the services provided to you for free. If you didn't have to build your own roads, educate your own workforce, inspect your own food, maintain your own currency, etc. You could afford some the awesome luxuries afforded by "wealth redistribution" and your bootstraps wouldn't be so worn from all the pulling.

      --
      Millions long for immortality who do not know what to do with themselves on a rainy Sunday afternoon. -- Susan Ertz
    4. Re:Redistribution of wealth is theft by Anonymous Coward · · Score: 0

      "To be honest, the rest of the developed world is still pointing and laughing at you as a country for NOT GOING FAR ENOUGH. Making people pay private companies in order to get medical attention... it's abominable."

      I agree. I live in the US and still cannot believe that our government included the insurance companies in their decision to nationalize healthcare. The insurance companies are a big part of the problem and shouldn't be part of the solution.

    5. Re:Redistribution of wealth is theft by Whorhay · · Score: 1

      Now that's not entirely fair. Sure the Health Insurance companies have been actively exploiting peoples illness for personal gain in unfair ways, but they can still find a use in the solution. Have you looked at the organ donor waiting lists? If we only took a single kidney, part of a liver, and an eye from each Health Insurance executive we could help a lot of people!

    6. Re:Redistribution of wealth is theft by TwoEyedJack · · Score: 0

      Being a Brit, perhaps you can be excused for being so utterly ignorant of our system of government. You see, we have this document that describes the contract between we the *sovereign* people and our servants. You, on the other hand, are a *subject* of your sovereign. Article 1, Section 8 of our Constitution outlines the lawful activities for which Congress can appropriate funds. Health insurance is not there. Neither is fire protection or policing. These are local matters. Unfortunately, we have a bunch of people over here who are just as arrogantly ignorant of our system of government as you. It will take some time, but this travesty will be reversed.

  25. Anyone actually compare before and after?... by Karmashock · · Score: 2

    ... I mean personally.

    What could you buy before and what can you buy now?

    Because I am not rich... before or after... and it is more expensive now then it was before. I mean... significantly.

    Now do I think we should help people that have a hard time getting medical care afford said care? Yes. Is the best method to provide that care to just throw money into the air until it covers the earth like leaves after autumn? Obviously not.

    Here someone is going to say "but single payer would be better!"... Maybe... but then like... anything would be better then this stupid law. the law is dumb. What we had before for all its flaws was better. My care was cheaper. I am not in some amazing stratospheric yacht class of people that sips expensive brandies while I talk about the little people. This law made my care more expensive. Full stop.

    Now here is where someone says "Okay, what is your solution because we need a better policy!". Okay, look at the price of college education over time. Graph it against the inflation rate. Notice something? Now do the same thing with the cost of housing prior to the crash. Notice something? What is happening is cost inflation due to government subsidization.

    Basically what you are looking at in many markets is the effect that unlimited subsidization has on free market systems when they are purely demand side. That is, if you just give everyone money that can only be spent on a given product or service... people buy that product or service in greater volumes. That then not only consumes the supply of those products or services but also increases what people ultimately can pay for them because not only do they have their own personal resources to draw upon but also this big government check. And so naturally, even if the supply is increased, because people have more money to spend... the costs go up. And the more subsidization you throw into the market the more the prices go up. And the faster you do it, the faster the prices go up. If your level of subsidization is percentage based and not even a flat amount then your subsidization rate can feed back into the supply/demand price loop in real time. Which can mean rapid uncontrolled price inflation.

    We've seen this before. It has happened many times because this is a lesson government and certain ideologues have a very hard time dealing with because it contradicts some political positions that are simply verifiability wrong.

    Where am I going with this? Well, medical costs have been going through the same cost inflation for YEARS. In fact, the very justification for obamacare was that cost inflation. And the cost inflation was caused in large part by government subsidization of healthcare. Look at the price of healthcare prior to the subsidization for something like mending a broken arm. Something that hasn't changed remarkably in a generation. And you'll see the costs were a great deal lower after factoring for inflation.

    So what are my solutions to this problem? Well, rather then give people money so they can pay for increasingly expensive medical care, why not try to make medical care cheaper for EVERYONE. Not by giving people money but effecting the market so that prices go down.

    There are a lot of ways to do this sort of thing. There is a hospital in Texas for example that has a completely different administrative structure. They basically did away with the three upper floors of most hospitals that are full of people that just do paper work. And instead they give shift nurses administrative control over their domain. That in and of itself lowers the cost hugely.

    The price of that is that the hospital outright refuses to deal with complicated paperwork from the insurance companies. They offer various ways of managing that. You can for example deal with the paper work yourself and it is your responsibility to see that the hospital gets paid or that you get reimbursed after paying the hospital out of pocket. They also have sort of a medical plan that covers JUST that hospital.

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    1. Re:Anyone actually compare before and after?... by laird · · Score: 1

      Nobody said that ACA would make everyone's health insurance cheaper. That being said, due to the competitive exchanges prices are going up (on average) much more slowly (2-3%) post-ACA than they went up for previous decades (7-9%). So if you compare your insurance costs to what would have happened if the rates had gone up as fast as they had previously, you're probably saving money.

      But the real benefit of ACA is that the worst abuses by the insurance companies are outlawed. They can't waste more than 20% of what they collect. They can't refuse to provide healthcare coverage for people who've paid for it. And, of course, they can't refuse insurance to people who have a "pre-existing condition" when they change jobs. Those benefits apply to over 200m people. And over 10m people that had no healthcare coverage before do so now!

    2. Re:Anyone actually compare before and after?... by aaarrrgggh · · Score: 1

      Many fair points.

      There are plans outside of insurance that can provide 24x7 phone support from a doctor, prescription discounts, and other such values; our insurance broker actually enrolled us in them for free. This type of service needs to be more widespread. Unfortunately, most doctors visits really are a waste of time, but there is no way to avoid it if you (think you) need antibiotics. I partially long for Thailand where the pharmacist would recommend whatever they think you need (or was close to expiration/expensive, depending on ethics). Granted, I did see people die because of inadequate care, but the location wasn't going to get a hospital ever.

      As for the emergency room, hospitals have worked harder to triage patients to their medical office buildings, but it is a cultural issue.

      Once you set foot in a hospital campus there are substantial costs that need to be recovered. The cost for building a hospital vs medical office is about 5-10x depending on location. California is especially bad, after OSHPD got caught with their pants down in Northridge.

    3. Re:Anyone actually compare before and after?... by Karmashock · · Score: 1

      Please go on if you can. I think it is very important in this issue to accept the complexity and not be afraid of it. To rather humble ourselves before the complexity and simply do our best to manage it.

      I believe one of the central flaws in how the US handled the latest healthcare law is that the politicians rushed through the plan which forced them to pretend it was simple. For example, we previously had thousands of customized medical plans. Basically insurance companies could make up pretty much whatever they wanted as the terms and you would choose from amongst those contracts... and if you wanted you could even negociate with the companies to shift numbers around by reducing or increasing their liability for given things.

      Anyway, we only have four plans now. We went from a system where things were very flexible though perhaps confusing to one where there are only four contracts you can sign. Full stop.

      And worse, they sort of used Plato caste system to identify everything. That is in plato's republic he identified the aristocracy's souls as being made of gold, the civil servants or soldiers as having souls of silver, and the souls of the common people as having souls of bronze or iron. Under Obamacare, we have four contracts. Platinum, Gold, Silver, and Bronze. The concept being if you want basic care you buy the Bronze and if you want to beat the doctors to death with money you go with the platinum plan.

      Anyway, I think it oversimplifies the system to the deteriment of everyone. For example, you pay for a lot of things that you aren't going to need. For example, if I get a bronze plan, I have to pay for maternity insurance as a component of the plan. I am not a woman. So... explain that. And were I woman, I'd be paying for prostate cancer insurance which... I'm not going to have to worry about. What is more, it means neither I nor the insurance company can try to micromanage the plans to try and make them more efficient by perhaps increasing my coverage for one thing that I'm more prone to while reducing my coverage for something that is simply implausible.

      The argument in favor of the system is that some people in very high risk conditions end up having VERY expensive insurance because they are in a high risk pool that no one else shares with them. I grant that, but it is cheaper to deal with people that need help as an exception rather then change the way EVERYONE gets insurance and deals with things to accommodate them.

      Another example of this would be the buses that the city of Los Angeles bought to deal with disabled people. They bought these kneeling buses. The whole bus drops on hydrolics at the curbs so that people in wheel chairs can just roll onto the bus. Sounds nice right? Well the buses are extremely expensive. An analysis was done as to how many people there are in the city that actually need this sort of assistance and it was found that it was RADICALLY cheaper to just provide a FREE of charge cab service for people that had these needs then to replace the entire bus fleet with very expensive buses.

      And really, if you were disabled which would you rather use? Public transit or some van that shows up to your home at no charge and just picks you up? I'd pick the van any day.

      Which option do you think the city went with though? Total replacement of the city fleet.

      It seems almost without fail if you hand some people two options... one that costs X and another that costs X*10 they go with the latter practically every time. I can give you dozens of examples. It really is pretty remarkable.

      --
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    4. Re:Anyone actually compare before and after?... by Karmashock · · Score: 1

      As to the culture, that is why the upfront pricing would be so powerful. Hospitals with sloppy cultures that aren't dealing with this are going to be a lot less efficient and if you know that before you walk into the door... they're going to lose business. Which lets face it, is what most hospitals are these days.

      And that's fine. We depend on businesses to feed us every day. Think about that. How much of the food that has kept you alive all your life has come from a supply chain of people doing it all to make a living. I'm assuming like most people... nearly all of it.

      So I don't have a problem with businesses so long as their markets aren't fucked up. And the price obfuscation fucks up medical costs by not making it clear who is over charging, who is being sloppy with efficiency, or worst of all... you can't tell who is really doing a good job, has their shit together, and is consequently offering a great deal.

      --
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    5. Re:Anyone actually compare before and after?... by Karmashock · · Score: 1

      That's pretty much exactly what they said they'd do... I can give you quotes from politicians pushing it if you really want eat that bullet... but you're playing russian roulette with a fully loaded gun.

      Don't be that silly.

      As to reforms in the system, bro... I think I addressed everything you're saying exhaustively. You saw how much I wrote... right? My rebuttal to your point is in that post... in detail. Is it unreasonable for me to expect you to know that? I don't know. It was a long post. Do you want me to quote myself?

      If you want to rebut something I said, then please quote both what you have a problem with that I said as well as the portion of my initial post that already addressed your point and then please attempt to make a counter argument that acknowledges my argument.

      If you don't do that, then you're not really arguing against anything I said because you're not addressing my point. You're just grabbing the first thing I might have said you didn't agree with... taking it out of context by ignoring the full argument and counter counter arguments... and then addressing it in a vacuum as if I didn't already address your point.

      But again... maybe I'm being unreasonable by expecting you to read the post you're commenting on. Tell me if I am. Be honest. It was a long post and maybe it was too long for me to hold you to that. I'll quote myself if I have to. But what you said right there was specifically refuted in my post above and you did not address that rebuttal which I anticipated.

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    6. Re:Anyone actually compare before and after?... by frank_adrian314159 · · Score: 1

      You're not wrong. You're just looking at the facts that support your side. You're assuming that market subsidy leads to price inflation. It doesn't unless the supply of the service is artificially limited. And I can think of nothing more artificially limited in this country than medical care - from medical schools to insurance companies to big pharma, everyone wants the level of profits that they think they deserve and will limit just about anything to make this happen. Remove the artificial limitations in supply and then you can talk about inflation. The demand is obviously there to drive expansion - the political will isn't.

      --
      That is all.
    7. Re:Anyone actually compare before and after?... by Anonymous Coward · · Score: 0

      Actually Obama did claim that rates would go down, direct quote from Obama:
      "If you already have health insurance, the only thing that will change for you under this plan is the amount of money you will spend on premiums. That will be less"

      More examples here:
      http://www.nationalreview.com/article/360617/obamacare-snake-oil-charles-c-w-cooke

    8. Re:Anyone actually compare before and after?... by NoImNotNineVolt · · Score: 1

      If anyone actually got to the end of this email

      Some decent ideas. Figured I'd mention that, as we've had our differences on other issues in the past.

      --
      Chuuch. Preach. Tabernacle.
    9. Re:Anyone actually compare before and after?... by ganjadude · · Score: 1

      really??? no one said that???

      "I will sign a universal health care bill into law by the end of my first term as president that will cover every American and cut the cost of a typical family's premium by up to $2,500 a year." Sources: Speech, "A Politics of Conscience," June 23, 2007

      the president himself would disagree with you

      --
      have you seen my sig? there are many others like it but none that are the same
    10. Re:Anyone actually compare before and after?... by Karmashock · · Score: 1

      I'm afraid we have many examples in many markets of the same thing happening.

      Was housing artificially limited?
      Is college education?

      These things are also tracking up in price as subsidies increase.

      It is a well established economic principle, pal. And frankly you should be embarrassed that you think you can solve these problems by just throwing money at them. That's all this does. you get a big fire hose full of money and just blast it until everything is OKAY... and never mind that by blasting that market with money you MUST effect it. You want supply to go up by increasing demand? Well... prices go up when that happens. They must to pay for capital expenditure.

      I went through a lot of better ways of getting to the same place. Please refute aspects of my argument with your own counter arguments. Your statement that throwing massive subsidies at a market doesn't increase prices is contradicted by observed reality.

      --
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    11. Re:Anyone actually compare before and after?... by Anonymous Coward · · Score: 0

      ...but anyone that just says "you're wrong" and then fucks off is going to be assumed to be a twit.

      What a twit you are. You're also wrong.

    12. Re:Anyone actually compare before and after?... by Karmashock · · Score: 1

      I'm sorry to hear our past encounters have not always been mutually profitable. I do usually try to contribute in a rational and constructive fashion.

      However, I am also a big believer in having my own opinion that I came up with myself using my own personal reason. And that often leads me to have "unorthodox" positions on things.

      This is by design. I fear not having my own mind. I fear people telling me things and believing them without reflection. I want very desperately to if nothing else be the master of my own head.

      And so I run the risk occasionally of saying dumb things or being wrong or offending people. It is the price of thinking first for yourself and not simply looking at what other people are saying and taking a side.

      I try not to take sides. I try to make my side and be comfortable being the only person in it when and if that happens.

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    13. Re:Anyone actually compare before and after?... by Karmashock · · Score: 1

      Perfect example of a stupid post. Thank you for that example of exactly the sort of post that is least useful in any discussion.

      --
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    14. Re:Anyone actually compare before and after?... by maple_shaft · · Score: 1

      You put a lot of thought into these things, here are my thoughts on various points you bring up:

      Make healthcare prices more visible. I completely agree with this but to understand why they are not we have to think about how healthcare prices are determined. There is an annual (maybe bi-annual?) conference where some hundreds of physicians prominent in their branches of medicine and known as experts get together and discuss the appropriate costs and thus fair prices to be charged for just about any medical procedure that can possibly be billed for. The result of this conference is the price book for what Medicare will pay for anything. The medical community in its entirety basically uses this as their starting template for what private individuals and insurance companies should pay for their services as well. So some handful of people are setting some ridiculous prices year after year that are the very epicenter of rising costs. I bet you are already thinking in your head the major problem here. A handful of Gynecology physicians basically get together and decide what a fair price is for Medicare to pay them, it is the mother of conflict of interests. The higher price they set the more money they stand to make, especially if those physicians happen to be known as experts in a rare type of procedure that few know. They can come up with some extraordinary number and know people will come across the country to see them personally if one of those Gynecology experts doesn't happen to live in their city. Other factors for why they decide on a higher price usually have nothing to do with the procedure itself and sometimes if the insurance company decides to stop paying a proper amount for various medical supplies that are used in other procedures. They will often up charge with the anticipation that insurance companies will try to bilk them in other areas. The problem is a difficult one to solve especially since Medicare to be fair needs to know a fair market price and relies on experts in the field to tell them, so it really is the medical community in this country that really takes the lions share of blame here. How we solve that I don't know.

      Send people a check and they can shop around. Assuming we solve the price transparency issue and rising costs, this might help to curb medical costs even more. I think market based healthcare can really only work if it is single payer to the patient and let them decide where to spend that money.

      People abuse Emergency Rooms, they are always in the Red. Yes but if we had true single payer and people could actually get paid or reimbursed for non emergency healthcare then this problem mostly solves itself. Right now many hospitals pretty ingeniously recover a large chunk of that money lost in giving free and charity care to poor and disenfranchised peoples. They write off those losses on their books as charitable donations. If they can accumulate enough of these "charities" then they qualify for Non-Profit corporation status which gives them a slew of tax benefits that sometimes more than make up any operating losses in their emergency room.

      Why don't people talk to doctors online and save money and time? This is already a thing and there are a lot of startups right now trying to solve this problem in an innovative way. People can post their symptoms and be connected with a physician or PA that can talk with them one on one and try to come up with a diagnosis. Perscriptions can be automatically filed and sent to your preferred pharmacy when applicable. Last I checked though, insurance won't pay for stuff like this until Medicare adds it to their price book and we come full circle back to the physician conference.

    15. Re:Anyone actually compare before and after?... by Karmashock · · Score: 1

      As to everyone getting together in an industry and agreeing on the correct price, that is quite literally illegal in literally every other industry. You will be sued or go to jail if you even try to do that anywhere else. It is a bad idea. It is anti competitive. What you should have is everyone undercutting each other's prices.

      Here someone will say "but that will just lead to people cutting corners and half assing things"... well who says they're not going to do that regardless? Exactly so you've just accomplished making things more expensive and disincentivized people innovating efficiency without increasing quality. Terrible idea is terrible.

      Not your fault the idea is terrible... it just is very bad.

      As to giving people money for insurance and how that relates to single payer... I see no reason why single payer makes any sense in this concept. If we give people money to buy their own care then every one of those people would technically be a "payer" in the system. What is more, what they are given can't be explicitly known or the doctors will know what to charge. Its like expecting the local stores to make sense if they know exactly how many dollars are in each of your pockets. That is a buyer secret. Lets say I can afford 1 million dollars to buy this hamburger... lets say lots of people can do that. Do I want the guy selling me burgers to know that? Obviously not. I want him charging me as little as possible.

      As to the emergency room, you seem to really want single payer. Well... I'm going to skip over what appear to be a verbal tick to me and just point out that simply empowering the nurse to send people to urgent care right next door would instantly solve this problem in 99.99 percent of cases without a need to do anything else. Which option is easier? Exactly.

      As to medicare, that is part of the problem with putting the government in charge of these things. They're slow, have conflicts of interest, and aren't half as competent as you think. A much more responsive system would be to let insurance companies cover what they want to cover and pay what they want to pay. The customer signs a contract they like and then that is the coverage. Why get involved in this contract? Do this, and it is in the interest of the insurance company to cut out inefficient over priced healthcare options and recommend the most efficient policies possible. Now here someone will say "but they'll just be greedy and fuck you." Sure... and the guy that sells you a car, a house, or a pair of socks could do the same thing. The guy that makes you a sandwich could have replaced the mayonnaise with ejaculate. Except this is controlled generally by two things:
      1. We notice these things and it is hard to stay in business if you do that.
      2. Human decency is a real thing. I know most people don't think it is... but amongst the majority of humanity it is very real.

      I don't see how inserting this confused bloated bureacracy into everything makes anyone's lives easier.

      If the world were a static place. If there were no innovation. If everything always stayed the same... then your idea might be viable. The problem is that every time anything CAN change for the better it is stopped by your system because it is slow, disinterested in innovation, has no interest in containing costs because tax payers, and ultimately makes all its decisions on a political basis.

      Imagine for a moment if the sandwich you ate every day was determined by politics. Not what you want. Not what the current price of ham is or the how much mustard is available. But rather what some committee of douche bags decided 1000 miles away 20 years ago in a single afternoon.

      Imagine that world. That is what you're trying to do to medicine. It is a bad idea.

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  26. Re:Dupes by Anonymous Coward · · Score: 0

    You're right. We should leave wage slaves to make their own decisions. They are free to choose higher-priced options or do without rather than being forced to pay into a system that they will invariably need someday. That we can make more money off them and pay less taxes that way is just a convenient side-effect.

    It's healthcare. When do people *not* need healthcare at some point in their lives? People should have choice, but having a default option that's already paid for by taxes makes sense in the same way as education, transportation, defense, and emergency services does, all of which could also be supported by private means instead. I suppose we could do away with all of those things and thus have a much lower tax rate, but if given the choice of a society with and without those services and with and without the corresponding taxes, I find it hard to believe that most people would prefer to do without. The choice was made generations ago and most modern countries have chosen "yes", especially when it doesn't preclude people independently hiring their own private services if that's what they really want and can afford.

    Healthcare is a newer question, but many industrialized countries have made their choice and most countries that chose "yes" certainly prefer it if you ask people there. The US is an oddity because people there are somehow content paying the highest per-capita medical expenses in the world, while a sizeable fraction of the population still has no healthcare coverage at all. It's bizarre. But I guess you can have the consolation of feeling freer while obviously being ripped off for the private services you get.

  27. Re:Dupes by jsepeta · · Score: 1

    Poor people are stupid, proud of their lack of knowledge, and threaten the very existence of everyone else.

    --
    Remember kids, if you're not paying for the service, YOU ARE THE PRODUCT THAT IS BEING SOLD.
  28. clarification of the summary by nimbius · · Score: 1

    Many of the poorest and most rural states in the country tend to favor Republican politicians.

    Many of the poorest, most rural states also feature a large minority population disenfranchised by Voter ID laws, early voting elimination, absentee ballot restrictions, and gerrymandered districts that favour a republican leadership. Most of these states like Kentucky, Georgia, and Louisiana also strip your voter rights if youve been convicted of a felony in the past, requiring a governors pardon to restore them. Stacking the desk means people like louie gomert can call for a ban on muslim immigrants, shariah law, and female contraception because they understand no matter how incendiary their comments, the chances of their unemployment are pretty low. a large plurality of residents in these states categorically do not care for republican politicians.

    --
    Good people go to bed earlier.
    1. Re:clarification of the summary by Anonymous Coward · · Score: 0

      I live in Colorado. It voted blue in the last presidential election. You can't vote if you've got a felony conviction here.

      Not a republican issue, but keep deluding yourself.

  29. Interesting numbers. by will_die · · Score: 1

    So we now have around 13% of people without insurance or around 1-2% below what we before. However around 70% of those have been into Medicaid; which has alot of problems because of the way that is paid for not to mention the increasly few doctors that are accepting it; it does give the liberals their single payer system.
    According to the numbers insurance for young men has gone up close to 80% yet they said it has gone down, they need to look at the numbers vs what they put in words; they do cover that by saving prices will go down in the future.
    This are still parts of the web sites that are not working or have been implemented, according to the governments own reports, yet according to the article everything is great.
    However at least with from the article insurance cost for company provide insurance plans have leveled off and not increased. Then you see they ignored the past couple of months, focusing only the times of economic recession and the costs that people will have to pay for insurance next year.
    How about some real number like the percent of people who got âoeif you like your policy, you can keep your policyâ or those on Obamacare who had "If you like your doctor, you can keep your doctor." work for them?

  30. Re:Proof Republicanism is the major cause of pover by Anonymous Coward · · Score: 0

    Democrats don't want money. Interesting. So glad to have been corrected.

  31. Joe Biden for 2016! by Anonymous Coward · · Score: 0

    Joe Biden made it all happen! The republicans are crying like babies because 1/3 Americans are living in poverty now!

  32. Useful Idiots by ThatsNotPudding · · Score: 0

    Many of the poorest and most rural states in the country tend to favor Republican politicians.

    Lord, don't I know it. Fitting that today is Halloween, as during All Hallows Eve when Obama was first running, all the Obama yard signs (and only the Obama yard signs) went missing from all the front lawns in my little burg located deep inside a deep Red State. "High school kids playing a prank", said the cops. Sure. Sure they were. But even if they were, they learned their blatant racial hatred from Mom and Dad.

    It's part and parcel of the severe mental illness of poor GOP voters: "If I vote to let billionaires become trillionaires, I myself will magically become a millionaire solely because I'm White!"

    1. Re:Useful Idiots by Anonymous Coward · · Score: 0

      Speaking of useful idiots, did you notice how you leapt to the conclusion that the removal of the yard signs was racially motivated without one ounce of evidence to support your claim? In fact, do you even have any evidence that it was hatred at all?

      Perhaps they did not like Obama's policies and that was it? Did you talk to the alleged vandals yourself?

    2. Re:Useful Idiots by Anonymous Coward · · Score: 0

      Why would it have to be racist. When I was in high school we would always steal political yard signs, didn't matter who the candidate was. They would often be put up in someone's yard or pounded into an intersection in the middle of the night.

    3. Re:Useful Idiots by ganjadude · · Score: 1

      my ron paul signs disappeared as well (and i had video of who did it) cops didnt wanna see it, said it was dumb kids, eventhough I personally knew the person doing it, and he was campaigning for obama....

      --
      have you seen my sig? there are many others like it but none that are the same
  33. The police and health care are not the same by MikeRT · · Score: 1

    Most developed countries recognize that health care is analogous to public security, not policing. The difference there is that you have an army of private, for-profit actors (like private security) and a public basic service. We expect companies to provide their own security, for example, because they have the wealth to do so and it lowers the cost on the general public. It is not acceptable to say "increase the police force 200% because Walmart and Target won't hire security staff to monitor such a large store full time." For the same reason, it's unacceptable to burden the public health care system with the middle and upper class when they have the wealth to pay private doctors.

    This is a good example of why Social Security and Medicare are failing. They aren't means tested. You can have a fat pension and $2m in assets and still get the same maximum social security check as someone who was a skilled construction worker and entered old age with little more than a home and a small savings account to hopefully pass onto the kids. Should they both be entitled to these programs? Absolutely not.

    1. Re:The police and health care are not the same by Extensa30 · · Score: 1

      and why not, again? Ever took a look at the NHS (england)? Or securite social (France)? or Krankenversicherung (Germany)? what part of your "absolutely not" is failing there? All citizens have access to a system that provides unversal healthcare in different ways, independently of their age and pension. AND if they want a premium service (faster attention, better infrastructure), they can allways pay it by themselves. In spain, if you want to have surgery on your knee (non vital), you might have to wait 6 months. You can pay a private surgeon and get it done faster, but you would get your service in either case. In france, the rehabilitation system covers the generic personal rehab (with an official title). You want the most famous guy? the goverment will only reimburse you the official quota.. Both this countries have a dramatically less cos-per capita on healthcare, and better healthcare outcomes (expectancy of live, child decease rates, quality of live on elderly people. Both taking into consideration median and average values. And this applies to Italy, Sweden, Austria, Netherlands, Uk... It's objective and measurable that the US has the worst investment-outcomes in healthcare in the whole world. Don't try to defend a broken system. One thing is true, though: Everytime I have healtchare assistance on the US, I feel like a prince. It does not compare to the service on the NHS, (for example).

    2. Re:The police and health care are not the same by anybody_out_there · · Score: 1

      This is a good example of why Social Security and Medicare are failing. They aren't means tested. You can have a fat pension and $2m in assets and still get the same maximum social security check as someone who was a skilled construction worker and entered old age with little more than a home and a small savings account to hopefully pass onto the kids. Should they both be entitled to these programs? Absolutely not.

      This is off-topic, but you do realize that in the US, if you work you are paying into both of these systems? Why shouldn't I have at least a chance of getting (some of) my money back out? That's why it is not means tested... I should get paid because it's my money to begin with!

      Alas the reality may be that by the time I am eligible, the system could be bankrupt and I won't see a penny of it anyway. That is a different discussion.

    3. Re:The police and health care are not the same by ganjadude · · Score: 1

      they both paid into them, they sure as fuck do deserve the same treatment for paying the same into a system. what they make outside of what they pay into the system should have fuck all with anything

      --
      have you seen my sig? there are many others like it but none that are the same
  34. what is the true cost? by lophophore · · Score: 2

    1.36 trillion dollars over 10 years (http://obamacarefacts.com/costof-obamacare/). That is 136 billion dollars a year. For 10 million people to have insurance.

    By my calculations, that is $13,600 per covered person, per year.

    Hardly "affordable".

    --
    there are 3 kinds of people:
    * those who can count
    * those who can't
    1. Re:what is the true cost? by Anonymous Coward · · Score: 1

      Where do you get 10 million people? Before Obamacare, the statistics were 1 in 7 US persons were uninsured, about 40 million. Over ten years, either all of those people will be insured, or they will be paying additional taxes. However, if it's administrative costs that you're worried about, then perhaps you'll agree that we should do single-payer instead.

      Oh wait, you're just bitching and don't want the situation to improve. What'd the guy say? A conservative is someone who is enamored of existing evils, and a liberal wants to replace them with new ones. Personally, I'm about ready to take my programming career to some other country where I can actually afford health care. I've been in Panama for a couple months getting dental work done, that would have been tens of thousands of dollars out of pocket in the States. God forbid I ever need serious medical care in the US, I could end up financially crippled as well as literally crippled.

    2. Re:what is the true cost? by phantomfive · · Score: 1

      Remember, that is the federal government contribution. Those people have to pay out of their own pocket, too.

      --
      "First they came for the slanderers and i said nothing."
    3. Re:what is the true cost? by Anonymous Coward · · Score: 0

      1.36 trillion dollars over 10 years (http://obamacarefacts.com/costof-obamacare/). That is 136 billion dollars a year.

      Don't forget that this is 10 years of taxes for 6 years of coverage.

    4. Re:what is the true cost? by lophophore · · Score: 1

      Uhh. Yeah. And it's worse than that -- remember where the feds get their money from.

      --
      there are 3 kinds of people:
      * those who can count
      * those who can't
    5. Re:what is the true cost? by gzuckier · · Score: 1

      1.36 trillion dollars over 10 years (http://obamacarefacts.com/costof-obamacare/). That is 136 billion dollars a year. For 10 million people to have insurance.

      By my calculations, that is $13,600 per covered person, per year.

      Hardly "affordable".

      Yes, but those numbers were calculated on the basis of adding insurance for an additional 26 million, not ten million. Since the calculation also identifies direct per capita costs such as subsidies, tax credits, and other per capita items as the major costs, then using the cost for 26 million over ten million insured is just wrong. The actual estimate would have to be over 26 million insured, and that equals $5,231 per capita per year. Which is pretty damn cheap as far as health insurance goes.

      --
      Star Trek transporters are just 3d printers.
    6. Re:what is the true cost? by lophophore · · Score: 1

      $5,231 is the taxpayer's contribution. The individual would pay another $2,877/year (if they are, for instance, a single 30 year old making $35,000 a year, that is outside of the range where the government subsidy kicks in.)

      So... $8,000/person/year. Hardly affordable.

      --
      there are 3 kinds of people:
      * those who can count
      * those who can't
  35. Tripled my rate & Australia does it for less. by Anonymous Coward · · Score: 0

    And as a single 30 year old male I was lucky enough to see my insurance premium increase almost three fold! From 100/mo for a PPO plan to 275/mo for a comparable silver Obamacare plan...

    Thanks Obama!

    In all seriousness though the newer plan is more expensive and still doesn't match my old plan in terms of co insurance and out of pocket costs.

    At the end of the day I'm not opposed to the idea of a national health system. At a glance it seems Australia is able to provide such a system one via a 1.5% medicare tax, so if we're paying 2.9% medicare tax per employee (employee/employer total) it should be feasible.

  36. What a partisan, biased summary by PeeAitchPee · · Score: 1, Insightful

    What about older people forced to pay for pregnancy coverage they'll never use? What about healthy 20-somethings whose affordable plans (called "junk plans" by liberals, but perfectly adequate coverage for a demographic that very rarely needs anything but coverage in case of catastrophic events) were cancelled even after Obama LIED and said "if you like your insurance, you can keep it?" You don't want to mention those things because it's more regressive taxation from so-called progressives. If you liberals are hell-bent on getting rid of every inequality you think you see, why do you insist on taking money from your fellow middle-class Americans to do it instead of from the big corps you claim to despise so much? THAT's why ObamaCare is so damn unpopular, and part of the reason the Democrats will get wiped out in next week's elections. People are sick of your bullshit.

    1. Re:What a partisan, biased summary by Anonymous Coward · · Score: 0

      Fortunately these "studies" will quiet down for a couple of years when the elections are over next week. Of course we'll still have a constant stream of attacks against Christie; it'll be interesting to see what kind of MoveOn/Occupy style "grass roots movement" they have planned.

    2. Re:What a partisan, biased summary by Anonymous Coward · · Score: 0

      ... taking money from your fellow middle-class Americans ...

      For the same reason single payer health-care was ripped out of the ACA. Those big corps we despise so much are experts at telling people that what is bad for big corps is bad for the people. If people are really sick of bullshit, they can stop listening to the big corps.

    3. Re:What a partisan, biased summary by sribe · · Score: 1

      What about healthy 20-somethings whose affordable plans (called "junk plans" by liberals, but perfectly adequate coverage for a demographic that very rarely needs anything but coverage in case of catastrophic events)...

      Calling those plans "junk" was a euphemism. They were outright bullshit bordering on fraud. So, if a 20-something has a catastrophic event, how much will he be helped by a plan that is capped at $10,000/year? If a 20-something gets one of those rare cancers that affects young people, how much will he be helped by a plan which excludes chemotherapy? Yes, those are actual examples of restrictions from actual insurance plans. (Note: you may well never have heard of such restrictions. Before ACA many states forbade the worst practices; but of course some states allowed pretty much anything, so in some states you had truly awful policies for sale, and in other states the cheapest policy was at least somewhat decent.)

      ...were cancelled even after Obama LIED and said "if you like your insurance, you can keep it?"

      Well the way he phrased that was unfortunate--careless, ignorant, stupid if you wish. But the ACA did not force insurance companies to cancel a single policy that was in effect at the time of his statement. Not one. It explicitly grandfathered them all in. But what happened, which O apparently did not anticipate, is that companies continued writing the policies in the time between the passage of ACA and its implementation, and new policies during that time were not grandfathered. So insurance companies continued to sign people up on plans that they knew they would have to drop in less than a year.

      Now the hell would they do that? What sense does it make to keep signing up people to plan when you know you'll be forcing them off it soon? Guess what? The so-called "junk" policies which you want to defend, were not only extremely cheap, THEY HAD THE HIGHEST PROFIT MARGIN OF ALL POLICIES. And the second-tier insurance companies that were unethical enough to sell them in the first place were not going to stop until the very last second.

      And then of course there were those of us with legitimate plans, who had our plans "cancelled", and were offered our choice of replacement plans, simply because the old plan was not quite ACA-compliant in some minor aspect that I couldn't even figure out, and our insurance companies didn't want to manage multiple nearly-identical plans. Yep, I'm one of those poor souls who receive a cancellation notice because of ACA. The entire ordeal consisted of: read the letter, check a box on the attached form, put the form in the postage-prepaid envelope, mail it.

    4. Re:What a partisan, biased summary by Anonymous Coward · · Score: 0

      What about the other significant portion of the country that got snookered into these high deductible plans that Bush foisted upon us? Lets forget about all that. It is ok that we single out the health care industry to receive all of this pre tax money via our HSAs. Hey - if health care costs are going up we might as well pay for it pre tax! Problem solved!

    5. Re:What a partisan, biased summary by lexman098 · · Score: 3, Interesting

      I'm probably paying for some geriatric coverage that I'll never use until I'm 60. Just like I pay to maintain roads that I'll probably never use. Welcome to society.

      It's true that part of the O-care strategy was to get younger, otherwise under-insured, people to subsidize the pool. It's reasonable to disagree with this, but young people got some benefits too. They can stay on their parents plan longer and medicaid was expanded.

      I don't believe Obama purposely deceived you as you make it sound. It's true he said you could keep your plan, and he shouldn't have, but political speaches don't lend themselves to asterisks. What he should have said (and probably meant) was that if you like your plan you can keep it if:

      A) The insurance company continues selling it (he can't control this)

      B) It meets the new minimum coverage guidlines (most will)

      Instead of getting so easily upset over progress you should take a look the problems and try to constructively shape the solution. O-care isn't *that* great, but nothing would have changed without it and we needed a change in our health care system.

    6. Re:What a partisan, biased summary by dywolf · · Score: 2

      What about women paying to cover prostate exams?
      What about men paying for pap smears?
      It called "that's how insurance works".

      And no, the junk plans you're talking about were little more than scams.
      Like say paying 700$ a year for a plan that only pays out a maximum of 300$ in a year.

      Your comments and position have no basis in reality.
      But I doubt you care, since after all reality has a well known liberal bias.

      --
      The guy who said the election was rigged won the presidency with the second-most votes.
    7. Re:What a partisan, biased summary by Anonymous Coward · · Score: 0

      Yeah, and what about those of us who don't have buildings on fire? Why are we paying taxes to support fire departments?
      And childless people, why are they paying for schools?
      And the young? They don't need elderly persons care, so why do their taxes pay for that?

      Damn liberals, being decent people and supporting a society where we help each other.

    8. Re:What a partisan, biased summary by T.E.D. · · Score: 2

      What about healthy 20-somethings whose affordable plans (called "junk plans" by liberals, but perfectly adequate coverage

      You mean "liberals" like Consumer Reports?The junk plans, by definition were not perfectly adequate coverage. These were plans that had the victims giving money to insurance companies for basically no coverage at all. eg: hospitalization coverage with an annual limit of $2K a year. With typical visits costing 10's of thousands of dollars, that barely even qualifies as a coupon. The mini-meds, or "junk plans" were legitimate insurance in almost exactly the same that payday loans are legitimate loans. Essentially they were just scams aimed a poor people.

    9. Re:What a partisan, biased summary by Anonymous Coward · · Score: 0

      ObamaCare is mostly unpopular with idiots who call it ObamaCare instead of the actual name, Affordable Care Act. Part of it is because these people are so blind and stupid that they just parrot whatever their conservative gods say.

    10. Re:What a partisan, biased summary by Anonymous Coward · · Score: 0

      What about older people forced to pay for pregnancy coverage they'll never use? What about healthy 20-somethings whose affordable plans (called "junk plans" by liberals, but perfectly adequate coverage for a demographic that very rarely needs anything but coverage in case of catastrophic events) were cancelled

      It sounds unfair, but if we allow health insurance to hedge against each individuals own needs/concerns, it will be priced accordingly. Good for the elderly that don't need pregnancy coverages, but not good for the elderly that *do* need coverage for all the other ailments the elderly are statistically more likely to experience.

      Health insurance isn't like homeowners insurance or car insurance....you can't just downgrade coverage (or get a cheaper-to-insure house/vehicle). We need to insure basic healthcare for everyone (even the obese/diabetics/HBP patients, etc)

    11. Re:What a partisan, biased summary by Magius_AR · · Score: 1

      Calling those plans "junk" was a euphemism. They were outright bullshit bordering on fraud. So, if a 20-something has a catastrophic event, how much will he be helped by a plan that is capped at $10,000/year?

      I beg to differ. Before ACA, I had a HDHP HSA that was capped around 5 or 6k a year for my family. Now it _IS_ 10k a year, and my premiums are higher (all because I don't fall within the preferred "subsidies" segment of our society)

    12. Re:What a partisan, biased summary by sribe · · Score: 1

      I beg to differ. Before ACA, I had a HDHP HSA that was capped around 5 or 6k a year for my family. Now it _IS_ 10k a year, and my premiums are higher (all because I don't fall within the preferred "subsidies" segment of our society).

      You misunderstand (sorry I wasn't more clear), when we talk about junk plans being "capped at $10,000/year", we're talking about plans where the $10k cap was on what the insurance company would pay, not what you would pay. That's right, there were plans which would pay $0 after the first $10k in a year, leaving you on the hook for every single penny above $10k. (Although $20k was actually much more common; but the $10k plans did exist.)

      Now, would you agree that was a junk plan? Would you agree that such a plan was indeed what I called it--"outright bullshit bordering on fraud"?

    13. Re:What a partisan, biased summary by Magius_AR · · Score: 1

      You misunderstand (sorry I wasn't more clear), when we talk about junk plans being "capped at $10,000/year", we're talking about plans where the $10k cap was on what the insurance company would pay, not what you would pay. That's right, there were plans which would pay $0 after the first $10k in a year, leaving you on the hook for every single penny above $10k. (Although $20k was actually much more common; but the $10k plans did exist.)

      I hear talk of these claimed "junk plans", but haven't heard a single case of a person who actually had one, yet alone in any degree of widespread use. My plan stated in writing what my out of pocket max was (as did every insurance plan I was aware of), and it wasn't "whatever was left after the insurance company cap hit". Perhaps it's possible the hospitals were left holding the bag, but it was not the individual. Again, if you can point to widespread examples to the contrary, please do. But I certainly neither experienced nor knew of a single person who had such a plan.

    14. Re:What a partisan, biased summary by sribe · · Score: 1

      I hear talk of these claimed "junk plans", but haven't heard a single case of a person who actually had one, yet alone in any degree of widespread use. My plan stated in writing what my out of pocket max was (as did every insurance plan I was aware of), and it wasn't "whatever was left after the insurance company cap hit". Perhaps it's possible the hospitals were left holding the bag, but it was not the individual. Again, if you can point to widespread examples to the contrary, please do. But I certainly neither experienced nor knew of a single person who had such a plan.

      Just because you and your friends live in a consumer-friendly state where your insurance commission would never allow such plans, does not mean they did not exist.

    15. Re:What a partisan, biased summary by Magius_AR · · Score: 1

      Just because you and your friends live in a consumer-friendly state where your insurance commission would never allow such plans, does not mean they did not exist.

      And your examples of widespread cases of the contrary? I'd honestly like to see them. Because if we spent hundreds of billions of dollars and screwed over the healthcare plans of a majority of America to solve something that was happening on some limited scale, I'd say it at a minimum did more harm than good.

  37. Anyone actually compare before and after?... by Anonymous Coward · · Score: 1

    That's interesting. I'm in the UK and some of what you talk of here is implemented (not perfectly, but...)

    Being of a Certain Age, I get asked to come in for scans/get flu jabs/play Pooh Sticks etc. I don't have to do it, but they are asking - because it is cheaper to catch it early rather than treat some ancient old sod (eg me) when he's really off it.

    And the NHS runs an internet site where you can look for advice (and read what others think about said advice)

    And there is a phone number to call for advice - you get someone who does the first, basic questions and then, if relevant, you get a callback from a medic.
    I have used that; once as an anxious father worried, reassured and told what to look out for. Another time to be told 'the parameds will be with you in 10 minutes' when my partner showed worrying symptoms.

    The NHS is not free. It is 'free at the point of use' - and you can pay for private if you wish.

    But the above techniques work really well if they are accessible by everyone.

    Perhaps I'd better shut up or I'll rattle on as much as you have.....

  38. And who has it hurt? by Discgolferusa · · Score: 1, Interesting

    Plenty of people honestly. Whether through cancellation of plans due to lack of mandated coverages, or in my own personal case, being forced to a plan with weaker benefits because my wife's employer was going to be penalized for offering a "Cadillac" plan to their employee's. For those that don't know what that is, it's a mandated 40% excise tax placed on plans that offer premium coverage.

    So now we pay about the same amount as before and have a deductible and coinsurance that we didn't have before. Thanks ever so much for that. Considering now we have to be concerned for up to 4800 dollars more a year in expenses. In an environment with looming inflation, and stagnant income growth. Hurray for Obama. Thanks so much for causing millions of Americans into the threat of financial instability.

    If the 10 million people now being covered are primarily from poor and rural areas, you could have easily covered them by modifying existing options like medicare to better suite the needs of those unable to properly insure themselves. And probably at a lesser expense.

    So yeah, lots of people have reason to hate the ACA, and the people who shoved it down our throats.

  39. under the old system people in jail / prison got by Joe_Dragon · · Score: 1

    under the old system people in jail / prison got better healthcare. People who where sick and had pre existing conditions used them as the last resort places.

  40. republicans sucker the masses by Anonymous Coward · · Score: 0

    > democrats SUCK at making bald-faced lies to their constituents

    FTFY,.

  41. More liberal conceit by Anonymous Coward · · Score: 0

    More liberal conceit. The study apparently concludes, "You hayseeds don't know what's good for you." The good people of the heartland never asked for this socialist experiment. The democrat political movement will be destroyed a few days hence.

  42. Meh by Anonymous Coward · · Score: 0

    Lets see..... I had a good health care plan. Now thanks to Obamacare, I pay more to get a lot less. I have fewer options now. The best thing is that I now the government doesn't permit me to make my own decisions but it can mandate that I have to buy whatever the lobbyists tell it to. Socialism is just a Trojan horse for crony capitalism.

  43. Re:Proof Republicanism is the major cause of pover by Anonymous Coward · · Score: 0

    Yes, the are no Democrats who are millionaires, right?
    Also, Republicans === Eugenics = nonsensical comment.

  44. Re:Proof Republicanism is the major cause of pover by Anonymous Coward · · Score: 0

    I've come to consider that Republican policies are regressive because they limit the amount of money that the poor can have and Democratic policies are regressive because they limit upward mobility. Neither party has any interest in seeing the poor gain wealth and thereby power. The Democrats have just done a better job at bribing them out of what little power they do have.

  45. Did you see who did the 'research'? HEHHeheheh by Anonymous Coward · · Score: 0

    Couldn't get the DNC or Whitehouse to do it for them? Why do a survey when the hard numbers are available? OH I KNOW! Because the most transparent administration in history refuses to release the numbers.

    Millions have been forced out of their existing plans and into Obamacare plans and Medicaid. Massive increases in Medicaid doesn't count as new insured... That like saying massive increases in the number of unemployed means increases in the leisure class.

    Estimates the total number of newly insured people, (not just shuffled), are in line with the typical annual sign up of the first time insured. This spin doesn't cut it because we live with the reality of it and are paying for it... And now, we are VOTING because of it. Spin on, it won't work anymore!

  46. Re:Proof Republicanism is the major cause of pover by Anonymous Coward · · Score: 0

    Eugenic Ideas = Progressive Left

    http://archive.frontpagemag.com/readArticle.aspx?ARTID=16217

    http://www.newstatesman.com/society/2010/12/british-eugenics-disabled

    etc

    etc

  47. Worst law in the history of the United States. by schematix · · Score: 5, Insightful

    My family insurance rates went from ~$400/mo for a PPO plan in 2012, to ~$750/mo in 2013, and now just under $1000/mo in 2014, all with declining levels of coverage. Thank you 'Affordable' Care Act. Even a modest 6-figure household income can't realistically afford $1000/mo for health insurance so we dropped it. It doesn't end there either. After $12k in premiums, i have exposure for another $6000 per year. So now we have a bare bones plan and contribute less to the system overall. Worst law in the history of the United States.

    --
    Scott
    1. Re:Worst law in the history of the United States. by dave420 · · Score: 1

      A nationalized health system would lower those costs massively, and retain the same level of treatment. Everyone's so caught up in this latest debacle in the history of US healthcare that they can't see the real problem is that the health industry isn't nationalized, with insurance companies adding extras on top of a solid system, instead of the clusterfuck you describe where a family has to pay ~$1000 a month just to be alive.

    2. Re:Worst law in the history of the United States. by SillyHamster · · Score: 1

      But, you still have health insurance, so by the metrics of the article, you were not harmed.

      On the other hand, now other people also have access to the same crappy health insurance you have, but subsidized by your higher premiums, so they've been helped, at no cost to you.

      Net gain!

      /sarc

    3. Re:Worst law in the history of the United States. by eepok · · Score: 1

      Huh... there's a lot about this post that can be used to sprout new conversation.

      1. PPOs are move expensive than HMOs. To save money, go to an HMO.

      2. There is no such thing as a "modest six-figure household income"-- at least without context. $100,000/year in California's Inland Empire will get you a lot more than $200,000/year in the middle of Manhattan.

      3. You're paying $1,000/month in premiums? Do you pay for it personally? One would assume that the employers that could facilitate a household's 6-figure income could negotiate a lower premium for its employees.

      4. You didn't mention if there was any change to your coverage (for example, if you get a whiff of cancer, you'll still taken care of).

      5. The law didn't require insurance premiums to go up. Insurers decided to jack up their prices instead of cutting profits. And no one knows if they simply used the opportunity to increase the prices on the independently insured.

      6. I work for a major university system. My rates stayed the same and my coverage expanded. My household makes significantly less than yours. I guess we can chalk it up to my employer having more negotiating power than yours. But here's the big question: why does there need to be insurance price bargaining in the first place? Oh yes... the for-profit insurance industry and associated medical industries.

    4. Re:Worst law in the history of the United States. by Anonymous Coward · · Score: 0

      I'd perhaps argue that something like Jim Crow or Plessy v Ferguson is the worst law in the history of the US, but the ACA does suck compared to what the rest of the civilized world has.

      I've never gotten a decent explanation of why it is that everyone else manages to make single-payer/universal healthcare work but somehow the USA couldn't possibly do it either...

    5. Re:Worst law in the history of the United States. by NoImNotNineVolt · · Score: 1

      all with declining levels of coverage

      So previously your plan had no lifetime maximums and was open to people with pre-existing conditions, and now your plan has a lifetime maximum and no longer accepts people with pre-existing conditions? That's odd, because your previous plan didn't really exist before the ACA was passed, and your new plan is explicitly outlawed by the ACA.

      This is all, of course, based on the assumption that you've actually seen declining levels of coverage... which... now seems quite shaky...

      --
      Chuuch. Preach. Tabernacle.
    6. Re:Worst law in the history of the United States. by Anonymous Coward · · Score: 0

      This is not an accident. You are being forced to pay the real cost of our health care system. Before, you were subsidised by the suffering of the uninsured.

      Yes, this means you were a freeloader.

      To connect the dots for you: Since you now know the real cost of our shitty system, you should be more inclined to vote for a real socialized health care system. You know, like the one literally every other first world nation uses.

    7. Re:Worst law in the history of the United States. by Anonymous Coward · · Score: 0

      Your anecdote is a cherry-picked pile of crap. I will bet me left arm that your rates increased in 2011 and 2010 and 2009 and quite possibly since you started paying for insurance.

    8. Re:Worst law in the history of the United States. by gzuckier · · Score: 1

      My family insurance rates went from ~$400/mo for a PPO plan in 2012, to ~$750/mo in 2013, and now just under $1000/mo in 2014, all with declining levels of coverage. Thank you 'Affordable' Care Act. Even a modest 6-figure household income can't realistically afford $1000/mo for health insurance so we dropped it. It doesn't end there either. After $12k in premiums, i have exposure for another $6000 per year. So now we have a bare bones plan and contribute less to the system overall. Worst law in the history of the United States.

      So you're saying, your health insurance went up faster before Obamacare than after.

      --
      Star Trek transporters are just 3d printers.
    9. Re:Worst law in the history of the United States. by RyoShin · · Score: 1

      Hello! You seem to be providing an anecdote, for which mods have given you points. Please allow me a moment to cancel your anecdote out with my own.

      I am single with no kids, and prior to the ACA I was paying roughly $320/mo for insurance through my workplace with Aetna (work reimburses $90 for health insurance). The lowest cost plan was $282/mo. As a young and relatively healthy adult, I was not going to hit that $3000/mo out-of-pocket limit, even though I was paying out hundreds to the places I did visit, even when in-network and with referral.

      After the ACA I signed up for a "Catastrophic" plan with Kaiser Permanente for $163/mo through the Colorado Healthcare Exchange, $6000 out-of-pocket. Since I switched, I've seen a doctor for a regular checkup, gotten blood work done, and have started regular sessions with a therapist and once with a psychologist (psychiatrist? I can never remember) for a medication evaluation. I've gotten two prescriptions which I did pay about $40/ea for so far, but I have yet to see a bill for any of those visits. I have even gotten statements billing for some of those things where KP adjusted the amount and so I owed $0. (I am worried about the other shoe dropping and getting hit with a huge bill, but it's been three months.)

      So, thank you, Affordable Care Act. I have saved hundreds of dollars in the past year, and as someone who lives paycheck-to-paycheck that is significant for me.

      (Full disclosure: I did recently receive notice that I will have be reviewed because I turn 30 next year and other changes, so it's possible that in a few months time I'll have a more expensive plan than I would have gotten through work; but work's plans haven't changed, so if that happens I might switch back.)

  48. Just because..... by Anonymous Coward · · Score: 0

    Just because you have health insurance doesn't necessarily mean you were "helped". Between my contributions and my employers I'd estimate I've dumped over 60,000 dollars of money into health insurance over the past 7 or so years and I've gotten maybe saved a few hundred on a few dental visits. Maybe you could argue that eventually I'll need medical attention (wreck, old age, cancer, etc) but when I eventually do retire (arguably the point where you need it the most) that coverage will likely disappear unless I opt for expensive private coverage. If that money was simply put into an HSA account over an average employment lifetime you would accrue around $400,000, over twice the amount of money used by your average person on healthcare in a lifetime.

  49. Poor Conservative States? by hendrips · · Score: 4, Informative

    I find the meme about poor states = conservative to be a bit annoying and misleading. While it is true that conservative states, especially Southern states, tend to have lower median incomes, they also have significantly lower costs of living. "Studies" like this one never adjust for purchasing power parity, and that oversight always makes me question anything else they have to say.

    For example, according to Wikipedia's article on household income in the United States (alas, the numbers are a couple of years old), strongly Democrat Hawaii, which is the 5th wealthiest state by income, is actually dead last adjusted for cost of living. New York ranks 44th once incomes are adjusted for purchasing power parity. Virginia and Utah are the two wealthiest states in the U.S. by PPP income. Of course, Mississippi and West Virginia are still poor no matter how you slice it, but the correlation between political orientation and real income among states is weak at best.

    This should not be surprising - local government politics in the U.S. look decidedly different from national politics. This is especially true for conservatives - many Republicans are comfortable with giving powers to local or state governments that they would abhor giving to the federal government, and moreover local elections frequently come down to personal, rather than party, politics. So judging the results of a state's internal, local elections and policymaking by how its citizens voted in a national election doesn't make that much sense, because those two things are imperfectly correlated.

    Sorry - that turned out to be a bit long and off topic, but I have a problem trusting articles like this that purport to investigate a fairly complicated and nuanced issue while also making such offhand implicit assumptions.

    1. Re:Poor Conservative States? by frank_adrian314159 · · Score: 0

      Yeah. Money's just like intelligence. People in the Southern states don't have as much of it, but congregating with their own kind, they don't need as much of it. And if those who had these boons would just stop putting on airs and leave the poor Southerners alone, they wouldn't feel as bad about their poverty and ignorance and would be happier. It's just the same as with being poor.

      How about y'all just secede again? This time, we'd let y'all go. Scouts honor.

      --
      That is all.
    2. Re:Poor Conservative States? by Anonymous Coward · · Score: 0

      they also recieve more federal funding and aid (ie "welfare"). thts uaully what that meme is referring to

    3. Re:Poor Conservative States? by jwhitener · · Score: 1

      I find the meme about poor states = conservative to be a bit annoying and misleading

      Income vs cost of living - spending power, is just one aspect of defining some area as 'poorer' than another. The other metric that people most often use is the fact that more Federal dollars (food stamps, etc..) flows into red states, than comes out of them.

      A lot of times, Blue state people summarize this fact with simple sentences like "red states are poorer" or "red states are moochers, blue states are the providers".

      Big industrious urban areas just plain pump out way more tax dollars than smaller rural states. But you really should look into the social spending (food stamps, various other benefits, like vet benefits): I am pretty sure that it is a fact that a higher percent of the red state populations are taking government benefits and subsidies than the blue states.

  50. misleading by Geoffrey.landis · · Score: 1

    The final sentence of the summary is misleading.

    Many of the poorest and most rural states in the country tend to favor Republican politicians.

    The link is to a 2011 article, which states the following:

    Most of the 10 poorest states in the country are Republican. Mississippi is the poorest... followed by Arkansas, Tennessee, West Virginia, Louisiana, Montana, South Carolina, Kentucky, Alabama and North Carolina.

    The economics of a state is more impacted by what party holds the governorship and statehouse, not by what party they voted for for president. Looking at the governorship of each of those states
    http://upload.wikimedia.org/wi...
    you see that the parties of the governors of the states listed are, respectively, Republican, Democratic, Republican, Democratic, Republican, Democratic, Republican, Democratic, Republican, Republican.

    --
    http://www.geoffreylandis.com
    1. Re:misleading by oh_my_080980980 · · Score: 1

      What impacts them are the policies the party they vote for enact. So yes they vote Republican and Republican policies hurt them.

    2. Re:misleading by Geoffrey.landis · · Score: 1

      What impacts them are the policies the party they vote for enact. So yes they vote Republican and Republican policies hurt them.

      The point is that, in terms of voting for governorship of their state, the poorest ten states don't vote Republican. They vote equally Republican and Democratic.

      --
      http://www.geoffreylandis.com
  51. Arrogant presumption by Anonymous Coward · · Score: 0

    Let's be very clear. The people that benefitted most from Obamacare, was the oligarchy of investers. The insurance companies, financial underwriters, politicians, and those that benefit from the other controls that gett applied to people that use it.

  52. Easy question by tompaulco · · Score: 1

    The people who benefited the most from Obamacare are the rich corporate executives of the insurance companies. Now they have a product that they can charge whatever they want for and the government says you legally MUST buy it. Now people who previously ha d no insurance but at least could afford healthcare instead have to spend their money on insurance and can no longer afford healthcare.

    --
    If you are not allowed to question your government then the government has answered your question.
    1. Re:Easy question by tangent3 · · Score: 1

      The insurance companies cannot charge whatever they want.
      First of all, there is the insurance marketplace where the people can shop around for the best deals.
      Secondly the Act also requires insurances companies to meet a minimum Medical Loss Ratio of 80% - something which is not possible if they overcharge the people.

  53. not "helped" by superwiz · · Score: 4, Insightful

    Being forced to buy insurance is not "help." It's being forced to buy insurance. It may be a good idea for some, but calling it "help" is misleading. Most people with this insurance will see more of their money spent on premiums than they would receive in payments even when they do get sick and need medical care. The medical care savings accounts would have been much more helpful for most people in reducing their medical costs and in forcing them into long-term responsible behavior. But we couldn't do that. That would be too Republican an idea.

    --
    Any guest worker system is indistinguishable from indentured servitude.
    1. Re:not "helped" by Anonymous Coward · · Score: 0

      Re: " Most people with this insurance will see more of their money spent on premiums than they would receive in payments "

      Congratulations, you've figured out how insurance works! Try to imagine what sort of business model would work the other way.

    2. Re:not "helped" by superwiz · · Score: 1

      Condescend all you want, but mandatory insurance produces higher premiums and lower payouts regardless of how well it is regulated. In fact, regulation only increases administrative regulatory costs instead of reducing premiums. However, you missed a subtle point. Most of the newly insured will lose money on this even if they get sick and will receive insurance payments to cover some of their medical costs. Insurance companies are now in the business of delaying treatment. Approvals, medical justifications, reviews, etc... it's all there to stretch the time between doctors' ordering procedures and patients getting the treatment. It lowers the treatment received per unit of time. And it's gotten significantly worse since Obama Care was passed. You can't possibly think that calling a mandate to buy something that lowers the quality of medical care and increases costs can be justifiably called "help."

      --
      Any guest worker system is indistinguishable from indentured servitude.
    3. Re:not "helped" by gzuckier · · Score: 1

      Being forced to buy insurance is not "help." It's being forced to buy insurance. It may be a good idea for some, but calling it "help" is misleading. Most people with this insurance will see more of their money spent on premiums than they would receive in payments even when they do get sick and need medical care. The medical care savings accounts would have been much more helpful for most people in reducing their medical costs and in forcing them into long-term responsible behavior. But we couldn't do that. That would be too Republican an idea.

      if you buy insurance in the exchanges, you can choose a high deductible policy, and if you choose a high deductible policy, then you can start a health care savings account with whichever one you choose.

      --
      Star Trek transporters are just 3d printers.
  54. The Fix for Obamacare by nehumanuscrede · · Score: 1

    They went about it the wrong way I think. We don't need another insurance plan. What we need is for the HealthCare system to undergo some regulation to reign in their astronomical pricing schemes.

    We wouldn't NEED health insurance if they weren't allowed to charge what they currently get away with for tests, medication and procedures.

    Bring the prices down to realistic levels and a National Health Care system becomes much easier to afford and implement for everyone.

    Show of hands. Who here thinks any of the following make sense:

    The daily Hep C pill with a price tag of $1000 per pill
    Cancer treatments that run $100,000 per year
    Any hospital bill for a 30 day stay will all but bankrupt you

    Seriously, take a look at a hospital bill and tell me you agree with the pricing. Go ahead.

    The whole thing is so out of control that I would rather die from any injuries than go bankrupt and be a wage-slave the rest of my life to pay the bill off. ( Remember, in American hospitals you sign an agreement which states you will pay any costs the insurance does not pick up. Don't do so and they will harrass you for years. )

    The only way this gets fixed is to regulate the industry. They're not going to do it on their own.

  55. Have you even signed up? by Anonymous Coward · · Score: 0

    Interested to know how many of the commenters on here have actually gone through the unmitigated ordeal of having insurance you were happy with canceled, forced to put your children on the local gubmint tit, and have to pick all new doctors since the old ones that we liked, we could not keep? I, for , have indeed gone through this very scenario:

    1) I had a group policy for my family, based on state law that allowed a 2 person company to be considered a group... I am a consultant, and my wife was my "employee", so we got a group rate. We picked doctors we like, who accepted our insurance.

    2) We get a notice from our insurance company that due to changes in the law, our policy would not be renewed and we would have to sign up via "healthcare.gov" for a new policy...we no longer qualified as a group.

    3) bugs and false starts not withstanding, we eventually were told by Healthcare.gov site that our children qualified for medicare, and we would then have to apply for that with our local county agency... the policy my wife & I were able to get of course had a higher deductible and less benefits than our previous policy.

    4) After several false starts with the local agency (including me missing 2 days of work to have to go to their office because of their incompetence and misunderstanding of their own rules/laws), we received 2 sets of cards from them for our children: 1 card indicated they were enrolled in state "family care" medicare program, the other card indicating each child's policy information to provide to doctors.

    5) We started to search for doctors who would accept the state policy (medicare, for the children) and the new policy my wife & I are "covered" under. None of our previous or local doctors do. We found doctors at minimum 20 minutes drive from our home-- ALL of whom were Asian (either Chinese or Indian)... interesting, but no problem as long as they are competent and have good "bedside manner" with....after finally being able to make appointments with doctors, we arrive at offices filled with people-- no special "well visit" or "sick visit" times or separations (i.e. both sick and healthy people are mingled in one large waiting room at the same time)... appointment times in all cases were minimum of 1.5 hours off (i.e. we had 3PM appointment, lucky to see someone by 4:30 PM)... we never got to see actual doctors who we "selected"-- in all cases we were seen by a PA or Nurse practitioner type person... which messed up my sons who wanted a male doctor- which we thought we selected when making the appointment, only to have a young woman come into the exam room and want to touch their nads...

    6) The policy for my wife and I is a "high deductible" too, so we end up having to pay money for most of our doctor visits anyway. We had to pay for a separate "vision and dental" discount plan. We were also told that now, due to our "high deductible" policy, even prescription discounts were thrown off-- eye drops I previously paid $85/bottle at "discount" now cost $141... (never mind the unmitigated evil that this is a COMPLETE rip off, utterly unjustified by any bullshit about "research" that had to be done to develop these drops-- look at pharma's prospectus and see how many billions they earned last year, then tell me they had to charge $141 for 1/8th of an ounce of solution to cover research costs)...

    7) My wife so utterly despises the ordeal of taking the children to these "clinic" type facilities, where our baby got sick afterwards, that I agreed we will just get a new policy with the kids on it... SO we contacted the insurance company to add our children to our policy and were told.... WE CAN'T. We can only change our policy in the event of a "life changing" event...

    8) Oddly, a couple of days later we get a letter from our county stating that we do NOT qualify for state medicare for the children...??? This is several months after we received the insurance cards from the state....

    9) This turned out to be a qualifying "life change" event-- so bac

  56. Crock o' beans by RogueWarrior65 · · Score: 1

    Facts: My insurance premiums went up 21% this year and18% last year. Pretty much the week that the SCOTUS decided that this was a tax (or was it a fine), my premiums went up 20%. My health is great and I'm not in any of the high-risk groups nor have I been since I started paying for my own insurance many years ago. I see ZERO benefit from this. None.

    To those who thing the docs are making money off of this, think again. Most small practices are selling out to gigantic hospital corporate entities which means they are now all on salary dictated by some useless functionary who isn't a doctor. The docs have to use a thing called the ICD (International classification of diseases). In version 9 of this list, there were roughly 13,000 codes. Now in version 10, there are 68,000. So what? Well, if you inadvertently use the wrong code, you are assumed to be guilty of fraud. And who gets the blame? Not the useless functionaries, oh no. The doc is left holding this bag of excrement. This is one big reason why small practices sold out. The back office costs kill the practice.

    But then consider this: my bro-in-law is a physician and head of the department. I asked him how many people work for the hospital. He said, "5000." So I asked him how many of those are actual doctors or nurses. He said, "Fewer than 1000 and of the rest I have no idea what these people do even being head of my department."

    So, who is benefiting from Obamacare? The bureaucrats and paper pushers aka Ship B people.

    1. Re:Crock o' beans by RobinH · · Score: 1

      I'm a Canadian who, for a time, worked in the US and had a US health insurance plan (early 2000's), before the ACA. I paid for that health care plan because it had a drug plan and the Ontario health coverage does not. A few times it was convenient to go see a doctor in the US because it was close to the office, and I clearly remember wondering what all those people were doing behind the desk of the doctor's office. In Canada you might see 1 or 2 people in the administrative side of the office, but in a US doctor's office, there seemed to be an army of clerks. I looked into it and it seems like it was all to do with handling all the paperwork due to everyone having a different insurance company. In Ontario there's only one health insurance... the government one, and they just pay for exactly what the doctor bills, there's no "is this covered, is this not", etc. The administrative overhead is much, much lower. The ACA can't possibly have fixed this problem, so you're still paying a lot more overhead for your health care in the US than we are in Canada. Remember, the only "service" an insurance company provides is dividing the costs of a group of people evenly over that entire group. A publicly run insurance scheme doesn't need to pay for advertising, salespeople, lawyers or lawsuits. It's very inexpensive to run, and a lot less hassle for the people who use it.

      --
      "I have never let my schooling interfere with my education." - Mark Twain
    2. Re:Crock o' beans by RogueWarrior65 · · Score: 1

      Yes, there is a mountain of paper work and there's nothing new about that. What's different now is that there is a legion of bureaucrats with no medical training whose purpose in life is to be the person the doctor has to get permission from to order a test or treatment, second-guess said doctor's requests, and deny said requests wherever possible. These people are now entrenched in the industry and the doctors will go before they do.

      But what you're talking about wouldn't be fixed by a government-run healthcare system which we already have in the U.S. aka Medicare. There are now a lot of doctors who will no longer take Medicare patients not just because of the paperwork involved but because of the simple fact that they may not get reimbursed for months after treating the patient and sometimes not at all leaving the doctor holding the bag.

      Couple this with a trial bar who has never once had its wings clipped with tort reform. Docs for the past couple of decades have been forced to practice C.Y.A. medicine and order every test just to be sure that some ambulance chaser lawyer has fewer avenues on which to sue. I'd be very interested to know how much malpractice insurance rates are in Canada.

  57. The push back is Libertarian in nature, NOT repub. by Anonymous Coward · · Score: 0

    "We know that about 10 million more people have insurance coverage this year as a result of the Affordable Care Act..."
    The fact is there NEVER was anything close to that number because most of that number had some form of medical assistance or, to a lesser degree, CHOSE not to have insurance and pay out of pocket.

    "...which people gained health insurance under the Affordable Care Act."
    You mean which people were forced into buying something in draconian and unconstitutional fashion.

    " Many of the poorest and most rural states in the country tend to favor Republican politicians."
    True, because low income, rural voters tend to be more self sufficient than their urban counterparts who favor entitlements and don't mind relinquishing liberty and ultimately American ism and patriotism.

  58. the usual loaded language by silfen · · Score: 1

    Obamacare doesn't redistribute from "the wealthy" to "the poor". For "the wealthy", health insurance is an insignificant expense. Obamacare, like most of those redistribution programs, redistributes from many above average income earners to many below average income earners. That is, people like software developers, engineers, and scientists tend to pay for it.

    Furthermore, while the post seems to imply that this is helping people, that's doubtful. While the recipient of the redistribution enjoys a short-term benefit, long term, everybody loses. Contrary to what advocates of such programs say, redistributing money does't help people get out of poverty long term.

    That perhaps also resolve the mystery why "Many of the poorest and most rural states in the country tend to favor Republican politicians": many people want jobs and growth, not handouts and redistribution. The problem here is that wealthy liberal elites think people object to these programs because they hate the poor and are greedy, when the actual reason is that many people believe such programs to be an ineffective and potentially harmful waste of money. The record of redistributive programs and "the war on poverty" is not good.

    1. Re:the usual loaded language by Magius_AR · · Score: 1

      Obamacare doesn't redistribute from "the wealthy" to "the poor". For "the wealthy", health insurance is an insignificant expense.

      Insignificant my ass. If you think anyone making over 93k in any urban center (California, NY, wherever) can afford an additional 5k a year in medical expenses without breaking a sweat, you're seriously deluded. Or perhaps you'd like to redefine "wealthy"? Obama certainly did.

    2. Re:the usual loaded language by silfen · · Score: 1

      Making 93k/year in an urban center doesn't make you wealthy, that makes you middle class. Wealthy starts at around $200-400k/year and/or $1-10M in liquid net worth.

  59. I'm shocked by cold+fjord · · Score: 3, Informative

    Who Gets an Exemption From Obamacare?

    How About a National Obamacare Waiver?

    To date, the Department of Health and Human Services (HHS) has approved 1,372 Obamacare waivers, covering 3.1 million Americans. Yesterday, The Daily Caller reported that among HHS’s most recent round of 204 Obamacare waivers, “38 are for fancy eateries, hip nightclubs and decadent hotels in House Minority Leader Nancy Pelosi’s Northern California district.” That’s right: Nearly 20 percent of exemptions from Pelosi’s crowning health care achievement were doled out in her backyard.

    If that’s not enough irony for you, try this waiver on for size: On Monday, the Las Vegas Sun reported that Nevada—Senate Majority Leader Harry Reid’s home state—received a partial statewide Obamacare waiver, too. If you’re keeping score, Reid was Pelosi’s counterpart in the Senate fighting to get Obamacare passed into law. Now his state will be one of three to get a waiver from the law’s requirements, while the rest of America suffers.

    ObamaCare's Secret Mandate Exemption

    --
    much of left-wing thought is a kind of playing with fire by people who don't even know that fire is hot - George Orwell
    1. Re:I'm shocked by gzuckier · · Score: 1

      Who Gets an Exemption From Obamacare?

      How About a National Obamacare Waiver?

      To date, the Department of Health and Human Services (HHS) has approved 1,372 Obamacare waivers, covering 3.1 million Americans. Yesterday, The Daily Caller reported that among HHS’s most recent round of 204 Obamacare waivers, “38 are for fancy eateries, hip nightclubs and decadent hotels in House Minority Leader Nancy Pelosi’s Northern California district.” That’s right: Nearly 20 percent of exemptions from Pelosi’s crowning health care achievement were doled out in her backyard.

      If that’s not enough irony for you, try this waiver on for size: On Monday, the Las Vegas Sun reported that Nevada—Senate Majority Leader Harry Reid’s home state—received a partial statewide Obamacare waiver, too. If you’re keeping score, Reid was Pelosi’s counterpart in the Senate fighting to get Obamacare passed into law. Now his state will be one of three to get a waiver from the law’s requirements, while the rest of America suffers.

      Of course, it's just a coincidence that all these waivers are going out to coverage which meets or surpasses the general basic requirements of Obamacare, just as it is a total coincidence that leftish institutions offered health care plans which were generous.

      ObamaCare's Secret Mandate Exemption

      Secret in the sense that it was only reported by the Associated Press, Bloomberg News, The New York Times, Los Angeles Times, The Washington Post, Reuters, McClatchy Newspapers, USA Today, ABC News, NBC News, CBS News, and, obviously, WSJ; but not reason.com or askheritage.org. Actually, I'm just guessing that it wasn't reported on the last two, maybe it was.

      --
      Star Trek transporters are just 3d printers.
  60. obamaCare==romneyCare==nixonCare by anagama · · Score: 1

    How odd that today's Democrats (*) are perfectly aligned with Nixon on just about every issue conceivable:

    http://www.salon.com/2013/10/2...

    Who has actually benefited from ObamaCare? That would be the for-profit private insurance industry to which Obama sold out even while continuing to say he supported the public option.

    http://www.huffingtonpost.com/...

    (*) not to be confused with people who are liberals.

    --
    What changed under Obama? Nothing Good
  61. Let-um gets what dey deserves by DumbSwede · · Score: 1

    Perhaps those of us in the middle or upper middle class will pay a little more for insurance. Oh woe is us with good paying jobs and good health care insurance should have to pay a little more. Let’s not sugar coat this – a great deal of anger over the affordable health care act is the idea that people on the lower rungs of society should have their health care subsidized at all. Better they all die without care for being stupid, lazy, or involved in self destructive habits like drugs. I mean the all deserve it after all don’t they?

    1. Re:Let-um gets what dey deserves by Mr+D+from+63 · · Score: 1

      Are you asking me? I think health care for everyone is a wonderful goal. I don't think I know of anyone who doesn't. Not sure what you think.

    2. Re:Let-um gets what dey deserves by DumbSwede · · Score: 1

      I too believe in universal health care, but misinterpreted your intent. I saw the phrase “liberal...inherent bias” and had a knee-jerk reaction you might be trying to obfuscate the outcomes to support a more conservative conclusion. I apologize for my tripwire liberal leanings.

      Or perhaps I misunderstand again. Health care for everyone as in a liberal “we get everyone health care regardless”, or heath care for everyone as in “more jobs ought to do it” the conservative way.

    3. Re:Let-um gets what dey deserves by Mr+D+from+63 · · Score: 1

      I think you make the simple mistake of characterizing the intent of conservatives in the manner that you are told to. Maybe you should introduce yourself to more of them and have a conversation.

      Health care for all is best when it is affordable and provides quality care for the masses, and keeps improving with the latest technologies. Those are long term goals and various folks have different paths that they think are best to achieve those goals. As we have not reached either at this point, there is still much work to do.

    4. Re:Let-um gets what dey deserves by DumbSwede · · Score: 0

      So.... Still no answer to how the have-nots will have health care. *Sigh*

      Don't just point out flaws. What's the solution? And if I hear "more jobs" I think I just might hurl.

      You do realize "is best when affordable" is just what the AHCA attempts to do for lower income and those with pre-existing conditions?

      Costs may have been a concern for conservatives before AHCA, but really only for those middle class and above.

    5. Re:Let-um gets what dey deserves by Mr+D+from+63 · · Score: 1

      You are not worth conversing with, as you put words in other's mouths (like you are told to do, undoubtedbly).

      FWIW, a strong economy helps. But things like liability limits, opening insurers to consolidate policies accross state lines, are just some fundamental things that can change the fundamentals rather than playing with the symptoms.

    6. Re:Let-um gets what dey deserves by DumbSwede · · Score: 1

      “like you are told to do, undoubtedbly” Yes, yes, yes, I go to all the weekly meetings where we liberals are coached what to say.

      Seems my attempt to have a conversation with a conservative has lead to “You are not worth conversing with”

      Your petulance seems to confirm my suspicions about a conversation with a conservative -- it’s only a conversation if I agree with your conservative opinions in the end.

      My last question: Is any additional money paid by the middle class and upper class justified if it helps those in the lower class? Apparently we can only help them by lower costs for everyone.

    7. Re:Let-um gets what dey deserves by NoImNotNineVolt · · Score: 1

      Mod parent up. This is the only insightful comment I've seen under this story.

      --
      Chuuch. Preach. Tabernacle.
    8. Re:Let-um gets what dey deserves by Mr+D+from+63 · · Score: 1

      You seem to decide to disagree or assume before we even get started, so first accept that and the starting place is much better.

      Who pays how much, and who pays more will never be a question that can be agreed on. If the answer is the wealthier always pay more regardless of the cost, then I'd say we are on the wrong track. The wealthy pay more for many things, and don't seem to mind that philosophy. When costs are unnecessarily high and the fundamental causes not addressed, don't keep asking for more money. That's the root of it. Putting a percentage on how much each pays, thinking the solution lies there, is a mindless approach.

    9. Re:Let-um gets what dey deserves by david_thornley · · Score: 1

      A better health care system would encourage more jobs.

      Currently, many companies (the ones that need quality employees) have to pay large amounts of money in health insurance premiums to attract employees. Introduce a single-payer system, and they find that employees are more affordable. More people would start businesses if they could keep good health coverage.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
    10. Re:Let-um gets what dey deserves by david_thornley · · Score: 1

      Consider somebody who's had a fairly expensive health problem. As of five years ago, either that person was part of a group plan, or that person couldn't get insurance that would cover a recurrence. Considering the way the US health system has gotten screwed up, not having insurance in case of medical condition is really, really bad. I know somebody who had a lapse of a few months while in the middle of a major medical problem who now owes $240K.

      Tell me how allowing insurance companies to operate as they pleased across state lines, or lowering the liability limits so somebody who get really screwed by the system stays screwed, is going to help that person.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
  62. What Obamacare? by strong_epoxy · · Score: 1

    Technically, we don't have Obamacare yet. The President has only implemented the 'good stuff' (insurance) and illegally delayed all the 'bad stuff' (paying for it.)

  63. What about the losers by Anonymous Coward · · Score: 0

    We will just ignore the losers under ObamaCare!
    No sense in looking at those statistics.

  64. having insurance does not = helped by Anonymous Coward · · Score: 0

    Having looked at the heavily subsidized plans I can only imagine the financial crisis that will happen the first time they make a claim.

    It is like a high deductible plan without the HSA to actually pay for the services.

    ER visit = $1000+ out of pocket. Is that better then the full no insurance rate? I'm sure but the effect to the checkbook of the family getting the subsidy is exactly the same.

    Obamacare = feel good measure for those who don't know better. The only 'good' to come out of it was forcing converge for pre-existing conditions.

    The state run 'free / low cost plans' the pre-date Obamacare were FAR better for the people who needed it. Dr visit - 100% covered. ER Visit - 100% covered. Prescriptions - 100% covered.

  65. "18 and 34; blacks; Hispanics; and people who... by MossStan · · Score: 1

    ...live in rural areas." good. so. the people who actually needed it. got it. the system werked. nicely done president.

    --
    It is what it is.
  66. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion

  67. Comment removed by account_deleted · · Score: 3

    Comment removed based on user account deletion

  68. The Final Straw by wdhowellsr · · Score: 1

    I've been with Slashdot for a very long time and have appreciated the stories and discussions. Most stories that were political, fringe or flame bait would never be posted if only to keep the site technical and not political.

    This story has no place on Slashdot, and throwing Statistician into the title doesn't make it anymore relevant to what Slashdot is supposed to be about. Please remove my user and all of my information.

    Good by and good riddance.

  69. You don't understand Republicans by DeBattell · · Score: 2

    The author of this article obviously doesn't understand how republicans think. Areas that vote republican these do so because they are trying to suppress the (often sizable) minority of poor black people who live in their area. So the republicans in Mississippi, for example, don't WANT the poor black people in Mississippi to have health insurance. Especially if there is any possibility that it will cost them a penny anywhere, ever. The results of this survey make perfect sense if you look at it from that perspective.

    1. Re:You don't understand Republicans by Anonymous Coward · · Score: 0

      The author of this article obviously doesn't understand how republicans think. Areas that vote republican these do so because they are trying to suppress the (often sizable) minority of poor black people who live in their area. So the republicans in Mississippi, for example, don't WANT the poor black people in Mississippi to have health insurance. Especially if there is any possibility that it will cost them a penny anywhere, ever. The results of this survey make perfect sense if you look at it from that perspective.

      If the results of this study provides us with anything it is evidence of the fact that Republican voters seem to be massive hypocrites. You'd have to be if you sign up for Obamacare while at the same time decrying it as the spawn of Lucifer.

  70. trillions for banks, $0 for homeowners by Anonymous Coward · · Score: 1

    Fuck those teachers with their gold-plated Celicas. We should scrap their pensions so we can give more tax breaks to the job creators. They've been doing such a bangup job creating jobs with the last ten tax cuts we've given them.

  71. Big Surprise: Obama is redistributing wealth by biggaijin · · Score: 1

    Is it really a surprise that Obama is redistributng wealth as quickly as he can? He promised to do this in his original campaign and has continually worked to take as much money away from people who have it and pass it out to those who don't. He is working as hard as he can to kill the entrepreneurial spirit in America.

    I don't agree that the biggest "winners" with Obamacare have been people between 18 and 35. Their insurance rates have increased more than any other group; they have to to subsidize people who use more healthcare than they do. Claiming that increased participation is a measure of Obamacare's goodness is a little hollow too, considering that it is now a legal requirement to have health insurance: buy it or pay a fine at income tax time. Many people, particularly young people, who would choose voluntarily to forego coverage entirely are forced to pay for it now.

  72. Comment removed by account_deleted · · Score: 1

    Comment removed based on user account deletion

  73. Were they really helped? by lfp98 · · Score: 1

    I'm not saying they're right, but a lot of people who bought policies or even were enrolled in expanded Medicaid don't necessarily feel that they were "helped". They rather liked the old system where you get along with no insurance and minimal healthcare for much of your life, wait till you get a catastrophic illness in middle age, and then throw yourself on the mercy of the system, which is forced by law and tradition to provide care regardless of ability to pay. Then you just muddle along for a few years until Medicare kicks in. It was a chaotic, unfair, inefficient, expensive, and convoluted system that we all paid dearly for. But was it really that much worse than the Rube Goldberg contraption set up by ACA? Many people don't think so. And only the most deluded liberals ever thought there would be any political payoff from grateful enrollees.

  74. Lost Jobs, Lost Hours, Lost Wages. by Anonymous Coward · · Score: 0

    Anyone whose employment was restricted to 29.5 hours a week basically got screwed big time. Add it up. 10.5 hours a week for 52 weeks per year comes to 546 hours. At the Democrats' preferred minimum wage of $10.10 per hour, that's a pre-tax loss of $5,514.60 per year. And that says nothing about any overtime such a person may have been making. Overtime would pay $15.15 per hour. The annual loss of one hour per week $787.80. Two hours per week $1,575.60. Three hours per week $2,363.40. Four hours per week $3,151.20. Five hours per week $3,939.00. Just hypothetically speaking, it would appear very likely that there are some folks who lost $10,000 per year of pre-tax income all because of Obamacare. That's gotta bite.

  75. You Don't Understand Democrats. by Anonymous Coward · · Score: 0

    They're leading everyone to unemployment.

  76. the 1% thanks you. by Anonymous Coward · · Score: 0

    As indentured servitude to the 1% is slavery.

    And the 1% thanks you for your hard hours. Perhaps they'll give you a 4% raise and a small bonus, if there's anything left over after their 40% bonus.

    Just be happy you have a job because you're replaceable.

  77. What mess? By all measures it's working great. by Brannon · · Score: 1

    Do you have any data which shows that it isn't working? Lots more people are covered and the rate of rise of health costs has been significantly and measurably slowed. The economy is doing great; any assertions about Obamacare destroying the economy are absurd on their face.

  78. To which wreckage are you referring? by Brannon · · Score: 1

    Do you mean the 10 million more people who have access to healthcare now? or the dramatic reduction in the rate of increase of healthcare costs?

    1. Re:To which wreckage are you referring? by ScentCone · · Score: 1

      Do you mean the 10 million more people who have access to healthcare now?

      Access to it, and being able to pay thousands in non-insured costs because of sky-high deductables aren't the same thing. And taking away other people's money and options in order to hand it over to those people is something you actually like? My family's health care just got many thousands of dollars a year MORE expensive because of the law you're cheerleading.

      the dramatic reduction in the rate of increase of healthcare costs?

      Thanks a lot, if you're one of the people who helped to keep Nancy Pelosi or Harry Reid in power so that our costs could triple and our deductibles could more than quadruple. Regardless, what BS. The ACA was rammed through as those two and Obama stood there and lied through their teeth. Remember the promise that buying health insurance would be as simple as booking a plane ticket, and that monthly rates would go down to about what a mobile phone bill looks like every month? Yeah I remember that. Those promises were made right along side of the promise that if I liked my plan I could keep it (woops! I couldn't - even though we're in our fifties, our plan was cancelled because it didn't include the mandated no-deductable coverage for pregnancy and drug addiction treatment we don't need ... so we lost the plan we liked, and had to buy an inferior plan at triple the price), and that if I liked my doctor I could keep her (woops! the new government-mandated plan no longer allows that, so we have to pay cash which doesn't count against our deductable).

      We were promised LOWER REAL COSTS, but instead we have dramatically higher costs. We've also just been informed that because too many young people have decided they'd rather pay a fine than buy this incredibly expensive new insurance, that our rates for this coming year will jump up by another 48%. Again, thanks a lot if you're someone who supported this new arrangement. Really appreciate it.

      --
      Don't disappoint your bird dog. Go to the range.
  79. Really dissappointed in Obamacare by ScienceofSpock · · Score: 1

    I was excited for Obamacare, until I experienced Nevada's botched implementation, and found out it's not nearly as affordable as it's made out to be. On March 28th, I received a mass email from whitehouse.gov, purporting to be from a Mark D. Bearden, Ph.D., and how he's a "staunch Republican and self-proclaimed Fox News addict". The bulk of the email was how he was a chemotherapy patient, who was paying $428/mo for health coverage and it was cancelled, so he signed up for Obamacare and found a plan for $62 a month and it's the best healthcare he ever had. I was excited, but when I tried to find a comparable plan, there wasn't anything even close. How can a Ph.D. in North Carolina find a good plan for $62 a month, but the cheapest plan I could find was $160 with a $2000 deductable? If I wanted a "manageable" deductable, closer to $500, my monthly payments went up to $300. I even tried searching in North Carolina, where he is from, and couldn't even get close to $62, even if I set my income below minimum wage, there were 0 plans for $62 month, so where did this guy get his insurance? Does he *really* exist? Why can't I find a plan like this? I emailed whitehouse.gov to get answers to this, but all I got was an autoresponder.

    My problem with the whole implementation of Obamacare is that it is supposed to be affordable, however, the only way to get the payments truly affordable is to have high deductables, which means if you go to the doctor a lot for small things (most of which won't exceed the deductable), then you are paying out of pocket for most of those. On top of already having to pay out of pocket for most of your care (which you would have to do if you didn't have insurance), you are also forced to pay for the insurance, so instead of costing people less, it's actually costing people more.

    If you opt for reasonable deductables, then the plans are MUCH less affordable. Basically, it seems the insurance companies have managed to massage this whole thing into just a government mandated requirement for you to get and keep insurance.

  80. A Modest Proposal by Anonymous Coward · · Score: 0

    Dead poor people as food. Because even cattle get yearly physicals, as you don't want your cattle so sick they can't be sold as meat. And sure, you'll end up loading the poor people with antibiotics--sounds familiar--in their crowded ghettos--sounds familiar. And perhaps that'll lead to a collapse of society when all the common bugs become antibiotic resistant--unlikely, but whatever. But then we'd have even cheaper meat, right?

    Soylent Green: Because it's the only way assholes will ever see fit to act like everyone deserves some sort of health coverage.

  81. Out of the 46 million uninsured by gelfling · · Score: 1

    We now have about 42 million uninsured and AT BEST, if everything Obamacare is supposed to do happens, we'll have about 30 million uninsured.

  82. "But we have to pass the bill so you can find out" by PeeAitchPee · · Score: 1

    To be fair, neither did the people who passed it.

  83. Not different, not unusual by GPS+Pilot · · Score: 1

    This particular income redistribution plan is only different in that income is redistributed to the poor instead of the rich.

    In that respect, it's not at all different from Medicaid, food stamps, etc.

    the law has done something rather unusual in the American economy this century: It has pushed back against inequality, essentially redistributing income

    That's not at all unusual this century. In this century, Social Security is redistributing income from workers to non-workers at a faster rate than in the previous century. In addition, Lyndon Johnson's "Great Society" programs are now redistributing income to the poor at a faster rate than they did in the 20th century.

    --
    That that is is that that that that is not is not.
  84. Lots of Doctors Opting Out by TwoEyedJack · · Score: 0

    About a quarter of the doctors in the USA are refusing to participate in Obamacare. http://www.westernjournalism.c... The reimbursements are about 40% of what private insurance pays. The deductibles are so high, and paid directly from patient to doctor, that doctors are concerned they will not be paid. What good is insurance if there is no doctor? When price is not the market-clearing mechanism, wait times fill that role.

  85. Cluster Lies, Cluster Taxes, Cluster Unemployment. by Anonymous Coward · · Score: 0

    Year after year of tax increases contained in the ACA means that economic recovery has been delayed far longer than normal. As a result, millions of people continue to remain unemployed or underemployed. That is a massive loss of income. And just so you know where to place the blame, Pelosi and Reid came into power in 2006 with the usual Democrat threats to raise taxes, practically guaranteeing that the economy would come to a screeching halt. But when Obama became President, the Democrats all lied to you and told you that the ACA wasn't a tax. Cluster of Nasty just about sums it up.

  86. Objection to objective by Geoffrey.landis · · Score: 1

    1. I see plenty of anecdotal stories that support many views.

    Well, you were the one making up anecdotal stories-- I was just listing what I'd heard from people I know. Except you didn't even have actual anecdotes from real people-- you were just making up a hypothetical, "maybe people did not want or feel they needed health care." Yeah, right. Maybe some people do prefer to rely on emergency rooms, paid for by taxpayers, if they get catastrophically sick. I do not consider this an optimal solution.

    People hear what they listen for. Numbers from objective studies are what I'd pay attention to.

    To the contrary. When presented with numbers, your response was "Its not that hard to play with numbers to make any point you want. "

    Translation: any time you see numbers that don't support what you already have decided, you say they're not 'objective'. Great strategy: ignore anything you don't like.

    --
    http://www.geoffreylandis.com
    1. Re:Objection to objective by Mr+D+from+63 · · Score: 1

      No, I just said consider the source when reading the numbers. If you blindly accept them, fine with me.

    2. Re:Objection to objective by Geoffrey.landis · · Score: 1

      No, I just said consider the source when reading the numbers. If you blindly accept them, fine with me.

      That would be wise... except you apparently didn't consider the source; you just were looking for an excuse to say "I don't believe these numbers". Did you even read the source material? The source was an organization with the explicit objective "to find the uninsured around the country and persuade them to sign up for health insurance." Quoting from the article: "the groups have little incentive for bias because skewed numbers would complicate efforts to find the uninsured and target outreach resources."

      --
      http://www.geoffreylandis.com
    3. Re:Objection to objective by Mr+D+from+63 · · Score: 1

      you just were looking for an excuse to say "I don't believe these numbers"

      No where did I say that. You are just feeling a little too defensive of skepticism, and using an age old tactic of assigning intent to make our own argument.

  87. How many lost health care? by Anonymous Coward · · Score: 0

    What this survey doesn't show is how many people who HAD health care and now are going to just pay the fine because they can no longer afford it thanks to Obamacare. My health care cost skyrocketed. My company went to a costly, useless plan to cut costs. Now I am without. Thanks Obama.

  88. COBRA only works sometimes by billstewart · · Score: 1

    Friend of mine was working for a company that dropped their health insurance plan, then a few months later laid off their employees. Since COBRA only covers whatever plan you had, that mean they couldn't get it.

    --

    Bill Stewart
    New Fast-Compression-only CPR http://preview.tinyurl.com/dy575ks
  89. Easy, follow the money. by Anonymous Coward · · Score: 0

    Insurance companies and the politicians they contributed to

    the Political/Insurance Complex is alive and growing.

    Follow the money, if you dare.

    open your own eyes and wonder why "clinics" are popping up like franchises for fast food joints, with not much investment in equipment other than enough to bill insurance companies ( and by extension, everyone else) the maximum amount for any patient who comes through.

    Personal experience here, Fiance needed dental work done before we married and she would be on my work insurance. Went into a well advertised "new" clinic. We're talking radio spots, mailed flyers, bus placards, etc.

    Cost out of pocket to get her work done, as they even were trying to bill her "insurance" for fancy $300 electric toothbrushes and "laser cleaning" was $200 HIGHER than getting the exact same work done paid in full out of pocket at a longer established dentist who did not take her insurance at all.

    People who's Ocare plans save them from out of pocket costs, I bet are taking home those fancy toothbrushes, or most likely aren't and never looked at the itemized bill. I do not expect the half dozen "Dr. Nick Riviera" clinics that started new in the last 6 months to be any different.

  90. It turns out to work really well by billstewart · · Score: 1

    I have several friends who were keeping their old jobs for the insurance, and Obamacare has let them leave their jobs to do other things. One's a writer who was able to go full-time writing, and the usual software/computer consultants who are now on their own or starting startups. The lawyer who started a small partnership with a couple of friends could have done that anyway, but since she's got kids, the difference in insurance costs was significant.

    Those aren't the heavily-subsidized plans - they're just the "you can buy an individual plan at similar rates to what a large company gets" plans, plus the "not denying your coverage for pre-existing conditions" effects.

    --

    Bill Stewart
    New Fast-Compression-only CPR http://preview.tinyurl.com/dy575ks
  91. Medical / nursing school capacities by billstewart · · Score: 1

    Maybe Obama did something about this quietly, but I'd think one of the first things he should have done was worked to increase medical school capacities for training doctors and nurses, along with making it easier for immigrant doctors and nurses to get licensed here. Sure, it's a long-term activity that wouldn't significantly improve health care costs or availability during his two terms, and maybe the next batch of Republicans would take credit for it, but it's still critically important.

    A lot of us baby boomers are going to be retiring, or even if we can't afford to retire we'll still be getting old and decrepit. And a lot of doctors are boomers, partly because everybody recognized that as a good job when we were growing up (both financial and social good), and it was before the tech booms turned everybody into software entrepreneurs, and also we had fewer kids than our parents' generation (the Millennials are catching up demographically, but with the economy and student loan problems, fewer of them can afford med school, and med school capacities are still limited.)

    --

    Bill Stewart
    New Fast-Compression-only CPR http://preview.tinyurl.com/dy575ks
  92. Health Insurance != Healthcare by Anonymous Coward · · Score: 0

    You're a dumbass. Paying an insurance company does not make you healthier, it makes the insurance company executives richer.

  93. Pure, Unadulterated, Grade-A Bullshit by Anonymous Coward · · Score: 1

    First of all, please note what we have now is NOT full Obamacare. So many provisions have been pushed off beyond the next election that the actual results are not as bad as they will become - particularly next year when employers will begin throwing people off their plans in dead earnest as costs skyrocket. Tens of millions of people will find themselves in the same boat the self-employed are already trying to keep afloat, and they won't like it. And the pressure to trim full-time workers in favor of part-time will only get worse - FAR worse. Documented here:
    http://www.conservativeblog.org/amyridenour/2014/10/25/what-obama-never-told-you-about-obamacare-costs-could-hurt-y.html

    Most importantly, Obama deliberately made it difficult to tell who wins and who loses by changing how census data is collected (documented below) here are the untangled explanations:
    http://www.forbes.com/sites/theapothecary/2014/01/28/the-chart-that-could-sink-obamacare/
    After 4 years:
    http://www.conservativeblog.org/amyridenour/2014/3/24/obamacares-4th-anniversary-winners-and-losers-and-losers-and.html

    Refuting Other points:
    http://www.mediaite.com/online/census-bureau-changes-health-care-survey-questions-hiding-effects-of-obamacare/
    http://www.washingtontimes.com/news/2014/mar/16/curl-we-completely-overhauled-american-health-care/?page=all#pagebreak
    http://www.washingtonpost.com/blogs/fact-checker/wp/2014/02/24/obamas-claim-that-7-million-got-access-to-health-care-for-the-first-time-because-of-obamacares-medicaid-expansion/
    http://www.forbes.com/sites/theapothecary/2013/11/04/49-state-analysis-obamacare-to-increase-individual-market-premiums-by-avg-of-41-subsidies-flow-to-elderly/ - please note "the elderly" control a greater proportion of the country's wealth than any other age segment.
    http://www.washingtonexaminer.com/1.8-trillion-shock-obama-regs-cost-20-times-estimate/article/2508466
    http://www.thefiscaltimes.com/Columns/2014/04/10/Two-Studies-Raise-Red-Flags-Obamacare-s-First-Round
    http://www.washingtonpost.com/blogs/erik-wemple/wp/2014/04/02/fox-newser-on-obamacare-white-house-is-straight-up-lying-about-these-numbers/
    http://www.breitbart.com/Big-Government/2014/04/29/Where-s-My-2-500-Just-8-Say-Obamacare-Lowered-Their-Health-Costs

  94. Wrong kind of financing by Livius · · Score: 1

    The single biggest problem is that insurance is not a good fit for funding health care.

    The purpose of insurance is to provide for unpredictable emergencies that financially cannot be mitigated any other way. Annual physicals, preventative medicine, and management of chronic (i.e. pre-existing) conditions are not a good fit for insurance.

  95. The only ones benefiting are the providers by Anonymous Coward · · Score: 0

    To paraphrase:
    The highest level of increases are in males 18-34 from lower income areas and demographics.
    As a member of that group of people, I can absolutely say that it is not benefiting me at all. The law doesn't provide healthcare for me- it forces me to buy it on my own, out of pocket, during the time in my life when I have the lowest income and the highest overall health and fitness. This is straight bullying, and I am extremely upset about it. As someone who makes less than 18k a year, spending about $1000 on insurance through the course of a year (and that was when my employer was paying 50%) is about 7% of my income. I do not benefit from it all as I cannot afford the copays to go to the doctor even when I need it (which is rarely), and that money could be much better spent on things that I actually need, like food and my education.

    People need to stop misrepresenting this bill as something that "helps" the majority of the people it affects. It doesn't reduce the cost of healthcare, its just a government sponsored protection racket on behalf of the insurance industry

  96. I was not helped by OBAMACARE by Anonymous Coward · · Score: 0

    Please forgive me if I despise Obama. I was told by him I could keep my policy if I liked it. I did like my policy. My premium was $272 per month, which I could swing. After Obamacare, I received a letter from Blue Cross Blue Shield saying my policy would be cancelled "due to provisions in the Affordable Health Care Act," and the replacement policy they gave me is $525 a month, which is catastrophic for me. It has altered every single thing I can do in life. To add insult to injury, I now pay a mandatory $5 a month for "pediatric dental care" and I have no children!

  97. Far less than it created by Anonymous Coward · · Score: 0

    Small business creation is far outpacing small business failures. The only businesses hurt by the ACA were those that were providing crappy insurance or no insurance at all to their employees. Our rates went down after the ACA as we had been providing good health insurance that met the requirements of the ACA. The inconvenient truth is that the ACA is shifting costs back to where they belong, to the individual (yes, employer provided healthcare is part of the equation). No more free rides for deadbeat companies.

  98. Myth by Anonymous Coward · · Score: 0

    Other than a few anecdotal occurrences of not getting one's first choice in health providers this narrative of not being able to get an appointment is completely false.

  99. When asked about individual provisions.... by MoarSauce123 · · Score: 1

    ....most favor them. That includes conservative Republican voters. Only when asked if folks like Obamacare they claim they loathe it despite agreeing with most of what it contains. Still, as one of the richest countries on the world it is disgusting that there are so many arguing against universal healthcare and instead make health as well as life and death a matter of income.

  100. The Rhetorical Value of Redefining Terms by skywire · · Score: 1

    The biggest winners from the law include people between the ages of 18 and 34; blacks; Hispanics; and people who live in rural areas.

    The article defines "winner" in an odd and deliberately deceptive way, as meaning anyone who did not have a medical insurance policy and now does. Under that definition, even someone who was coerced into something harmful to their self-interest is a "winner".

    --
    Those who would give up essential liberty to purchase a little temporary safety, deserve neither liberty nor safety.
  101. Re:Dupes by benjfowler · · Score: 1

    Redistribution makes sense, up to a point. Most countries in the OECD do better than the US on most important measures on quality of life, and do it far more efficiently. Probably because there is a pragmatic understanding around the world that there are times where open markets make most sense, and there are times when markets don't make sense -- and some kind of redistribution is required. For instance, the British healthcare system shits all over the American system in every conceivable way (except for really, really high-end, experimental stuff -- and I'm sure I could get it in Harley Street anyway).

    I blame the American tendency towards a blinkered belief that markets can never, ever fail, and that government, as a manifestation of the collective will of the people, can never do anything right -- an extremist POV everywhere else.

  102. Before extrapolating long-term outcome... by kenh · · Score: 1

    Before extrapolating long-term outcome of PPACA remember that the vast majority of Americans have yet to be impacted by the legislation - at best 'only' 10 million of the estimated 43 million uninsured Americans at the time bill was passed have coverage, and the employer mandate has been delayed severs, times now (and the vast majority of Ameticans get their coverage from their employers).

    Only when all Ameticans are insured AND the Employer mandate is in effect can we tell the real impact of Obamacare - as it stands right now, less than 1/4th of Americans are impacted by the legislation.

    I wonder if the folks that did this study included the 'benefit' of the uninsured penalty/fee/tax some 33 million uninsured Ameticans will pay April 15, 2015?

    --
    Ken
  103. republicans sucker the masses by Anonymous Coward · · Score: 0

    What? The legislation that was voted against by every republican in the democratic controlled house and senate, and singed into law by the democratic president.

    What weird world are you living in? It was drafted, introduced, and rammed though congress to be signed by democrats. All the weird ass concessions were to appease other dems that wanted certain concessions for their own political needs. They had the majority to do anything they wanted. They created their own blacklash.

  104. Everything you said is a fabrication. by Brannon · · Score: 1

    Costs haven't tripled, deductibles haven't quadrupled--that's completely absurd. You are just a stone-cold liar. Every study shows that Obamacare has bent the cost curve, dramatically.

    Liar.

    1. Re:Everything you said is a fabrication. by ScentCone · · Score: 0

      Costs haven't tripled, deductibles haven't quadrupled--that's completely absurd. You are just a stone-cold liar. Every study shows that Obamacare has bent the cost curve, dramatically.

      Excellent!

      So, I should only pay part of my government regulated insurance premium, then, since you say that the actual dollar amount is incorrect?

      Before the law kicked in, we paid about $250/month, and had a $2,500 deductible. Along comes Obamacare, and our premium (which now requires us to buy things like no-deductible comprehensive child-bearing services despite no longer young enough to even have kids, and comprehensive no-deductible drug treatment coverage for addictions we don't have) have risen to over $800/month, and our deductible is now $12,000/year. So if we have a broken bone in the family, or something else that adds up noticeably, we've gone from our health care costs each year being $5,500 to our healthcare costs being $21,600. Yeah, thanks Obama, Pelosi, and Reid for "bending" that cost. Thanks a lot. And our insurance regulating body in our state tells us that we should expect those premiums, because of the higher costs of coverage and the low participation of healthy people, to go up by 48% next year. So our monthly premium will be up to nearly $1,200. Yeah, that law's definitely got some people bending alright. What's a mystery is why you're such a fan. Has to be because you're on the receiving end of the subsidy equation, and are one of the extra people I'm now paying for.

      And the only reason you're not hearing millions of more people screaming about this is because Obama illegally and unilaterally broke his own law, without involving the legislature, and altered the required dates so that people on employer-provided plans won't see exactly the same sort of giant increases in their rates and deductibles until after the mid-term election. A totally craven, partisan bit of manipulation designed to keep people like you whistling past the graveyard through the elections. Aren't you just a little bit embarrassed to be so easily manipulated? Or are you a party shill or some such, and already know all of this?

      --
      Don't disappoint your bird dog. Go to the range.
  105. The problem is that I don't believe you. by Brannon · · Score: 1

    Approximately 100% of these Obamacare horror stories have collapsed on deeper inspection. It's possible that you fall into some gap that is disproportionately worse off if the planets aligned just right. That would require a number of conspiring factors (too high income to qualify for rebates, replacing junk insurance, not covered by an employer plan, no chronic medical problems, etc.). It's certainly possible, but factor in your irrational ranting about Obama and Pelosi and drug addicts and it smells very much to me like someone who has just read a lot of conservative blogs and has constructed a faux martyr persona.

    > (which now requires us to buy things like no-deductible comprehensive child-bearing services despite no longer young enough to even have kids, and comprehensive no-deductible drug treatment coverage for addictions we don't have)

    You also don't have Ebola, but your insurance covers that. That's the way insurance works. It covers you for things you don't have yet and things you might never need--that's how risk pools work.

    1. Re:The problem is that I don't believe you. by ScentCone · · Score: 1

      The problem is that I don't believe you.

      And I don't believe that. The rates in question are common knowledge. There are only three insurance providers allowed by the government to operate in our state. We went with the LEAST expensive option (CareFirst) - the other two providers were 15% and 32% more expensive, respectively, on the monthly rates, and about the same on the huge deductibles. The problem isn't that you don't believe it, it's that you're trying to wish it away.

      And even as you say you don't believe it, you run down a list of things that would contribute to exactly what I described. The only reason you're not seeing this for millions and millions more people is because the employer mandate was illegally pushed back by Obama until after tomorrow's election. When that kicks in - a year later than it the law he signed said it must - there will a lot more people for you to not believe, not just us millions of self employed and small business types.

      factor in your irrational ranting about Obama and Pelosi and drug addicts

      What's irrational about it? Obama and Pelosi stood there, time after time, and sold their new law by knowingly and deliberately lying about some of its key features. Lying, over and over again. Pelosi assured us we'd need to pass it to see what was in it, and echoed Obama in promising we'd be able to keep our insurance (a lie) and our doctor (another one).

      And drug addicts? It's simple: neither my wife nor I are. If we were to become such, our previous insurance would have provided services along those lines, but we'd have had to include those expenses in our (much lower than now) deductible. Likewise, in the laws-of-physics-make-it-impossible scenario of us suddenly getting pregnant. Our previous insurance would have also helped there, but our deductible would have still been involved.

      In both these cases, the new law mandates that the insurer provides these services (typically, $20,000+ for a normal birth, for example) without that being subject to the deductible. Because they have to pay all of the costs of their customers' decision to have a baby, the insurers do simple math and raise the rates that fund those payments. We have fancy new maternity coverage we don't need, but for which we are certainly paying a lot more because of the Affordable act. You say you "don't believe" this. Which simply can't be the case, because these are simple facts, right in front of you. Your condescending dismissal is pretty transparent.

      smells very much to me like someone who has just read a lot of conservative blogs and has constructed a faux martyr persona

      Your fake sense of smell is about as honest as your fake tutt-tutting about the truth. I'm not a martyr, I'm just one of the very deliberate new beasts of burden baked right into the law on purpose as it seeks to dole out new entitlements to a demographic that typically votes for the party that unilaterally rammed the law through. Gee, what a surprise.

      You also don't have Ebola, but your insurance covers that. That's the way insurance works.

      Right, and if I get a disease my insurance covers it, after we pay our $12,000 deductible. Last year, it would have been after we paid a $2,500 deductible. But if we get another expensive condition (pregnancy), no need to worry! It's all covered. Just ... pay that new $800/month rate, instead of the $250 you were paying, right?

      --
      Don't disappoint your bird dog. Go to the range.
  106. So you're in Maryland. by Brannon · · Score: 1

    You're over 55, self-employed. Two people. Fairly expensive area, probably on some sort of a Bronze plan. Given all that, your health care costs look pretty reasonable to me. I can understand if you feel screwed, but in all likelihood your previous insurance was crap and [thank god] you never had to use it enough to learn that. You are getting to an age where health problems are unpredictable and costs are high--perhaps you've been lucky until now but statistically this is what it costs to insure someone in your area at your age.

    I think you have this vision that your rates have been jacked up to pay for welfare queens or something; that's just not true--most of your increase is due to the new requirements blocking predatory plans (low caps on lifetime expenses, exclusions for pre-existing conditions, etc.).

    1. Re:So you're in Maryland. by ScentCone · · Score: 1

      No, I'm just the tip of the iceberg. If this new law were actually lowering the average person's annual health care costs, the administration wouldn't be issuing gag orders to the insurance companies preventing them from announcing their 2015 rates until after the election, with none of the traditional 60 day window that allows people to shop around with better information. Right now, you should be able to see numbers from employer-oriented programs, but you're not. Because they've been prevented from conducting normal "open season" operations, per the administration. It's 100% about the election.

      Millions of new policy cancellations will kick in on Jan 1, as people who were buying what they could afford will now be forced to buy more than they can afford. I'm lucky. I can stop spending money in other areas (too bad, economy!) and instead pour thousands more every year into unusable (except for catastrophe) insurance. A lot of people who make less money cannot do that. But the plans that include being given some of other people's money in order to make them more affordable don't kick in until you make essentially poverty-grade income. So the middle class is being squeezed once again, entirely for political reasons. The law doesn't actually do anything that results in lower costs for buying the professional services and equipment overhead involved in getting an x-ray done, or make fewer people necessary during a surgery, or reduce the overhead in running medical practice (the opposite, actually). Doctors are no less obliged to conduct unspeakable numbers of pointless procedures and tests in order to pre-emptively fend off capricious law suits - OB-GYNs are still having to spend $500-$1000 a DAY on malpractice insurance, and I still can't shop across state lines for a more efficiently run plan.

      The law - which only exists on the books because of shameless (and endlessly repeated) lies and 100% partisan maneuvering despite popular push-back that has only grown ever since - does only one thing. It raises prices and taxes on one group of people in order to transfer that to other people. It has nothing whatsoever to do with paying a doctor or a lab or a hospital less for their skills and the materials used. It's entirely about transferring money from one group to another. And it should have been introduced and debated on the merits of THAT, which is its actual purpose and effect. Instead, it was sold as resulting in health insurance that would cost people "about what your monthly mobile phone costs," which would allow people to keep their insurance and their doctors if they wanted to, which wouldn't impact the deficit, and which would get 30 million people magically insured without costing anything more. I would call that a BS fantasy, but it wasn't, since the authors of the law and the people who rammed it through under the power of only one political part KNEW that was all complete BS, and lied about it anyway.

      You're suggesting that perhaps I "feel screwed." The question is, why don't you? Are you really in the whatever-means-to-an-end camp? Where do you draw that line? It's OK to scam the country about something impacting nearly a sixth of the economy, and which is about to cost another several million people their insurance, so that that one party can tell their slavishly predictable voting demographic that they've got them another subsidized goody? You were also screwed, whether you want to admit it or not.

      --
      Don't disappoint your bird dog. Go to the range.
  107. There was no scam. by Brannon · · Score: 1

    Your side lost an election and elections have consequences. Democrats had a majority in the House and a super-majority in the Senate and a very popular new president. They passed sweeping health care reform which by any reasonable measure has been successful. You feel like you got the raw end of the deal and maybe you did--but that doesn't mean that there was anything nefarious going on.

    Rate increases are essentially public right now and they look very reasonable. All this data is out there. ACA has been a godsend for many people, including people I know personally. The macro-economic effects are stunning.

    You are just wildly lying about people losing their insurance. That *is not* happening. Look at the curves, millions and millions more people have insurance now than had it before--that's not a matter of opinion and not something I'm interested in debating because it can easily be resolved using Google. Sure, some people are paying more than they did before--generally people who had crap insurance before but were lucky enough to not have noticed it.

    You hate the president and democrats and that has nothing to do with your health care costs. Let's be completely honest, if Mitt Romney had passed the exact same plan then you wouldn't have any problem with it.

    1. Re:There was no scam. by ScentCone · · Score: 1

      There was no scam.

      Sure there was. One party wanted to put into place a huge, sweeping new law that was significantly unpopular with more than half of the population and bitterly opposed by 100% of the congressional minority's party opponents. The law would never have been passed if a handful of Democrat politicians hadn't been persuaded to support it despite their vocal misgivings. That persuasion came in the form of their constituents being convinced that the law wasn't going to hurt them, and those few representatives giving in and echoing Pelosi's and Obama's repeated soothing words. Those words were a months-long, sustained, carefully orchestrated campaign of deliberate, repeated lies. That's the scam part: getting someone to act based on fraud.

      The lies - the foundation for the scam that secured the votes under false pretenses - were in the form of the repeated assertions that:

      1) Personal insurance costs would go down. That is not true, and everyone from the CBO to every insurance actuary in the country said as much, loudly, in advance. But there was the president saying it was so, and that health insurance would cost about as much as a monthly mobile phone bill. He knew that wasn't true, and that in fact for millions of people immediately, and many millions more shortly after, monthly costs would go substantially up. Exactly as has happened.

      2) That if we wanted to keep our current insurance plans, we could. Again, this was something they knew was not true. Saying it over and over again was a deliberate lie.

      3) That if we wanted to keep our current doctors, we could. Again, like the above, a conscious, deliberate lie meant to fool people into supporting representatives that needed to vote for a law their initial instincts told them not to - and of course some have already refused to tell reporters if they'd vote for it again.

      4) That the law wouldn't impact the budget deficit and debt. Again, as above, a purposeful, knowing deception. The CBO made it clear that wasn't the case, and indeed, it's not the case.

      5) That buying annual insurance would be as simple as booking airline tickets on Expedia. That glib assertion wasn't a mistake or a misunderstanding, it was another bald-faced, completely self-aware lie. Nobody at any level of the many institutions involved in planning this ever thought anything so absurd was going to be the case, and of course it's not. Saying so, over and over again, was part of a deliberate misrepresentation.

      There's much more, of course. But the point is that the law was sold to hesitant lawmakers and voters under false claims. It was a confidence game. A scam.

      You are just wildly lying about people losing their insurance.

      Millions of people had their plans cancelled, and many millions more are about to. How are you not clear on this? Many of them have had to go out and buy something different, but what they had was killed off, and what's available to replace it is far more expensive. The first group of millions who lost their plans were the self-employed types who are especially wounded by the ACA-approved "affordable" options that cost much more. And for those that weren't insured before because they couldn't afford it, and now have scraped together the hundreds per month to buy it, how many of them have the cash to handle thousands and thousands annually for what they must pay out of pocket before their high deductibles are satisfied? Those aren't the people able to buy the gold plans with the low deductibles. And of course many who have pre-existing conditions now get coverage, but the law is silent on how much that must cost them - so of course their choices are still very expensive. Our own rates are jumping hugely next year because of the unexpectedly (hah!) high number of healthy young people who have decided they'd rather pay a cheap fine than spend thousands a year on insurance when they're healthy, and then just opt in to buying it

      --
      Don't disappoint your bird dog. Go to the range.
  108. There's no mess by Brannon · · Score: 1

    Obamacare is the greatest legislative achievement in the last 50 years. I'm certainly not trying to pin it on the GOP--they fought against it tooth and nail every step of the way..,for the most part because it was proposed by an African-American democratic President.