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TGT

Social climber
So Cal
Nov 12, 2013 - 10:30am PT
Ken M

Mountain climber
Los Angeles, Ca
Nov 13, 2013 - 02:49am PT
Another point which bothers me greatly. If the gov't screwed up the website this badly, how will they handle the actual health care and/or insurance issues?

the gov't will not be handling the actual health care or insurance (other than medicaid)

Those systems have been set up and running for a number of decades, and utilize the latest in computers and software. Everything is already vetted and used.

Be reassured on this point.
Degaine

climber
Nov 13, 2013 - 03:38am PT
Larry,

The Harvard professor does not ask an interesting question. Posting the failings of 3rd world country's healthcare system (Venezuela) has no relevancy either.

Your example of Venezuela a few pages back is especially ironic given that you won't recognize the overwhelming success of the systems in countries like France, Germany, Japan, Norway, etc., etc. Are those systems without fault? Of course not, but the healthcare systems in those countries are far superior to what the US has to offer.

The real question the Harvard professor should be asking, a question he and most others (economists and journalists alike, whatever their political leanings) refuse to touch: why does healthcare in the US cost 2 to 3 times per capita than in countries like France, Germany, or even Japan?

That is a much more relevant question, and a better economic question, than any the Harvard professor asks (or any questions you've asked throughout this thread).

As most on the left in here have clearly stated, the ACA is a poor consolation prize to true healthcare reform and a single payer system, but it is a first step in the right direction.

Larry Nelson

Social climber
Nov 13, 2013 - 05:20am PT
Degaine wrote:

why does healthcare in the US cost 2 to 3 times per capita than in countries like France, Germany, or even Japan?

the ACA is a poor consolation prize to true healthcare reform and a single payer system, but it is a first step in the right direction.

Your question is excellent and I am only on this non-climbing forum thread to view the opinions of a general group that I respect. I don't have the answers, but I do throw out skeptical perspectives that I think are healthy in seeking the truth. I do know that ACA has negatively affected too many of my personal friends and acquaintances.

On the second statement, if the country wants single payer, then why not just put it up for vote? Maybe single payer is the way to go, maybe not. Why do you think single payer has to sneak in trojan horse style?

The best part of ACA is that it has exposed even more politicians in DC as mendacious meddlers. Too many choose not to see that in their own side and blindly defend or attack on a partisan basis.
Degaine

climber
Nov 13, 2013 - 06:30am PT
Larry wrote:
Your question is excellent and I am only on this non-climbing forum thread to view the opinions of a general group that I respect. I don't have the answers, but I do throw out skeptical perspectives that I think are healthy in seeking the truth.


Hi Larry, thanks for your reply. I have no problem with skeptical, but the perspectives you throw out - yours or those of individuals like the Harvard professor - are woefully ignorant and uniformed. They are not skepticism but foregone conclusions based on dogma that are desperately searching for some form of confirmation that they're right.

If you're truly interested in understanding then stop with the Republican/right wing talking points bullsh#t.

Larry wrote:
I do know that ACA has negatively affected too many of my personal friends and acquaintances.

And I bet that I know just as many people that the ACA has helped. Does my anecdotal evidence get to cancel out your anecdotal evidence, or will you just dismiss it?


Larry wrote:
On the second statement, if the country wants single payer, then why not just put it up for vote? Maybe single payer is the way to go, maybe not. Why do you think single payer has to sneak in trojan horse style?

In retrospect, given that almost no Republicans voted for the ACA, the Democrats might as well have voted for single payer. They should have also framed single payer as "Medicare for all". Medicare works, everybody nows what it is, it would have certainly received broad public support.

That written, given the 2008 Democrat primaries, I don't think that Obama is actually interested in a single payer system. Hillary was, but even before winning the nomination, Obama's plan was weak sauce when compared to Hillary's plan. Those of us writing that the ACA is a step in the right direction towards single payer have never stated (or at least I haven't) that this was Obama's intention. I honestly don't think it ever was. He may have hoped to at least include a public option in his plan, but even that he took off the table before the Republicans ever asked.

If you're actually interested in understanding healthcare and trying to figure out what works, then pull your head out of your rear and stop using right wing talking points to try to discredit Obama and the ACA, and actually look in to the data (economic, health, etc.) of the many universal healthcare coverage systems out there. Then look at the US system until know. If you keep an open mind you'll be unpleasantly surprised at how bad the American public is being and has been bilked (or hoodwinked, or taken for a ride, etc.) for decades by insurance companies and healthcare providers.
rottingjohnny

Sport climber
mammoth lakes ca
Nov 13, 2013 - 07:45am PT
Imagine how advanced American society would be if the voting public were more educated and not misinformed...? Too many Americans take the bait and go along with the special interest propoganda campaigns and vote against their best interest...
Larry Nelson

Social climber
Nov 13, 2013 - 09:03am PT
Degaine wrote:
perspectives you throw out - yours or those of individuals like the Harvard professor - are woefully ignorant and uniformed.

Well, I plead ignorance, but that esteemed Harvard professor knows more about how incentives work in economics than most. He also posed the "perspectives" as questions to ponder, not statements of fact.


Economics, or any social policy (including ACA or single payer), is not hard science. No counterfactuals can be disproven. It is good to be cautioulsy skeptical of anyone who is cocksure of future success's in any new social policy. In fact the more dogmatic they are, the more skeptical we should be of their assertions. The Dunning-Krufer effect explains a portion of that.

http://en.wikipedia.org/wiki/Dunning%E2%80%93Kruger_effect


To inject some much needed humor, I offer this quote:
Former British Prime Minister Lord Salisbury is said to have remarked to Her Majesty Queen Victoria, "Change, change, why do we need more change? Aren't things bad enough already?"

madbolter1

Big Wall climber
Denver, CO
Nov 13, 2013 - 11:50am PT
I despise Obamacare on literally countless levels. But I won't belabor that point, having said my piece on that up-thread.

Conversely, I would be 100% in favor of a single-payer system... provided that the funding for it came entirely in the form of new taxes... and those taxes should be levied at the cash register modeled upon something like a "vice tax."

For example, cigarettes, alcohol, red meat, ice cream, whole milk and cream, full-fat anything, etc., etc., all should have taxes added to the base purchase price relative to the known health-risks these things represent.

After all, if we're all going to be literally in the same health-care boat, then those people "weighting" the boat toward tipping it over are the ones that should most pay. And so, on a taxation system like this, well, if you want to pop out half-a-dozen kids and then turn them into fat little rolly-pollies, no problem. But YOU get to pay the taxes on all the soda, potato chips, ice cream, stacks of red meat, and so forth that I see such families checking out with in the supermarket lines. And no food-stamp program should pay the TAX part of such purchases. Base price only.

You cannot (in harmony with the ideals that make America different from European socialist democracies) have a single-payer system without ensuring that those who most "weight" the boat also are forced to assume personal responsibility (read: pay the price) for their lifestyle choices.

This present "wealth-redistribution" approach, whereby I am forced to buy a "product" that I don't want and at price/value ratios that has been jacked by government intrusion is entirely the wrong approach.

I am totally serious! You would find me completely on board with a single-payer system IF the revenue to fund it came directly from lifestyle choices. And the beauty of this approach is that it would indirectly motivate healthier lifestyle choices....

Emphasis on CHOICES in the land of the FREE and the home of the brave.
Curt

climber
Gold Canyon, AZ
Nov 13, 2013 - 11:51am PT
In retrospect, given that almost no Republicans voted for the ACA, the Democrats might as well have voted for single payer. They should have also framed single payer as "Medicare for all". Medicare works, everybody nows what it is, it would have certainly received broad public support.

That would have been impossible. In fact, to get the necessary votes in the Senate, the public option that existed in the ACA had to be deleted.

Curt
Chaz

Trad climber
greater Boss Angeles area
Nov 13, 2013 - 12:02pm PT
What does it tell you, Curt, when single-payer can't even get the undivided support of Democrats in Congress?

Obamacare passed with zero Republican votes.
Srbphoto

climber
Kennewick wa
Nov 13, 2013 - 12:19pm PT
For example, cigarettes, alcohol, red meat, ice cream, whole milk and cream, full-fat anything, etc., etc., all should have taxes added to the base purchase price relative to the known health-risks these things represent.

What happens when your ox gets gored?

For example, exercising. A lot of people have to go the Dr because of exercise.

Snowmassguy

Trad climber
Calirado
Nov 13, 2013 - 12:21pm PT
There are too many rolling and coming catastrophes caused by ObamaCare to keep track of. Just wait until the employer market is hit late next year. But within a few weeks, a humanitarian crisis is about to hit millions who could find themselves without health insurance. Millions who had their insurance policies cancelled are now unable to re-insure themselves on the broken ObamaCare websites. In liberal Massachusetts alone, only 1% of those cancellations have re-enrolled.
The Boston Herald reports that ObamaCare and the president's broken promise have already cost 150,000 Bay Staters their health insurance plans. But of those 150,0000, only 549 are in the Massachusetts Health Connector to be re-enrolled on time. Even that small number are not officially enrolled.
Overall, only 47,781 total accounts have been created and a paltry 16,282 applications have been completed.
What you likely have here is a toxic mix of people who either can't access the state site due to the technical problems, or those who have decided not to re-enroll. There is still 32 days to sign up in time, but it is obvious many are in no hurry.
Most of the people in the White House, including the president, have never had any real experience outside of government or academia, so they probably didn’t know that betrayal and frustration combined with rate shock is no way to attract customers.
For those who are already ill or might get ill early next year, this is no laughing matter. How many of the millions who had their policies cancelled have scheduled surgery or chemotherapy in early January. And how many of those, through no fault of their own, won't be covered because they can't access the ObamaCare site or afford the ObamaCare-approved plan?
On top of that, if a large portion of the millions who had their insurance cancelled simply refuse to re-enroll, you can bet that those refusing will be the young and healthy needed to keep ObamaCare financially viable. The result of an insurance pool filled with the sick and elderly would be skyrocketing premiums; which means more healthy people drop out, which mean prices go even higher.
That is called the death spiral.
It is becoming more and more likely that by this time next year, ObamaCare could result in an increase in the number of Americans who are uninsured.


We are Fu**ed
madbolter1

Big Wall climber
Denver, CO
Nov 13, 2013 - 12:35pm PT
... IF the revenue to fund it came directly from lifestyle choices.

I'm all in favor of everybody paying to some extent just for "normal" purchases. We all engage in "lifestyle choices" that affect our need for health-care. NP!

I'm just emphasizing a "vice tax" to ensure that the subset of purchases that are known to be health-endangering should be taxed more heavily.

Really, the sole principle I care about in funding priorities is that people should be responsible (pay the price) for their lifestyle choices. So, yeah, single-payer system WITH funding tied to lifestyle choices: there are all sorts of models by which that can be made to work in harmony with American founding principles.
Snowmassguy

Trad climber
Calirado
Nov 13, 2013 - 12:44pm PT
and what was/is the Republican healthcare plan?

I guess we will find out as this is clearly a MASSIVE failure.

Once again, we see partisan politics working to the detriment of the American people.

Democrat, Republican blah blah blah




Curt

climber
Gold Canyon, AZ
Nov 13, 2013 - 12:58pm PT
What does it tell you, Curt, when single-payer can't even get the undivided support of Democrats in Congress?

It tells me that Joe Lieberman is beholden to the insurance industry in Hartford.

Curt
Chaz

Trad climber
greater Boss Angeles area
Nov 13, 2013 - 12:58pm PT
Whatever happened to the purpose of government being the securing of our liberty?

Now, its "everyone's ox SHOULD get gored".

Time has long passed to start scaling back the power of the government.
Curt

climber
Gold Canyon, AZ
Nov 13, 2013 - 01:01pm PT
Norton, in all fairness, as I recall the days when the bill was being formulated and subsequently passed, it was done in closed-door sessions wherein the GOP was specifically excluded. Over and over, I heard that info reported directly from on the scene interviews. I don't believe their input was wanted or permitted. Now those were more "naive" times with a less experienced president (than now is the case) wherein I believe he felt that "might ruled" i.e. "might makes right." As a result of what transpired subsequently, he may have mellowed somewhat and come to a greater realization that there is a need for both parties to work together. The Dems were pretty heady in those days with the notion that they were in charge and "others need not apply" so to speak.

Working together sounds great until your opposition won't even support their own ideas. It's been said before, but let's be really clear about this: Obama assumed that the ACA would get some Republican support because it was based on their own plan--first envisioned by the very conservative Heritage Foundation and first enacted on a statewide basis by a Republican governor.

Curt
Wade Icey

Trad climber
www.alohashirtrescue.com
Nov 13, 2013 - 01:04pm PT
the millions who had their policies cancelled


anybody have personal experience with this? Vs. 'millions' of anecdotal talking points?
madbolter1

Big Wall climber
Denver, CO
Nov 13, 2013 - 01:11pm PT
anybody have personal experience with this? Vs. 'millions' of anecdotal talking points?

As I posted up-thread. Yes.

It's ironic that now even the Dems are starting to realize that this mess wasn't ready for prime time and are advocating the exact same delay in roll-out as the Rebumblicans pressed for in the shut-down.

Republicrats. Dembumblicans. Same thing. Same joke.

Except that tens of millions are not laughing.

Shiloh, you and I could in a couple of days hammer out a better plan than ANYTHING Congress has dreamed up. And it would be a fair and principled compromise that would appeal to the VAST majority of Americans (rather than this present 50.5/49.5 split we presently see). I like how you think and appreciate your refinements to the single-payer idea.
madbolter1

Big Wall climber
Denver, CO
Nov 13, 2013 - 01:18pm PT
even Medicare is a 12 month policy, for Christ's sakes

So, let me be sure I'm understanding what you're floating....

The widespread cancellations of small-group and personal plans, followed by NO comparable plans being made available at ANY cost, is comparable to the annual "cancellation" of Medicare?

Am I reading you right? Is this REALLY your comparison?
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