ACA/AHCA/Whatever the hell the next plan is called....

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June bug
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by June bug » Thu Sep 07, 2017 10:16 am

Oh, the tension! Oh, the drama! Oh, fuck off.
Suranis! :rotflmao: :rotflmao:

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Addie
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by Addie » Thu Sep 07, 2017 11:31 am

Think Progress
Top Democrats are making support for single-payer the party standard

It’s looking increasingly likely that supporting single-payer health care will be the standard for Democratic lawmakers who want to be considered serious 2020 candidates, as Sen. Elizabeth Warren (D-MA) announced Thursday that she will co-sponsor Sen. Bernie Sanders’ (I-VT) Medicare for All bill.

“There is something fundamentally wrong when one of the richest and most powerful countries on the planet can’t make sure that a person can afford to see a doctor when they’re sick. This isn’t any way to live,” Warren said in an email to supporters Thursday morning announcing her decision.

Warren’s support for the bill is unsurprising, as the progressive senator has expressed support for single-payer health care in the past. In June, she told the Wall Street Journal that Democrats running in 2018 and 2020 should run on a single-payer platform.

“I believe it’s time to take a step back and ask: what is the best way to deliver high quality, low cost health care to all Americans?” Warren’s Thursday announcement said. “Everything should be on the table—and that’s why I’m co-sponsoring Bernie Sanders’ Medicare for All bill that will be introduced later this month.”
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by gupwalla » Thu Sep 07, 2017 3:35 pm

Call it Single Payer, and manage it with vouchers (one voucher good for a bronze plan with your insurer of choice) and maybe we have the workings of a bipartisan plan. Existing insurers become plan administrators as they are today with Medicare and self-insured corp plans, and can make some extra competitive dough on silver/gold/platinum plan upgrades.

Meanwhile, govt can work to control cost expansion by incentivizing home care technologies. Doctors and hospital beds get more expensive over time, technology gets cheaper. Baumol's cost disease. So concentrate on moving more health care to the device space - more convenient and cheaper over the long haul.
In a wilderness of mirrors, what will the spider do beyond the circuit of the shuddering Bear in fractured atoms? -TS Eliot (somewhat modified)

All warfare is based on deception. - Sun Tzu

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Addie
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by Addie » Fri Sep 08, 2017 3:58 pm

Axios
ACA architect Max Baucus backs single-payer

Former Montana Sen. Max Baucus — a central architect of the Affordable Care Act who steered that bill toward the center and rejected multiple proposals for government-run insurance plans — now supports single-payer.

"My personal view is we've got to start looking at single-payer," Baucus, the Senate Finance chair during the ACA debate, said last night, according to the Bozeman Daily Chronicle. ""I think we should have hearings ... We're getting there. It's going to happen."

Why it matters: Baucus isn't in a position to make policy anymore, but he can still take the temperature of his party. Just eight years ago, he refused to even hold a hearing on single-payer. To say now that he not only supports it, but that he thinks it's inevitable, is a sign of just how dramatically Democrats are pulling to the left on health care.
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Addie
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by Addie » Sun Sep 10, 2017 8:30 am

CNN: How Democrats learned to stop worrying and love 'Medicare for all'
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NotaPerson
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by NotaPerson » Wed Sep 13, 2017 11:57 am

Republicans wind up one last Hail Mary to repeal Obamacare
The path forward is improbably narrow. Almost every seasoned Washington observer believes it can’t be done. But it’s not totally impossible.

Sens. Bill Cassidy (R-LA) and Lindsey Graham (R-SC) are unveiling the latest version of their health care bill this week. It is a last hope of sorts for Republicans to pass a bill to repeal and replace Obamacare; they have until the end of September to pass the bill using the special budget procedure that allows the legislation to advance without any Democratic votes.
:snippity:
“No Senate GOPer will say anything negative about the bill because in concept, sure, more state flexibility is a good thing,” one health insurance lobbyist told me. “But the moment the bill is real and there are funding formulas to fight over, the whole thing will fall apart quickly”
:snippity:
That bill’s formula is complex, and policy experts are still untangling its exact consequences. But the general result would be less federal spending than under Obamacare, with the distribution of the funding that remains being shifted from states that expanded Medicaid to states that choose not to.
https://www.vox.com/policy-and-politics ... an-it-pass
:smoking:
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by Volkonski » Wed Sep 13, 2017 12:20 pm

The health care crisis facing rural moms

https://www.cbsnews.com/news/pregnant-w ... picks=true
A major finding: More than half -- 54 percent -- of rural counties had no hospitals with obstetric services in 2014, a jump from 45 percent in 2004. The decline in maternity services was greatest in counties with large African-American populations and in states with strict rules for Medicaid eligibility, said Katy B. Kozhimannil, one of the study's authors and an associate professor at the University of Minnesota School of Public Health.

What does it mean to not have a hospital with obstetric services relatively nearby? For many women, it can mean a two-hour-plus car ride in labor to get to the nearest hospital for delivery. It also means the same long transportation times for prenatal doctor visits. 

:snippity:

This dearth of rural maternal care might be exacerbated by the recent push to make severe cuts in Medicaid. Few people realize that Medicaid pays for 50 percent of all births in the U.S., according to Kozhimannil. That number jumps to 59 percent in rural areas. 

At the same time, rural hospitals are likely to depend more on Medicaid funds to operate in general. Under financial duress they may be the most likely to close their obstetric units. That's because babies are unpredictable and unprofitable. It takes a lot of money to staff an obstetric unit 24/7 with knowledgeable doctors and, importantly, obstetric nurses who can be on call at any time when a birth happens
Image“If everyone fought for their own convictions there would be no war.”
― Leo Tolstoy, War and Peace

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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by DejaMoo » Wed Sep 13, 2017 1:19 pm

Addie wrote:Think Progress
Top Democrats are making support for single-payer the party standard

It’s looking increasingly likely that supporting single-payer health care will be the standard for Democratic lawmakers who want to be considered serious 2020 candidates, as Sen. Elizabeth Warren (D-MA) announced Thursday that she will co-sponsor Sen. Bernie Sanders’ (I-VT) Medicare for All bill.
This is to Sanders' and his supporters credit, and shows how important they are to the Democratic Party: we need the idealists to kick our butts now and then and remind us that always settling for the status quo is not.good.enough.
► Show Spoiler

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tek
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by tek » Wed Sep 13, 2017 5:18 pm

:yeah:
CONVINCE me, don't TELL me.
Off Topic
In my day job as an engineering consultant, I run across many of my peers who use the "tell them" model..

I use the "teach them, show them, ask them, lead them by the hand, whatever it takes to get them to OWN it" model.. it's a lot more work, and there is a feedback loop which means I need to be able to process on my feet and not get my fee-fees hurt when the client comes up with a better idea for some or all of the effort..

but..

They always come back for more.

win-win really does exist, Virginia.
We are so far down the rabbit hole..

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Sam the Centipede
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by Sam the Centipede » Wed Sep 13, 2017 7:31 pm

Off Topic
tek wrote:In my day job as an engineering consultant, I run across many of my peers who use the "tell them" model..

I use the "teach them, show them, ask them, lead them by the hand, whatever it takes to get them to OWN it" model.. it's a lot more work, and there is a feedback loop which means I need to be able to process on my feet and not get my fee-fees hurt when the client comes up with a better idea for some or all of the effort..

but..

They always come back for more.

win-win really does exist, Virginia.
In similar vein: I was working for a Scandinavian consultancy two, three decades back and they were getting a good amount of work from Baltic states: Estonia, etc. Out of pure curiosity, I asked the boss why he thought they were doing well there and his view was that the Americans and Brits waltzed in with an attitude of "what do you want? ok, move over, we'll sort it out." which annoyed the Baltic folk who had suffered rather too much of that attitude from their (relatively recent) Soviet masters. But they liked it when people from similar small countries approached them with a smile and an attitude of cooperation and mutual respect.

Ultimately all businesses are people businesses.

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tek
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by tek » Wed Sep 13, 2017 7:33 pm

outside of the offtopic:

"when you think you are the smartest person in the room, you are in deep trouble."

edit: on reading that, I see it needs a bit of 'splainin..
It isn't that you are in a room full of dummies.. it is that you are probably the dummy..
We are so far down the rabbit hole..

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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by maydijo » Wed Sep 13, 2017 8:47 pm

tek wrote:outside of the offtopic:

"when you think you are the smartest person in the room, you are in deep trouble."

edit: on reading that, I see it needs a bit of 'splainin..
It isn't that you are in a room full of dummies.. it is that you are probably the dummy..
It actually works either way. It's a good thing to know your own limitations, and consult people who have a better understanding of any given issue than you do - or even a level of understanding on par with your own, but from a different perspective. If you surround yourself by people who don't have a solid understanding of a given issue, just so that your opinion can hold sway - no matter your expertise on the issue at hand - your leadership is failing; and if you have no sense of your own limitations, and believe you are competent and able to make every decision on your own - even when you clearly do not understand an issue well enough to have a valid opinion on it - your leadership is failing.

Good decisions are made by collectives of intelligent, capable people, preferably all with slightly different but informed and educated opinions and perspectives, working through difficult issues to come up with a good (though often imperfect) solution. Good decisions are not made in a vacuum.

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tek
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by tek » Wed Sep 13, 2017 9:43 pm

maydijo wrote:Good decisions are not made in a vacuum.
:notlistening:
Don't tell DJT..
We are so far down the rabbit hole..

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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by maydijo » Wed Sep 13, 2017 9:58 pm

tek wrote:
maydijo wrote:Good decisions are not made in a vacuum.
:notlistening:
Don't tell DJT..
Oh, that is so far down the list of things I'd tell DJT if I had a face to face meeting, and believe me, the first five or so dozen things on that list would get me booted from the meeting so quickly, I'd never get around to telling him anything along those lines.

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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by RTH10260 » Thu Sep 14, 2017 7:06 am

tek wrote:
maydijo wrote:Good decisions are not made in a vacuum.
:notlistening:
Don't tell DJT..
I agree, some brain cells are expected to reside between ears... :P

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Suranis
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by Suranis » Thu Sep 14, 2017 7:38 am

I think the real Danger is that the Small Fingered Vulgarian would walk into his next meeting with a Vacuum cleaner over his head, just to prove maydijo wrong.
"I think its pretty troubling when a backyard decoration comes out swinging harder against Nazis than the President of the United States." - Stephen Colbert

maydijo
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by maydijo » Thu Sep 14, 2017 8:46 am

Every decision my vacuum has ever made has really sucked.

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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by RTH10260 » Thu Sep 14, 2017 9:22 am

:rimshot:

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Addie
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by Addie » Thu Sep 14, 2017 7:29 pm

Yahoo News
Trump vows to veto Sanders's single-payer health care plan: 'A curse on the U.S. and its people'

President Trump to Republican senators: I told you so.

The commander in chief lamented on Thursday afternoon that the Republicans have been unable to follow through on their campaign promises of repealing and replacing the Affordable Care Act, better known as Obamacare. In a series of tweets, he suggested this failure gave Vermont Sen. Bernie Sanders an opening to advance his plan for a single-payer health care system, also known as Medicare for All, which Trump denounced as “a curse” on the United States and the American people.

But Trump assured fellow Republicans that he would save the country from this fate by vetoing any single-payer health care legislation that comes across his desk. ...

Sanders has long been a supporter of universal health care and introduced his Medicare for All bill in the Senate on Wednesday, boasting that it already has 15 co-sponsors and the support of dozens of grassroots organizations.

“Now I know that taking on the insurance companies and Wall Street and the drug companies and the medical equipment suppliers — all those people who profit off our dysfunctional health care system — is not going to be easy fight,” he said in a video. “And the only way that we win this is when the American people stand up as they are and demand real change.”
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RTH10260
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by RTH10260 » Thu Sep 14, 2017 9:34 pm

Addie wrote:Yahoo News
Trump vows to veto Sanders's single-payer health care plan: 'A curse on the U.S. and its people'
:snippity:
But Trump assured fellow Republicans that he would save the country from this fate by vetoing any single-payer health care legislation that comes across his desk. ...
:snippity:
How would that work out when the majority of the Republicans in Congress were to find a consense with the Democrats, and then Teh Donald sabotages the efforts with a veto ?

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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by BrianH » Fri Sep 15, 2017 10:20 am

And here we go again.

Image

Cassidy reportedly has been working on Collins hard. Who knows where McCain ends up. But AK, AZ, KY, ME, NV, OH and WV are all net losers in funding formula (KY being biggest red state loser -- Go, Rand, defend that socialism).

G-C kills mandates and allows states to apply for waivers allowing premium discrimination based on health status (i.e., those with p-e conditions will get priced out). Less money coming in to support subsidies and fund Medicaid may make CBO score for G-C the worst yet. Plus it allows for waiver of essential benefits which Sen. Parliamentarian previous ruled out under Byrd rule.

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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by Slim Cognito » Fri Sep 15, 2017 10:41 am

I wonder how Paul rationalizes No on G-C when he voted for mini-repeal. I see him turning.

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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by BrianH » Fri Sep 15, 2017 12:10 pm

Slim Cognito wrote:I wonder how Paul rationalizes No on G-C when he voted for mini-repeal. I see him turning.
I'm hoping it's one of several cases of red expansion state govs. looking at G-C and going "hell no." KY would take a huge hit. Skinny Repeal didn't touch Medicaid.

Though Paul's statement makes little sense: G-C goes the furthest so far to undo the ACA. The voting situation this time is different. Unlike with the prior bill (which was expected to go to conference, so votes weren't viewed as final), R's voting on G-C will be sending it to the House effectively on a take it or leave it basis due to reconciliation deadline. "Yes" votes will stick.

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Addie
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by Addie » Fri Sep 15, 2017 12:27 pm

New York Mag
CBO: Obamacare Premiums Are Rising – and Trump Is to Blame

Back in April, Donald Trump told the Wall Street Journal that he planned to use the powers of his office to jeopardize health-care access for millions of low-income people, while undermining America’s insurance markets — because he believed that voters would blame the ensuing chaos on the Democratic Party, leaving Chuck Schumer desperate to negotiate with the White House over Obamacare repeal.

Specifically, the president threatened to stop paying out the Affordable Care Act’s “cost-sharing reductions” – subsidies that defray the losses insurers suffer when they sell low-income Obamacare enrollees coverage at below-market rates. (For complicated reasons related to a lawsuit House Republicans waged against the Obama administration, Trump has the unilateral authority to cancel these subsidies at any time).

This was always going to be a bad plan, and, in sharing its details with a major newspaper, Trump made the gambit considerably worse. If you want to convince the public to blame Democrats for sudden problems in the health-care system, you really shouldn’t publicly announce that you are planning to create problems with the health-care system, so that the public will blame Democrats for what you did.

Perhaps, out of recognition of this fact – and the reality that the public tends to blames the party in power for policy crises that happen on its watch – Trump never went through with his scheme. But he carried on threatening to do so, anyway. Even after Obamacare survived its death panel – and the White House turned its attention to tax reform – the administration refused to promise insurers that it would never abruptly cancel the subsidies.
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NotaPerson
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Re: ACA/AHCA/Whatever the hell the next plan is called....

Post by NotaPerson » Fri Sep 15, 2017 1:12 pm

I can't believe we're going to go through this shit again...

Senator says he nearly has the votes for ObamaCare repeal
GOP leadership, though, has not thrown its full weight behind the bill, which would mean diving back into the divisive ObamaCare debate. Senate Majority Leader Mitch McConnell (R-Ky.) has told Cassidy and Graham that they need to find 51 votes on their own.

But Cassidy said thatleadership is telling the Congressional Budget Office (CBO) to prioritize its analysis of the measure, a crucial step before it can be considered on the floor.
http://thehill.com/policy/healthcare/35 ... are-repeal

:madguy:
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