ACA Sabotage/Trumpcare ....

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Addie
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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1576

Post by Addie » Tue Aug 01, 2017 1:31 pm

IB Times
Bernie Sanders' Drug Price Bill Would Save Billions, Congressional Analysts Say

Allowing Americans to purchase lower-priced medicines from other countries would save the federal government alone more than $6 billion, according to a new analysis from the Congressional Budget Office. The report comes as the pharmaceutical industry has ramped up its lobbying — including against a legislative initiative that would let Americans purchase lower-priced medicines from countries such as Canada.

Under existing law, drugmakers are permitted to produce pharmaceuticals abroad and then import them into the United States, where on average they charge Americans the highest prices for medicines in the world. However, while drugmakers themselves are allowed to import medicines, current law prohibits U.S. consumers and pharmaceutical wholesalers from doing so, even when the same medicines are sold at much lower prices abroad.

Spending millions on campaign donations and lobbying, the pharmaceutical industry has for years successfully fought off legislation to end the prohibition. This year — nearly 17 years after President Bill Clinton’s administration killed Democrats’ drug importation legislation — the importation initiative has once again been renewed. Looking to take advantage of President Donald Trump’s promise to lower drug prices, Vermont Sen. Bernie Sanders, along with 21 Democratic lawmakers, introduced the Affordable and Safe Prescription Drug Importation Act on Feb. 28. The bill was referred to the Senate’s Committee on Health, Education, Labor, and Pensions.

CBO estimates that the change would in total reduce federal government drug spending by more than $6.8 billion over ten years, including a reduction of $5.1 billion in direct spending and roughly $1.7 billion in increased revenue.


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1577

Post by bob » Wed Aug 02, 2017 2:43 pm

CNN: Senator announces bipartisan health care hearing on Obamacare:
Several Republican and Democrat lawmakers agree that Congress needs to prevent a collapse of the health insurance market, which could hurt millions of consumers -- and that concern has opened up some bipartisan dialogue.

Sen. Lamar Alexander, R-Tennessee, said the Senate health committee will hold bipartisan health care hearings on how to repair the individual market. In the House, a group of 40 lawmakers from both parties endorsed an outline of ideas aimed at making urgent fixes to Obamacare.

* * *

On Tuesday, Alexander announced that the Senate's health committee would begin hearings in September on stabilizing the individual health insurance market.

"If your house is on fire, you want to put out the fire, and the fire in this case is the individual health insurance market," he said in a statement. "Both Republicans and Democrats agree on this."

Alexander said in the statement that he was working with Sen. Patty Murray, D-Washington, to make the hearings bipartisan.

Congress has to come up with a solution before September 27, when insurers sign contracts with the federal government over what insurance plans to sell on the exchange for 2018. About 18 million Americans who get their insurance in the individual market stand to be affected, he said.

"Unless we act, many of them may not have policies available to buy in 2018 because insurance companies will pull out of collapsing markets," Alexander said.


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1578

Post by Sam the Centipede » Wed Aug 02, 2017 4:09 pm

Wot? Sanity? Tell me it aint's so!



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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1579

Post by RVInit » Wed Aug 02, 2017 4:15 pm

Sam the Centipede wrote:Wot? Sanity? Tell me it aint's so!
Oh, don't worry. The will make an agreement to shore things up, but, they will scream over and over and over about the "failing insurance markets" without, of course, mentioning that insurance companies are bailing because of the chaos Republicans caused with all their repeal any maybe-maybe not replace.


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1580

Post by tek » Wed Aug 02, 2017 6:10 pm

these people must have no idea how insurance (and possibly anything else) works.

Reminds me of a discussion with the (now retired) director of finance for our town.. at one of the awesome neighborhood parties we occasionally have here (we have an awesome neighborhood)..

"People keep complaining to me about the Tax Rate. The Tax Rate is not complicated. You take the budget that town meeting approved, divide by the town's property valuation, and voila! you have the Tax Rate. Not much I can do about that.."

...tom


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1581

Post by Addie » Sun Aug 06, 2017 1:21 pm

Forbes
In Trumpcare's Demise, Public Option Emerges Ahead Of 2018 Elections

A public option as an alternative or addition to subsidized private individual coverage under the Affordable Care Act is gaining momentum on the campaign trail ahead of next year’s 2018 midterm Congressional and gubernatorial elections.

The public option is being introduced by Democrats running for office and members of Congress as a response to the failed Republican-led Congressional effort to repeal and replace the ACA. The public option is also gaining momentum in states as an alternative to more progressive single-payer healthcare proposals that would have the government control health insurance.

In Illinois, for example, a Democrat campaigning to unseat the unpopular incumbent Republican Gov. Bruce Rauner is pushing a lower cost public option to more expensive plans on the ACA’s exchanges.

“I propose a public health insurance option that would allow every Illinois resident the chance to buy low-cost health insurance,” Democrat J.B. Pritzker said in announcing his proposal last week. Pritzker is a billionaire businessman and brother of former U.S. Commerce Secretary Penny Pritzker who served in the last term of Barack Obama’s White House.

J.B. Pritzker's public option would allow Illinois residents to buy into Medicaid coverage for the poor "to provide another choice in the health insurance marketplace, to lower the cost of premiums and mitigate market uncertainty at no cost to taxpayers.”


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1582

Post by Lani » Thu Aug 10, 2017 9:55 am

Study: Trump actions trigger health premium hikes for 2018
WASHINGTON (AP) — The Trump administration’s own actions are triggering double-digit premium increases on individual health insurance policies purchased by many consumers, a nonpartisan study has found.

The analysis released Thursday by the Kaiser Family Foundation found that mixed signals from President Donald Trump have created uncertainty “far outside the norm,” leading insurers to seek higher premium increases for 2018 than would otherwise have been the case.
https://apnews.com/cc6b335865e24a4b843dc0e2c4cc6c7a


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1583

Post by Addie » Fri Aug 11, 2017 12:08 pm

The Week
Kirsten Gillibrand is serious about Medicare for all ...

In her opening comments, Gillibrand identified the problem: A system based largely around for-profit insurance simply cannot provide access to health care that is both affordable and universal. It's not a coincidence that the United States, which relies on the market for health insurance more than any other advanced liberal democracy, also spends far more money despite being the only system that does not provide universal coverage. The ACA's historic expansion of Medicaid was a major step in the right direction, and the more regulated and subsidized insurance markets it established were a significant improvement on the status quo. But ultimately, health-care reform should build on the former rather than on the latter.

Some observers will take Gillibrand's emphasis on Medicare for all as a sign she intends to run for president in 2020. She might, but, as she herself pointed out, her position isn't new. Gillibrand also favored Medicare for all in her first House race in 2006, running in a congressional district George W. Bush had carried by 8 points two years earlier. Her support for Medicare for all wasn't the reason she won in an electoral context that was unusually favorable to the Democratic Party, but it also suggests that there's no reason to think the position would be a political liability for a Democratic presidential nominee either.

While the audience was generally supportive of her advocacy for Medicare for all — some scattered booing aside — one audience member asked a practical question: What should Congress do if the votes in Congress for Medicare for all aren't there yet? Gillibrand had a ready answer: "You get to single-payer by letting people buy in [to Medicare] now."

The revival of the public option Gillibrand advocated as an interim step is definitely gaining momentum, among both Democratic politicians and liberal public intellectuals. Sen. Sherrod Brown (D-Ohio) — another potential 2020 contender — and six colleagues recently co-sponsored a proposal introduced by Sen. Debbie Stabenow (D-Mich.) to create a Medicare buy-in for people 55 or over, an idea that was narrowly defeated during deliberations over the ACA. And in addition to making buy-ins to Medicare available to as wide a group as is politically feasible, it's also worth considering the proposal made by Gerard Anderson, Jacob Hacker, and Paul Starr to make Medicare available when exchanges offer fewer than two plans.


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1584

Post by NotaPerson » Fri Aug 11, 2017 2:11 pm

At raucous town halls, Republicans have faced another round of anger over health care
BRUNSWICK, Ga. — The long August congressional recess, which Republicans hoped would begin a conversation about tax reform and must-pass budget measures, has so far seen another round of angry town halls focused on President Trump and the stalled effort to repeal the Affordable Care Act.

Over just one day, in three small towns along Georgia’s Atlantic coastline, Rep. Earl L. “Buddy” Carter (R-Ga.) spent more than four hours answering 74 questions, many of them heated. Just three focused on tax reform; nearly half of all questions focused on health care.
:snippity:
At a town hall in Chico, Calif., in the most Democratic portion of a deep red district, Rep. Doug LaMalfa (R-Calif.) found himself fending off furious complaints about the repeal vote, with constituents accusing him of acting to bring about their death.

“I hope you suffer the same painful fate as those millions that you have voted to remove health care from,” one constituent told LaMalfa. “May you die in pain.” :shock:
https://www.washingtonpost.com/powerpos ... da88a3eb39


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1585

Post by Chilidog » Fri Aug 11, 2017 5:43 pm

They don't care.



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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1586

Post by p0rtia » Fri Aug 11, 2017 6:12 pm

Chilidog wrote:They don't care.
This. The last six months has been marked by a series of revelations about the depravity of our species (as well as the irony of life in Bizarro World). Yesterday the following thought occurred: logic would seem to dictate that the fans of 45 are devoid of any sense of morality whatsoever. Objective morality. That they've just been going through the motions, dictated by their authoritarian mentalities. Which sort of explains how an authoritarian personality is even possible.

And then I went back to ignoring it all till somebody calls me to march.


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1587

Post by Orlylicious » Fri Aug 11, 2017 11:19 pm

Poll: Most say time to end effort to repeal Obama health law
By ALAN FRAM Associated Press Friday, August 11, 2017

WASHINGTON — Message to President Donald Trump and congressional Republicans: It’s time to make the Obama health care law more effective. Stop trying to scuttle it. That’s the resounding word from a national poll released Friday by the nonpartisan Kaiser Family Foundation. The survey was taken following last month’s Senate derailment of the GOP drive to supplant much of President Barack Obama’s statute with a diminished federal role in health care.

Around 4 in 5 want the Trump administration to take actions that help Obama’s law function properly, rather than trying to undermine it.Trump has suggested steps like halting subsidies to insurers who reduce out-of-pockets health costs for millions of consumers. His administration has discussed other moves like curbing outreach programs that persuade people to buy coverage and not enforcing the tax penalty the statute imposes on those who remain uninsured. Just 3 in 10 want Trump and Republicans to continue their drive to repeal and replace the statute. Most prefer that they instead move to shore up the law’s marketplaces, which are seeing rising premiums and in some areas few insurers willing to sell policies.

Ominously for the GOP, 6 in 10 say Trump and congressional Republicans are responsible for any upcoming health care problems since they control government. That could be a bad sign for Republicans as they prepare to defend their House and Senate majorities in the 2018 elections. And by nearly 2-to-1, most say it’s good that the Senate rejected the GOP repeal-and-replace bill last month.
***
On three separate attempts in late July, McConnell fell short of the 50 GOP votes he needed to pass legislation scrapping Obama’s law. With a 52-48 GOP majority and Vice President Mike Pence available to cast a tie-breaking vote, McConnell has said he’s moving onto other matters unless “people can show me 50 votes for anything that would make progress.”

The poll found that 52 percent have a positive view of Obama’s law, a 9 percentage point increase since Trump was elected last November.
http://www.recorder.com/Poll-Most-say-t ... w-11822296
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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1588

Post by Addie » Thu Aug 17, 2017 12:48 pm

Talking Points Memo
Republicans Have A New Plot To Gut Medicaid And They Don’t Need Congress

A wave of Republican-controlled states are petitioning the Department of Health and Human Services (HHS) for permission to enact measures that will knock more people off Medicaid and the Trump administration has signaled they will give a green light to these efforts.

After the collapse of Obamacare repeal in Congress, which would have cut hundreds of billions of dollars and millions of people from Medicaid–the public health insurance program for the poor–red states and their allies in the Trump administration are preparing to use a powerful administrative tool as a backdoor route to that same goal.

Over the past few months, after Trump’s HHS signaled openness to granting these Medicaid waivers, nearly a dozen Republican-controlled states have submitted or are preparing to submit requests that they openly acknowledge will lead to fewer people being covered as a result. In those so-called waiver requests, some states are seeking to impose work requirements and drug tests on the low-income population that depends on Medicaid, while others are proposing cuts in coverage for vision, dental care, and non-emergency medical transportation, lifetime limits, defunding of women’s health clinics, and requiring people below the federal poverty line to pay insurance premiums.

The governors gunning for the waivers say it will save millions in taxpayer dollars and shore up the Medicaid program. But former HHS officials and health law experts tell TPM that these proposals—which HHS has all but promised to approve—undermine the purpose of Medicaid and could open the Trump administration up to lawsuits in the months ahead.


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1589

Post by tek » Thu Aug 17, 2017 5:34 pm

so how does this play?

They didn't "Repeal Obamacare" ..
But they made a lot of people's lives a lot worse.

There is more and more data showing that this crap ends up costing far more than it saves.

getting f'kin tired of "simple, easy to understand, wrong answers"


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1590

Post by DejaMoo » Thu Aug 17, 2017 5:43 pm

tek wrote:so how does this play?

They didn't "Repeal Obamacare" ..
But they made a lot of people's lives a lot worse.

There is more and more data showing that this crap ends up costing far more than it saves.
But it doesn't cost their 1%er overlords - it saves them tons of money. And Republicans are very practiced in the art of the Big Lie.

Old Persian proverb:
Two sparrows spy a hunter approaching, bow in hand.
One sparrow says to the other, "Look at his eyes, so tender and full of tears. He won't harm us."
The other sparrow replies, "Pay no attention to his eyes. Watch his hands."

Never mind what the Republicans are saying. The only thing to watch is what they're doing.



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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1591

Post by Addie » Tue Aug 22, 2017 10:00 am

The Atlantic
Are You Sure You Want Single Payer? ...

Republicans’ failure—so far—to repeal and replace Obamacare has breathed new life into the single-payer dream. In June, the majority of Americans told Pew that the government has the responsibility to ensure health coverage for everyone, and 33 percent say this should take the form of a single government program. The majority of Democrats, in that poll, supported single payer. A June poll from the Kaiser Family Foundation even found that a slim majority of all Americans favor single payer.

Liberal politicians are hearing them loud and clear. Vermont Senator Bernie Sanders reportedly plans to introduce a single-payer bill once Congress comes back from recess—even though no Senate Democrats voted for a single-payer amendment last month. Massachusetts Senator Elizabeth Warren has also said “the next step is single payer” when it comes to the Democrats’ health-care ambitions.

But should it be? It’s true that the current American health-care system suffers from serious problems. It’s too expensive, millions are still uninsured, and even insured people sometimes can’t afford to go to the doctor.

Single payer might be one way to fix that. But it could also bring with it some downsides—especially in the early years—that Americans who support the idea might not be fully aware of. And they are potentially big downsides.


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1592

Post by Addie » Tue Aug 22, 2017 11:24 am

New York Mag
Paul Ryan’s Case Against Obamacare Goes From Misleading to Outright False

Faced with the public-opinion challenge of repealing Obamacare, which is popular, with alternatives that are wildly unpopular, Republicans long ago settled on the message that Obamacare has to be repealed because it is dying anyway. It is an argument that makes logical sense: A person might object less vociferously to being evicted from their home and moved into a rat-infested tenement if they’re told their home is about to collapse. Accordingly, President Trump has repeatedly said Obamacare is “dead” and “gone.”

In a town hall last night, House Speaker Paul Ryan repeated the talking point. “The status quo is not an option. Obamacare is not working,” he said, “We’ve got dozens of counties around America that have zero insurers left.”

It used to be true that dozens of counties lacked any insurer for the exchanges. This was not a good argument against Obamacare, since the lack of insurers was largely a result of the Trump administration deliberately driving them out. Nor was it a good argument for the Republican replacement, the largest effect of which was to slash funding for Medicaid, a solution not even plausibly related to the separate problems of the exchanges. But it was, at least, an argument for action of some kind.

At this point, that “fact” is no longer a fact. With the threat of repeal gone, insurers have filled in the remaining counties without a provider. At the moment there is one county, with 334 enrollees, lacking a provider. Not dozens. (Moderator Jake Tapper, who repeatedly grilled Ryan over his reluctance to denounce President Trump’s comments on race, did not take note of Ryan’s gross error.)


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1593

Post by RVInit » Tue Aug 22, 2017 11:50 am

I lasted about 15 minutes through Ryan's town hall. When he kept on and on spewing falsehoods about Obamacare I finally just couldn't stand to spend any more of my time listening to his bullshit.

Also, did anyone else see the look on the rabbi's face while Ryan continued to defend Trump's vile position regarding white supremacists? Ryan is every bit as putrid as Trump. He's not even just trying to support his president, he's a putrid, vile, repugnant person in his own right.


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1594

Post by kate520 » Tue Aug 22, 2017 1:27 pm

Anthem is dropping our Obamacare-like plan. Now we need to find another. I go on Medicare soon, but not mr520 or Sprout. Any recommendations? California. Also, too, seeking recommendations for Medicare gap insurance plans.

Thanks, Trump.


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1595

Post by ZekeB » Tue Aug 22, 2017 1:36 pm

Does Kaiser offer anything in your area?


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1596

Post by Estiveo » Tue Aug 22, 2017 1:56 pm

kate520 wrote:Anthem is dropping our Obamacare-like plan. Now we need to find another. I go on Medicare soon, but not mr520 or Sprout. Any recommendations? California. Also, too, seeking recommendations for Medicare gap insurance plans.

Thanks, Trump.
Estiveo's Mom had Medicare gap and prescription coverage thorough United American. Really good coverage. Took care of most of the 20% Medicare didn't cover and saved a ridiculous amount of money on drugs, especially when the donut hole was in sway. Plus, the 2 times (in 15 years) there were problems with the coverage, they were fantastic to work with and solved the problems in one phone call with a totally friendly, cheerful attitude.


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1597

Post by kate520 » Tue Aug 22, 2017 4:18 pm

ZekeB wrote:Does Kaiser offer anything in your area?
I have situational animosity toward Kaiser I'd need to work through first. Two friends have died and one lost her baby while Kaiser patients. Both friends who died were misdiagnosed and died within months, of leukemia.

The kicker for me though was my dad having his records mixed up with someone else's and being told he had Lou Gehrig's disease.

Estiveo, thanks! I'll add them to my list. :kiss: Now, get back to work! ;)


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1598

Post by vic » Tue Aug 22, 2017 4:27 pm

ZekeB wrote:Does Kaiser offer anything in your area?
I have kaiser medicare advantage plus here in Los Angeles, and for me, it's great. But a private policy for kaiser, especially the elderly pre-medicare, is expensive.

I had kaiser at the L A Times, and it cost me less than $100/month. When I quit, I took early retirement so that I could continue with kaiser on their retiree health plan at slightly higher rates (still around $100/month). But six months later, they dropped kaiser from the retiree plans, and because I wanted to continue with the care I was getting, I applied as an individual. The premium for lesser coverage was around $800/month, which fortunately I was able to handle.



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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1599

Post by ZekeB » Tue Aug 22, 2017 5:06 pm

When I retired almost two years ago I had Kaiser and it cost my employer about $450 per month single and $900 for family. This was a group plan and the coverage was excellent - $15 per visit co-pay and $20 co-pay for 90 day prescriptions. Lab test were included with no co-pay.

As for my care, it was satisfactory. Kaiser wouldn't spend anything unless they really felt it was necessary. I asked for a colonoscopy and they told me I would be put on a 9 month waiting list. Meanwhile it was "here, poop in this bag." I knew two people with terminal cancer and Kaiser went out of their way to treat them. These two loved Kaiser.

After retirement I moved and am now getting my health coverage from the VA. I am what they call a catagory 3 patient. Priority 3 of eight priorities. They would have to make deep cuts before they would drop me. There are far fewer catagory 1 or 2 patients. When I went for my first physical my doctor asked when I had my last colonoscopy. I told her 15 years ago. She replied, "would you like one in three weeks?" I had two large lipomas that Kaiser wouldn't remove. The VA removed them three months later.

I never heard any horror stories about Kaiser, but they aren't wild about doing elective procedures.


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Re: ACA/AHCA/BCRA, Medicaid, Medicare

#1600

Post by Addie » Thu Aug 24, 2017 11:20 am

Slate: Don't Tell the President, But Congress Is Quietly Planning a Bipartisan, Non-Insane Health Care Bill


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