http://healthaffairs.org/blog/2016/10/17/macra-final-rule-cms-strikes-a-balance-will-docs-hang-on/

teedubbya wrote:

IDK, Paul.

I still haven't worked up much outrage over illegal immigration and I just don't believe that the angst and ulcers and, frankly, the divisive conversations are fully warranted by the negative impact of illegal immigration. Yes, I believe that someone here illegally is breaking the law and generally not entitled to any of my tax dollars. But, I also acknowledge that there's a lot of gray encountered when peeling back the onion and there's some stuff that I can sympathize with.

For example, grown/growing children who are here illegally through no choice/fault of there own.....I'm good with a path towards legal status and even citizenship.....what about pre-natal care for illegals?....IDK...but, if their unborn US citizens don't get pre-natal care, I suspect the costs to those future citizens being born with unnecessary risks will be a lot higher than the cost of giving an illegal future mother a few doctor visits....where do I draw the line....IDK....but I imagine there's other preventative and emergency costs that I'm willing to risk bearing in order to lessen the risk of higher costs in the future...maybe?

dstieger wrote:

I need a translator....I actually made it seven or eight paragraphs in....but understood all of maybe two sentences...something about soup?

dstieger wrote:

How in God' creation can they be considered " unborn US citizens " ??? If...IF their parents came here LEGALLY...I get it, the way our laws currently read ( their offspring would be considered Americans ) BUT for those who did not come here legally and were already or became pregnant after the fact...NOT US CITIZEN. And the Birthright Law is one I hope Trump deals with quickly!!!!

TMCTLT wrote:

I'm still extremely puzzled that the conversation is 99.9% about insurance. I'm not in the field and generally clueless about most everything, but I firmly believe that the problem that needs to be addressed first is not the insurance, but health care cost. Even if you stake out the position that costs are 'reasonable' due to ....idk...whatever......how the **** can we know????
Not just a lack of transparency, but a huge deliberate obfuscation. I have NEVER had a medical bill/statement that I understood even a little bit. When is the last time that you felt you could responsibly 'shop' for care...even preventative care????? It is impossible. Sure, the insurance companies benefit, but so do the corporate hospitals and conglomerates....fix the way costs are computed and communicated and then...and only then...can we even begin to address coverage issues....some day the curtain is going to get pulled back....even if just a little bit....and then we might be able to figure how to disperse the actual costs

dstieger wrote:

Please Victor, we all knew the Right wanted this all along. They hate people in need - all of them.

Brewha wrote:

I personally have only seen one thing about obamacare that i hate, the insurance requirement/ penalty... i know so little about healthcare it's ridiculous, but as soon as the government is allowed to force citizens to buy something, I'm out...

opelmanta1900 wrote:

Medicaid is an unecessary crutch for the lazy... what do these people want? Are there no prisons? are there no work houses? and if they would rather die, they had better do it and decrease the surplus population!

opelmanta1900 wrote:

^ #53 Good example of forward thinking in the healthcare field. I belong to Kaiser and while they do not offer monetary incentives to promote preventative medicine, they do have a lot of programs on-line and at their facilities that are designed to educate and motivate patients to take better care of themselves. Keeping us healthier will save money in the long run...and hopefully result in lower costs along with more profits (grin) ... win-win

^#50 Abrignac's observation about ER's being the medical clinics as a last resort for the poor driving ER's out of business in LA is what happened here. Nearly all of the ER's in the L.A. County area went out of business. Only the State/Fed funded non-profits still have ER's...all the private ones shut down...a mandate may be the solution.

In CA, we resisted the statewide mandate for auto insurance 40 years ago. It was pushed through and after a few tough years, premium costs came down and more providers started selling auto insurance in the state. This may be a positive example for the national healthcare mandate...

Funny how the government is bad until bad crap happens: Wall St Bailout, auto industry bailout, poisons in consumables and household products, air pollution choking our cities, children dying or maimed while working. Businesses, corporations, and private enterprise won't regulate themselves, despite all the "market driven corrections" rhetoric.

delta1 wrote:

Humbug! 👻

elRopo wrote: