Abrignac
14 years ago
SCOTUS will issue it's ruling shortly after 10:00 AM tomorrow morning. Register you opinion.

I'll be the first to say we need healthcare reform in the US, but I hope they strike down the whole sorry mess.

It was ill planned, over reaching and will break the backs of our largest jobs sector, small businesses. Exchanges are good ideas, but should not be mandatory.

If a medication is manufactured in a USDA approved facility I should be able to buy it from any pharmacy that sells it.

My doctor and I should make my healthcare treatment decisions, not some bureaucrat reading a matrix.
z6joker9
14 years ago
Hard to say. I really like civil liberties, but was also looking forward to having health insurance.
ZRX1200
14 years ago
Lowlife numbers are two high there is no turning back the socialist clock. We can only hope enough grifters die off from rationed care that we can get some sanity in voting for less Big Sis teat.

People who complain about prices and ask for unnecessary things need to be first in line.

Yes doctors and hospitals sometimes have $ as priority one not patient care. But from first hand experience I would say grifters are in greater numbers and if unnecessary things weren't being asked for those "bad" doctors would have less opportunity to behave that way.

wheelrite
14 years ago

Hard to say. I really like civil liberties, but was also looking forward to having health insurance.

z6joker9 wrote:



can you buy some ?
edin508
14 years ago

SCOTUS will issue it's ruling shortly after 10:00 AM tomorrow morning. Register you opinion.

I'll be the first to say we need healthcare reform in the US, but I hope they strike down the whole sorry mess.

It was ill planned, over reaching and will break the backs of our largest jobs sector, small businesses. Exchanges are good ideas, but should not be mandatory.

If a medication is manufactured in a USDA approved facility I should be able to buy it from any pharmacy that sells it.

My doctor and I should make my healthcare treatment decisions, not some bureaucrat reading a matrix.

Abrignac wrote:



+1
Being a MA resident, I already deal with "Romneycare".
And what makes it worse, I will end up voting for him for the lesser of 2 evils. Ron Paul!
jojoc
14 years ago
my guess is that the individual mandate will be struck down. Have no clue if they will just strike that one portion, or strike the whole thing.


in regards to the exchanges, as far as a possibility of creating more options or competition, I like the idea. However, for me, the limited benefit is not worth the "cost". As things stand today, any company that is selling individual health insurance w/in a state is subject to the authority of the state insurance commissioner. Teh commissioner's office can be an excellent tool (leverage) to obtain a good result in a dispute with an insurance company. However, I fear that once these exchanges (and other provisions of Obamacare) are up and running, the state commissioner's office is going to start to loose some of its power and authority. as a result, the consumer is going to loose one of its only remaining points of leverage against insurance companies.
z6joker9
14 years ago

can you buy some ?

wheelrite wrote:



Not provided by my work (small business) or my wife's (independent contractor), and we cannot find a free market plan that covers maternity except the pre-existing plan provided by the government. You cannot get in that plan unless you haven't had insurance for 6 months (and you have a preexisting condition). So it's in our best financial interest to simply wait until there is an issue, and jump in the pre-existing pool. Not that we're trying to have kids, but we're at the right age and accidents happen. Plus the insurance that doesn't cover maternity is still several hundred a month with a $5k-10k deductible. That means we wouldn't even see a benefit until we'd paid $10k-15k in premiums and deductibles, and the odds that it happens at our age is low.

Of course, that's what this whole plan has been about- require the young and healthy to buy insurance to subsidize the old and sick.

Interestingly enough, we pay thousands a year to cover the healthcare costs of others, according to our federal tax receipt.

(and yes, she is actively trying to find a job that provides benefits)
Abrignac
14 years ago
Sorry to hear about that joker. That is why I like the idea of the exchanges. With them, people not covered by an employer plan would have an option. Such a pool would have massive negotiation power which should make premiums reasonable. My employer pays my premium. For my family I have the honor of ponying up about $700 a month and that includes a $500 deductible and 80/20 after that.
rfenst
14 years ago
I believe medical care reform is necessary.

I believe that there should be a minimum "safety net" for those who truly cannot afford health care.

As to those who we believe aren't entitled to squat, I'd really like to see a comparison of the cost of the care I am already paying for in the forms of- inflated medical and insurance expenses to cover non-paying hospital patients; advanced disease hospitalizations that could be avoided with much less expensive routine medical care; Medicaid and Medicare; Tri-Care; ChampVA and the like; etc; etc.

There is already a social cost of real health care costs transferred to insured people and taxpayers fund. It's been that way for decades and will not change.

The key to health care reform in my opinion is to figure out how to decrease all health care and health insurance expenses on the whole and to make certain we factor in the true drivers of health care costs.

The socio-political problem that i see is that nothing has been done since it was first proposed some decades ago. And, it really never will be...
rfenst
14 years ago

Not provided by my work (small business) or my wife's (independent contractor), and we cannot find a free market plan that covers maternity except the pre-existing plan provided by the government. You cannot get in that plan unless you haven't had insurance for 6 months (and you have a preexisting condition). So it's in our best financial interest to simply wait until there is an issue, and jump in the pre-existing pool. Not that we're trying to have kids, but we're at the right age and accidents happen. Plus the insurance that doesn't cover maternity is still several hundred a month with a $5k-10k deductible. That means we wouldn't even see a benefit until we'd paid $10k-15k in premiums and deductibles, and the odds that it happens at our age is low.

Of course, that's what this whole plan has been about- require the young and healthy to buy insurance to subsidize the old and sick.

Interestingly enough, we pay thousands a year to cover the healthcare costs of others, according to our federal tax receipt.

(and yes, she is actively trying to find a job that provides benefits)

z6joker9 wrote:



If your wife is an independent contractor, then she is self-employed and owns her business. Doesn't your state require that there be business health insurance plans without pre-existing condition and pregnancy exclusions?
jojoc
14 years ago
In my opinion, the first step that is needed to accomplish reform is to go away from the employer-provided health care coverage. I believe this is one of the major factors that got us into this mess. Until that goes away, reform will simply chase symptoms rather than address actual problems. Employer-provided HC coverage disconnects the consumer from the cost of care. Until that connection is made, the consumer will not drive change. The government can not fix this problem, but I believe, over time, the market can cause significant improvement in the delivery and cost of care.


There are many layers of issues and problems -- Dr. and hospitals recommending unnecessary test to cover their back sides, people running to the Dr. for every sniffle because it only costs a $10 co-pay .........


By reconnecting the actual cost of care back to the consumer, the consumer will begin to drive when and how and what type of care is provided. Until that happens, the rest is just window dressing.
jojoc
14 years ago

If your wife is an independent contractor, then she is self-employed and owns her business. Doesn't your state require that there be business health insurance plans without pre-existing condition and pregnancy exclusions?

rfenst wrote:




"business policies" generally require there be at least 2 unrelated member to the "group".


However, there should be individual policies that would work. They might include a temp. pregnancy exclusion.
rfenst
14 years ago

"business policies" generally require there be at least 2 unrelated member to the "group".


However, there should be individual policies that would work. They might include a temp. pregnancy exclusion.

jojoc wrote:



My BCBS business policy is a one person group. The premium is higher as a result, but I have real good coverage for only myself for $800-900/month.
jojoc
14 years ago
What is BCBS?
jojoc
14 years ago
I am paying in that range for a crappy individual family policy. $5k ind Ded./$10k Family with 80/20 after that. no dental, limited eye
DrMaddVibe
14 years ago
They're yanking the mandate that funds it.

It's done.

The sham is over.
ZRX1200
14 years ago
jojoc Blue Cross Blue Shield
engletl
14 years ago

What is BCBS?

jojoc wrote:


Blue Cross Blue Shield
ZRX1200
14 years ago
rfenst
14 years ago


There are many layers of issues and problems -- Dr. and hospitals recommending unnecessary test to cover their back sides, people running to the Dr. for every sniffle because it only costs a $10 co-pay .........


By reconnecting the actual cost of care back to the consumer, the consumer will begin to drive when and how and what type of care is provided. Until that happens, the rest is just window dressing.

jojoc wrote:



Sorry, but I want every test that is appropriate and which could help rule-in or rule-out disease. I also want to be able to go to the doctor whenever I think I need to. It is not for me to decide whether iit is "just the sniffles", the flu, bronchitis or a sinus infection with or without one of the preceding- although I definitely know when it is a sinus infection.

Speaking of sinus infections in general: If I go to my primary for $35, I am told let's wait a week to see if it clears on its own. If it doesn't, I get a lame, one-week dose of antibiotics When I go to my ENT, I get 10 days of a much more appropriate antibiotics, a steroid dose-pack and narcotic cough medicine when i am in bad shape. I feel better by the second or third day.

Consumer driven health care will never happen. We don't have the ability to determine what care we need...
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