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Obamacare repeal/replace (or 2.0, or Obamacare "lite")
Posted 30 July 2017 - 06:15 AM
They're going to try to lay it on the Democrats, and that'll work for a portion of the base, but that doesn't matter too much. The question is, what happens to the people who aren't going to vote Republican no matter what? Do the independent voters blame Democrats or do they look and see that the Republicans had a chance to do something and failed?
Right now, I don't expect any fixes to come from the Feds. If people living in counties without insurers manage to get insurance, it will be the result of hard work done by governors and state departments of insurance.
I could be wrong and be pleasantly surprised. I hope I am. But based on what I see right now, I'm pretty pessimistic.
Posted 30 July 2017 - 02:00 PM
Posted 30 July 2017 - 04:57 PM
Posted 31 July 2017 - 03:44 PM
That's part of the problem, though. No one can tell when he is serious, or when he is having a twitter tantrum. Therefore, no one takes him seriously. And really in the realm of government, and governing, I think it's pretty clear Trump is in over his head, and it's not as easy as he assumed, after all.
- pavonis +1 this
Posted 03 August 2017 - 06:23 AM
"Well the problem is that if you put something out there that's not financially sustainable and eventually have to take it away as a result you're gonna piss off a lot of people.'
Medicare and Social Security aren't financially sustainable, either. Let's 86 those, too, right?
Posted 03 August 2017 - 06:31 AM
Well MG, I dunno that the current system actually causes any outright deaths... I mean, it's not like people are literally dying out in the streets like during the Spanish Flu or the Black Plague or something.
The problem is more that people get their care via the emergency room since it's the only time they can't be turned away for not having insurance, and then they get heavily in debt with bills they never are gonna be able to pay. Ultimately then, they file for bankruptcy. I can't remember the actual percentage number, but the amount of bankruptcies that are related to medical bills is pretty substantial, might even be a majority.
So, I mean, calling it a literal life or death issue is a bit melodramatic, it's more of an economic efficiency issue. Right now the current system generates a ton of private debt that wouldn't otherwise exist, a lot of economic inefficiency (right now there are way more nurses, PAs, assistants, hospital staff, hospitals, etc., than would otherwise be economically viable), a growing and very concerning amount of public spending (that is unlikely to ever shrink), and pretty much everyone across the board loses, except for big pharma, insurers, and health care investors.
I mean those 30 million or so who didn't have insurance before the ACA and may be in some sort of critical position right now. You're right-it's not Bubonic Plague-level death-in-the-streets, but what of someone on Chemo and say, high-cost drug treatment right now? The ACA gets dropped with no replacement...can that person just go to the ER for treatment?
It may just be a dozen or so deaths but isn't that reprehensible enough?
AND I realize the GOP didn't make our healthcare dependent upon companies who need to make a profit, but the ball IS in their court and they had eight YEARS to come up with a plan.
Posted 03 August 2017 - 06:52 AM
The Republicans were caught with their pants down, lubing up to screw the Democrats.
Beyond that, the plan was never for them to repeal or replace. They don't have a healthcare plan, because their plan was stolen. Sure, there are some things that they don't like, but honestly a bunch of policies already provided for free birth control and a free physical once a year. At least policies active in Ohio. (Source: experience managing a pharmacy).
Meanwhile, John Kasich and his administration handed the Republicans a huge victory in reducing the number of counties in Ohio without insurers for next year from 20 down to 1.
Sherrod Browb is up for reelection next year, so the Republicans really needed a win in the state to energize voters, especially the rural voters who were about to lose their insurance.
- Ryn +1 this
Posted 03 August 2017 - 02:06 PM
MG... basically, what Brando said. I was going to type out a response, but he said almost exactly what I was going to.
Also, don't make the mistake of thinking I believe the GOP's approach over the last 6 months was either good politics or policy. As my (way too) long posts on the last couple pages should have indicated, my disapproval is quite high right now.
- Ryn +1 this