Showing posts with label healthcare. Show all posts
Showing posts with label healthcare. Show all posts

Monday, May 15, 2017

TrumpCare Dissected & Explained in Plain English




To understand TrumpCare we have to first go back and redefine the insurance industry. It used to be that insurance was essentially a large scale, calculated group gamble. A group of 10 people each put in $100/month, with the expectation that of those ten people, 8 of them would probably only use about $100/month, give or take a few dollars. One person wouldn’t use their insurance at all, but would purchase it just to be safe. And the final person would likely need to use far more than $100, but the unused portion from the other nine people would cover the difference.

But then healthcare got more expensive and the pooled amount from the ten people didn’t cover everything. So the insurance providers raised the rates to $200. And then for the people that needed more than the $200/mo, they asked for more money. And lowered the rates for the group of people who barely used it.

To the business mind this makes sense. The person who uses more of the resources should have to pay more. But in reality what this really did was actually take money out of the system when they lowered the rates for the lower users.

And so they raised the rates on everyone. Again.

So people complained. And rightfully so. They were paying a lot more and receiving the same amount of care. And more and more people couldn’t afford insurance.

And then came ObamaCare, and the idea that access to healthcare was a right.

ObamaCare created more access to insurance by creating mandates, and tax credits. Mandates is just a fancy word for penalty. Fail to get insurance, pay a mandate.

Tax credits were not as easy to understand. To put it in simplest terms, pretend you receive a tax refund each year of $1,000. ObamaCare took that $1,000 and put it towards your insurance premiums for you, in theory, lowering your monthly insurance expenses. It also did away with all pre-existing conditions. You no longer paid more if you used more. Basically it used your own money to subsidize your insurance premiums.

It also greatly expanded Medicaid.

The problem was it varied from state to state, and didn’t always work the way it was planned. It raised taxes, and users no longer received tax refunds. And in many cases, at the end of the year, owed more money to the government to cover their tax credits.

Opponents of ObamaCare didn’t like the mandate or the higher taxes, or the poor administration and application of the program, which unarguably, was full of faults.

Which brings us to TrumpCare.

TrumpCare does away with the general pool and calculated gamble idea of insurance. And instead takes the “business is in business to make a profit” approach. The majority will pay a calculated, evened out sum. Some will pay less, and get less. And the higher risk, higher use pool will pay more.

And Medicaid is scaled back dramatically.

Tuesday, March 7, 2017

The Republican Leadership Have Lost Their Minds

Have the Republican leadership completely forgotten how to be Republicans? 
This is an absolutely terrible bill. Instead of coming up with a bill that helps provide access to healthcare, and makes insurance and/or insurance more affordable, it raises the cost of coverage for those who let coverage lapse (which is more often than not the individuals who couldn't afford it so they had to stop paying), and puts in more government involvement. 
Pres. Trump never made any promises about his future plan except "it would be the best plan ever."
This is what happens when you vote for a man who never laid out any actual plans, just empty promises. And a man who values his own ego and checkbook more than party values or the citizens of his country.

http://cnnmon.ie/2lybWgc

Wednesday, June 24, 2015

2016 Presidential Primary Candidates on Healthcare

"Gov. Bobby Jindal in Oklahoma 2015" by Michael Vadon - https://www.flickr.com/photos/80038275@N00/17871530750. Licensed under CC BY-SA 2.0 via Wikimedia Commons 

I've been gone for a while, but I'm back. It's time to start talking about the new round of contestants in the presidential campaign primary elections! (Please go back and re-read that last line in your best Bob Barker "Price is Right" voice.) 
As is always the case this early on, the field is flooded with nearly identical campaign platforms. I will be taking the next few weeks, maybe months, to highlight the contenders and the issues. 
Today we start with a simple line item comparison of where they all stand on healthcare. 
The following statement are direct quotes from the candidates' websites, thereby keeping my opinion out of things [for the time being].

Rick Perry - no website statement
Scott Walker - I refuse to "get an account" on his site to get past the front page
Donald Trump - no website statement (but I did learn that "he is the very definition of the American success story") 
Mike Huckabee - "ObamaCare is a $2.2 trillion disaster that dumps millions of people into a broken, expensive system and does nothing to fix the basic problems everyday Americans face. We must tackle out-of-control costs. ObamaCare raided $700 billion from Medicare. This is not reform — it’s theft. We must reject government dependency. We need solutions and choices — not government mandates and new taxes. We must address pre-existing conditions with common sense. As a governor, I know these issues first hand. Our system of “sick care” is upside down. Doctors, hospitals and drug companies get paid for treating people who are sick — not keeping people healthy or preventing illnesses. So many Americans cannot afford to get sick, while others take advantage of a system that isn’t fair. ObamaCare simply doubles down on this backwards, broken, flawed and failing system. We need honesty, leadership and real reform. As President, I will repeal ObamaCare and fight for real health care reform."
Bobby Jindal - no website statement (but then, he's literally only been in the race 5 minutes)
Carly Fiorina - no website statement
Rand Paul - I was not a member of the United States Senate during the 111th Congress, but if I had been I would have voted against Obamacare. As your President, one of my first acts would be to repeal the abomination that is Obamacare.
As a doctor, I have had firsthand experience with the immense problems facing health care in the United States. Prior to the implementation of Obamacare, our health care system was over-regulated and in need of serious market reforms—but Obamacare is not the answer.
Government interventions in health care have driven up the cost of coverage and decreased competition within the market. More—not less—freedom to choose and innovate will make sure our health care system remains the best in the world.
As your President, I will ensure that real free-market principles are applied to the American health care system so that it is responsive to patients, families, and doctors, rather than government bureaucracy.
Hillary Clinton - Defend the Affordable Care Act and reduce health costs
We will slow the growth of overall health care costs and deliver better care to patients. And we will ensure that the savings from those reforms benefit families—not just insurance companies, drug companies, and large corporations.
Jeb Bush - no statement
Jim Webb - no statement
Martin O'Malley - no statement
Marco Rubio - "Repeal Obamacare and replace it with a conservative solution." There is a very long and detailed statement on his website. Also, for what it's worth, he has the most organized and detailed website of all the candidates thus far. 
Ted Cruz - no statement, which is a little shocking actually!

So basically what we've learned here today is that most of the candidates don't have an issues page up on their websites yet, And the Republicans that do are against Obamacare, and the Democrats that do like it. 


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