The Affordable Care Act II - Because Mr. Obama Loves You All

[keepthefaith]

You still don't think Obama Care is going to work?

 

Here's Obama's version of the ACA working

• Those of you that have insurance can keep it and your doctor
  
• The law will reduce the deficit
  
• The cost curve for all will bend down saving families $2500 per year on their premiums
  
• Nearly everyone will have coverage
  
• Mandating that companies of 50 or more employees provide coverage will not result in the loss of jobs
  
• Small businesses will be able to get a tax credit to help fund coverage for employees
  
• Medicare patients will not see a decline in coverage
  

To answer your question.........NO!, it's not going to work.

Edited April 15, 2014 by keepthefaith

[PearlHowardman]

your understanding of the healthcare challenges and realities prior to and after HCR is impressively bad.

 

You say my understanding of the ACA is "impressively bad" but you don't say why. The ACA plans have no out of network benefits, high monthly premiums, high deductibles and high copayments. For the average American, the ACA is a step backward.

 

The ACA was written by insurance company executives. And it favors insurance companies.

[OCinBuffalo]

Here's Obama's version of the ACA working

• Those of you that have insurance can keep it and your doctor
  
• The law will reduce the deficit
  
• The cost curve for all will bend down saving families $2500 per year on their premiums
  
• Nearly everyone will have coverage
  
• Mandating that companies of 50 or more employees provide coverage will not result in the loss of jobs
  
• Small businesses will be able to get a tax credit to help fund coverage for employees
  
• Medicare patients will not see a decline in coverage
  

To answer your question.........NO!, it's not going to work.

It's hilarious that yes, in fact, these are the bullet points of Obamacare 2009. Not one of these has been delivered as designed. Not one.

 

And, instead of blaming the implementers and designers of the plan....we have clowns here and elsewhere that blame Republicans for wanting nothing to do with this. (Which is basically saying: only Republicans are smart enough to recognize stupidity/a ripoff when they see it. Does that mean Democrats are too dumb to see it? And, I think more than enough independents and Democrats have seen the dumb here).

 

Republicans simply could not have had an effect on the people who designed this system. This was designed at the WH/CMS without any oversight from Congress at all. And the Rs were completely out of power when this thing was being designed. Single payer was killed by moderate Ds, not Rs.

 

When a design is flawed, you blame the designer. Morover, with 100% control of a design(man, I can only dream of having that), you're telling me that these designers couldn't have factored in "Red states dragging their feet on Medicaid expansion"?

 

Um, they were aware: they created the 2 year Medicaid handout for states. But, after 2 years, the states have to pay for it themselves: it's like drug dealing, with the Federal government as the pusher. Sure, you get the first couple of fixes for free, but, later you gotta pay. The R states saw that as the street hustle that it is.

 

What do we have now? Pathetic, "the Rs are stopping it from working" excuses from Democrats. You're trying to tell me that with complete control, you couldn't make something capable of overcoming the Rs? Who's fault is that?

 

You say my understanding of the ACA is "impressively bad" but you don't say why. The ACA plans have no out of network benefits, high monthly premiums, high deductibles and high copayments. For the average American, the ACA is a step backward.

 

The ACA was written by insurance company executives. And it favors insurance companies.

And the providers, don't forget the providers.

 

That's the hilarious part: these clowns were so pissy about the 10% of their cost being the "free" health care they had to hand out in the ER, that they are going to end up with 30% of their patients paying them Medicaid rates, and end up 20-25% down in revenue from where they started. The more people that get thrown onto Medicaid, the worse it is. Over half of the Medicaid "tasks" cost more than they are reimbursed.

 

The providers are like raccoons: you catch them with their own greed. You put an apple in a box and cut a hole in the side small enough for the raccoon to reach in, but, you put an apple in there, that's too big for the hole. Sure as hell, you'll find a dumbass raccoon sitting there by the box, so pleased that he's got the apple, that he doesn't see/hear anything else.

 

The providers are sitting here with their "no more free ER care" apple, not realizing that they are about to get bashed by the Medicaid shovel.

Edited April 18, 2014 by OCinBuffalo

[John Adams]

 

 

I have an ACA plan. My experience.

 

"The ACA plans have no out of network benefits, "

 

Not true. Mine has great out of network benefits.

 

"high monthly premiums,"

 

Not true. Mine are substantially less.

 

" high deductibles"

 

Not true. Mine are peanuts.

 

" and high copayments. "

 

Not true. Ditto, peanuts.

 

"For the average American, the ACA is a step backward."

 

For some, true. Not for me.

 

[IDBillzFan]

I have an ACA plan. My experience.

 

"The ACA plans have no out of network benefits, "

 

Not true. Mine has great out of network benefits.

 

"high monthly premiums,"

 

Not true. Mine are substantially less.

 

" high deductibles"

 

Not true. Mine are peanuts.

 

" and high copayments. "

 

Not true. Ditto, peanuts.

 

"For the average American, the ACA is a step backward."

 

For some, true. Not for me.

 

Too bad the plan was for everybody to have your experience.

 

But hey...as long as you're happy...ACA must be a success.

[3rdnlng]

Too bad the plan was for everybody to have your experience.

 

But hey...as long as you're happy...ACA must be a success.

 

The ACA is fatally flawed. It might temporarily work for someone like JA, but in the next few years he will be sadly disappointed. This administration thinks it is smart enough to change time-honored principles. It isn't.

Edited April 19, 2014 by 3rdnlng

[OCinBuffalo]

Too bad the plan was for everybody to have your experience.

 

But hey...as long as you're happy...ACA must be a success.

You know, since we are doing "what happens to me is the only thing that matters/must mean it works for everybody"?

 

My aunt runs a small business. She and my elected Democrat uncle(who is a good guy, but stereotypical dimwitted politician) have been telling me, well, parroting the latest DNC Obamacare email, for years. I have been telling them they are going to wish they never heard of Obama for as many years.

 

All of sudden, 2 nights ago, I get this panicked phone call: and you can guess what it's about! "We have more than 50 people working here, holy crap we are gonna get killed! You know this stuff! HELP!" Yeah, a problem they have had for years suddenly becomes a crisis, and now it's my crisis. Par for the course. I haven't even had time to make fun of them yet. But, when I'm done, there will be plenty of hazing. I'm thinking matching T-shirts for the next family get together. "Obama lied, and I cried....to OCinBuffalo"

 

So, to sum up: it's not going well for everybody. Least of all me, because now I have give up good drinking time, trying to finagle a way...well, I did do most of the thinking at the bar, so, not that bad I guess ...I think I have the answer, but I need an accountant and/or a tax lawyer. The corporate restructure stuff I got.

[Keukasmallies]

Congratulations John Adams! At least now I know where my significantly increased premiums and co-pays are going. I hope you also picked up access to at least one specialist because my wife lost access to one of hers and we'd like to know who got what we lost.

 

Since I've helped you with your insurance, could you plan to mow my lawn this summer?

[John Adams]

Congratulations John Adams! At least now I know where my significantly increased premiums and co-pays are going. I hope you also picked up access to at least one specialist because my wife lost access to one of hers and we'd like to know who got what we lost.

 

Since I've helped you with your insurance, could you plan to mow my lawn this summer?

 

Before I went on the exchange, my premiums increased 20% ish every year. Your increases aren't all due to Obamacare.

 

And my point was that as usual, the troll's over generalizations are not accurate.

 

 

But hey...as long as you're happy...ACA must be a success.

 

Arguing with the strawman again.

Edited April 18, 2014 by John Adams

[Keukasmallies]

Wait a minute, John Adams, if you acknowledge that some of the increases are due to Obamacare, you're admitting that the law is fueling increases, not the promised decreases. How do you know that all/most/some of the increases aren't directly a result of the new health legislation?

 

Or is your position that you've found some premium relief, so the devil take the hindmost?

 

For clarity purposes let me share with you my position in that context: I expect that a portion of the taxes I pay will support health care for fellow citizens; I don't expect to pay increasing health insurance premium amounts to support even more health care for my fellow citizens. If the objective is to provide more health care, raise more resources through taxation, don't build an entire unwieldy health care structure and give it to the IRS to manage. These kinds of subterfuge are the heart and soul of why people don't trust their elected officials.

[Doc]

And the providers, don't forget the providers.

 

That's the hilarious part: these clowns were so pissy about the 10% of their cost being the "free" health care they had to hand out in the ER, that they are going to end up with 30% of their patients paying them Medicaid rates, and end up 20-25% down in revenue from where they started. The more people that get thrown onto Medicaid, the worse it is. Over half of the Medicaid "tasks" cost more than they are reimbursed.

 

The providers are like raccoons: you catch them with their own greed. You put an apple in a box and cut a hole in the side small enough for the raccoon to reach in, but, you put an apple in there, that's too big for the hole. Sure as hell, you'll find a dumbass raccoon sitting there by the box, so pleased that he's got the apple, that he doesn't see/hear anything else.

 

The providers are sitting here with their "no more free ER care" apple, not realizing that they are about to get bashed by the Medicaid shovel.

And by "providers" you mean hospitals. Sure some guys like birddog thinks it's great, but the real providers, doctors, were mostly against it and shutout of the process.

 

And Barry can transparently change the methodology, but the number of uninsured we were assured were in imminent danger of dying was 50M, so that's the denominator. As for the numerator, I doubt they'll admit what it truly is, but estimates are around 2M who gained coverage and they won't be able to fudge that much.

[IDBillzFan]

Arguing with the strawman again.

 

You can call yourself whatever you want. I'm not arguing with you. The simple fact known by anyone wanting to pay attention is that beyond the obvious truth that you are the exception to the rule, this law is costly, intrusive and does absolutely none of the things is was promised to accomplish (i.e. keep your doctor, plan, lower everyone's cost by $2500 a year, etc)

 

For the record, my plan went up approximately 7% per year until the last two, when it jumped approximately 18%, at which time we could no longer afford to cover the families of my employees, who now foot their own bill.

 

But I'm sure you're warm and comfy in your nice little "Look at me, I'm not a partisan" blankie.

Edited April 18, 2014 by LABillzFan

[John Adams]

I was already paying for insurance so for me, the marketplace allowed me to comparison shop. It was a great and easy experience. You say I'm the exception to the rule and yet, people are signing up--more and more every day. So clearly it's working for lots of people. The people why cry about how it's a complete failure are just not right. I have the same plan, same docs, and pay substantially less than I used to. My specialist co-pay went up and a few other things are different but none substantial.

 

At the last company I owned, our premiums never went up by less than 13% every year for a decade and many years were at 18%--one year a monumental 23. The only years it went down was when we lowered benefits for our 110 employees. And that sucked but we had no choice.

 

Obamacare was rammed down our throats with little forethought. The rollout (who even cares now that it's running) was a debacle. The lack of knowledge about the wider effects that it had/will have was a huge problem.

 

Still, this is going to be a HUGE loser of an issue for the right in 2016. I bet the right will figure out at some point that it needs to be off the table for that election. They've lost this fight multiple times now--time to move on to something else, like cutting spending. Fixing social security. Medicare.

 

This horse is dead.

[3rdnlng]

I was already paying for insurance so for me, the marketplace allowed me to comparison shop. It was a great and easy experience. You say I'm the exception to the rule and yet, people are signing up--more and more every day. So clearly it's working for lots of people. The people why cry about how it's a complete failure are just not right. I have the same plan, same docs, and pay substantially less than I used to. My specialist co-pay went up and a few other things are different but none substantial.

 

At the last company I owned, our premiums never went up by less than 13% every year for a decade and many years were at 18%--one year a monumental 23. The only years it went down was when we lowered benefits for our 110 employees. And that sucked but we had no choice.

 

Obamacare was rammed down our throats with little forethought. The rollout (who even cares now that it's running) was a debacle. The lack of knowledge about the wider effects that it had/will have was a huge problem.

 

Still, this is going to be a HUGE loser of an issue for the right in 2016. I bet the right will figure out at some point that it needs to be off the table for that election. They've lost this fight multiple times now--time to move on to something else, like cutting spending. starving the poor Fixing social security. throwing Gramma over the cliff Medicare. throwing Gramma over the cliff and making her eat dogfood.

 

This horse is dead.

 

Fixed.

 

The ACA is fatally flawed. It can't f'n work. Do you have one iota of knowledge about how insurance works?

[DC Tom]

I was already paying for insurance so for me, the marketplace allowed me to comparison shop. It was a great and easy experience. You say I'm the exception to the rule and yet, people are signing up--more and more every day. So clearly it's working for lots of people. The people why cry about how it's a complete failure are just not right. I have the same plan, same docs, and pay substantially less than I used to. My specialist co-pay went up and a few other things are different but none substantial.

 

At the last company I owned, our premiums never went up by less than 13% every year for a decade and many years were at 18%--one year a monumental 23. The only years it went down was when we lowered benefits for our 110 employees. And that sucked but we had no choice.

 

Obamacare was rammed down our throats with little forethought. The rollout (who even cares now that it's running) was a debacle. The lack of knowledge about the wider effects that it had/will have was a huge problem.

 

Still, this is going to be a HUGE loser of an issue for the right in 2016. I bet the right will figure out at some point that it needs to be off the table for that election. They've lost this fight multiple times now--time to move on to something else, like cutting spending. Fixing social security. Medicare.

 

This horse is dead.

 

More and more are not signing up every day. Enrollment is over.

[3rdnlng]

More and more are not signing up every day. Enrollment is over.

But 7.1 million have enrolled, or put a plan in their cart or maybe viewed a plan. We can't tell the difference, but we can tell you that 14% of the 50 million who were going to die without the passage of this law may have done something! Success!

Edited April 19, 2014 by 3rdnlng

[birdog1960]

then again, about 5 million more humans would would now be insured if not for a thinly veiled, malevolent conspiracy: http://www.salon.com..._for_the_party/. didn't someone say in one of the threads that "let them die" was inconsistent with most american's morals? that post was wrong, at least for nearly half the electorate.

Edited April 19, 2014 by birdog1960

[Keukasmallies]

Interesting article. The premise appears to be that VA should accept the federal funds now, add enrollees to Medicaid for as long as the federal $ lasts; then, when the funds dry up, cut those people from the Medicare rolls...huh? Is this the "better to have loved and lost than never to have loved at all" concept of health insurance?

[Doc]

I was already paying for insurance so for me, the marketplace allowed me to comparison shop. It was a great and easy experience. You say I'm the exception to the rule and yet, people are signing up--more and more every day. So clearly it's working for lots of people. The people why cry about how it's a complete failure are just not right. I have the same plan, same docs, and pay substantially less than I used to. My specialist co-pay went up and a few other things are different but none substantial.

 

At the last company I owned, our premiums never went up by less than 13% every year for a decade and many years were at 18%--one year a monumental 23. The only years it went down was when we lowered benefits for our 110 employees. And that sucked but we had no choice.

 

Obamacare was rammed down our throats with little forethought. The rollout (who even cares now that it's running) was a debacle. The lack of knowledge about the wider effects that it had/will have was a huge problem.

 

Still, this is going to be a HUGE loser of an issue for the right in 2016. I bet the right will figure out at some point that it needs to be off the table for that election. They've lost this fight multiple times now--time to move on to something else, like cutting spending. Fixing social security. Medicare.

 

This horse is dead.

We'll see how much of a loser it is when people continue to see their premiums rise year after year making plans less affordable and when fewer doctors accept their plans. And you're an example of the vast majority of Obamacaid enrollees, i.e. people who already had plans and are replacing them with (for now) cheaper ones. But are you an "invincible" who barely uses health care? If not, you're part of Obamacaid's problem.

[OCinBuffalo]

We'll see how much of a loser it is when people continue to see their premiums rise year after year making plans less affordable and when fewer doctors accept their plans. And you're an example of the vast majority of Obamacaid enrollees, i.e. people who already had plans and are replacing them with (for now) cheaper ones. But are you an "invincible" who barely uses health care? If not, you're part of Obamacaid's problem.

They don't see the fool's gold yet. That's fine. This is like a fad in that sense, cool now, embarrassment later. When they realize that they can't actually see the doctor, for which they are paying, without sliding him an extra $200 per visit to "move up on the list"? Yes, the lady(90% of the time, it's a lady) holding the clip-board at the "velvet rope" is going to be very unkind.

 

John Adams: walking around in parachute pants, sporting his Don Johnson hair and sport coat, and playing with his pet rock. He's the coolest...today. But, later, when he tries to get in with that outfit? He's going to get the "fire code" excuse.

 

And what's better? When they start howling about the "unfairness" of it all! Obamacare the unfair, fairness policy. The best is when the "fixer" Democrats demand to be allowed to fix it, and suddenly realize , that the far-left buffoons have made that impossible, due their idiotic "cost control" plan: Meaningful Use.

 

Meaningful Use: a tenet of this abortion, that it seems hardly anyone but me truly understands. And therefore: few see it correctly as the giant cluster F that will be the #1 barrier to "fixing Obamacare"s success. When the Ds finally arrive at the notion that they have to immediately jack up health care supply, or the whole thing folds, it is Meaningful Use that will make doing that impossible. No doctor is going to "invest" $100, so that he can return at best $80, and face the ongoing threat of a fine, or, lose his existing %, because he tried to grow his practice.

 

He's going to do: nothing. (I can just see the Public Service announcements cajoling them to do it anway). There won't be any way to get "new" Obamacare docs to provide the supply. So, now JA has to see a PA, or an RN, who isn't really capable of providing an Dx, nor are they legally qualified to do so. And, I'm sure there will be all sorts of legal wrangling to try and make that possible.....to which the trial lawyers will say "no way", because then they would lose out on their #1 way of proving malpractice = misdiagnosis. It's going to be very fun to watch trial lawyers fight the "we must keep it alive no matter what" Obamacare supporters.

 

The knives and guns will have to come out, because for both sides: that's a fight to the death.

 

It's going to be hilarious watching them all fight, and scurry about...and then? There's my crew, or more likely, our partners, offering everyone, but the lawyers, of course, the ONLY way out. Once again, I encourage you all to do your own work on Meaningful Use, because once you do, you'll see things straight.