Health Care Reform Part IV: The Trumpening

Discussion in 'Politics & Current Events' started by Knave, Dec 3, 2016.

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  1. ceezmad

    ceezmad Member+

    Mar 4, 2010
    Chicago
    Club:
    Chicago Red Stars
    Nat'l Team:
    United States
    I am not sure if you have thought this all the way.
     
  2. Funkfoot

    Funkfoot Member+

    May 18, 2002
    New Orleans, LA
    People who can't afford insurance are covered by Medicaid, right?
     
  3. stanger

    stanger BigSoccer Supporter

    Nov 29, 2008
    Columbus
    Club:
    Columbus Crew
    Nat'l Team:
    United States
    Medicaid has various levels of support based on income/assets. I can let you know what those are here in Ohio.

    If you have assets, Medicaid would make you liquidate everything down to a certain point before it would kick in.
     
  4. song219

    song219 BigSoccer Supporter

    Apr 5, 2004
    La Norte
    Club:
    DC United
    Nat'l Team:
    Vanuatu
    Only some and these are fewer in the states that rejected the Medicaid expansion.
     
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  5. Yoshou

    Yoshou Moderator
    Staff Member

    May 12, 2009
    Seattle
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    Seattle Sounders
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    United States
    Nope. :) In addition to the states that don't have expanded Medicaid, and particularly if ACA is ruled unconstitutional and expanded Medicaid goes away entirely, US healthcare system is a tad expensive so even if someone doesn't qualify for Medicaid, they may not be able to afford the healthcare provided by the hospital.
     
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  6. ceezmad

    ceezmad Member+

    Mar 4, 2010
    Chicago
    Club:
    Chicago Red Stars
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    United States
    Americans views on healthcare (mostly Democrats).

    Sanders and Warren have gotten shit for saying they want to eliminate private insurance, but Dude below makes a god point, medicare is not totally a government program about a 3rd of people in the program do choose to get private plans.

    As someone else has pointed out, fear of change and that of being trapped with no options, may be the main reason on why ACA expansion is more popular than forced medicare for all.



    https://fivethirtyeight.com/feature...tem-to-change-just-not-their-own-health-care/
     
  7. stanger

    stanger BigSoccer Supporter

    Nov 29, 2008
    Columbus
    Club:
    Columbus Crew
    Nat'l Team:
    United States

    Professor Blendon needs to do more research on how Medicare in it's current form actually works.

    Every person that enrolls in Medicare is forced to at least have a PDP and ALL PDP plans are underwritten by a private insurance company. It's not an option, if you enroll in Part B and do not have a PDP or other credible coverage, like an EGHP, you are penalized.

    What he may have been talking about are MA plans, which about 25 million or so people have enrolled in, and are essentially letting a private insurance company manage their medicare benefits.

    The way the article was written is either ignorant of the way Medicare is managed or written to make it read like he doesn't know.
     
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  8. ceezmad

    ceezmad Member+

    Mar 4, 2010
    Chicago
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    Chicago Red Stars
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    United States
    Medicare advantage (part C) is part of medicare, so not sure what the problem with his comment was.

    Is it that he said 'buy into' compared to 'enroll into'?

    https://www.kff.org/medicare/issue-brief/an-overview-of-medicare/
     
  9. stanger

    stanger BigSoccer Supporter

    Nov 29, 2008
    Columbus
    Club:
    Columbus Crew
    Nat'l Team:
    United States
    Part C is most definitely NOT part of Medicare. They are approved by Medicare, but completely remove the enrolled from the public program and all their costs are managed by private companies in exchange for a monthly stipend from CMS.

    https://www.hhs.gov/answers/medicare-and-medicaid/what-is-medicare-part-c/index.html
     
  10. ceezmad

    ceezmad Member+

    Mar 4, 2010
    Chicago
    Club:
    Chicago Red Stars
    Nat'l Team:
    United States
    They are under the law part C of medicare.

    I am not understanding your point.


    BTW, that is the point they were making, that 1/3rd of all people enrolled in medicare choose to go with private insurance companies aka Medicare part C.
     
  11. stanger

    stanger BigSoccer Supporter

    Nov 29, 2008
    Columbus
    Club:
    Columbus Crew
    Nat'l Team:
    United States
    Just reread your original post.

    I misread it at first, but still, even without talking about part C, you are forced to buy private PDP coverage with your Parts A and B.
     
  12. Another gem of American health care greed:
     
  13. luftmensch

    luftmensch Member+

    May 4, 2006
    Petaluma
    Club:
    Los Angeles Galaxy
    Nat'l Team:
    United States
    Something similar happened to my mom maybe 10-15 years back when she was uninsured, was at the doctor for a procedure and afterwards the person at the desk was breaking down the cost, the doctor happened to come by and said, "No wait, she doesn't have insurance." Front desk person said oh okay and started quoting a much lower price.
     
  14. dapip

    dapip Member+

    Sep 5, 2003
    South Florida
    Club:
    Millonarios Bogota
    Nat'l Team:
    Colombia
    Usual practice. Hospitals and practitioners over-bill insurance companies knowing that there's a chance of it being reduced, and/or shared with the insured. The oddity here is that the insurance was expecting to recoup money from the patient(?).

    If the choices are between not collecting money at all (uninsured person), or collecting a reduced amount directly, they use their "other price list".
     
  15. stanger

    stanger BigSoccer Supporter

    Nov 29, 2008
    Columbus
    Club:
    Columbus Crew
    Nat'l Team:
    United States
    There are facilities that are using Medicare base rates for services regardless of who is paying.

    For instance, lets say a procedure is needed and Medicare is willing to pay x. For people not on Medicare, the procedure is billed as a percentage plus, or 150% of Medicare allowed cost.

    Of course there are facilities that try to balance-bill the patient to get a higher, sometimes 600%+, of the Medicare allowed cost, and try to get you to sign something that states you will be responsible.

    That's a process that needs to be outlawed. If all procedures were based on the Medicare allowed cost our system would be much cleaner and much less expensive.
     
  16. superdave

    superdave Member+

    Jul 14, 1999
    VB, VA
    Club:
    DC United
    Nat'l Team:
    United States
    Same thing with chiropractors. Insurance copay is like $55, self pay is $50.
     
  17. Dyvel

    Dyvel Member+

    Jul 24, 1999
    The dog end of a day gone by
    Club:
    Leeds United AFC
    Nat'l Team:
    Ireland Republic
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  18. roby

    roby Member+

    SIRLOIN SALOON FC, PITTSFIELD MA
    Feb 27, 2005
    So Cal
  19. song219

    song219 BigSoccer Supporter

    Apr 5, 2004
    La Norte
    Club:
    DC United
    Nat'l Team:
    Vanuatu
    The big lie makes you big time.
    https://en.wikipedia.org/wiki/Big_lie
     
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  20. roby

    roby Member+

    SIRLOIN SALOON FC, PITTSFIELD MA
    Feb 27, 2005
    So Cal
    Only if I agree with anyone in the USMNT forums. :)
     
  21. Yoshou

    Yoshou Moderator
    Staff Member

    May 12, 2009
    Seattle
    Club:
    Seattle Sounders
    Nat'l Team:
    United States
    So... What's with that mask anyways? I've seen it a number of times across various media, but I have no idea what the origin of it is.
     
  22. dapip

    dapip Member+

    Sep 5, 2003
    South Florida
    Club:
    Millonarios Bogota
    Nat'l Team:
    Colombia
    That's what plague doctors wore before science understood how contagion of infectious diseases works..

    https://en.wikipedia.org/wiki/Plague_doctor_costume
     
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  23. song219

    song219 BigSoccer Supporter

    Apr 5, 2004
    La Norte
    Club:
    DC United
    Nat'l Team:
    Vanuatu
    That's what you should wear to a game if your team sucks, not a bag. :)
     
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  24. VFish

    VFish Member+

    Jan 7, 2001
    Atlanta, GA
    Club:
    Atlanta
    The irony is that pandemics unleashed by the Chinese never take hold in America, where the contagion is quickly quarantined and snuffed out.
     

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