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March 31, 2014

Comments

Florence

The ACA is, IMHO, a deal made with the devil (insurance companies). It is certainly better than nothing but universal, single payer would be simpler and much more cost effective.
Also, allowing states to opt out of the expanded Madicaid (as in my state) means the very poorest still have no insurance and still must use the
ER or go without.

And thank goodness McCain wasn't elected because we would be in Syria for sure and probably in Ukraine facing the Russians. John Kerry running around trying to be important is bad enough, IMHO.

Hattie

The part about some states opting out of Medicaid is the most damaging. Hawaii does a good job with Medicaid. I don't know all the particulars, but children from low income families have medical insurance up to age 18 under the CHIP program. I can't believe the meanness of refusing to provide medical care to children. Low income adults have pretty good coverage, too, but are stuck in a situation where if they manage to get their income above a certain level they can't get Medicaid any more. I think Obamacare will help by raising the income level for eligibility.
We're also good on SNAP.
Obama is in a tough situation. He does not get credit for the things that don't happen, like terrorist attacks in the U.S. or getting our military involved in warfare in Syria. I do wish he could have done more in the cause of justice, but his enemies have pushed him into a defensive stance that makes it hard for him to be pro-active.

barbara

As an independent I voted for Obama. I think that he has had a fair run as Pres -- but, so far he has excluded the environment. He just gave away 600 acres of federal public lands in the west to the oil and gas interests for drilling. This being just one example of some of his poor environmental decisions. He apparently does not have any interest in wildlife, air quality or clean water.

I do support his medical plan for our country. However, it seems like he has given away too many opportunities to the other side on most issues.

-- barbara

M.E.

Hoorey for Obama, I say! I think he's done a fantastic job, considering the opposition party's best efforts to the contrary!

Hattie

We had no choice. I think it's like with Clinton. We caught a break for a while, a breather, but the trend is downward. I just hope to god the Republicans don't take the Senate or the presidency and lead us over the precipice. As they surely would.

Ingineer66

So we had 20 to 40 million without insurance and 6 million have now lost their insurance because of ACA. And now they say 7 million have signed up under ACA so that means there are still 19 to 39 million without health insurance. And many people have had their premiums double for less coverage. I don't think it is time to start doing hand stands just yet.

As for Syria, wasn't it Obama that "drew the line in the sand" and then ignored what he threatened when the Republicans and democrats questioned him sending troops to another country. He has already sent troops to at least twice as many nations as W did.

Hattie

really.

Ingineer66

There was a liberal and a conservative talking about ACA on the radio last week. They both talked about how good the system is in Denmark. I do not know anything about their system, but I will have to look it up. It sounds like it might be better than what the US, the Canadians or the British have done.

Hattie

It's clear to me that basic medical care is a human right.
We liked the Swiss system well enough, which provides basic care to everyone but where you can get more expensive or specialized insurance if you want it. At the company where my husband worked, most employees used the company-owned insurance plan, but this was not obligatory. We had a plan with a German company that gave us more options and choice. In retrospect, I think we were dumb to pay extra, because the care we would have gotten under the company plan was fine. Among the insurance company's holdings was the housing we lived in, a very nice, large and reasonably priced apartment.
Single payer would be easier, but Americans have been so brainwashed about "socialism" that they would not get behind such a program. Canadians think we are nuts on the subject.
More: Here is Wikipedia on the Swiss system.
http://en.wikipedia.org/wiki/Health_care_in_Switzerland

Ingineer66

I think we will end up with a two tier system eventually. Single payer for some and supplemental insurance for those that choose to pay for it. I think ACA is a horrible law, but the leadership of neither is willing to show any real leadership on any issue. It is all about votes and control in DC. Not the good of the nation.

Ingineer66

*** neither party

Hattie

Ingineer: A horrible law in what way? My premiums have gone down. A person I know about with health problems was able to quit the job that was killing him, get insurance and fix his house up to rent part of it for supplemental income. With that and SS he can get by. And now he is going have that knee surgery he'd been putting off, too.
Insurers can no longer refuse to insure people with pre-existing conditions. People under 26 can stay on their parents' insurance plans. It's possible to get a basic plan that is not tied to employment. The income cap for Medicaid has been raised.
No longer will people be presented with huge bills for medical services, such as my uninsured friend who has a $200,000 debt after hip surgery (and I'm not making that up; it really was that expensive and they did a lousy job).
Another friend has done without insurance for years. He needed a diagnostic, which cost him $2,000. Now he has insurance and is very relieved, although he always had this bravado and said he never got sick.
The ludicrous system we have struggled with can't be changed overnight, but already things are better for many.
I do know one person whose premiums went up: a wealthy physician with a gold-star plan. He still favors the ACA though, because he believes in fairness.
Oh yes, and health care is a basic human right. It is just selfish to think otherwise. And socially irresponsible, too.

M.E.

Just what IS so bad about socialism?

Hattie

M.E. I think it's become a code word for Commies.

Ingineer66

Yes the pre-existing conditions part could have been fixed with a one page law. Not thousands of pages of central government bureaucracy. But many of those pre-existing condition programs are out of money. This law is going to cost trillions of dollars, not be deficit neutral like they said. Socialism is great until the country goes broke like Greece and all the other European socialist states that are being propped up by the US, Japan and Germany that are more capitalistic.

Hattie

Inevitable, I suppose, in our single value system, that single value being money.

Ingineer66

The Pilgrims tried socialism almost 400 years ago and found out that it was a failure. They gave everyone an equal share of food and the single able bodied men started not working because they would still get the same share as a sick or lame person. Then the governor had to make the new rule that if you do not work, you do not eat. So socialism still failed in a time that we did not really even use money.

Ingineer66

I am glad that your premiums have gone down. Most people have not really dealt with the impact of the law because Obama keeps violating the law by delaying implementation of parts of it. But the small business owners that I know have all had their premiums go up considerably and they are also getting higher copayments with those increased premiums.

Hattie

Ingineer: I'm finding it difficult to take you seriously when you drag in the pilgrims.
Of course our medical system worked so well until Obama ruined it. Right?

Ingineer66

What do have against the Pilgrims?

Hattie

Ingineer: Well, at least ACA demands that the young and able buy into the system to keep it from being dragged down by the sick and the lame.

Ingineer66

Yes but they are not doing it, like they weren't before. It is too expensive in their opinion. A lot of those 20 million without insurance chose not to have it. Once they start paying the fine-tax-not a tax maybe that will change. In a few years when the fine is triple or quadruple what it is the first year to try and cover the costs we will see whether it is a success or failure.

Hattie

Ingineer: Honestly. You would think young people never got into accidents or got sick or had babies, etc. I used more medical services when I was young than I do now. So anyone who does not get insurance because it's "too expensive" is a fool.

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