The economic rules of supply and demand haven't changed. The insurance
offered through the ACA exchanges, to keep premiums down, has often reduced the
actual payments offered to providers (doctors). To make up for this the
consumer either has to pay more out of pocket or else the providers will simply
refuse to accept ACA insurance plans.You can read about this at
MedCity News under "Covered California takes down doctor list because of too
much bad data"And at San Jose Mercury News under "California
doctors, insurers face off over reimbursement rates"And at CBS
San Francisco under "ConsumerWatch: Some Covered California Patients Say
They Can’t See A Doctor"Obamacare hasn't addressed
the actual challenge: actual costs of modern healthcare. It merely forces
people to get insurance even if the insurance isn't worth much.
The main problem is the 24 "Conservative" states who are happy to
obstruct progress and let their their citizens suffer without health
insurance."Conservative" leaders are always willing to
sacrifice the poor and the middle class in attempts to advance their unworkable
Right Wing ideology.
If this is supposedly caused by Conservatives and Conservative states, then why
are Californians experiencing so much difficulty finding California providers
that want to participate in ACA health insurance plans?
The 'core goal' should be health care for everyone, health insurance
for no one. That's where the ACA fell far short.
Hey Shane333 -If you have complaints about the ACA, why don't
you take it up with the Republicans who represent you in Congress.After all it was Republicans in Congress who REFUSED to participate in
designing ObamaCare.That's right. Obama practically begged them
to help shape the law, but they snubbed him.""I want to
consult closely with our Republican colleagues," Obama said. "What I
want to do is to ask them to put their ideas on the table. . . . I want to come
back and have a large meeting, Republicans and Democrats, to go through,
systematically, all the best ideas that are out there and move it forward."
- Barack Hussein ObamaThat's right, Republicans in Congress
refused to help legislate the MOST IMPORTANT LAW of the 21st century.Really Shane333, your dissatisfaction with ObamaCare is no one's fault
but yours and your Republican representatives in Congress.Obama
didn't vote for them. I didn't vote for them. Democrats did not vote
for them.YOU did.Remember that in November, and try to
learn from past mistakes.
The CBO has said that in 10 years the number of uninsured will actually increase
because people will not be able to afford the higher deductibles, co-pays and
premiums. Obamcare is doing more harm than any good.
Mountanman -" Obamcare is doing more harm than any good."Really?The CBO said in 2013, "In our current
projections for 2023, the ACA reduces the number of people without health
insurance by 25 million, leaving 31 million uninsured"Looks like
it's doing some good.Actually "Conservative" America is
doing more harm than good, and they've been doing more harm than good for
a looooooooooooooooong time.How many many uninsured people would
have gotten coverage if not for ObamaCare?
8 million chips and counting and that doesn't include the "kids"
under 26 who were added to their parents plans. Uninsured Americans before the
ACA 46 million....Currently 32 million. How many bankruptcies have been
prevented? How many people with pre exhisting conditions are celebrating the
end of being denied coverage after being forced to go through a long process of
HMO underwriting? If the 24 states who haven't expanded medicaid expanded
medicaid, millions more would be covered. People are too quick to discount the
human cost lack of insurance or lack of access to healtcare results in.
The right to buy healthcare alone with the ability to know what the prices of
various plans will be in advance without having to beg HMO's to cover them
is cause to celebrate. Before you had to dig up every health condition you ever
had in the past with the threat of denial of coverage or being called out for
fraud if you forgot something and then they would tell you a price and had a
$7500 "co pay" for maternity. If you don't know what I"m
talking about, you have't shopped in the individual market.
GaryO,If Obama says he tried to get Republicans to join in crafting
the health care law, then it must be true because Obama has never…lied.Republicans were shut out of the process. You heard the president say
it himself. "Republicans can come along. But they'll have to ride in
the back of the bus".Obama was happy to have Republican leaders
in the room. But he expected them to nod their heads and stay quiet. When
Republicans proposed market solutions, Democrats and the president ignored them.
Now we have a wholly Democrat- crafted structure that needs to be retooled or
it won't survive. Just wait until after the election in November when all
of the postponed provisions start to kick in. Why were they postponed? Because
of the damage they would/will do to individuals, businesses, and the
country…and to Democrats seeking re-election.
Obama's plea to Republicans that I quoted came before the ACA was passed.
Look it up.Republicans had plenty of opportunity to participate, but
they refused and tried to trash the bill. Of course they failed,Haven't you noticed? Republicans fail a lot, and then they blame
Democrats.But it's really not the Dems' fault that
Republicans in Congress are so lazy, irresponsible, politically naive,
incompetent, and a danger to themselves and others . . . Is it?
As I said before. Obama would never…lie. When he plead for Republicans
to help, he wanted political liability to be shared. Republicans didn't
bite at that bad worm (the ACA). Democrats own this mess all by themselves.
Republicans tried to present market-driven ideas. Obviously with a
socialist-leaning Democratic congress and president, those ideas wouldn't
go very far. I've noticed Democrats fail a lot and
blame…Bush. It's really not Republicans fault that Harry
Reid and the Democratic Senate is so lazy, irresponsible, politically naive,
incompetent, and a danger to themselves and others that they refuse to pass a
budget, and to take up a number of bills because they don't want to
actually do anything. Is it?
I wonder how many people in Utah are being kept from coverage because of
non-participation in ACA - medicaid. My pregnant daughter has been delayed in
getting coverage because of this. Believe me if problems arise I know just who
to blame in the legislature, and others will too.
GaryO,"Haven't you noticed? Republicans fail a lot, and
then they blame Democrats."Just who is playing the blame game?
The current president is still blaming Bush for just about everything. Just who
pretends that they want to negotiate and then turns around and castigates the
opposition? BTW, wait until November and let's see how the
American people feel about the ACA. There aren't many Democrats who are
running on the success of the ACA...
The result of anti-ACA at all costs is demonstrated by the last election. Romney
rode that plank to huge loss when everything was at stake. Lots of eggs in that
Mandating socialist-style insurance doesn't improve anyone's
healthcare. Military TRI-Care works similarly; sure I'm "covered",
but I have to wait weeks to see anyone when I'm hurt or really sick, and
they avoid doing anything as much as they can.It's a shame
there are millions of people who have no health insurance, but there are two
considerations that don't get brought up: First, their ER visits and use of
"safety nets" offers them greater actual healthcare than many places in
the world, even places with with state-sponsered "healthcare". Second,
the fix isn't socialism; it's helping them become educated and
self-sufficient enough to afford health insurance.
The ACA (an incredible misnomer) is not about health care or affordability, it
is about insurance. It does not in the slightest way address the root problem
-- high health care costs. It does absolutely nothing to drive down costs by
doing simple things like increasing competition, discouraging high overhead
charges, reducing health care provider expenses, or encouraging more efficient
use of health care.When a measure fails to address its purported
topic, it is doomed to become nothing but a fiasco (which is evident already).
Wow, liberals, keep drinking that spoon fed Kool-Aid. Just because a lie is
repeated several times doesn't make it any more true.
GaryO:So Obama "begged" for GOP input on the ACA? He
actually wanted to work with the other side to come up with a system that
included compromises so both sides had things they liked? He was really willing
to listen to and consider a possible solution that was different in any way than
the one he was proposing? Is that what you are saying? Are you really
serious???This president is the most uncompromising president I can
ever remember. He never wants to even hear, let alone consider a proposal from a
conservative. If he can't get his way though normal channels, he just tries
to go around congress, the law, and the constitution to do it anyway.
Those who see that health care costs go up because of the ACA have not been
paying attention to the rises in health care costs before the law fully kicked
in this past year. I just looked over bills from the previous 15 years, and my
costs have sky rocketed up to unimaginable amounts. The ACA did not cause this.
Discovering what is the cause is work. Our politicians generally
don't like to do this kind of hard work. They generally would like to cast
blame on the other guy, frighten the voter, and posture rather than solve a
problem. And we now have politicians who don't see any problems that an
unfettered free market would not solve.Why we don't look at other
western style democracies and see what they do with health care and costs is
beyond me. However, this might involve work, and a realization that our
positions on the issue have been wrong. We are stuck. Unless you have
Bill Gates money, (or on Social Security) you are stuck paying outrageous bills
for medical care one way or another.
GaryO,Your entire argument fails because it is based on the notion
that the government has a responsibility to force people to buy insurance.
Government regulations is one reason for increased costs in the market, and
instead of minimizing government regulation, the ACA is an effort to maximize
regulation. The natural economic result will be increased costs, which is why
so many in the private market have seen increases in premiums over the past year
or two.Republican refusal to be a part of the ACA is a manifestation of
Republican intelligence and wisdom (which they haven't always shown in
Gary O: This is what I learned, but I learned it 40 years ago! The Democratic
War on Poverty, something that was supposed to end poverty, was a ruse then to
gain more money and power but nothing else. No problems were solved. The War
on Poverty only got worse. Government made people more dependent, less able to
function as a free responsible moral being, and destroyed initiative, almost to
the utter destruction of cultures, including the black culture, the very people
that it was supposed to help. How much further objective reality do you need
before you whimper "uncle?" Health Care is not right and it has nothing
to do with right or left; It has everything to do with compassion, charity, and
goodness freely expressed without government aid or intrusion. Government
destroys charity. Government destroys initiative. Government ruins lives,
abuses the people that need help the most, and burdens future generations with
its corruption of that which is good and true! Independent minded people
recognize this and without hesitation stand up for what this country needs to do
to change so as to help everyone. It isn't ObamaCare!
Marxist: Perhaps if anyone that believes in Marx or Socialism would outline
where there is any personal responsibility involved in government sponsored
healthcare or any other government idea, more would be more apt to listen!
Since I have never heard, once, how they would intend to do it, is it any wonder
that any one with any common sense would reject it! I'm a listener, however
foolish it may be to continue to do so, so please give me a plan that I can
"After all it was Republicans in Congress who REFUSED to participate in
designing ObamaCare.That's right. Obama practically begged them
to help shape the law, but they snubbed him. . . That's right, Republicans
in Congress refused to help legislate the MOST IMPORTANT LAW of the 21st
century."Guys, what GaryO is really saying is that the Democrats
NEED Republican input, otherwise they can't make a successful law. If only
the Republicans had helped, it might be a good law.The others are
right. Obama did not want Republican input. That quote you said was simply a
quote. Actions speak louder than words. Here's another quote from Obama:
"You can keep your doctor. Period." To give you an idea of how little a
quote can mean, here's an example from a European leader last century:"First, we swear to yield to no force whatever in restoration of the
honor of our people... Secondly, we pledge that now, more than ever, we shall
strive for an understanding between the European peoples, especially for one
with our Western neighbor nations... We have no territorial demands to make in
Europe!... Germany will never break the peace!" -- Hitler, 1936
I don't think that the liberals actually read the article. The people in
the article got insurance, but still cannot afford to go to the doctor. If the
goal is to get people to the doctor's office rather than the ER, the ACA is
a failure. What good does the insurance do for the average person if they
can't afford the high deductables?To "cmsense" so far
no bankruptcies have been avoided, and we probably will have more because of the
ACA.In the article it described the nurse who was able to buy
insurance. However, if she has a medical problem and doesn't have the
money to pay for a doctor's visit or ER visit she doesn't go. She
said that if she goes to the ER that she will have a debt to that hospital. The
typical bankruptcy for medical bills involves a few thousand dollars, which
would probably be just a few visits to the ER.
ACA s effort to maximize insurance coverage which will lower costs. Great to see
it working so well.
To "one vote' but even on that one item, the ACA has failed.According to Forbes "49-State Analysis: Obamacare To Increase
Individual-Market Premiums By Average Of 41%" the cost of insurance has gone
up for people in most states. Only 8 states saw a decrease in premiums.
Nevada's premiums went up by 179%.How does raising the cost of
premiums by an average of 41% lower the cost of insurance? Do you pay more to