A lot of people are going to work and working hard. Their jobs may have health
coverage or limited health coverage or in my case decent coverage that used to
be a lot better. But many families can't afford insurance, can't get
insurance or on high deductible plans. They are one accident or illness from
hard times or bankruptcy. Millions of people are making decisions whether they
should go to the doctor, ER, or the dentist postponing and/or not getting
treatment because the feel they simply can't afford it. This puts us all at
risk. My recent trip to the ER will be about 3K out of pocket being there less
than three hours. I have to wonder if we can do better. My case is probably not
that extreme as others have suffered worst injuries or illnesses with extremely
high costs. Most people have their nightmare stories. My question:
can we not do better? I think we can but do better, we must do better. Health
care costs a generation ago weren't out of control, were reasonable and
weren't bankrupting families let alone our country.
@DavidThe UK is not far off your obesity levels and we have problems
with cancer the same as everyone else. I have far more freedom with my
health care than I ever had when I lived in the States. My insurance company in
the States told me who I was able to see and when, I can choose to see any
Doctor or specialist I wish in the UK. We also have a huge influx of immigrants
from Eastern Europe into my country. This is all covered at half the cost of the
US per person.Stop thinking that the US is a special snowflake that
has problems no other countries have and look at others at how they have managed
to implement their health care systems.
Factcheck quotes the 32% increase in health care costs as being those born by
insurance companies. The figure comes from actuaries. The anticipated cost
increase in premiums is expected to rise 10-13%. Not as dramatic a rise, but
completely the opposite direction the ACA was supposed to affect the market.
Again, evidence that the ACA is wrongly written, wrongly created, wrong process,
just wrong. Even if Republicans earlier proposed a similar idea, it
isn't working. You may state it is too early to declare failure. Perhaps
you are correct. But costs are higher than expected, higher than we were told.
If voters had been told that this law would increase their taxes ("fees"
according to Obama), and increase their health insurance premiums by 10-13%, I
honestly doubt it would ever have passed. What do you think?UTBrit,
the American health situation is unique. We have a sedentary lifestyle, extreme
obesity, high cancer rates, trial lawyers, cosmetic & elective surgeries, ER
abuse, inefficient gov-run health programs, illegal-alien benefits, etc. Our
health costs reflect this. To get health spending in line with other nations it
will require a culture change. Something that government cannot enact without
The Obamacare cure really is worse than the disease it promised to heal.This atrocity, which not a single Republican voted for, is described by
its SUPPORTERS as "a train wreck" and "beyond comprehension."
And, the cost to everyone will go up some 30%. Are you feeling better, yet?Looks like they forgot the "First, do no harm" rule of medicine.
The only solution to the immediate emergency is to repeal Obamacase.
Every word, every line, every rule.The old system was not perfect,
but far better than what has been created. And, NO ONE was denied treatment,
although some had been denied insurance. With Obamacare, we are
already seeing that doctors are refusing to take new Medicaid and Medicare
patients. Not because providers are heartless and greedy, but because they will
go out of business providing care that costs more to deliver than they are
reimbursed, and then no one will have health care! Worse, Obamacare
eliminates the many options for varying levels of insurance coverage or self
paying treatment that are fine for most people, especially younger ones.
@David"A single system will eliminate true market pressures that
help to keep costs down. We have seen what a central government-run program will
do...look at the former Soviet Union."How about you look at
every first world country apart from the US? Quality health care at half the
cost per person.
The simple answer to all of our problems is for everybody to simply take care of
themselves and not worry about outside help. Of course there will always be the
small percentage that cannot that we all should care for but today that
percentage is way out of balance as it probable approaches nearly half. No
population can succeed when half the population has their hand out to the other
half, it just doesn't work.Healthcare used to be between a person and
their doctor but now the insurance companies, the employers and the government
all have way to big a part of it.This problem along with others will not
go away until we all take a bigger role in self determination and take care of
ourselves, our families, our friends and our neighbors. Government solutions
simply do not exist for every potential problem.
David you have conviently forgotten that Clinton tried very hard to get health
care reform in the early 90's and was blocked by Republicans. In fact it
was Republicans first salvo with Hillary. So you are absolutley wrong that both
parties are to blame for not trying health care reform. Sorry David
but your 32% health care cost increase is absolutley wrong also. The latest
state to actually have insurance companies file for rate increases is Maryland
and Etna applied for a 12% increase in small group policies, and United applied
for a 15% increase. Nothing like 32%.
Game plan...The ACA was the brainchild of the republican heritage
Foundation.Failed Presidential candidate mitt romney was the
severely conservative brainchild of the forerunner of the ACA in Mass..A member of the House, from south Carolina, has publically stated that the
mission of the republican Party is to be against everything the POTUS is for
(his exact words would not pass the DN Moderators), even if it was originally a
republican idea/program.Independents and Democrats will forget what
the republicans have done over the last 8 years?Uncharted waters?
Re:David, 4601, etcDemocrats started with a Republican blueprint
that came from the Heritage Foundation, and implemented by Republican Gov.
Romney. The blueprint then went through several bi-partisan committees over a
matter of several months. (Democrats would've preferred something closer
to single-payer but that wasn't even considered). There is no
industrialized country which relies on a "free-market" approach to
healthcare, and they all have lower healthcare costs than the U.S.Exemptions to "political cronies"? Would you care to explain? Are
you talking about waivers provided some businesses during the transistion phase?
No doubt there will be many bumps during the transition-- it is a
major change to our healthcare delivery system. It is obvious Republicans
prefer the status quo--"survival of the fittest" approach.
Pragmatist,Voters can vote. We don't write bills or pass laws.
We vote. Your criticism that Republicans haven't done anything the past
30 years to decrease the rising costs of healthcare are equally applied to
Democrats the past 30 years. Only recently was a bill passed, the ACA. Written
& passed by Democrats, with no opportunity for Republican input or
amendments, the law is now revealed to be seriously flawed & causing
healthcare costs to increase 32% according to recent reports. Your effort to
blame Republicans is laughable & clearly reveals your partisan blinders.As I began my post, voters vote. For those Americans who feel that 32%
health care cost increases are the wrong direction, they should cast there vote
for those who are willing to revisit the ACA to amend or junk it, making a new
effort to write a law that will actually work to decrease health care costs.
Red State Pride..so where were all you red staters the past 30 years as health
care costs increased 4 to 5 thousand percent, medical care bankruptcies sky
rocketed, and millions of Americans were left without health insurance all the
while the insurance companies and drug companies became obscenely rich? Now the
Democrats try and do "something" about all of it and all you can do is
say hey you won't listen to me, I've been shut out of the
conversation. There's not room here for you to tell me all of my great
ideas but I lots of good ideas...of course you do. Well guess what you
weren't shut out of the conversation..you were never in it..you had your
chance and did nothing.
The left wing passed the ACA without it being written and in the face of
predictable flaws such as funding. They excluded Rebups because the had a super
majority and refused suggestions from the Wyden-Bennett plan. They have granted
numerous exemptions to their political cronies and even Congress wanted to opt
out. Now they are blaming the Repubs because the wheels are coming off the ACA.
But then you have to blame someone and the left is not very anxious to take
responsibility for failures, only successes.
It is funny that Democratic cheer leaders continue to blame Republicans. A single system will eliminate true market pressures that help to keep
costs down. We have seen what a central government-run program will do...look
at the former Soviet Union. We are already, as a nation, headed towards
bankruptcy. This law, and the suggested single-payer health care, would only
speed up our arrival at that destination. A much better approach
would be to eliminate insurance company protections that currently allow
collusion. Open up competition across state lines. An insurance in Minnesota
covered 80% of the 1st $2000 (annual expenses), then 50% of the next $2000, then
100% up to a certain level. This system reduced overall costs. I don't
know all the exact points that would help, but neither did Pelosi, Obama, and
the rest of the Democrats who govern on platitudes and bumper slogans but know
little about freedom and American economics.Republicans weren't
able to obstruct. They were shut out of the process. The law was crammed down
their throats with no opportunity for amendments. This is wholly the Democrats
It's so rich that not one Republican voted for the ACA and now some
Democrats have the gall to actually blame Republicans because it's turning
into the complete train wreck Republicans predicted. So typical.
Here's my problem with the ACA or any Government health care: it changes
the relationship between the citizen and the state. When you are dependent on
Government for your you are no longer a free man. You are a serf. Many Americans
are comfortable with that unfortunately. I don't have space to lay
out a complete plan but let's say it involves Major Medical Insurance,
premium subsidies, charitable and civic organizations, reduced dependence on
third party payments and it means allowing market forces to drive down costs and
mostly it involves individual responsibility.
Shaun, it's not an either or proposition..exercise and staying fit or
spending trillions on health care. Staying fit would definitely lower health
care costs, but stayig fit doesn't elliminate serious health problems. My
close group of friends were probably some of the most fit people on the planet.
All ran marathons in times from the low 2:20s to the high 2:40s and did so for
many years. However two died of pancreatic cancer, one from prostate cancer,
one from a rare brain disease. Two had major heart attacks and extensive heart
surgery and one died from an unknown problem, and one had complete kidney
failure. Exercise is definitely beneficial in many ways besides
just being fun but it's not a panacea.
I would like to know what the Republican Plan is. They are good at saying NO.
And if there plan was to stay the course we were on before President Obama, that
wasn't much of a plan. Healthcare was a mess before the President was
elected. Most Obamacare changes haven't been implemented and it's
still a mess. Why I say this, I'm not excited about Obamacare but we need
some solutions. Again, saying NO to everything isn't a solution.
Instead of throwing billions of dollars at health care why not just pay people
to exercise and stay fit. A healthy lifestyle will prevent a lot of people from
getting diseases and having health problems that later down the road cost a lot
Timeline of a major gov't program1) Program is conceived.2) Program is bitterly fought over with Democrats usually arguing for it and
Republicans against it (but sometimes reversed roles). 3) Program is
eventually made into a law. 4) Program goes through major kinks and
problems as gov't realizes once again that they've bitten off a chunk
that is way bigger than they originally though.5) Prices to implement
program go up.6) Program eventually settles down, kinks are mostly ironed
out and people get used to the price7) Someone figures out a way to scam
the system. Usually some from gov't, some from industry, and some
individuals find loopholes.8) Big gov't tries to adjust. More and
more regulations try to control the program. Again they realize how hard it is
to do it. They get overwhelmed. 9) System eventually regresses to a limp
along status, performing well below it's "proposed" purpose. 10)???? still waiting to see what happens to Soc. Sec. and Medicare, let alone
managing war in Afghanistan.
Republicans are using every avenue to ensure the failure of ACA. So. Carolina
legislators recently passed a bill making implementation of ACA a crime. Many
Republican states have refused to develop their own insurance exchanges--where
their citizens will "shop" for healtcare insurance. Though Republicans
typically push for "states rights," because of their failure to develop
their own exchanges they will have a federal model to select from. ACA allows states, beginning in 2017, to devise and implement their own
universal healthcare plan. VT is moving forward with developing a single-payer
model. When Bush's prescription drug plan was implemented
there was much confusion and initial problems. That will be the case with ACA
as well. But over time, the kinks get worked out. There is no doubt
Republicans will amplify the kinks and declare it a disaster.
Sen. Baucus said that implementing the ACA is becoming a "train wreck",
but that's mainly because of Republicans doing everything they can to
undermine it. He still describes the ACA itself as "good law."I expect you guys to criticize President Obama and Democrats every chance you
get, but at least quote people accurately.
it's like... Conservatives are hoping for it to fail. They are cheering for
it. Why? So we can go back to the good ol days when millions were left uninsured
(and those insured were left with the bill)? To the good ol days when insurance
companies could deny Americans coverage because they felt like it? When
insurance companies could suddenly drop someone from coverage (in particular, a
sick person) because it might cost them a few bucks?Now, if the GOP
had an alternative plan, then I'd say they were hoping for Obamacare to
fail so their plan would be used. Unfortunately, we are still waiting for the
repubs to give us an alternative plan. So again, more petty and
senseless hating on Obama. More hoping that his plan fails. More hoping for
Americans to suffer. All while offering absolutely NOTHING in alternative
solutions.And you clowns wonder why your rating is so low? Repubs ya
gotta do something other than obstruct, say no, and otherwise act like spoiled 3
Come on DN let's tell the facts. Baccus told Kathleen Sebilius that he
could see a train wreck in the implementation...if Health and Welfare
didn't step up their communication plan in the next few months.Another fact, reducing long term costs of health care premiums is one of the
goals of the ACA, but just one. Increasing coverage is probably it's main
function initially, and it's that coverage that will eventually help
decreace costs in multiple ways. Fact; it's impossible to talk
about rate increases as "a" thing. Everyone will experience rates
differently depending on their personal circumstances. A young male who
currently doesn't have insurance will experience a much larger increase
than an older adult with pre-exsisting conditions. But please quit talking
about insurance rate increases as though it's something brand new..caused
by Obama.Lastly rates all ready filed for are showing small group
increases of from 12 to 18 percent and the largest increases in the real world
seem to be around 25%..a figure seen many times over the past 30 years. So
facts next time.
The underlying point made by the D-News is accurate: Americans overall make too
many poor lifestyle choices, which result in higher healthcare costs.Looking deeper, Americans have much higher measured levels of cortisol, the
stress hormone. Essentially, we get stressed out of our minds at work, then
come home and seek comfort food and other forms of relief from the economic
grind, which lead to poorer health, and more expensive healthcare.The economic stress & anxiety that results from the ongoing economic
upheaval and uncertainty in employment that conservatives refer to as
"creative destruction" leads to not just poorer health, but other social
concerns the D-News has lamented recently, including dropping birth rates, young
people delaying or avoiding marriage, etc.As employers lower the
working hours of employees to avoid having to pay for their healthcare, what is
the solution to our evolving healthcare problems? Conservatives mock and reject
Mayor Bloomberg's regulation of soda pop portions, but sodas are known to
cause health problems, over time.If Obamacare collapses, then what?
Hordes of uninsured, stressed out of the minds, making poor choices, and
employers focused on profit.Yikes.
Now that the Economy has recovered and jobs coming back, the timing is perfect.
Romney lost, he will not be vindicated by a bad economy and the inability of our
country to have affordable health care.
Of course there have been many unintended bad consequences of Obamacare. As
conservatives know, and others are hopefully beginning to find out (if they keep
their eyes open), most legislation has unintended consequences, and with
legislation this big, there were bound to be many unintended consequences. Many
of these were predicted (again, by conservatives) but with legislation this big,
which lawmakers didn't even read before passing it, there will be many
unpredicted consequences and over the coming years we'll find out what
those consequences are. Liberals need to learn that it is not possible to
legislate utopia. They have tried for decades and have consistently failed.
Their welfare programs have backfired, and led to a huge rise in illegitimacy,
which has led to increased poverty. I did NOT say there is no role at all for
government. But the bigger the govt program, the more unintended consequences,
expense, fraud, waste and abuse. It has been that way for decades, but liberals
seem blind to history.
It's not affordable because mandatory insurance without any constraints on
the insurance companies is a REPUBLICAN idea.REPUBLICANS won't
allow any cost control measures. They won't even allow medicare to
negotiate lower drug prices. What in the world are republicans complaining
about? Their own ideas!
If it does turn out to be a "train wreck" it will be due to the fact
that it was so twisted and distorted by trying to keep the insurance industry
and GOP happy that it's nowhere near what is REALLY needed.What's REALLY needed?Universal single payer, that's
We can't keep on with half baked ideas. We need a fully funded single payer
system, outside the realm of insurance or employers.