The poor have never had to pay for health care in the United States, and still don’t. You are wasting your mind share trying to solve a problem that does not exist, just like that Gruber dude from MIT, who Obama thought was qualified to write the ACA because he taught economics. Doofus move #1.
Given you posting history I know you have the smarts and the chops to realize that this will never get resolved as a 100% either/or. If the goal was to cover more pre-existing conditions and get more lower income people health insurance the. Obamacare was an incredibly disingenuous program. (And I’m trying to be nice in saying that).
Am I required to publish the Healthcare roadmap to you? I didn’t realize that YOU are the one! Let me check with my colleagues and get back to you. Wait here….
The health care gets paid for. By higher rates for everybody else. Nothing is free. You keep talking about how you are an expert and have mad solutions but won’t share the.
You don't have to do anything you don't want to do ... but you have understand that people are justifiably skeptical these days when some is acting like they have the secret formula for fixing healthcare but are too busy to give you any details. I mean, we've all seen that play out...
There are choices and trade-offs to any solution. ACA made a lot of tradeoffs and included many solutions that were once considered Republican solutions. ACA is far from perfect, but I’ve yet to see an opponent of ACA ever offer a credible alternative.
Let me be very clear to you, so you understand what I’m about to say. In the history of mankind, not a single person has ever been saved by health insurance. Instead, people have been saved by medicine. By doctors. By nurses. Health insurance is a little parasite on those people. Until you understand that, you’ll never be able to grasp the problem, and then help come up with a solution.
He posts walls of texts on the evils of ACA and insurance, and thumps his chest about his expertise and experience on the subject, but when asked to expand he goes all Bartleby the scrivener I would prefer not to.
I don’t have a secret formula, and I would hope you have skepticism. You don’t know me from Adam. But I have no reason to lie to you or anyone, and I don’t claim to be a savior of healthcare or expert on anything. The roadmap we have is based upon the input of so many people in the industries which comprise or touch upon health care if we ever get it published it will be a good day. We have a political issue I/we are trying to solve because our plan would require a MAJOR tort-reform component that would really piss off some powerful people who contribute to both political parties….so without political support, our thesis is wasted paper.
From everything I have seen, while liability costs in medicine are real, tort reform is nibbling around the edges. In the states where tort reform has been enacted, the cost savings has been very modest.
So you oppose insurance and oppose ACA. So your solution to paying for health care is a walk in a la carte model like getting your car fixed? Why are you being so elusive?
There are many excellent ideas floating around. The problem is that that politicians are too corrupt to make the “choices and trade-offs” that work for the majority of people. For instance; It would be relatively easy(and much better in the long run) to increase the number of doctors. Tort reform would also be easy. End defensive medicine. Utilize AI to identify and fine doctors that overprescribe tests, treatments and surgery. Set up a mediation system to work the isolating incidents. Audit development costs, and develop “should cost” pricing as part of patent issuance. Pharma will still cheat but it will be a lot harder and more expensive to do so. Expand walk in care for the things like Q mentioned, strep, ear, UT (pardon the pun) infections. An MD or PA is not necessary to administer those tests and refer to the chart to prescribe medication. The list could go on and on. I bet you have a few ideas right off the top of your head that would help. There is no magic bullet here. We need to stop looking for a one size fits all solution. Same with deficit/debt reduction.
Those studies are most likely funded by Morgan and Morgan. I wouldn’t expect that number to be very high. The ambulance chasers tend to keep a close knit group of “their doctors”. Nevertheless, small gains that chip away at the total are what we are looking for. As I said earlier, there is no home run. Bunts, singles, and an occasional double with work just fine.
People also need to nut up a little and realize that you are going to get sick here and there for a few days year and when you hurt yourself you will have some pain. Deal with it. You’re not going to die because the headache you went to bed with isn’t gone in the morning.
Who is opposing that? If I had to guess doctors. There are also a lot of alternatives out there DO’s, Pa’s etc. 1. State level tort reform efforts have had marginal results at best 2. Medical errors are still rampant and a large cause of death. I’m open to ideas here but it is nibbling around the edges. I really think technology is part of the answer in multiple respects and we are starting to see it but it is hard to get people and professionals to change. I’m not for or against this. While I think pharma has to have the ability to profit via innovation, and don’t think the existing incentives are cost efficient. I generally agree with this and you are starting to see more of it. One problem is large health care providers tend to come in and buy them out and make them ER proxies such that they can charge higher rates to insurance. Seems to me the biggest issue is our system does not encourage preventive health care overall healthiness. There has to be some way to incentivize people to live healthier lives. But you have narratives on the left that people can’t afford vergetsbles and people on the right saying government is trying to take away my angry whopper and I should be able to eat what I want (and have Medicare pay for the results)
you nailed it. First step in finding solutions is identifying the problems. You just acknowledged a fact ignored by Obama, and identified a problem never recognized by Obama. When common understanding is challenged, problems become apparent and solutions can be imagined. Good job
