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Danilo_G
Discussion » Questions » Politics » Should the GOP plan to repeal Obamacare (and replace it with something...maybe...eventually) be generalized?

Should the GOP plan to repeal Obamacare (and replace it with something...maybe...eventually) be generalized?

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I see this as the next great RAWM invention.

Is the police department too bureaucratic and expensive? Abolish it and replace it with something else...eventually.

Do the employees of the fire department spend most of their time on their butts waiting for a fire to happen? Put a "fire" on their butts and replace them with...we'll figure it out later.

Are the air traffic controllers threatening to go on strike again? Strike them from the budget and let those planes just keep an eye out for each other. Each cockpit has 4 good eyes between the crew, they can use 'em.

Or, why not extend this to the private sector?

"Hello, boss? Yeah, I have a plan to replace my current work schedule/responsibilities with a much more efficient option. So I'm going to quit doing what I'm doing and when I've figured out my new scheme for greatly improved productivity, I'll come back into work."

"Hello, mortgage company? I've got a plan to pay you great heaping oodles of money, far more than you're making off me right now. So I'm going to quit paying my current mortage and I'll start making payments again when I've worked out the details on my alternative mortgage system."

It's brilliant! It's the wave of the future!

Posted - January 23, 2017

Responses


  • 32700
    Say it one more time.  Repeal and replace. There are 9 plans out there. One will be the replacement of OC. 
      January 24, 2017 4:48 AM MST
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  • 3934

    No, you say it 9 more times.

    "Four legs good, two legs bad!"

    https://en.wikipedia.org/wiki/Animal_Farm

    You don't seem to comprehend having 9 plans or 18 plans or 572 plans  to eventually maybe someday replace Obamacare does NOTHING to change the fundamental logic of the situation (and the premise of my question).

    If you prefer mindless slogan chanting to Type 2 cognition/formal operations, I recommend you stick to the classics...;-D....

      January 24, 2017 7:21 AM MST
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  • 32700
    Your question implies that they will repeal OC and replace it someday. President Trump has made it clear he wants no delay in coverage, he wants a seamless transition. 
      January 24, 2017 9:57 AM MST
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  • 46117
    How? 
      January 24, 2017 10:03 AM MST
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  • 32700
    He has stated it. How? By writing the new healthcare plan so it going in effect immediately. Just like my car insurance, my policy ends every year at July 31 at 12:01 am. My new policy begins at July 31 at 12:01am.....See a seamless transition from the old policy to the new one.
      January 24, 2017 10:23 AM MST
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  • 3934
    @m2c  -- Among your numerous cognitive failures appears to be a willingness to believe anything Der Pumpkinfurher says will be translated into action, when the empirical evidence suggests such congruence is rare, not common.

    Bleating, "four legs good, two legs bad"...er, "repeal and replace" doesn't make it so. ACTUAL LEGISLATION makes it so. So far, the ACTUAL LEGISLATION has been heavy on the repeal and VERY light on the replace.
      January 24, 2017 11:14 AM MST
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  • 3907
    Hello OS:

    The HARD part of replacing it, is keeping the GOODIES, and finding a way to PAY for them..  It's really a matter of math.. 

    The particular goodie I'm talking about is insuring people with pre-existing conditions..  I gather the Republicans plan is to put those people into a high risk pool, as if that solves the problem, and then they talk about something else..


    But, if you HAVE 4th stage cancer, and insurance companies can set their own rates, HOW much will your policy cost??  If the insurance company is based on PROFIT, your policy is gonna cost 100's of $1,000's a month.  How could it not?? Cancer treatment is EXPENSIVE..

    So, (1) either the patient pays, (2) the taxpayer pays, or (3) the person dies in the street..  IF there's another outcome, I wanna hear it.

    excon
      January 24, 2017 7:45 AM MST
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  • 3934
    @Excon -- You are preaching to the choir.

    I have personally been there. Prior to health care reform when I last tried to purchase health insurance on the private individual market, I could not find ANY insurer who would cover me for ANY price. Thankfully, I had some savings then which I was able to tap into to cover my relatively modest medical care expenses during that period.

    Over the past couple of years, I've been covered by Medicaid which, thankfully again, covered my greater medical care needs (esp. complications due to kidney stones).

    Naturally, the first pillar of the GOP plan to "replace Obamacare" is to cut Medicaid spending by 1/4 to 1/3 and covert the money to block grants to the states. So, instead of saying "Get people medical care. We'll help you pay for it", the feds are telling the states "Here's how much money you get. You figure it out."

    Gotta love those RWAMs. They're all heart...;-D...

    http://www.cbpp.org/research/health/medicaid-block-grant-would-slash-federal-funding-shift-costs-to-states-and-leave
      January 24, 2017 7:57 AM MST
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  • 3907
    Hello again, OS:

    Yes..  Let's hope we're not just conversing among ourselves..  I hear Trump reads AM, though. 

    So, under the Republican plan, if you live in, say Louisiana, and you get cancer, you're gonna DIE in the street..  But, if you live in, say San Francisco, you'll get treatment.

    That sounds like a WONDERFUL system..

    excon This post was edited by excon at January 24, 2017 10:00 AM MST
      January 24, 2017 8:08 AM MST
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  • 3934
    It IS a wonderful system...for retaining GOP hold on political power.

    I recently saw an article (which I wish I had bookmarked) featuring interal GOP communications during the period leading up to the ACA's passage. It was clear from their communications that whether health care reform would be effective or not was beside the point.

    For them, the point was no (Democrat-led) health care reform plan could be ALLOWED to succeed, because if it did succeed, then people would be grateful to the Democratic Party for making the health care system work better, which would cost the GOP votes.

    There's a reason I'm hard on right wing authoritarian Fs.
      January 24, 2017 8:55 AM MST
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  • 2960
    I heard there will be MUCH better things than Facebook and Twitter in the future. We should shut those down too to let those people get to work on creating them. 
      January 24, 2017 7:49 AM MST
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  • 3934
    Bravo! I hadn't thought about that angle.

    Yet another useful application of this brilliant RWAM principle...;-D...

      January 24, 2017 8:01 AM MST
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  • 46117
    I think they should replace Obamacare, etc., with a few public waystations.   They can be set up quite cheaply.   What they amount to is an easy way for those with no insurance, who cannot exist without medical care, to choose the end for a reasonable fee.   For a mere 25 bucks, you can get a lethal injection and save everyone the expense of keeping your carcass alive.

    Why pretend that the government gives one rat's patootie what happens to anyone who doesn't have a few million at least.

    Image and video hosting by TinyPic This post was edited by WM BARR . =ABSOLUTE TRASH at January 24, 2017 8:19 AM MST
      January 24, 2017 8:14 AM MST
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  • 3934
    Just in time for Trump's reelection campaign...;-D...

      January 24, 2017 8:58 AM MST
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  • 46117
    I finally have a purpose.  

    Dear Lord,
    I ask nothing more than to honor you and Trump by being part of a sandwich eaten by Der Orangepig to fortify his worthy bloated body to rule for as long as he shall live. 

    Sieg Heil and let's eat!



    https://video.search.yahoo.com/yhs/search?fr=yhs-mozilla-002&hsimp=yhs-002&hspart=mozilla&p=cabaret+my+heart+belongs+to+you+youtube#id=4&vid=920580b6f8061117234d472ad5cc0ade&action=click This post was edited by WM BARR . =ABSOLUTE TRASH at January 24, 2017 9:08 AM MST
      January 24, 2017 9:04 AM MST
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  • 2500
    Oh, come on now.

    You know full well that Congress has to vote anything having to do with healthcare (insurance) into law before we can find out what's actually in that law. We have precedent for that.

    And they have to call it something that has nothing to do with what's actually contained within that law. For example they could disguise it as something to, say, "protect the patients" and make healthcare "more affordable" while it actually makes it much more expensive and provides a windfall to the drug companies and healthcare insurance underwriters.

    But don't worry. you can be certain once the replacement is enacted healthcare costs will go down by 25% (which is a pretty easy trick because it more than doubled  for many people under the current law), and you can keep your doctor, that is if you still have a doctor. You probably won't want to keep the current healthcare insurance plan you have though, unless you have medicaid coverage that's been "re-branded" as part of the current law. 
      January 24, 2017 9:37 AM MST
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  • 3934
    @S and RP -- Nope, Medicaid is going to suck, too...;-D...

    https://www.nytimes.com/2017/01/22/us/politics/donald-trump-health-plan-medicaid.html

    Remember when all the RWAMs were whining how health care reform would result in "rationing?" Funny, I don't hear nearly as much complaining this time around even though rationing will be an inevitable consequence of block grants.
      January 24, 2017 11:18 AM MST
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  • 2500
    I can see your concern from that article as it would affect you directly (you did say in a previous post that you're insured under Medicaid coverage where you live but please correct me if that's wrong.) 

    But right now many people I know would be tickled to death to have that Medicaid coverage. That's because the insurance plans under the PPACA coddle those that won't, or can't work but severely punish those that do endeavor at a gainful employment pursuit. 

    For example, the best plans have, at face value, a $2,500 deductible for "in network" providers and another $2,500 deductible for out-of-network providers. (If you think every provider you see in an office or hospital participates in your plan then I have a bridge in New York I think you might be interested in buying.) And that's per person, not for a family. And that comes with a monthly premium of somewhere in the neighborhood of $2,000 or more per month. When you consider that the vast majority of people don't use $5,000 worth of healthcare annually, the coverage ends up being only for a catastrophic event (less painful at the beginning of the year but terrible if something happens that requires treatment bridging two years, or more. So that comes to $24,000/year for insurance that's pretty much useless unless something major happens. As a contrast before the PPACA I was paying quite a bit less than that for a "Cadillac" plan that had a $250-person/$750-family deductible that really did cover everything, including drugs.) 
     
    And did I mention that if that major event happens to the family breadwinner and that person can no longer work then the premium payments will likely have to stop and the coverage will be canceled at the end of the first or second month of illness. Then that family is looking at bankruptcy at that point anyhow. All that money that they paid for insurance is just a gigantic financial burden that they didn't need on top of their other financial burdens.

    Of course that's of no consequence to the Medicaid portion of the PPACA. Those people get a big stipend from the government to "pay" for their coverage. And that's on the backs of the people that are trying to work and do the right thing. Funny how that works, isn't it. 
      January 24, 2017 11:00 PM MST
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  • 3934
    @S and RP -- I agree. Some people got screwed by the ACA. Which is why I advocate for a public utility model for health care coverage. Everyone participates in the "insurance pool" via taxation. Everyone benefits regardless of ability to pay. Everyone saves because the public utility model eliminates the profit-seeker/care-denier class from the system.

    https://en.wikipedia.org/wiki/William_W._McGuire#UnitedHealth

    But, of course, that's TEH EBIL SOCIALISM, so RWAMs would rather people die in the street and pay health company executives multimillion dollar salaries then actually provide people health care.
      January 24, 2017 11:28 PM MST
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  • 3375
    THIS is one the biggest issues that has me so wound up.  I am blessed.  I have private insurance.  But I don't easily rest knowing that many, many American citizens are going to loose the ability to get decent coverage.

    I want universal care.  Period.  Everyone gets covered.  Private insurance can stop making huge profits off of people's health.
      January 24, 2017 10:03 AM MST
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  • 3934
    @Peapod -- No, that couldn't possibly work. After all, we don't run our police, our courts, our fire departments, our roads, our parks, our canals and ports, our energy/water/sewage utilities, or anything else like that.

    Oh, wait!...;-D...
      January 24, 2017 11:20 AM MST
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  • 2500
    Why, our very own Veterans Administration is a shining example to the success of such a system. And if you don't think that's a good example look at where the healthcare system is right now in, say,Venezuela. A real crackerjack of an idea, or maybe not . . . 
      January 24, 2017 11:03 PM MST
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  • 3934
    @S and RP -- No, the VA is shining example of what happens when we try to provide health care to selected high-risk segment of the population instead of averaging their costs with the young/healthy/lucky.

    If someone tried to run an auto insurance company whose clientele consisted entirely of drunks, demented elderly, and people with mulitple at-fault accidents in their driving records, would you be surprised if the company struggled to keep costs in check while servicing its clients? Of course not.

    Meanwhile, you bringing up Venezuela, that's just you yelling, "TEH STOOPID EBIL LIBRUHLZ IS STOOPID...AND EBIL!" in dog-whistle code.

    Per the World Health Organization, the best health care systems in the world:


    1 France
    2 Italy
    3 San Marino
    4 Andorra
    5 Malta
    6 Singapore
    7 Spain
    8 Oman
    9 Austria
    10 Japan

    37 USA

    54 Venezuela

    If you're complaint is the US health care system is much closer to Venezuela's than France's, despite spending about double the world average per capita on health care, then we're in agreement. But, as noted above, I suspect your motive lays elsewhere.
      January 24, 2017 11:37 PM MST
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