Supreme Court gives Obama second big health care win in ruling upholding nationwide subsidies

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  1. If one is “too poor” there have always been programs to help them.
  2. Secondly, shouldn’t we work on the underlying issues of why one is “too poor” rather than screw everyone else over?
Well, there was more to it than helping the poor. Remember, one of the issues is hard-working folks, even middle or upper class, with ‘pre-existing conditions’. They fell through the cracks due to completely commercial insurance doing risk analysis and refusing to insure them. ACA tried to make those folks more affordable by forcing young folks into the system who’d previously chosen to risk not having any. Same type of issue with subsidizing current with future, but if the budget balances out it’s ok— and future/young can count on the some safety net themselves in the future.

Hey-- if the ACA had enough young folks who didn’t need healthcare signing up to fully cover everyone-- great.( ETA: or other funding mechanism in terms of an additional tax. What happened with the medical device tax, is that still in there? Or did we bump the bill yet again to other folks instead of ourselves by eliminating it?)
If universal single-payer did the same I.E. we pay for our poor/sick vice foisting it on the future, I may be skeptical of government run but I’m willing to go along if that’s how we vote.

Also the issue of folks ‘gapped’ between jobs not being able to keep their current insurance long enough until they were covered under their new job. ETA: and again, pre-existing becomes an issue. Folks who dutifully paid insurance premiums when the condition occurred were dumped off those policies, but often couldn’t gain coverage at the next job. (If you’re interested, this is what’s behind the ‘Service Disabled Veteran’ classification in the US. Not about whether a member was injured in combat, it is establishing whether they have a pre-existing condition the VA will treat if the service member can not get covered after leaving the service).

A lot of issues were driven by transitioning to requiring employers to provide insurance and developing that as the norm. It drove the market to increasing costs on individual policies making them far less affordable, and only providing tax incentives to companies vice individuals-- again making it less affordable for marginally employed, or employees of small businesses.
 
One wonders what healthcare “should” cost. Amish don’t believe in insurance. I have seen them in the doctor’s office. They pay in greenbacks, request a discount and get it. It’s worth it to the provider because it’s so simple for them.

What if Obamacare had not outlawed “catastrophic only” insurance, and if states didn’t put minimums on deductibles by fiat. What would my insurance cost if I could have, say, a $20,000 deductible and a medical savings account besides, to build up that deductible?

I believe most people could pay for their own care most of the time, especially if they paid it in actual money at the point of service.

The way it turned out under Obamacare is that some people pay nothing or virtually nothing for insurance that’s otherwise very expensive and covers things people could pay for themselves. Some people pay huge premiums and have really large deductibles and co-pays besides for the very same insurance. All Obamacare is, is an income redistribution among the middle class.
It is only going to get worse in the coming year.Families will be faced with deductibles in the stratosphere,premium costs to match and rationed care in crowded offices.Oh,yeah,gotta love it!:rolleyes:
 
It is only going to get worse in the coming year.Families will be faced with deductibles in the stratosphere,premium costs to match and rationed care in crowded offices.Oh,yeah,gotta love it!:rolleyes:
You’re both right, of course. And it sadly appears Jonathan Gruber was right as well
 
You’re both right, of course. And it sadly appears Jonathan Gruber was right as well
Gruber wasn’t totally right. As I recall, Obamacare was never very popular with the people of the U.S., not even when it was before Congress. It was enacted at the height of Democrat power, when the opposition had no say about anything and Democrats were willing to vote for something of whose contents they were almost uniformly ignorant. At that point in time, Obama, Pelosi and Reid had the Dem party so firmly controlled that they would pass just about anything. Even at that, Reid had to change the Senate rules to get it done.
 
It is only going to get worse in the coming year.Families will be faced with deductibles in the stratosphere,premium costs to match and rationed care in crowded offices.Oh,yeah,gotta love it!:rolleyes:
My widowed sister has to pay for individual insurance for her two children. The cost has simply skyrocketed since Obamacare, both the premiums and the deductible. The deductible make it like a catastrophic policy and yet they are paying through the nose while also paying for most of their own doctor bills.
 
I believe most people could pay for their own care most of the time, especially if they paid it in actual money at the point of service.
Including a $3,000 ER visit? And what about chronic problems? Medications?
 
Meh. The whole ACA thing is just a desperate attempt to keep a dying private, employer-based health insurance system alive. Eventually, we’ll do what the rest of the civilized world does and go single-payer, but not until the whole rotten edifice collapses. :mad:
The ACA is a tyrannical attempt to seize control of health insurance and hospitals,and was concocted by the same kind of people that mandated employer-based health insurance,that is,socialists. The ACA is intended to destroy private insurance and force people onto government insurance.

There is no wisdom in government-paid health insurance. It gives the government control over the treatment that people get and thus it gives the government control over people’s lives.
 
Most insurance policies pay for abortion now, so there is nothing unique about single payer that has anything to do with abortion. One can be in favor of single payer and against abortion. We have many of those types of people in the US, they support Medicare which is single payer and are against abortion.
In single payer the government is paying for the abortion. We as citizens must not tolerate that. You are just shrugging your shoulders and letting babies die.
 
In single payer the government is paying for the abortion. We as citizens must not tolerate that. You are just shrugging your shoulders and letting babies die.
Why do we tolerate private insurance companies paying for abortion? I really don’t see a difference here.
 
The supreme court has caused far too much damage with their crony style Judicial Activism. This is so out of control and so biased its beyond ridiculous.

Really, a good first step would be to contain their power to within governmental constructs and end their ability to dictate social normalities. Obamacare should have never touched the Supreme Court because the insurance policy deals directly with individual Americans and is not a problem between two States. Roe vs. Wade and gay marriage are also issues that are the responsibility for states to decide on. However when two State Governors disagree on the rights of a shared body of water or interstate highway construction -THATS what we need a Supreme court for…

…But the Supreme Court has has neglected to express ‘Judicial Restraint’, which they are trained to practice as professionals. Instead they illegally practice ‘Judicial Activism’ in order to further their own personal political preferences.
 
Why do we tolerate private insurance companies paying for abortion? I really don’t see a difference here.
Because when the SCOTUS stamp their approval, it becomes common law. Private insurance now MUST, equally, provide it.
 
In single payer the government is paying for the abortion. We as citizens must not tolerate that. You are just shrugging your shoulders and letting babies die.
In theory, the Hyde Amendment forbids government money paying for abortions. It is normally passed as part of the budget, however, and if they don’t pass the budget…
 
Essentially, the whole idea of obamacare destroys the fabric of this country by muddying-up the role of government institutions.
 
Essentially, the whole idea of obamacare destroys the fabric of this country by muddying-up the role of government institutions.
I am not sure how Obamacare destroys the fabric of this country anymore than medicare, social security, unemployment insurance, food stamps, etc.
 
Some people’s perception of the health care system hasn’t changed since the days of purchasing salves from traveling wagons.
Well, we know retirement money via social security was instituted prior to healthcare. I guess we change our priorities from time to time for whatever reason… Maybe we should consider ‘restraint’ as a positive governmental concept rather than a nasty conservative value.
 
I am not sure how Obamacare destroys the fabric of this country anymore than medicare, social security, unemployment insurance, food stamps, etc.
Exactly. All progressive, short sighted ideas that should never touch the desk of the Supreme Court… Because the Supreme court is too binding. It weaves ideas into the fabric, which makes it very, very hard to remove later on should it prove to be a failure.
 
Well, we know retirement money via social security was instituted prior to healthcare. I guess we change our priorities from time to time for whatever reason… Maybe we should consider ‘restraint’ as a positive governmental concept rather than a nasty conservative value.
Some the unnecessary big government bureaucracy that is created first is fine, but it is the next one that is created that is bad?
 
Including a $3,000 ER visit? And what about chronic problems? Medications?
Well, why should an ER visit cost $3000.00 to begin with? I notice that the ER staff over-treat as a norm. In Mexico, I hear treatment is much cheaper. But they dont do catscans as procedural for tummyaches. 🤷
 
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