Supreme Court Ruling on Health Care

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irishpatrick said:
The amount of money that ACA will actually require will help push the USA over the bankruptcy cliff…we cannot even properly fund Social Security.

I have heard that not only will taxes go up to cover the ACA in 2014 when it really kicks in, but the left is pushing to get the so-called Bush tax cuts expired–that would mean the middle class would take back-to-back major tax increases, and do not fool yourself into thinking that won’t happen. When you have trillions of new spending to do, it has to come from somewhere.

We desperately need to reduce spending–yet we are going the other way, and none of us could do that in our own personal budgets.
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From the Reichwingers at WaPo
Did the Supreme Court just make the Affordable Care Act much less affordable?
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The calculations are complex, and the nonpartisan Congressional Budget Office has said it will need some time to review the situation. But an early back-of-the-envelope analysis by a former CBO director suggests that Thursday’s ruling could sharply raise the cost of President Obama’s signature legislative achievement…
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washingtonpost.com/business/economy/supreme-court-ruling-could-boost-the-cost-of-health-care-reform-ex-cbo-chief-says/2012/06/29/gJQAMXlbBW_story.html
 
seekerz said:
I’m sorry you had to go through that. Imagine if we all had access to insurance companies which reimbursed at similar rates. Who would the providers drop us for?
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Who said they would provide. They may either drop out or require cash up front and tell you to recover from your insurance co. Some doctors already said they are quitting practice when this kicks in. So we’ll see. :popcorn:
 
seekerz said:
What point? The government isn’t some autonomous entity with unlimited power - it belongs to the people. You know, as in government of the people, for the people, by the people?

This whole ‘big government’ argument drives me crazy. It’s like being scared of a corporation in which you own majority shares - unless of course, you don’t…then it gets really interesting.
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👍
 
irishpatrick said:
The amount of money that ACA will actually require will help push the USA over the bankruptcy cliff…we cannot even properly fund Social Security.

I have heard that not only will taxes go up to cover the ACA in 2014 when it really kicks in, but the left is pushing to get the so-called Bush tax cuts expired–that would mean the middle class would take back-to-back major tax increases, and do not fool yourself into thinking that won’t happen. When you have trillions of new spending to do, it has to come from somewhere.

We desperately need to reduce spending–yet we are going the other way, and none of us could do that in our own personal budgets.
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Are you responding to my post or did you just reflexly hit the QUOTE button? Just asking because my response was to a concern over medical providers dropping people with insurance. Nothing related to what you posted.
 
EmperorNapoleon said:
Why do you think that? Much fewer people will go to the ER with common conditions treatable by a much cheaper family physician now that they will have insurance.

Actually modern Europe is a perfect example of how well this system works. Far fewer deaths due to amendable conditions and higher life expectancy than the United States.
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Because I see it happening. Doctors are dropping insurance companies instead of taking the low payments and they are only taking a certain number of patients with medicare/medicaid or none at all.
 
seekerz said:
Are you responding to my post or did you just reflexly hit the QUOTE button? Just asking because my response was to a concern over medical providers dropping people with insurance. Nothing related to what you posted.
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Must have mis-posted. Sorry.
 
Dawnia said:
Because I see it happening. Doctors are dropping insurance companies instead of taking the low payments and they are only taking a certain number of patients with medicare/medicaid or none at all.
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If these doctors are in the profession just to make money then I’ll be sure to remind them not let the door hit them on the way out. I wouldn’t go to a physician who views me as a dollar sign with legs rather than a person. If what you say comes to pass, and I doubt it will, it would be the most efficient way to rid the system of fortune hunters masquerading as medical practitioners.
 
seekerz said:
And when the majority of people have insurance, where will that take them but over the bankruptcy cliff?
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The majority of people already have insurance. That isn’t stopping doctors from shaking off insurance that has low reimbursement rates.
 
EmperorNapoleon said:
If these doctors are in the profession just to make money then I’ll be sure to remind them not let the door hit them on the way out. I wouldn’t go to a physician who views me as a dollar sign with legs rather than a person.
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Yes, they spend innumerable hours studying and hundreds of thousands in tuition debt just to make sure your needs are met.

But I would like to cut all pay and put Congress and the WH on the same insurance plans, and apply your sentiments.
 
stevegravy said:
Code: 
 Who said they would provide. They may either drop out or require cash up front and tell you to recover from your insurance co. Some doctors already said they are quitting practice when this kicks in. So we’ll see. :popcorn:
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Drop out of what the profession? Honestly, the average practice around here can hardly get the bill out to you within 3 months of a visit? What will they do, quit and join the unemployed? Seriously. :rolleyes:
 
EmperorNapoleon said:
If these doctors are in the profession just to make money then I’ll be sure to remind them not let the door hit them on the way out. I wouldn’t go to a physician who views me as a dollar sign with legs rather than a person.
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Man are we a little judgie aren’t we? You think some kid is going through 4 years of Med school accumulating 250-300 thousand dollars debt. A four year residency with a 40 thousand a year stipend, followed by 2-6 years fellowship also stipend only to be told they should be working for gratis.
By the time, my kid actually starts earning a doctors salary we are expecting her to be 500 thousand dollars in debt. She better have patients who look like walking dollar signs with legs because I ain’t paying off her loans.
 
stevegravy said:
Man are we a little judgie aren’t we? You think some kid is going through 4 years of Med school accumulating 250-300 thousand dollars debt. A four year residency with a 40 thousand a year stipend, followed by 2-6 years fellowship also stipend only to be told they should be working for gratis.
By the time, my kid actually starts earning a doctors salary we are expecting her to be 500 thousand dollars in debt. She better have patients who look like walking dollar signs with legs because I ain’t paying off her loans.
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Oh, so your argument now is that the ACA should not be allowed to lower health costs because doctors have loans?
 
stevegravy said:
Man are we a little judgie aren’t we?

Not really. Medicine is supposed to be a selfless profession as exemplified by the Hippocratic Oath. Tuition costs are a different issue entirely. If you make the commitment to become a medical practitioner then you’re making a commitment to society not to your own financial interests. It is a profession heavily regulated by ethical requirements and legal obligations surpassing the needs and wants of the practitioner.
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seekerz said:
The health care market is unlike any other market. Choosing to pay-out-of-pocket? Are we having a serious discussion or crafting fairy tales?
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Only people who live in fairy tale land believe that the Health care market is something “special”

It’s not…it is no different than the insurance market or the housing market. Everyone needs shelter the same way they need health care, and insurance is there to aid in catastrophies.

Yeah it’s a serious discussion, when you see that the rate of increase in Health Care spending increased when the amount of people using 3rd party payers to pay for Health care increase and single-payer has done very little stemming the increases in health care spending.

Is it any wonder that tuition costs are at its highest when access to college is at its highest through 3rd party payers? 🤷
 
seekerz said:
Who’s robbing from anybody? Some people are getting insurance coverage who didn’t have it before and some people are scared they might lose their freedom to choose their doctor. What’s the comparison?

I had private insurance through a large employer and from one year to the next, I was forced to change my doctor because the employer changes insurance companies. Nobody asked me, I had no vote. I had to do what I was told: choose a new doc. These things are not new, but they become oh, so horrific when GOVERNMENT does it. Big deal.
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Patently false. You DO have a vote.

You are free to pay out of pocket, find another insurance provider (and pay the premiums yourself), or find another employer.
 
EmperorNapoleon said:
Not really. Medicine is supposed to be a selfless profession as exemplified by the Hippocratic Oath. Tuition costs are a different issue entirely. If you make the commitment to become a medical practitioner then you’re making a commitment to society not to your own financial interests. It is a profession heavily regulated by ethical requirements and legal obligations surpassing the needs and wants of the practitioner.
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Tell that to the banks.
 
seekerz said:
Drop out of what the profession? Honestly, the average practice around here can hardly get the bill out to you within 3 months of a visit? What will they do, quit and join the unemployed? Seriously. :rolleyes:
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Well, this is antidotal but I know one doc. Who shut down his office to become a drug rep. Gets paid to make high level presentations at conferences. Much happier he says no account collectables, no negotiating payment with un-employed folks, no office staff to manage. 🤷
 
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