By using this site, you agree to our Privacy Policy and our Terms of Use. Close

Forums - General - Obama Health care plan.

Kasz216 said:
Lord Flashheart said:
It's not in there.
I asked it ages ago.
Why don't Yanks want this healthcare bill. The only reasonable answer has been the cost but then they use the cost of current insurance and medicaid as proof that this proposed as unyet implemented completely new system will cost more.

Their scare-mongering doesn't convince me.
Here's a new question as that seems to be too dififcult are there any posters on here who want this and why?
All we've had is Fox news hysteria so I would like to hear fromm the other side. If they feel comfortable answering will people let them without blindly attacking them for their point of view?

There is an easy way to show it without "scare mongering."

1) There are no real price controls in the bill.

2) It makes a law so that insurance comapnies can't deny coverage to anybody and has to charge these people the same price as everybody else.  So a perfectly fit 40 year old who takes care of himself has to pay the same amount as a 40 year old who smokes 5 packs a day and a 40 year old who has a congential heart defect and diabetes.

Since insurance companies only make about an 8% profit margin... this means all of those costs are going to have to be pushed on to the currently insured consumers.   

 

Health Insurance costs so much because Hospitals charge so much.  Hospitals charge so much because Doctors demand to be paid so much.  Doctors demand to be paid so much because medical school costs so much and your debt only rises because after you go to medical school you have to intern for a long time and the interest piles up.


In america 30 is about the earliest you'll end up beign a real doctor making "big money" that's going to pay off yoru hundreds of thousands of dollars of school loans.

 

In otherwords... you can't make healthcare affordable when there isn't anything to target.  Unversity prices are rapidly rising at ridiculious rates.

The bolded isn't true. Costs do not directly imply prices. With something like medication, most of the price comes from scarcity. Allowing more migrant workers to work as doctors and nurses will be far more effective at wage suppression than reducing the cost of medical education in America. As an example of this, training to be a doctor/nurse in the UK is free under the NHS, and yet a large chunk of our doctors and nurses are migrant workers, because free education simply wasn't enough to keep doctor/nurse wages down in the UK.



Around the Network
SamuelRSmith said:
Kasz216 said:
Lord Flashheart said:
It's not in there.
I asked it ages ago.
Why don't Yanks want this healthcare bill. The only reasonable answer has been the cost but then they use the cost of current insurance and medicaid as proof that this proposed as unyet implemented completely new system will cost more.

Their scare-mongering doesn't convince me.
Here's a new question as that seems to be too dififcult are there any posters on here who want this and why?
All we've had is Fox news hysteria so I would like to hear fromm the other side. If they feel comfortable answering will people let them without blindly attacking them for their point of view?

There is an easy way to show it without "scare mongering."

1) There are no real price controls in the bill.

2) It makes a law so that insurance comapnies can't deny coverage to anybody and has to charge these people the same price as everybody else.  So a perfectly fit 40 year old who takes care of himself has to pay the same amount as a 40 year old who smokes 5 packs a day and a 40 year old who has a congential heart defect and diabetes.

Since insurance companies only make about an 8% profit margin... this means all of those costs are going to have to be pushed on to the currently insured consumers.   

 

Health Insurance costs so much because Hospitals charge so much.  Hospitals charge so much because Doctors demand to be paid so much.  Doctors demand to be paid so much because medical school costs so much and your debt only rises because after you go to medical school you have to intern for a long time and the interest piles up.


In america 30 is about the earliest you'll end up beign a real doctor making "big money" that's going to pay off yoru hundreds of thousands of dollars of school loans.

 

In otherwords... you can't make healthcare affordable when there isn't anything to target.  Unversity prices are rapidly rising at ridiculious rates.

The bolded isn't true. Costs do not directly imply prices. With something like medication, most of the price comes from scarcity. Allowing more migrant workers to work as doctors and nurses will be far more effective at wage suppression than reducing the cost of medical education in America. As an example of this, training to be a doctor/nurse in the UK is free under the NHS, and yet a large chunk of our doctors and nurses are migrant workers, because free education simply wasn't enough to keep doctor/nurse wages down in the UK.

When your 30 and you've got 300,000+ worth of loans... this does tend to raise costs quite a bit.

Current US laws when it comes to importing doctors are pretty strict i believe.  Making them go through a lot of retraining anyway... which will cost a lot of money.



Lord Flashheart said:
So what do you make of this?
http://news.bbc.co.uk/1/hi/8160058.stm
We would need to know how much of that 2.2trl was spent buy the gov and not private spending and see if it's more expensive than the proposed cost of the reform.
A lot if it does seem to have some good plans i.e. tackling waste fraud and abuse. We need to do that in the NHS.
Too much red tape and managers. Bring back the matrons.
The plan doesn't seem that bad. It seems those with health care are worried about having to pay too much and that seems to come from the republicans.

Actually that 753 billion is being spent even if the healthcare bill passes.

The proposed cost of the reform is just adding on top of that 753 billion.


As for the waste and fraud stuff... that isn't a very major part of the bill.  It's actually the part the Republicans wanted as well.  It's really probably the only part of the bill that should pass.  It's however not as significant as people think it is.

It's basically guesswork based on how much doctors can be bribed into cutting down on readmissions and hoping that the 250 billion extra they put towards finding fraud catches a LOT of fraud.

 



Lord Flashheart said:
So what do you make of this?
http://news.bbc.co.uk/1/hi/8160058.stm
We would need to know how much of that 2.2trl was spent buy the gov and not private spending and see if it's more expensive than the proposed cost of the reform.
A lot if it does seem to have some good plans i.e. tackling waste fraud and abuse. We need to do that in the NHS.
Too much red tape and managers. Bring back the matrons.
The plan doesn't seem that bad. It seems those with health care are worried about having to pay too much and that seems to come from the republicans.

Actually that 753 billion is being spent even if the healthcare bill passes.

The proposed cost of the reform is just adding on top of that 753 billion.  94 billion.

Not counting the rate increases that would occur in the private sector.


As for the waste and fraud stuff... that isn't a very major part of the bill.  It's actually the part the Republicans wanted as well.  It's really probably the only part of the bill that should pass.  It's however not as significant as people think it is.

It's basically guesswork based on how much doctors can be bribed into cutting down on readmissions and hoping that the 250 billion extra they put towards finding fraud catches a LOT of fraud.

 



SamuelRSmith said:

The bolded isn't true. Costs do not directly imply prices. With something like medication, most of the price comes from scarcity. Allowing more migrant workers to work as doctors and nurses will be far more effective at wage suppression than reducing the cost of medical education in America. As an example of this, training to be a doctor/nurse in the UK is free under the NHS, and yet a large chunk of our doctors and nurses are migrant workers, because free education simply wasn't enough to keep doctor/nurse wages down in the UK.

I disagree. There are only so many migrant doctors you can acquire at any given time in the US. Lets not forget that the US pays its doctors 40-50% more than the UK does...Those are costs that are wrapped up in education, and bonuses for becoming a doctor (much in the same way that hospitals usually offer a $10,000 bonus to nurses that join their hospital...Look in any nursing journal in the US for proof) and the demands the US places on the doctors. We have a lower per-capita number of doctors than most of the top-tier nations do, which correlates to a higher demand of services (throw in the fact we're rather unhealthy in comparison to other countries, and its a double whammy).

@Lord Flasheart -

So is that all the providers will have to charge the same for equivilent policies?
Isn't part of the problem with that that they would have to get enough people to sign up and if they don't then they go out of business?

I understand the need for price controls. Too cheap to undercut the rivals and you wont have enough money to cover the hospital charges. Too much and you price yourself out of the market. No regulation and they will charge whatever they want. If this bill doesn't have any price controls then that is a good enough reason not to want that part of it but does that one bit which can be amended spoil the rest of the bill?

The problem is that the whole point of the bill (at least from the point of constituent wants) is that people are paying too much money for health care. Not about the lack of coverage, but the vast, and I mean vast majority of complaints is that health care is too expensive. If the bill doesn't tackle the cost of health care....Then what was the point of the bill? Yes, it covers more people and looks to do some things through medicare, but if it doesn't fix prices in the 2,370 page bill then what was the point of it?

For example, I have a health care program through my job. It costs about $300 a month, and my employer pays most of it. This bill will reduce my costs by $0 and my employer costs by $0. The bill doesn't reduce costs for those already on private plans. It helps some uninsured, does nothing for those on private plans, and hurts those on higher end plans through a 2.5% tax.

Will it drive cost up? No-one has explained why yet.
It seems that at the moment a lot of people can't afford insurance as it's too expensive for them and the supposed cheap alternative is simply that. Cheap all round. I can see why people wouldn't want the US gov to control the spending if the money came from taxes but to have the money coming in from so many different sources can't be good for the system either? How much money is spent in administration charges by the hospitals jsut getting the money?

Lets explain this:

The USA spends a significant amount of money to cover the number of people that are currently insured, or get health care services. If we have an increase in the numbers of insured people (which the bill is supposed to do) without reductions in the cost of care, then we will increase the amount of spending to cover new people, which results in an overall increase in the cost of health care. America spends 17% of its GDP on health care, give or take. This bill will not drop that overall percentage, and will most likely increase it due to ~32 million extra Americans being insured.


And what about the policies themselves? will they cover more for the same price as point 2 indicates.
You answer so far has been the most reasonable reason as to why you don't want it but to me it's not a good enough reason to throw it all out . I'm going to go and read up on the bill itself to find out more about it.

No. They don't cover more people for the same amount of money. That is the problem. It doesn't solve the problem that the average cost per private insurance recipent. It just puts more people on it medicare, and taxes employers who don't provide health care, and taxes high-end health insurance provided by some companies. The goal of the program is more access, not affordability. I haven't read any significant part of the bill that states what activities it will undertake to reduce overall expenditures on health care - just reduce some costs in Medicare.

 

 



Back from the dead, I'm afraid.

Around the Network
Lord Flashheart said:
So is that all the providers will have to charge the same for equivilent policies?
Isn't part of the problem with that that they would have to get enough people to sign up and if they don't then they go out of business?


I understand the need for price controls. Too cheap to undercut the rivals and you wont have enough money to cover the hospital charges. Too much and you price yourself out of the market. No regulation and they will charge whatever they want. If this bill doesn't have any price controls then that is a good enough reason not to want that part of it but does that one bit which can be amended spoil the rest of the bill?

Will it drive cost up? No-one has explained why yet.
It seems that at the moment a lot of people can't afford insurance as it's too expensive for them and the supposed cheap alternative is simply that. Cheap all round. I can see why people wouldn't want the US gov to control the spending if the money came from taxes but to have the money coming in from so many different sources can't be good for the system either? How much money is spent in administration charges by the hospitals jsut getting the money?

And what about the policies themselves? will they cover more for the same price as point 2 indicates.
You answer so far has been the most reasonable reason as to why you don't want it but to me it's not a good enough reason to throw it all out . I'm going to go and read up on the bill itself to find out more about it.

1) Yeah that's the problem really.  All the providers have to charge the same for equivelent polices regardless of health, meaning once the unhealthy enter the market... the insurance prices are going to go up.   The bigger the insurance company you are, the better off you are because that price is going to be spread out more.   The smaller insurance companies might just be run right out of buisness though.  It's going to decrease competition instead of increase it.  Which will drive costs up

2) The problem with it is... it's targeting insurance companies.  They aren't the problem.  They have low profit margins.  It's everyone else who is a problem and they aren't going to lower their prices to keep insurance comapnies in buisness.  Also, the government isn't ever going to go after big pharmcuticals... one of the reasons their is absolutely NO drug price controls in this bill is because well... they own democrats.  Republicans too but they aren't in power right now.  Drugs are a big way we could cut costs for stuff... allowing people to buy in canada, getting rid of the stupid loophole that lets you renew patents because you discovered a new thing the same drug could treat... etc.

4)  The administration costs are going to be the same.  This isn't actually changing HOW healthcare works.  It's just the government is going to give a bunch of people money to buy health insurance, and everyone is going to be forced to buy it or pay 700 dollars.   As for why it would raise costs... I did explain that.  Those who didn't have health insurance because of conditons will come in and drive up the costs for everybody.  These are people who couldn't be insured under their profit margins because they were too risky.  In otherwords... they're going to have to not only raise rates for everybody, but raise their profit margin... so instead of making 8% off people they're going to have to make 10-12%

4) No, quite the opposite.  It's likely that it will cover less for the same price do to the reasons mentioned above.  The only difference is, the government will be paying more in subdisies.  Likely more then they expect.



If your really that interested in reading it though... they've got the bill here.

http://www.opencongress.org/bill/111-h3200/text

I've read it... though not that fun of a read.  It's 3000 pages and the summary is only semi helpful.

It's fun to note that only 22% of the people who bothered to read the bill are for it... and 78% are against.

It should give you an indication of how much people have faith in the bill.



Actually stickball, according to an Obama interview that money taken away from Medicare... is being spent back on medicare.

It's just they're closing down the plan that gives old people assistance to get better health insurance if they don't want medicare and are willing to pay some on top of what medicare insurance "costs" the government.

In otherwords they're cutting Medicare part C.

Except in Florida... because Flroida democrats wouldn't vote for it otherwise.  So... Medicare part C old people in 49 of the 50 states are being screwed.

 

Edit: No they got rid of that... and added in legislation that would make Student loans ONLY come from the government... except for One bank in North Dakota.

I'm guessing because they needed votes from North Dakota... that's the oddest one yet.



Along with this other stuff needed to bribe specific states.

* Retains $300 million in extra Medicaid aid for Louisiana, which had helped win support for the Senate health bill from Sen. Mary Landrieu, D-La. The state is still struggling to recover from Hurricane Katrina.
* Keeps $100 million included in the Senate bill that is expected to go for a public hospital in Connecticut sought by Dodd, who is retiring.
* Preserves language won by Baucus permitting many of the 2,900 residents of Libby, Mont., to qualify for Medicare benefits. Some of them have asbestos-related diseases from a now-shuttered mine.
* Provides an additional $8.5 billion over the next decade for 11 states and the District of Columbia to help them pay for the more generous Medicaid assistance they have been providing low-income residents. These states are Arizona, Delaware, Hawaii, Maine, Massachusetts, Minnesota, New York, Pennsylvania, Vermont, Washington and Wisconsin.
* Maintains a Senate-approved provision giving extra money for hospitals and doctors in North and South Dakota, Montana and Wyoming.


How come Ohio doesn't get any bribing... I mean we're THE swing state. Well you I guess. I'm in Nevada now.  It's sad they can't even make a uniform bill and have to bribe states.  Forget universal... we can't even get even healthcare across the states from the government.



OK guys. A lot of good responses there that I will have to reply to later. Bloody Catalans just scored against Crusaders. Hopefully I (and maybe others) will get something from that.

 

I will say one thing.

$300 a month just in health care? I doubt I pay £300 a month for all my taxes. That is the issue I have with so many different ways of paying for your health care. you're paying too much and not getting the appropriate cover you should for that much cost. Paying so many different brokers just to use the same service is going to drive cost up. I understand you want choice but that it seems is what you're paying for.