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Forums - General Discussion - US Senate Passes Obama health bill

Mr Khan said:
Sqrl said:

While I agree with the majority of what you're saying I don't think perfection is a reasonable requirement for legislation (or really even defineable).  I do agree however, and I think you probably meant this, that they should be striving for perfection when crafting their legislation.

That's the mess of politics, when one side or the other (or both) are determined to not really do anything but try and spite the other side, you have to fight like hell for all but the most basic stuff, and it still ends up coming out lopsided

 

which means that yes, the Republicans are largely to blame for this, as are the Blue Dog democrats (who are going to get broiled in the upcoming primary elections for this, i think). But it isn't a quality endemic to Republicans or lacking in Democrats, that's just the nature of a disgruntled opposition party in general, and it's a decent tactic politically. Do the most you can to upset the other side's efforts, and then claim that the other side has been failing to act

I'm sorry, I just don't know how you can buy into that....

Both the blue dog democrats and the republicans were literally and figuratively LOCKED OUT of the discussion on what would be in this bill.  When you're locking people in your own party out of the room the problem isn't with their obstructionist approach, its with your elitist attitude to crafting the bill.

Don't take my word for it though, believe Obama:

 

 

"Not negotiating behind closed doors, but bringing all parties together and broadcasting those negotiations on C-SPAN so that the American people can see what the choices are.  Part of what we have to do is enlist the American people in this process." 

- Obama (CNN Debate '08)


"I would put my plan forward and I would welcome input and say here are my goals...reduce cost, improve quality, ..uhh...coverage for everybody.  If you have better ideas please present them.  But these negotiations will be on C-SPAN, and so the public will be part of the conversation and will see the choices that are being made.  So if a memeber of Congress is carrying water for the Drug Companies and says "Well we can't negotiate for the cheapest availabel price on drugs because we need the money for R&D research", well we'll have a discussion right there in front of the American people about the fact that the drug companie's do need profits but their also spending a bunch of it on marketing television ads where nobody even knows what the drug is for.  Uhm....that builds in accountability into the system, because now that congressmen is put on the spot.  And I would not underestimate the degree to which shame is a healthy emotion and that you can shame congress into doing the right thing if people know what's going on."

- Obama (Healthcare Presser - San Fran Chronicle - '08)

 

 

 

When Obama argues that the process needs accountability, lays out a plan to bring accountability, later finds out he will have total control of the process, and then abandons accountability....how does that not raise a red flag?  How can anyone who claims to actually represent their district vote yes on a bill they had no input on and have not actually had time to fully read giving it specific attention to how the bill would effect the people they represent? 

I'm sorry but I think voting no on this bill, the way it was handled, the way its being forced, is the only reasonable and intellectually honest thing that an elected official can do.  If this exact same bill with the exact same language came up under circumstances where everyone had input, there had been ample time to revise it, and no bribes were required to secure votes then your argument would stand up a lot better, but that is simply not the case here.

 



To Each Man, Responsibility
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Well if Obama keeps his word, he wont sign it. Now comes the point where you merge the two bills, and in doing so, it's going to cost a LOT more. The only way you can get both to sign it, is to keep all the pork in it.

Signing it is political suicide. The reasons why:

  • It has to be budget neutral or he lied.
  • He said no raise in taxes for anyone making less then 250K. This taxes people making 200K (and in a lot of ways, it taxes everyone).
  • It taxes people with great insurance, and that's all the unions. They won't be happy.
  • and most importantly, 75% of the people of the United States don't want this bill.
  • If he signs this bill, he loses in 3 years. He knows this.


When the 1,500+ page bill hits his desk, it will be interesting to see what he does.



Jackson5050 said:
Kasz216 said:Something like 10 million people who qualify for Medicaid are currently not on Medicaid.

When you actually do the numbers on who the uninsured are... you could accomplish just as much for the people who want insurance by a medicaid information campaign, a slight medicaid expansion and a few minor laws.

Without forcing a large number of people who don't have insurance via personal choice.


If you actually go over that ~35 million number(since they are removing the illegal aliens) by looking at the actual report you'll be surprised how many of those people actually need help getting insurance.  Not that many.

A LOT of it is medcaid under report,  a lot of it is people in the 3rd and 4th quartiles, a lot of it is people who qualify for medicaid but don't take it... etc. The numbers are very easy to breakdown, it doesn't take more then 15 minutes or so.  I've already done it on these boards once before.  You should check it out.

Yes, that is a major reason why ~4% of legal residents will not have health coverage after the bill takes effect. ~60% of those eligible for Medicaid currently do not sign up and some will not sign up after the bill. However, that is accounted for in the estimated ~18-24 million Americans who will remain w/out health care after the bill takes effect. The number who gain insurance does not include those who are currently eligible for Medicaid but do not sign up for it thereby "cooking" the numbers. Depending on the version of the bill, a large number of those who will gain coverage do so from the expansion of Medicaid. Another significant portion will gain coverage from receiving subsidies through the exchange(s)-up to 400% of the poverty level. Granted, not every person who gains coverage will be someone who needed help. Yes, I know the numbers are easy to break down. You are not the only person to do so. Frankly, I am surprised to hear some state that not many of the people receiving coverage under the bill actually require help. I have heard/read many statements about the bill, but I have never heard/read that.

 

All you need to do is breakdown the number of the uninsured yourself.

The ones in the poorest demographics mostly qualify for mediaid, a large number of the demographics are in the Top and second quartiles.

I've already broken down the numbers on the board once before, and i'd rather not go through it again.

Needless to say, the number of people who really need help is less then 10 million.  Possibily less then 5... possibly even... less then 2 million.



Ah, found it. Merry Christmas... This is done with pretty much only information provided by the actual report except where needed otherwise.

Feel free to do the calculations yourself if you disagree.

"Really, this just does a good job of it.

Most advanced one we have i believe.

http://www.census.gov/prod/2008pubs/p60-235.pdf


When you read the whole thing it paints a much different picture then just reading the number.

From the actual census... it states it under reports insurance for a variety of reasons.

17% of people with Medicaid for example report not having any health insurance.

Of the 43 Million... 17% of the people are on medicaid. So that's 7.31 Million people.

So 46 million uninsured drops to 38.70.

7% Of those surveyed that don't have insurance undocumented residents.(They don't qualify for medicare)   About 9.4.%

Drops us to 29.3 million

Now, 14.4% of people who make 50K or more don't get health insurance.

Along with 7.8% of people who make 75K or more.

This is about the 4th and 5th quartiles in america. (A little more but lets be conservative.)


14.4% of the 4th quartile is 8.75 + 7.8% of the 5th quartile 4.74. = 13.49 million

These people can afford health insurance.  They just don't purchase it.

So that leaves us with...

15.81 Million uninsured...


So we're down to 15.81 Million Americans without health care. Or 5 of the US population%? (Less actually since I was being conservative.)


Now then. Looking at said report. What are some other reporting flaws. One stated is that it only counts if you are uninsured at that time.

The research they link to is old... but shows that of that 47% reported as uninsured...

between 30%-48% of the people listed as uninsured aren't uninsured for the entire year. In other words... changing jobs, and stuff like that. Most of these people do get insurance again due to the lack of increase in proportion. As for how much this should knock off. Can't say since this likely settles more towards that high end.



Now the big one according to this... up to 14 million people who qualify for medicaid don't sign up.

http://www.washingtontimes.com/news/2009/jun/25/who-are-the-uninsured/

That would bring the number down to 1.81 million uninsured Americans who don't choose to be as such... though I'm not sure where he gets his number from... though I do know the number is pretty significant.

And this is still yet ignoring young people who just don't want insurance because they feel they don't need it.

What we really need is just a program to let people know they qualify for Medicaid."



I really can't wait for the company that hired me as a cheap intern to end my internship because they are going to have to provide medical for me. When I see this bill I think of how many companies will not be hiring and how we are taking another step closer to Europe's longer periods of unemployment. I think what they are passing for health care is far worse than the status quo. No matter who they raise taxes on to pay for it, we all end up feeling those higher taxes one way or the other. Either we are paying them or we won't find jobs because of them. With all that people accuse government of doing so poorly, it always amazes me how much more power that people want to give them.

I give this thread a 9.5.



Thank god for the disable signatures option.

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Kasz216 said:

All you need to do is breakdown the number of the uninsured yourself.

 

The ones in the poorest demographics mostly qualify for mediaid, a large number of the demographics are in the Top and second quartiles.

I've already broken down the numbers on the board once before, and i'd rather not go through it again.

Needless to say, the number of people who really need help is less then 10 million.  Possibily less then 5... possibly even... less then 2 million. 

 


 

Ah, I have already analyzed the uninsured data myself. Merry Christmas... The data I have analyzed was 2008 Census data which became available in September-not that using data from 2007 makes a significant difference. I have also have read reports on the uninsured data. If you want a comprehensive analysis of the uninsured, I recommend reading this. There are a few reasons I find your number of people who "really" need help to be unusually low. First, you include those who earn $50,000/$75,000 as those who do not "really" need help. Unfortunately, those people, which are mostly families, "really" need help. That is why the bill provides subsidies for those who earn up to 400% of the federal poverty level ($88,000 for a family of four) to purchase insurance in the exchange(s). Second, the highest number I have seen for those who are eligible for Medicaid but do not apply is 10 million. I suppose the differences result from a disagreement on whether middle-class families are honestly able to purchase affordable coverage or not.



Jackson5050 said:

 

Kasz216 said:

All you need to do is breakdown the number of the uninsured yourself.

 

The ones in the poorest demographics mostly qualify for mediaid, a large number of the demographics are in the Top and second quartiles.

I've already broken down the numbers on the board once before, and i'd rather not go through it again.

Needless to say, the number of people who really need help is less then 10 million.  Possibily less then 5... possibly even... less then 2 million. 

 


 

Ah, I have already analyzed the uninsured data myself. Merry Christmas... The data I have analyzed was 2008 Census data which became available in September-not that using data from 2007 makes a significant difference. I have also have read reports on the uninsured data. If you want a comprehensive analysis of the uninsured, I recommend reading this. There are a few reasons I find your number of people who "really" need help to be unusually low. First, you include those who earn $50,000/$75,000 as those who do not "really" need help. Unfortunately, those people, which are mostly families, "really" need help. That is why the bill provides subsidies for those who earn up to 400% of the federal poverty level ($88,000 for a family of four) to purchase insurance in the exchange(s). Second, the highest number I have seen for those who are eligible for Medicaid but do not apply is 10 million. I suppose the differences result from a disagreement on whether middle-class families are honestly able to purchase affordable coverage or not.

That definitly is a point of contention.  People in that range should definitly be able to afford healthcare coverage... outside the very few cases of "Prexisting conditions" which should be adressed via law. 

$50,000 is a lot of money... if you can't afford heathcare at $50,000 a year you've got to be pretty poor with your money or once again "Prexisting conditions."

However even if that were the case that would still leave us with ~14 million people or so.

Still far less then is suggested.

 



Kasz216 said:That definitly is a point of contention.  People in that range should definitly be able to afford healthcare coverage... outside the very few cases of "Prexisting conditions" which should be adressed via law. 

$50,000 is a lot of money... if you can't afford heathcare at $50,000 a year you've got to be pretty poor with your money or once again "Prexisting conditions."

However even if that were the case that would still leave us with ~14 million people or so.

Still far less then is suggested.

I suppose it is a point of contention and one we may never agree on. Personally, I think a household in that range could only afford coverage by severely inhibiting itself in other areas of life. That is why it is illusory to state that households in that range "choose" not to purchase coverage. It is not unreasonable that a household earning $50,000 would be unable to afford coverage-that is, coverage worth purchasing. That is why the subsidies help cover the costs of purchasing insurance through the exchange(s) up to 400% of the poverty level.

Frankly, the lowest number that I have seen claimed was 15 million by Orrin Hatch (R-UT), and he reached his number because of a few errors.



Kasz216 said:

That would bring the number down to 1.81 million uninsured Americans who don't choose to be as such...

It would be interesting to know of those 1.81 million people, how many will be covered under this bill?

I bet it's not all of them.



 

TheRealMafoo said:

It would be interesting to know of those 1.81 million people, how many will be covered under this bill?

 I bet it's not all of them.

 

Based on the premise that only 1.81 million of the uninsured choose not to forgo coverage, all will be eligible to be covered. They will either be eligible to receive coverage from the expansion of Medicaid or subsidized health insurance purchased through the exchange(s).