Go Back  British Expats > Living & Moving Abroad > USA
Reload this Page >

Connect for Health

Connect for Health

Thread Tools
 
Old Oct 12th 2013, 12:23 am
  #91  
Lost in BE Cyberspace
 
Joined: Jan 2008
Posts: 41,518
Sally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond repute
Default Re: Connect for Health

Originally Posted by Michael
It amazes me that some people believe that the republican party are fiscal conservatives and want to do what is best for their constituents. In the following article, the obstructionists to ACA have put so many roadblocks and costs to administer ACA that one organization turned down $833,000 in federal funding since if they accepted that money, they were restricted in telling people how the program works.

South Carolina has proposed refunding any penalty imposed by the federal government in 2014 by not signing up for ACA. So South Carolina will be spending millions to keep people uninsured and Mississippi is turning down about $500 million in expanded Medicaid funding because it is too expensive to administer the program at about $2.80 per resident.

Some states require navigators (people who help people understand ACA) to not only be trained by the federal government but also by the state government and requires a license to be a navigator costing the group that sponsors the navigator so much money that it could literally not allow them to help people with the federal funding that is being provided.

http://t.money.msn.com/saving-money-...-in-red-states

If the republicans can only figure out a way to silence TV, radio, and newspapers about ACA and can put filters on the internet, they will have the problem solved. If the south wants to remain poor, I guess that will be good for the northern states since usually the south gets much more from the federal government per capita than the north and that will reverse the trend.
They know they are going to look bloody stupid when 'the worst thing since slavery' turns out to be fine.
Sally Redux is offline  
Old Oct 12th 2013, 1:11 am
  #92  
Account Closed
Thread Starter
 
Joined: Mar 2004
Posts: 2
scrubbedexpat099 is an unknown quantity at this point
Default Re: Connect for Health

I guess that would depend on your definition of fine is.

Something that I wondered about, when they decided on Obamacare why did they leave a gap between it and Medicare, Why not just start at the Medicare levels rather than have this extra Medicare level.
scrubbedexpat099 is offline  
Old Oct 12th 2013, 1:36 am
  #93  
Lost in BE Cyberspace
 
Michael's Avatar
 
Joined: Jun 2008
Location: San Francisco Bay Area
Posts: 10,678
Michael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond repute
Default Re: Connect for Health

Originally Posted by Boiler
I guess that would depend on your definition of fine is.

Something that I wondered about, when they decided on Obamacare why did they leave a gap between it and Medicare, Why not just start at the Medicare levels rather than have this extra Medicare level.
Because Medicare is single payer and conservatives in both the democratic and republican party would not allow another single payer system since they have been trying to privatize Medicare for the past 10 years so that the costs to seniors would be more in line with what ACA would cost without subsidies (about $700 per month per senior). That is not my imagination by the Ryan plan which eventually would have seniors paying about $8,000 per year for Medicare (based on 2102 values). Also Medicare cost less to administrator and reimbursements are lower than insurance company reimbursements so that would be totally opposed by conservatives. With that, rates would have likely been 30+% lower so the platinum plan (similar to Medicare) would have likely cost about the same as the Bronze or Silver plan now costs. The platinum plan is a 10% co-pay for in and out patient treatment where Medicare is 0% for inpatient and 20% for out patient treatment.

Conservatives also wouldn't stand for people only paying about $100 for coverage and think it is totally wrong for the government to subsidize health care for even very low income families even though the leaders of the opposition probably pay nothing for their coverage.

Or are you talking about Medicaid again.

Last edited by Michael; Oct 12th 2013 at 2:18 am.
Michael is offline  
Old Oct 12th 2013, 1:43 am
  #94  
Lost in BE Cyberspace
 
Joined: Jan 2008
Posts: 41,518
Sally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond repute
Default Re: Connect for Health

Originally Posted by Michael
Because Medicare is single payer and conservatives in both the democratic and republican party would not allow another single payer system. Also Medicare reimbursements are lower than insurance company reimbursements so that would be totally opposed by conservatives. With the two, rates would have likely been 30+% lower so the platinum plan (similar to Medicare) would have likely cost about the same as the Bronze or Silver plan now costs. The platinum plan is a 10% co-pay for in and out patient treatment where Medicare is 0% for inpatient and 20% for out patient treatment.

Or are you talking about Medicaid again.
D'oh now they do want single payer
Sally Redux is offline  
Old Oct 12th 2013, 1:46 am
  #95  
Lost in BE Cyberspace
 
Michael's Avatar
 
Joined: Jun 2008
Location: San Francisco Bay Area
Posts: 10,678
Michael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond repute
Default Re: Connect for Health

Originally Posted by Sally Redux
D'oh now they do want single payer
Yah, the single payer they want is for everyone to pay their own health care costs except of course for congress and executives of companies and their families.

Last edited by Michael; Oct 12th 2013 at 1:49 am.
Michael is offline  
Old Oct 15th 2013, 11:18 pm
  #96  
Lost in BE Cyberspace
 
Joined: Jan 2008
Posts: 41,518
Sally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond reputeSally Redux has a reputation beyond repute
Default Re: Connect for Health

Someone has just said on CNN that the ACA 'Will get between you and your doctor.'

Genuinely puzzled as to how.
Sally Redux is offline  
Old Oct 15th 2013, 11:44 pm
  #97  
Lost in BE Cyberspace
 
Michael's Avatar
 
Joined: Jun 2008
Location: San Francisco Bay Area
Posts: 10,678
Michael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond repute
Default Re: Connect for Health

Originally Posted by Sally Redux
Someone has just said on CNN that the ACA 'Will get between you and your doctor.'

Genuinely puzzled as to how.
The right has been saying that for over 4 years. They don't have to explain how but just have to say it and some people will believe it.
Michael is offline  
Old Oct 16th 2013, 12:01 am
  #98  
 
Pulaski's Avatar
 
Joined: Dec 2001
Location: Dixie, ex UK
Posts: 52,448
Pulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond repute
Default Re: Connect for Health

Originally Posted by Sally Redux
Someone has just said on CNN that the ACA 'Will get between you and your doctor.'

Genuinely puzzled as to how.
The ACA won't pay for all possible treatments.

If there was a "tried and tested treatments only, generic drugs at all times if they exist, limited end-of-life treatments" insurance policy, that would be revolutionary, and stand a sporting chance of reducing costs, but that is not what is on offer.

Last edited by Pulaski; Oct 16th 2013 at 12:05 am.
Pulaski is offline  
Old Oct 16th 2013, 12:24 am
  #99  
Account Closed
Thread Starter
 
Joined: Mar 2004
Posts: 2
scrubbedexpat099 is an unknown quantity at this point
Default Re: Connect for Health

Originally Posted by Sally Redux
Someone has just said on CNN that the ACA 'Will get between you and your doctor.'

Genuinely puzzled as to how.
I might be able to answer that, not checked but I was told by a Doctor who does not take Medicaid but does look after Patients who are on Medicaid for free that under the new regs Medicaid will not recognise his prescriptions, only those issued by Medicaid registered Doctors.

He is retiring, Obama care I think probably helped in the decision.

In no particular order:

1. There was an interesting article in the New York Times about the failure of the IT aspect, no doubt available on line. A lot of the issues are Political in their origination, now there is a surprise.

2. Still can not get on the system, called them and it is down, must say all the ladies I have spoken to have been very helpful.

3. You can go through Medicaid, qualify for it, decline it and go on the Exchange anyway.

4. Medicare is a means tested benefit, the tax benefit is not. So for those with I 864's in place that may help.

5. Change of income is and I forget the exact term, a change that allows you to change your cover outside of the open enrolment period.

6. A lot of people here seem to be in regular jobs with regular salaries, I am not, nor are most people I know, so I can see there will be a lot of switching back and forward.

7. Just mention it in case, but assuming you take the estimated tax subsidy from your premium, there will be an adjustment plus or minus in your annual tax return.

Last edited by scrubbedexpat099; Oct 16th 2013 at 12:29 am.
scrubbedexpat099 is offline  
Old Oct 16th 2013, 12:28 am
  #100  
Account Closed
Thread Starter
 
Joined: Mar 2004
Posts: 2
scrubbedexpat099 is an unknown quantity at this point
Default Re: Connect for Health

Originally Posted by Pulaski
The ACA won't pay for all possible treatments.

If there was a "tried and tested treatments only, generic drugs at all times if they exist, limited end-of-life treatments" insurance policy, that would be revolutionary, and stand a sporting chance of reducing costs, but that is not what is on offer.
First I want some Karma for not typing Medicare when I mean Medicaid.

This is part of the problem. A national system should not cover all the weird and wonderful and drugs which cost the same price as a new car. Or the minor routine stuff.

Those should be the area of the private sector, decent basic cover should be the focus at a cost that is 'Affordable'.
scrubbedexpat099 is offline  
Old Oct 16th 2013, 12:28 am
  #101  
Lost in BE Cyberspace
 
Michael's Avatar
 
Joined: Jun 2008
Location: San Francisco Bay Area
Posts: 10,678
Michael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond repute
Default Re: Connect for Health

Originally Posted by Pulaski
The ACA won't pay for all possible treatments.

If there was a "tried and tested treatments only, generic drugs at all times if they exist, limited end-of-life treatments" insurance policy, that would be revolutionary, and stand a sporting chance of reducing costs, but that is not what is on offer.
You are right that ACA could possibly lead to that but unregulated private health insurance is already between you and your doctor since you may have a pre-existing condition that the policy doesn't cover, fine print in the policy doesn't cover certain procedures, and/or you can't afford the premiums.

Therefore the same "should" currently be said about unregulated private health insurance.
Michael is offline  
Old Oct 16th 2013, 12:29 am
  #102  
Account Closed
Thread Starter
 
Joined: Mar 2004
Posts: 2
scrubbedexpat099 is an unknown quantity at this point
Default Re: Connect for Health

Forget the Karma, I did slip in a Medicare.
scrubbedexpat099 is offline  
Old Oct 16th 2013, 12:31 am
  #103  
Account Closed
Thread Starter
 
Joined: Mar 2004
Posts: 2
scrubbedexpat099 is an unknown quantity at this point
Default Re: Connect for Health

Originally Posted by Michael
You are right that ACA could possibly lead to that but unregulated private health insurance is already between you and your doctor since you may have a pre-existing condition that the policy doesn't cover, fine print in the policy doesn't cover certain procedures, and/or you can't afford the premiums.

Therefore the same "should" currently be said about unregulated private health insurance.
There is no unregulated private health insurance in the US, in fact all classes of insurance are highly regulated, much more than they are in the UK for example.
scrubbedexpat099 is offline  
Old Oct 16th 2013, 12:39 am
  #104  
Lost in BE Cyberspace
 
Michael's Avatar
 
Joined: Jun 2008
Location: San Francisco Bay Area
Posts: 10,678
Michael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond reputeMichael has a reputation beyond repute
Default Re: Connect for Health

Originally Posted by Boiler
Those should be the area of the private sector, decent basic cover should be the focus at a cost that is 'Affordable'.
And how is that going to be done? I think a good start would be to require catastrophic coverage for all at an affordable price. However that also will require government subsidies since some have pre-existing conditions and others will develop conditions that may cost in the hundreds of thousands of dollars for treatment and the right won't support even that. Without the subsidies, it raises everyone else's premiums possibly making it unaffordable.

The only way the free market can provide "affordable" health insurance is to only insure people that are healthy and kick everybody off as soon as they become sick.
Michael is offline  
Old Oct 16th 2013, 12:46 am
  #105  
 
Pulaski's Avatar
 
Joined: Dec 2001
Location: Dixie, ex UK
Posts: 52,448
Pulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond reputePulaski has a reputation beyond repute
Default Re: Connect for Health

Originally Posted by Michael
You are right that ACA could possibly lead to that but unregulated private health insurance is already between you and your doctor since you may have a pre-existing condition that the policy doesn't cover, fine print in the policy doesn't cover certain procedures, and/or you can't afford the premiums.

Therefore the same "should" currently be said about unregulated private health insurance.
At last something you and I agree on. The existing private insurance regime is flawed, but several of the largest flaws are not addressed at all by the ACA.
Pulaski is offline  


Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service -

Copyright © 2024 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.