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The Affordable Care Act

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    That old guy in Florida IS correct about one thing - Holland has the best health care system in the world. Here's the details:

    https://tohell-andback.blogspot.com/2019/07/lets-go-dutch-on-this-one.html

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    that guy in AZ Wrote:

    That old guy in Florida IS correct about one thing - Holland has the best health care system in the world. Here's the details:

    https://tohell-andback.blogspot.com/2019/07/lets-go-dutch-on-this-one.html

    Thanks old guy out of Arizona; none of the candidates have thought about my suggestion of which I wrote about above your thread; that "medicare for all" does not work, because that way you create an monopoly. In The Netherlands if you your are earning above an certain level, then you have to get private insurance. That way you are keeping an "balance" i.e. they can charge (compensate) cost that way much better, since prices are negotiated for both groups with the doctors, drugs, hospital etc. as well it creates competition with the private insurance and medicare. For medicare the government negotiate prices such way that they are firm (thus no lobbyists involved); for the "private insurance" the "insurance" negotiates themselves the pricing for their package, but of course knows what medicare did negotiate.

    The biggest issue in this country are the "takers" (lobbyists); "they" (also our government representatives) all are profiting from our system; just look at the doctors "visitors" who "promote" to the doctors their products, for which they get kickbacks if the doctor in turn "sells" it to their patients. Also look at the add's on TV; which are purely ridiculous. " ask your doctor"; why should you, if you don't want it, or don't know anything about such drug and its side effects etc. take it.

    If the doctor sells you on such drug, it only means his "commission" is assured.

    Crazy country here; only "money" counts , not your health. Thus the only way is to cut out the "middle" man i.e. lobbyists (and "people" in the government who are on the take)

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    Over 4000 people suffer more dying earlier denied healthcare. Beyond any reasonable explanation why this horrible reality isn't the driving force for comprehensive healthcare reform. I can understand the Republican side . They believe if you can't pay you deserve to die. What is beyond comprehension is the Democratic indifference.

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    Dutch Wrote:
    that guy in AZ Wrote:

    That old guy in Florida IS correct about one thing - Holland has the best health care system in the world. Here's the details:

    https://tohell-andback.blogspot.com/2019/07/lets-go-dutch-on-this-one.html

    Thanks old guy out of Arizona; none of the candidates have thought about my suggestion of which I wrote about above your thread; that "medicare for all" does not work, because that way you create an monopoly. In The Netherlands if you your are earning above an certain level, then you have to get private insurance. That way you are keeping an "balance" i.e. they can charge (compensate) cost that way much better, since prices are negotiated for both groups with the doctors, drugs, hospital etc. as well it creates competition with the private insurance and medicare. For medicare the government negotiate prices such way that they are firm (thus no lobbyists involved); for the "private insurance" the "insurance" negotiates themselves the pricing for their package, but of course knows what medicare did negotiate.

    The biggest issue in this country are the "takers" (lobbyists); "they" (also our government representatives) all are profiting from our system; just look at the doctors "visitors" who "promote" to the doctors their products, for which they get kickbacks if the doctor in turn "sells" it to their patients. Also look at the add's on TV; which are purely ridiculous. " ask your doctor"; why should you, if you don't want it, or don't know anything about such drug and its side effects etc. take it.

    If the doctor sells you on such drug, it only means his "commission" is assured.

    Crazy country here; only "money" counts , not your health. Thus the only way is to cut out the "middle" man i.e. lobbyists (and "people" in the government who are on the take)

    Dutch:

    One of the more unusual pairing of medical professional with a product were the ads that Camel cigarettes ran from 1946 to 1954. The tagline, "more doctors smoke Camels than any other cigarette" likely helped R.J. Reynolds sell more cigarettes. Even stranger is the fact that the American Medical Association started publishing ads for cigarettes in the 1930's - and continued to publish them for years afterwards.

    https://adage.com/article/news/rewind-1949-cigarette-spot-declares-doctors-smoke-camels/236635

    Despite the fact that the Attorney General's report about the dangers of smoking was published in 1964, 68% of the men in China still smoke cigarettes. Amazingly, even 32% of the male DOCTORS in China still smoke.

    In another strange twist of logic, when studies showing the link between cancer and smoking first surfaced in the 1950's, the link between smoking and cancer HELPED a cigarette company. Rather than embrace the fact that their product was "safer" than other brands, Phillip Morris focused on its "tough guy" image, and the sales of Marlboro cigarettes QUADRUPLED in a two year time span:

    https://tohell-andback.blogspot.com/2011/10/marlboro-man.html

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    Sorry "Arizona" cigarettes" etc. are only one part of the picture. IT IS THE LOBBYISTS here who screw up any normal healthcare system. "promoting " drugs makes it an "commercial" sales pitch, which has nothing to do with health care. The "cigarette" issue, applies to just about everything here. You will never get an decent healthcare system, if you don't take the "profit" element out of it. "Health cost "money"; preventive "health" saves money. Why keep coal mines open? The health aspect cost more than the "profit" for a few. The same applies what people eat here; they don't care if they get "fat" like a pig. But others have to pay for that because they do so. Strange society here!
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    They Must do away with the ACA !

    Do they offer anything better or nearly as good ? Of course not. They have no good ideas just hateful division.

    nytimes.com/2019/07/11/opinion/obamacar...

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    Biden now jumps on the stupid "bandwagon" of "medicare for all" and gets him in the same trouble as Sanders. This government won't be able to calculate the cost for it, because everything in healthcare is corrupt, because everyone is on the "take".

    Like I said so many times: the refusal of this stupid island, to copy things which do work elsewhere, will become an disaster.

    The government here is run by "lobbyist"; therefore "medicare for all" won't work as long as the "lobbyists" stay in place.

    The only way is as I said, have the "rich" pay private insurance and don't give them the "free be's". Wake up America, don't elect dumb asses like Biden; he "slept" and went bravely to "church", while Obama was battling the GOP.

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    I get ads for "Trumpcare Medicare" periodically, and have always suspected that it does not exist. Today, I went a step further and did some more research, and found that my hunch was correct.

    Trumpcare is the name given to the American Health Care Act that was intended to replace the Affordable Care Act, more commonly known as Obamacare. Since the American Health Care Act was a lot worse than Obamacare, John McCain did all of us a favor by giving it the "thumbs down" to kill it. At any rate, "Trumpcare" is NOT A LAW and it likely will never be .

    Trump hinted at plans to introduce a new plan in early 2019, but Senate Majority Leader Mitch McConnell reportedly warned Trump that the Senate would not revisit major health care legislation again until after the 2020 presidential election. I pity anyone who is foolish enough to sign up for Trumpcare Medicare now, since its coverage will be as worthless as a degree from Trump University


    https://www.medicaresupplement.com/content/what-is-trumpcare/

    Here's the link to the plans:

    medicare-providers.net/plans/trumpcarem...

    If you read the small print, you'll discover that all Trumpcare really is is nothing more than an insurance broker. "Trumpcare apparently works with several insurance companies, who probably pay a referral fee to whoever actually controls Trumpcare. In other words, Trump has come up with yet another way to use his office to pad his own pockets.

    Partner Companies are entities that can provide quotes or connect consumers with the companies that can provide quotes.*

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    If the Democrats are smart, they will focus on IMPROVING the Affordable Care Act, rather than replacing it with another plan. McConnell's warning to Trump should also apply to the Democrats:

    Trump hinted at plans to introduce a new plan in early 2019, but Senate Majority Leader Mitch McConnell reportedly warned Trump that the Senate would not revisit major health care legislation again until after the 2020 presidential election.

    Obama actually tried to improve on the Affordable Care Act, but the Tea Party wave of 2010 prevented that from happening. Keep in mind that the Republican Party had 8 years to come up with an insurance plan that was better than Obamacare, and they couldn't do it, despite controlling both sides of Congress.

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    I like Pete Buttigieg's proposal of "Medicare for all who want it". Actually, that's similar to the "public option" proposal that was largely killed by Blue Dog Democrats when Obama was trying to pass the Affordable Care Act. You can read more about his plan at this link. It makes more sense than a single payer system with little idea of who's going to pay for it.

    Vox: Pete Buttigieg’s Medicare-for-all-who-want-it plan, explained

    "Buttigieg would create an optional government insurance plan into which uninsured people would be automatically enrolled and people with employer-sponsored insurance would be permitted to join. He also wants to expand federal subsidies for private insurance purchased on the Obamacare marketplaces, making them more generous and lifting the income eligibility cap that currently leaves many middle-class families cut off from federal assistance. He covers other ground as well, proposing a fix for surprise medical bills and an out-of-pocket spending cap for Medicare beneficiaries."

    More details at the above link. Way to go, Mayor Pete.

    Biden also supports a "Medicare for all who want it", borrowing from Buttigieg's description.

    Joe Biden describes his health care plan using Pete Buttigieg's term, 'Medicare for all who want it'

    ""My proposal is straightforward. It is Medicare for all who want it and it significantly increases the subsidies to be able to get class A coverage," Biden said. He went on to say the plan would limit people's annual co-pays to $1,000 per year, reduce drug prices and allow Medicare to negotiate the cost of prescription drugs."

    It's basically an expanded Affordable Care Act with a juiced up public option added.

    I haven't made a detailed comparison of the Buttigieg versus Biden plans, but both seem more workable than BernieCare or WarrenCare.

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    Of possible interest: The Origins And DemiseOf The Public Option

    "Ultimately, the public option failed as a result of many factors, including lack of support from moderate and conservative Democrats, opposition from Republicans and health care interest groups, and ultimately an absence of strong support from the White House."

    These hurdles in 2010 will be hurdles in 2021 and beyond to pass any legislative fixes to the ACA.

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    Look at my reply on 7/9/19 above; the stupidity here is that they refuse to look at other countries as I mentioned. Also get the lobbyists (and adds) out of the picture and the "corruption" of doctors and hospitals.
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    Lots of plans to consider, but for the moment let's focus on Elizabeth Warren's plan, or more appropriately how she plans to pay for it,

    Business Insider: Where Can Warren Get $32 Trillion To Pay For Her Government Health Plan?

    "To start, she has promised that any tax hikes on low- and middle-income households will total less than their current out-of-pocket health care costs. “I will not sign a bill into law that does not lower costs for middle-class families,” she said at a recent debate. "

    That promise puts an enormous constraint on how she can come up with the $32 trillion without placing additional tax burdens on the middle class. Even Bernie Sanders acknowledges that he cannot make that promise.

    The Forbes article goes through several scenarios, one of which raises the top marginal tax rate to 100 percent. Sheesh. The problem we have with these Democratic health care proposals as the financing options for both BernieCare and WarrenCare have zero chance of passing through Congress, and many Democrats will likely not get on board either.

    The plans are really NICE TO HAVE, but once the voters understand the math, they will be dead on arrival.

    That's why Colorado voters rejected a version of Medicare for All (ColoradoCare) in 2016 by a whopping 79:21.

    You can fool people with all kinds of promises and hype, but sooner or later they will do their own math.

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    Oh this just in from the National Review (November 1): Warren Reveals $52 Trillion Medicare for All Plan, Claims No Middle Tax Increase Necessary

    "Senator Elizabeth Warren’s (D., Mass.) unveiled a medicare for all plan Friday that will cost nearly $52 trillion over the next ten years and will not require any middle-class tax increases.

    "The proposal would be funded by roughly $20 trillion in taxes on employers, financial transactions and super-wealthy corporations over the next decade. Existing federal and state spending would account for the remaining $30 trillion in costs.

    “We don’t need to raise taxes on the middle class by one penny to finance Medicare for All,” Warren writes as part of the plan."

    ==========================================

    I suppose we will have experts dissect her plan.

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    Schmidt:

    I agree that Biden and Mayor Pete have the most sensible approach to health care.

    The latest polls, though, show that Elizabeth Warren is in first place, Bernie is second, and Biden is FOURTH, behind mayor Pete.

    https://www.nytimes.com/2019/11/01/us/politics/iowa-poll-warren-biden.html

    This morning, the Arizona Republic said we should take a second look at "moderate" Amy Klobuchar, who is currently in 5th place.

    http://arizonarepublic.az.newsmemory.com/?publink=01752a0d9

    However, there is still a long way to go before the Democratic convention. As of October 28, only 3 candidates had qualified for the November debates, but mayor Pete and Kamala Harris are close to qualifying.

    https://fivethirtyeight.com/features/qualifying-for-the-december-debate-will-be-difficult-for-many-democrats/