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Post by Trades on Jun 21, 2021 9:45:57 GMT -5
It isn't an easy fix because congress isn't doing its job. They are looking for what is best for them (kick backs from insurance companies) not for the whole country. I posted about this years ago but...The best solution for ACTUAL Health care rather than for health insurance is to let the market work. Direct Primary Care where the patient pays a small monthly fee to a doctor less than $50 a month for an adult and $10 for kids that covers routine care, vaccines, check ups, sick visits, etc. Other services are charge at a known price and there is a price list like a menu. Broken arm $100, Xray, $150, etc. They also provide a lot of prescription medications at a known price which is discounted. The patient then pays a low price for a catastrophic insurance plan in case you get cancer, need advanced surgery or a hospital stay. This takes the insurance company and government out of the doctor/patient experience, causes the patient to understand the costs they are paying which helps control pricing, and gives them genuine access to a doctor vs Obamacare which charged ridiculous deductibles on a high price policy and made it so you would pay a ton if you ever had to use it. Of course there are pros and cons to everything but forcing everyone to have a policy that covers things you would never use like trans surgery and other rare procedures is stupid. Atlas MD is one of the better known DPC practices and it looks like they have now created a franchise type system to expand. Whenever you take the consumer out of looking at pricing, prices will naturally go up because there is no reason to shop or to keep prices lower. Look at Lasik surgery and plastic surgery as examples of price controls in medicine since most of those procedures aren't covered by insurance. atlas.md/www.goodrtwitter.com/insurance/direct-primary-care Your first sentence says it all. And it's both asides of the aisle. But I rather have SOMETHING, with many flaws, for the uninsured rather than waiting for the pipe dream of removing insurance companies. I'd love to see the GOP fight insurance companies as hard as they fight ACA. Yeah that is why I typed the first sentence. Never said it was one or the other. However there were republicans that were pushing for alternatives to the ACA including Direct Primary Care, opening up across state lines, tort reform, etc but it was DOA because most are paid off. Something over nothing is rarely a good thing. Too many unintended consequences. ACA created almost as many uninsured as is helped and it also took a ton of people who were insured and made them under insured with crappy ACA policies that were policies in name only because of high deductibles that were way higher than what a cheaper policy cost before the ACA. That is how socialism works, bring everyone down to minimum level rather than raising most to a better level. EQUALITY!!! Most uninsured before the ACA were young people who didn't want insurance. The "poor" have medicaid, state kids aid and it is illegal for an emergency room or urgent care to turn anyone away, the law is posted in every ER room as I witnessed sitting in there with my dad several times over the last year. ACA is about control and reducing the haves to the have-nots, eliminating the middle class. It also is meant to divide the country and continue class warfare. No one in government wants a solution and anyone thinking you can fix a government created solution with more government is naïve at best or willfully ignorant at worst. You do know why we have insurance and then employer paid insurance, right?
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Post by Ff2 on Jun 21, 2021 10:12:41 GMT -5
Your first sentence says it all. And it's both asides of the aisle. But I rather have SOMETHING, with many flaws, for the uninsured rather than waiting for the pipe dream of removing insurance companies. I'd love to see the GOP fight insurance companies as hard as they fight ACA. Yeah that is why I typed the first sentence. Never said it was one or the other. However there were republicans that were pushing for alternatives to the ACA including Direct Primary Care, opening up across state lines, tort reform, etc but it was DOA because most are paid off. Something over nothing is rarely a good thing. Too many unintended consequences. ACA created almost as many uninsured as is helped and it also took a ton of people who were insured and made them under insured with crappy ACA policies that were policies in name only because of high deductibles that were way higher than what a cheaper policy cost before the ACA. That is how socialism works, bring everyone down to minimum level rather than raising most to a better level. EQUALITY!!! Most uninsured before the ACA were young people who didn't want insurance. The "poor" have medicaid, state kids aid and it is illegal for an emergency room or urgent care to turn anyone away, the law is posted in every ER room as I witnessed sitting in there with my dad several times over the last year. ACA is about control and reducing the haves to the have-nots, eliminating the middle class. It also is meant to divide the country and continue class warfare. No one in government wants a solution and anyone thinking you can fix a government created solution with more government is naïve at best or willfully ignorant at worst. You do know why we have insurance and then employer paid insurance, right? I'll never understand why we tied medical insurance to employment. As 32 would say....seems dumb. Do we really want emergency rooms to act as care primary care though? I know this issues are complex but I look at other countries who seem to be able to do a much better job. My youngest lives in NZ and yes taxes are high but an illness doesn't bankrupt anyone either. You don't stop and think about how much ambulance ride is going to cost. It's free. Just because we are big we cant figure this out? And yes it comes down to insurance companies.
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Post by southparkcpa on Jun 21, 2021 10:12:52 GMT -5
Your first sentence says it all. And it's both asides of the aisle. But I rather have SOMETHING, with many flaws, for the uninsured rather than waiting for the pipe dream of removing insurance companies. I'd love to see the GOP fight insurance companies as hard as they fight ACA. Yeah that is why I typed the first sentence. Never said it was one or the other. However there were republicans that were pushing for alternatives to the ACA including Direct Primary Care, opening up across state lines, tort reform, etc but it was DOA because most are paid off. Something over nothing is rarely a good thing. Too many unintended consequences. ACA created almost as many uninsured as is helped and it also took a ton of people who were insured and made them under insured with crappy ACA policies that were policies in name only because of high deductibles that were way higher than what a cheaper policy cost before the ACA. That is how socialism works, bring everyone down to minimum level rather than raising most to a better level. EQUALITY!!! Most uninsured before the ACA were young people who didn't want insurance. The "poor" have medicaid, state kids aid and it is illegal for an emergency room or urgent care to turn anyone away, the law is posted in every ER room as I witnessed sitting in there with my dad several times over the last year. ACA is about control and reducing the haves to the have-nots, eliminating the middle class. It also is meant to divide the country and continue class warfare. No one in government wants a solution and anyone thinking you can fix a government created solution with more government is naïve at best or willfully ignorant at worst. You do know why we have insurance and then employer paid insurance, right? I would love to see health insurance like car insurance. NO employer involvement. Let the market place and each state figure it out.
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Post by southparkcpa on Jun 21, 2021 10:14:56 GMT -5
Yeah that is why I typed the first sentence. Never said it was one or the other. However there were republicans that were pushing for alternatives to the ACA including Direct Primary Care, opening up across state lines, tort reform, etc but it was DOA because most are paid off. Something over nothing is rarely a good thing. Too many unintended consequences. ACA created almost as many uninsured as is helped and it also took a ton of people who were insured and made them under insured with crappy ACA policies that were policies in name only because of high deductibles that were way higher than what a cheaper policy cost before the ACA. That is how socialism works, bring everyone down to minimum level rather than raising most to a better level. EQUALITY!!! Most uninsured before the ACA were young people who didn't want insurance. The "poor" have medicaid, state kids aid and it is illegal for an emergency room or urgent care to turn anyone away, the law is posted in every ER room as I witnessed sitting in there with my dad several times over the last year. ACA is about control and reducing the haves to the have-nots, eliminating the middle class. It also is meant to divide the country and continue class warfare. No one in government wants a solution and anyone thinking you can fix a government created solution with more government is naïve at best or willfully ignorant at worst. You do know why we have insurance and then employer paid insurance, right? I'll never understand why we tied medical insurance to employment. As 32 would say....seems dumb. Do we really want emergency rooms to act as care primary care though? I know this issues are complex but I look at other countries who seem to be able to do a much better job. My youngest lives in NZ and yes taxes are high but an illness doesn't bankrupt anyone either. You don't stop and think about how much ambulance ride is going to cost. It's free. Just because we are big we cant figure this out? And yes it comes down to insurance companies. Im in general agreement with you.. as a FAR Right conservative, I do believe we should have universal health care. BUT UNIVERSAL. ALL, including teachers , cops, congress etc.... al use the same system.
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Post by Trades on Jun 21, 2021 11:48:41 GMT -5
Yeah that is why I typed the first sentence. Never said it was one or the other. However there were republicans that were pushing for alternatives to the ACA including Direct Primary Care, opening up across state lines, tort reform, etc but it was DOA because most are paid off. Something over nothing is rarely a good thing. Too many unintended consequences. ACA created almost as many uninsured as is helped and it also took a ton of people who were insured and made them under insured with crappy ACA policies that were policies in name only because of high deductibles that were way higher than what a cheaper policy cost before the ACA. That is how socialism works, bring everyone down to minimum level rather than raising most to a better level. EQUALITY!!! Most uninsured before the ACA were young people who didn't want insurance. The "poor" have medicaid, state kids aid and it is illegal for an emergency room or urgent care to turn anyone away, the law is posted in every ER room as I witnessed sitting in there with my dad several times over the last year. ACA is about control and reducing the haves to the have-nots, eliminating the middle class. It also is meant to divide the country and continue class warfare. No one in government wants a solution and anyone thinking you can fix a government created solution with more government is naïve at best or willfully ignorant at worst. You do know why we have insurance and then employer paid insurance, right? I'll never understand why we tied medical insurance to employment. As 32 would say....seems dumb. Do we really want emergency rooms to act as care primary care though? I know this issues are complex but I look at other countries who seem to be able to do a much better job. My youngest lives in NZ and yes taxes are high but an illness doesn't bankrupt anyone either. You don't stop and think about how much ambulance ride is going to cost. It's free. Just because we are big we cant figure this out? And yes it comes down to insurance companies. Nothing is FREE, the government is just forcing other people to pay for others. America has the best health care and the most innovation. Socialized systems ration care, slow down care and stifle innovation. Most of the systems that grade heath care put a huge weight on if the system is socialized so it is a meaningless grade. They also count infant mortality in different ways among other statistics. The game is rigged. Add in our porous borders and you can't make everything socialized. Small countries like NZ that make it next to impossible to immigrate to can control costs because people can't just walk across the border and demand services. We can't even get voter ID to prove you should be a citizen to vote but now we are going to somehow control who we are paying for in health care. It is impossible.
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Post by Trades on Jun 21, 2021 11:50:42 GMT -5
I'll never understand why we tied medical insurance to employment. As 32 would say....seems dumb. Do we really want emergency rooms to act as care primary care though? I know this issues are complex but I look at other countries who seem to be able to do a much better job. My youngest lives in NZ and yes taxes are high but an illness doesn't bankrupt anyone either. You don't stop and think about how much ambulance ride is going to cost. It's free. Just because we are big we cant figure this out? And yes it comes down to insurance companies. Im in general agreement with you.. as a FAR Right conservative, I do believe we should have universal health care. BUT UNIVERSAL. ALL, including teachers , cops, congress etc.... al use the same system. Why and how could that work? Socialize basics and pay for better care like most of these countries. The other problem we would have is there are a bunch of foreigners that can afford it who come here for care. We wouldn't have that option.
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Post by Ff2 on Jun 21, 2021 13:08:22 GMT -5
I'll never understand why we tied medical insurance to employment. As 32 would say....seems dumb. Do we really want emergency rooms to act as care primary care though? I know this issues are complex but I look at other countries who seem to be able to do a much better job. My youngest lives in NZ and yes taxes are high but an illness doesn't bankrupt anyone either. You don't stop and think about how much ambulance ride is going to cost. It's free. Just because we are big we cant figure this out? And yes it comes down to insurance companies. Nothing is FREE, the government is just forcing other people to pay for others. America has the best health care and the most innovation. Socialized systems ration care, slow down care and stifle innovation. Most of the systems that grade heath care put a huge weight on if the system is socialized so it is a meaningless grade. They also count infant mortality in different ways among other statistics. The game is rigged. Add in our porous borders and you can't make everything socialized. Small countries like NZ that make it next to impossible to immigrate to can control costs because people can't just walk across the border and demand services. We can't even get voter ID to prove you should be a citizen to vote but now we are going to somehow control who we are paying for in health care. It is impossible. I no longer think the US has the best healthcare.
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Post by Trades on Jun 21, 2021 13:35:28 GMT -5
Nothing is FREE, the government is just forcing other people to pay for others. America has the best health care and the most innovation. Socialized systems ration care, slow down care and stifle innovation. Most of the systems that grade heath care put a huge weight on if the system is socialized so it is a meaningless grade. They also count infant mortality in different ways among other statistics. The game is rigged. Add in our porous borders and you can't make everything socialized. Small countries like NZ that make it next to impossible to immigrate to can control costs because people can't just walk across the border and demand services. We can't even get voter ID to prove you should be a citizen to vote but now we are going to somehow control who we are paying for in health care. It is impossible. I no longer think the US has the best healthcare. Based on what?
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Post by Ff2 on Jun 21, 2021 14:18:36 GMT -5
I no longer think the US has the best healthcare. Based on what? Based on people actually leaving U.S. to get surgeries done elsewhere. Google: medical tourism.
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Post by 32Green on Jun 21, 2021 17:47:09 GMT -5
Based on people actually leaving U.S. to get surgeries done elsewhere. Google: medical tourism. Without goggling medical tourism, my impression was that most of the folks leaving the U.S. were getting surgeries considered high-risk or questionable..(I.E. chicks getting giant arse-implants).
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Post by bxjetfan on Jun 21, 2021 17:54:57 GMT -5
Based on people actually leaving U.S. to get surgeries done elsewhere. Google: medical tourism. Without goggling medical tourism, my impression was that most of the folks leaving the U.S. were getting surgeries considered high-risk or questionable..(I.E. chicks getting giant arse-implants). It's cheaper. Not Dap Silicone in your ass cheap but still thousands cheaper.
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Post by Ff2 on Jun 21, 2021 18:12:20 GMT -5
Based on people actually leaving U.S. to get surgeries done elsewhere. Google: medical tourism. Without goggling medical tourism, my impression was that most of the folks leaving the U.S. were getting surgeries considered high-risk or questionable..(I.E. chicks getting giant arse-implants). No it’s a whole different deal. India is the leader buy not the only one. They’ve created luxury hotel like medical facilities, state of the art, staffed by top doctors. Surgery that runs $150,000 here will cost you $10,000. Google it, it’s pretty interesting.
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Post by bxjetfan on Jun 21, 2021 18:28:58 GMT -5
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Post by Trades on Jun 22, 2021 7:08:34 GMT -5
Without goggling medical tourism, my impression was that most of the folks leaving the U.S. were getting surgeries considered high-risk or questionable..(I.E. chicks getting giant arse-implants). No it’s a whole different deal. India is the leader buy not the only one. They’ve created luxury hotel like medical facilities, state of the art, staffed by top doctors. Surgery that runs $150,000 here will cost you $10,000. Google it, it’s pretty interesting. That is cheaper not better or more advanced. I would also bet Americans that are going to India for surgery are Indians that moved here. A friend of mine would get a procedure every time he went home to India. One time last, next hair plugs... no idea what else. Another friend's wife who is Columbian would go back home for plastic surgery.
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Post by Ff2 on Jun 22, 2021 7:40:58 GMT -5
No it’s a whole different deal. India is the leader buy not the only one. They’ve created luxury hotel like medical facilities, state of the art, staffed by top doctors. Surgery that runs $150,000 here will cost you $10,000. Google it, it’s pretty interesting. That is cheaper not better or more advanced. I would also bet Americans that are going to India for surgery are Indians that moved here. A friend of mine would get a procedure every time he went home to India. One time last, next hair plugs... no idea what else. Another friend's wife who is Columbian would go back home for plastic surgery. Nah man it’s much bigger that that. Even Rand Paul left the US for surgery. Part of being better is being cheaper. This stuff shouldn’t bankrupt families.
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