Affordable care act

[Ricter]

Well what I am getting at is that it is impossible to repeal it without a supermajority, and good luck getting 9 democrats to join the 51 republicans.

But they can repeal the parts that affect the budget, and that is the part I don't understand. Everything affects the budget. That is why I am confused.

It must be some subtle legal point.

Here's one look at the method (link below). I still don't think it's going to happen. And if reps try it, they'll craft something to replace the ACA and it will almost have to include the parts of the ACA that most people like. And those require at least an individual mandate and the subsidies. So we'll have Drumpfcare which will look a lot like Obamacare which looks a lot like Romneycare which looks a lot like Heritagecare.
: )

http://www.vox.com/2016/11/9/13487772/trump-obamacare-repeal

 

[Tom B]

 

[Nine_Ender]

What if you don't have 18 months to wait? I had several co-workers in Toronto whose children had injuries playing sports. The wait time for MRI plus knee surgery, etc. was longer than 18 months in Ontario. They went to the U.S. and paid out of pocket to have the MRI and surgery -- usually in under a week. This is a very common story in Canada.

Only 1% of actual surgeries are done out of country. My friend considered surgery on his hip in the US ( he could afford to pay ), but Canada came through and he got it done in less then a year. Americans made their choices so you have to pay those high health care premiums. Trying to denigrate other more successful systems isn't a positive step to much needed reform on the US system.

 

[jem]

if trump is really thinking...

he works to set up rules to encourage national exchanges and requires the companies entering the exchange to provide basic care in exchange for vouchers.
The govt can provide these vouchers to every citizen. No lobbying will be allowed.

Then he lets the companies on the exchanges to offer superior plans for additional money on top of the vouchers.

Its a "public - private" partnership that uses competition and to provide better care.

The medicare budget can be used to pay for much of the cost of the vouchers.
if democrats are concerned about the short fall. we can establish a tax on fortune 500 companies run by democrats who no longer have to provide health care.

Here's one look at the method (link below). I still don't think it's going to happen. And if reps try it, they'll craft something to replace the ACA and it will almost have to include the parts of the ACA that most people like. And those require at least an individual mandate and the subsidies. So we'll have Drumpfcare which will look a lot like Obamacare which looks a lot like Romneycare which looks a lot like Heritagecare.
: )

http://www.vox.com/2016/11/9/13487772/trump-obamacare-repeal

 

[Tom B]

Only 1% of actual surgeries are done out of country. My friend considered surgery on his hip in the US ( he could afford to pay ), but Canada came through and he got it done in less then a year. Americans made their choices so you have to pay those high health care premiums. Trying to denigrate other more successful systems isn't a positive step to much needed reform on the US system.

"Less than a year" is pathetic. The fact that you think that is acceptable is very telling.

 

[AAAintheBeltway]

"Less than a year" is pathetic. The fact that you think that is acceptable is very telling.

My reaction as well.

 

[AAAintheBeltway]

if trump is really thinking...

he works to set up rules to encourage national exchanges and requires the companies entering the exchange to provide basic care in exchange for vouchers.
The govt can provide these vouchers to every citizen. No lobbying will be allowed.

Then he lets the companies on the exchanges to offer superior plans for additional money on top of the vouchers.

Its a "public - private" partnership that uses competition and to provide better care.

The medicare budget can be used to pay for much of the cost of the vouchers.
if democrats are concerned about the short fall. we can establish a tax on fortune 500 companies run by democrats who no longer have to provide health care.

I think this is actually a pretty good idea. I don't think you can use medicare to fund it however. Political third rail that Trump would be foolish to fool around with.

This model is actually how Medicare Advantage works. Very popular with seniors but Obama has cut into it. The people who use it are not his base.

 

[jem]

if what i read about the costs of covering the pre existing conditions is true. Then the only way to create a new plan that insurance companies would want to be part of... is one they would have to be .. very large. A national exchange. The voucher part is going to give back to consumers the choice they must have. If the govt is still going to be taking care of medicare... then the vouchers should be pretty affordable to the govt.

Now we need to work into the program an incentive for those covered to use the services as if they were paying for them. Maybe the insurance companies can work that into the basic voucher plan. Maybe even a rebate when no emergency services are used during the year for anything besides emergencies.

 

[nitro]

Pence tells House GOP to 'buckle up' for breakneck pace
By Deirdre Walsh, Tom LoBianco and Marshall Cohen, CNN

Updated 12:21 PM ET, Thu November 17, 2016

...With control of the House and Senate, as well as the White House, the biggest question Republicans are facing now is how fast to move and what to do first.

One option discussed was speeding up the rollback of Obamacare through an option called the "reconciliation shell bill" -- which would allow them to dodge a filibuster by Senate Democrats.

Pence told the members "buckle up, it's going to move fast in the first 100-200 days," Rep. Bill Flores, a Texas Republican...

http://www.cnn.com/2016/11/17/politics/mike-pence-house-republicans/index.html

 

[nitro]