A Health Care System Shouldn't be Structured for Wealth Creation.

The only market driven part of US healthcare today is elective and cosmetic surgery. That sector is priced well below any other portion of the US healthcare system, such as it is. It is the only sector that doesn't rely on insurance or government payouts.

Maybe the providers aren't the problem here...
it is.

its a single point of failure.

no real market is operating.

entangling employers in it is all fucked up.
 
No, it is not.


Democrats devise Obamacare. Democrats made Obamacare the law of the land.

Not a single Republican voted for Obamacare.

If you don't like what Obamacare is, that's on you.

Any complaints Democrats have are therefore with Democrats.
 
it is.

its a single point of failure.

no real market is operating.

entangling employers in it is all fucked up.
We have FDR to thank for all of this--a Democrat. During WW 2 FDR imposed wage and price controls on virtually the entire US economy. There was full employment and employers were begging for workers for much of the war. Since they couldn't pay higher wages, they resorted to 'wages-in-kind' to entice workers to work for them. This included cafeterias that served good meals when you were on ration cards, free transport on busses to work, and things like free healthcare / health insurance.

When the war ended, the employer health insurance stuck and continued to grow as other employers recognized they had to offer it too to be competitive. So, now we have health insurance paying for virtually all health care.

Then LBJ with his disastrous "Great Society" brought in Medicare / Medicaid. That was sold as costing $1 billion after ten years. It was over $10 billion even by then. More government, more problems. Government isn't the solution to our healthcare costs, it is the problem!
 
We have FDR to thank for all of this--a Democrat. During WW 2 FDR imposed wage and price controls on virtually the entire US economy. There was full employment and employers were begging for workers for much of the war. Since they couldn't pay higher wages, they resorted to 'wages-in-kind' to entice workers to work for them. This included cafeterias that served good meals when you were on ration cards, free transport on busses to work, and things like free healthcare / health insurance.

When the war ended, the employer health insurance stuck and continued to grow as other employers recognized they had to offer it too to be competitive. So, now we have health insurance paying for virtually all health care.

Then LBJ with his disastrous "Great Society" brought in Medicare / Medicaid. That was sold as costing $1 billion after ten years. It was over $10 billion even by then. More government, more problems. Government isn't the solution to our healthcare costs, it is the problem!
and big insurance is a victim.

this is textbook fascism.

large corporations are 50% to blame.

save your corporate bootlicking for an idiot.
 
Of course. It accomplished a lot. It provided a free physical every year for those on Medicare. It increased urban clinics providing healthcare on a sliding care according to income. It provided healthcare to 9 million people who had none. here are more. https://public3.pagefreezer.com/bro...ct-sheet-celebrating-affordable-care-act.html
The physical isn't "free." Somebody's paying for it. All it does is hide the cost. No, urban clinics--"Urgent care"--are a response to the overwhelming of emergency rooms at hospitals. They provide a triage for the less in need of immediate medical attention and the stupid. The latter are people who treat everything health-wise as a medical emergency.

Obamacare accomplishes nothing useful. It adds a layer of bureaucracy raising costs and that's it.
 
don't tell me this cartel is the best we can do.
The physical isn't "free." Somebody's paying for it. All it does is hide the cost. No, urban clinics--"Urgent care"--are a response to the overwhelming of emergency rooms at hospitals. They provide a triage for the less in need of immediate medical attention and the stupid. The latter are people who treat everything health-wise as a medical emergency.

Obamacare accomplishes nothing useful. It adds a layer of bureaucracy raising costs and that's it.
and it was some kind of back room deal with insurance companies to put together a shitty plan for a shitty exchange in exchange for a law that people must buy insurance.

pure fascism.
 
Is the insurance lobby philosophically opposed to a law that people must buy insurance?

does it violate their free trade philosophy?
 
Here are the six, supposed, things Obamacare accomplished.

Protecting Those with Pre-Existing Conditions

I can give this one. But we didn't need a comprehensive takeover of private health insurance to get it.

Lowering Costs

This one is complete bullshit. It shifted costs, not lowered them. Obamacare cost $1.1 trillion in 2023 according to the CBO

Providing Free Preventive Care

This too is a complete lie. The care isn't "free." Somebody is paying for it. All it does is not make the person receiving the care pay for it.

Covering Essential Health Benefits

Essential? Maternity care? For half the population, that's irrelevant. There's lots more that is irrelevant but forced coverage in Obamacare. If anything the "One size fits all" policies issued are costly because people can't choose what healthcare they want and coverage they want. They're forced into a standardized plan designed by government bureaucrats and all they can do is decide what kind of copays they're willing to have.

Expanding Medicaid

So, the welfare state was expanded. We didn't need Obamacare to do that.

Cutting Uninsured Rates in Half

Almost entirely by expanding Medicaid.

That is, the number of people buying plans remained about the same as before Obamacare while all of the expanded coverage came from picking up people on expanded Medicaid who were uninsured before. This later group pays little or nothing in and gets coverage on the taxpayer dime.

Conclusion:

Obamacare is a largely meaningless gesture that adds cost, complexity, and reduces the quality of care for tens of millions of Americans.
 
The physical isn't "free." Somebody's paying for it. All it does is hide the cost. No, urban clinics--"Urgent care"--are a response to the overwhelming of emergency rooms at hospitals. They provide a triage for the less in need of immediate medical attention and the stupid. The latter are people who treat everything health-wise as a medical emergency.

Obamacare accomplishes nothing useful. It adds a layer of bureaucracy raising costs and that's it.
You're profoundly dishonest, or stupid. Obamacare removed the "existing conditions" from the equation. Almost all people were happy with that. Healthcare companies had bureaus working to find some way to deny care. It was cruel, but profitable. It allowed kids to be on parent's healthcare until age 26. That took many through college and others into establishing their own lives. I am sure you will bitch about those things too.
The truth is uninsured were going to emergency rooms at hospitals to get care. They often came way too late. It was very expensive. Local clinics based on the ability to pay solved a lot of the EM care problems. They could get routine healthcare and stay healthier longer.
I know you hate poor people, but the ACA helped millions of needy people.
 
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You're profoundly dishonest, or stupid. Obamacare removed the "existing conditions" from the equation.

Minor in itself.
Almost all people were happy with that. Healthcare companies had bureaus working to find some way to deny care. It was cruel, but profitable. It allowed kids to be on parent's healthcare until age 26.

Health insurers, like all insurers, pay for what's in the policy, not what isn't. You seem to think they're supposed to be willing to bankrupt themselves to satisfy your wants. As for the kids on to 26, that too is simply a cost that got absorbed into new policies, it wasn't "free."
That took many through college and others into establishing their own lives. I am sure you will bitch about those things too.

Only about a third of American kids attend college and of that almost all are from fairly well off to rich families.
The truth is uninsured were going to emergency rooms at hospitals to get care. They often came way too late. It was very expensive. Local clinics based on the ability to pay solved a lot of the EM care problems. They could get routine healthcare and stay healthier longer.

Yes, they were. That pretty much was wrecking the emergency healthcare system. One reason for this was the roughly 5% of people in the US being here illegally. Since that concentration was mostly in SW border states and California, those states got hit hard with people using ER services with ZERO intention or ability to pay.
The other issue was with the poor and stupid. This sort unnecessarily would use ER services for non-emergencies simply because they couldn't or wouldn't figure out how to self-treat minor healthcare issues rather than go to an ER and be seen.
I know you hate poor people, but the ACA helped millions of needy people.
I don't "hate poor people." I am realistic about the situation. The poor are poor for a reason and that reason isn't that they are oppressed or held down. Most often, it is because they are stupid. Sure, some rich people are stupid too, but they don't stay rich for long.

The ACA mostly just forced people on private health insurance into an often shitty program run by the government. For those that got on expanded Medicaid, all it did for the most part is make taxpayers, through the government, the ones paying the bill when those people used the healthcare system.

With something like 95% of Obamacare, all it did was add another layer of administrative bureaucracy onto the health insurance system at a cost of well over $100 billion a year. It should be abolished.
 
Democrats devise Obamacare. Democrats made Obamacare the law of the land.

Not a single Republican voted for Obamacare.

If you don't like what Obamacare is, that's on you.

Any complaints Democrats have are therefore with Democrats.
Know what? McCain did. They could have ended our entire healthcare system while not having a replacement. I am sure you would love that.
 
They could have ended our entire healthcare system while not having a replacement. I am sure you would love that.

Think so?

I'm fairly certain that America had plenty of doctors, nurses, clinics and hospitals before B. Hussein and his Democrats dipped their oars in.
 
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