The Healthcare Reform Thread

I’m so excited to pay taxes 4 years prior to any of this actually kicking in!

Yep, the senate bill passed. Now all those so deeply opposed to government run healthcare can rest easy, since you know that was never proposed in the first place. :lol:

Even better, those who see this as a march towards socialism can still keep their private insurance plans. You know, the ones where everyone pays according to his ability (monthly premium) and then takes from it according to his need (getting payouts when he makes a claim). :lol: Jackoffs…

One common refrain of opponents of reform is that it represents a government takeover of health care. But reformers made the key decision at the start of this process to eschew a government-driven redesign of our health care system in favor of building on the private insurance system that works for most Americans…

A second criticism is that the bills are budget busters. This is simply incorrect. Both bills are completely paid for — indeed, both would reduce the deficit by more than $100 billion over the coming decade. And the CBO estimates that both would reduce the deficit even more in the long run, particularly the Senate bill with its strong cost-containment measures.1 Some argue that the bills won’t reduce the deficit because Congress won’t follow through on its cost-reduction plans, as it has failed to do with the sustainable-growth-rate program for Medicare’s physician payments. But this one example has been ridiculously overused, given the sizable Medicare reductions that Congress has made in the past; the proposed reduction in Medicare spending is less than half of the percentage reduction enacted in 1997, for example. To oppose a bill because of a misplaced fear that the government cannot keep its promises is essentially to shut down the legislative process.

From the New England Journal of Medicine.
http://healthcarereform.nejm.org/?p=2473

LOLJUAT?

As soon as next year, consumers who enroll in new plans would no longer face lifetime limits on their insurance coverage, and insurers couldn’t drop people’s coverage because they get sick.

http://online.wsj.com/article/SB126165317923104141.html?mod=rss_com_mostcommentart

It’s so hard to pick valid points out of the ignorant opposition to this bill.

Thank the Party of No mentality for that. Blind opposition without rational explanation or proposing alternatives.

Meh. When they know shit can and will pass without their vote there is zero benefit for them to vote against party lines.

If they really wanted their ideas (or lack thereof) involved they coulda jumped onboard in exchange for some compromises, Obama really wanted to call it “bipartisan”. They went with the all or nothing approach and got nothing. Good article here explaining the thought process and how they could have actually done it right.

http://www.thedailyjournal.com/article/20091223/NEWS01/912230355/Health-overhaul-will-bring-taxes--fees-before-benefits

http://marketplace.publicradio.org/display/web/2009/12/24/am-health-care/

I see your double post of what the Kaiser foundation thinks, and raise you WHAT THE BILL ACTUALLY FUCKING SAYS :lol:

‘‘SEC. 3112. SMALL BUSINESS HEALTH OPTIONS PROGRAM
9 CREDIT.
10 ‘‘(a) CALCULATION OF CREDIT.—For each calendar
11 year beginning in calendar year 2010, in the case of an
12 employer that is a qualified small employer, the Secretary
13 shall make a payment in the amount described in sub14
section (b).
15

http://help.senate.gov/BAI09A84_xml.pdf

Yep, right there in black and white. Small business credits start right away.

Funding for establishing insurance exchanges begins within 60 days.

‘‘SEC. 3101. AFFORDABLE CHOICES OF HEALTH BENEFIT
15 PLANS.
16 ‘‘(a) ASSISTANCE TO STATES TO ESTABLISH AMER17
ICAN HEALTH BENEFIT GATEWAYS.—
18 ‘‘(1) PLANNING AND ESTABLISHMENT
19 GRANTS.—Not later than 60 days after the date of
20 enactment of this section, the Secretary shall make
21 awards, from amounts appropriated under para22
graph (5), to States in the amount specified in para23
graph (2) for the uses described in paragraph (3).

To eazy’s point though, the exchanges aren’t intended to be operational until 2014. Though there are provisions to bridge the gap.

Some highlights are here:

http://help.senate.gov/Maj_press/2009_12_24.pdf

Sorry, I was unaware that the entire bill is only to give business credits to small business. So I guess everything does kick in immediately. :frowning: The entire country should be covered in just a few weeks then.

:picard: You can lead a jackass to data, but you can’t make him think.

I should copyright that…

Anyhow.

Access to Affordable Coverage for the Uninsured with Pre-existing Conditions: the bill
provides $5 billion in immediate federal support for a new program to provide affordable
coverage to uninsured Americans with pre-existing conditions. This provision is effective in
2010, and coverage under this program will continue until new Exchanges are operational in
2014.
Access to Quality Care for Vulnerable Populations: the bill makes an immediate and
substantial investment in Community Health Centers to provide the funding needed to expand
access to health care in communities where it is needed most. This $10 billion investment begins
in 2010 and extends for five years.
No Pre-existing Coverage Exclusions for Children: the bill eliminates pre-existing condition
exclusions for all Americans beginning in 2014, when the Exchanges are operational.
Recognizing the special vulnerability of children, the Managers’ Amendment prohibits health
insurers from excluding coverage of pre-existing conditions for children, effective in 2010 and
applying to all new plans.
Closing the Coverage Gap in the Medicare (Part D) Drug Benefit: the bill reduces the size of
the “donut hole,” raising the ceiling on the initial coverage period by $500 in 2010.
Small Business Tax Credits: the bill will offer tax credits to small businesses beginning in 2010
to make employee coverage more affordable. Tax credits of up to 35 percent of premiums will
be immediately available to businesses that choose to offer coverage; later, when Exchanges are
operational, tax credits will be up to 50 percent of premiums. The full credit will be available to
firms with 10 or fewer employees with average annual wages of $25,000, while businesses with
up to 25 or fewer employees and average annual wages of up to $50,000 will also be eligible for
the credit.
Free Prevention Benefits: The Patient Protection and Affordable Care Act will require coverage
of prevention and wellness benefits and exempt these benefits from deductibles and other costsharing
requirements in public and private insurance coverage. This provision takes effect in
2010
and applies to all new plans.
No Lifetime Limits on Coverage: The Patient Protection and Affordable Care Act will prohibit
insurers from imposing lifetime limits on benefits. This provision takes effect in 2010 and
applies to all new plans.
Restricted Annual Limits on Coverage: The Patient Protection and Affordable Care Act will
tightly restrict insurance companies’ use of annual limits to ensure access to needed care,
effective six months after enactment for all new health plans. These tight restrictions will be
defined by the Secretary of Health and Human Services. When the Exchanges are operational,
the use of annual limits will be banned.
Rural and underserved communities: Access will be expanded through funding for rural
health care providers and training programs for physician and other types of health care
providers.
Preventive medicine and public health training grant program: Amends and reauthorizes
section 768 of the Public Health Service Act, the preventive medicine and public health
residency program.
Loan repayment for faculty at schools that train physician assistants: Includes faculty at
schools for physician assistants as eligible or faculty loan repayment within the workforce
diversity program.
National diabetes prevention program: Establishes a national diabetes prevention program at
the Centers for Disease Control and Prevention. State, local, and tribal public health departments
and non-profit entities can use funds for community-based prevention activities, training and
outreach, and evaluation.
Adjustment to Low-Volume Hospital Provision (“Tweener” Hospital Fix): The amendment
increases threshold for eligible hospitals from 1,500 Medicare Part A discharges per year to
1,600 per year.
Rural physician training grants: Authorizes grants for medical schools to establish programs
that recruit students from underserved rural areas who have a desire to practice in their
hometowns. Programs would provide students with specialized training in rural health issues,
and assist them in finding residencies that specialize in training doctors for practice in
underserved rural communities.

I’m pretty sure that what the Kaiser foundation meant was that the insurance exchanges won’t be active until 2014, so that’s when the program will reach full steam.

Either way, I’m glad that your criticism has changed from “I don’t want it” to “It can’t get here fast enough.” Talk about an about face! I’m glad you finally see the light!

It’s an interesting thing because rich kids have parents who just buy them health insurance if their policy doesn’t let their kids continue, and the kids of rich people are generally the ones going to school till they are 26. At the same time if you are somehow able to get the loans for law or med school on your own the difference in taking the schools insurance is practically negligible, so it’s not like you would have to work at burger king for rent and insurance.

Normally I think the government should do as little as possible, but it is sad that we are the most affluent country in the world and we don’t provide health care to at the very least our children. It’s not their fault their parents suck.

To be truly proud of our society I would think having better health than that of 3rd world counties with government health care would be important. It just seems like one more reason I don’t like this country. We waste all our money on the wrong things.

My roommate makes $9/hr, she is a very talented artist, her mom can’t help her and her dad doesn’t, but as far as FAFSA goes she would use their tax info until she is 24. So school is out right now. She has bad asthma, insurance is way more than she can afford and she doesn’t qualify for medicaid. I’m just wondering how much she will still end up paying for insurance.

I know the fine is to get people to take/pay for the insurance so we no longer have the dilemma of paying for life threatening visits to the emergency room by people without insurance, but it sucks for people who can’t afford the fine or the insurance.

I pay $150 for health care, with NO dental, NO vision, and NO prescription. I am very healthy and this is with home depot paying some of my premium (I don’t know how much they are covering). I go to Buff State full time so I don’t have an option, I need health insurance but fuck that is ridiculous. Even my parents who have the same plan got buried in bills from 3 summers in a row where my dad needed surgery.

I am for complete government coverage of health care, normally I think the government should just deliver the mail. It seems reasonable as a society to take the field of medicine out of the realm of profits. We could still pay doctors very well and have excellent coverage. I don’t think it could happen in the country with the way the media is, people are very easily influenced and like to be a democrat or a republican.

I even think social security is fucking stupid, if you want to retire, save up some fucking money. But if everyone got the same excellent health care, rich or poor, and every one put in equal for it(which also couldn’t/wouldn’t happen) it would be fair and there would be no opposition.

It is fucking appalling that someone with insurance would have to chose to not have an arm reattached after an accident because even with insurance the surgery would cost thousands of dollars they couldn’t afford. I would be willing to pitch in towards him getting his arm reattached, even if I never take advantage of the health care system I am paying for. I actually hope I never would have to use the health care system, that would be fucking great.

well, this is interesting http://www.youtube.com/watch?v=HcBaSP31Be8

:lol: … they couldn’t even spell organizations right.

I’m not a fan of this healthcare plan but telling lies isn’t the answer either.

I suppose when they’re selling it to us with lies about cost and less than 50% support anything is fair though.

he lists every page and section that he got it from so im suspecting he is challenging people to look it up for themselves.

^ I’m thinking he’s assuming his core audience won’t look it up. It will end up an email forward like getting money from Bill Gates or HIV from a gas pump.

I do wonder how many millions of dollars wealthier, older citizens will end up paying. It would not be surprising if people like my dad were just told they had to pay for everything in “cash” in an effort to spread the wealth.

Also, picture thousands of old people with nothing to lose, “You are not going to treat me any longer? I will be in DC tomorrow… with my shotgun”. It will be like zombies invade DC. lol

why would u even post this? did u listen to any of it? biggest crock or sh*t. really we will provide healthcare to all illegal alians, hahahaha. the Govt will regualte how much we make and how much healthcare we get, i dont think so. (IF YOU WANT A GOOD LAUGH LISTEN TO IT FOR EVEN 2 MIN)