Won't be repealed.

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Be well

GO BEARS!!!

No it wont. It'll probably be defunded and exist as a zombie law until someone decides to put it out of its misery.

But it has to be repaired. It's clearly not working as intended and insurers are pulling out of the exchanges or going bankrupt.

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Freedom is our Strength.

It has to be changed. Even HRC was going to do that.

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Trump said he would repeal and replace... He's a man of his word

I think it's working exactly as Obama and his crafters intended. I think the plan was always to force a crisis that would cause single-payer to be proposed as the viable solution. They knew the premium structures were not going to be sustainable.

They just thought that a Democratic president would be there to force it through.

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"When people want their version of the truth, they go find it, no matter how baseless their beliefs." -- Ken Rosenthal

It will be.

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Be well

GO BEARS!!!

That's an interesting thought.

Trumpcare: Sell health insurance across state lines and let the free market do all the work! It's gonna be tremendous. You'll see!

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Freedom is our Strength.

Tort reform!

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Be well

GO BEARS!!!

Dr Ben Carson is on it.

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You do not talk to me like that! I work too hard to deal with this stuff! I work too hard! I'm an important member of the CSFMB! I drive a Dodge Stratus!

Good God, that's a scary thought.

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He will say that you should leave it to God.

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Be well

GO BEARS!!!

No doubt.

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Yes, and I expect it to go before spring arrives.

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Go Cubs!!!!

It doesn't work like that.

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Be well

GO BEARS!!!

i can report that on the lowest end of the spectrum, i was one of those people who obamacare made sign up for medicaid by [deadline] otherwise i would be subject to some kind of fine [which i later found out might be like, $300-500 out of payroll-checks-only or something?]. i did the bare minimum of what i had to do in order to continue down the path of least resistance (a recurring theme in my life) and it seemed to be pretty much whatever.

then a year or so later i ended up getting some stupid bacterial infection on my face (at it's worst it looked like someone had given my right eye a shiner w/the swelling) and i got to try out my new medicaid-via-obamacare stuff-- the doctor's office i was assigned was like 3 blocks away, even in the suburbs [altho my brother has to go from elk grove to belmont and central for his] and it was some $3 co-pay, the prescription was <$5 for me, and it worked out swimmingly. recently i had gotten a different prescription that was going to be expensive as hell, but when i gave walgreens the name of my "provider" they entered it in the computer and said "ok, you're covered so you're all set" and i go "ok good how much?" and the pharmacist retorted "no, i mean you're covered. you don't have to give us any money" which was !!! and definite *skypoint*/thank-you-jesus territory heading into the usual "slide and rock on" paradigm.

TLDR = from the lowest end of the spectrum (el pobrecito), i suppose forcing me to utilize medicaid/resources that i technically didn't know i had available was worked out pretty much 100% awesomely for me... but then again i'm awesome so i don't know if all this !!! is a me thing or a medicaid thing. i suppose further up the ladder into the "real health insurance" world this obamacare system is all kinds awful/horrible to the point of being questionably evil because it messed up "Good Upstanding People"s pre-existing coverage, which i'd guess was working as mellifluously as, say, things worked out for me over the last year? if so, sorry!

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semantically speaking, wouldn't "Trumpcare" be sending you back to your country of origin (within 1-2 generations anyways) and letting them hook you up with their (likely) single-payer system?

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what is the republican alternative I'd like to know?

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Reality is your friend, not your enemy. -- Seacrest

It doesn't look too good. States get Medicaid money and get to decide how it is dished out. Some tax credits for people without employer-provided plans, but that's not gonna help poorer people. People with high-risks might be screwed. I think they came out with this in the spring...

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to shore up pension funds perhaps?

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Reality is your friend, not your enemy. -- Seacrest

I'm all for improving things that aren't working out. But how the hell do ya not have a plan ready to go when you've had 6 years to think?

Never expected to be in this position.

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Be well

GO BEARS!!!

The system is broken up into three distinct blocks- people with employer provided plans, public options like Medicare and Medicaid, and those who don't qualify for either option like the self employed and those working for smaller employers. None of these make sense. No other insurance product is procured in this way. And to call our current system "insurance" is a misnomer. It is a dollar trading scheme.

1) Employer provided- There is no reason to tie employment and health insurance. It works great for those who are employed by employers who offer robust benefits. There are significant income tax benefits for tor these arrangements. Most employer plans are self-funded, so United Health and the like are not even providing insurance to the employer. They are simply administering the plan under an ASO contract. But when you have a life event like losing your job, well now you are out of health insurance as well. It's a double whammy.

2) Medicare and Medicaid- These programs are fundamentally flawed, especially Medicaid. They function by underpaying providers, and in Medicaid's case, they often do not pay for services provided. The larger these programs become, the most providers try to turn away these patients because they are not receiving sufficient fees for the services. If we move to a single payor model, these programs are an example of what it will look like.

3) Other- These folks have the worst of it. They pay a lot for very little coverage. Unlike employer provided plans, there is no subsidy here unless of course you fall into the low income threshold of Obamacare.

If you were going to design a system from scratch, it has to be a high deductible true insurance model. Essentially, you would have low premiums with a high deductible to incentivize people to only use services when really needed and to watch how much they are being charged. The insurance would kick in when you got really sick in a given year. There would have to be high risk pools or a requirement to take all comers, which are the two models used in the high risk auto market.

In the current system, costs are high because of over use. This is a key feature of fee for service models overlayed with high premium, low deductible dollar trading plans.

AND YET, there is no way to change the current system. Everyone has too much vested in it.

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Hawaii (fuck) You

What is your plan for the ACA?

The lines! We're gonna get rid of the lines!

But what is your plan?

We'll get rid of the lines! It'll be TREMENDOUS!

Could you go into more detail?

Once we get rid of the lines, then the lines will be gone!!

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Yeah see you're a dumbass that doesn't understand how government works. Go back to your Klan meeting.

That worked out well for you but as denis mentioned in point #3 of his post, people whose employers do not provide insurance (very small company, etc.) are getting hammered with $1000+ monthly premium for a 70/30 plan with a $5500 deductible. It's brutal.

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Good people drink good beer - Hunter S. Thompson

<º)))><

Waiting for the time when I can finally say
That this has all been wonderful, but now I'm on my way

The GOP is too busy suppressing votes, and crafting new laws to discriminate against the gays.

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Good people drink good beer - Hunter S. Thompson

<º)))><

Waiting for the time when I can finally say
That this has all been wonderful, but now I'm on my way

I've always viewed the Affordable Care Act as Barry's way to send a message. No doubt he knew it wouldn't work as designed, but instead wanted to get the concept of universal healthcare implemented in this country and let others figure it out.

I agree with you to a point. I am not sure it was only him wanting to send a message but supporters in general. Biden saying this is a big fucking deal and we have to pass it to know what is in it are clues.

Now the fight has been won and health care is considered a concrete thing to have in some manner a right/benefit. The discussion now is not yes or no but only how.

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Elections have consequences.