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If not ACA, than what??

Posted by on Nov. 13, 2012 at 8:07 AM
  • 54 Replies
1 mom liked this
I doubt I will get an answer because I have asked this several times in this board and have yet to get an even remotely logical response. I think it is pretty indisputable that healthcare prior to ACA was failing. Many, many people had no health insurance ad even more than that many were also denied treatment because of ore-existing conditions. On top of that, hospitals we're losing money because of unpaid healthcare costs due to lack of insurance. It wasn't working for many of Americans.

So, I'll ask again, if not ACA, what?

by on Nov. 13, 2012 at 8:07 AM
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Replies (1-10):
romalove
by Roma on Nov. 13, 2012 at 8:09 AM

 ACA won't change the money hospitals lose because there will still be many uninsured and of course undocumenteds use hospitals as their healthcare clinics, and end up not paying bills.

I think if we must have universal healthcare we have to have a single payer system.  The patchwork of ACA is going to be a disaster for the economy on many different levels.

GLWerth
by Gina on Nov. 13, 2012 at 8:15 AM
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I'm very likely NOT the demographic you were looking for in this, but I'll answer anyway.

Single Payer. Take the for-profit insurance industry out of the equation and make sure that our society has access to the care they need. Really DO that providing for the general welfare stuff.

Debmomto2girls
by Platinum Member on Nov. 13, 2012 at 8:18 AM
Quoting romalove:

 ACA won't change the money hospitals lose because there will still be many uninsured and of course undocumenteds use hospitals as their healthcare clinics, and end up not paying bills.


I think if we must have universal healthcare we have to have a single payer system.  The patchwork of ACA is going to be a disaster for the economy on many different levels.


In my area, it has started helping but only a little at this point. We do not have a large amount of undocumented workers. I'm sure areas with a high volume of undocumented workers you are right.

raegansmom
by Member on Nov. 13, 2012 at 8:20 AM
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I would much rather see an overhaul in pharmaceutical companies ability to charge insane amounts of money for drugs simply because they can. I understand they need to make a profit, but I don't think they should be able to set prices at such a level that forces people to get insurance to cover it. If you are going to overhaul healthcare, overhaul ALL of it. All the current plans will do is allow insurance companies to continue to dictate treatment. That is something that should be done by a patient & a doctor.
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romalove
by Roma on Nov. 13, 2012 at 8:23 AM
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Quoting raegansmom:

I would much rather see an overhaul in pharmaceutical companies ability to charge insane amounts of money for drugs simply because they can. I understand they need to make a profit, but I don't think they should be able to set prices at such a level that forces people to get insurance to cover it. If you are going to overhaul healthcare, overhaul ALL of it. All the current plans will do is allow insurance companies to continue to dictate treatment. That is something that should be done by a patient & a doctor.

 It can cost millions in research and development to bring a new medication to market.  If you disincentivize profits for drug making, they won't bother. 

You have to get at the insurances to really change anything.  The costs of malpractice for providers and product liability for pharmaceutical companies is driving costs through the roof, not to mention the insurance companies who administer plans all being for profit and making money from our healthcare system.

ACA does nothing about that.

yourspecialkid
by Platinum Member on Nov. 13, 2012 at 8:24 AM
1 mom liked this

 First of all, health CARE in the US is not failing.  We have excellent medical care here.  We have a problem with the delivery of services.

Requiring people to have INSURANCE will not fix the problem.  IMHO, insurance specifically the HMO/PPO type plans is part of our problem.  I grew up with no insurance, yet went to the doctor when I was sick.  I even had a serious injury...broke my ankle in 2 places.  My Mom paid out of pocket for it and it didn't bankrupt her.  We didn't run to the doctor for everything.  I am not saying we shouldn't have insurance, I am just saying we shouldn't be running to the doc for a hangnail just because we have a $20 copay.

It would have been much easier and much cheaper to create a buy in for Tricare, Medicare or Medicaid.  Ins co's should be able to sell across state lines...there should be limits on law suits...ins regulations should be consistent across state lines...employers should get out of the ins business...med facilities should be encouraged to post prices....let people choose...create competition..ins policies should allow people to choose the coverage they want....we do with auto/home policies...

With the exception of a few elements the new law is nothing more than an expensive bureaucratic ball of crap.  Senator Wyden of OR had a better plan..he was a Dem and couldn't get an ear.  Ryan and Wyden even worked together some...no one wanted to hear the plan.  Why did we have to pass a plan before we even knew what was in it? 

Debmomto2girls
by Platinum Member on Nov. 13, 2012 at 8:29 AM
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Quoting yourspecialkid:

 First of all, health CARE in the US is not failing.  We have excellent medical care here.  We have a problem with the delivery of services.


Requiring people to have INSURANCE will not fix the problem.  IMHO, insurance specifically the HMO/PPO type plans is part of our problem.  I grew up with no insurance, yet went to the doctor when I was sick.  I even had a serious injury...broke my ankle in 2 places.  My Mom paid out of pocket for it and it didn't bankrupt her.  We didn't run to the doctor for everything.  I am not saying we shouldn'ti have insurance, I am just saying we shouldn't be running to the doc for a hangnail just because we have a $20 copay.


It would have been much easier and much cheaper to create a buy in for Tricare, Medicare or Medicaid.  Ins co's should be able to sell across state lines...there should be limits on law suits...ins regulations should be consistent across state lines...employers should get out of the ins business...med facilities should be encouraged to post prices....let people choose...create competition..ins policies should allow people to choose the coverage they want....we do with auto/home policies...


With the exception of a few elements the new law is nothing more than an expensive bureaucratic ball of crap.  Senator Wyden of OR had a better plan..he was a Dem and couldn't get an ear.  Ryan and Wyden even worked together some...no one wanted to hear the plan.  Why did we have to pass a plan before we even knew what was in it? 


In my opinion, telling someone they cannot have treatment because they can't get insurance because of a pre-existing condition, is an epic fail. Yes, we give great medical care but you either have to have a job that provides insurance or be poor enough for medical assistance. That isn't right

lga1965
by on Nov. 13, 2012 at 8:38 AM
1 mom liked this
Nowdays it would be impossible to pay cash for medical care for your kids unless you are prepared to write a check for several hundred dollars. For ordinary illnesses or injuries.For anything complicated.,you would need to empty your savings, sell stock or take a home equity loan. Ask me how I know this.......
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Debmomto2girls
by Platinum Member on Nov. 13, 2012 at 8:44 AM

 Some of my colleagues went to England last year to discuss their healthcare system.  I did like many aspects of their system. THe nurses got to work more freely in the ocmmunity which prevented unnecesaary trips to the ER, etc. The only aspect I thought completely sucked was the policies for hiring and promoting healthcare workers.  For example, let's say you wanted to switch your specialty in nursing or move up in management, you need to submit for approval to a government agency (I forget the detils) this included going back to school. 

 If a candidate had another plan similar to that one (not so much uiversal healthcare completely but single-payer) it might have swayed by vote. I felt at least ACA was a much needed change.

Quoting GLWerth:

I'm very likely NOT the demographic you were looking for in this, but I'll answer anyway.

Single Payer. Take the for-profit insurance industry out of the equation and make sure that our society has access to the care they need. Really DO that providing for the general welfare stuff.

 

yourspecialkid
by Platinum Member on Nov. 13, 2012 at 8:46 AM
2 moms liked this

 

Quoting Debmomto2girls:

Quoting yourspecialkid:

 First of all, health CARE in the US is not failing.  We have excellent medical care here.  We have a problem with the delivery of services.


Requiring people to have INSURANCE will not fix the problem.  IMHO, insurance specifically the HMO/PPO type plans is part of our problem.  I grew up with no insurance, yet went to the doctor when I was sick.  I even had a serious injury...broke my ankle in 2 places.  My Mom paid out of pocket for it and it didn't bankrupt her.  We didn't run to the doctor for everything.  I am not saying we shouldn'ti have insurance, I am just saying we shouldn't be running to the doc for a hangnail just because we have a $20 copay.


It would have been much easier and much cheaper to create a buy in for Tricare, Medicare or Medicaid.  Ins co's should be able to sell across state lines...there should be limits on law suits...ins regulations should be consistent across state lines...employers should get out of the ins business...med facilities should be encouraged to post prices....let people choose...create competition..ins policies should allow people to choose the coverage they want....we do with auto/home policies...


With the exception of a few elements the new law is nothing more than an expensive bureaucratic ball of crap.  Senator Wyden of OR had a better plan..he was a Dem and couldn't get an ear.  Ryan and Wyden even worked together some...no one wanted to hear the plan.  Why did we have to pass a plan before we even knew what was in it? 


In my opinion, telling someone they cannot have treatment because they can't get insurance because of a pre-existing condition, is an epic fail. Yes, we give great medical care but you either have to have a job that provides insurance or be poor enough for medical assistance. That isn't right

 So why not just force the ins companies to cover pre-existing conditions?  Why go to the 2000 pages of bureaucracy....fail to address many of the reasons hc is expensive...force people to buy it...then give a big chunk of them exemptions?

Forcing people to buy...or be fined...for something they already couldn't afford won't fix our problem and we don't have the money to pay for hc for everyone.  This country is so broke it would take more than 30 to pay off our debt if the govt didn't spend another single dime.

Again...why not expand Tricare, Medicare or Medicaid....and offer a buy in?

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