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Author Topic: American Health Care Act
airforce
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Here is the 123-page text of the ObamaCare Lite.

Onward and upward,
airforce

Posts: 16289 | From: Tulsa | Registered: Jan 2002  | Report this post to a Moderator
airforce
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It looks like the Republicans are planning to cram this through Congress before the Congressional Budget Office has a chance to score it. That means NO ONE will have any idea just how much this plan will cost, even as they're debating it.

Four GOP (in name, at least) senators say they will oppose any rollback of the Medicaid expansion. So this thing may well be dead in the water anyway.

Onward and upward,
airforce

[ 03-06-2017, 09:57 PM: Message edited by: airforce ]

Posts: 16289 | From: Tulsa | Registered: Jan 2002  | Report this post to a Moderator
Huskerpatriot
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I see the RINOs as an equal threat as the liberals... They stand for nothing and are more than happy to compromise on our liberty if it will get be them more power!

--------------------
"Government at its best is a necessary evil, and at it’s worst, an intolerable one."
 Thomas Paine (from "Common Sense" 1776)

Posts: 729 | From: Omaha Nebraska | Registered: Nov 2013  | Report this post to a Moderator
airforce
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There is one number that will doom any government health care plan. What is the number? 87.

87 percent of Americans favor "maintaining the protections offered to people with pre-existing conditions under Obamacare." And that's a problem.

Suppose we sold auto insurance that way. No one would buy auto insurance until they had an accident. Can you see the problem?

Americans have forgotten what "insurance" really is. It's a way to protect yourself from a possible problem you don't have now, but may have in the future. If you don't have a problem now, but can always buy insurance in the future when you do have a problem, why would anyone buy insurance now?

Traditionally, insurance companies didn't have this problem. They were under no obligation to sell insurance to someone who was sick, and if they did, they certainly wouldn't sell it at the same price.

The new insurance plan does do away with mandates for individuals and companies to buy insurance, but it keeps the mandate for insurance companies to sell insurance to those with pre-existing conditions.

Selling insurance to sick people is certainly the compassionate thing to do, I understand that. But if it forces insurance companies to get out of the medical insurance market, the whole plan is doomed from the start.

I'm sure the Republicans who drafted this plan understand this, but they don't care. They want to get re-elected, and if that means passing a billthat can't work, well, so be it.

And people wonder why I'm a free market anarchist. [Roll Eyes]

Onward and upward,
airforce

Posts: 16289 | From: Tulsa | Registered: Jan 2002  | Report this post to a Moderator
airforce
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From Pastor Chuck Baldwin:

quote:
Neocon House Speaker Paul Ryan and the GOP congressional leadership are promoting "Obamacare Lite," which keeps and even strengthens most of Obamacare. It even features guaranteed bailouts for insurance companies and permanently ensconces socialized medicine in America.

Senator Rand Paul and other conservative senators and House members are strongly opposing the bill. Kudos to them!!! Right now, at least 70 Republicans are vowing to vote against it.

But get this: President Donald Trump is pressuring congressional conservatives to surrender their principles and support this grotesque legislation. I hate to say it, but by doing this Trump is acting just like previous Neocon Republican presidents.

Really, Mr. Trump? You are going to support phony conservatives such as Paul Ryan and turn your back on conservative members of Congress? Have you forgotten that repealing Obamacare was one of the main reasons conservatives elected you President to begin with? Beyond that, the members of Congress that you are now backing are the same ones who did everything they could to keep you OUT of the White House.

Is this a precursor of things to come? If so, Democrats won't have to put up with Mr. Trump for very long, because he will be a one-term President for sure.

Republicans control the entire federal government right now: the White House and both houses of Congress. They could pass a complete repeal of Obamacare; and then replace it with...NOTHING. If they wanted to, that is. But the truth is, the Republican Party is nothing but Democrat Lite, which is why nothing much changes no matter which party is in control in Washington, D.C.

Let's see how many "conservative" and "patriot" radio talk show hosts, web hosts, magazine publishers and editors, etc., will try to justify this stupid thing because it's Trump and the Republicans that are proposing it. This has been going on FOREVER.

It is stuff like this that makes the GOP so stinking dangerous. "It can't get any worse than the Democrats." Just keep telling yourself that--and looking the other way, of course.

Better yet, call a piece of crap a piece of crap (regardless of who is shoveling it) and let your congressman and senators know how disappointed and opposed you are to Ryan's sellout.

Onward and upward,
airforce

Posts: 16289 | From: Tulsa | Registered: Jan 2002  | Report this post to a Moderator
airforce
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Here is a sample letter you can send to your congressman if you like Rand Paul's plan better.

quote:
The official GOP Obamacare replacement proposal is a fraud. Senator Rand Paul’s bill is far better. The Paul bill should become the official GOP Obamacare replacement legislation. Feel free to copy or edit this letter as you wish.

The Republican leadership’s proposal repeals far less of Obamacare than did previous GOP repeal bills. It’s infuriating that Republican leaders are once again betraying their promises at the very moment when they actually have the power to do something. This bad Republican proposal actually retains Obamacare’s...

-- Insurance price fixing provisions
-- Tax penalties for people who don’t purchase state-approved insurance plans
-- Tax funded subsidies to help low-income people purchase overpriced health insurance.

GOP leaders also create new matching grants to states to fund features of Obamacare they once campaigned against, such as...

-- Insurance company bailouts
-- High-risk pools
-- Expanded funding for support programs akin to Medicaid, but without that name

Cato Institute even argues that, “The funding formula for this new grant program appears to reward high-cost states.” In other words, the more expensive a state’s healthcare becomes, the more money that state will get. This is a recipe for sending costs higher and higher.

Perhaps the only redeeming feature of the official Republican proposal is that it cuts all sorts of silly, social engineering taxes. But it counteracts this good by retaining the “Cadillac Tax” on high-end employer-provided health insurance. The correct approach is to make all forms of health insurance equally tax deductible. But...

Even here, the Republican plan is fraudulent.It retains the “Cadillac Tax” until 2025. You might as well say, it's here forever.

Worst of all, the official Republican plan does nothing to restore free market healthcare. Senator Paul’s "Obamacare Replacement Act" (S. 222) does a much better job of this.

Rand Paul’s plan would...

* Provide a two-year buffer period in which people with pre-existing conditions (PEC) could still get coverage. That would allow time for the market to solve the PEC problem in other ways (as described below).

* Make the cost of individual insurance tax deductible. This would give individual policies the same tax treatment as employer-provided policies. Most likely, the number of individually owned policies would expand. With more people owning their own policy, the PEC problem would plummet. PEC is a politician-created problem that happens when people get sick after losing their job (and therefore their insurance).

* Give citizens a tax credit of up to $5,000 for contributions to an HSA (Health Savings Account)

* Eliminate the ceiling on HSA contributions

* Remove the stipulation that you must have a high-deductible health care plan in order to have an HSA

* Allow citizens to use HSA funds for insurance premiums

* Expand the number of things HSA funds could be used for, including over-the-counter drugs, vitamins and supplements, plus nutrition and exercise programs. One of the great flaws of Obamacare is that it does nothing to lower the burden on the medical system by preserving health and preventing disease. Healthier people don't need as much medical care.

* Allow citizens to band together to lower the cost of buying insurance. Individual Health Pools (IHPs) would give persons the same bargaining power that employer insurance groups currently have. The IHPs could include churches, alumni associations, trade associations, civic groups, or entities formed strictly for establishing an IHP, as long as there is no health status requirement for membership. This provision would dramatically reduce the PEC problem.

* Allow physicians to band together to gain bargaining power with insurers, without having to concentrate into big impersonal medical firms.

* Allow doctors to deduct the expense of the uncompensated care they provide, thereby making pro bono services, free clinics, and true charity hospitals more plentiful.

* Allow insurance providers to sell policies nationally. This would remove the cartel control that the insurance industry currently maintains through state legislatures. This would also restore the market for major medical plans, which is how insurance is supposed to work. The result would be a wider variety of policy choices at much lower prices.

* Give states flexibility in how they design and manage their Medicaid programs. This would enable experimentation and competition between the 50 states. It would also allow the states to innovate new ways to address the PEC problem.

* Repeal Obamacare at the same time it replaces it.

In short, I think Rand Paul’s bill should become the official Republican bill. Do it.

Onward and upward,
airforce

Posts: 16289 | From: Tulsa | Registered: Jan 2002  | Report this post to a Moderator
airforce
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TrumpCare proponents are sinking to a new low, attacking GOP congressmen who oppose this boondoggle. I just saw a commercial (on the local Fox News channel) telling people to urge my congressman, Jim Bridenstine, a member of the House Freedom Caucus, to get behind Ryan's plan. The ad implied that those who oppose don't want to repeal ObamaCare.

I just emailed Rep. Bridenstine, asking him to hold firm. If you're congressman is being attacked like this, I urge you to do the same. We shouldn't have to put up with these lies.

Onward and upward,
airforce

Posts: 16289 | From: Tulsa | Registered: Jan 2002  | Report this post to a Moderator
airforce
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From Rep. Thomas Massie:

quote:
President Trump spoke to us this morning in a private GOP meeting. He's considerably more charming and intelligent than the media would lead you to believe. I'm still voting No on Obamacare-lite this Thursday.

I was elected not to follow the DC crowd but to come here and make good decisions for my constituents while being fiscally responsible and defending our constitution. I support our President but in my judgement he's receiving bad advice on the negative consequences of this legislation with respect to the cost of health care. Furthermore, he's been mislead about the political implications of this bill and even the likelihood of its passage Thursday.

To that point, on average, I'm receiving 30 calls a day from constituents opposing this bill, and ZERO supporting it. If you support this bill, and you live in Kentucky's fourth congressional district, please feel free to call me or comment below.

Onward and upward,
airforce

Posts: 16289 | From: Tulsa | Registered: Jan 2002  | Report this post to a Moderator
airforce
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Why not a Netflix for doctors? Some people - not enough people, alas - are talking about actual, free market solutions to health care.

quote:
To its critics, Republicans’ Obamacare replacement bill is not just a bad idea, it seems to reveal a dearth of ideas. The impression among some liberals (and even conservatives) is that, given seven years to come up with an alternative to Obamacare, the best the GOP could do was to water down the Affordable Care Act and throw in some personal-responsibility measures for flair.

But in fact, some hardcore conservatives do have pretty radical health-care ideas—they’re just not anything like the American Health Care Act. Over the course of several recent interviews, the Heritage Foundation’s Ed Haislmaier shared his vision for a fully market-based health system, in which people subscribe to their doctors like they would Netflix and low-performing general hospitals get crushed by scrappy, stand-alone specialty practices. Access to doctors and treatments would hinge on whatever the “the market” deemed best, with consumers the kingmakers.

His ideas probably won’t resonate with those who fear that vulnerable populations will slip through the cracks, but they are a stark departure from the typical Republican talking points on health care—like, say, selling insurance across state lines.

Haislmaier, the foundation’s senior research fellow for health policy, is influential in Republican circles: He worked on the Trump administration’s transition team, primarily on ways to stabilize the Obamacare marketplaces. He’s now back at Heritage full time. Like Heritage Action, the think-tank’s political arm, Haislmaier doesn’t like the AHCA, saying it doesn’t “undo a lot of what’s really wrong with the Affordable Care Act.” Most of his ideas would rise from the ashes of a long-gone ACA, or be rolled out gradually by enterprising states and cities.

First, Haislmaier and others at Heritage told me they’d like to see an end to certificate of need laws, which require health practices to get permission from a state board before setting up shop. Then, there could be an influx of, say, free-standing radiology practices that move in and compete with the radiology services a hospital provides.

“How many hospitals have you seen go under?” Haislmaier asked me.

“I mean, there’s been quite a few,” I said.

“Not enough,” he said. “Not the ones that need to.”

His point is that hospitals today resemble department stores like Macy’s: “It’s a bit of everything for everybody, but they don't do any one thing really well.”

He sees them being replaced by independent specialists—think Sur La Table and Foot Locker, except with orthopedic surgeons. Not only would these practices compete against each other, they would, theoretically, be free of the need to subsidize an expensive emergency room and other trappings of a hospital....

Read the whole thing at the link.

Onward and upward,
airforce

Posts: 16289 | From: Tulsa | Registered: Jan 2002  | Report this post to a Moderator
airforce
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Count Sen. Mike Lee out, too.

 -

And Rand Paul says there are easily 35 "No" votes in the House.

Onward and upward,
airforce

Posts: 16289 | From: Tulsa | Registered: Jan 2002  | Report this post to a Moderator
airforce
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How the government ruined healthcare, and what we can do about it. A new article from the Mises Institute.

quote:
Government’s meddling in the healthcare business has been disastrous from the get-go.

Since 1910, when Republican William Taft gave in to the American Medical Association’s lobbying efforts, most administrations have passed new healthcare regulations. With each new law or set of new regulations, restrictions on the healthcare market went further, until at some point in the 1980s, people began to notice the cost of healthcare had skyrocketed.

This is not an accident. It’s by design.

As regulators allowed special interests to help design policy, everything from medical education to drugs became dominated by virtual monopolies that wouldn’t have otherwise existed if not for government’s notion that intervening in people’s lives is part of their job.

But how did costs go up, and why didn’t this happen overnight?

It wasn’t until 1972 that President Richard Nixon restricted the supply of hospitals by requiring institutions to provide a certificate-of-need.

Just a couple years later, in 1974, the president also strengthened unions for hospital workers by boosting pension protections, which raise the cost for both those who run hospitals and taxpayers in cases of institutions that rely on government subsidies. This move also helped force doctors who once owned and ran their own hospitals to merge into provider monopolies. These, in turn, are often only able to keep their doors open with the help of government subsidies.


This artificial restriction on healthcare access had yet another harsh consequence: overworked doctors.

But they weren’t the first to feel the consequences hit home. As the number of hospitals and clinics became further restricted and the healthcare industry became obsessed with simple compliance, patients were the first to feel abandoned.

According to Business Insider, the average doctor has thousands of patients, and each visit lasts less than 30 minutes. Prior to the government’s slow but absolute control of healthcare, the doctor listened to the patient — many old timers will confirm — even if they couldn’t afford it. Few were turned down. Now, doctors can hardly recall the conversations they have with the people they are supposed to be looking after.

As President Barack Obama pushed further restrictions on the insurance industry by touting his Affordable Care Act as a piece of legislation that would make insurance more affordable — ignoring that insurance isn’t the same as care — the overall cost of coverage also increased over the years. And as a result, a new group of independent healthcare professionals went on to ignite one of the most liberating revolutions in recent US history.

Business Insider chronicles the story behind Dr. Bryan Hill’s practice.

As a pediatrician, Hill spent most of his life dealing with insurance companies. But one day after answering an impromptu house call, he decided he had had enough.

That’s when he learned about primary care clinics. These offices remain open by giving patients memberships in exchange for a monthly fee that covers most of what the average patient requires. As a result, the patient pays the doctor directly, and neither party is forced to navigate the complicated rules imposed by insurance companies.

In September 2016, Hill opened his practice in South Carolina, and he’s not planning on going back. But he’s just one of many. As ACA became increasingly suffocating to patients and providers, many doctors ditched the system altogether while others went into the primary care business.

On average, members of these direct primary care clinics pay as little as $60 per month, with couples paying about $150. Without having to handle heavily regulated middlemen, patients have a clearer picture of how much they spend on their health by being members of such practices. They also enjoy the peace of mind of knowing their doctor.

Studies have already demonstrated that when there is good communication between doctors and patients, treatments are more efficient. This is not simply because doctors are giving patients attention, but also because they are able to tailor a certain treatment to that patient’s lifestyle, health, and activities.

By removing the government entirely from the picture and allowing patients and doctors to once again deal directly with one another, the practice of embracing primary care helps to illustrate the importance of an individual and personalized approach to healthcare.

For governments and government bureaucrats, everything is dealt with from a collective perspective — after all, if all you have is a hammer, everything looks like a nail.

When government gets involved in healthcare, everything looks like another number, another statistic. But what bureaucrats fail to understand is that they do not possess all the answers. Only a doctor who is paying attention will be better able to help the individual patient — not a few thousand new regulations.

In essence, what this growing movement seems to suggest is that, even if doctors and patients are unaware of the interventionist forces driving the cost of doing business and receiving medical attention, they’re still driven into the open arms of the free market at some point or another. In the end, needs speak louder than ideology.

That is how my doctor now works. I like it.

Onward and upward,
airforce

Posts: 16289 | From: Tulsa | Registered: Jan 2002  | Report this post to a Moderator
   

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