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The repeal of Obamacare. It's going to be difficult.


dayman

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Anyone seen this echoed through the media not just by liberals, but also conservatives and republicans? I get it, it's a complicated law and it's vast web of bureaucracy.

 

With that said, the GOP has advanced and passed through the House dozens of bills to repeal the law already and done an incredible amount of talking about it for 8ish years.

 

I'm curious to see what happens here and how fast it happens. Like or dislike Obamacare, they have the power to do what they obsessed about for years...if they don't do something it should be extremely embarrassing.

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Anyone seen this echoed through the media not just by liberals, but also conservatives and republicans? I get it, it's a complicated law and it's vast web of bureaucracy.

 

With that said, the GOP has advanced and passed through the House dozens of bills to repeal the law already and done an incredible amount of talking about it for 8ish years.

 

I'm curious to see what happens here and how fast it happens. Like or dislike Obamacare, they have the power to do what they obsessed about for years...if they don't do something it should be extremely embarrassing.

 

As far as I'm concerned, they can pretty much do what they want but the key will be to ensure the very poorest of people keep whatever coverage they got through ACA, and find a way to carry coverage for existing conditions.

 

Eliminate the left crying about taking these two things, and you'd be hard pressed to get much opposition because EVERYONE is feeling the pain of this law.

 

Except the people who passed it, as they exempted themselves from it...a point the right needs to remind everyone about.

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As far as I'm concerned, they can pretty much do what they want but the key will be to ensure the very poorest of people keep whatever coverage they got through ACA, and find a way to carry coverage for existing conditions.

 

The first is relatively easy - it's Medicare expansion, and it's the only part of the ACA that actually works.

 

The really hard part is going to be telling people that no, we actually can't roll back rates to what they were before the ACA !@#$ed with everything. With the insurance industry (who will never willingly give up money they're already collecting) and the states (who will never give up their right to regulate insurance) involved, the reality is that it's simply never going to happen.

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They can't change anything for 2017 except perhaps the IRS penalties for either earning too much or not having coverage.

As Tom said, they could perhaps expand Medicare (pre-existing conditions are not a disqualifier). And they could put the truly needy in Medicaid.

 

Beyond that, they could try to eliminate the barriers to inter state insurance programs, but each state has its own insurance regulatory agency and that's probably a key stumbling block, as these are little fiefdoms of power.

 

HC Insurance plans offered as a benefit of employment should not be discouraged as it's a perquisite to employment, and the ridiculous "Cadillac" tax should be abolished.

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As far as I'm concerned, they can pretty much do what they want but the key will be to ensure the very poorest of people keep whatever coverage they got through ACA, and find a way to carry coverage for existing conditions.

 

Eliminate the left crying about taking these two things, and you'd be hard pressed to get much opposition because EVERYONE is feeling the pain of this law.

 

Except the people who passed it, as they exempted themselves from it...a point the right needs to remind everyone about.

 

What is your personal experience with the ACA?

 

If everyone has been affected...I have not noticed it.

What can lower costs for families is being able to remove unwanted coverage.

 

We pay twice as much for less coverage than every other first world country - the ACA is not the cause of the cost - the same cost structure existed before the ACA. The ACA is primarily to provide a manner for the uninsured to get something.

 

If you want to fix it - you are going to have to structurally change the delivery system and repealing the ACA doesn't do that.

 

Why the business community has not revolted against the mandate to give coverage to employees - I do not understand - it is definitely NOT business friendly.

Edited by baskin
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What is your personal experience with the ACA?

 

If everyone has been affected...I have not noticed it.

 

We pay twice as much for less coverage than every other first world country - the ACA is not the cause of the cost - the same cost structure existed before the ACA. The ACA is primarily to provide a manner for the uninsured to get something.

 

If you want to fix it - you are going to have to structurally change the delivery system and repealing the ACA doesn't do that.

Loss of employer "Cadillac" plan. $3,000 + extra tax because we "earn too much". Higher deductibles, and premiums than the previous plan that had better coverages.

 

What's been your experience with the ACA?

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What can lower costs for families is being able to remove unwanted coverage.

And shop across state lines

 

Currently I am presented with a few employer based plans, all with the same coverages including OBGYN, Pediatrics, and substance abuse rehabilitation.

 

Opening up more providers will encourage competition which will lower rates and allow consumers to opt out of coverage that does not apply to them

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What is your personal experience with the ACA?

 

If everyone has been affected...I have not noticed it.

 

Prior to ACA, I covered all of my employees and their families. Now I don't because it was bleeding our profit and my business does not allow me to bury those extra costs into my product. My own insurance has gone up from 20-35% each year since it was passed.

 

I have a small business (seven employees) that does a lot of work with other small businesses, and we constantly share info regarding small business issues, health care being one of them. They have all cut back on full coverage for employees. All of them.

 

Given how firmly entrenched you with your party, I am not surprised to hear you saying it hasn't affected you. Not surprised at all.

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Prior to ACA, I covered all of my employees and their families. Now I don't because it was bleeding our profit and my business does not allow me to bury those extra costs into my product. My own insurance has gone up from 20-35% each year since it was passed.

 

I have a small business (seven employees) that does a lot of work with other small businesses, and we constantly share info regarding small business issues, health care being one of them. They have all cut back on full coverage for employees. All of them.

 

Given how firmly entrenched you with your party, I am not surprised to hear you saying it hasn't affected you. Not surprised at all.

 

 

You have to get over what "party" I am in dude....it discounts your points. I am truly independent.

 

I have had business too - and as I said before - we are the ONLY first world country that burdens our businesses with providing HC to employees. Its insane. Our in-country COGS carry the cost of HC while imports don't - so that is what a 35 percent spread right there.

 

There is no sane reason to do it this way - other than - what I can see - is GOP resistance to creating what would be a much more business favorable HC delivery structure.

Edited by baskin
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I still think we need to have a barebones public option for all people, to at the very least fill the gaps, and hopefully cut down on people not getting treatment for things until its too late (and too expensive). Private insurance for those that want fancier services.

 

(yes, I know the above is a simplification, and easier said than done)

 

As much as I like a couple of the regulations/expansion of medicare, that the ACA brought, it was a hobbled together bandaid for a gaping wound. I'm not really sure what Republicans are planning, I know many conservatives want removal of government/regulations period from healthcare, and I just don't see how that helps things. Costs were rising before ACA, I don't see how simply removing ACA causes things to be cheaper.

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I still think we need to have a barebones public option for all people, to at the very least fill the gaps, and hopefully cut down on people not getting treatment for things until its too late (and too expensive). Private insurance for those that want fancier services.

 

Open the VA to the general population. You want government run healthcare... here you go.

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Except the people who passed it, as they exempted themselves from it...a point the right needs to remind everyone about.

 

 

As if that isn't enough right there to tell everyone everything they need to know about our so-called public servants and the laws they pass.

 

 

What is your personal experience with the ACA?

 

 

My sister is a self-employed small business owner with a preexisting condition, and she supported the ACA because insurance was too expensive and nobody would cover anything relating to her specific malady. After passage of the ACA, her insurance is even more expensive, her out of pocket expenses have skyrocketed, and she can no longer see the same specialist - so she is often forced to simply stay home in bed and suffer.

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How hard can it be to repeal? It's not like anyone actually read it before they voted or even after. They're making it up as they go.

 

Unfortunately the fatal blow of ACA was the elimination of many prior private insurance policies which are never coming back. If you repeal ACA now, it will mean adding 20 million to Medicaid (which was the original goal all along)

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Unfortunately the fatal blow of ACA was the elimination of many prior private insurance policies which are never coming back. If you repeal ACA now, it will mean adding 20 million to Medicaid (which was the original goal all along)

 

Why medicaid and not medicare?

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