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Consequences
Posted: Wed Sep 24, 2014 2:00 pm
by Tunnelcat
Mergers, or "non-mergers", are now called "alliances" and are on the rise since the implementation of Obamacare. So what will these "alliances" mean to the patient? That I don't know, yet. But I do know that
monopolies, excuse me,
alliances, will eventually be bad for the ordinary consumer, or patient, if history has shown us anything. There's power in size, and we as patients are on the bottom of the power totem pole.
http://www.californiahealthline.org/roa ... esponsible
http://blogs.marketwatch.com/health-exc ... port-says/
But there are some new and different issues cropping up and multiplying in the age of for-profit-healthcare,
"drive-by-doctors" and "innovative coding". I can pretty much guarantee that this will continue to raise costs, and aggravation, for patients. So much for the ACA controlling costs and simplifying healthcare.
http://www.ndtv.com/article/world/after ... saw-595458
Re: Consequences
Posted: Wed Sep 24, 2014 2:40 pm
by Spidey
The ACA was never intended to do those things.
Re: Consequences
Posted: Wed Sep 24, 2014 9:18 pm
by Tunnelcat
The ACA, the Affordable Care Act.
https://en.wikipedia.org/wiki/Patient_P ... e_Care_Act
Wikipedia wrote:The ACA was enacted with the goals of increasing the quality and affordability of health insurance, lowering the uninsured rate by expanding public and private insurance coverage, and reducing the costs of healthcare for individuals and the government. It introduced a number of mechanisms——including mandates, subsidies, and insurance exchanges——meant to increase coverage and affordability.[6][7] The law also requires insurance companies to cover all applicants within new minimum standards and offer the same rates regardless of pre-existing conditions or sex.[8] Additional reforms aimed to reduce costs and improve healthcare outcomes by shifting the system towards quality over quantity through increased competition, regulation, and incentives to streamline the delivery of healthcare. In 2011 the Congressional Budget Office projected that the ACA would lower both future deficits[9] and Medicare spending.[10]
The only thing it's done is put more people on insurance, and even that's a squishy number right now. The way everything is going, the affordable part is only a pipe dream. I don't see how costs will be controlled or quality improved when health care monopolies form and stifle competition, doctors add on charges the patient doesn't know about nor realize they're consenting to until AFTER a procedure is done and that "innovative coding" which is being used solely to make more profits and not benefit patients, all to get around insurance company rules.
From the White House's own website:
http://www.whitehouse.gov/blog/2013/10/ ... irst-place
The state's progressive vision of universal coverage and the conservative idea of market competition are what formed the blueprint for Obamacare: that everyone should have access to quality, affordable health care, and no one should ever go broke just because they get sick.
Re: Consequences
Posted: Wed Sep 24, 2014 10:53 pm
by Will Robinson
Marketing usually over does it a bit. Don't blame anyone though....they really wanted the product to live up to the promises.
And besides, Bush probably screwed it all up so that it wouldn't work. He was in the Whitehouse for years before they ever let Obama in. He probably sabotaged things cause he's white you know.
Re: Consequences
Posted: Thu Sep 25, 2014 12:28 am
by vision
Will Robinson wrote:He probably sabotaged things cause he's white you know.
Still can't get over the black president, eh? I know, I know, those blacks... they have such privilege...
Re: Consequences
Posted: Thu Sep 25, 2014 6:35 am
by Will Robinson
vision wrote:Will Robinson wrote:He probably sabotaged things cause he's white you know.
Still can't get over the black president, eh? I know, I know, those blacks... they have such privilege...
Again you couldn't be more wrong. He's the only Democrat Presidential candidate I ever cast a vote for and I did it primarily because he is black!
What I can't get over is how often the left wing has used the race card to try and stifle critics of his policy. Like you just did...
Re: Consequences
Posted: Thu Sep 25, 2014 9:57 am
by Foil
Okay, guys, we get it.
Can we ditch the sarcasm and back-and-forth about race, and get back to the original topic?
There's a really interesting topic here, specifically about how the market is adapting to get around the elements of the ACA which were purportedly supposed to control it. Which begs the question, can controls on a free market
ever work in the long term, or will the market always find a way?
Re: Consequences
Posted: Thu Sep 25, 2014 12:02 pm
by Will Robinson
Not only is it common for the market to find a way, if they have trouble there are politicians that will sell exemptions to the controls.
Like Spidey said the ACA wasnt ever going to fix the issues it was campaigned on.
Re: Consequences
Posted: Thu Sep 25, 2014 12:12 pm
by callmeslick
actually, the ACA addressed precisely those items it was touted to. It was not designed to address ALL issues, such as some mentioned here.
Re: Consequences
Posted: Thu Sep 25, 2014 12:17 pm
by Tunnelcat
It will always find a way, because people will always want to find a way around the rules to give themselves the advantage. It's no different than in any game. Sports personalities find newer and more devious ways to cheat to win, and not get caught. Win by any means possible. Isn't that what Americans want? Survival of the fittest? To heck with the other guy as long as I'm fat and happy?
This is the way it works in ALL human endeavors by the way. Politics and the free market both play the game the same way Will. Cheat or gain control to win. Neither politicians, nor people that run the free market are exempt. They'll both do what it takes to win. You can't trade one for the other and expect a better, or even different, outcome. Get rid of government, sure, the market will go towards a solution. Is that solution what people really want though? I don't think most Americans can envision the harsh reality of a totally free market solution.
Re: Consequences
Posted: Thu Sep 25, 2014 12:23 pm
by callmeslick
agree with that last part, TC........to few people look at the early Industrial Revolution, or overall conditions in the US pre-Teddy Roosevelt to grasp what a largely urban society under free-market without regulation looks like.
Re: Consequences
Posted: Thu Sep 25, 2014 12:30 pm
by Tunnelcat
You watched "The Roosevelts" too huh? Pretty damn good movie Ken Burns did. There was history there I hadn't ever heard of. Most Americans
should have watched it just to see the misery caused by the Industrial Revolution, the rise and fall of Wall Street and the big banks and all controlled by the Robber Barons who were aided and abetted by the crooked politicians of the time. I don't know how people survived it. Guess I'm soft.
Re: Consequences
Posted: Sat Sep 27, 2014 9:25 am
by Will Robinson
callmeslick wrote:actually, the ACA addressed precisely those items it was touted to. It was not designed to address ALL issues, such as some mentioned here.
I can recall a lot of ACA items Obama and others campaigned on that have not been addressed. At least if you expected them to be addressed in the positive way they promised...
I dont think your definition of "precisely" is very precise and your narrative doesn't jibe with reality.