Miscellaneous And Off Topic Subjects

[Wild Hoss]

The lowest income utilize more services when covered than those in the middle class and above. Probably because of lifestyle and that they had put off treatments and never had preventative.

This was the part that concerned me from the beginning...much of these costs were already being incurred, but primarily at the County/State level. I was never clear on how the theoretical savings would be recouped, when preventative care was expanded. Nor did I really expect that it would.

[AlabamAlum]

http://www.discoverthenetworks.org/A...rategypoe.html



1. Point out flaw with capitalism
2. Impose wildly unrealistic government mandate on capitialism to fix flaw
3. Attribute new and even worse flaws created by government on capitalism.
4. Repeat

Exactly.

[iam416]

Correction on Ohio...they've actually added way more to Medicaid than anticipated/projected and are running out money.

It's really a brilliant and savvy move by the people pushing this agenda.

As Hannibal noted, it's not a new strategy. But woe be to anyone who points out the long con in 2008.

Fortunately, I think the R House will fight the brave fight for a long time.

[AlabamAlum]

This was the part that concerned me from the beginning...much of these costs were already being incurred, but primarily at the County/State level. I was never clear on how the theoretical savings would be recouped, when preventative care was expanded. Nor did I really expect that it would.

Yeah, they use three times the services and pay one-eighth the premium.

Eventually, a generation away, preventative WILL save money because it treats hypertension before a stroke or dialysis and diabetes before a foot is cut off and offers a colonoscopy before all the cancer spreads (etc, etc)...which are all very expensive remedies to what were easily treatable illnesses.

[Wild Hoss]

Yeah, they use three times the services and pay one-eighth the premium.

Eventually, a generation away, preventative WILL save money because it treats hypertension before a stroke or dialysis and diabetes before a foot is cut off and offers a colonoscopy before all the cancer spreads (etc, etc)...which are all very expensive remedies to what were easily treatable illnesses.

So what is the most reasonable path to get from here to there, in your view?

Or do we not bother, go back to the old ways and just accept that cutting off feet is the way we do business? Maybe expand legailized euthanasia to deal with the undiagnosed colon cancer? (Except that Rs won't agree to that last one either)

[entropy]

Hoss.. You should read up on this... It's what is happening now in the physician practices related to medicare. The payment model is changing.

https://www.acponline.org/system/files/documents/practice-resources/business-resources/payment/medicare/macra/macra-explained.pdf

or

https://catalyze.io/learn/macra-and-mips-explanation

[AlabamAlum]

So what is the most reasonable path to get from here to there, in your view?

Or do we not bother, go back to the old ways and just accept that cutting off feet is the way we do business? Maybe expand legailized euthanasia to deal with the undiagnosed colon cancer? (Except that Rs won't agree to that last one either)

The answer was expanding the federal portion of medicaid to better cover the working poor. That ship has sailed. With the impending reign of the PAH on the close horizon, PPACA will be further entrenched with the transition to single-payer being slowly introduced until the frog is sitting happily in boiling water.

[entropy]

And if that comes true, those who can afford it will buy additional insurance to avoid the lines, receive things like Kidney transplants after 55 and see the doctors they want..

A new market but you'll end up with a class system for Healthcare

[Prime2]

Isn't it their right to "extort" cash for their property, in a capitalistic system?

"Location, location, location" right?

Sure & BLM , they're a regular Chamber of Commerce.

LOL

[AlabamAlum]

And if that comes true, those who can afford it will buy additional insurance to avoid the lines, receive things like Kidney transplants after 55 and see the doctors they want..

A new market but you'll end up with a class system for Healthcare

Like in the UK.

[entropy]

Like the UK

[Wild Hoss]

The answer was expanding the federal portion of medicaid to better cover the working poor. That ship has sailed. With the impending reign of the PAH on the close horizon, PPACA will be further entrenched with the transition to single-payer being slowly introduced until the frog is sitting happily in boiling water.

:shrugs:

This is more or less what my opinion was eight years ago, as a novice. All I ever really thought we needed was a new approach to preventative care, tied to controls on cost savings at local levels. No problem, right? LOL.

Oiy.

[Wild Hoss]

Sure & BLM , they're a regular Chamber of Commerce.

LOL

Why do they need to be? Or anybody?

[Wild Hoss]

And if that comes true, those who can afford it will buy additional insurance to avoid the lines, receive things like Kidney transplants after 55 and see the doctors they want..

A new market but you'll end up with a class system for Healthcare

That's what we had before...but instead of good plans, crappy plans, and the ER, we'd have good plans and crappy plans. Progress!

Oiy

[Hannibal]

The answer was expanding the federal portion of medicaid to better cover the working poor.

The real answer is to fix the underlying problem that is Economics 101 -- that people who directly consume medical services don't pay for them. Insurance companies and taxpayers pay for them. There is no condition under which this can succeed, and no amount of micromanagement or think tanking can do anything but mitigate damage.