-

- Ray Jay
- Ambassador
-
- Posts: 4991
- Joined: 08 Jun 2000, 10:26 am
14 May 2015, 10:19 am
Ricky:
ACA has provided basic assurance that consumers can shop for insurance with confidence
or be fined for not doing so.
-

- bbauska
- Administrator
-
- Posts: 7463
- Joined: 26 Jun 2000, 1:13 pm
14 May 2015, 10:38 am
Yes, I do give MY opinion of what I think things should be. Perhaps there are those who should try and tell others what they think w/o using a blog or op-ed. Actual personal thought... Hmmm. That could be enlightening.
Now that there is a plan, what do you think of it, RickyP?
(BTW, I do hold people more responsible for their choices than you do. Thank you for noticing.)
-

- Doctor Fate
- Ambassador
-
- Posts: 21062
- Joined: 15 Jun 2002, 6:53 am
14 May 2015, 10:42 am
Ray Jay wrote:Ricky:
ACA has provided basic assurance that consumers can shop for insurance with confidence
or be fined for not doing so.
It also provides assurance of being charged for insurance you CANNOT use, assurance of narrowing networks, higher costs, and fewer primary care physicians. If those are the goals, well then, hang the "mission accomplished" banner.
-

- rickyp
- Statesman
-
- Posts: 11324
- Joined: 15 Aug 2000, 8:59 am
14 May 2015, 10:48 am
Prices Bill was introduced in 2009 and 2011 .There has been no request for the CBO to score the bill and Even a subcommittee on which Price himself is a member has taken no action on the bill.
Here's why:
Price’s bill would add substantially to the deficit. It calls for a variety of new tax credits, including a less-generous version of the ObamaCare health-insurance subsidies for lower-income Americans. It also calls for federal funding to help lower insurance costs for those with pre-existing conditions, and it allows individuals who buy their own insurance to deduct the cost from their taxable income.
All of that costs money. But unlike ObamaCare, which at least funds itself through higher taxes, the Price plan makes no effort to pay for itself. That’s probably why more than four years after its introduction, no fiscal analysis by the Congressional Budget Office has been requested. Such an analysis would tell the world that his plan is financially infeasible
.
price even presented his plan back to Obama in 09. Obama's response then was
“If you say that we can extend coverage to all Americans and it won’t cost a penny, that’s just not true,” he told Price. “You cannot structure a bill in which suddenly 30 million people have coverage, and it costs nothing.”
-

- rickyp
- Statesman
-
- Posts: 11324
- Joined: 15 Aug 2000, 8:59 am
14 May 2015, 10:53 am
ray
or be fined for not doing so
Well that goes down to personal responsibility doesn't it?
If people are irresponsible enough that they refuse to get health insurance there has to be some way to recoup the costs if they need health care that exceeds their ability to pay...
The law won't let hospitals just let someone die for lack of insurance or a valid credit card... So its up to the individual to be responsible.
The fine both enforces responsibility and in the case of those who prefer the fine provides some cost recovery for potentially free care.
-

- rickyp
- Statesman
-
- Posts: 11324
- Joined: 15 Aug 2000, 8:59 am
14 May 2015, 10:59 am
bbauska
Now that there is a plan, what do you think of it, Rick
y
I think it was a crappy idea in 09 and 11.
And relies upon magical thinking rather than fiscal reality.
-

- bbauska
- Administrator
-
- Posts: 7463
- Joined: 26 Jun 2000, 1:13 pm
14 May 2015, 2:00 pm
rickyp wrote:And relies upon magical thinking rather than fiscal reality.
Almost as much as the ACA was/is. On that vein, does the ACA rely upon "magical thinking" also; comparing it to the actual bill? Even the Administration wants to have it be different than what it says in writing.
And you claim Price's bill is "magical thinking"? Sheesh!
-

- Doctor Fate
- Ambassador
-
- Posts: 21062
- Joined: 15 Jun 2002, 6:53 am
14 May 2015, 3:45 pm
rickyp wrote:Prices Bill was introduced in 2009 and 2011 .There has been no request for the CBO to score the bill and Even a subcommittee on which Price himself is a member has taken no action on the bill.
Here's why:
Price’s bill would add substantially to the deficit. It calls for a variety of new tax credits, including a less-generous version of the ObamaCare health-insurance subsidies for lower-income Americans. It also calls for federal funding to help lower insurance costs for those with pre-existing conditions, and it allows individuals who buy their own insurance to deduct the cost from their taxable income.
All of that costs money. But unlike ObamaCare, which at least funds itself through higher taxes, the Price plan makes no effort to pay for itself. That’s probably why more than four years after its introduction, no fiscal analysis by the Congressional Budget Office has been requested. Such an analysis would tell the world that his plan is financially infeasible
.
price even presented his plan back to Obama in 09. Obama's response then was
“If you say that we can extend coverage to all Americans and it won’t cost a penny, that’s just not true,” he told Price. “You cannot structure a bill in which suddenly 30 million people have coverage, and it costs nothing.”
Oh, gee--fascinating.
Well, except my article was dated May 13, 2015.
So . . . have a nice cup.
Btw, the ACA, as I pointed out, can no longer be scored by the CBO. Does that concern you?
-

- Doctor Fate
- Ambassador
-
- Posts: 21062
- Joined: 15 Jun 2002, 6:53 am
14 May 2015, 3:47 pm
rickyp wrote:ray
or be fined for not doing so
Well that goes down to personal responsibility doesn't it?
The law is not about "personal responsibility." It's filled with mandates for things people don't need or don't want--that's not "personal responsibility."
-

- Doctor Fate
- Ambassador
-
- Posts: 21062
- Joined: 15 Jun 2002, 6:53 am
14 May 2015, 3:48 pm
rickyp wrote:bbauska
Now that there is a plan, what do you think of it, Rick
y
I think it was a crappy idea in 09 and 11.
And relies upon magical thinking rather than fiscal reality.
And, of course, Price is a doctor . . . so what would he know about medicine?
After all, Obama knows everything--just ask him.
Is Price's 2015 plan EXACTLY like the 2009 and 2011 plans? Do tell.
-

- danivon
- Ambassador
-
- Posts: 16006
- Joined: 15 Apr 2004, 6:29 am
14 May 2015, 11:22 pm
Being a medical doctor may make you a medical expert.
But that is not the same as expertise in the economics of medicine. Indeed, it may just provide a false sense of expertise which masks a bias.
-

- rickyp
- Statesman
-
- Posts: 11324
- Joined: 15 Aug 2000, 8:59 am
15 May 2015, 6:12 am
bbauska
Almost as much as the ACA was/is
The ACA is funded. and ha the required mandates to ensure that it works. On the other hand ...Prices bill copies reforms that collapsed in Texas and California.... The magical thinking is that this time the reforms would somehow work, and that the bad math of underfunding can be ignored.
Writing in the Washington Post, Ezra Klein said that the bill had some good ideas but that it would not work. In particular he said "its version of the health insurance exchanges will collapse pretty quickly because the bill contains
no individual mandate ensuring that the pool includes both healthy and sick individuals
no insurance market regulations stopping insurers from cherrypicking
no risk adjustment rebalancing the scales when they do."
He said "In other words, this looks much like the reforms that collapsed in Texas, and in California. Price isn't learning from past policy mistakes, and so he means to repeat them." The good elements, he said, were its proposal for automatic enrollment (of employees in employer health care schemes) and the extension of tax exemption on the purchase of private insurance by buyers in the individual insurance market currently enjoyed by the employed. These, however, would be capped at "the average value of the national health exclusion for Employer Sponsored Insurance (and not at the true cost). He pointed out that this tax exemption amounts to a huge tax increase, but said that "(Tom) Price won't call it that".[2] Presumably this is because the exemption is not specifically tax funded but would increase the deficit and would have to be paid for from taxes eventually.
The medical journalist Maggie Mahar has criticized the bill for the suggestion that people with pre-existing conditions should be moved into high risk pools run in each state. She points out that that existing state-based high risk pools can’t provide affordable coverage for nearly enough of the medically needy who have no other option, and that others have noted how "high-risk pools have been around for over 30 years and currently exist in 35 states, but they only cover about 207,000 Americans. The biggest barrier to enrollment is cost. High-risk pools are inevitably expensive because all of the enrollees have medical conditions that could potentially result in costly medical bills, which means the pools cannot spread costs across low-risk and high-risk individuals. Despite attempts to cap premium rates, the coverage is still unaffordable for many. In fact, a recent study found that premiums for high-risk pools are unaffordable for about one-third of eligible individuals.
fate
Well, except my article was dated May 13, 2015.
Is Price's 2015 plan EXACTLY like the 2009 and 2011 plans? Do tell.
well, we know he changed the date.
-

- Ray Jay
- Ambassador
-
- Posts: 4991
- Joined: 08 Jun 2000, 10:26 am
15 May 2015, 7:08 am
danivon wrote:Being a medical doctor may make you a medical expert.
But that is not the same as expertise in the economics of medicine. Indeed, it may just provide a false sense of expertise which masks a bias.
Yes; BTW, it's very similar to when climate scientists recommend programs that impact the economy.
-

- Doctor Fate
- Ambassador
-
- Posts: 21062
- Joined: 15 Jun 2002, 6:53 am
15 May 2015, 10:14 am
danivon wrote:Being a medical doctor may make you a medical expert.
But that is not the same as expertise in the economics of medicine. Indeed, it may just provide a false sense of expertise which masks a bias.
True, but he does know the pitfalls of Medicare/Medicaid better than someone who does not practice medicine.
-

- Doctor Fate
- Ambassador
-
- Posts: 21062
- Joined: 15 Jun 2002, 6:53 am
15 May 2015, 10:23 am
rickyp wrote:bbauska
Almost as much as the ACA was/is
The ACA is funded. and ha the required mandates to ensure that it works.
Question: do you mean to say the ACA costs no taxpayer money and will not add to the deficit?
Question: when you say ". . . to ensure it works," what does "it works" include?
Writing in the Washington Post, Ezra Klein said that the bill had some good ideas but that it would not work. In particular he said "its version of the health insurance exchanges will collapse pretty quickly because the bill contains
no individual mandate ensuring that the pool includes both healthy and sick individuals
no insurance market regulations stopping insurers from cherrypicking
no risk adjustment rebalancing the scales when they do."
He said "In other words, this looks much like the reforms that collapsed in Texas, and in California. Price isn't learning from past policy mistakes, and so he means to repeat them." The good elements, he said, were its proposal for automatic enrollment (of employees in employer health care schemes) and the extension of tax exemption on the purchase of private insurance by buyers in the individual insurance market currently enjoyed by the employed. These, however, would be capped at "the average value of the national health exclusion for Employer Sponsored Insurance (and not at the true cost). He pointed out that this tax exemption amounts to a huge tax increase, but said that "(Tom) Price won't call it that".[2] Presumably this is because the exemption is not specifically tax funded but would increase the deficit and would have to be paid for from taxes eventually.
The medical journalist Maggie Mahar has criticized the bill for the suggestion that people with pre-existing conditions should be moved into high risk pools run in each state. She points out that that existing state-based high risk pools can’t provide affordable coverage for nearly enough of the medically needy who have no other option, and that others have noted how "high-risk pools have been around for over 30 years and currently exist in 35 states, but they only cover about 207,000 Americans. The biggest barrier to enrollment is cost. High-risk pools are inevitably expensive because all of the enrollees have medical conditions that could potentially result in costly medical bills, which means the pools cannot spread costs across low-risk and high-risk individuals. Despite attempts to cap premium rates, the coverage is still unaffordable for many. In fact, a recent study found that premiums for high-risk pools are unaffordable for about one-third of eligible individuals.
This is Klein cherry-picking. It would be more helpful to ask Dr. Price how his program does/does not address these problems rather than taking someone else's word for it. Furthermore, I will bet the family farm he will not say anything like, "We have to pass the bill to find out what's in it."
fate
Well, except my article was dated May 13, 2015.
Is Price's 2015 plan EXACTLY like the 2009 and 2011 plans? Do tell.
well, we know he changed the date.
It's exactly that kind of insight I've come to expect from you. #clueless