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Post 01 Nov 2013, 3:22 pm

I'll let Tom deal with the bulk of this, but . . .

freeman3 wrote:Maybe once the general public realizes how expensive it really since is then they will support things to bring the overall cost of medical care under control (hopefully the ACA's will do it, but if not then something else).


Interesting. So, the problem was not the uninsured? The problem was people with insurance?

So weird that the President never raised this. It was all about helping those without.

Huh. Weird.

Maybe if he'd told people with insurance that their policies were the problem--they were the problem, that they didn't know enough to help themselves but he did, gee whiz, I don't know, but that might have come off as patronizing. The mighty Obama swooping in to save millions of working stiffs who didn't even know they were getting hosed. What a guy that Obama is!

*swoon*

The prior system was not working and had to be fixed and for all DF's worship of free market solutions, they don't work in the health care market.


Why? Why do you insist on blaming something that did not exist? Again, there was no "free market" before the ACA.

In any case, Republicans have proposed no comprehensive solution (this talk of fixing pre-existing conditions is, well, amusing--sure, Republicans are going to subsidize those who have pre-existing conditions...)


It's as amusing as Democrats "helping" anyone. Look around. All they want is to centralize control and make more and more people dependent on government. Public housing, welfare, food stamps--the goal is not "help," but kind and gentle enslavement.

Having said that, do I believe that the ACA should be tinkered with to subsidize middle-class families that are having to deal with the sticker shock of having to pay the real cost of health insurance. Absolutely.


Sure, let's just borrow more from China. It's like these "subsidies" are "free."

Would Obama agree to do that---I am pretty sure he would. Would Republicans agree to do that? No way!


If Obama knows so much and is so munificent, why wasn't this in the bill in the first place? Oh, because it would cost an arm and a leg? Oh, the President promised it would it would not "add one thin dime" to the deficit. Then again, he made many promises that he knew were not true, so why not another?
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Post 02 Nov 2013, 3:29 am

GMTom wrote:But danivon, while this is not pure socialism, it most certainly IS socialism to a degree. The poor are getting subsidies paid for by the others...socialism!
That is not socialism, sorry. Using the wrong word to define something repeatedly does not alter the fact that it's the wrong word.

And you do realise that what happened before is that many people already were getting their care subsidised anyway, don't you? Those who could not get insurance and could not afford their bills would end up either having them written off (so the hospital/provider would take money from the money coming from those who can pay their bills) or otherwise getting help. Medicare and Medicaid were already doing this for many others.

And even there, if my care gets better while my costs go down, great go ahead and subsidize anyone you want! Problem is my care is not better and my costs are far higher.
Because it is all about you, I guess. But did you really expect to get more for less?

Tell me, over the 10 years prior to Obamacare, did your costs go up or down? And did the benefits change accordingly?

It's coming, a Republican landslide victory! The Dems pissed off the silent majority of conservatives!
I remember about a year ago that we were about to see Obama shunted out of office.

And the "silent majority"? I wish sometimes that they'd shut the hell up. People who claim to be of it generally are referring to a group that it neither.
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Post 02 Nov 2013, 7:48 am

it absolutely is, government insists all must take part in the program while giving subsidies to the poor to help them afford it, that is a form of socialism. No, it is not pure and total socialism but it is a form or a degree of it without any doubt, claiming otherwise is simply fooling yourself.

and your silent majority comment. Yes, the majority should just "shut up" and let the liberals control everything!? Most (but not all) Conservatives are quiet and meek but rile them up (by hitting their purses) and they will speak with their vote!
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Post 02 Nov 2013, 8:37 am

GMTom wrote:it absolutely is, government insists all must take part in the program while giving subsidies to the poor to help them afford it, that is a form of socialism. No, it is not pure and total socialism but it is a form or a degree of it without any doubt, claiming otherwise is simply fooling yourself.

and your silent majority comment. Yes, the majority should just "shut up" and let the liberals control everything!? Most (but not all) Conservatives are quiet and meek but rile them up (by hitting their purses) and they will speak with their vote!


A bigger question, going forward, is whether the Obama coalition can hang together. I'm dubious because I think it's all about the man himself, not the ideas.
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Post 02 Nov 2013, 8:44 am

Silent conservative majority? More like loud, conservative minority trying to stop anything from getting done until they regain the presidency. And Tom you're already in the Republican camp so you're unhappiness with the ACA is pretty irrelevant politically.
When you get a big reform like the ACA of course a few people are not happy. And I think most of the people will be ok with it once they understand why their premiums have gone up. There are a lot more people than that with pre-existing conditions who are happy with the change, there are a lot of working poor who are happy they can finally get insurance, there are a lot of people who just got of college that are happy they can stay on their parents' plan. Those numbers vastly outweigh the number of middle-class to upper-middle-class people who bought individual plans and saw their premiums go up. Those very large number of people positively affected would be angry if the ACA was gotten rid of.
I remember RJ talking a long-time ago that subsidy cut-offs were set too low. Well let's fix that. Let's try to solve problems instead of being obstructionist. The ACA is here--why not make it work better rather than not setting up exchanges, not accepting Medicaid expansion and complaining about every problem? Are Republicans the can-do or do-nothing (or is that the know-nothings if you get the historical reference) party?
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Post 02 Nov 2013, 9:08 am

freeman3 wrote:When you get a big reform like the ACA of course a few people are not happy.


:laugh: :laugh: :laugh: :laugh:

You're killin' it!

Obama's challenges with the health-care law have compounded the damage. By 40 percent to 9 percent, Americans said recent news has made them less confident about the law rather than more confident. While just 24 percent say the law should be "totally eliminated"—a core Republican demand—28 percent say it needs "a major overhaul."


And I think most of the people will be ok with it once they understand why their premiums have gone up.


Sure, because people love it when they pay more for the same thing (or less). It's going to surprise many people, given the President's rhetoric. You think people voted for, essentially, a tax increase.

There are a lot more people than that with pre-existing conditions who are happy with the change, there are a lot of working poor who are happy they can finally get insurance, there are a lot of people who just got of college that are happy they can stay on their parents' plan.


I think you're going to find out the numbers are not quite as thrilling as you think. Plus, just wait until they try and use what they have. This program will have many effects and not all will be good for healthcare. When doctors aren't accepting the insurance you have, it has less benefit to you.

Those numbers vastly outweigh the number of middle-class to upper-middle-class people who bought individual plans and saw their premiums go up. Those very large number of people positively affected would be angry if the ACA was gotten rid of.


If you say so. This probably explains why even Democrats are starting to back away from the ACA. :no:

I remember RJ talking a long-time ago that subsidy cut-offs were set too low. Well let's fix that.


Where does the money come from?

Btw, I have a relative who works for a Pharma company. They have to contribute to the $10B fund the ACA essentially "fines" them into making. Guess what? That Pharma company is going to cut R and D expenses. Something had to go.

The problem with the ACA is it promised something for nothing. As people find out what "nothing" costs and what "something" is, it will continue to hit the President's poll numbers. Eventually, even he will be looking for an exit.

Let's try to solve problems instead of being obstructionist.


It's not "obstruction." The GOP predicted many of the problems. Senator Mike Enzi predicted many would get tossed off of their insurance in 2010. The President promised otherwise. Now, the results are starting to come in.

The ACA is here--why not make it work better rather than not setting up exchanges, not accepting Medicaid expansion and complaining about every problem?


The support for Medicaid will decline, so that States pick up more and more of the tab. This is a tax increase, no matter how you want to slice it. Americans are going to find out this law is very, very expensive.

Are Republicans the can-do or do-nothing (or is that the know-nothings if you get the historical reference) party?


No, they're the party that understands how to add.

They're also the Party that owns NONE of the ACA. For the sake of argument, suppose the ACA is not popular. Why would they help when they didn't vote for it, have been demagogued by the President concerning it, and don't agree with the way this is being done? It's going to cost trillions to fix and far less to kill. Plus, there is no political incentive to save the Democrats who are going to drown as the employer mandate kicks in and millions more lose health insurance right before the 2014 elections.
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Post 02 Nov 2013, 10:00 am

hahahahaha
Try telling that to EVERYONE in the production department who were complaining and asking why costs went up when Obama promised them to be lower. I almost laughed out loud, three young black men were complaining about this, "Obama promised better care and lower prices, we got neither"
Yep, it's JUST the conservatives, they targeted me and my health plan only!? Keep telling yourself that!

and why do any people want the ACA majorly overhauled versus doing away with it? Because they were promised lower costs and better care. They are wanting that and hoping they can still get it. Most people don't care about helping the destitute when it means they face huge cost increases. Yeah, it sounds nice and when you can make the rich pay, it's all good. But when you hit people in the wallet, and hit them hard, they complain. But yes, we WANT to help the poor, we WANT lower costs, we WANT better care ...all the things promised, no kidding they want it "fixed" and not done away with.
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Post 02 Nov 2013, 10:03 am

As usual "chicken little" is interpreting everything in the worst possible light...give it six months to actually go into effect--actually, you did not even wait for that. Where does all this anti-Obama stuff come from? This endless stream of anti-Obama propaganda--you would think our country had gone into the tank already ...And if it does it won't be from liberals who have a positive inclusive outlook on life and people, but close-minded conservatives who are afraid that people that are not like them are going to take their stuff....look around you--where is wealth concentrated in this country--it sure is not in the conservatives areas of the country.
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Post 02 Nov 2013, 10:08 am

ummm, is my insurance going to cost me less in 6 months? Why will I suddenly be fine with it 6 months down the road? Or are you banking on people forgetting about it after 6 months? But they see it on every pay stub, they still can't go out to a restaurant, in my case, I still have no satellite tv.
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Post 02 Nov 2013, 10:13 am

and where is the wealth concentrated?
I'm thinking you want to say the democratic states but where in those states is the wealth? Is it in the cities with large numbers of Democrats or is it in the suburbs dominated by Republicans? The wealth is where the Republicans are, that sir is why Democrats keep trying to buy poor votes with handouts!
thanks for pointing that out for us!
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Post 02 Nov 2013, 1:59 pm

freeman3 wrote:As usual "chicken little" is interpreting everything in the worst possible light...give it six months to actually go into effect--actually, you did not even wait for that.


It's already costing millions their policies. And, when the employer mandate kicks in, many more will get dropped. Of course, they can go into "glorious" exchanges.

You have a political tin ear.

Meet the new Soccer Mom: Obamacare losers.

Millions of married, older, white, college-educated, GOP-leaning Americans have quickly seen their political profile rise after their health insurance companies sent them cancellation letters with the launch of the giant new health care law.

It’s not a huge segment of the population — estimates show between 10 million to 19 million people bought health insurance from what Health and Human Services Secretary Kathleen Sebelius dubbed the “Wild West” individual marketplace.

But the ones who are making the most anti-Obamacare noise are part of this group (think of the self-employed, small business owners, freelance writers, musicians and taxi cab drivers) that share one politically pertinent common denominator. Their complaints — amplified in recent weeks by Republicans and reporters — demonstrate one of the first tangible stumbles of the Affordable Care Act.

“It’s not theoretical anymore,” said Virginia-based health industry consultant Robert Laszewski. “You can spin in the White House press room, but these are people who will be sitting down with their friends and families at Thanksgiving sharing stories about their cancellation letters. That’s going to be the only thing that counts.”

Horror stories already abound of people who can’t get insurance through their employer and are now finding that their old plans don’t measure up to Obamacare’s standards. There may indeed be better policies around the corner, giving people more protections when they actually do get sick and requiring guaranteed coverage for things like prescription drugs, emergency hospital visits, maternity and mental health and not being black listed due to a preexisting condition.

Still, it’s the shock of the change — especially after President Barack Obama repeatedly promised that anyone could keep the plan that they had — that is very real and threatens to resonate through the 2014 midterm campaign.

“[Obama] may have known this is a more sophisticated issue – you’re going to get better, more benefits – but people who hear politicians are very literal,” said Harvard professor Bob Blendon, an expert on public attitudes toward health care policy.


This is early, but remember why the policy exists: to insure the uninsured. There were an estimated 30 million. The CBO says that in 10 years we will have . . . 30 million!

Meanwhile, many people are losing what was good coverage to them and will get vastly more expensive coverage that covers things they don't care about. They're not smart enough to make their own decisions. It's a slap in the face that you don't get because you're comfortable with the government telling you what to do.

Where does all this anti-Obama stuff come from? This endless stream of anti-Obama propaganda--you would think our country had gone into the tank already


He has made us an international laughingstock. When Putin takes your lunch money multiple times and when you look as hopeless as Obama has all over the globe, it has an impact. And, his Sgt. Schultz impersonation (does he ever know about anything "bad" that happens?) doesn't help.

...And if it does it won't be from liberals who have a positive inclusive outlook on life and people, but close-minded conservatives who are afraid that people that are not like them are going to take their stuff....


Inclusion? :laugh: :laugh: :laugh:

Liberals only like those who blindly obey Obama. They're tolerant of everyone who is not Christian. They love those who don't want to work. They have compassion on those who refuse to make any value judgments at all. They delight in government waste. They are in awe of energy sources that are unaffordable, as long as they're renewable.

Inclusion means anyone who believes in AGW, evolution, government control over children, and the evil nature of corporations. Those are people welcome by liberals.

look around you--where is wealth concentrated in this country--it sure is not in the conservatives areas of the country.


Then, raise taxes on liberals! Force liberals into lousy government programs. Take guns away from liberals.

Leave the rest of us alone. We'd prefer to be Americans.
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Post 02 Nov 2013, 9:17 pm

My favorite line in all of this came from an article in the LA Times. A woman (I think here name was Christina) was quoted as saying "I was for Obamacare until I found out I was paying for it."

That right there is why Freeman will be wrong. He thinks people will start to support Obamacare when they realize how many people less off it helps. He thinks people are by nature altruistic.

The problem is that people are selfish. They don't have a problem helping someone less off as long as it doesn't take away from them. Once it effects them though.......
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Post 02 Nov 2013, 10:53 pm

It's a reasonable observation but I am not sure I am quite that naive. If I recollect 150 million Americans get coverage through their work and 20 million or so get individual plans. Of that 20 million or so who bought individual plans how many already opposed ACA. Of the ones who supported or were at least neutral towards the ACA how many had sub-standard plans? That's a relatively small number of people and ultimately that group will be vastly outnumbered by those who will benefit from the ACA. The real important thing is the employer plans because that is where the numbers are.
My sense of human nature is that the majority of Americans are willing to do a little bit to help their fellow Americans, but yeah they are not willing to take a big financial hit, I agree with you.
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Post 03 Nov 2013, 6:42 am

I do agree that humans are both selfish and altruistic, but the former is stronger, especially when the group gets larger. In this case the group is 300 million Americans.

We also appreciate honesty and rationality. That's why Obama is running into trouble. As Sir Walter Scott might have said:

Oh what a tangled website we weave, when we practice to deceive.
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Post 03 Nov 2013, 8:41 am

freeman3 wrote:It's a reasonable observation but I am not sure I am quite that naive. If I recollect 150 million Americans get coverage through their work and 20 million or so get individual plans. Of that 20 million or so who bought individual plans how many already opposed ACA. Of the ones who supported or were at least neutral towards the ACA how many had sub-standard plans? That's a relatively small number of people and ultimately that group will be vastly outnumbered by those who will benefit from the ACA. The real important thing is the employer plans because that is where the numbers are.


The problem here is that the Kaiser Foundation studies found something like up to 30% of employers will stop offering health benefits opting to pay the cheaper penalty instead. If that number is even close to accurate that means up to another 45M (assuming your 150M number is correct) having to pay for a more expensive policy. Not only will they now have to pay for a more expensive policy, it will be a real expense as to opposed to an "unreal" expense, i.e. a payroll deduction. By this I mean ask the common person who has employer based HCI how much they pay and I guarantee (s)he will not be able to answer. Compare that to someone who has to write a check each month to pay for HCI.

Also you seem to be assuming that people who had a bad policy before the ACA who are now getting a better policy but still paying more are not going to complain. I also think this is an incorrect assumption. The problem with Health Insurance is that people are not going to connect the higher price to better coverage. All they are going to see is that they now have to pay more money for something the barely ever use. I believe this would be an example of Rational Ignorance