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- freeman3
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04 Dec 2013, 1:42 pm
RJ, I am not sure why the policy cannot be changed, other than perhaps a feeling that such a limitation would discriminate against the poor. My feeling is that there should a generous safety net and at least in a wealthy country like ours everyone should have access to food, shelter and health care; however, there is nothing wrong or discriminatory about making that financial support come with strings attached. People should contribute to society; just like at some point financial support from parents was not worth the restrictions, so should people feel about support from the government.
In general, government can condition paying money because of behavior A (by the individual that affects only the individual) that the government rationally believes leads to outcome B (which negatively affects society as a whole) So, for example buying soda would be behavior A and obesity (with higher health care costs) would be outcome B. It's get more dicey when government is not conditioning money but is prohibiting behavior A because it leads to negative outcome (e.g., not allowing drug use because it leads to crime or making helmets mandatory for motorcycle riders to reduce health care costs associated with head injuries). But certainly governmental paternalism is more allowable when government is footing the bill.
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- Doctor Fate
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04 Dec 2013, 2:28 pm
freeman3 wrote:By the way, cognitive dissonance is a fancy phrase, but you're the one that quoted an article saying that employer's costs were going to rise 5-7% percent, that those kinds of increases we're a "fixture", but now employers were claiming that their costs were going up because of the ACA. You quoted that article, I simply examined the implications of that. All I have said is that health care increases have slowed, which is not the same as employer's costs. If you quote an article then it is fair game for me to make reasonable inferences based on the article. So I did not simultaneously say that the ACA reduced costs and that it is not responsible for costs that were coming. What I said was that a reasonable inference from your article was that employer's increases were similar to prior years, but that employers were blaming it on the ACA. Growth in health care costs is not the same as the growth in employer's costs. It is not up to me to prove what your article implies--you cited it.
Is that clear enough....or do I need to bold it?
That really makes no sense. The ACA reduced costs but costs are going up.
Oh, it decreased governmental costs? Horse's hind end--with all those people going on Medicaid?
Look, either the ACA is the wonder drug that solves all problems, as advertised, or it doesn't.
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- freeman3
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04 Dec 2013, 2:37 pm
I think we need a new topic...
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- Doctor Fate
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04 Dec 2013, 2:37 pm
freeman3 wrote:I agree in principle with the argument that a person should not have to buy coverage they do not need. However, here the government is trying to make sure that with regard to certain coverages that everyone who does need those coverages will get them.
You may not know this, but you're just wrong. 60 year-old single women don't need maternity coverage or pediatric dental coverage (unless they still have "kids" at home). What this law does is spread the cost. I pay for maternity coverage for someone else so theirs is not as high as it otherwise would be. We are all forced to pay for coverage we don't need so that others won't have to pay as much when they do need it.
Now, in some situations, this is reasonable. However, making that woman pay for maternity coverage is as sensible as making a blind man pay for vision insurance.
And it may be, I don't know, that carving out certain exceptions for those who don't need the coverage would be more expensive than it is worth.
Why? It was the case BEFORE the ACA, but now it's too expensive?
It also seems to me that if there is a coverage that is not applicable, then the insured should not have to pay for it (the insurer in calculating the risk should take into account that this particular insured is not subject to that risk resulting from an inapplicable coverage). Finally, to the extent insurers are surcharging insureds who have inapplicable coverages, then that is something that presumably could be fixed by passing a "technical improvement" law (however, we know that is not possible under current political conditions)
I think you miss one of the purposes of the law: make a lot of people pay for stuff they won't use so that others who cannot pay will be covered.
It's a tax.
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- Ray Jay
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04 Dec 2013, 2:42 pm
Freeman:
RJ, I am not sure why the policy cannot be changed, other than perhaps a feeling that such a limitation would discriminate against the poor.
D _ _ _ _ _ _ _ S
Would you like to buy a vowel? (just joking)
Then again, it could be lobbying by Coke and Pepsi.
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- Doctor Fate
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04 Dec 2013, 2:45 pm
Will the ACA be struck down as unconstitutional? I hope so!
I understand a case may make its way to the USSC on this basis: the law passed muster only because it's a "tax" (under Roberts' convoluted reasoning). The problem? Any law of that sort (budget, taxes, etc.) must begin in the House. The ACA was forged in the hellfire of the Senate.
A technicality?
Sure. We call it by another name: "The Constitution."
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- Ray Jay
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04 Dec 2013, 2:48 pm
freeman3 wrote:I think we need a new topic...
Very true!
What else is there to talk about? China's one child policy; Iran and nukes; Ellsbury going to the Yankees, Syria; Egypt.
ooh, water on distant planets:
http://newswatch.nationalgeographic.com ... mospheres/oh wait, here's something
http://www.csmonitor.com/USA/Politics/2 ... are-eitherHappy holidays
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- Doctor Fate
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04 Dec 2013, 2:55 pm
This woman personifies the good-hearted liberal. She knows she got hosed by Obama. She lost her coverage. She's going to have to pay more--a lot more. But,
she doesn't care! At this point, I dropped the phone and got online, and there I figured out that my policy was inadequate by A.C.A. standards most likely because it lacked maternity coverage (not so useful for us) and vision coverage (which would be nice for a family of four-eyes, though we’d got used to not having it); there may have been other things in the fine print, too. On the D.C. Health Link, a site that, like most of the state exchanges and unlike healthcare.gov, has worked quite well since the beginning, I did some easy browsing and saw that there were thirty-one plans to choose from, with premiums ranging from $771 to $2,121 a month. On the other hand, the only options for my family that had no deductible, as we currently had, would cost more than the $1,300 we paid currently per month, between about $200 and $800 more, depending on the plan, and would come with a higher limit to our out-of-pocket costs than we presently have—as high as $12,700 (compared with our current $5,000 limit). One plan carried a deductible of $2,600, and the deductibles climbed steeply from there. Someone I know in California told me a similar story by e-mail yesterday: his family’s Kaiser Permanente insurance had gone up by eighty-nine per cent, and now included maternity coverage, which he and his partner, both in their sixties, weren’t figuring on needing. . . .
So yes, I’ll subsidize someone else’s prenatal coverage, in a more effective way than I’ve been doing by default under the current system, in which too many pregnant women show up in emergency rooms without having had such care, creating problems for themselves and their babies, and all sorts of costs for taxpayers. And I’ll remember to be relieved that my own access to health care is guaranteed. But they had better work out the problems with the A.C.A.; if they don’t, and it doesn’t fulfill its promise of insuring the uninsured, I’m really going to feel like a chump.
So, she's willing to pay more, even for coverage she doesn't need . . . as long as the uninsured get insurance! What a trooper! Now, if the President can just find about 40 or 50 million more suckers like her with too much money and nothing better to do with it.
Of course, she may not know about the 30 million the CBO says won't have insurance in 2020. I wonder if that will make her "feel like a chump."
Probably not.
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- Doctor Fate
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04 Dec 2013, 3:06 pm
Ray Jay wrote:freeman3 wrote:Ellsbury going to the Yankees, Syria; Egypt.
They way overpaid and over-committed.
Oh, the Yankees? Business as usual.
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- freeman3
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04 Dec 2013, 3:12 pm
Happy holidays, RJ? Careful, you might offend people who celebrate Christmas and don't need any references to other holidays (this is a major topic at Fox News)...
I guess I won't be trying out for Wheel of Fortune any time soon...
Interesting articles but you do realize that most of us here are only interested in articles that bash the other side, right?!
DF, maybe that liberal was happy because she was helping to save lifes (all other things being equal it is estimated that a person without insurance has a 40 percent greater chance of dying each year, as compared to a person with insurance).
http://www.cnn.com/2009/HEALTH/09/18/de ... insurance/
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- bbauska
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04 Dec 2013, 3:23 pm
freeman3 wrote:Happy holidays, RJ? Careful, you might offend people who celebrate Christmas and don't need any references to other holidays (this is a major topic at Fox News)...
I guess I won't be trying out for Wheel of Fortune any time soon...
Interesting articles but you do realize that most of us here are only interested in articles that bash the other side, right?!
DF, maybe that liberal was happy because she was helping to save lifes (all other things being equal it is estimated that a person without insurance has a 40 percent greater chance of dying each year, as compared to a person with insurance).
http://www.cnn.com/2009/HEALTH/09/18/de ... insurance/
[url]
http://digitalburg.com/?p=4700[/url]
Then again marriage is pretty good for life expectancy. Care to legislate that?
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- danivon
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04 Dec 2013, 3:41 pm
bbauska wrote:Danivon,
I have stated it before, and I will state it again. I grew up DIRT POOR. We had NOTHING! We still had good food, and spent the food stamp coupons (not a faux bank card) on healthy food, because that was all we had. Am I rich now? Not hardly, my friend.
To tie this to the insurance debate, it would be akin to ensuring that everyone had to follow the policies of food stamps, and then paying for the obligation to not get what we want.
If people want to be on food stamps, gov't subsidized insurance, gov't subsidized housing (which I know a great deal about!) or any other gov't subsidized program; fine. Just follow the policies to get the money. If you don't want the policies, don't get on the program. That is the choice I was addressing.
Seems simple.
So, Did you when you were dirt poor, 'choose' to be so, and 'choose' to be reliant upon food stamps? What were the alternatives open to you if so - apart from things like going hungry, or stealing...?
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- freeman3
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04 Dec 2013, 3:44 pm
Well, there are positives and negatives associated with marriage...can't say there any positives associated with not having insurance...
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- bbauska
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04 Dec 2013, 3:50 pm
freeman3 wrote:Well, there are positives and negatives associated with marriage...can't say there any positives associated with not having insurance...
Saving money?
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- bbauska
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04 Dec 2013, 4:07 pm
Danivon,
Great questions.
No, we did not choose to be poor, or even make choices that led my mom and her 3 kids to be in that situation. (well maybe bad spouse choice made by my mom, but I digress). We did however make choices that enabled us to recover fairly rapidly (2 years) from the desperate situation, and begin recovery. Two jobs by my mom, living frugally, not living beyond our means were all aspects of our lifestyle.
As for alternatives... My grandparents helped some, and friends helped mom as well. I am not saying that the government assistance was not beneficial. I am saying that we did not stay on for too long.
Do you agree that the acceptance of regulations of the gov't assistance programs need to be part of the acceptance of the benefit? Does the entire society need to be subject to the requirements of a gov't program, if it is not being paid for by the government? That is my point (and I am sure you realized that). The requirements of the ACA are just that. A requirement of a government program. If you want to be on a gov't subsidized insurance program, then accept the requirements. If not, then the gov't should not be restricting what is covered and what a deductible is set at.
My problem with the ACA is not that the government is offering insurance. I have no problem with that. Let the people make a choice of whether or not to be on the program. If you are on, then fine, accept the rules. If you choose not to be on the program, then the gov't does not need to be concerned about what choices I make as to coverage and deductible.
My problem with the ACA is gov't making the choices about what options are being provided(allowed) by insurance companies.