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Post by aztecwin on Jun 24, 2015 15:03:06 GMT -8
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Post by AlwaysAnAztec on Jun 25, 2015 9:12:06 GMT -8
So... what is your solution? Eliminate healthcare for millions of people so you can get an appointment a day sooner?
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Post by aztecwin on Jun 25, 2015 11:43:48 GMT -8
So... what is your solution? Eliminate healthcare for millions of people so you can get an appointment a day sooner? Repeal and replace.
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Post by AlwaysAnAztec on Jun 25, 2015 13:17:10 GMT -8
So... what is your solution? Eliminate healthcare for millions of people so you can get an appointment a day sooner? Repeal and replace. How does that help with the "doctor shortage"?
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Post by thepapacy on Jun 25, 2015 13:38:40 GMT -8
The next step in our healthcare system is the introduction of a public option. Nothing else will be tolerated.
If you Repubs want the credit, then by all means go ahead and introduce it. But no, there will be no repeal until the framework for a more progressive system is already in place.
You see that SCOTUS decision this morning? Did it hurt more or less than the '12 election results coming in?
Carry on.
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Post by aztecwin on Jun 25, 2015 13:46:12 GMT -8
The next step in our healthcare system is the introduction of a public option. Nothing else will be tolerated. If you Repubs want the credit, then by all means go ahead and introduce it. But no, there will be no repeal until the framework for a more progressive system is already in place. You see that SCOTUS decision this morning? Did it hurt more or less than the '12 election results coming in? Carry on. The public option is probably where it is headed. My problem is the additional overall cost both for most individuals and the overall cost to the country as a whole. Had to decision gone the other way it would have been a huge disruption to the system. Maybe it will spur the GOP to come up with a real well thought out plan to replace what is now in place. I think I can sense an overall sigh of relief that the GOP does not need to scramble around to smooth over the chaos. Now they had better get busy.
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Post by AlwaysAnAztec on Jun 25, 2015 15:18:46 GMT -8
The next step in our healthcare system is the introduction of a public option. Nothing else will be tolerated. If you Repubs want the credit, then by all means go ahead and introduce it. But no, there will be no repeal until the framework for a more progressive system is already in place. You see that SCOTUS decision this morning? Did it hurt more or less than the '12 election results coming in? Carry on. The public option is probably where it is headed. My problem is the additional overall cost both for most individuals and the overall cost to the country as a whole. Had to decision gone the other way it would have been a huge disruption to the system. Maybe it will spur the GOP to come up with a real well thought out plan to replace what is now in place. I think I can sense an overall sigh of relief that the GOP does not need to scramble around to smooth over the chaos. Now they had better get busy. Well Win, I think this is a first. I agree with you on every point of your post.
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Post by aztecwin on Jun 25, 2015 15:27:29 GMT -8
The public option is probably where it is headed. My problem is the additional overall cost both for most individuals and the overall cost to the country as a whole. Had to decision gone the other way it would have been a huge disruption to the system. Maybe it will spur the GOP to come up with a real well thought out plan to replace what is now in place. I think I can sense an overall sigh of relief that the GOP does not need to scramble around to smooth over the chaos. Now they had better get busy. Well Win, I think this is a first. I agree with you on every point of your post. Just being practical.
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Post by thepapacy on Jun 25, 2015 15:30:43 GMT -8
Well Win, I think this is a first. I agree with you on every point of your post. Just being practical. Also a first.
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Post by tuff on Jun 30, 2015 17:21:30 GMT -8
The next step in our healthcare system is the introduction of a public option. Nothing else will be tolerated. If you Repubs want the credit, then by all means go ahead and introduce it. But no, there will be no repeal until the framework for a more progressive system is already in place. You see that SCOTUS decision this morning? Did it hurt more or less than the '12 election results coming in? Carry on. The public option is probably where it is headed. My problem is the additional overall cost both for most individuals and the overall cost to the country as a whole. Had to decision gone the other way it would have been a huge disruption to the system. Maybe it will spur the GOP to come up with a real well thought out plan to replace what is now in place. I think I can sense an overall sigh of relief that the GOP does not need to scramble around to smooth over the chaos. Now they had better get busy. As long as the government is in charge and running the show, there will be no increase in good doctors. Bad law, poorly written, too costly. GOP has a big mountain to climb.
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Post by AlwaysAnAztec on Jul 1, 2015 8:55:54 GMT -8
The public option is probably where it is headed. My problem is the additional overall cost both for most individuals and the overall cost to the country as a whole. Had to decision gone the other way it would have been a huge disruption to the system. Maybe it will spur the GOP to come up with a real well thought out plan to replace what is now in place. I think I can sense an overall sigh of relief that the GOP does not need to scramble around to smooth over the chaos. Now they had better get busy. As long as the government is in charge and running the show, there will be no increase in good doctors. Bad law, poorly written, too costly. GOP has a big mountain to climb. And the insurance companies have been doing such a great job. Right. The ACA was a windfall for the medical insurance industry just as Medicare part D was to the pharmaceutical industry.
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Post by tuff on Jul 1, 2015 13:40:58 GMT -8
As long as the government is in charge and running the show, there will be no increase in good doctors. Bad law, poorly written, too costly. GOP has a big mountain to climb. And the insurance companies have been doing such a great job. Right. The ACA was a windfall for the medical insurance industry just as Medicare part D was to the pharmaceutical industry. This. Thread isn't about the insurance companies, who by the way my doctors had no problem with and neither did I. It's about getting access to the doctors, which is shrinking and will continue to shrink thanks to ACA. When it takes me four months to schedule a physical when it used to take 10 days.....that sucks. If I were in college today, I wouldn't go into pre-med. it just ain't worth it.
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Post by thepapacy on Jul 1, 2015 13:55:28 GMT -8
And the insurance companies have been doing such a great job. Right. The ACA was a windfall for the medical insurance industry just as Medicare part D was to the pharmaceutical industry. This. Thread isn't about the insurance companies, who by the way my doctors had no problem with and neither did I. It's about getting access to the doctors, which is shrinking and will continue to shrink thanks to ACA. When it takes me four months to schedule a physical when it used to take 10 days.....that sucks. If I were in college today, I wouldn't go into pre-med. it just ain't worth it. lol if it takes you four months to schedule a physical, you must also be one of those billionaires who pays a 65% effective tax rate... if less kids go into the medical field, the market would dictate lower tuition to attend medical school. lower tuition creates more incentive to go, and equilibrium is restored. you know, adam smith sh it.
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Post by aztecwin on Jul 1, 2015 14:06:23 GMT -8
This. Thread isn't about the insurance companies, who by the way my doctors had no problem with and neither did I. It's about getting access to the doctors, which is shrinking and will continue to shrink thanks to ACA. When it takes me four months to schedule a physical when it used to take 10 days.....that sucks. If I were in college today, I wouldn't go into pre-med. it just ain't worth it. lol if it takes you four months to schedule a physical, you must also be one of those billionaires who pays a 65% effective tax rate... if less kids go into the medical field, the market would dictate lower tuition to attend medical school. lower tuition creates more incentive to go, and equilibrium is restored. you know, adam smith sh it. If it was Adam Smith stuff it would work out. This is hardly Adam Smith. ObamaKare has restricted supply in several ways. It is not free trade!
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Post by tuff on Jul 14, 2015 16:51:25 GMT -8
This. Thread isn't about the insurance companies, who by the way my doctors had no problem with and neither did I. It's about getting access to the doctors, which is shrinking and will continue to shrink thanks to ACA. When it takes me four months to schedule a physical when it used to take 10 days.....that sucks. If I were in college today, I wouldn't go into pre-med. it just ain't worth it. lol if it takes you four months to schedule a physical, you must also be one of those billionaires who pays a 65% effective tax rate... if less kids go into the medical field, the market would dictate lower tuition to attend medical school. lower tuition creates more incentive to go, and equilibrium is restored. you know, adam smith sh it. You keep thinking that.
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Post by AztecWilliam on Jul 14, 2015 22:15:51 GMT -8
If the health system does not get too much in the way of physicians, they will probably soldier on. But at some point the massive dosses of federal regulations will prove to be a real disincentive for you people thinking about going into medicine as well as for older doctors (in the 50-60 year old range) who may well decide it's not worth the struggle. Many of the latter will check their bank accounts to see if retiring a bit early is possible.
This is yet another area in which the struggle is between, on the one hand, collectivists who want the federal government to run more and more aspects of daily life and, on the other hand, those who correctly see that the government should not go beyond its enumerated powers as stated in the U.S. Constitution.
AzWm
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Post by thepapacy on Jul 14, 2015 22:40:26 GMT -8
This is yet another area in which the struggle is between, on the one hand, collectivists who want the federal government to run more and more aspects of daily life and, on the other hand, those who correctly see that the government should not go beyond its enumerated powers as stated in the U.S. Constitution. Not quite. The struggle, as evidenced perfectly by this post, is between those who are willing to compromise to find solutions to fundamental issues a non-regulated market cannot fix & often serves to exacerbate at the expense of an ever-growing underclass, and those who believe their reading of the Constitution is the only correct one that should always be applied to justify a personal political belief system.
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Post by aztecwin on Jul 15, 2015 6:06:30 GMT -8
This is yet another area in which the struggle is between, on the one hand, collectivists who want the federal government to run more and more aspects of daily life and, on the other hand, those who correctly see that the government should not go beyond its enumerated powers as stated in the U.S. Constitution. Not quite. The struggle, as evidenced perfectly by this post, is between those who are willing to compromise to find solutions to fundamental issues a non-regulated market cannot fix & often serves to exacerbate at the expense of an ever-growing underclass, and those who believe their reading of the Constitution is the only correct one that should always be applied to justify a personal political belief system. You make no sense! (As usual) We have a law in place that shrinks the supply of Doctors while increasing the price.
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Post by Proud Aztec on Jul 19, 2015 0:08:26 GMT -8
As a primary care physician I can tell you that obamacare is not working as insurance companies keeps pushing for the highest premium increase allowable by the government. The affordable care act is no longer affordable. I have a patient who told me that next year he will no longer be able to afford health coverage because his premium will jump by 30%. The reason for the premium increase is because increase companies have decided the risk pool for the new patients coming into the healthcare setting are very sick patients. Most of these patients are patients who are receiving subsidized insurance from Obamacare. These are the ones who have not seen a physician for years and have neglected their health. The net effect of this situation is that it will likely create a new set of uninsured patients, particularly the working class, who do not qualify for Subsidized insurance and who can't afford the thousands of dollar in premium increase. The bottom line is that most health insurance companies are for profit companies who are in the business of healthcare to make money. The money does not trickle down to the physicians who provide the services. Usually the insurance company pays a healthcare organization a set value to healthcare organizations to care for a specifies amount of patients. That healthcare organization, depending if it is for profit or not then contract out the service to the physicians. The reality is maybe 10% or less of the healthcare dollar spent actually goes to the physicians. The current model has setup too many middlemen who does absolutely nothing to contributes to the wellbeing of a patient. Even though I hate the idea, a socialized program where you remove most of the middlemen is the solution. However, I do realize that will mean loss of job to the middlemen. Nevertheless that is what will save the healthcare system and hopefully create more jobs in the delivery of medicine rather than the business of medicine.
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Post by aztecwin on Jul 19, 2015 6:21:24 GMT -8
As a primary care physician I can tell you that obamacare is not working as insurance companies keeps pushing for the highest premium increase allowable by the government. The affordable care act is no longer affordable. I have a patient who told me that next year he will no longer be able to afford health coverage because his premium will jump by 30%. The reason for the premium increase is because increase companies have decided the risk pool for the new patients coming into the healthcare setting are very sick patients. Most of these patients are patients who are receiving subsidized insurance from Obamacare. These are the ones who have not seen a physician for years and have neglected their health. The net effect of this situation is that it will likely create a new set of uninsured patients, particularly the working class, who do not qualify for Subsidized insurance and who can't afford the thousands of dollar in premium increase. The bottom line is that most health insurance companies are for profit companies who are in the business of healthcare to make money. The money does not trickle down to the physicians who provide the services. Usually the insurance company pays a healthcare organization a set value to healthcare organizations to care for a specifies amount of patients. That healthcare organization, depending if it is for profit or not then contract out the service to the physicians. The reality is maybe 10% or less of the healthcare dollar spent actually goes to the physicians. The current model has setup too many middlemen who does absolutely nothing to contributes to the wellbeing of a patient. Even though I hate the idea, a socialized program where you remove most of the middlemen is the solution. However, I do realize that will mean loss of job to the middlemen. Nevertheless that is what will save the healthcare system and hopefully create more jobs in the delivery of medicine rather than the business of medicine. A single payer system where the people covered are defined to exclude illegals. How to pay for emergency room visits by illegals has been discussed and there is a solution.
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