Jump to content
Washington Football Team Logo
Extremeskins

Obamacare...(new title): GOP DEATH PLAN: Don-Ryan's Express


JMS

Recommended Posts

Just now, twa said:

 

As is the original.

 

You know as well as I do that the original, despite its reception, was never intended to be the end of the discussion. It was the beginning, and actually a discussion. In that regard it was leaps and bounds better than anything that is being theorized by the Republicans now. They are about as useful to the process as you have been to the this discussion so far lol

Link to comment
Share on other sites

13 hours ago, SkinsPassion4Life said:

Someone needs to explain to me why insurance companies should cover pre-existing conditions?

 

 

 

Because if they don't, then any insurance purchased on the market (not through your employer) is illusory.

 

Let's say you have a privately purchased plan.  You've always been insured your whole life, and paid your premiums every year.  Then this year it turns out you have been diagnosed with cancer.  When it comes time to renew, your insurance company can (and will) jack your rates to something astronomical.  Way more than you could possibly afford.  You can't go to another carrier because you have a preexisting condition and they won't cover it.  Now you've lost your coverage, permanently.  

 

Non-employer based coverage, without a mandate to cover pre-existing conditions, is little better than emergency-only coverage.  

Edited by Bliz
  • Like 1
Link to comment
Share on other sites

Just now, Bliz said:

 

Because if they don't, then any insurance purchased on the market (not through your employer) is illusory.

 

Let's say you have a privately purchased plan.  You've always been insured your whole life, and paid your premiums every year.  Then this year it turns out you have been diagnosed with cancer.  When it comes time to renew, your insurance company can (and will) jack your rates to something astronomical.  Way more than you could possibly afford.  You can't go to another carrier because you have a preexisting condition and they won't cover it.  Now you've lost your coverage, permanently.  

 

Non-employer based coverage, without a mandate to cover pre-existing conditions, is little better than emergency-only coverage.  

 

The government can put a cap on increases, can't they?  

Link to comment
Share on other sites

SkinsPassion4Life,

One might think a cap on increases would work.  However, for most serious conditions, maintenance of coverage is no given.  When I did my senior thesis in the 90's on HIV patients, one of the things that most surprised me is over half of them lost their insurance within 2 years. Why would they allow that to happen as they are incurring hundreds of thousands of dollars in medical bills (very expensive and profitable disease in the 90's)?  I wondered whether that was still the case today, and according to the CBO in their scoring of both the house and senate plans, it is still a problem.  In the 90's, insurance companies did things like not collect from the PO BOX the checks were sent until the day after the bills were due.  Then they would cancel the coverage for late payment.  Of course, that assume what was driving the need for expensive care didn't cause the patient to be laid off from work causing them to lose their insurance coverage. 

 

The simple truth is when we most need healthcare insurance tends to be when we are most likely to lose it. 

  • Like 3
Link to comment
Share on other sites

6 hours ago, SkinsPassion4Life said:

 

The government can put a cap on increases, can't they?  

 

Okay.  Same hypothetical but this time you want to move to a new state for a job or to care for a relative or for one of the many other reasons people move.  Your current insurer does not sell policies in your new state.  The folks who do sell there won't sell to you because you had cancer.  

 

Or your insurer decides to get out of the private health market altogether.  

 

Now what?

Edited by Bliz
  • Like 1
Link to comment
Share on other sites

2 hours ago, Bliz said:

 

Okay.  Same hypothetical but this time you want to move to a new state for a job or to care for a relative or for one of the many other reasons people move.  Your current insurer does not sell policies in your new state.  The folks who do sell there won't sell to you because you had cancer.  

 

Or your insurer decides to get out of the private health market altogether.  

 

Now what?

 

Don't the big companies sell in every state?     And wouldn't the ability to purchase insurance across state lines help?    Let's say you live in NY and there's a really good nationwide policy you can get in California, you should be able to buy it.

Link to comment
Share on other sites

No, big insurers dont sell in all states.  Different states have different laws, and what's required to be covered isn't universal. Some insurers leave markets due to state regulations and other leave because service providers don't want to negotiate price. BCBS almost left CA when the hospital chain there insisted on raising prices by a huge amount. When BCBS insisted they would not pay the huge increases, the chain stopped accepting BCBS. How good is an insurance not accepted at any local hospital? There are all kinds of reasons even big insurance companies can stay out of certain markets.

  • Like 2
Link to comment
Share on other sites

9 hours ago, SkinsPassion4Life said:

 

Don't the big companies sell in every state?     And wouldn't the ability to purchase insurance across state lines help?    Let's say you live in NY and there's a really good nationwide policy you can get in California, you should be able to buy it.

No, that's what we're trying to fix with the ACA.  Our physicals every year cost $25 now...they're gonna cost us at least $500 each, on top of premiums with Trumpcare. 

If you think that's workable, good for you.

  • Like 1
Link to comment
Share on other sites

10 hours ago, SkinsPassion4Life said:

 

Don't the big companies sell in every state?     And wouldn't the ability to purchase insurance across state lines help?    Let's say you live in NY and there's a really good nationwide policy you can get in California, you should be able to buy it.

 

It's not clear that the ability to sell insurance across state lines would help.  Starting to do business in a new state is very expensive for insurance companies, because they have to sign up a very large network of all types of healthcare providers.  So say you live in NY and you buy a California policy, chances are all the doctors enrolled in that network are in California.  An insurance plan is only as good as the network behind it.  

  • Like 2
Link to comment
Share on other sites

5 minutes ago, visionary said:

 

 

Reading the article, (I do that sometimes), looks like the Republucan legislature intends to try to override. 

 

Could be interesting. I could see several people's votes changing, when they're voting strictly on whether to cripple Medicaid expansion, as opposed to voting on an entire budget, with that clause in it. 

Link to comment
Share on other sites

The problem with Trump supporters/voters is that they think the only people affected will be black people and immigrants undocumented or not. What they forgot is that the greatest numbers of people receiving safety net benefits are white people. They have somehow convinced themselves that they won't be impacted, and their Republican representatives and senators aren't about to correct them.

 

 

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Recently Browsing   0 members

    • No registered users viewing this page.
×
×
  • Create New...