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ACA Running Thread

http://www.timesdispatch.com/opinion/their-opinion/columnists-blogs/guest-columnists/bolling-compromise-elevate-policy-above-politics/article_4f8b5edf-b5b2-58fa-8318-f4fcac7c24c8.html?mode=jqm

"The question is, are our elected officials willing to provide the leadership that is necessary to forge such a compromise against a political backdrop that too often considers compromise a sign of political weakness?

Or put differently, are our elected officials willing to elevate policy above politics, and keep their focus on the next generation, as opposed to the next election? The people of Virginia are watching closely to see which course they choose."


It's a shame Bolling isn't Governor of Virginia
 
http://o.dailycaller.com/all/2014-03-13-4-of-5-companies-may-hike-deductibles-due-to-obamacare#1

"Four out of five U.S. companies have either already raised deductibles on their employee health plans or are considering it thanks to Obamacare, according to a survey of over 700 businesses by consulting firm Mercer LLC."

Raising the deductibles will hurt the individuals, but it will also slow the growth in healthcare costs.


What would you expect them to say? If they have someone else to blame, they will. Obamacare is a perfect patsy for them doing what they wanted to do.
 
I agree they're taking advantage of the ACA in order to lower their costs. It was predictable and almost certainly expected by the Administration.

The increased deductibles of ACA and any me-too plans will make people bitch and moan, but will also reduce the growth of healthcare costs. In other words, I consider it a good thing in the long run.
 
You can absolutely blame the right for not expanding Medicaid in many of the least insured states. This alone would drop the percentage of the uncovered by much more that it has been.

Add to this the intentional misinformation in those states and others that have pulled the numbers down and put people at risk.

As to people outside of Medicaid, the hundreds and hundreds of millions of dollars spent lying to the American public have absolutely kept numbers down.

States not setting up their own exchanges have kept the numbers down.

Statements like this one are why I call you a shill.

What is a shill. And are yu sre u arnt callng kttle th blakc
 
What would you expect them to say? If they have someone else to blame, they will. Obamacare is a perfect patsy for them doing what they wanted to do.

Employers have been increasing deductibles et al for years. However, the new ACA taxes and fees in the group market along with the aforementioned Cadillac tax are certainly adding to this trend.
 
http://hosted.ap.org/dynamic/stories/U/US_HEALTH_OVERHAUL_TOP_CANCER_CENTERS?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT&CTIME=2014-03-18-17-46-02

"Cancer patients relieved that they can get insurance coverage because of the new health care law may be disappointed to learn that some the nation's best cancer hospitals are off-limits...

To keep premiums low, insurers have designed narrow networks of hospitals and doctors. The government-subsidized private plans on the exchanges typically offer less choice than Medicare or employer plans.

By not including a top cancer center an insurer can cut costs. It may also shield itself from risk, delivering an implicit message to cancer survivors or people with a strong family history of the disease that they should look elsewhere."
 
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I read somewhere (can't remember)that this law will only insure an additional 1mm people (and that ~90% of the people signing up had previous ins that was canceled). And that after the law is "fully" enacted, we will still have over 30 million uninsured. CH, can you confirm that?

If true, it begs the question, why are we spending over 2 trillion dollars to insure a couple million people. It would have been more efficient and cost effective to just give them all a "Cadillac plan"
 
And for the fans of Single Payor:

So you want single payer? Medicare has 375,000 case appeals backlog
POSTED AT 5:21 PM ON MARCH 19, 2014 BY BRUCE MCQUAIN

And that sort of a backlog has Democrats worried. POLITICO brings us up to date:

Rep. Jim McDermott (D-Wash.) is sounding the alarm this morning about a massive backlog within the Office of Medicare Hearings and Appeals. The 357,000-appeal clog delays providers from having their cases heard for longer than two years, McDermott noted in a letter to HHS Secretary Kathleen Sebelius. ” “The agencies must review their administrative procedures and act now to protect seniors who are struggling to get Medicare payment appeals addressed,” he wrote. He argued that problems with recovery auditors have been identified as the leading cause of the backlog.
McDermott’s letter in full can be found here. This sort of a problem is also visible in another government run health care system. VA currently has almost 400,000 disability claims pending. It claims to be on track to erase that in 2015, but observers are skeptical of that claim. While it claims to have shed 200,000 previously backloged claims, new claim backlog numbers continue to rise.

The fact is, both of these programs are bureaucratic nightmares. Reading McDermott’s letter (he is the ranking member on the Ways and Means Subcommittee on Health), it is clear that the system in place is both inadequate and ineffective. It is also clear that it is subject to micro-managing by Congress, especially Democrats who are more and more worried about the impact of health care problems on their re-election prospects this November.

The bigger picture, however, is this is what “single payer” would look like, most likely at its best. 2 year waits for an appeal process. As McDermott notes, that’s a long time for a system designed to care for the elderly. Some may not survive the process and many are on fixed incomes. That and the fact that providers shouldn’t have to wait that long for resolution either. If it were a private insurance entity taking this time, they’d likely not be in business long as customers would endeavor to find a provider which was much more efficient in processing appeals. That’s just a few of the benefits provided by incentive, competition and a profit motive. Government bureaucracies, of course, aren’t motivated by any of those factors. And this is the result.

Make no mistake, there are a large contingent of Democrats who would love to move us to a single payer system. Fair warning – this is a mild example of what the party which can’t even build a functioning website in 2014 would inflict on the citizens of this country.

~McQ
 
I read somewhere (can't remember)that this law will only insure an additional 1mm people (and that ~90% of the people signing up had previous ins that was canceled). And that after the law is "fully" enacted, we will still have over 30 million uninsured. CH, can you confirm that?
If true, it begs the question, why are we spending over 2 trillion dollars to insure a couple million people. It would have been more efficient and cost effective to just give them all a "Cadillac plan"

Most of what I've read from multiple sources say the uninsured rate will get cut in half, maybe a little more, by 2018. So if we have a 17% uninsured rate, it drops to 6-7% with Obamacare. A lot of it depends on the dump rate...
 
More bad news
http://thehill.com/blogs/healthwatch/health-reform-implementation/201136-obamacare-premiums-are-about-to-skyrocket

"Health industry officials say ObamaCare-related premiums will double in some parts of the country, countering claims recently made by the administration.

The expected rate hikes will be announced in the coming months amid an intense election year, when control of the Senate is up for grabs. The sticker shock would likely bolster the GOP’s prospects in November and hamper ObamaCare insurance enrollment efforts in 2015...


Insurance officials are quick to emphasize that any spikes would be a consequence of delays and changes in ObamaCare’s rollout.

They point out that the administration, after a massive public outcry, eased their policies to allow people to keep their old health plans. That kept some healthy people in place, instead of making them jump into the new exchanges.

Federal health officials have also limited the amount of money the government can spend to help insurers cover the cost of new, sick patients.

Perhaps most important, insurers have been disappointed that young people only make up about one-quarter of the enrollees in plans through the insurance exchanges, according to public figures that were released earlier this year. That ratio might change in the weeks ahead because the administration anticipates many more people in their 20s and 30s will sign up close to the March 31 enrollment deadline. Many insurers, however, don’t share that optimism.

These factors will have the unintended consequence of raising rates, sources said."
 
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CH, did you catch any of the segment with Angus King (I-Maine) on Fox news this morning?
 
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