Protect yourself

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one of the most idiotic parts of the ACA was a single person with an income below IIRC of $12,000 a year or a couple with less than $24,000 got NO help. so it looks like just another thing the government screwed up.
 

NPeteN

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one of the most idiotic parts of the ACA was a single person with an income below IIRC of $12,000 a year or a couple with less than $24,000 got NO help. so it looks like just another thing the government screwed up.
Medicaid
 

DogT

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Follow the money, who does anyone think is making all the money off health care? It's the CEO's and shareholders, certainly not the doctors and hospitals that are going under or bought out by corporate interests. Pharma is right in there too. It's about as bad as payday lenders.
 
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with the way the so called ACA was screwed up it sure makes one not wanting the government involved in universal health care. but in another vain with every end of our system as screwed up with huge adimistraion costs dealing with all the insurances and gov regs it is an expensive mess.

Hmmm... Seems like you're making the case for Universal Healthcare, I'm on board Bill.
 
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BULL SHIT when a surgon bills $17,00 for less than an hour in the OR dont tell me that a DR is going broke.

Follow the money, who does anyone think is making all the money off health care? It's the CEO's and shareholders, certainly not the doctors and hospitals that are going under or bought out by corporate interests. Pharma is right in there too. It's about as bad as payday lenders.
 

NPeteN

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with the way the so called ACA was screwed up it sure makes one not wanting the government involved in universal health care. but in another vain with every end of our system as screwed up with huge adimistraion costs dealing with all the insurances and gov regs it is an expensive mess.
Anyone making <12k a year has already been fucked by the "free" market, now you want that same "free" market to dictate their healthcare cost? Get real.
 

oldbeezer

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I would prefer ACA or some other gov agency involved to a system where the people running are only interested in making their numbers every quarter so they can maximize their bonuses.
 

Tornado

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one of the most idiotic parts of the ACA was a single person with an income below IIRC of $12,000 a year or a couple with less than $24,000 got NO help. so it looks like just another thing the government screwed up.
What did folks in that situation have before ACA? How does aca make it worse for them? Yes it should address such needs, but with all the fighting and resistence it had getting passed, compromises and limits had to be made. Ive looked at it as a good first step towards more universal coverage.

Btw, just read up on the individual mandate. A federal court found it unconstitutional but has left it to the SCOTUS to actually decide to strike it down. It was actually a GOP proposal from years before Obama appeared. Yet they are the ones fighting it the most.

Ive asked this previously but didnt get much response. How are folks getting weeks/months of ICU treatment for COVID-19 if they dont have sufficient/any health insurance? Are hospitals getting some kind of funding for it b/c they would normally bill insurers or "customers" directly.
 

NPeteN

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What did folks in that situation have before ACA? Death or bankruptcy

Are hospitals getting some kind of funding for it b/c they would normally bill insurers or "customers" directly.
CARES act
 

Tornado

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THx. What about lost hospital revenue from all the other surgeries and procedures being put on hold for months now?
 

NPeteN

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THx. What about lost hospital revenue from all the other surgeries and procedures being put on hold for months now?
Don't know, currently a very big problem for hospitals here. Hopefully prompt some sort of healthcare system overhaul or something.....:rolleyes:
 

DogT

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But the doctors charging $17K for an operation in my situation (FEHB) is only getting maybe $3K. The $17K is charged to cover their and the hospital's butt. That's what happens when things get negotiated. But it's my thinking there needs to be some standard, not what the market will bear. I consider health care a basic right, not for someone to make money from, like it is in the US now. The 'free market' will break us all in that case and the CEO's will go home rich on the backs of the rest of us, just like it's doing now, but I happen to be in a good place (negotiated health care) for the moment. I think everyone should have that benefit.
 
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the $17K i stated was JUST the surgeon. the total for 28 hours in the hospital was well over $70K luckily there was good insurance to cover the cost. plus all the pre visits and after visits. this was for a total hip replacement (not me). I dont fault some one making a good living but some of this is just totally out of line. there are to many at the feed trough trying to get rich quick in the delivery system we currently have. there 2 hospitals where I live that are in a constant buy land and build mode but yet claim they are loosing money. I guess they have very good accountants.
 

Tornado

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The horrors of socilized medicine:
My Mum has been living with Leukemia (CLL) for more than 15 yrs, has had/continues to have several different drug treatments, including latest biological therapies. Also had a major car accident nearly 20 yrs ago, needing a metal pin in her Humerous and jaw work. She's also been in and out of hospitals for weeks in a row over past few years, mainly for infection and breathing issues. Dad has had both knees replaced over past 5 yrs. Never once have they been concerned over how to pay for any of this.
 

gortnipper

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I dont have medical insurance.

My six year old daughter has had a slight stomach ache for a day or so after returning back to school over last week for lock down. No big deal, but er have been keeping an eye on her.

Yesterday at school she fell off the monkey bars and my wife went to fetch her, as the school "wasnt concerned but wanted to let us know". According to a friends kid, she "flipped over backwards and fell hard on her head and back, didn't talk for a while then cried for a while while someone got teacher".

My wife took her to the doctors office, and she puked twice on the way and once there. The doc couldn't rule out either appendicitis or a concussion, so off to the children's hospital she went for tests.

Six hours later, a bunch of tests and a couple specialist exams later she was given the all clear to come home.

The cost for this, with no private insurance?

Doctors office visit- $0.00
ER visit and consultants fees - $0.00
Prescription cost - $0.00

Why?

Our "socialized medical system" pays 100% for all kids under 16.

The NZ per capita spend ranks 19th - $3,683

The US per capita spend ranks first — $10,209

Someone is making a shit load of money for not providing coverage in the US.
 

acadian

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But the doctors charging $17K for an operation in my situation (FEHB) is only getting maybe $3K. The $17K is charged to cover their and the hospital's butt. That's what happens when things get negotiated. But it's my thinking there needs to be some standard, not what the market will bear. I consider health care a basic right, not for someone to make money from, like it is in the US now. The 'free market' will break us all in that case and the CEO's will go home rich on the backs of the rest of us, just like it's doing now, but I happen to be in a good place (negotiated health care) for the moment. I think everyone should have that benefit.
One of the reasons Obama looked so closely at Canada's model is because it can be more easily mapped onto the existing regulatory & statutory landscape in the USA. Contrary to popular perception our healthcare system is not "publicly provisioned" (hospitals, doctors are not owned/employed by the government), but a publicly regulated fee model. With few exceptions, most all doctors, hospitals, clinics etc.. are privateers (sound familiar?). The fed simply applies the Healthcare Act which provides the statutory protection for access to healthcare, but individual provinces each set out the billable rates for services themselves. Privateers are compensated by the provinces. In effect, our healthcare system is "market based", it's just that the market is publicly rather than privately regulated. This model isn't perfect, of course, but it serves the interests of all but the wealthiest households. So arguments against the model usually take form of "we'd have higher quality services like they do in the USA" made by people who have the means to simply travel to the USA and pay for those services anyway.
 
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