5 ms·

God forbid we touch Obamacare though.

siliconc0w 1y ago
Obamacare was a gift to insurance and healthcare providers. It mandated buying government subsidized plans that enabled both sides - to continuously increase costs. Still it's a bit unfair to Obama, the real problem is Congress and the Supreme Court which mandates we allow political bribery.
seanmcdirmid 1y ago
The ACA was a huge compromise and didn’t really do anything to tackle why American healthcare costs are so high. I can see it being washed away for a plan that is actually better, and that isn’t going back to the way things were before it.
- Aurornis 1y ago
  > I can see it being washed away for a plan that is actually better Looking at today’s administration I can’t see this happening at all. The most likely outcome from this government is to wash it away and bring back all the problems from before without improving anything.
  - seanmcdirmid 1y ago
    Yes, I don’t expect anything to happen during this administration, but who knows, maybe things will become broken enough later that something will actually happen in my lifetime.
- smileysteve 1y ago
  It originally did a substantial number of things to limit cost increases - the individual mandate - % required spending on actual Medicare care by health insurers (limiting administrative and marketing expenses) But each of those elements were later removed either legislatively or judicially.
  - Aunche 1y ago
    > % required spending on actual Medicare care by health insurers (limiting administrative and marketing expenses) That part stayed in. Note that this actually isn't relevant for most people get their insurance through an employer who self funds their plan. https://www.cms.gov/marketplace/private-health-insurance/medical-loss-ratio https://www.cms.gov/marketplace/private-health-insurance/med...
  - cloverich 1y ago
    Also they removed the requirement to have end of life care discussions ahead of time. Demonized as "death panels" by the right IIRC. Which was ironic given it would surely have saved a ton of money.
Aurornis 1y ago
Did everyone just forget what it was like before Obamacare? Apparently you didn’t know anyone excluded for pre-existing conditions Obamacare also mandated coverage for basic care like your annual physical and many mental health conditions. It’s not perfect, but I guess it’s been long enough that people are forgetting how bad the situation was before.
- mathiaspoint 1y ago
  Heh I wasn't an adult then. All I've experienced is being forced to buy insurance with a premium so high my risk adjusted return for self insuring is actually higher. I was so happy when the individual mandate was finally killed. That was just straight theft by incompetent health care administration.
  - potato3732842 1y ago
    >incompetent health care administration. They're not incompetent. They looked at the laws and realized they get the same cut of a bigger number by bloating overhead costs.
    - mathiaspoint 1y ago
      Charging what they do for what they do and insisting it can't get lower? Yes incompetence is absolutely the correct word. Just because we can't choose to go elsewhere isn't a excuse.
  - jrmg 1y ago
    > being forced to buy insurance with a premium so high my risk adjusted return for self insuring is actually higher This is how all insurance works though. Everyone pays in, and those unlucky enough to experience catastrophic problems get a way bigger payout than those who don’t. Pooling risk is the entire point of insurance. Without that, it’s not insurance, it’s just a payment system, and those unfortunate enough to have big problems have to pay more. Perhaps your views of what a society should be ‘for’ means you think that the unfortunate just having to pay more is fair, but I don’t.
john01dav 1y ago
The only credible plays to modify obamacare since it was enacted were trying to make it worse. I'd be very happy to see it replaced with something better, like medicare for all.
thinkingtoilet 1y ago
Where does this come from? People are happy if you want to improve it. However, for literally a decade now the Republicans have tried to repeal it without any sort of replacement.

Obamacare was a gift to insurance and healthcare providers. It mandated buying government subsidized plans that enabled both sides - to continuously increase costs. Still it's a bit unfair to Obama, the real problem is Congress and the Supreme Court which mandates we allow political bribery.

seanmcdirmid 1y ago

The ACA was a huge compromise and didn’t really do anything to tackle why American healthcare costs are so high. I can see it being washed away for a plan that is actually better, and that isn’t going back to the way things were before it.

Aurornis 1y ago
> I can see it being washed away for a plan that is actually better Looking at today’s administration I can’t see this happening at all. The most likely outcome from this government is to wash it away and bring back all the problems from before without improving anything.
- seanmcdirmid 1y ago
  Yes, I don’t expect anything to happen during this administration, but who knows, maybe things will become broken enough later that something will actually happen in my lifetime.
smileysteve 1y ago
It originally did a substantial number of things to limit cost increases - the individual mandate - % required spending on actual Medicare care by health insurers (limiting administrative and marketing expenses) But each of those elements were later removed either legislatively or judicially.
- Aunche 1y ago
  > % required spending on actual Medicare care by health insurers (limiting administrative and marketing expenses) That part stayed in. Note that this actually isn't relevant for most people get their insurance through an employer who self funds their plan. https://www.cms.gov/marketplace/private-health-insurance/medical-loss-ratio https://www.cms.gov/marketplace/private-health-insurance/med...
- cloverich 1y ago
  Also they removed the requirement to have end of life care discussions ahead of time. Demonized as "death panels" by the right IIRC. Which was ironic given it would surely have saved a ton of money.

Aurornis 1y ago

Did everyone just forget what it was like before Obamacare? Apparently you didn’t know anyone excluded for pre-existing conditions Obamacare also mandated coverage for basic care like your annual physical and many mental health conditions. It’s not perfect, but I guess it’s been long enough that people are forgetting how bad the situation was before.

mathiaspoint 1y ago
Heh I wasn't an adult then. All I've experienced is being forced to buy insurance with a premium so high my risk adjusted return for self insuring is actually higher. I was so happy when the individual mandate was finally killed. That was just straight theft by incompetent health care administration.
- potato3732842 1y ago
  >incompetent health care administration. They're not incompetent. They looked at the laws and realized they get the same cut of a bigger number by bloating overhead costs.
  - mathiaspoint 1y ago
    Charging what they do for what they do and insisting it can't get lower? Yes incompetence is absolutely the correct word. Just because we can't choose to go elsewhere isn't a excuse.
- jrmg 1y ago
  > being forced to buy insurance with a premium so high my risk adjusted return for self insuring is actually higher This is how all insurance works though. Everyone pays in, and those unlucky enough to experience catastrophic problems get a way bigger payout than those who don’t. Pooling risk is the entire point of insurance. Without that, it’s not insurance, it’s just a payment system, and those unfortunate enough to have big problems have to pay more. Perhaps your views of what a society should be ‘for’ means you think that the unfortunate just having to pay more is fair, but I don’t.

john01dav 1y ago

The only credible plays to modify obamacare since it was enacted were trying to make it worse. I'd be very happy to see it replaced with something better, like medicare for all.

thinkingtoilet 1y ago

Where does this come from? People are happy if you want to improve it. However, for literally a decade now the Republicans have tried to repeal it without any sort of replacement.