The US Healthcare Mass Debate

[Tero]

All the insurance companies already operate in all the states. They just dropped the Obamacare plans.

The states have boards and bureaucrats handling the state rules for insurance and possibly conflicts within their state. States are independent in this way. You can't sell the same plan in every state no matter what federal law says. Jurisdiction.

Medicare and the VA operate by federal guidelines. Obamacare Trumpcare etc by state rules.

Complain to your state authorities about lack of choice.

[Tero]

Elsewhere

Four major Republican senators -- Rand Paul of Kentucky, Ted Cruz of Texas, Mike Lee of Utah and Ron Johnson of Wisconsin -- immediately announced they cannot support the bill as written. Even Donnie seems uncomfortable with the billions of dollars in cuts to Medicaid, calling them "mean." Another controversial feature of the Republican program is a prohibition against using federal tax credits to buy healthcare plans that include abortion coverage.

The problem facing Republicans has not changed: How to draft a bill that is extreme enough that Tea Party members will support it, without making it so severe more moderate Republicans will not.

[Tero]

America First
https://apnews.com/77133d470c634a458b31 ... -nonprofit

harrassing Republican senators who oppose the bill using attack ads on TV.

[Scot Dutchy]

What's new.

[Feck]

What's new.

http://news.harvard.edu/gazette/story/2 ... -coverage/
“Historically, every other developed nation has achieved universal health care through some form of nonprofit national health insurance. Our failure to do so means that all Americans pay higher health care costs, and 45,000 pay with their lives.”

[Scot Dutchy]

That is not new that is ancient history. I was referring to the attacks on people who oppose anything with ads. That is nothing new in America.

[Tero]

Bare bones policies for the healthy young, nothing for the rest:

insurance companies will lean on states for permission to offer more bare-bones policies. That could leave some customers in the individual market with even fewer choices than they had before Obamacare.

Some lawmakers are raising concern that the Senate health care bill could aggravate the problem of healthy people going without insurance, driving up costs for everyone else.
Stuart Kinlough/Ikon Images/Getty Images
Senate Republicans have little margin for error as they prepare for a vote this coming week on a bill to repeal and replace the Affordable Care Act. Some lawmakers are already raising concern that the bill could aggravate the problem of healthy people going without insurance, driving up costs for everyone else.

"If you can get insurance after you get sick, you will," Sen. Rand Paul, R-Ky., told NBC's Today Show. "And without the individual mandate, that sort of adverse selection, the death spiral, the elevated premiums, all of that that's going on gets worse under this bill."


The Affordable Care Act, also known as Obamacare, tried to address that problem by requiring all Americans to have health insurance, or pay a penalty. But that so-called "individual mandate" is one of the least popular provisions of the law. Senate Republican leader Mitch McConnell of Kentucky and his colleagues are determined to get rid of it.

"We agreed on the need to free Americans from Obamacare's mandate so Americans are no longer forced to buy insurance they don't need or can't afford," McConnell said on the Senate floor Thursday.

But the Senate bill preserves another, more popular, piece of Obamacare: the requirement that insurance companies cover everyone, even those with pre-existing medical conditions. Imposing a coverage requirement on insurance companies without a corresponding mandate for customers runs the risk of creating a very shaky insurance market.

[Tero]

From
http://www.npr.org/2017/06/24/534153075 ... nce-market

[Brian Peacock]

The US must be the only Western nation that doesn't want universal healthcare. And not just that, the only country which gets really angry when someone tries to give them universal healthcare.

[Tero]

Republicans still divided on how to deny Americans health insurance

http://karireport.blogspot.com/2017/06/ ... ow-to.html

Many can see through the thinly veiled plan for 2020. President wants the 3 million people that voted for Hillary dead by then. How exactly will he know the 3 million that she had in excess over those voting for him? "We have people working on that." Whether it is Trump or Pence running in 2020, Trump wants those people dead.

[Brian Peacock]

More deaths expected...

...

Various studies have looked at whether uninsured people have a higher risk of death. The most cited was published by the American Journal of Public Health in 2009 and found that nearly 45,000 Americans die each year as a direct result of being uninsured.

Dr Andrew Wilper and a team at Harvard Medical School used two main datasets: they took a nationwide US survey of more than 30,000 people conducted by the Centers for Disease Control and Prevention (CDC) and checked it against the National Death Index, another national database collected by the CDC.

The two sets of numbers allowed the researchers to examine something called hazard ratios, which are a way to measure risk. For example, if a clinical trial finds that drug users are three times more likely experience a certain side effect, that drug has a hazard ratio of three.

In America, deep inequality can affect the usefulness of data like this. Lots of things can increase an American’s chances of being sick – being a person of color or being poor to name just two – and if those factors overlap with a lack of health insurance, it can be difficult to determine what exactly is affecting an individual’s risk of death.

In the Harvard study, the researchers had 9,000 people in their dataset – enough that they were able to ensure they were really measuring the impact of a lack of health insurance.

The researchers found that a lack of health insurance had a mortality hazard ratio of 1.40. In other words, they concluded that Americans without health insurance were 40% more likely to die than those with it, even after taking into account the individual’s “gender, age, race/ethnicity, poverty income ratio, education, unemployment, smoking, regular alcohol use, self-rated health, physician-rated health and body mass index”.

The researchers calculated that in 2005, lack of health insurance resulted in 44,789 deaths of Americans age 18 to 64....

More...

[Tero]

There is no healthcare bill that will satisfy 50 republican senators
Senate health-care bill faces serious resistance from GOP moderates
https://www.washingtonpost.com/national ... story.html

[Tero]

Presidential counselor Kellyanne Conway asserted Sunday that the Senate health care bill does not propose cuts to Medicaid, despite projections that it would cut the federal health insurance program by $800 billion.

[Scot Dutchy]

American health care:

[Svartalf]

The US must be the only Western nation that doesn't want universal healthcare. And not just that, the only country which gets really angry when someone tries to give them universal healthcare.

wrong, the UK tories don't want it either