every 10 years the USA is to pick up a weak nation & throw it against the wall, just to show the rest of the world that we're still evil. It's called the something-or-other doctrine & it comes true every 10 years or so.
There are lots of things i can think of that we're doing wrong, and when this topic comes up I usually type up a long list of suggestions (example: adopt Denmark's malpractice system where you don't sue doctors but rather apply for compensation with a government bureau, which keeps doctors from having to pay for malpractice insurance). But the important thing is, every country from Cuba to Sweden has regulatory practices we could study and adopt. Until we do that, switching to a different coverage model will have minimal impact on things.
ACA does not cover 14,000,000 Americans - single payer, like Social Security, covers all.ACA has no price control mechanism; single payer, like Social Security, does.ACA funnels about 50% of each dollar into the pocket of Corporations. Social Security, like single payer, spend about 3% on administrative cost and 0% goes to corporate profits.ACA does not allow (actually forbids) price negotiation for lowering prescription cost.
ACA was/is a great bandaid; but, bandaids aren't a cure. If "easier to accomplish" was the goal, nothing would be done to help anyone - "nothing" is always easier.
ACA allows each healthcare segment to profit ONLY 6%. So corporations zagged the rule by increasing healthcare segments. Read your bill. The healthcare facility adds 6%, the radiologist who takes an xray adds 6%, the facility where the xray is taken gets 6%, the person who reads the xray adds 6%. The agency that transfers the records adds 6%. The agency that stores the record takes 6%, each billing entity adds 6%, each facility associated with service adds 6% - only limited by how corporate lawyers can further divide up the service.
This is why, even under ACA, healthcare in the USA costs 2X the entire world. Research Liz Fowler, Insurance Executive, who wrote most of ACA.
Ask your physician what a service costs and they CAN'T tell you... new corporate service costs are added almost daily.
Please don't blame doctors and nurses - they do the actual work. Blame the Corporations that reap profits while adding little to no value.
the graphic makes sense although quoting Thomas Sowell on Wonkette makes me uneasy. Besides, we already had the govmint bureaucracy to administer it, unlike the Department of Homeland Security, a wet dream for more govmint contractors.
I started my own medical clinic 14 years ago and still haven't made enough to pay my debtors back because every year the insurance companies come up with newer ways to squeeze me and I disagree with the assertion that providers are not regulated what with having to pay for Malpractice, hospital dues, continuing medical education, business liability insurance (different from medical liability,) payroll taxes, the increasing cost of vaccines to try to do the right thing for public health, and I could go on. The interoperability mandate/incentive with the electronic health record has added to the bottom line of IT specialists. I could go on but I'm being drowned out by a bunch of tiny violins. The people providing services aren't the ones raking it in (like the apocryphal nurses playing cards.) CEOs and executives are, just like with every other field.
I don't doubt that you're feeling the squeeze, and part of fixing our medical providers should be fixing their rampant costs of doing business. Like, I mentioned Denmark's malpractice system in this thread; that would help you. If you didn't have to pay that premium, that'd be more money for debtors or for your employees, or buying more vaccines*, or possibly even dropping prices if your basic needs were fulfilled.
Not every medical provider is a greedy fat-cat to be sure; a lot of good men and women are trying to do good work in an expensive system. I'm not interested in punishing medical providers, but in bringing overall costs down. And the only way that works if the changes we make are ones that leave medical providers in good shape, and even a little better off than they are now.
*: Big Pharma's another entity we need to rein in. Subsidize 100% of their research rather than the ~50% we do now, cap their profits to 25% over manufacturing costs, and eliminate direct-to-public marketing. That'd lower your costs as well as lower costs to patients.
"Do you intentiionallyt confuse a medical "bill" with "legislation"?"
No, I genuinely thought you were talking about the ACA itself, since we were just talking about the ACA itself and what it allows.
And by the way, the links you provided do not at all substantiate that 6% thing. In fact, the ACA does virtually nothing to rein in medical providers in any direct fashion, because the ACA focused on insurers. So it sure looks like you're mixing up insurance companies and medical providers.
"All you have to do is search "ACA profit limits (state)" and the world of information on your state allowed limits will open up to you."
Fuck your condescending tone, you're making a different argument now. Also, I notice your links are from 2012, and it sure would be interesting to see how things look at present rather than seven years ago. Fortunately, that information is currently available:
The most recent requests for MLR waivers are from 2017, and while I haven't looked at them all, I have not yet found any waivers still in effect. Hell, in the case of Maine, they were originally going to get waivers for 2011 / 2012 / 2013, but then got the waiver yanked for 2013 because there were no indications that the normal MLR would break them. So you're trading in talking points that do not hold up and haven't held up for years.
every 10 years the USA is to pick up a weak nation & throw it against the wall, just to show the rest of the world that we're still evil. It's called the something-or-other doctrine & it comes true every 10 years or so.
Depends on your perspective. Iraq was better for Asia, while Vietnam was better for Persia.
pay in taxes doesn't fly in the states.
There are lots of things i can think of that we're doing wrong, and when this topic comes up I usually type up a long list of suggestions (example: adopt Denmark's malpractice system where you don't sue doctors but rather apply for compensation with a government bureau, which keeps doctors from having to pay for malpractice insurance). But the important thing is, every country from Cuba to Sweden has regulatory practices we could study and adopt. Until we do that, switching to a different coverage model will have minimal impact on things.
ACA does not cover 14,000,000 Americans - single payer, like Social Security, covers all.ACA has no price control mechanism; single payer, like Social Security, does.ACA funnels about 50% of each dollar into the pocket of Corporations. Social Security, like single payer, spend about 3% on administrative cost and 0% goes to corporate profits.ACA does not allow (actually forbids) price negotiation for lowering prescription cost.
ACA was/is a great bandaid; but, bandaids aren't a cure. If "easier to accomplish" was the goal, nothing would be done to help anyone - "nothing" is always easier.
ACA allows each healthcare segment to profit ONLY 6%. So corporations zagged the rule by increasing healthcare segments. Read your bill. The healthcare facility adds 6%, the radiologist who takes an xray adds 6%, the facility where the xray is taken gets 6%, the person who reads the xray adds 6%. The agency that transfers the records adds 6%. The agency that stores the record takes 6%, each billing entity adds 6%, each facility associated with service adds 6% - only limited by how corporate lawyers can further divide up the service.
This is why, even under ACA, healthcare in the USA costs 2X the entire world. Research Liz Fowler, Insurance Executive, who wrote most of ACA.
Ask your physician what a service costs and they CAN'T tell you... new corporate service costs are added almost daily.
Please don't blame doctors and nurses - they do the actual work. Blame the Corporations that reap profits while adding little to no value.
"Read your bill."
A quick search of the ACA doesn't seem to mention that 6% rule, or at least I can't find it. Can you point me to it?
the graphic makes sense although quoting Thomas Sowell on Wonkette makes me uneasy. Besides, we already had the govmint bureaucracy to administer it, unlike the Department of Homeland Security, a wet dream for more govmint contractors.
I started my own medical clinic 14 years ago and still haven't made enough to pay my debtors back because every year the insurance companies come up with newer ways to squeeze me and I disagree with the assertion that providers are not regulated what with having to pay for Malpractice, hospital dues, continuing medical education, business liability insurance (different from medical liability,) payroll taxes, the increasing cost of vaccines to try to do the right thing for public health, and I could go on. The interoperability mandate/incentive with the electronic health record has added to the bottom line of IT specialists. I could go on but I'm being drowned out by a bunch of tiny violins. The people providing services aren't the ones raking it in (like the apocryphal nurses playing cards.) CEOs and executives are, just like with every other field.
protective kitten mother libelz
I don't doubt that you're feeling the squeeze, and part of fixing our medical providers should be fixing their rampant costs of doing business. Like, I mentioned Denmark's malpractice system in this thread; that would help you. If you didn't have to pay that premium, that'd be more money for debtors or for your employees, or buying more vaccines*, or possibly even dropping prices if your basic needs were fulfilled.
Not every medical provider is a greedy fat-cat to be sure; a lot of good men and women are trying to do good work in an expensive system. I'm not interested in punishing medical providers, but in bringing overall costs down. And the only way that works if the changes we make are ones that leave medical providers in good shape, and even a little better off than they are now.
*: Big Pharma's another entity we need to rein in. Subsidize 100% of their research rather than the ~50% we do now, cap their profits to 25% over manufacturing costs, and eliminate direct-to-public marketing. That'd lower your costs as well as lower costs to patients.
Do you intentiionallyt confuse a medical "bill" with "legislation"?
But here you go...
https://www.healthcare-econ...
https://thehealthcareblog.c...
All you have to do is search "ACA profit limits (state)" and the world of information on your state allowed limits will open up to you.
To see how corporations zagged, just compare a medical procedure bill form say 1998 to a current bill. The difference will astound you.
That quote is ludicrously dumb, the chart was my point.
"Do you intentiionallyt confuse a medical "bill" with "legislation"?"
No, I genuinely thought you were talking about the ACA itself, since we were just talking about the ACA itself and what it allows.
And by the way, the links you provided do not at all substantiate that 6% thing. In fact, the ACA does virtually nothing to rein in medical providers in any direct fashion, because the ACA focused on insurers. So it sure looks like you're mixing up insurance companies and medical providers.
"All you have to do is search "ACA profit limits (state)" and the world of information on your state allowed limits will open up to you."
Fuck your condescending tone, you're making a different argument now. Also, I notice your links are from 2012, and it sure would be interesting to see how things look at present rather than seven years ago. Fortunately, that information is currently available:
https://www.cms.gov/CCIIO/P...
The most recent requests for MLR waivers are from 2017, and while I haven't looked at them all, I have not yet found any waivers still in effect. Hell, in the case of Maine, they were originally going to get waivers for 2011 / 2012 / 2013, but then got the waiver yanked for 2013 because there were no indications that the normal MLR would break them. So you're trading in talking points that do not hold up and haven't held up for years.
I can’t make you be respectful/mature or understand the written word... let alone teach you math.
I wish you the best of luck.
You're a fucking bullshitter and you know it. Next time, just don't lead with bullshit and we'll be fine. Be a man.