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Getbig Main Boards => Gossip & Opinions => Topic started by: AbrahamG on October 02, 2013, 08:37:07 PM

Title: My "Obamacare" Provision
Post by: AbrahamG on October 02, 2013, 08:37:07 PM
I wish the President would offer all you anti healthcare nutbags an opt out clause.  That clause includes your name being put into a database that lets everyone know that you willingly do not have any coverage. 
By doing so, you are releasing all doctors and medical professionals from the hypocratic oath as well as the right to any treatment including life threatening emergencies. 
Title: Re: My "Obamacare" Provision
Post by: Twaddle on October 02, 2013, 08:43:22 PM
I like it.  However, how would you handle the parents who opt their kids out?   ???
Title: Re: My "Obamacare" Provision
Post by: Coach is Back! on October 02, 2013, 08:44:24 PM
Al Sharpton said the MANDATE had an op out clause..haha. only from the left. lol
Title: Re: My "Obamacare" Provision
Post by: AbrahamG on October 02, 2013, 08:45:54 PM
I like it.  However, how would you handle the parents who opt their kids out?   ???

I would apply S-chip to all persons under 22.  26, if your a full time college student.  For For responsible families that enroll their children, maybe some sort of tax deduction or something of the like.
Title: Re: My "Obamacare" Provision
Post by: AbrahamG on October 02, 2013, 08:46:33 PM
Al Sharpton said the MANDATE had an op out clause..haha. only from the left. lol

Your now quoting Al Sharpton?  Maybe your coming around finally.
Title: Re: My "Obamacare" Provision
Post by: Wee Laddy on October 02, 2013, 09:29:04 PM
You don't seem to understand Obamacare.

1) All it does is force everybody to buy insurance.

2) It's feasibility rest completely on forcing young, healthy people to buy insurance to pay for the parasites, the old and the pre-existing conditions crowd.

Your little idea would kill Obamacare faster than Obama killed the economy.
Title: Re: My "Obamacare" Provision
Post by: AbrahamG on October 02, 2013, 09:31:35 PM
You don't seem to understand Obamacare.

1) All it does is force everybody to buy insurance.

2) It's feasibility rest completely on forcing young, healthy people to buy insurance to pay for the parasites, the old and the pre-existing conditions crowd.

Your little idea would kill Obamacare faster than Obama killed the economy.


I don't think so.  I think enough people are going to come to their senses and enroll.  With my provision, you'd see enough tragedy in the 1st year for people to wake the fuck up and get on board.  Come back soon for another owning.
Title: Re: My "Obamacare" Provision
Post by: POB on October 02, 2013, 09:39:40 PM
You don't seem to understand Obamacare.

1) All it does is force everybody to buy insurance.

2) It's feasibility rest completely on forcing young, healthy people to buy insurance to pay for the parasites, the old and the pre-existing conditions crowd.

Your little idea would kill Obamacare faster than Obama killed the economy.


Idk my out of pocket monthly doubled and so did the cost to my employer. I did get to keep my same PPO  plan, I would call that a win at this point. Haven't talked to anyone paying less. And the docs I've spoke with have said its horrible for the service providers...
Title: Re: My "Obamacare" Provision
Post by: polychronopolous on October 02, 2013, 09:41:42 PM
"ObamaCare" ::)
Title: Re: My "Obamacare" Provision
Post by: Coach is Back! on October 02, 2013, 09:41:54 PM
Your now quoting Al Sharpton?  Maybe your coming around finally.

Only because of his idiot quotes..lol. The man is useless and racists. Nothing more nothing less.
Title: Re: My "Obamacare" Provision
Post by: Bevo on October 02, 2013, 09:43:53 PM
"Bushcare"
Title: Re: My "Obamacare" Provision
Post by: polychronopolous on October 02, 2013, 09:45:18 PM
Only because of his idiot quotes..lol. The man is useless and racists. Nothing more nothing less.

Don't forget to add homophobe to that list, Joe.

As foreseen in this old timey, gem of a classic.  8)

Title: Re: My "Obamacare" Provision
Post by: Marty Champions on October 02, 2013, 09:48:39 PM
what about telling us the optimal dosage of beans, per activity level x bodyweight x height x per day= new and revised RDA
Title: Re: My "Obamacare" Provision
Post by: polychronopolous on October 02, 2013, 09:48:53 PM
"Bushcare"

Time to fire Mack Brown? What say you, Bevo?
Title: Re: My "Obamacare" Provision
Post by: Primemuscle on October 02, 2013, 09:49:05 PM
I wish the President would offer all you anti healthcare nutbags an opt out clause.  That clause includes your name being put into a database that lets everyone know that you willingly do not have any coverage. 
By doing so, you are releasing all doctors and medical professionals from the hypocratic oath as well as the right to any treatment including life threatening emergencies. 

Nice idea, but it will never happen. It is interesting that it is often the very people who have no medical insurance or are already on free government healthcare programs that are complaining about Obamacare. My daughter's friend who is on the Oregon Health Plan, which is essentially free medical coverage, is completely opposed to Obamacare....hello!

Go into the emergency room at any hospital and do a survey of the folks who are there for services most of us get from our doctor and you may be surprised what percentage of these people are opposed to Obamacare.
Title: Re: My "Obamacare" Provision
Post by: Gonuclear on October 02, 2013, 09:52:03 PM
You don't seem to understand Obamacare.

1) All it does is force everybody to buy insurance.

2) It's feasibility rest completely on forcing young, healthy people to buy insurance to pay for the parasites, the old and the pre-existing conditions crowd.

Your little idea would kill Obamacare faster than Obama killed the economy.



Nicely put.  It's like life insurance - people who are alive pay for funerals for the parasites - people who have died; like a young mom killed by leukemia, or a man killed at work in some kind of industrial accident.   Those people are parasites, right dumbass?
Title: Re: My "Obamacare" Provision
Post by: Bevo on October 02, 2013, 09:53:36 PM
Time to fire Mack Brown? What say you, Bevo?

 :D don't get me excited! I'm willing to bet he won't make it the rest of the season

Heck it happened to Kiffin , I'm positive it is coming.... 8)
Title: Re: My "Obamacare" Provision
Post by: polychronopolous on October 02, 2013, 10:04:24 PM
:D don't get me excited! I'm willing to bet he won't make it the rest of the season

Heck it happened to Kiffin , I'm positive it is coming.... 8)

Hate to say it cause he brought that amazing 2006 National Championship and all those 10+ win seasons where they were always in the run at end for the top bowls.

Alot of great memories and I hate to see him leave to but I just think it's that time. Reminds me of when i hear older friends and family talk about the last years of Tom Landry.
Title: Re: My "Obamacare" Provision
Post by: Coach is Back! on October 02, 2013, 11:01:30 PM
Health care is going to be shit, you lefties don't understand that. The quality of health care will be diminished because there won't be enough doctors to go around. Every hospital in the country is going to look a county hospital or worse yet...the VA.
Title: Re: My "Obamacare" Provision
Post by: Primemuscle on October 02, 2013, 11:07:37 PM
Health care is going to be shit, you lefties don't understand that. The quality of health care will be diminished because there won't be enough doctors to go around. Every hospital in the country is going to look a county hospital or worse yet...the VA.

Yeah because it is not like those poor uninsured suckers aren't clogging the hospital emergency rooms as it is.
Title: Re: My "Obamacare" Provision
Post by: Coach is Back! on October 02, 2013, 11:46:16 PM
Yeah because it is not like those poor uninsured suckers aren't clogging the hospital emergency rooms as it is.

No, because usually the more serious uninsured get transferred to a.county hospital.
Title: Re: My "Obamacare" Provision
Post by: Primemuscle on October 02, 2013, 11:58:55 PM
No, because usually the more serious uninsured get transferred to a.county hospital.

Oregon Health Sciences University hospital is the closest thing Portland has to a county hospital. It is perhaps the best and most medically comprehensive hospital in Oregon.

I haven't spent much time in emergency at our local hospital. The couple of times I was there it looked like the welfare line had moved to the hospital. Fortunately, my doctor called ahead when he sent me there a couple of years ago for suspected heart failure. I didn't have to wait at all, which probably pissed off all those suckers who'd spent hours waiting to be seen. Medical insurance is like a pass to the front of the line.
Title: Re: My "Obamacare" Provision
Post by: timfogarty on October 03, 2013, 12:21:23 AM
Idk my out of pocket monthly doubled and so did the cost to my employer. I did get to keep my same PPO  plan, I would call that a win at this point. Haven't talked to anyone paying less. And the docs I've spoke with have said its horrible for the service providers...

strange.  it doesn't start until Jan 1, 2014. any rate increases going on now are from external factors.
group plan rates were skyrocketing long before ACA.  The ACA is an attempt to get the prices under control. 

allowing you to pay to keep your kids on your group plan until they're 26 didn't cause your rates to go up.

I find it strange that pro business conservatives are so quite about ACA.  Since the vast majority of Americans get their health insurance through their work, health care is a huge burden on these businesses.  A other industrial countries provide health care or health insurance through the government, giving their businesses an advantage in a global market.  Businesses should be screaming for single payer. How much more competitive would they be if the cost of health insurance for employees and retirees were suddenly gone?
Title: Re: My "Obamacare" Provision
Post by: timfogarty on October 03, 2013, 12:35:07 AM
Health care is going to be shit, you lefties don't understand that. The quality of health care will be diminished because there won't be enough doctors to go around. Every hospital in the country is going to look a county hospital or worse yet...the VA.

Right now, the United States is short about 20,000 doctors.  this has nothing to do with obamacare, but with the cost of medical school.

you're saying but now there are more patients.  but the population of the US didn't suddenly increase.  these people who will now have insurance will now see primary care physicians rather than ER doctors.

or perhaps you're saying that doctors will make less money, because we're trying to get health care costs under control. well, in some cases that may be true.  But I really don't care that some docs will only be making $300,000 a year rather than the $350,000 that they're making now.

the best analogy I've seen is equal pay for equal work.  when the civil rights act was passed, employers suddenly needed to pay blacks the same as whites.  Sorry white guy, I can't give you a raise this year because I have to give it to the black guy to get his salary close to what you're making.  in the short term, there are winners and losers.  but that doesn't mean that in the long term it is not a good thing.
Title: Re: My "Obamacare" Provision
Post by: Primemuscle on October 03, 2013, 12:40:56 AM
strange.  it doesn't start until Jan 1, 2014. any rate increases going on now are from external factors.
group plan rates were skyrocketing long before ACA.  The ACA is an attempt to get the prices under control. 

allowing you to pay to keep your kids on your group plan until they're 26 didn't cause your rates to go up.

I find it strange that pro business conservatives are so quite about ACA.  Since the vast majority of Americans get their health insurance through their work, health care is a huge burden on these businesses.  A other industrial countries provide health care or health insurance through the government, giving their businesses an advantage in a global market.  Businesses should be screaming for single payer. How much more competitive would they be if the cost of health insurance for employees and retirees were suddenly gone?

There is a movement afloat to move Oregon into a single payer plan, much like Vermont just did.
Title: Re: My "Obamacare" Provision
Post by: timfogarty on October 03, 2013, 01:28:43 AM
Fortunately, my doctor called ahead when he sent me there a couple of years ago for suspected heart failure. I didn't have to wait at all, which probably pissed off all those suckers who'd spent hours waiting to be seen. Medical insurance is like a pass to the front of the line.

No, all ERs, including at county hospitals, are triaged.  The serious things go to the front of the line, whether they have insurance or not.  Suspected heart failure is something that would be put to the front of the line.

And when you're at a county hospital ER, it is not wait 10-24 hours before you see a doctor.  It's get triaged right away.  then wait a few hours to see a doc, then wait a few hours for x-rays or mri, then wait to see a doc for the results, then wait to see a specialist who may not be coming in until the morning shift, etc.   A friend with no insurance, who qualifies for Medical, spent more than 24 hours at County USC when he tore his bicep.  However, a year later when he cut his finger down to the tendon, only spent 11 hours in the ER. For that one, they cleaned the wound, and bandaged him up right away, but then he waited for the x-rays and specialist and then stitches.
Title: Re: My "Obamacare" Provision
Post by: LittleJ on October 03, 2013, 02:51:40 AM
Right now, the United States is short about 20,000 doctors.  this has nothing to do with obamacare, but with the cost of medical school.

you're saying but now there are more patients.  but the population of the US didn't suddenly increase.  these people who will now have insurance will now see primary care physicians rather than ER doctors.

or perhaps you're saying that doctors will make less money, because we're trying to get health care costs under control. well, in some cases that may be true.  But I really don't care that some docs will only be making $300,000 a year rather than the $350,000 that they're making now.

the best analogy I've seen is equal pay for equal work.  when the civil rights act was passed, employers suddenly needed to pay blacks the same as whites.  Sorry white guy, I can't give you a raise this year because I have to give it to the black guy to get his salary close to what you're making.  in the short term, there are winners and losers.  but that doesn't mean that in the long term it is not a good thing.

You don't like Coach, do you?
Title: Re: My "Obamacare" Provision
Post by: Archer77 on October 03, 2013, 04:18:06 AM
If I knew the rates in an exchange were better than my current rates while maintaining the same level of benefits I would take advantage. 
Title: Re: My "Obamacare" Provision
Post by: lacticacid on October 03, 2013, 05:48:24 AM
Is it true that the federal politicians are exempt from Obama Care?
Title: Re: My "Obamacare" Provision
Post by: Soul Crusher on October 03, 2013, 05:55:05 AM
 :D
Title: Re: My "Obamacare" Provision
Post by: Bad Boy Dazza on October 03, 2013, 06:31:51 AM
Thanks To Obamacare, A 20,000 Doctor Shortage Is Set To Quintuple

http://www.forbes.com/sites/sallypipes/2013/06/10/thanks-to-obamacare-a-20000-doctor-shortage-is-set-to-quintuple/
Title: Re: My "Obamacare" Provision
Post by: Bad Boy Dazza on October 03, 2013, 06:38:39 AM
[ Invalid YouTube link ]
Title: Re: My "Obamacare" Provision
Post by: polychronopolous on October 03, 2013, 06:42:00 AM
Thanks To Obamacare, A 20,000 Doctor Shortage Is Set To Quintuple

http://www.forbes.com/sites/sallypipes/2013/06/10/thanks-to-obamacare-a-20000-doctor-shortage-is-set-to-quintuple/

Basic economics at work, which Obama wouldn't know the first thing about. Driving up the demand while depleting the supply(potential doctors who don't want to get involved in this mess and current doctors who are now currently looking towards earlier retirement to avoid it as well)

Maybe Obama can pass a law mandating people who have the potential to be doctors to be led to Medical School in handcuffs and strapped down to their desk  ???
Title: Re: My "Obamacare" Provision
Post by: Tapeworm on October 03, 2013, 06:42:18 AM
strange.  it doesn't start until Jan 1, 2014. any rate increases going on now are from external factors.

Insurers probably need to pay for all that champagne they popped open.
Title: Re: My "Obamacare" Provision
Post by: doison on October 03, 2013, 06:52:43 AM
No, all ERs, including at county hospitals, are triaged.  The serious things go to the front of the line, whether they have insurance or not.  Suspected heart failure is something that would be put to the front of the line.

And when you're at a county hospital ER, it is not wait 10-24 hours before you see a doctor.  It's get triaged right away.  then wait a few hours to see a doc, then wait a few hours for x-rays or mri, then wait to see a doc for the results, then wait to see a specialist who may not be coming in until the morning shift, etc.   A friend with no insurance, who qualifies for Medical, spent more than 24 hours at County USC when he tore his bicep.  However, a year later when he cut his finger down to the tendon, only spent 11 hours in the ER. For that one, they cleaned the wound, and bandaged him up right away, but then he waited for the x-rays and specialist and then stitches.



Yeah...lol
Patient: "Uh nurse...my ankles are swollen.  You can see where the elastic of my sock was."
Nurse: "fuck me running!  Get this man to the front of the line STAT...and tell every cardiologist you can find that we have a suspected case of heart failure in the ER!"




Title: Re: My "Obamacare" Provision
Post by: nicorulez on October 03, 2013, 08:30:33 AM
I wish the President would offer all you anti healthcare nutbags an opt out clause.  That clause includes your name being put into a database that lets everyone know that you willingly do not have any coverage. 
By doing so, you are releasing all doctors and medical professionals from the hypocratic oath as well as the right to any treatment including life threatening emergencies. 

Ok Abraham, question for you. 83 percent of American have insurance they already like. Of the 17% who didn't have healthcare, probably 5% could have had insurance but chose not to pursue it. Ok, Obamacare is now present. It is taking money from Medicare to fund it. The exchanges are allowing individuals who do not have healthcare to obtain, pre-existing conditions are no longer a barrier (which is actually good). Subsidies are going to individuals who claim they can't afford it. Basically, taxpayers are paying for the population that couldn't afford to have healthcare to get it.

Thus, the 83% who have insurance are going to see their premiums rise. Either it is going to be taxes (which have already increased) or insurer premiums or both. The insurance leveraged to the underserved is going to be an expansion of Medicaid, which is barely accepted by physicians currently. Trust me, as a physician specialist, I am one of four physicians locally who will see Medicaid patients. They have to drive thirty miles to find a Medicaid provider. If the exchanges do provide a commercial insurance like United Health or Blue Cross, do you think they would essentially give away their best insurance on the cheap. Hell no, the deductible is going to be thousands of dollars. Thus, the poor with insurance will still suck off the system as they won't pay their deductible and the insurance will not kick in until they so. Thus, eventually the commercial exchanges will go the way of the dodo bird. Medicaid expansion will be the norm. You will have a lot of people with shitty insurance that will have to resort to utilizing the ER as their primary care docs and suck the system dry  ::) ::) ::). Great plan this Obamacare.
Title: Re: My "Obamacare" Provision
Post by: syntaxmachine on October 03, 2013, 02:33:07 PM
Thus, the 83% who have insurance are going to see their premiums rise. Either it is going to be taxes (which have already increased) or insurer premiums or both. The insurance leveraged to the underserved is going to be an expansion of Medicaid, which is barely accepted by physicians currently. Trust me, as a physician specialist, I am one of four physicians locally who will see Medicaid patients. They have to drive thirty miles to find a Medicaid provider.

1. Can you provide any insight as to why health services are so much more expensive in the U.S. as opposed to other OECD countries?

2. If the insurance to be extended to "underserved" populations is an expansion of Medicaid, won't the program negotiate prices below the commercial average? Is it possible that this reduction in the price of services rendered, in conjunction with the fact that more people will be insured (thus leading to more resources pooled), could largely offset the costs of subsidization or even reduce health expenditures overall? Wouldn't this effect be amplified if Medicaid expansion occurs?

3. In the private realm, isn't it the case that your gloomy prediction of commercial exchanges going kaput only likely if you're right that poor persons offered commercial insurance will fail to pay their deductibles? Is there any definite indication that this will be the case? If it isn't the case, aren't there opportunities for cost reduction since millions more will be insured, and thus more resources pooled?

4. I don't know shit in this realm; I'm simply trying to understand things better with these questions.
Title: Re: My "Obamacare" Provision
Post by: AbrahamG on October 04, 2013, 12:10:11 AM
strange.  it doesn't start until Jan 1, 2014. any rate increases going on now are from external factors.
group plan rates were skyrocketing long before ACA.  The ACA is an attempt to get the prices under control. 

allowing you to pay to keep your kids on your group plan until they're 26 didn't cause your rates to go up.

I find it strange that pro business conservatives are so quite about ACA.  Since the vast majority of Americans get their health insurance through their work, health care is a huge burden on these businesses.  A other industrial countries provide health care or health insurance through the government, giving their businesses an advantage in a global market.  Businesses should be screaming for single payer. How much more competitive would they be if the cost of health insurance for employees and retirees were suddenly gone?

REPS
Title: Re: My "Obamacare" Provision
Post by: AbrahamG on October 04, 2013, 12:10:57 AM
Right now, the United States is short about 20,000 doctors.  this has nothing to do with obamacare, but with the cost of medical school.

you're saying but now there are more patients.  but the population of the US didn't suddenly increase.  these people who will now have insurance will now see primary care physicians rather than ER doctors.

or perhaps you're saying that doctors will make less money, because we're trying to get health care costs under control. well, in some cases that may be true.  But I really don't care that some docs will only be making $300,000 a year rather than the $350,000 that they're making now.

the best analogy I've seen is equal pay for equal work.  when the civil rights act was passed, employers suddenly needed to pay blacks the same as whites.  Sorry white guy, I can't give you a raise this year because I have to give it to the black guy to get his salary close to what you're making.  in the short term, there are winners and losers.  but that doesn't mean that in the long term it is not a good thing.

More Reps