If you like your plan you can keep it, period



Just wanted to chime in on this, though I don't usually talk politics.

From what I understand from people working in the insurance industry, the rates only went up on the plans that were more or less trolling you anyway. The premiums were low because you weren't getting covered for some things that now, under the Affordable Care Act, you need to be covered under. The "good" plans that actually gave you good coverage aren't seeing much if any increases because you weren't being short changed in the fine print. In some cases, your deductible and out-of-pocket expenses will actually be significantly less now than they were before.

We were fortunate enough to get my mom into the Pre-Existing Condition Insurance Plan (PCIP, the one year forrunner of the full-on Obama Care) earlier this year because all of the insurance companies we applied for rejected her because she had arthiritis in her knee. A few months later we discovered she had two rare diseases, hemophagocytic lymphohistiocytosis (HLH) and macrophage activation syndrome (MAS). She was in and out of the hospital for the entire summer before she passed away last month. Had it not been for the Affordable Care Act, we would have had to pay 5.2 million dollars in bills by this December or lose all of our assets. The bills were so high because, prior to the ACA, hospitals could charge $5 for a Tylenol and other crazy stuff like that. A lot of people thought we were mooching off the government and taking our handouts, but in actuality we were paying pretty high monthly premiums and had significant out of pocket costs. In essence, you'd be saving money in the long run.

Some premiums are going up because insurance companies now have to cover people that have pre-existing conditions that they were being denied for and pretty much dying because of it. If we didn't have insurance, we were told that they would have kicked my mom out of the hospital and allowed her to pretty much die. I was able to get in touch with people who went through that experience and it's pretty depressing.

Anyway, I don't advocate all of the Act because I don't know everything about it, but just know that there are a lot of nuanced bits and pieces that aren't entirely black and white.
 
Economically speaking the ACA is overall a good thing, I think around 2016 to 2018 when HIEs, Full Electronic Claims, 100% EMR market penetration etc. come about the view of the ACA is going to switch to "thank god we didn't listen to the tea party retards" and a little bit of "we should have still paid attention though and not slobbered on Obama's knob by just hammering it through".

The push to digital was happening without obamacare. Nice try pinning that on this horseshit legislation.
 
Health insurance is only supposed to cover catastrophic events. Any insurance involves the pooling of individual risks. Under this arrangement, there are winners and losers. Some of the insured will receive more than they paid in premiums and some will pay more into the system than they ever get back. Adding routine visits, birth control, etc ruin the product being sold. Those are things you can pay for yourself. And since you're paying for them, you'll shop around.

While forcing insurers to accept people with pre-existing conditions feels all warm and fuzzy, it's a disastrous proposition. To put it bluntly, these people think they have a right to systematically redistribute money from the current policy holders to them. This is nothing more than theft, plain and simple.

The easiest way to understand this is to look at car insurance. Car insurance doesn't cover oil changes, car washes, etc. It covers accidents, theft, etc. That's why oil changes don't cost $1000. People shop around for the best price.

Imagine if someone proposed letting people that just had an accident or theft purchase car insurance coverage for that event. Anyone with half a brain would think that was ridiculous.

See more here: Uncertainty and Its Exigencies: The Critical Role of Insurance in the Free Market - Mises Institute

P.S. I lifted a few lines from this article for my post. :)
 
Same with my mom with her pre existing conditions, thankfully she is still living. Sorry to hear about your mom.
Without this change she couldn't get insurance, even "catastrophe coverage."

I am not an 0bama fan at all 0%, but I see this for the greater good even with all the fk ups.

People that were eating our tax dollars will no longer as much tax dollars in the next year or so as I understand it....or they go down from taxing us for a big gulp down to a 12oz soda. Every time people go the emergency room, hospitals, have surgery, prescription medicine, etc. and don't have health insurance the "medical" providers gouge the current system
(us).

We all probably have a sick person in the family or freind who can't get health insurance without paying a shit ton for it.
Each time these freinds, family, neighbors go in for care we are paying more as a whole. We don't win, the health care companies win by preppin thy angus for a 20k colonoscopy.

With that said, our country is in a mess and until corporations/politicians don't have a say, it will stay that way.

[ame="http://www.youtube.com/watch?v=8PaoLy7PHwk"]Public Enemy - Fight The Power - YouTube[/ame]
watch


Dr. Scientist
"Just wanted to chime in on this, though I don't usually talk politics.

From what I understand from people working in the insurance industry, the rates only went up on the plans that were more or less trolling you anyway. The premiums were low because you weren't getting covered for some things that now, under the Affordable Care Act, you need to be covered under. The "good" plans that actually gave you good coverage aren't seeing much if any increases because you weren't being short changed in the fine print. In some cases, your deductible and out-of-pocket expenses will actually be significantly less now than they were before.

We were fortunate enough to get my mom into the Pre-Existing Condition Insurance Plan (PCIP, the one year forrunner of the full-on Obama Care) earlier this year because all of the insurance companies we applied for rejected her because she had arthiritis in her knee. A few months later we discovered she had two rare diseases, hemophagocytic lymphohistiocytosis (HLH) and macrophage activation syndrome (MAS). She was in and out of the hospital for the entire summer before she passed away last month. Had it not been for the Affordable Care Act, we would have had to pay 5.2 million dollars in bills by this December or lose all of our assets. The bills were so high because, prior to the ACA, hospitals could charge $5 for a Tylenol and other crazy stuff like that. A lot of people thought we were mooching off the government and taking our handouts, but in actuality we were paying pretty high monthly premiums and had significant out of pocket costs. In essence, you'd be saving money in the long run.

Some premiums are going up because insurance companies now have to cover people that have pre-existing conditions that they were being denied for and pretty much dying because of it. If we didn't have insurance, we were told that they would have kicked my mom out of the hospital and allowed her to pretty much die. I was able to get in touch with people who went through that experience and it's pretty depressing.

Anyway, I don't advocate all of the Act because I don't know everything about it, but just know that there are a lot of nuanced bits and pieces that aren't entirely black and white."
 
Remember dem feels?

[ame=http://www.youtube.com/watch?v=AmUUYo9o9eg]Obama: One Voice - YouTube[/ame]

That sure went out the window, didn't it?
 
I'm still in shock that a person in the government made a promise and didn't keep it. I just can't wrap my head around that.
 
@Dr. Scientist and LiamLennon:

I'm sorry to hear about your mothers, but can't you see that when people with pre-existing conditions are allowed to buy insurance that covers them, it penalizes both taxpayers and the other customers of that insurance company?

In a fair world your mothers would have both had insurance from before the time they got their conditions simply because insurance is important to have in a fair world.

In this extremely unfair world, obomba has made it even less fair and more socialist than ever before by Mandating that people with pre-existing conditions mooch off of society, pushing those millions of dollars of care onto taxpayers and other customers that aren't sick. It's lucky for you two; but millions of people have been inconvenienced by it.

Worst part here though is that LiamLennon imagined that the government involvement would LOWER the costs of the service! I spit my drink all over my keyboard when I read that line...
 
The push to digital was happening without obamacare. Nice try pinning that on this horseshit legislation.

No it wasn't, I literally develop for an EMR company, Meaningful Use is forcing standards to consolidate and providing the capital for the underlying HIE infrastructure to be put in place.

Do you know how gay it was trying to develop an interface engine with your "free market" electronic push with a 1000 different file formats (there was one company that STILL used FUCKING FLAT CSV FILES ON A FTP as a interface for MILLIONS of dollars in claims). Managing it was a fucking nightmare, but they loved it because client days in A/R would go past 60-90 days leaving a lot of claims unworked, rejected without appeals or just underpayed/Jew'd to death.

You know what most of the 2000 doctors we have data feeds on dealing with the still straggling paper payors do? They set their self-pay/uninsured fee schedules to 600% of the Allowed amounts they accepted from insurance companies.

In every aspect, the ACA is a upgrade from our current insurance and health care delivery system by a long shot.
 
@Dr. Scientist and LiamLennon:

I'm sorry to hear about your mothers, but can't you see that when people with pre-existing conditions are allowed to buy insurance that covers them, it penalizes both taxpayers and the other customers of that insurance company?

In a fair world your mothers would have both had insurance from before the time they got their conditions simply because insurance is important to have in a fair world.

In this extremely unfair world, obomba has made it even less fair and more socialist than ever before by Mandating that people with pre-existing conditions mooch off of society, pushing those millions of dollars of care onto taxpayers and other customers that aren't sick. It's lucky for you two; but millions of people have been inconvenienced by it.

Worst part here though is that LiamLennon imagined that the government involvement would LOWER the costs of the service! I spit my drink all over my keyboard when I read that line...


In a fair world most of the shitty affiliate lander factories here and faggot nutraceuticals pushers would be beat to death with bats for being scumbag fucks, but most people just don't give a fuck about what some cheeky jackass's opinion of what's "fair" and not "fair" in terms of getting his mothers "preexisting condition" treated.

Also what the fuck is fair about denying someone medical care because they "should have known" how important it is to get insurance? You're saying you'd rather live in a society that lets people DIE if they don't have enough money to afford medical care while rich assholes sniff coke off hooker taint with the extra $1000 they got from selling Grandma terrible debt consolidation loans.
 
I don't think these words mean what you think they mean.

They mean exactly what they literally mean. ACA is good for the economy, reduces the profits of a middle man industry, prices in a lot of ignored externalities and sets up long term infrastructure that's already allowing our clients to automate tons of administrative aspects of medical care.

I did payment automation with PNC bank for a hospital in Virginia (108 doctors), SCH in Illinois (170 doctors) and another pilot in Denver that got rid of their entire billing staffs and save anywhere from 10-15% of their revenue in billing alone. The Illinois group has increased it's self pay/uninsured discount for the first time in years thanks to it.
 
How about instead of bitching, you quit your laughably overpriced plans and get insurance from offshore companies?

1k a year, no deductible anyone?
 
ACA is good for the economy
In your opinion.

reduces the profits of a middle man industry
Reducing profits isn't a good thing.

prices in a lot of ignored externalities
Markets already do this.

and sets up long term infrastructure that's already allowing our clients to automate tons of administrative aspects of medical care.
It's called the internet. It's happening everywhere.

I don't care if you like the ACA or not. I'm not an American, and I can't be bothered to concern myself with every dumb thing everyone thinks, but when you make a statement about economics (of which you seem wholly ignorant) well now you've got my attention.

Government regulation always increases prices. When markets aren't allowed to work freely (they couldn't before) prices are too high.

This bill, which includes tons of random graft legislation crafted over the last 10 years, is just going to shift around who is making the money, and who is getting paid off. Remember, this is the bill that Congress passed before even reading it.

If I was the sort of person to make guarantees, I'd guarantee that healthcare prices will continue to rise in the US 5 years, 10 years from now. Government isn't getting smaller, and everything it touches goes up in price.
 
I actually work in the medical field, I don't know about the premiums or whatever but thank fucking god the ACA is forcing all insurance companies to do electronic remits, most of our client hospitals/practices are saving 10%+ of their revenue that used to go into useless people entering data from fucking paper EOP/EOBs.

Also, most insurance plans for young people suck dick (necessarily), now most companies have to actually cover things in order to call it insurance, thus you having to change your plan, because your current plan is now illegal.

This is bad in some ways, I agree, but in a zero sum game like health insurance either you're paying 3x to cover the sick as a young healthy person like a real ins. pool should or someone is going into debt (either the sick people or the gov't from having to cover emergencies).

Economically speaking the ACA is overall a good thing, I think around 2016 to 2018 when HIEs, Full Electronic Claims, 100% EMR market penetration etc. come about the view of the ACA is going to switch to "thank god we didn't listen to the tea party retards" and a little bit of "we should have still paid attention though and not slobbered on Obama's knob by just hammering it through".

ACA is destroying jobs? :conehead:
 
In your opinion.


Reducing profits isn't a good thing.


Markets already do this.


It's called the internet. It's happening everywhere.

I don't care if you like the ACA or not. I'm not an American, and I can't be bothered to concern myself with every dumb thing everyone thinks, but when you make a statement about economics (of which you seem wholly ignorant) well now you've got my attention.

Government regulation always increases prices. When markets aren't allowed to work freely (they couldn't before) prices are too high.

This bill, which includes tons of random graft legislation crafted over the last 10 years, is just going to shift around who is making the money, and who is getting paid off. Remember, this is the bill that Congress passed before even reading it.

If I was the sort of person to make guarantees, I'd guarantee that healthcare prices will continue to rise in the US 5 years, 10 years from now. Government isn't getting smaller, and everything it touches goes up in price.


A. Yes in my opinion (who else's?)

B. Profits aren't always good for everyone, many people who exacerbated the 2008 crisis did very well in terms of profits (Google "Magnetar Capital"). They are especially not good when nothing is produced, aka when the health insurance company makes money it is NOT a pareto improvement.

C. Externalities are by definition something the market does not price in.

You are correct about the last part though, prices will rise because of increased demand. The way to fix it would be to leverage all demand in the market in lockstep, preventing different prices for different people (should be illegal but providers do it anyways).

I don't know man, we can probably argue about this all day, IMO from the data I see day in and day out, this law patched up a complete abortion of a system into something that's workable.