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Old 01-10-2017, 12:25 PM   #1 (permalink)
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Obamacare Repeal May Have Just Died

Obamacare Repeal Might Have Just Died Tonight

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Something big is happening in the Senate right now: The Republican plan, affirmed again today by Senate Majority Leader Mitch McConnell, is facing dire peril from Republican defections. Republicans need a House majority, 50 Senate votes, and soon-to-be President Trump to pass repeal and delay.

If Republicans lose three Senate votes, that drops them to 49, and repeal and delay cannot pass. At least three Republican senators (in addition to all the Democrats) now oppose repeal and delay. Rand Paul, of all people, has demanded that Congress repeal Obamacare at the same time it passes a plan to replace it. Paul has announced that he spoke with Trump and secured his agreement on this. Trump has not said so himself, confining his comments to date to a vague assurance, “That’s all gonna work out.”
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Old 01-10-2017, 12:46 PM   #2 (permalink)
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A Half-Dozen GOP Senators Just Fired A Big Warning Shot On Obamacare Repeal | The Huffington Post
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Old 01-10-2017, 02:27 PM   #3 (permalink)
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A tenth Republican senator, Ron Johnson of Wisconsin, told NPR Tuesday afternoon that Republicans shouldn’t repeal the Affordable Care Act, but should “repair” it instead ― a line of reasoning that would likely be supported by an overwhelming majority of the country.
As soon they they seriously start looking into "repair" options (the ball's completely in your court now, fuckheads), it's going to be apparent even to the dimmest bulb in Congress that you can't yank out one aspect (mandates, marketplaces, low income subsidies, etc) without collapsing the rest that is "supported by an overwhelming majority of the country" (pre-existing coverage, coverage to adult children, etc).

Or, how about this Republicans. Since Obamacare is really RomneyCare (or even HeritageFoundationCare), who cares who's idea it originally was. Just scrap the whole thing, bring in the progressive's idea - single payer - and call it TrumpCare. Orange Goo would get behind it in a twit-second.
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Old 01-10-2017, 03:28 PM   #4 (permalink)
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The other "repair" option would be to look at the Israeli system that is a loose basis for Romneycare and the ACA. It also includes mandatory insurance, coverage without discrimination for age, gender, or pre-existing conditions, and minimum required services in health plans. The difference is that there is no for-profit insurance involved. Israelis must select coverage in one of four non-profit HMOs. Think of it as the Public Option on steroids.

The ACA was intended to have one government run insurance plan to ensure access to coverage and to introduce price competition. That was cut to appease Republicans who never came around anyway. Having one or more public plans would be a step closer to a single payer plan (think "Medicare for All Who Want It") but leave private insurers in the market.

Of course it still only addresses the lack of insurance problem. We need a broader plan focused on access to healthcare, including more non-religious hospitals and medical professionals in rural areas. We need more doctors, nurses, and specialists if we expect everyone to get actual health care, not just insurance.
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Old 01-10-2017, 03:56 PM   #5 (permalink)
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Whatever these (insert epithets) come up with, and as far as I can tell they have no plan, never did have a plan, and don't even want to have a plan, we can be assured that they will do their utmost to ensure that their benefactors profit and the general public gets shafted. People going bankrupt and/or dying means absolutely nothing to them.
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Old 01-11-2017, 06:33 AM   #6 (permalink)
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THis has been going around the web a bit.


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Old 01-12-2017, 01:38 AM   #7 (permalink)
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Senate Takes Major Step Toward Repealing Health Care Law

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WASHINGTON — Senate Republicans took their first major step toward repealing the Affordable Care Act on Thursday, approving a budget blueprint that would allow them to gut the health care law without the threat of a Democratic filibuster.
The vote was 51 to 48. During the roll call, Democrats staged a highly unusual protest on the Senate floor to express their dismay and anger at the prospect that millions of Americans could lose health insurance coverage.
The vote, which concluded just before 1:30 a.m., followed a marathon session in which senators took back-to-back roll call votes on numerous amendments, an arduous exercise known as a vote-a-rama.
The approval of the budget blueprint, coming even before President-elect Donald J. Trump is inaugurated, shows the speed with which Republican leaders are moving to fulfill their promise to repeal President Obama’s signature domestic policy achievement — a goal they believe can now be achieved after Mr. Trump’s election.
The action by the Senate is essentially procedural, setting the stage for a special kind of legislation called a reconciliation bill. Such a bill can be used to repeal significant parts of the health law and, critically, is immune from being filibustered. Congress appears to be at least weeks away from voting on legislation repealing the law.
[...]
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Old 01-12-2017, 07:12 AM   #8 (permalink)
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Okay, pretend I am an alien that just landed. Can someone explain to me why the Rs want to repeal something that was pretty much written by the insurance industry (who they like) and other Republicans. After all, it was not Obama who started the meme of putting his name on an extremely popular law.
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Old 01-12-2017, 07:17 AM   #9 (permalink)
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Originally Posted by Kara Spengler View Post
Okay, pretend I am an alien that just landed. Can someone explain to me why the Rs want to repeal something that was pretty much written by the insurance industry (who they like) and other Republicans. After all, it was not Obama who started the meme of putting his name on an extremely popular law.
Dear Alien:

Because Obama

Sincerely,

Human.


Seriously, that's the only reason. It happened during Obama's administration. There IS no other reason.
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Old 01-12-2017, 03:43 PM   #10 (permalink)
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They will never do this, but here is how they could fix it.

Continue to require everyone to have insurance, but allow people to buy into Medicare and/or Medicaid with premium depending on income.

Require all practicing physicians who accept medical insurance of any kind to take at least 20% Medicaid patients before being able to turn them away. Additionally, offer student loan matching payments (or similar incentive) if doctors accept 50% Medicaid patients until all loans are paid. After loans are paid, they can reduce percentage to 20% over time but cannot drop existing patients.

Increase incentives for new medical schools to open and for people to become doctors, physician assistants, nurse practitioners, and RNs. Opening schools in rural areas where there have been many job losses, such as Appalachia, could help increase options there both for employment and providing services in those communities.

Private insurance should be required to cover in-home care. This would reduce the burden on Medicaid which currently pays for millions of people who receive home care or nursing home care.

Reduce Medicaid funding for nursing home beds by 50 to 75% over a 10 to 20 year period, in favor of funding home care options instead. This will save a tremendous amount of money in the long run as studies show that home care is cheaper. Nobody wants to be in a nursing home -- elderly people should be able to spend their final years at home, and people with disabilities should be able to live independently in their own homes. Home care workers should be paid significantly more to prevent abuses and make compensation fair for the amount of work involved.
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Old 01-12-2017, 05:18 PM   #11 (permalink)
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The irony of the US Senate becoming the Death Panel the conspiracy freaks warned about.
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Old 01-12-2017, 05:22 PM   #12 (permalink)
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http://www.vox.com/policy-and-politi...lacement-plans

One of them, Senator Cassidy's, sounds interesting but you know it all goes to shit when they block grant Medicaid.
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Old 01-13-2017, 04:11 AM   #13 (permalink)
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Originally Posted by Ayesha Lytton View Post
They will never do this, but here is how they could fix it.

Continue to require everyone to have insurance, but allow people to buy into Medicare and/or Medicaid with premium depending on income.

Require all practicing physicians who accept medical insurance of any kind to take at least 20% Medicaid patients before being able to turn them away. Additionally, offer student loan matching payments (or similar incentive) if doctors accept 50% Medicaid patients until all loans are paid. After loans are paid, they can reduce percentage to 20% over time but cannot drop existing patients.

Increase incentives for new medical schools to open and for people to become doctors, physician assistants, nurse practitioners, and RNs. Opening schools in rural areas where there have been many job losses, such as Appalachia, could help increase options there both for employment and providing services in those communities.

Private insurance should be required to cover in-home care. This would reduce the burden on Medicaid which currently pays for millions of people who receive home care or nursing home care.

Reduce Medicaid funding for nursing home beds by 50 to 75% over a 10 to 20 year period, in favor of funding home care options instead. This will save a tremendous amount of money in the long run as studies show that home care is cheaper. Nobody wants to be in a nursing home -- elderly people should be able to spend their final years at home, and people with disabilities should be able to live independently in their own homes. Home care workers should be paid significantly more to prevent abuses and make compensation fair for the amount of work involved.
Sounds like Jeremy Hunt's wet-dream...
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Old 01-13-2017, 04:39 AM   #14 (permalink)
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I had to look up who Jeremy Hunt is, and I'm still not completely sure about the connection to my post, except Wikipedia says something about him requiring doctors to work certain hours? One of the issues with Medicaid is that it doesn't reimburse very well… But right now doctors can just get out of accepting it, so there's no pressure to increase reimbursements. If doctors had to take it, they would be protesting more loudly and making the government increase reimbursements instead of continuing to let the poor get screwed. I also honestly do question how much doctors get paid… Of course it should be a high-paying job, considering the skill and education required, but in some cases the pay is exorbitant. Other countries with single-payer health care have doctors who treat everyone and still live a nice lifestyle. I think we could do it here too!

The problem with Medicaid block grants is that they will almost certainly lead to cuts in programs like home care. They are also likely to reduce existing Medicaid buy-in programs because they are "optional" portions of Medicaid. For example, I am in a Medicaid buy-in program that allows people with disabilities to work and still get Medicaid and Medicaid waiver that covers home care. If this program were canceled I would have to either quit my job or lose my home care, and since my home care costs more than I make every month, the choice would be my job. And no, this doesn't make logical sense… It would be better for them to have me pay taxes than paying in nothing at all, but as we know the Republican Party is more about sticking it to those in need than actually saving money.

On the plus side, and there is only one plus side… Mike Pence is a complete douche when it comes to social issues, but the way he has set up Medicaid in Indiana actually works pretty well from what I can see. There is a substantial expansion program here, and various options for people who work including the program I'm in. So if he actually looks at what he has set up here, and applies it to the rest of the country, we might be OK. But I seriously doubt that will happen, unfortunately.
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Old 01-13-2017, 05:49 AM   #15 (permalink)
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Quote:
Originally Posted by Kara Spengler View Post
Can someone explain to me why the Rs want to repeal something that was pretty much written by the insurance industry (who they like) and other Republicans.
Follow the money.

ACA is subsidized by higher taxes on the upper income brackets. If it's repealed the richest among us will get that money back.
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Old 01-13-2017, 09:59 AM   #16 (permalink)
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I had to look up who Jeremy Hunt is, and I'm still not completely sure about the connection to my post
He's our current Health Secretary, and therefore in charge of our National Health Service - which he wants to dismantle and privatise. He co-wrote a book https://www.amazon.co.uk/Direct-Demo.../dp/0955059801 advocating replacing the NHS with private insurance. While I normally find Frankie Boyle a little too, erm, 'robust', I have no argument with this article on the man: https://www.theguardian.com/commenti...-dismantle-nhs. There's another good discussion of the man and his aims here : Jeremy Hunt co-authored book calling for NHS to be replaced with private insurance | The Independent .
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Old 01-13-2017, 10:21 AM   #17 (permalink)
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AA misses the main thing about Jeremy Hunt, and that is what his name rhymes with. And this says more about the fellow, and more precisely, than anything else can ever hope to.

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Old 01-14-2017, 01:42 PM   #18 (permalink)
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https://www.facesoftheaca.com/

Posts about this site flooded my Facebook feed this morning. The stories here are heartbreaking and illustrate how very important this program has become to so many. As I read through them, I was surprised to come across a couple of my friends posting their own experiences. People are terrified of losing their ACA benefits.

The page also provides a link to contact representatives, making it super easy to send representatives and senators messages of support to retain the ACA.
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Old 01-14-2017, 06:26 PM   #19 (permalink)
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People are terrified of losing their ACA benefits.
I am one of those people. Without assistance, I could not afford healthcare and with a preexisting heart defect I could never afford coverage without the ACA. With the Senate ready to follow the House, there is a good chance it could, for all practical purposes, be repealed before Obama even leaves office.
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Old 01-14-2017, 07:20 PM   #20 (permalink)
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I wish the mainstream press /and/ Fox news would start calling it the ACA in their coverage. So many of the supporters of the repeal are going to be shocked when they get their cancellation letters, thinking they are safe because they have ACA and not Obamacare. Its really the fault of the press as much as anyone else that that misconception still exists.
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Old 01-14-2017, 07:32 PM   #21 (permalink)
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Question: Am I wrong that the ACA will stay in effect as it stands now until the next federal budget starts, which is October 1? I was under the impression that this year's budget had it all in there still. Or have they found some loophole that I can't see?
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Old 01-15-2017, 03:16 AM   #22 (permalink)
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Question: Am I wrong that the ACA will stay in effect as it stands now until the next federal budget starts, which is October 1? I was under the impression that this year's budget had it all in there still. Or have they found some loophole that I can't see?
From what i have gathered, you are correct. The Congress has actually funded the ACA without protest for the first time ever, while at the same time passing legislation to kill it

Republicans move to spend billions on Obamacare — before they kill it
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Old 01-15-2017, 03:21 AM   #23 (permalink)
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It's almost as if the Republicans knew they had less than a year to use the wrecking ball before the public opinion finally wakes up enough to turn on them.
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Old 01-15-2017, 04:56 AM   #24 (permalink)
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Um, I definitely wouldn't like Jeremy Hunt then. I favor a current-UK-style solution in the USA, where everyone has national health care at a good standard and people can buy or obtain via their employer supplemental private policies for the perks. It keeps the rich and middle-class happy because they can get fancier healthcare they "worked" for but everybody is covered for the important stuff. And the insurance companies wouldn't have to go out of business so they wouldn't fight it as much.
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Old 01-15-2017, 08:27 AM   #25 (permalink)
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Congress has the ability to alter the budget mid year. The question is how stupid they are.
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