Discussion: The Problem With Paul Ryan's Go-To Obamacare Replacement Idea? Money

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The GOTP is only capable of being an opposition party that does nothing but complain. Once in power they are utterly incapable of governing.

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They probably will just change the few things that need some work, claim it’s completely different and now it works and is truly affordable thanks to them.

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Tierney Sneed writes really well.

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Preexisting conditions may include diagnoses like autism which affect Trump supporters as well. Trump has not explained his “insurance for all” yet but it probably relies on junk insurance that doesn’t cover much of anything.

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Money’s pretty much the problem with everything Republican’s do.For a party that bitches and moans about debt and taxes they tend to run up the debt and don’t help out the people that need their taxes reduced to make ends meet.

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There is also nothing I read about in the GOP plans that looks to curb overall rising costs, or change the trajectory of spending.

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I’m sure that when Trump supporters closely study the details of the Republican replacement for Obamacare and see all the problems they will withdraw their support from Trump.

Yeah, right.

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Republicans want the sick to die. Their God, Ayn Rand, always preached survival of the fittest.

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Or,

FOX: Democrats now vowing to fight tax reductions for those who create jobs. This is nothing…NOTHING short of class warfare and an affront to their own upward mobility!

FOX News viewers who wouldn’t benefit from said tax cut: Yup, yup that sounds about right. Cut taxes on the wealthy and keep government out of Medicare!

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I believe that the “beauty” of this plan in the eyes of Republicans, especially Ryan, is that they know that the Republicans will never allow risk pools to be funded at the level where they could be effective. No one, including the AEI believes that Ryan’s numbers, either on participants or subsidies, are close to accurate. Ryan can propose a program that, in theory, has potential, but, in practice, will never be properly funded. Then he can claim his good intentions while bewailing the lack of support from his fellow lawmakers, and still maintain his cozy relationship with the lobbyists who invite him to lavish dinners in D.C. Reminds me of how tort reform in Texas was going to lower physician liability rates to the extent the state would see a renaissance in primary care medicine. Didn’t happen; just like the lege figured it wouldn’t. Yet the rubes voted everyone back in to office…

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Besides they want to weed out the ones with the “bad genes,” the bad luck, or whatever. If everyone has coverage then they’re not “the special chosen ones” and that makes Republicans sad.

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It’s not that they are incapable of governing, it’s who benefits from their policies and positions? Who have they tailored their legislation towards? Who’s pocket does the money come out of to pay for the Republican’s plans?

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Well, if the big barrier to implementing some sort of alternate healthcare scheme is simply piles of money, then they’re in luck. As we all well know, deficits and debt only matter when Democrats are in power, so they can just work up a gigantic giveaway to their friends and put it on our tab.

Bonus points if you can saddle the Democrats with this when they somehow manage to get power so they have to be the ones to slash the subsidies to rein in our “out of control spending” that the serious people will demand of them.

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They want people to die.

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Then she died. Not much of a preacher either.

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[quote=“lastroth, post:32, topic:49704”]
Besides they want to weed out the ones with the “bad genes,” the bad luck, or whatever.
[/quote]Republican Darwinism.

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Short Ryan: When spending 18% of GDP isn’t enough, how about 20%? It’s somebody else’s money anyway.

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Healthcare and insurance aren’t the same things.
The government can do healthcare universally for all those that want in excluding those over a certain income level because they ‘deserve’ private insurance.

The private/for profit insurers can cover this group with something like, super-Cadillac plans, that sound awesome but are exactly the same only in different neighborhoods and have Drs. that are very generous with pills and recommend plastic surgery and shit.

America wins and us worker bees finally get relief from the drag of carrying the fat/wealthy. Boom!

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I’d phrase that slightly differently:

The entire ACA was nothing less, and very little more, than an implementation of etc.

There are a few tweaks to the Heritage Foundation’s plan.

We’ve tried high risk pools. They don’t work, and they especially don’t work for small-to-medium sized employers. What happens with these employers is that group-ish premiums (group-ish, because Aetna, Blue Cross, Cigna and the like based premiums in part on their experience with that employer) skyrocket if one employee gets something expensive (e.g., cancer). The employer (at best) seeks a way to shunt the expensive employee into the high-risk pool and at worst drops health insurance in whole or in part. (In part – if it’s a family member who is the expensive customer they may drop family coverage.)

Why does the GOP insist on going back to the same tired old shit that didn’t work before? Paul Ryan needs to see a policy optometrist: apparently the HRP in Wisconsin worked better than most, but he can’t (or won’t) acknowledge that. Besides, Wisconsin has been busily destroying its social safety net under little Scotty Walker. Short-sighted doesn’t begin to describe Lyin’ Ryan.

And less than 1% of the benefits offered by the other guy. Hurry up, get 'em before they’re gone.

What is amazing to me is that in all the prior iterations the American Medical Association and the health insurance industry were egging the GOP on in its resistance. With the ACA, both the AMA and the health insurance industry got on-board. I don’t understand what is fueling the GOP’s resistance, unless it’s hating Obama.

Their plan (to the extent they have one) is to implement a Health Savings Account plus High Deductible Insurance regime. The idea is that by making consumers spend their money, they will be incentivized to shop around for their health care. Then the Magic Invisible Hand of the Market (Praise Be Unto It) will curb costs.

There are three big problems with this theory. First, when someone is having a heart attack (or name your favorite emergency) they don’t (and can’t) shop for care. You get your care at the nearest possible place and pray it’s good enough. Second, there is a huge information asymmetry that makes the whole idea of shopping for care ludicrous. Finally, it assumes that we shop for health care on the basis of price. There is plenty of evidence that we consider lots of things before price. In other words, it won’t work and there is no reason to believe it will work, except for those who worship the Magic Invisible Hand of the Market (PBUI, Salaam, Amen).

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