Discussion: Why Congress Failed (Again) To Pass An Obamacare Rescue Package

Why?

in¡com¡pe¡tent
inˈkämpədənt/
adjective
adjective: incompetent

synonyms: inept, unskillful, unskilled, inexpert, amateurish, unprofessional, bungling, blundering, clumsy, inadequate, substandard, inferior, ineffective, deficient, inefficient, ineffectual, wanting, lacking, leaving much to be desired; More incapable, unfit, unqualified; informal useless, pathetic, ham-fisted, not up to it, not up to scratch, bush-league

"not only are the staff overpaid, they're incompetent"
    Law
    not qualified to act in a particular capacity.
    "the patient is deemed legally incompetent"
    Medicine
    (especially of a valve or sphincter) not able to perform its function.

noun
noun: incompetent; plural noun: incompetents

1.
an incompetent person.
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will give them the opportunity to take back the House and regain the majority in the Senate. That, to me, is sad.”

Get ready for tears then because they will flow like water.

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Susan Collins needs to be included in an updated edition of Profiles in Courage for the way she stood up to McConnell and did the competent senator-y shit she said she was gonna do…

Said no one ever.

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I suggest you explain that to your constituents between now and the midterm. I am certain those who have lost their health insurance or have experienced a price increase will reward you for your efforts. I don’t think you want to make healthcare a topic of discussion.

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accusing Democrats of blocking the bill so they could use the rate increases as a political cudgel in this November’s midterm elections.

Jeez. I don’t ever remember Republicans doing nasty stuff like that when Obama was President.

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Because Obamacare, not GOP toilet paper plans!

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Things MIGHT work out IF politicians had to pay for everything out of their own pockets , instead of getting it free from the taxpayer .

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I’m in Maine, a state with a median family income of $50K and my ACA insurance cost almost $20,000 this year, so much that I discovered I saved thousands by becoming a full-time student and getting student health insurance. If nothing improves, I’m going to spend the next ten years getting a PhD, by which time I’ll be eligible for Medicare.

And please, don’t tell me the ACA subsidizes insurance for people with lower incomes than me. If the insurance costs $20K for a family of 3, the government is spending way, way too much money on it. And, another relative has a job with a very variable income. If she makes 12K/year, her ACA insurance with cost her $1.26/per month. But if she falls a penny short, she falls into the didn’t-expand-Medicaid loophole and has to pay full price, which is $9,000/year for a plan with a maximum out-of-pocket of $7,400. In short, if her income is 11,000, she gets a bill for $9,000. She decided to skip the insurance.

We need Medicaid or Medicare for all.

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This article should single her out for her fecklessness in once being a labeled a pro-choice GOP Senator that was more than willing to push the anti-abortion part of this legislation, writ large.

Also, what’s with these short term plans that can break all the laws about pre-existing conditions, etc.? I don’t understand how that’s even legal.

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I can think of three reasons:

  1. The Republican leadership has no interest in stabilizing the marketplace or protecting healthcare for millions of Americans.

  2. The Republican leadership is thoroughly incompetent.

  3. Both of the above.

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Universal health care now. Whether we adopt the Swedish Model (Medicare for All) or Swiss (efficient insurer), 47th in health care quality and falling is not an option.

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Wow. Why wouldn’t democrats vote for a subsidy bill that forbids subsidies for just under a fifth of the country’s population (with a bonus for that being a fifth disproportionately represented by democrats).

Isn’t it amazing how states rights become obsolete the moment a state does something a republican doesn’t like.

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sao:

I am going to tell you, you are full of crap. There is no way you are paying $20,000 annually in premiums with an income of $50,000 for A FAMILY OF 3. You come out on the internet and either you make general statements or out right lie. Here is Kaiser’s analysis of what your policy premium costs would be.

Estimated financial help: $779 per month ($9,344 per year)
as a premium tax credit. This covers 70% of the monthly costs.
Your cost for a silver plan: $330 per month ($3,960 per year)
in premiums (which equals 7.92% of your household income).
The most you have to pay for a silver plan: 7.92% of income for the second-lowest cost silver plan
Without financial help, your silver plan would cost: $1,109 per month ($13,304 per year)

You want Medicare for all? Monthly premium = $134/month, Supplemental Insurance = $120/month, and Part D = $30/month as long as you are using Tier 1 drugs. No Dental or Vision insurance. Just that alone for one person times 3 = $852/month. Figure cheap vision and dental would be another $120/month. This is what you want to pay instead of $330/month?

As to your second example? It too is not true. Why do you write this stuff when it is false.

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The consensus seems to be that Congress is “done legislating for the year”. Nothing will be done on guns, infrastructure beyond the pieces that were in the budget, health care, cybersecurity and privacy (maybe the companies will decide as they comply with the new EU directives that will kick in in May that it’s easier to follow a single standard and they will use that here as well), or anything else. A full time salary for working from January to around the middle of March. Not a bad deal for them, though a crappy one for the taxpayers.

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The abortion language was abhorrent and a total poison pill. It would have forbid PRIVATE insurance from covering abortion coverage. It was a total expansion of the Hyde Amendment into private insurance that has nothing to do with Medicaid or Medicare. Total fail.

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In December 2014, the Cromnibus bill was signed preventing the government from going into shutdown. Inserted in it was Section 227 which prevented any funding from being transferred from other healthcare funding to the ACA Risk Corridor and Reissuance programs. This was inserted in the bill by Representative Jack Kingston.

Sec. 227. None of the funds made available by this Act from the Federal Hospital Insurance Trust Fund or the Federal Supplemental Medical Insurance Trust Fund, or transferred from other accounts funded by this Act to the “Centers for Medicare and Medicaid Services–Program Management” account, may be used for payments under section 1342(b)(1) of Public Law 111-148 (relating to risk corridors).

This started off with Senator Jeff Session writing the GAO and obtaining an opinion which basically stated the administration could not appropriate funding for the ACA. With the help of Michigan Representative Fred Upton, as the head of the Appropriations Committee, Jack inserted Section 227 into the CRomnibus bill signed December 16, 2014.

This kiilled any type of SHORT TERM subsidy for insurance companies

Insurers who had misjudged the market (due to taking on so many people with pre-existing conditions sought nearly $2.9 billion in payments, many nonprofit insurance Co-ops failed, healthcare insurance companies began to raise premiums to compensate, and some healthcare insurance companies recognizing an untenable environment created by Republicans took their losses and left the market. For the record, the Rick Corridor -Reissuance programs in the ACA was no different than what exists in Part D other than being a limited to 4 years, a Dem action meant to allow insurance companies, etc. to take on numbers of people with pre-exiting conditions.

This was the first zinger for the individuals market consisting of ~9% of the insured. .

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The Trump GOP Congress and its Leader Don the Con want the ACA to collapse. No matter when it happens they’ll blame President Obama.

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In Michigan and Missouri they passed legislation that women had to buy special abortion insurance, the kicker is no private insurance companies offered a separate policy just for abortion.

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The circle can’t be squared. Employer based health insurance is a cash cow because they collect pre-tax premiums from everyone who’s healthy enough to work, and exclude everyone who isn’t, Medicare supplements are a cash cow because federal subsidies take care of the really expensive stuff.

The best way to improve on it would be single payer, financed by taxes. It failed because there are too many Republicans.

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