Thanks to Obamacare, Health Costs Soared This Year (subtitle: What do you mean there's no such thing as a free lunch??)
Let me see... we're going to "insure" 30 million more people while not increasing the number of healthcare professionals, all while reducing competition amongst the insurance companies. What could POSSIBLY go wrong?
But on a positive note, if you happen to become infected with Ebola I'm sure your local hospital will welcome you with open arms.
But on a positive note, if you happen to become infected with Ebola I'm sure your local hospital will welcome you with open arms.
Its just like the zero down, Adjustable Rate Mortgages featured in the Carter, Clinton, and G.W. Bush advertisements until the bottom fell out in 2006-7.
He is currently struggling to afford gas money by working at a Subway way on the other side of Birmingham because a very close Walmart can only offer him a part-time job because of Obamacare.
Harry Reid would call the above a "Republican lie."
Sorry, I'm one of those Tea Party "terrorists."
Got methane to pass? Let's hear it for the unaffordable Affordable Healthcare Act.
Obviously, medical science has leapt forward tremendously and people are living longer. Can you imagine what it would be like to actually go back to such a system in which healthcare was affordable to the point that out-of-pocket was not astronomical? Wouldn't that be much simpler?
Today's system of compulsory purchasing of health insurance is a diametric opposite of what we were in the 30's/40's.
Now. Doctors can reprogram your genetics. Doctors can perform (or conduct) operations on the near-cellular level. Medicine can see through your body and into your metabolism in a half-dozen different ways. And the cost of this tremendous increase in the scope of medicine is reflected in the cost.
Comparing pre-antibiotic, pre-medical-technologial medicine to our current abilities is like comparing a stick of dynamite to a Saturn rocket. And likewise the cost.
Jan
1) Eliminate pain and suffering in med malpractice cases. Cap damages to say $500k
2) Eliminate the FDA
3) Eliminate the deduction for health care. Either make it a private deduction or just get rid of it.
4) Declare all State limitations on what Insurance companies have to provide unconstitutional under the commerce clause.
5) Block grant out medicare and medicaid and then phase them out.
6) Eliminate the licensing requirements for doctors.
Within two years of this the price of health care would drop 30-50%
Some sort of control is needed on the prescribing of n-th generation antibiotics. I wonder if a separate certification (one that is real difficult to pass) should be required in order to prescribe antibiotics. (I suspect that many MD's would not pass.) While I am not quivering in terror over the current Ebola problem, I am aware that we are growing our own antibiotic-resistant plague in the crockpot of the world.
Jan
I disagree about credentials. The free market will provide these sort of solutions for those who care. Getting the government involved will only cause problems. We buy many things that are as complex or more complex than medical care everyday without have government credentials or oversight.
Antibiotic resistance follows the rules of all evolution. If you are prescribed 2 weeks worth of an antibiotic but only take it for 10 days (because now you are all better) then you have probably created a population of bacteria which are the 2% not yet dead which are 'more resistant' to that antibiotic than your original infection was. This process, repeated over the years, results in resistant populations. The availability of penicillin (military and black market) in Vietnam to combat GC infections is what resulted in most GC now being immune to the use of penicillin.
I agree that we need to continue to pour on the gas to create more antibiotics (and other remedies for infections) but I do think there needs to be a locked safe where the really big good stuff is kept. Because in a world where MRSA and ESBL have no counter measures...we are back in the 1930's again.
Jan, who has just been discussing our WHONet export with a doctor in Ghana.
In today's world we should be able to sequence the bacteria in a couple of days and then create a well targeted antibiotic. But the FDA would not allow this and the Supreme Court has said you cannot have a property right in this sort of invention, so no one is going to invest in this.
How often have you gone to the doctor with a 'sore throat' and have been given a prescription for an antibiotic to take away with you? In only a few cases (Beta Strep) does the doctor actually know what is wrong with you (virus vs bacterium) at that point. (And even then, he does not know what antibiotic the organism is susceptible to - he guesses.) In many cases, you have a virus - against which the antibiotic does no good (though it will stop a secondary infection; this is not considered good medical practice without extenuating circumstances).
The high potency, newer, antibiotics are not available to these doctors to prescribe. So although the bacteria are becoming resistant to the everyday antibiotics, we still have something locked away to use against the really bad cases.
You CAN patent an antibiotic; you cannot patent a gene. (I was personally in favor of a limited time patent on a gene, just to encourage bioresearch.). I think you are correct long term, but I also think that until new remedies (which will probably not be antibiotics at all) are in the pipeline we really really need to keep our big antibiotic guns in a place where they can jump out and yell "Surprize! Blam!" at the MRSA they are targeting.
Jan
Limiting antibiotics does not work, cannot work because of evolution and is the same sort of thinking that results in suggesting we need to conserve oil or use "renewable" energy.
I wen't to have a biometric exam to satisfy our health care coverage through my wifes hospital ($900 bump into our health savings account). After typical BMI measurement (BS), weight, and height the woman told me that ALL of my tests from the previous year looked perfectly fine and that I was above my ideal BMI, aka I'm fat (my words).
Now, I could have saved everyone a lot of time and money (test, exams, etc) and just told them I was healthy but fat - but what do I know, I just won this body.
You want to understand why costs are soaring - this is a great example.
Of course what they do, which insurers never do, is advise people on how to avoid certain kinds of expenses to begin with.
Yes! And I agree with the scare quotes on "insure" since most of these people are people for whom the peril has already occurred. Most of the people who didn't have insurance before and are now buying "insurance" will have the most costly risk profile. I actually think the _idea_ of spreading risk in this way makes sense, but it's foolish for anyone to think it will come cheap. When my wife and I last did underwriting they took blood and went over literally every occasion when I had thrown my back out. They told me how much I would save if I lost a few pounds. I have always been healthy though-- good cholesterol and other vitals.. I knew my premiums would double if I were in the same risk pool with people who were sick. Indeed they would have doubled if I hadn't found a way to stay on the underwritten plan. I'm okay with them doubling, though, b/c the point of insurance is to spread risk, and it seems inefficient to put me in a lower risk pool just b/c I was healthy when I did underwriting and to penalize someone who got sick before they had a chance. This will be even more true when simple tests can predict future diseases; at that point "insuring" against non-acquired non-accident sickness will be impossible. I don't have all the answers, but I knew from the outset insuring 30 million people, most of whom had a history of illness, would NOT be cheap.
The way "insurance" works today under Obamacare would be analogous to not having automobile insurance until you have an accident. Then you sign up for insurance and have your car repaired. Makes no sense, does it?
The long and short of it is that we don't really have insurance under Obamacare. What we really have is more of the same: income redistribution.
Since Obamacare it is no longer legalized gambling it is now most definitely legalized extortion
Obitemeacare (and other legally "mandatory" insurance schemes ) take away that free choice and put the gun to your head... saying, in essence, we don't care if it's a bad bet, or you know you'll lose - you're still gonna make that bet.
Insurance - in the right circumstances - aren't a bad deal. And as an investment, as long as it's managed correctly, will make a healthy profit. But mandated and regulated by the government, it becomes just another Looter Vehicle to separate you from your hard earned cash, and hand it over to said looter that bought into the house side of the table. Why do you think some insurance companies "donate" office space to their state insurance commissioners?
My dad, and both stepmoms, worked in the industry, and would sing its praises... hiding the reality of what it is. Seeing the truth behind it, I am *not* a fan of the industry.
"The way "insurance" works today under Obamacare would be analogous to not having automobile insurance until you have an accident."
Health problems, though, are increasingly more predictable than auto-accidents. I think the model of insuring against health problems was close to falling apart. Many people had "insurance" thought an employer where maybe they didn't even want to work anymore but it was under a plan sponsored by that employer that they got their cancer diagnosis and became ineligible for insurance (as the peril had already occurred).
People were rightly trying to pay companies to bear the risk of an expensive health problem, but it wasn't working that well. Sometimes it was someone with a congenital health problem or someone on a group plan when he got sick, but often it was just people who didn't want to pay for insurance until _after_ the peril occurred.
I also like the line that absent a profit motive, "insurance company and can only survive as a clearinghouse for federal subsidies." It does seem like they only exist under the new system b/c they were a strong lobby.
I believe all this was coming anyway because of genetic testing. The very model of insurance was breaking down. Spreading the risk was starting already to look like socializing the risk of being born with bad genes.
"But his heart is in the right place?"
During the 2008 election I commented that I would not hire Obama as a first-line manager in my group. He is truly the least qualified person in any room he enters.
http://www.youtube.com/watch?v=Wy8JttV64...
My were going to double last year. I managed to stay on the a non-compliant plan for this year. My agent said they'd be doubling next year. But they changed the rules, now, so I only need to go on a partially compliant plan next year, resulting in a 25% increase, not 100%. It's such nonsense.
Most people want insurance rules that allow people who are already sick to get "insurance" coverage, but those same people indignantly want it to be free.
Jan