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Saturday, March 25, 2017

MOVING FROM OBAMACARE 1.0 to OBAMACARE 2.0


"President Donald Trump suffered a stunning political setback on Friday in a Congress controlled by his own party when Republican leaders pulled legislation to overhaul the U.S. healthcare system, a major 2016 election campaign promise of the president and his allies."

That's the good news. The bad news is that this man that's supposed to be the president isn't going to make any attempt to transition Obamacare 1.0 to Obamacare 2.0


If D J Chump cared as much about the ordinary, non-rich citizens of this countries as he does the one percent who want the 600 to 900 billion dollars worth of taxes back in their pockets (including the CEOs of health insurance corporations) he wouldn't announce his plans to sit around and watch Obamacare self-destruct
"Perhaps the best thing that could happen is exactly what happened today, because we'll end up with a truly great healthcare bill in the future after this mess known as Obamacare explodes," Trump said.
http://www.reuters.com/article/us-usa-obamacare-idUSKBN16V149
I think a three pronged approach is needed. 

The first thing that's needed is competition for the Health Insurance Companies. If not "The Public Option" (Federal Government run insurance) then something else. People have to have someplace to go for health insurance when the health insurance companies get too greedy and raise prices. 

If more young people are needed to offset the old and the sick with pre-existing conditions that took a running leap into Obamacare, then reduce the age that parents can add kids to their insurance. 

  • A person that is 4 years from 30 is not a child and shouldn't be treated as such, not even when it comes to insurance. 
  • Let Mommy and Daddy help Johnny buy his own insurance. Give Mommy and Daddy some sort of small tax deduction. But get 26 year old Johnny with the health body into our health insurance system and make him pay the full premium. He'll have government subsidies and he can go to Mommy and Daddy bank to get money to pay his own premium. 
  • Maybe there could be some sort of income limit (50K?) for parents financially assisting grown children in getting insurance. Maybe those making less than 50K, could keep their children on their insurance. 
  • But for the most part, I'd lower the age that people can keep their adult children on their insurance. I'd drop it to 24 tops.
Maybe some sort of CHEAP and limited emergency care could be put together for a piece of the public option. For single people below the age of 26 with no children since they are mostly a pretty healthy group. There could be a cheap emergency type healthcare plan. Accidents, Ambulance, Cancer... 

Some of the solutions are simple. 1) We need to suck more young people who won't use that much health services into the system and 2) Stop health insurance companies from raising prices whenever they want to.

The other thing I haven't been able to evaluate is allowing insurance companies to sell insurance in whatever state they want. He-Who-Shall-Not-Be-Named might be right about this.
To me, allowing this competition seems like it would be a good thing. 
I don't just know if it's a bad thing is smaller insurance companies are driven out of business. Insurance companies (of all sizes) are moving together as if they are one already. They are out to gouge us all for fun and profit. Since it's already like there's a monopoly in place, I don't see the danger of letting competition run wild and see who's left standing after a year or two--- for so long as there's something like the public option to keep the winner(s) humble.
Yesterday, Mean Tangerine said he was not going to work on Obamacare anymore. I thought he was trying to force the republicans to go his way. I thought he'd pull back if his bluff wasn't working. And I still do. The man lies. But if in this one instance Mean Tangerine is telling the truth, then we need to start thinking about how to rescue Obamacare.

One one of the things that irked me today was seeing that some hospitals announced postponing expansion plans based on Obamacare possibly going under. I wound up thinking, "Why don't you use that Obamacare money to reduces prices of services instead of expansion?" Anything that's not about getting the hospital's technology up to date, any upgrade that's not about saving more lives should wait.

In order for healthcare to work in this country, the hospitals, doctors, and health insurance companies are going to have to get out of this maximum profit mindset.

If healthcare is right and not a privilege, we have to reign everybody's greed in. Contrary to what the repugnicans think, letting capitalism run free is not the solution to everything