Obamacare and hospitals

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Will non-profit or for profit hospitals stand to benefit more from Obamacare?

Specializes in Geriatrics, Home Health.

People were more than willing to support a war started on lies.

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Do any of you who support Obamacare even work in a hospital? It really sucks right now. Understaffing ,being our biggest problem, but we also have double charting and more new charting. If everything doesn't look good on paper then we don't get reimbursed or worse fined. Also HCAHPs teach patients that the customer is always right, so even if we do everything right, but our patients are still mad that their eggs were cold one morning, then we still lose reimbursement. Medicare and Medicaid are in the business of not paying out, that's why they have so many ridiculous rules. ACA just made it worse. It's unsustainable. A single payer option would be better but then the working population would see a 65% being taken from their pay checks and prob more if we continue to be at war with ideologies we can't control. That's just my rant. I'm done now

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I honestly did not read all of the posts here. I just wanted to add my 2 cents. I think everyone should be able to get health insurance but not by shelling out sub-par health plans to all.

In the past 5 years or so my employer provided insurance plan has changed significantly. I used to pay about $50 a week for a co-pay plan through a major carrier and my co-pays for PCP visits were $10, Rx's were the same and I paid $50 to go to the emergency department. I now pay $100 a week for a deductible plan with co-pays that only go in to effect after I meet my $2500 deductible.

I used to see my PCP when I had the sniffles that wouldn't quit or to rule out strep throat etc without thinking twice ($10). I used to see a dermatologist to have a yearly skin check since skin cancer has struck many in my family($25). I saw a chiropractor for a short time too($25). Even went to a therapist at one point($25).

Now, I could never afford to do these things because I would need to pay full price for the visits until I reached my $2500 deductible. I don't have that kind of money to burn.

I am sure many are in the same boat as me. I hope one day these deductible pans are a thing of the past because I think they are going to have detrimental outcomes. Illnesses are going to go untreated. Things that should have been caught early on are going to be caught way to late. Where I live there are state sponsored health insurance plans for low income families. This is great. I work in the ED and I see people every day that have not sought medical attention for years because they had no insurance until now and could not afford to. I am happy that these individuals can now afford to go to the doctors. I am not happy however that I can no longer afford to do the same.

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Now, toomuchbaloney and others, if you want to have people listen to the extremely left side, start by acknowledging the only reasons Obamacare passed was due to the lies and that the Democrats blocked every viable Republican alternative. Then at least you are being honest about your stance vs. trying to be ok with all of the lies that sold the product.

Thank you.

I don't know what alternate universe you're living in that this seems like a reasonable statement to you. The precise reason why so many liberals like myself dislike the ACA is because the moderate Senate Democrats (led by Max Baucus on the finance committee) packed the bill with as much of the Republican wish list as possible in order to try to make it palatable to Repugs. That entire summer (and I watched much of the hearings on C-SPAN, so I watched this happen; I remember it clearly -- I spent a lot of time that summer screaming at my TV screen), the Repugs demanded this, that, and the other thing, and the Dems meekly knuckled under and gave them pretty much everything they said they wanted in the bill because the Dems wanted so badly for this bill to have bipartisan support, turned it into something that wasn't particularly appealing to most liberals, and then the Repugs all refused to vote for it in the end, anyway. So, we got stuck with a law that was nearly 180 degrees from what Dems would have constructed on their own, and the stinkin' congressional Repugs can still crow proudly to their wacko constituents that they didn't vote for it, they don't support it, and it's a horrible, liberal law that's going to destroy America. The ACA is about as far as you can get from what a healthcare law actually written by liberals would look like.

I'm with you on one thing, though; I don't like it, either! Go ahead, repeal it! See what happens! I'm looking forward to the show.

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Specializes in NICU, PICU, Transport, L&D, Hospice.
I don't know what alternate universe you're living in that this seems like a reasonable statement to you. The precise reason why so many liberals like myself dislike the ACA is because the moderate Senate Democrats (led by Max Baucus on the finance committee) packed the bill with as much of the Republican wish list as possible in order to try to make it palatable to Repugs. That entire summer (and I watched much of the hearings on C-SPAN, so I watched this happen; I remember it clearly -- I spent a lot of time that summer screaming at my TV screen), the Repugs demanded this, that, and the other thing, and the Dems meekly knuckled under and gave them pretty much everything they said they wanted in the bill because the Dems wanted so badly for this bill to have bipartisan support, turned it into something that wasn't particularly appealing to most liberals, and then the Repugs all refused to vote for it in the end, anyway. So, we got stuck with a law that was nearly 180 degrees from what Dems would have constructed on their own, and the stinkin' congressional Repugs can still crow proudly to their wacko constituents that they didn't vote for it, they don't support it, and it's a horrible, liberal law that's going to destroy America. The ACA is about as far as you can get from what a healthcare law actually written by liberals would look like.

I'm with you on one thing, though; I don't like it, either! Go ahead, repeal it! See what happens! I'm looking forward to the show.

I also am very anxious to hear what the republican leaders will propose in actual legislation to fix or replace the ACA. It is time for them to stop serving up criticism and to actually lead the country forward in matters of health and insurance.

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I also am very anxious to hear what the republican leaders will propose in actual legislation to fix or replace the ACA. It is time for them to stop serving up criticism and to actually lead the country forward in matters of health and insurance.

Yes, simply saying "no" to anything and everything is so much easier than actually governing ...

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Specializes in Geriatrics, Home Health.
Good day:

-- just listen to the short video.

Thank you.

About that video . . .

The Washington Post reports that Gruber was caught admitting Obamacare “was crafted in a deliberately deceptive way in order to pass Congress.” That is not what Gruber said in the video. He was trying to explain how the law’s architects had to compromise the simple technocratic purity they might use to design the law in an academic setting to account for an irrational political system in which tiny bits of fact can be decontextualized and manipulated by demagogues. The reaction to Gruber’s comments this week is fitting punishment for his obnoxious phrasing, but only serves to vindicate his underlying beliefs.
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Specializes in NICU, PICU, Transport, L&D, Hospice.

Several conservative posters on AN seem almost giddy about this video though.

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People were more than willing to support a war started on lies.

I love how W was supposedly the dumbest president in history, but at the same time able to trick congress, Great Britain, and much of the rest of the world into a war.

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I saw the video (and others) for myself, and I don't need someone else to interpret it for me. If I did, Johnathan Chait might be one of the last people that I would have do it for me.

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Specializes in Critical Care.

I don't really get the conservative's take on "the video" even if they are correct about the context. If it's such a partisan democrat bill, why would democrats need to be 'tricked' into voting for it? I could see how it would make sense to claim democrats were 'tricked' into voting for republican policy, but not for what is supposedly their own.

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I love how W was supposedly the dumbest president in history, but at the same time able to trick congress, Great Britain, and much of the rest of the world into a war.

He was -- Dick Cheney and the other smart people in the administration engineered the deception.

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