Should Obama care be repealed?

Published

  1. As healthcare providers, should (Obama Care) Affordable Care Act be repealed?

    • 64
      YES
    • 108
      NO
    • 1
      WHO CARE
    • 2
      I NEVER READ....I DO NOT UNDERSTAND
    • 6
      I AM NOT SURE?

181 members have participated

[h=1]another poll question?[/h]

You mean a year wasn't enough? I personally don't care whether you call it Obamacare or ACA. But this particular meme is bull-puckey.

Where do you get a year from? It was proposed to the House in the July of 2009 and first voted on early November of 09. That seems crazy fast considering a 1,000 page bill that dramatically changed the healthcare scene and would have benefited from more discussion. Signed into law in March after passing the Senate vote.

Lets all be honest with each other, love it or hate it, it was pushed through as fast as Obama and the democrats could go. If it were not for a death and other untimely events it probably would have gone through faster.

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Well, the ball is squarely in the GOP court now. Let's just see what they do. I'm betting.... not much.

They're already backing off majorly on the "repeal, repeal, repeal, it's a disaster" alternative fact ....because they're hearing from their constituencies that a huge number of people will be totally screwed if it goes back to the way it was before, and the people don't WANT it repealed.

Trump has always said he wanted to repeal & replace and a majority of Americans agree. I have not heard many people say that they just want it repealed without a replacement.

I personally do not believe Trump's administration falls into the GOP court, in fact I think his election was a big middle finger to both the GOP and the DNC. I honestly think Trump will burn down the GOP by the time he leaves and I think the DNC will crumble as well. Hillary represented the DNC, the Bern is something different much like Trump is to the GOP...and I do not think the new liberals will forget nor forgive.

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Trump, well, who the hell knows what he is. HE doesn't even now what he is-- a less self-aware person would be hard to find outside a day program. But the GOP has the House and the Senate, so now they're accountable for legislation.

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Trump has always said he wanted to repeal & replace and a majority of Americans agree.

"Majority of Americans" agree? Not the polls I've seen. Sources, please.

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While I always thought it would be nice to have a gov't system like Canada or England, my experience in working in 2 different government funded healthcare agencies has made me suspicious of the effectiveness of our government in implementing a healthcare system or insurance system. I also found that I could easily purchase insurance as an individual before the ACA, but after it was much more complicated (websites, letters, calls from the government, annoying renewal emails, tax forms) though it did bring a few more options to the market. Overall I think the insurance exchange was a good idea, but one I'd rather not have managed by the government (or funded by the government). And I think it was a good idea to create a system to 'force' everyone to have some type of coverage. However, it didn't solve any of the cost/billing/pricing issues of our system. Not only did insurance premiums go up, insurance companies also lost money covering populations they previously didn't cover. Insurance companies also had to hire tons of people as 'case managers' to do all these complicated assessments on insurance subscribers. It was a loss for individuals and a loss for business. It cost everyone more. The only people that really seem to benefit are people who don't have pay in to the system....once again gov't services that only benefit the poor.

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One major factor worth pointing out, however, is that with systems such as the British NHS comes brutally low wages for.... you've guessed it.... nurses. Starting salaries for a new grad barely touch $20K, and you'd be lucky to scrape $25K after quite a few years.

I imagine there'd be a mass exodus from the profession in the event salaries were reduced in the States to match those in England!

Not even close.

Registered Nurses in the UK enter the NHS pay scale at Band 5.

Band 5 starts at £21,909 per annum ($27,392) and goes up in annual increments to a maximum of £28,462 ($35,585).

"lucky to scrape $25k after quite a few years" ?

Ward/Unit Deputy Managers, Nurse Specialists, Nurse Practitioners: Band 6

Band 6: £26,302 - £35,225. ($32,874 - $44,026)

Those are basic rates and do not include overtime, weekend & night duty payments.

Salaries in the private sector are broadly comparable.

Source: NHS pay scales 2

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Specializes in Mental Health, Gerontology, Palliative.

One major factor worth pointing out, however, is that with systems such as the British NHS comes brutally low wages for.... you've guessed it.... nurses. Starting salaries for a new grad barely touch $20K, and you'd be lucky to scrape $25K after quite a few years.

]

Socialised universal healthcare here, new grads in the new grad scheme have a starting rate of $48,000 I started out on around $51,000

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Specializes in IDD, and private duty.
I don't support the government forcing citizens to purchase a product against their will. But nor do I support enabling irresponsible behavior on the part of competent, able-citizens who refuse to take responsibility for their own needs.

Obamacare's mandatory coverage makes insurance unaffordable for far too many people. We've already read examples of this from professionals working full time, so we can imagine how it applies even more so to young people with modest incomes. In order to gain their participation, changes must take place that lower the cost of coverage, including allowing individuals to choose plans tailored to their needs and budget.

If young women want to save money by choosing a plan without maternity coverage, LET them do so. And let them take the responsibility of preventing pregnancy, or arranging payment in advance for the services they will need if they become pregnant.

If families don't wish to pay for a policy with preventive care, let them purchase one without, and pay out of pocket for their kids' sports physicals.

If mentally competent, able-bodied adults choose to go without coverage at all, LET them! But when they show up at the ER with a back-ache or ear ache, require them to make payment arrangements before they are seen. If they show up with a life or limb-threatening emergency, stabilize them using the minimum resources possible, and discharge them with a down payment and payment agreement in hand.

Unless and until we demand responsibility from (some) people, we will never get it. We need to lose the nanny mentality that we know better than they do what they need, and we need to quit bailing out their stupid decisions. Most of us who have raised teenagers have learned this lesson with our own children, yet some refuse to apply it to others in society at large. That puzzles me.

It is PAST time for people to start being responsible for THEMSELVES! My husband and I both work, no kids. The government doesn't give a damn about us! Now if we were to both quit our jobs and have a litter of kids, we would become a priority! Unless you are a U.S. CITIZEN who is DISABLEDor old enough for SOCIAL SECURITY you should not be provided with any types of handouts. If we force people to be responsible for their actions and decisions, they might actually stop making so many bad decisions. And if they don't, it's on THEM. I've made good life decisions, I work...etc. Pregnancy is a choice. The local health dept. gives out free condoms and free birth control to low income individuals. You should not have the right to produce children that you can not afford and expect me to pay for them. That sounds harsh, I know, but until peoplehave to start being responsible for THEMSELVES, they never will. I know MANY on state funded health care that use the ER as a walk in clinic for every sniffle. I pay just under $1000 a month for insurance for two people. Even with that insurance, if I went to the ER for so much as a bandaid I would have to pay out of pocket until my deductible is met, so unless it's a true emergency you won't find ME in the ER. If these folks had to do the same, there would be a huge drop in ER visits. Please excuse my rant, I know I sound angry, but that's because I AM!!

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Specializes in IDD, and private duty.
I don't know why you believe that, because it's not true. In the case of the gentleman I know best, he pays $80/month for his insurance via the state health connector (exchange). It was $40/month last year, but his income went up a little so he crossed over into the next higher income bracket for subsidy. That's out of a net income of less than $1000/month (I see his checks). So, that's about 8% of his income goes to insurance premium. What percentage is yours? If you earn $50,000/year, 8% is about $4000 per year, or about $333/month. We just had somebody here whining that hers was $260.

He has a $50 copay if he goes to an ER (which he had to do due to injury and a medical error in prescription for BP leading to syncope while driving the truck, twice last month). That's another $100, another 10% of his monthly income for that month. If you have a $100 copay, what percentage of your monthly income is that?

When he sees his MD, that's a $15 copay. Probably same as yours, but again, a higher %age of his income.

So... tell me how this is "way better benefits" than yours. You want to swap with him?

My husband and I are paying a bit under 20% of our income for insurance premiums. After that we are cash pay until we have paid $2000 individually to cover our deductible. After that, out only pays 50% until our $4500 max out of pocket is paid (that's individual). Any tests or diagnostics have to be approved and then aren't fully covered (see above). Contrast that with those on state funded medical care who go to the ER for ANYTHING and it's FREE! Then when their MD orders an MRI, CT, etc. it's automatically approve, and again, totally FREE! My MD ordered an MRI for me due to a bulging lumbar disc. After checking with my insanely expense private insurance, the cost was going to be $1800 for that MRI. Needless to say, no MRI for me, I'll just live off of OTC ibuprofen. So yes, the lower income individuals are receiving WAY BETTER coverage than I am, for little to no cost at all.

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My husband and I are paying a bit under 20% of our income for insurance premiums. After that we are cash pay until we have paid $2000 individually to cover our deductible. After that, out only pays 50% until our $4500 max out of pocket is paid (that's individual). Any tests or diagnostics have to be approved and then aren't fully covered (see above). Contrast that with those on state funded medical care who go to the ER for ANYTHING and it's FREE! Then when their MD orders an MRI, CT, etc. it's automatically approve, and again, totally FREE! My MD ordered an MRI for me due to a bulging lumbar disc. After checking with my insanely expense private insurance, the cost was going to be $1800 for that MRI. Needless to say, no MRI for me, I'll just live off of OTC ibuprofen. So yes, the lower income individuals are receiving WAY BETTER coverage than I am, for little to no cost at all.

The cost of your health insurance and approvals for MRIs does not have anything to do with ACA or the people who are misusing medicaid. It has everything to do with insurance companies wanting to make money, health care providers and institutions charging outragious prices and showing no mercy to those who have to pay cash and physicians and nurses who are quite wasteful. Do you have any idea how many unnecessary services and tests are ordered and completed because "we have to do something or we didn't do the proper history and physical?" An MRI can be offered for a few hundred dollars, but why is so hard to offer this? Even the person who decides to pay cash for a discounted MRI has the road block of insurance regulations. You can't win. And as far as the people who get free health care, is it not the providers responsibility to provide necessary care and stop offering antibiotics for simple colds, OTC medications which were not needed in the first place and other prescriptions which are not indicated? All on the tax payers bakc? We all have a role to play in stopping this runaway train.

And as for the politicians who are against ACA, must they go on CNN in prime time and say we have a better health care system because we do more mammograms, MRIs and c-sections? Must we announce that we are practicing bad medicine and passing it of as progress? The goal is to decrease c-section rates not brag about it.

And yes, when I go to the hospital I am more comfortable in a large private room with a very big flat screen t.v., but this should be considered an upgrade and not a necessity for everyone. And no, I don't need to have three full meals and and three snacks everyday! Nice, but not necessary! I think I will complain less about the humble dwellings if I knew what I had to pay for an improved setting.

Lastly, high insurance premiums with low coverage has always existed. Under ACA, a certain percentage of premiums collected must be spent or the excess has to be returned to the purchaser. I have seen the checks come in to my employer, several years in a row.

Every person in this country can do something to improve or current state, so that people like the OP are not saddled with outragious health care costs or suffer from heart failure when they see the bill:no:

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