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View Diary: New Commonwealth Fund Report: By all metrics, Medicare outperforms private insurance (63 comments)

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  •  Hi Don, Democrats are owned (13+ / 0-)

    by the insurance industry and as we now tragically see, by the NRA.  

    Single payer will go state by state, not from Washington.  The for-profit system will implode and bring us fiscally to our knees--it's only a matter of time. And the time is running out.

    Democrats are slightly better on the margins than Rethugs.  We got Rethug healthcare legislation from a Democratic pres. and Democratic House and Senate. this should tell you everything you need to know.

    •  It can't go State by State without some very (1+ / 0-)
      Recommended by:
      nyceve

      surprising court victories.

      It's not legal.  No waivers can be granted until 2017. If history is any judge, we will get Republican in 2016, and you can be sure they won't be granting waivers.

      Starting in 2014, the insurance industry is going to have hundreds of billions more every year to help them buy politicians to make sure the new system isn't changed to their disadvantage.  They will be nearly as powerful as the MIC.

      The PPACA shut the door on Single Payer for a generation.  Surrender was, well, surrender.

      We're much better served, now, to fight to reduce premiums and co-pays for the people the PPACA is going to hurt most.

      Thinking the "food stamp challenge" teaches you about being poor is like thinking a camping trip will give you insight into being homeless.

      by JesseCW on Wed Jul 25, 2012 at 04:18:29 PM PDT

      [ Parent ]

      •  Hi Jesse, from what I'm hearing (6+ / 0-)

        when the actual rates and plans are finally posted on the ACA exchanges, the American people are going to feel well, really duped.

        Very bare bones coverage, at lofty prices. There is a lot of feeling that the implementation was delayed until 2014, yes, due to CBO scoring but also because if it happened prior to the election, it would not be good.

        We'll have to just wait and see, I guess.

        •  The American people are going to be the ones now (0+ / 0-)

          funding the lobbying efforts to keep the current deal in place.

          Whether we like it or not.

          Thinking the "food stamp challenge" teaches you about being poor is like thinking a camping trip will give you insight into being homeless.

          by JesseCW on Wed Jul 25, 2012 at 05:04:19 PM PDT

          [ Parent ]

        •  Share your fears, afford-ability????? (0+ / 0-)
          from what I'm hearing (0+ / 0-)

          when the actual rates and plans are finally posted on the ACA exchanges, the American people are going to feel well, really duped.  

          Duped and set up to lose DC.

          "Lets show the rascals what Citizens United really means."

          by smiley7 on Wed Jul 25, 2012 at 06:03:52 PM PDT

          [ Parent ]

          •  "Fears"? Check the math. (0+ / 0-)

            There's a reason Progressive Caucus arms had to be broken to pass this.

            It's got nothing to do with "duped".

            Please stop battering the working poor.

            Thinking the "food stamp challenge" teaches you about being poor is like thinking a camping trip will give you insight into being homeless.

            by JesseCW on Thu Jul 26, 2012 at 02:23:42 PM PDT

            [ Parent ]

        •  Because we want (0+ / 0-)

          everything to be covered, but don't want to pay for it?

          I'm not going to get on the "free stuff" bandwagon, I know it's crap; but seriously, why is it that healthcare is the one thing people think they can get for free? You can't get food for free, even, in this country.

          I overheard someone, who was insured, saying yesterday he went to the doctor and refused to pay a copay because it was supposed to be free. Really? I could go on at lengths about this. From an office administrative standpoint, this is a mess.

          We have to make choices in this country. Every country that has universal coverage also has some means of rationing. Rationing is not inherently a bad thing. Remember, "rationing" has the same root as "rational." There are ways to rationally distribute appropriate levels of healthcare. But we need to be willing to have that discussion. On our side of the aisle too. Maybe particularly on our side of the aisle.

          Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

          by stitchmd on Wed Jul 25, 2012 at 06:57:32 PM PDT

          [ Parent ]

          •  Why are you babbling about "free"? (0+ / 0-)

            You don't seem to be involved in the conversation taking place in this thread.

            Thinking the "food stamp challenge" teaches you about being poor is like thinking a camping trip will give you insight into being homeless.

            by JesseCW on Thu Jul 26, 2012 at 02:26:53 PM PDT

            [ Parent ]

            •  I was referring (0+ / 0-)

              to the "free stuff" conservative meme going around in their own little world.

              My point is this: of course premiums are going to be high, because medical costs are high (and the ACA really does nothing to directly address that) and we aren't allowed to mention the "r" work - and I don't mean republican, I mean rationing. As I said. Responding to the idea that the exchanges will provide "bare bones coverage, at lofty prices."

              Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

              by stitchmd on Thu Jul 26, 2012 at 05:05:10 PM PDT

              [ Parent ]

              •  It does not logically follow that because premiums (0+ / 0-)

                are high, we have to fuck over the working poor and force them to pay those premiums in order to keep expenses down for privileged members of the middle class.

                The out of pocket premiums, after subsidy, are absolutely crippling and unjust for people between 138% and 200% of FPL.

                Thinking the "food stamp challenge" teaches you about being poor is like thinking a camping trip will give you insight into being homeless.

                by JesseCW on Thu Jul 26, 2012 at 05:26:41 PM PDT

                [ Parent ]

                •  They suck for everyone (0+ / 0-)

                  good thing is the "penalty" is less.

                  We cannot continue to have healthcare be 18-20% of our GDP. But until we address the basic issue of cost and the fact that we cannot provide everything to everybody, that we cannot fix everything and, frankly, that we are all going to die, we are not going to address the underlying issue here.

                  It's far too complex for a soundbite, or a comment.

                  Oh, and btw, I am in the sector. Would like to think I am more on the solution than the problem side, but it's kinda murky.

                  Diversity may be the hardest thing for a society to live with, and perhaps the most dangerous thing for a society to be without - W S Coffin

                  by stitchmd on Thu Jul 26, 2012 at 05:43:34 PM PDT

                  [ Parent ]

        •  "Wait and see" and "Capitulate when paid to (0+ / 0-)

          do so" are how we got here.

          Thinking the "food stamp challenge" teaches you about being poor is like thinking a camping trip will give you insight into being homeless.

          by JesseCW on Thu Jul 26, 2012 at 02:27:49 PM PDT

          [ Parent ]

      •  It can with Market Failure (1+ / 0-)
        Recommended by:
        happymisanthropy

        I think the Financial Elites deciding the profit margins "just aren't worth the trouble anymore" are going to outpace both the courts and our legislative process and force all of us to catch up very quickly, if very chaotically.

        We won't be sufficiently ready when it happens, and many of our fellow citizens and institutions will continue to resist it even when there are no other realistic options.

        When you are right you cannot be too radical; when you are wrong, you cannot be too conservative. --Martin Luther King Jr.

        by Egalitare on Wed Jul 25, 2012 at 05:11:18 PM PDT

        [ Parent ]

      •  Obamacare opens the door for future single payer (0+ / 0-)

        and that's what scares Republicans.

        "Tax cuts for the 1% create jobs." -- Republicans, HAHAHA - in China

        by MartyM on Thu Jul 26, 2012 at 03:35:57 AM PDT

        [ Parent ]

        •  No, it doesn't. It locks that door down tight. (0+ / 0-)

          You need to look at what the bill actually did.

          It's staunchest supporters are generally as ignorant of the bills details as it most vocal opponents.

          It explicitly prohibits States from enacting single payer.

          Medicare and Medicaid were steps toward single payer - they opened the door 40 years ago.

          To say that the PPACA "opened the door" is to argue that American history started last Tuesday.

          It's an ignorant thing to say.

          Thinking the "food stamp challenge" teaches you about being poor is like thinking a camping trip will give you insight into being homeless.

          by JesseCW on Thu Jul 26, 2012 at 02:26:08 PM PDT

          [ Parent ]

    •  Sort of cynical (0+ / 0-)

      Politics is the art of the possible.

      Would you rather have held out for perfection and ended up with nothing?

      I was and remain critical of the house and senate leadership for failing to have at least a symbolic vote on Medicare for all.

      At least the ACA requires 85% spending of premium dollars for patient care. A lot of good has already been achieved by ACA. It should be viewed as a stepping stone towards single payer not as the end point.

      One of my more ironci moments over the past couple weeks was having a vet complaining about the tax penalty and "not trusting government to do anything right." All while sitting in a VA facility with minimal out of pocket coverage and receiving purely socialized medicine. I took great pleasure pointing out that he was not a matter of concern for ACA because he was soon to be eligible for medicare and currently received VA health services.

      The hypocrisy of the moment was stunning. The "I want my change back" mindset is the tea party writ large. (I get government healthcare because I deserve it so too bad for you.)

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