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United States Health Care Reform: Progress to Date and Next Steps

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Re: United States Health Care Reform: Progress to Date and Next Steps

#31

Post by dntrkv »

zrail wrote: post #20
boneheadmed wrote: post #14

The worst piece of legislation ever to be passed in the United States of America. I am a physician. My personal health insurance rate for a family of 5 increased immediately by 66% (since I have an individual policy). I have resorted to using the Medishare healthcare cost sharing plan as traditional insurance became unaffordable. I have seen many patients lose their doctors because the doctors were not contracted wit…

ACA is the best legislation in my lifetime. It has allowed me the luxury of being able to purchase individual insurance as a cancer survivor, allowing me to spend more time with my young family instead of being chained to a 8-5 corporate job. See, I can anecdote too.

Same here, my parents were in the "make too much to receive government assistance but not enough to pay for private insurance healthcare" group, now with the ACA they finally have health insurance after nearly a decade of going without it.

And in response to the parent, are there problems with the ACA? Of course, but let's iterate on it, instead of dismissing it completely because you happen to be one of the few who doesn't benefit from it.

Re: United States Health Care Reform: Progress to Date and Next Steps

#32

Post by steveplace »

In the findings, the author states:

>These and related reforms have contributed to a sustained period of slow growth in per-enrollee health care spending

Has the rate of change in insurance premiums or healthcare spending actually slowed? I don't see it in any of the data presented.

Re: United States Health Care Reform: Progress to Date and Next Steps

#33

Post by privong »

loarake wrote: post #30

He published a single author paper even though he acknowledges in the end "I thank Matthew Fiedler, PhD, and Jeanne Lambrew, PhD, who assisted with planning, writing, and data analysis". In my field, those people probably would have deserved a place on the authors list ;)

> He published a single author paper even though he acknowledges in the end "I thank Matthew Fiedler, PhD, and Jeanne Lambrew, PhD, who assisted with planning, writing, and data analysis". In my field, those people probably would have deserved a place on the authors list ;)

Yeah, in my field (astronomy) that would have also merited co-authorship. But, I think standards vary wildly. In astronomy, many co-authors' contributions consist solely of commenting on nearly-finished manuscripts. Some friends in ecology think that's way too generous and would instead just acknowledge people for their comments.

Re: United States Health Care Reform: Progress to Date and Next Steps

#34

Post by mrfusion »

toomuchtodo wrote: post #25
maxerickson wrote: post #23

Earlier quoted context omitted.

Several large insurers are planning to withdraw from the marketplaces because they are losing money on the plans they offer there.

You're correct. They are losing money, and they are withdrawing from those markets in question. Its important to note that the backstop payments those insurers were to receive from the federal government are being tied up by Congress, to stick a wrench in the ACA. http://www.thefiscaltimes.com/2015/12/17/Congress-Weakens-Ob... The elephant in the room is: How do we spend less on healthcare for everyone when so many p…

Why are we going to end up with single payer? I didn't follow that part of your argument.

Re: United States Health Care Reform: Progress to Date and Next Steps

#35

Post by andrewpi »

zrail wrote: post #20
boneheadmed wrote: post #14

The worst piece of legislation ever to be passed in the United States of America. I am a physician. My personal health insurance rate for a family of 5 increased immediately by 66% (since I have an individual policy). I have resorted to using the Medishare healthcare cost sharing plan as traditional insurance became unaffordable. I have seen many patients lose their doctors because the doctors were not contracted wit…

ACA is the best legislation in my lifetime. It has allowed me the luxury of being able to purchase individual insurance as a cancer survivor, allowing me to spend more time with my young family instead of being chained to a 8-5 corporate job. See, I can anecdote too.

Prior to the ACA, many states offered High Risk Pools to cover people in your situation. Were these not applicable in your case?

Re: United States Health Care Reform: Progress to Date and Next Steps

#36

Post by alexose »

toomuchtodo wrote: post #15
boneheadmed wrote: post #14

The worst piece of legislation ever to be passed in the United States of America. I am a physician. My personal health insurance rate for a family of 5 increased immediately by 66% (since I have an individual policy). I have resorted to using the Medishare healthcare cost sharing plan as traditional insurance became unaffordable. I have seen many patients lose their doctors because the doctors were not contracted wit…

Hey there! Long term Obama supporter (no longer) and healthcare consumer in the US. I agree with you mostly. Monthly premiums for my wife and I are ~$700/month (both healthy, early 30s, Blue Cross Blue Shield). When our daughter arrives shortly, that will increase to $1000/month. That's a high deductible plan where we're out of pocket for everything for the first $6000/year. I work remotely, so we're looking at movin…

> The ACA was a sham; it measures the insured rate, not the ability of citizens to receive the care they need. On that metric, its failing terribly.

Can you elaborate on this? Not because I think you're wrong, but because I haven't been able to find any data one way or the other about health outcomes and the ACA.

Re: United States Health Care Reform: Progress to Date and Next Steps

#38

Post by aub3bhat »

jlmorton wrote: post #12
aub3bhat wrote: post #6

Figure 6. Medicare 30-Day, All-Condition Hospital Readmission Rate, is plotted with Y-Axis not starting from zero, which makes it look like there was a dramatic decrease. Having studied readmission rates, I was amazed, only to be disappointed as I looked at the Y-axis.

It will be nice to confirm this over the next several years, but as of now, and despite the misleading graph, it still looks to be a pretty amazing achievement.

No doubt about that.

Re: United States Health Care Reform: Progress to Date and Next Steps

#39

Post by MichaelBurge »

dragonwriter wrote: post #27
boneheadmed wrote: post #14

The worst piece of legislation ever to be passed in the United States of America. I am a physician. My personal health insurance rate for a family of 5 increased immediately by 66% (since I have an individual policy). I have resorted to using the Medishare healthcare cost sharing plan as traditional insurance became unaffordable. I have seen many patients lose their doctors because the doctors were not contracted wit…

> The worst piece of legislation ever to be passed in the United States of America. I don't think it competes with, just for two obvious, off-the-top-of-my-head examples, either the Indian Removal Act or the Alien and Sedition Acts. > I have seen many patients lose their doctors because the doctors were not contracted with Covered California. Covered California is the California state health insurance exchange, it do…

> I don't think it competes with, just for two obvious, off-the-top-of-my-head examples, either the Indian Removal Act or the Alien and Sedition Acts.

Those legislation mainly affected people who weren't US citizens, though. Obamacare does, which makes it way worse for US citizens.

Prohibition or the Japanese internments(if executive orders count) are maybe a better example.

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