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Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

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Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#251

I've been working on healthcare.gov for the last few months alongside a bunch of other Google, Facebook, and Y Combinator alums. I'll always remember what Mikey told us in December, after the site was back up, could handle a non-trivial amount of traffic, and people who wanted health insurance could finally get it: "1 in 1000 uninsured people die each year. It's not an exaggeration to say that due to the work we're d…

So you're saying that with the 6 million cancelled policies, the government has killed approximately 6000 people with this new mandate?

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#252
post #229

Earlier quoted context omitted.

Too bad the people who actually need it, are not signing up. Not to mention the people who HAD coverage are now getting cut off of their insurance and forced into the exchanges. A complete failure anyway you look at it. http://www.forbes.com/sites/theapothecary/2014/01/18/coverag... "Instead of expanding coverage to those without it, Obamacare is replacing the pre-existing market for private insurance. Surveys from i…

My mother in law has worked for the past 15 years at jobs which employ her for 39.5 hours a week and don't give her health insurance. She suffers arthritis in her hands and knees. She signed up and received health insurance for the first time in 15 years last week. She is now receiving the medical care she needs. Had she not, she would have had to apply for disability benefits. Now, she gets to keep working. You don'…

anecdotal evidence and ad hominem attacks don't help you argue your points.

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#253
post #242

Earlier quoted context omitted.

> make a determined effort to control for as many "third factors" How can you tell if you missed one? > [...] gives you a level of evidence which is well above guessing > It is better than guessing Why? Without any support, this seems to be an appeal to probability. > a well conducted observational study > a really bad study The fallacy of moving the goalposts; also the no true Scotsman fallacy.

> How can you tell if you missed one? Similar studies, using as many variables as you can find. Residual confounding is always and ever a problem, but the odds that something is both a strong residual confounder and has never been observed to have an association with the outcome or the exposure is pretty rare? > Why? Without any support, this seems to be an appeal to probability. It's really not - if for no other rea…

> It's really not - if for no other reason than it's forced you to think about your system more than a simple guess would.

Appeal to probability; appeal to common sense.

> Some observational studies are crap - this is just true.

Special pleading.

> But that doesn't say anything about the potential quality of observational evidence

Straw man.

> many of the commonly raised objections to observational studies are actually objections to poorly run studies

> That's a bad study.

Moving the goalposts. No true Scotsman.

> It's not 'No True Scotsman Fallacy' to say that the problems with a bad study don't generalize to all studies.

Straw man.

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#254
post #215

Earlier quoted context omitted.

Medicare does a good job with hospital visits but has some serious holes in the drug buying. Those in their 50's should have had some cash built up from earlier savings, but they spent it all on premiums instead of building up a hedge. Lifelong illnesses are something that we should just acknowledge as bad for insurance and deal with otherwise. Insurance should be for events and not continuous medical conditions. We…

The elderly don't suffer from "being old". They are simply more likely to suffer from various events, and have more complications, then younger people. Being old is just a series of increasingly severe health events till one of them kills you. Even people with dementia don't typically last longer then 10 years (which is the sort of time frame you're looking at for people who recover from cancer to stop racking up bil…

I am not sure what you are responding to in my post, other than to say I am well aware of "the sort of time frame you're looking at for people who recover from cancer to stop racking up bills" and believe we do a poor job on drugs from clinical trials on.

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#255
Hello, My name is Dale Courtney. I received a email asking me if I wanted to help fix Obama-care or HealthCare.Gov. I might be interested. What would the job pay? Contact me @ moonpeopletrilogy@gmail.com or 386-689-0600. Thank you for your time and God Bless you. Dale M. Courtney Sci-Fi Books Moon People Trilogy

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#256

I've been working on healthcare.gov for the last few months alongside a bunch of other Google, Facebook, and Y Combinator alums. I'll always remember what Mikey told us in December, after the site was back up, could handle a non-trivial amount of traffic, and people who wanted health insurance could finally get it: "1 in 1000 uninsured people die each year. It's not an exaggeration to say that due to the work we're d…

Update -- wow, a lot of you out there want to help with healthcare.gov, or the government more generally! That's awesome. I'm trying to reply to each person, but it may take a couple of days. :) If, for whatever reason, you haven't heard back from me by Monday, please email again! (The discussion on the 1 in 1000 fact has also been interesting, and I've personally learned a few new facts about the original study and…

Hi Brandon,

I emailed you on Thursday, haven't received a reply back. Is the Monday expect-a-reply-back time frame still good, or are you just buried under all of the replies? :-)

I don't want to spam you with inquiries if you're busy, just wanted to check in on this. Thanks.

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#257
post #146

Earlier quoted context omitted.

> people who wanted health insurance could finally get it Maybe I don't understand Obamacare well enough but I don't understand this statement (which I hear all the time on the commercials). Who couldn't get insurance before this website? I know the health care law did add guarantees around pre-existing conditions. So other than that, who couldn't call an insurance company directly (or use esurance or other portal) a…

You're not allowed to "other than that" preexisting conditions. I'm one and the ACA means I got to quit my shitty telesales job and take a no-insurance-provided-at-a-small-company first software development job. There are millions like me who can take risks for the first time, whether that's working for a small company or starting one. And I don't have to worry about the next 40K hospital bill burying me.

I understand (in fact I have a daughter with preexisting conditions). But I'm referring more to the web site. There is not magic about the website. The law itself brought in some changes that will help some. You don't even have to use the website to take advantage of new law.

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#258
post #146

Earlier quoted context omitted.

> people who wanted health insurance could finally get it Maybe I don't understand Obamacare well enough but I don't understand this statement (which I hear all the time on the commercials). Who couldn't get insurance before this website? I know the health care law did add guarantees around pre-existing conditions. So other than that, who couldn't call an insurance company directly (or use esurance or other portal) a…

Who couldn't get insurance before this website? Poor people. You can only get the Federal subsidies through the insurance exchanges which was supposed to primarily be online, but had small phone support staff too. The phone support staff was completely overwhelmed due to the website problems, which left thousands with no method to get insurance.

Couldn't they have had Medicaid before this?

Re: Obama's Trauma Team: Inside the Nightmare Launch of HealthCare.Gov

#259
post #229

Earlier quoted context omitted.

My mother in law has worked for the past 15 years at jobs which employ her for 39.5 hours a week and don't give her health insurance. She suffers arthritis in her hands and knees. She signed up and received health insurance for the first time in 15 years last week. She is now receiving the medical care she needs. Had she not, she would have had to apply for disability benefits. Now, she gets to keep working. You don'…

anecdotal evidence and ad hominem attacks don't help you argue your points.

Agreed. But partisan hackery is like porn. You know it when you see it.
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