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A Billion User Load Test on Healthcare.gov

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Re: A Billion User Load Test on Healthcare.gov

#72
post #68

Earlier quoted context omitted.

My experience is the opposite. Private companies seem completely inefficient compared to government, and I've worked as engineers in both. Really it is only a right-wing profit-driven talking point to say government is inefficient, mostly to protect against their profits that government takes away. Government is exceedingly efficient.

I've worked in both as well and vehemently disagree.

The numbers support my case. You can send a mail with the USPS for 50 cents anywhere in the country, but it costs $5-$10 to do the same with UPS or FedEx.

Literally 10x-20x costlier.

Government just doesn't have to waste money on things like profit or marketing that private companies need to do.

Re: A Billion User Load Test on Healthcare.gov

#73
post #68

Earlier quoted context omitted.

I've worked in both as well and vehemently disagree.

The numbers support my case. You can send a mail with the USPS for 50 cents anywhere in the country, but it costs $5-$10 to do the same with UPS or FedEx. Literally 10x-20x costlier. Government just doesn't have to waste money on things like profit or marketing that private companies need to do.

USPS is a private entity under the government, they fund themselves. They receive no funding from the government.

You can look at the military and at obamacare/heathcare.gov for examples.

Re: A Billion User Load Test on Healthcare.gov

#74
post #6

I wonder if this healthcare.gov will exist a year from now. It is nice to see how far it has come in 2 years.

Doubtful Trump is getting rid of it. Personally I preferred the previous way of signing up for coverage ... call up a private insurer and sign up? The cost was less too as I wasn't paying for insurance for lazy sally or Joe Schmoe! So for me Obamacare/social medicine forced those who do and work to pay and cover for those who don't. See ya Obamacare(love obama though). Also the $300 plan I paid each month for sucked.…

I'm paying $400 a month now thru my employee just for myself with 1k deductible... that's nuts.

My $300 Obamacare plan was horrid! Love Obama but see ya Obamacare!

Re: A Billion User Load Test on Healthcare.gov

#75
post #69
post #66

Earlier quoted context omitted.

My wife (startup founder) is under my insurance (I'm a full time employee that gets $12k per year towards UHC healthcare). Even if she paid the same from her company (~15 employees), her deductible would be double what it is currently. If she went under her own company health insurance, we would have to pay at least an extra ~$2,000 this year out of pocket for various health related services she incurred. From a macr…

I think a lot of 20-somethings think that they'll have the same access to health insurance they get now when they're in their 30s and starting a family.

Well won't that be a surprise when they see their premiums with a partner and children. I know I was certainly surprised to find I went from paying $300/month for myself to $1300/month for a family.

Re: A Billion User Load Test on Healthcare.gov

#76

Earlier quoted context omitted.

Doubtful Trump is getting rid of it. Personally I preferred the previous way of signing up for coverage ... call up a private insurer and sign up? The cost was less too as I wasn't paying for insurance for lazy sally or Joe Schmoe! So for me Obamacare/social medicine forced those who do and work to pay and cover for those who don't. See ya Obamacare(love obama though). Also the $300 plan I paid each month for sucked.…

I'm paying $400 a month now thru my employee just for myself with 1k deductible... that's nuts. My $300 Obamacare plan was horrid! Love Obama but see ya Obamacare!

[deleted]

Re: A Billion User Load Test on Healthcare.gov

#77
post #73

Earlier quoted context omitted.

The numbers support my case. You can send a mail with the USPS for 50 cents anywhere in the country, but it costs $5-$10 to do the same with UPS or FedEx. Literally 10x-20x costlier. Government just doesn't have to waste money on things like profit or marketing that private companies need to do.

USPS is a private entity under the government, they fund themselves. They receive no funding from the government. You can look at the military and at obamacare/heathcare.gov for examples.

You can also look at the USPS as an example, since it IS a government entity that doesn't have to serve profits.

Also, the military and healthcare is more efficient in government, but you probably already knew that already.

Re: A Billion User Load Test on Healthcare.gov

#78
post #53

Earlier quoted context omitted.

Doubtful Trump is getting rid of it. Personally I preferred the previous way of signing up for coverage ... call up a private insurer and sign up? The cost was less too as I wasn't paying for insurance for lazy sally or Joe Schmoe! So for me Obamacare/social medicine forced those who do and work to pay and cover for those who don't. See ya Obamacare(love obama though). Also the $300 plan I paid each month for sucked.…

Based on my understanding of the purpose of the Individual Mandate is that it's less that the well employed are subsidizing the under/unemployed, and more that the healthy are subsidizing the unhealthy. With everyone left to their own devices, the elderly/unhealthy are strongly incentivized to have insurance, and the young and healthy might reasonably conclude that their best bet is to not pay for insurance, that res…

People waiting until they get sick to sign up, essentially. The insurers' previous solution to this was no coverage of "pre-existing conditions". But people hated this generally, for various more or less good reasons. Banning exclusion of preexisting conditions is one of the handful of parts of Obamacare that's wildly popular across the political spectrum, at least among non-politicians (it polls something like 70-80% support). Obamacare's main replacement for that is the individual mandate requiring you to always have insurance, rather than to go without until you get seriously ill and only then purchase it. (There are also a few secondary things to try to discourage buying insurance only right before you're going to use it, like the open enrollment period being only once a year.)

Re: A Billion User Load Test on Healthcare.gov

#79
post #69

Earlier quoted context omitted.

I think a lot of 20-somethings think that they'll have the same access to health insurance they get now when they're in their 30s and starting a family.

Well won't that be a surprise when they see their premiums with a partner and children. I know I was certainly surprised to find I went from paying $300/month for myself to $1300/month for a family.

I think they're going to be a lot more surprised when they let their insurance lapse for a few months and find out that the ACA amendments provide guaranteed issue only if you've had continuous coverage --- without continuous coverage, you can be uninsurable without first working a full-time job for a year.

Not "expensive to insure". Uninsurable, at any cost.

Re: A Billion User Load Test on Healthcare.gov

#80

Earlier quoted context omitted.

Doubtful Trump is getting rid of it. Personally I preferred the previous way of signing up for coverage ... call up a private insurer and sign up? The cost was less too as I wasn't paying for insurance for lazy sally or Joe Schmoe! So for me Obamacare/social medicine forced those who do and work to pay and cover for those who don't. See ya Obamacare(love obama though). Also the $300 plan I paid each month for sucked.…

I'm paying $400 a month now thru my employee just for myself with 1k deductible... that's nuts. My $300 Obamacare plan was horrid! Love Obama but see ya Obamacare!

nuts? I'm paying $700/month for a family through an employer plan. The cost of the worse plan on Obamacare is about $1500 (oh, and before obamacare that plan would cost the same $1500 and come with pre-existing conditions crap).

Medicare for all, $120/month/person - problem solved.

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