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The real game-changer in "Obamacare". Good thing or bad thing?

Heptarch 2012/07/04 13:39:10
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  • ProudProgressive 2012/07/04 13:54:37
    Good thing (explain)
    ProudProgressive
    +10
    One of the biggest reasons the cost of health care in this nation has skyrocketed, and made the United States by far the most expensive industrialized nation in which to get health care, is corporate greed. Unlike every other country, which have outlawed the very concept of a for-profit primary care system, the American health care industry has been based on a fatally flawed model from the start - they are an industry which can only make a profit by denying its customers the very thing that they pay the industry for. By denying coverage, the industry profits.

    The Health Care Reform Law does not solve the problem. But it does force the industry to change their m.o. and actually spend most of their money on the service they are supposed to provide, and that is a very, very good thing. This year alone the American public will receive more than a billion dollars in rebates because of this provision.

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  • Heptarch Charge 2012/07/05 23:59:21
    Heptarch
    "First thing that needs to be done is repeal the Obamacare law"

    That won't happen any time soon, if ever.
  • Charge Heptarch 2012/07/06 00:15:26
    Charge
    Let's hope it does, if not the middle class will get killed with taxes as this abomination goes into affect.
  • Heptarch Charge 2012/07/06 01:37:44
    Heptarch
    You're full of crap. Not only is it not a tax, it's not only the middle class who pays it. It's people who can afford insurance but don't buy it.
  • Charge Heptarch 2012/07/06 15:03:12
    Charge
    The supreme court upheld the individual mandate on the only constitutional grounds available.... it is a TAX, it is administered by the IRS and it is assessed as a TAX on Your income tax forms.... who do You think You are kidding?
    You need to get the facts and stop believing the Liberal talking points.
  • Heptarch Charge 2012/07/06 15:12:51
    Heptarch
    It's a penalty for people who can afford health care and choose not to purchase it.
  • Charge Heptarch 2012/07/06 15:22:31
    Charge
    Please read the Supreme Court decision.... IT'S A TAX....
    I know that the Liberals want it to be a penalty.... but it's a TAX along with 21 other TAXES contained in Obamacare....
    You are following the sheep path built for You by Obama and the Progressives, that's alright, it's Your right to be gullible if You choose to be.
  • Heptarch Charge 2012/07/06 16:37:25
    Heptarch
    The Justices ruled it was constitutional under tax law, yes. But it IS a penalty for those who can afford insurance. No one has to pay it but people who choose to.
  • Charge Heptarch 2012/07/06 16:43:12
    Charge
    You know what, try to spin it as You may... The Governments lawyer argued in court to consider the constitutionality since it falls under the congresses right to TAX! It was always a tax, the Liberals knew if they called it a tax it would NOT have passed.
    No chooses to pay this TAX, it is assessed if the people fail to by MANDATED health insurance. From the get go the bill used the IRS to administer and enforce the Obamacare TAX. Give me a break and go try to convince some simple minded person that this isn't a TAX..... BS.
  • Steve Charge 2012/07/04 20:08:25
    Steve
    Medicare has 3 percent overhead, far lower than any private insurer.
  • Charge Steve 2012/07/05 13:21:55
    Charge
    Please show me that statistic.... that's a laugher.....
    Medicare, as it stands, uses all the resources of the federal government without counting it as an expense; further Medicare is loaded with fraud whish costs $billions yearly and is not counted as "cost", this fraud would not exists if the plan was private.... the cost of fraud is caused by the inept management of government. I guess it's all relative.
  • Steve Charge 2012/07/05 18:44:15
    Steve
    "To measure the administrative costs for Medicare, we first turned to the 2011 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds -- the document prepared by Medicare’s fiscal overseers.

    The trustees’ summary listed total Medicare expenditures of $522.8 billion for 2010, of which $7 billion was characterized as "administrative expenses." That works out to 1.3 percent"

    And later,
    "For the private insurance market, we turned to a 2008 study by the Congressional Budget Office, the nonpartisan number-crunching arm of Congress. CBO cited data, compiled by the McKinsey Global Institute, that estimated administrative costs for private insurers at 12 percent"

    The reality is that there are some things Government is very good and efficient at, like taking money from one entity and transferring it to another. When it comes to the task of carrying out a function that resembles insurance, it's very efficient.

    Now, if you measured operational efficiency, you'd probably find better performance at a private hospital than a VA hospital. But Obamacare doesn't set up government hospitals or clinics -- it uses private sector healthcare delivery.
  • Charge Steve 2012/07/05 23:41:18
    Charge
    You don't understand how messed up this all is. You have to include the fraud allowed by the poor administration.
    http://www.politifact.com/tru...
  • Ira Charge 2012/07/06 02:19:38
    Ira
    WOW. We almost agree on something. You are correct in calculating the fraud cost to Medicare as a measure of true cost to Medicare as a whole. It may be debatable if it really falls under administrative since they were paid out for presumed health care benefits. The cost to combat fraud is an administrative cost for sure. Some estimate fraud at 1-60 billion per year.

    I think that if the Feds ever got smart enough, they would hire accountants and others by the 10's of thousands to combat fraud to follow up on virtually all claims as the cost to pay them salary and benefits would never equal the cost in fraud and in fact yield great savings. I would imagine here the cons would shun this idea as nothing more than an expansion of a government agency. But do we have room in jail for these fraudsters? No but US incarceration and punishment rates is another subject altogether.

    This country has a long way to go...
  • Charge Ira 2012/07/06 15:07:18
    Charge
    Combating fraud in Medicare and Medicaid currently is just treating a sysmptom, it's all after the fact; what they should be doing is fraud prevention by requiring some verification. The currewnt buracracy is about as inefficient as it can be, that's why the checks just get sent out. It's like all the dead people that vote or collect social security.... let's face it, the fed government is a bad business manager.
  • Ira Charge 2012/07/06 21:36:56
  • Charge Ira 2012/07/06 23:17:40
    Charge
    I didn't say a word about the "current admin" you did; I said the "current bureaucracy" which is not partisan.
  • Ira Charge 2012/07/06 23:21:12
    Ira
    You have a suggestion for the kind of bureaucracy the US ought have?
  • Charge Ira 2012/07/07 21:45:14
    Charge
    It's not so much the "kind", it's more about honesty, transparency and efficiency. The government method has become fat, lazy and wasteful; that needs to stop.
    Just like the GSA trips on the taxpayer dime, the feeling of entitlement by the government employees and the corruption and waste that is condoned by leadership.
    It's not the government's money darn it; it's the peoples money.
  • Ira Charge 2012/07/07 22:44:59 (edited)
    Ira
    +1
    You are talking about an ethos. I'd first start with the lobby. You can send anyone to talk to any lawmaker but there had better be no financial exchange for their audience. No dinners, ballgames, cruises, etc. Schedule time and you get your 5 minutes. Money is the true corrupting force. Markedly reduce it and it might make a difference. Its all the under the table crap that will continue as people are greedy and what something for something. Very sad. What ever happened to doing something right for the normal compensation or even for the good of it? My guess we never had that fantasy in government.
  • Charge Ira 2012/07/08 15:33:49
    Charge
    +1
    Great Point, maybe we should set term limits for congress, eliminate face to face lobbying and require that it is done to a committee. You are right though, money spread around by special interests are a serious problem.
  • George Romney 2012/07/04 14:52:43 (edited)
    Undecided
    George Romney
    +3
    I don't think it will end up mattering too much. Insurance companies don't make most of their money through premiums, so it doesn't matter how much goes back to medical expenses. The key to profit in an insurance company is what's termed the "float".

    Basically, insurance companies collect your money through premiums, but you do not instantaneously get sick. Rather, you get paid back the money when (and if) you get sick. Now, the profit margin from taking peoples money and giving it back to them to pay for costly expenditures is actually much smaller than you think. However, the fact that insurance companies get to bank this money in the "in-between" time of you paying and you needing a payout is known as the "float". And what do you do with fairly large sums of money when it's lying around? Invest! And there's the profit mechanism for insurance companies. It's that they invest the premiums between payouts to reap profits.

    Mandating more efficient overhead is largely irrelevant. Keep in mind that now that all Americans are mandated (read: taxed) into buying Health Care, it means more and more people will be buying Health Insurance that won't be needing a payout any time soon (essentially fairly healthy people). This drastically expands the "float" and allows Health Insurance co...
    I don't think it will end up mattering too much. Insurance companies don't make most of their money through premiums, so it doesn't matter how much goes back to medical expenses. The key to profit in an insurance company is what's termed the "float".

    Basically, insurance companies collect your money through premiums, but you do not instantaneously get sick. Rather, you get paid back the money when (and if) you get sick. Now, the profit margin from taking peoples money and giving it back to them to pay for costly expenditures is actually much smaller than you think. However, the fact that insurance companies get to bank this money in the "in-between" time of you paying and you needing a payout is known as the "float". And what do you do with fairly large sums of money when it's lying around? Invest! And there's the profit mechanism for insurance companies. It's that they invest the premiums between payouts to reap profits.

    Mandating more efficient overhead is largely irrelevant. Keep in mind that now that all Americans are mandated (read: taxed) into buying Health Care, it means more and more people will be buying Health Insurance that won't be needing a payout any time soon (essentially fairly healthy people). This drastically expands the "float" and allows Health Insurance companies to invest more and more money. It also makes the idea of having 80% of coverage go to medical expenses easier because Health Insurance companies now have more dispensable income from individuals that need little to no medical expense coverage.
    (more)
  • Skeptikat George ... 2012/07/04 16:15:51
  • mich52 2012/07/04 14:43:15
    Good thing (explain)
    mich52
    +6
    For-profit insurance firms should be a thing of the past and that is a very good thing.. It'd be nice if for once the SHC's on here would just be honest about an issue instead of spewing their usual talking points.... BC/BS gets by fine as a non-profit..
  • Heptarch mich52 2012/07/04 14:57:59
    Heptarch
    +2
    Agreed.
  • Tasine 2012/07/04 14:29:37
    Bad thing (explain)
    Tasine
    +1
    When one weighs money against freedom from government dictatorship, and then finds that money wins, I find that a very sick person. Very sick. That is greed beyond understanding.........ESPECIALLY when one cannot bother to seek out other remedies first.
  • Heptarch Tasine 2012/07/04 14:32:38
    Heptarch
    +5
    "When one weighs money against freedom from government dictatorship"

    I don't see it that way. I see people like you advocating that private enterprise can freely abuse its customers without any repercussions. And when you realize that we're talking about the health of America, I think it's reprehensible to allow corporations to abuse those customers.

    "ESPECIALLY when one cannot bother to seek out other remedies first."

    What do you mean by this? I'm sincerely curious.
  • Tasine Heptarch 2012/07/04 15:04:19
    Tasine
    +1
    This will be the last time I will address this issue. I've done it so often that even I am sick of it.

    The federal government has no constitutional authority to set up a healthcare insurance plan - it has no authority to have much of anything to do with health care. It SHOULD be a state and local issue - according to the Constitution.

    Half the nation did not WANT this monstrosity, but it was bulled through accepting NO input from the opposing party who spoke for half of America.

    When we begin to toss away the Constitution, we no longer have a constitutional representative government - so what DO we have? What we are DANGEROUSLY close to is a dictatorship, fully staffed by Marxists, who don't have a clue what they are doing OR they know exactly what they are doing and it profits ONLY them.

    Other remedies to address first? Tort reform for one. So much, so VERY much is added to medical costs because of the obscene lawsuits these ambnulance chasers rely on. Huge judgements, of which the lawyer gets MOST and the persons suing get little. The insurance rates for doctors, nurses, hospitals, nursing homes, day care centers, pharmacies, drug companies are not astronomical for ONE big reason : lawyers out of control and greed of Americans who believe all the sh** that comes do...







    This will be the last time I will address this issue. I've done it so often that even I am sick of it.

    The federal government has no constitutional authority to set up a healthcare insurance plan - it has no authority to have much of anything to do with health care. It SHOULD be a state and local issue - according to the Constitution.

    Half the nation did not WANT this monstrosity, but it was bulled through accepting NO input from the opposing party who spoke for half of America.

    When we begin to toss away the Constitution, we no longer have a constitutional representative government - so what DO we have? What we are DANGEROUSLY close to is a dictatorship, fully staffed by Marxists, who don't have a clue what they are doing OR they know exactly what they are doing and it profits ONLY them.

    Other remedies to address first? Tort reform for one. So much, so VERY much is added to medical costs because of the obscene lawsuits these ambnulance chasers rely on. Huge judgements, of which the lawyer gets MOST and the persons suing get little. The insurance rates for doctors, nurses, hospitals, nursing homes, day care centers, pharmacies, drug companies are not astronomical for ONE big reason : lawyers out of control and greed of Americans who believe all the sh** that comes down the pike through the warped media and warped DNC. And I do not rule out the RNC, but they aren't as wrong or as rabid as the DNC.

    Will there ever be tort reform? Of course NOT. Why? Congress is mostly lawyers and they don't really eat their own.

    Another remedy would have been to approach health insurance companies and found some middle ground for those with less income. Both insurance companies and doctors will work with people willing to be honest and straightforward. I know that from experience.

    I suggested at least a partial remedy that took it totally out of government's hands (before Obamacare) here on SH, that we work together to privately provide health insurance for those who try but who truly cannot afford it. I offered to sponsor one family and provide their annual insurance payment and urged those in America who could afford to do the same or less or better, do so also. We could have done this, made it a charitable donation, and money would have been spent so much more effectively and generously than to provide grants for studying the bowel habits of earth worms. Care to guess how many thought that would be a good idea? NONE. I've reiterated it a couple of times since then, and have been told all the negatives that COULD happen. No positives.

    Ergo, when it comes to the left, I've run out of compassion and I've run out of patience. They don't want health insurance or any other solutions except more control over people's lives.
    (more)
  • Heptarch Tasine 2012/07/04 15:05:27
    Heptarch
    +1
    You're entitled to your opinion.
  • Tasine Heptarch 2012/07/04 15:09:27
    Tasine
    +1
    I'll give you this: You're a FAST reader.
  • Heptarch Tasine 2012/07/04 15:12:31
    Heptarch
    +4
    I am. I've read it all before, though. Makes it easy to speed read. Lots of talking points that I've seen before.

    That's why my response was so cursory. There's no point in engaging you when all you've got are right wing talking points.
  • Tasine Heptarch 2012/07/04 15:20:11
    Tasine
    +1
    Amazingly us right wingers don't usually change our thinking about our nation and how it became what it is and how dastardly changed it is becoming. We see no need to have a leviathan government, just as the Constitution warned against. I'm sorry the left doesn't have the same concerns. That difference is destroying our nation.
  • Heptarch Tasine 2012/07/04 15:22:30
    Heptarch
    +3
    "Amazingly us right wingers don't usually change our thinking about our nation and how it became what it is and how dastardly changed it is becoming."

    You also don't recognize that the world is changing around you and any nation who wants to be on top had better change with it or die a slow, prolonged death.

    "That difference is destroying our nation."

    What's destroying our nation is the black and white attitude in politics liek the one you're showing. People who disagree with you aren't your enemy how want America to fail. They simply have different ideas about how America can succeed.
  • Tasine Heptarch 2012/07/04 15:33:57
    Tasine
    +1
    When it has been proven time and time and time again, historically that collectivism simply doesn't work to people's advantage over the long haul, why would any civilized and half intelligent society want to force feed it again and again to the people? When a society has been exceedingly successful for decades, why do people want to change it? Why not change the REASON it is not doing as well as in the past instead of tossing out the baby with the bath water? Had it been left alone by politicians we would still have a vibrant, work filled, decent country. When a bunch of no nothing self-centered people gather together and start whining about one simple thing, the mob mentality takes over.

    The left, demanding more and more and more change , is flirting with civil unrest to put it mildly.
  • Heptarch Tasine 2012/07/04 15:40:04
    Heptarch
    +3
    "When it has been proven time and time and time again, historically that collectivism simply doesn't work to people's advantage over the long haul"

    We're not talking about a complete overhaul of the governmental structure here. We're talking about one industry. You can socialize one industry without becoming a Marxist Socialist country. We've had portions of the economy socialized for well over a hundred years now and we haven't imploded.

    "why would any civilized and half intelligent society want to force feed it again and again to the people?"

    Because socialized medicine works.

    "When a society has been exceedingly successful for decades, why do people want to change it?"

    Because the world is changing. You can't continue to be successful if your methods are outdated and you refuse to change.

    "Had it been left alone by politicians we would still have a vibrant, work filled, decent country."

    No. Had it been left alone by the government management would have continued to abuse and exploit its workforce like the robber barons of the late 19th and early 20th c.

    "The left, demanding more and more and more change , is flirting with civil unrest to put it mildly."

    Why do you refuse to acknowledge that the world is changing around us? Do you really think we can stay on top if we don't change with it?
  • Tasine Heptarch 2012/07/04 15:10:49
    Tasine
    +1
    You refer to "my opinion" that the Constitution should be followed even though someone may be without insurance?
  • Heptarch Tasine 2012/07/04 15:12:48
    Heptarch
    +2
    The SCOTUS just ruled it constitutional, in case you missed that.
  • Tasine Heptarch 2012/07/04 15:23:45 (edited)
    Tasine
    +1
    You don't believe SCOTUS can be mistaken? Even when half disagreed with the decision? When there must be a draw-breaker, you can assume the case is truly questionable or the Justices' understandings of the Constitutional are questionable, and the correct OR the incorrect will win. THAT does NOT equal CONSTITUTIONALITY. That merely equals "democracy" which in turn defines why our country is in such a mess.
  • Heptarch Tasine 2012/07/04 15:29:22
    Heptarch
    +3
    "You don't believe SCOTUS can be mistaken?"

    Of course they can. They issued Dred Scott, didn't they? But I'll take their opinion on it over yours and the rest of the right wing fire eaters any day of the week and twice on Sunday.
  • Dana Tasine 2012/07/04 16:00:09
    Dana
    +2
    it was 5-4... and the 4 care about human lives about as much as a meat grinder does.
  • Dana Tasine 2012/07/04 15:58:10
    Dana
    +3
    What you have not realized is that when you talk about each individual part of the affordable care act, most everyone is in favor!

    When you say most Americans did not want this. Well, here is my response to you.,.. most Americans flat out had no clue what was even in the bill. They heard it was something to be afraid of, and most of them were so inept, they did not bother to find out what was IN the bill. They just fell for the propaganda BS and ran crying with the rest of you nuts.

    Read the damn thing, tell me then why you feel that insurance companies SHOULD be allowed to drop you at will? Why should you be denied coverage? Why should children who get diagnosed w/ a serious illness be dropped? Why should the insurance companies be allowed to decide you no longer qualify for their care? Why should the insurance companies make decisions about your care and life, instead of you and your doctor? Why should someone fighting to survive with cancer, have to spend the rest of their lives, literally, fighting w/ insurance companies? Why should someone lose their home because they got sick? I could go on and on... but how about seeing if you can answer why you support corrupt insurance company practices?

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