Posted on 01/13/2017 9:13:01 AM PST by Sean_Anthony
Getting closer.
This is just a hunch, but I think Trump, Price, McConnell and Ryan are a lot further along in crafting the ObamaCare replacement than anyone has really said on the record.
First, Trump comes out this morning with this:
so.....what’s in the “replace”?
Lemme guess....we have to pass it to find out
what’s in it?
Even the Amendment barring alcohol was only repealed. It didn’t require a replacement. There is nothing written in stone that PPACA has to be replaced at all. It began as a lie and a false dream of entitlement no stipulated in the Constitution. There is no reason for it to be “replaced.”
The dems are making hay by scaring people about being left to die.
I believe the only thing important about the “replace” portion is to have something to provide some certainty for the myriad of insurance companies, so that they know how to conduct their business. Chaos and legal uncertainty can kill a business sector. If I were an insurance company CEO, I would want to know exactly what the legal conditions to conduct business were going to be.
Mind you, I am good with “replace” simply being a statement that “Insurance Companies can conduct their business in accordance with the free market”.
“Replacement” is a scam.
It is a Democrat political tactic to get Republicans to keep most of Obamacare, so that the Dems can call it “Trumpcare” and run against it in 2018.
The “replace” would be proper solutions to the actual problems which ACA did a horrible job of solving.
1. Allow interstate commerce in health insurance. That it was prohibited was insane.
2. Address the problems with “pre-existing conditions”. Shouldn’t lose coverage for a legitimate payout reason just because a check got lost in the mail.
3. Stifle tort law abuse. Doctors shouldn’t have to buy insane insurance just because complex procedures sometimes do, naturally, go wrong.
etc.
There were legitimate problems with heath insurance laws pre-Obamacare. Fix them as they should be fixed: individually, narrowly, objectively. Get stupid/problematic regulations out of the way, fix broken laws, expand the marketplace, correct systemic defects.
No replace!!! Repeal it. Its krap and it’s destroying jobs!! No replace..its none of fed govt’s business to begin with. Let states deal with state questions - stop the dictatorship from Washington (which doesn’t work anyway!!!)
I consider your suggestions as not replacements but modifications to existing laws and rules. There is still nothing that exists that we should replace a horribly bad idea.
I agree with free access to insurance across states and possibly some relief on “pre-existing” conditions in a limited high risk pool scenario and also some legal recourse actions to curb lawyer greed but NONE of that necessitates we “replace” PPCACA with a government-mandated anything.
This whole mantra of “we have to replace or pay for this and that if we reduce taxes or get rid of an entitlement” has no basis in our Constitution. Opportunity, not a damn guarantee.
Agree, and I think it will retain the ability for kids (made unemployable by the Obamaeconomy) to stay on their parents insuarance and prohibit denial of coverabe based on pre-existing conditions, two of the few popular features of Obamacare. Keeping them doesn’t make a big difference and all hell would break loose if they dropped them.
People can wish and hope and cite the Constitution all they want but “replace” will happen, there is no doubt about it as a political reality. The discussion should be about what constitutes a viable alternative, because the Repubicans and Trump will absolutely “own this”.
You are being too logical. You will go down in flames on this site. I see that you have already received guff or is it gaff.
Even the Bible has boundaries for function of society and laws doesn’t it? Oh my. Even the Bible strongly suggests we can’t succeed with anarchy.
Clarification accepted.
“Replacement” should in no way be another government-run health insurance bureaucracy. It should be adjustment of laws, including solving systemic problems, to facilitate the marketplace while ensuring companies don’t get trapped in customer-abusing practices.
(Sometimes a bad business practice pays well enough that businesses can’t really _not_ do it. Favored example: banks used to _all_ engage in end-of-day customer account reconciliation by applying debits, issuing fines/fees as appropriate, _then_ applying credits; result was if you had $100 in account, withdrew $101, then deposited $3 - all within 1 minute - you’d be fined some $30 for “overdrawn”. The profit from even fixed-in-seconds “overdrawn” fines and the like were too profitable for banks to stop doing that bad practice ... took federal legislation saying “cut that $#!^ out” to stop it. Health care has comparable systemic issues that legitimately need eradication.)
probably’s ryan’s initial pass at it back when
Legal problems will be minimized if the PPACA burial and Trumpcare replacement is effective the beginning of next year.
Trumpcare should be nothing more than a set of subsidies that decease with decreases of plan quality from Medicare like levels.
Insurers should be free to design plans. Uncle Sam will just pay about 50% less in subsidy money for Cheeseburger Chain quality plans.
Subsidy design should allow drug coverage and care coverage to be separate. You should be able to buy a drug plan from out-of-state carrier and a care plan from your local hospital network.
Hopefully, I’ll have a diary on my revised plan on the 21st.
Loss ratios must be 90% or more, with refunds of subsidy money to Uncle Sam if below 90%.
Subsidies should always require a minimum payment of at least 20% of a plan’s monthly premium for any adult and should assume a minimum available monthly income of $1,000/month [~30-hours a week of readily available retail/restaurant work] (or a lower VA/Social Security/state law disability payout if in excess of $500/month) for any adult.
No federal mandates. No state mandates, unless the state agrees to pay 100% of all plan subsidies.
Providers should understand they need to fight by providing value for places at the insurer money tables. Just having lots of letters after your name isn’t enough.
I don’t want to pay for baby murder and I don’t want to pay more because I object to baby murder.
“Constitution”
The general Constitutionality of the PPACA comes from:
“to lay and collect taxes on incomes” [The mandate is actually a fine, but Congress easily could have written it as a tax like the Dutch legislature did]
“To regulate commerce...” [(the payment by insurance companies for) expensive drugs]
“To promote the progress of science...by securing for limited times to
...inventors the exclusive right to their...discoveries [the patents that allow drugs to be really expensive]
“all treaties made...under the authority of the United States shall be the supreme law of the land” [a treaty enshrines the patent system and costly drug patents]
Pre-existing condition exclusions are generally for those conditions that can often require long-term mental hospitalization or expensive drugs.
Insurance companies don’t want to pay for expensive patented (and other federally exclusive) drugs.
Insurer pre-existing condition exclusions are the health insurance companies’ counters to the exclusive rights of drug inventors.
People don’t want to pay for insurance that costs several times their actual risk, so they exclude health insurance companies (and drug inventors) by not buying coverage.
Every time a useful new drug is invented, the Article I Section 8 “for carrying to execution” factor gets triggered and the Democratic Congress got a legal opportunity to try to band-aid the health insurance system.
The University of California at San Francisco is a leading drug discovery and development center. San Francisco is home to many rich drug barons. San Francisco’s Nancy Pelosi rammed the PPACA through the House.
Article I Section 8 is by no means an orphan excuse. Think of the maelstrom created by the Commerce Clause (which I consider the worst offense.
This stops when we - WE conservatives stop giving a sh!t what Democrats have to say or bleat. It stops when we rescind their laws (even not replacing them at all with any door-prizes). It stops when Trump starts appointing conservative Federal Judges and the Senate confirms them. It starts when we get a cabinet not infected by racism and Islam. It starts when EVERY US Attorney in this country is summarily fired and EVERY political appointment Obama has made is likewise shown the door. It starts with a wholesale purge, frankly. It continues with a nomination for a Trump SC justice and a replacement for that cadaver Ginsberg when they pull the plugs on her.
And we need not be sorry or apologetic about any of it. They lost.
“Let states deal with state questions”
Oregon and Tennessee made valiant efforts.
Unfortunately, the 14th Amendment equal protection requirement makes it impractical to craft solutions because everybody’s problem has to get paid for under any possible state law system.
In addition, the Constitution makes it hard for any state to offer a solution because every moocher in the Union can move in to mooch off a state with a solution.
The Articles of Confederation once prevented vagabonds and paupers from moving in to mooch off a generous state.
Also, no state can do anything about expensive drugs (problem #1) because the drugs are federally patented.
The Republican-authored 14th Amendment makes poverty a problem only the federal government can fairly and effectively deal with.
As long as that provision is in law, we're no longer talking about "insurance". We're talking about a welfare plan. This problem was thoroughly hashed out prior to Nazi Pelousy shoving 0bamacare down our throats.
However the federal government is not empowered to dictate what insurance — or anything else for that matter — you have to purchase with your own money — and states remain the appropriate political arena for health care questions
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