Time to burn down 0bammyScare ... completely to the ground.
Ain’t Nationalized Healthcare wonderful.
Always follow the money. Our money.
The biggest reason for the shut down is Schumer trying to save his old hide. Schumer has to appear to “fight” Trump or he’s toast in the Dem primary. I suspect Schumer doesn’t have a chance anyway, and AOC will oust him.
Oh no Healthcare is going to be without money soon.
Can we change the laws to force the health system to be competitive again?
And get rid of the 3.8% Net Investment Income Tax (NIIT) which is used to fund Obamacare. Although it only applies to individuals with higher incomes, it can easily be triggered on people with moderate incomes, especially those who live in high cost of living states.
Democrats Didn’t Shut Down the Government Over Health Care -They Did It to Protect ObamaCare Subsidies Fraud.
That pile is going to steam on a hot day and a long time.
“Medicare Premium Bill....Current Premium Due...Total Amount Due $555.00 by 10/25/2025”
That’s from a document that came on the 6th.
That’s $185/month.
My American dentist pays $1600/month for health insurance.
How will that work, they can’t keep it shut forever.
The future of the PPACA is up in the air.
12 million pre-Biden Takers - average risk $500/month/person
12 million Biden-era Newbys - average risk $50/month/person
you get
24 million Recipients - average risk $275/month/person
Unless the Newbys are retained by paying almost all their premiums, the Newbys will bow out and the risk per person and the premiums per covered person will almost double.
The insurance companies have to set their premiums for November marketing and they need to know what the average risk per person per age group is going to be real soon.
Would you, Mr. Healthy, like health insurance for less than $10/month?
The answer is probably going to be yes, even if the health insurance is junk.
Would you, Mr. Healthy, like health insurance for less than $100/month?
The answer might well be no. Mr. Healthy is very unlikely to benefit from health insurance, but he will get zapped with late fees if he doesn’t pay his bills. He will very likely get evicted if he falls behind on his rent.
Here are three major faults of the PPACA:
1. lack of strong measures for cost control
2. excessive coverage mandates
3. excessive subsidies at the lower ranges
Perhaps in exchange for saying capping SNAP benefits at $2/day/person, paid in daily so there is no monthly feast & famished cycle, the PPACA might have the original subsidy formula Obamacare the first six months of 2026, then Chuck’s subsidy formula the last six months of 2026.
Then phase Chuck’s formula out one month per subsequent year.
December 2032 would be the last month for Chuck’s formula.
Within a few months of eliminating SNAP, the demand and federal spending for insulin and Ozempic would drop sharply.
Note for $28 (the weekly $2/day amount for two people), one can buy:
two pounds of chicken for ~$5,
four pounds of pasta for ~$4,
seven cans of vegetables for ~$5,
a gallon of milk for ~$3,
two loaves of bread for ~$3,
a box of cereal (or a bag of fruit) for ~$3,
and still have ~$5 left over for say buying
a 10-pound bag of potatoes one week
a bag of sugar and 100 tea bags another week
a pound of butter and two boxes of store brand macaroni & cheese another week
12 eggs and two boxes of cake mix yet another week.
Of course.
“Follow the money”, always tells the tale.
I would impose these premium minimums, whichever is the higher:
1. 1/65th of the Medicare Part B premium amount per insured year of age as of the start of coverage
2. a percentage of the premium amount equal to the household income percentage of FPL - 70% divided by 3
3. a monthly minimum equal to the state tax, or median state tax if less, on 30 packs of cigarettes for insureds over age 23 at the start of the policy coverage
For a 5-year-old, 7-year-old, 32-year-old and 34-year-old, the ages would sum to 88 and the monthly absolute minimum premium amount would be a (88/65)*$185 or $250.46.
For a 5-year-old kid and a 27-year-old mom the ages would sum to 32 and the monthly absolute minimum premium amount would be (32/65)*$185 or $91.07.
Other parts of my reform plan:
AFFORDABILITY
Silver plans would be limited to a maximum deductible of three times the Medicare Part A amount [2025: $1676].
I would also make bronze plans low cost by having co-insurance up to $10,000 at up to 50% with the policy upfront amount paid up front to the insurance company by the insured. Policy percentages would normally be 20% and based on the Medicare amounts unless contractually specified otherwise. Policy percentages might be less for certain things and contractually capped by time periods, by say 50% of the upfront amount the first three months of the calendar year, 60% the first six months of the calendar year, 70% the first eleven months of the calendar year and the whole amount the whole calendar year. If and how an upfront amount would get invested would be subject to contract. Unused amounts of upfront money would be refunded after each policy is closed out. A policy would not be closed out until the time allowed for claim submission has expired.
I would also make copper plans low cost by only covering Part A scope items plus what Part B would pay for any general or regional anesthesia surgery. These would be like the Blue Cross/Blue Shield plans of my youth.
I would allow Federal PPACA exchanges to offer Interstate Class Drug Plans,
exempt from state control that cover under contract at the time of policy issue at least:
1. 80% of all FDA-approved recombinant drugs by key active entity
2. 80% of all key FDA breakthrough chemical active entities under patent as of January 1 of the coverage year
used in a drug approved by the FDA by August 1 prior
3. 80% of all key chemical active entities under patent as of January 1 of the coverage year
used in a drug approved by the FDA by August 1 prior
4. 90% of all WHO “essential” drugs
This system would allow for genuine negotiation between drug plans and drug companies. Drug plans would have an incentive to try to buy drugs from drug companies and drug companies would have an incentive to make deals to make sales.
Formulary drugs would be supplied at on an all-the doctors prescribe basis. The co-pays would be roughly equal to mere manufacturing cost. Drugs not in the formulary need not be covered at all.
Some of those plans might issue vouchers to patients at 80% of average drug class (biologic large volume, biologic small volume, etc.) Canadian maximum price in lieu of purchase. Let the patients wave the voucher at Walgreen’s and CVS. The drug companies will probably gladly take $200 for a week’s supply that might cost them $60. The riders would have premiums that vary by month.
The new bronze, copper and Interstate Class Drug Plans are meant for higher income folks and would not be PPACA subsidy eligible.
TWO INPATIENT OPERATION PLAN
A possible hospital coverage mode is to cover an amount equal to twice the median Medicare DRG hospital amount plus a percentage of say 20% minimum on the Medicare amount for the first operation if the hospital agrees prior to 10 days after discharge to perform any needed second operation for the remaining amount left on the policy.
A Blue Shield equivalent rider for the amounts Medicare pays for the surgeon(s) and anesthesiologist(s) might be purchased too.
HOSPITAL EMTALA COST ASSISTANCE
I would allow hospitals collect up to $1,000 per incident of EMTALA service from employers, with payment not in excess of $50 per week per employee concerned being due to any and all EMTALA providers and not for more than 100 weeks after service. Such payments on behalf of an employee would be considered to be a debt of the employee to the employer. Employers could collect back from employees and ex-employees (and require EMTALA incident employees to participate in an employer plan).
The democrats are having another TANTRUM , NO NO NO NO NO ,LOL
The DC Democrats don’t give a damned about the health of Americans nor the illegal immigrants. What they do care about are the huge pools of largely untraceable money they designate for public health purposes so they can continue to loot it. That is all this government shutdown is about!
Why would that be unusual?
The fact that 60% of people under age 65 do need health care each year strikes me as unusual.
If you are healthy, why would you go to a doctor?