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Started By
Message
re: Healthcare- the next great debate
Posted on 11/19/25 at 3:21 pm to SlidellCajun
Posted on 11/19/25 at 3:21 pm to SlidellCajun
quote:Obamacare isn’t healthcare. Obamacare is insurance.
Obamacare isn’t working
2
Posted on 11/19/25 at 3:31 pm to NC_Tigah
Ok.
Posted on 11/19/25 at 3:35 pm to LemmyLives
quote:
You know not of what you speak. Only 31% of patient respondents to an NHS (UK) survey were white. France doesn't permit the collection of such data, but 20% of Parisians are either Arab or African, at least.
Ok
But I didn’t say I knew. I said “maybe”
Posted on 11/19/25 at 8:23 pm to SlidellCajun
When it comes to single payer national healthcare cost, and Just spitballing here but if our annual spend on healthcare as a nation is @15 trillion as reported, that would amount to @ $15,000 per person.
This includes Medicare and MediCADE.
Knowing that over 50% of the nation wouldn’t pay squat this, it burdens the top earners disproportionately.
It makes no sense to me to get hit with over $ 50,000 a year in additional tax to pay for my and millions of others healthcare.
So as far as I can tell, there is no way in hell that we’ll migrate to a single payer system without a massive fight.
This includes Medicare and MediCADE.
Knowing that over 50% of the nation wouldn’t pay squat this, it burdens the top earners disproportionately.
It makes no sense to me to get hit with over $ 50,000 a year in additional tax to pay for my and millions of others healthcare.
So as far as I can tell, there is no way in hell that we’ll migrate to a single payer system without a massive fight.
This post was edited on 11/20/25 at 7:40 am
Posted on 11/19/25 at 9:10 pm to fwtex
quote:
Why is the cash price of care so much less than the cost paid through health insurance? Why do the bills have to be ridiculously high and then discounted down for insurance?
This. I work in healthcare. Each year the insurance company passes more and more of this inflated cost to the patient. It’s not sustainable, the average American is getting hosed and the provider reimbursement goes down as well. The only winner is the insurance company. I have thought about it at length. I don’t know what the right answer is. Without capitalism in healthcare could we have all the advancements in treatment? Probably not. The common good isn’t an incentive for most people unfortunately. A country like Germany has a mixed payer system with different tiers that works well for them but I don’t know that it would work on a country our size.
I will also say this. This country has very high healthcare costs bc the vast majority would rather take a pill than put down the fork and exercise. That’s expensive.
Posted on 11/19/25 at 9:27 pm to cdur86
quote:
Opponents will invoke the specter of low-quality coverage. Mr. Trump should relish that conversation. Across many dimensions, his rule produced higher-quality coverage than ObamaCare.
Can you give examples of higher quality coverage than obamacre in these new pilot programs?
Posted on 11/19/25 at 9:44 pm to 10tiger
The cash price of care isn’t vastly cheaper than insurance unless they are weighing the likelihood of nonpayment and making sure they get something instead of nothing.
Where is provider reimbursement going down? The majority of physicians in Louisiana are employed anyhow.
Where is provider reimbursement going down? The majority of physicians in Louisiana are employed anyhow.
Posted on 11/20/25 at 6:25 am to Wasp
Employed and reimbursed are not the same. And it’s part of the problem. Medicare reimbursement has decreased $10/patient per visit over the last 10 years for example. Same for hospital reimbursement. So let’s jack up the price so we can get more back, and that ends up being passed off on those with private insurance. Maybe there is a way to set a price for each item… a reasonable price. An aspirin that cost $4 for a bottle of 60 shouldn’t be billed for $25 a pill. Like I said, as a capitalist I don’t like the idea of government meddling but it seems like something has to give here.
Posted on 11/20/25 at 7:33 am to Eurocat
quote:
Can you give examples of higher quality coverage than obamacre in these new pilot programs?
quote:
Can you give examples of higher quality coverage than obamacre in these new pilot programs?
No I can't because I didn't write the article and was just sharing. I'd recommend subscribing to WSJ and you can ask in the comments section.
Posted on 11/20/25 at 7:36 am to SlidellCajun
quote:
Trump didn’t really run on fixing health care.
There is no fixing healthcare.
The best course of action is to tackle obesity and chronic illness.
Even if you socialized healthcare the costs of healthcare wouldn’t come down. Someone is still paying for it.
This post was edited on 11/20/25 at 7:37 am
Posted on 11/20/25 at 7:37 am to SlidellCajun
This country would save a massive amount of money by giving anyone that wants GLP-1 blockers access to them free of charge
Posted on 11/20/25 at 7:42 am to LemmyLives
quote:
Not true. DaVita dialysis centers are located in all sorts of poor areas. There are all sorts of health care options in Sealy, TX, population 7,500. Multiple optometrists, doctors, dentists, and therapists are available. The median household income is $56k. Is there a level 1 trauma center there? No, but there's multiple ones 25 miles away.
You don't see what is available in small shitty towns because you're not paying attention.
Nah.
You didn't ay attention to what he actually posted.
He was predicting what would happen if insurance went away and people were paying out of pocket (that's what he meant by "free market").
And he was 100% correct about what he said.
You ignored that kind of important detail and posted about what is true now, when insurance is paying for all of those poor people.
It's o.k., we've all been there.
Posted on 11/20/25 at 7:44 am to NC_Tigah
quote:
Obamacare isn’t healthcare. Obamacare is insurance.
Bless you.
Posted on 11/20/25 at 7:47 am to theballguy
quote:
I personally would love single payer
Why?
Can someone (anyone, everyone) who says something like this explain to me why that seems like the ideal solution to you?
It seems like the worst of almost every possible solution all rolled into one to me.
Posted on 11/20/25 at 7:53 am to wackatimesthree
quote:
Why? Can someone (anyone, everyone) who says something like this explain to me why that seems like the ideal solution to you?
Lower administrative costs.
Universal coverage with no medical bankruptcies.
Stronger price negotiation that lowers drug and procedure costs.
Eliminates profit motive from insurance layer.
Posted on 11/20/25 at 8:04 am to Auburn80
quote:
There is no realistic fix for healthcare if you want it to be available to all and affordable.
You're correct—although you left one point on the triangle out.
There are three points, not just two. There's price, quantity (availability) and quality.
What I think is that at least one of those expectations is eventually going to have to go by the wayside.
I don't think the current arrangement is sustainable. It will eventually collapse.
The thing is, health care science and technology has progressed so rapidly over the past, say, 125 years, most the stuff we do in hospitals and clinics in 2025 didn't even exist for almost all of human history.
Insulin for diabetes has only been available for right at 100 years.
X-rays are a little older than insulin, but imaging like CT Scans and MRIs and the like have all been invented in my lifetime. I'm 55.
Antibiotics weren't mass produced and widely used for infections until the 1940s.
Most currently utilized surgical procedures are the same way. And current pharmaceuticals.
So we have this huge leap in technology in a short period of time—which is great—but we also have this entitlement mentality that everyone is entitled to it.
It's like people feeling like all citizens are entitled to taxpayer funded trips to the moon just because we figured out how to make the trip.
In any case, I don't think we can stay "stuck with" the system we have now. I don't think that's an option.
I can come up with a way to make health care available to everyone, but it's probably (although not guaranteed) going to be more expensive than what we have now, and the quality would probably decline some.
Or, I can come up with a way to make it a lot cheaper, but availability would drop and not everyone would have access to it.
But you're right...there's no way to significantly change one point on the triangle without negatively affecting at least one other point.
Posted on 11/20/25 at 8:05 am to olemc999
quote:
Lower administrative costs.
What makes anyone think that there would be lower administrative costs?
Claims would still have to be filed.
This post was edited on 11/20/25 at 8:11 am
Posted on 11/20/25 at 8:10 am to olemc999
quote:
Universal coverage with no medical bankruptcies.
Watch this trick.
I now bestow upon you my own health insurance policy. And not just you, every citizen of the United States is universally covered by this policy. As of right now.
Of course, it doesn't actually pay for anything. And the deductible is a billion dollars.
But we just achieved universal coverage for all!
This is why I blessed the poster above for knowing the difference between insurance and care. Just because you have insurance that doesn't mean it pays for your care.
And if we had "single payer" insurance, I guarantees you that one of the things that would happen (pretty quickly, too) is that procedures would start being denied, deductibles would go up, and reimbursable services would start being cut.
And there would be no alternative.
You could suck your thumb and pout. That would be your alternative.
Posted on 11/20/25 at 8:41 am to SlidellCajun
A lot of people are covered through the ACA. So what’s the failure? Is it that health insurance premiums are high?
The more people insured and the more risk is spread, premiums will decrease over time.
BTW, “government run healthcare”
tends to be a misnomer. Medicareisn’t necessarily “government run”. The doctors aren’t employees paid through the government like in the UK.
All of that said, I’ve always thought that healthcare delivery and insurance needed reform. I don’t advocate free healthcare for all, but there’s no reason
Shouldn’t be affordable in America…
The more people insured and the more risk is spread, premiums will decrease over time.
BTW, “government run healthcare”
tends to be a misnomer. Medicareisn’t necessarily “government run”. The doctors aren’t employees paid through the government like in the UK.
All of that said, I’ve always thought that healthcare delivery and insurance needed reform. I don’t advocate free healthcare for all, but there’s no reason
Shouldn’t be affordable in America…
This post was edited on 11/20/25 at 8:46 am
Posted on 11/20/25 at 8:47 am to VOR
quote:
A lot of people are covered through the ACA. So what’s the failure?
The biggest failure is insurance for the group who must use the ACA exchange or state ACA exchange and who do not qualify for a subsidy.
In other words, self employed people who make more then 100K a year.
We get hammered. Absolutely hammered.
JUST LET ME BUY A FRICKING CATASTROPHIC POLICY like I could pre ACA.
This post was edited on 11/20/25 at 8:49 am
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