Affordable Care Act-scene 4, 2016, let the discussions begin

it is not a rant…if we get government controlled healthcare we will get the VA on a large scale.
the ACA is not a stable model and was never intended to be.

Who says that would be what we would get besides you? IMO, we would get Medicare for all - which is nothing like the VA system. It seems to me you don’t know the difference between govt run health care and goverment health insurance programs such as Medicare and Medicaid.

medicaid is already horrible! medicare would be horrible if it was universal ! it would starve the medical system and ration care. medicare is already getting less desirable every year. hospitals and other medical delivery systems would not be able to survive on medicare as a single payer system.would it take-20-25 years to happen maybe? but it will become VA style and it will be terrible. you do not have to agree with me …you have a right to your own opinion. (as do I)
but ask Johnathan gruber,steven rattner and eziquel Emanuel. they will be very forthcoming with the future of the ACA and it’s intentions.

You are right, I don’t have to agree with you. But it is amazing that every other developed country in the world can have universal health insurance except the US. I guess we are just too dumb as a country compared to other countries.

emilybee try out the medical care in europe sometime. 1-1 1/2 years for an MRI cancelled or delayed at last minute. many procedures not available, surgery delays of years even for life saving measures. on and on. it is not all rainbows and unicorns in western europe ! the wealthy Europeans can travel here for care…same for Canadians. having “universal” care and having amazing care are not one in the same.

and in england they promised to reduce wait times in the ER so you know what they did? they started lining up ambulances outside the hospitals so the patients would not come in before there time. of course ambulances were not able to help the next round of patients and the sick people in the line were not getting help.

I have very good friends who live in the UK. One even works in a surgery. We discuss our health issues and our elderly parents issues all the time and it’s very similar to here in terms of getting prompt treatment and the treatments themselves. The only difference is they don’t pay for it directly.

I also have many Canadian friends who love their health care system. And my Audsie friends have no complaints either.

We are just too pigheaded to have UHC here - even though we pay so much more, our outcomes are not any better and we have millions uninsured. GO US!!!

zobroward- no other country with a national system would trade their system for ours. If any of their political leaders even dared mention that they would be immediately tossed from office.

Let us spell it out. For VA care, you typically go to a hospital or clinic that is run by the VA and staffed by VA employees. Medicare and Medicaid patients go regular private or non-profit hospitals and clinics, and their care is billed to the Medicare or Medicaid systems. You seem to be spouting someone else’s talking points with no actual knowledge of how health care is provided and paid for today. It comes out as gibberish if you don’t know the definitions of the terms you are using.

let me try and spell it out for you! I know what the VA is and Medicaid, Medicare, workers comp, chairy care, supplemental, gap insurance is etc… ! what I said is that once a government takeover occurs…you will see private hospitals disappear. in their place VA style hospitals will appear! it is not so hard to grasp. I am not the one with talking points. I have even studied socialized medicine in in the United Kingdom (yeah I even flew on a plane), worked at a hospital, dealt with health insurance everyday and I have full knowledge of what I am saying!

At what point did I ever say the VA and Medicaid is the same? Some other person wrongfully said I did and you ran with it. This is like Alice in Wonderland.

Not all national systems are like the UK’s. No reason ours would have to be

tom1944 the issue is reading comprehension and people thinking I have talking points that the VA and medciaid are the same! not sure where that “gibberish” came from not me! we would under a national system move to regional VA style hospitals. nobody seems to understand the overhead on a hospital every hour is so monstrous even at full capacity hospitals can lose money.

and the UK is probably most close to what we would have here! do you think it would be more like romania or greece?

“we would under a national system move to regional VA style hospitals.”

Says no one but you and probably whatever sites you read.

Agree. I think our system would potentially look a lot like it does today for the hospital or clinic, except we would not have the insanity of a hospital or clinic having to bill to and collect from dozens and dozens of individual insurers, each with their own picky billing rules & processes. One huge hidden cost in our current health care system is that administrative overhead in the billing & collections areas.

Let’s tone down the personal references and let’s be sure to keep direct political references out of the conversation.

do you think hospitals as independent private for profit or not for profits will keep their doors open when they lose money? the consolidation of hospitals and closures are occurring already. doctors are also rapidly being forced into hospital groups as employees. that is in 2015. but if you want to ignore the most probable outcome down the road go ahead. in less than 10 years only a few pay as you go …no insurance/no hospital privilege(if you are not in a hospital group soon you will not have privileges…already we have seen the rise of the hospitalist doctor) very very very few independent medical practices will exist. the rest will be history. after that the next phase will occur which is the rebirth of the strict HMO of the early 1990’s no referral no specialist, no mri, no this or that. followed by VA regional style medical facilities and doctors will all but be employees of the “State”

get back to me in 25-30 years! I love when I can say I told you so!

zobroward- are other countries having political debates around ending their HC systems and moving to one like ours?

tom1944 in places like greece they do not even have basic supplies. in england they are trying to eliminate or make it extremely hard to get a knee replacement, cataract surgery etc… if you need a heart valve replaced, neurosurgery , trauma surgery cutting edge treatment you want to be in one place that is in the United States.(and no not at just any community hospital) most people in europe have no idea what non socialized medicine is or what more advanced treatments are actually available…so they do not debate it. the wealthy ones who can do fly to the united states for advanced medical care. there is also an entire industry of people from canada crossing to the united states for needed advanced care. if you plan to live to 110 and need only generic blood pressure medicine starting at 95…western europe would be more than fine.

canada crossing to the united states for needed advanced care

That is a canard. About 1% of Canadian’s come to America for treatment and the majority of those were in the US for business or vacations when they had an accident or became ill.

More Americans seek HC outside the US than Canadians come to the US for treatment

not true! Canadians who can afford it do so it is very common and I am familiar with the “industry” that has grown up around this. you have to be able to pay, you do not just show up from canada and get a freebee!

That’s why my mom, who is covered by Medicare, can’t go to a private hospital? Ah, I understand now.

Wait… my mom does go to private hospitals. She was just in one a few weeks ago. Medicare hasn’t made private hospitals disappear after all.