Yeah, no shit. I have a full time job, supposedly great health insurance, but I still can’t actually afford to go to the doctor (never mind an ER). You’re God damn right the healthcare system is broken!
I remember when my dad lost his job around 2002. I was a little kid and my mom told me to be careful when I’m playing outside, because if I broke my arm we could lose our house. That’s something I don’t think should ever be a reality, or something that parents or children should worry about in a functioning country.
Yes, but longer. It’s absurd. Not sure exactly when premiums really got out of control, though. There’s probably a good chart out there.
Democrats tried to fix this almost… 15 years ago (“thanks Obama”). Critical failure: no Medicare option for all. Most civilized democracies implemented right to free care 30+ years ago, should’ve been easy to follow. (Then higher education as well.) For-profit health insurance companies and their armies of lobbyists are evil and should be burned to the ground.
The worst part is Obamacare wasn’t even good - it was a huge compromise with insurance companies… Before it was further compromised and sabotaged. It came out of the heritage foundation after all - everything they come up with is some way to cause mass suffering to make a few people a lot of money
On the pro column, they gave up preexisting condition rejections - definitely good - and increased child coverage to 25 - which is nice to have I guess. It also made it easier to get health care not coupled to your job. Which would be great, except insurance gives you so much less protection at this point that people aren’t much better off than they were uninsured before
On the minus side, they came up with standards of care, which creates so much documentation it drove most of private practice out of business, forcing them to join healthcare systems. It’s as much as 2-4x as much time doing paperwork as seeing patients, and then the doctor has to negotiate with the insurance company back and forth on a case by case basis.
And healthcare systems are basically regional monopolies, which is why costs ballooned so ridiculously. It was always bad in this country, but nowhere near this bad.
They also overwork doctors, which is probably a big part of why outcomes are getting worse - they’re running healthcare as a business. People who have zero healthcare training are min-maxing health system policies to make line go up
Not to mention, the one big win was supposed to be a public option on the healthcare marketplaces - the idea is you get something like a government run, at-cost insurance company. That was going to be the base line - private competition with “government inefficiency”
It’s all just such a shit show - the solution is so simple too. Insurance does three things - it collects a little money from a lot of people to cover big costs from the minority who suddenly needs a lot of it. It uses economies of scale/collective bargaining to keep costs down on the provider side. And it has to have enough bureaucracy/oversight to keep embezzlement/fraud/kickbacks at sustainable levels (you don’t even have to stop it, you could just keep good records and watch for large scale offenders, and come down on them hard)
All of those things are better done without a profit incentive, and they work better the more people are in this kind of union… It’s mind boggling that people don’t understand how straightforward it is.
Hell, know what happens when a homeless man comes into the ER and racks up a 6 figure bill because they couldn’t afford treatment until they’re at deaths door? The hospital doesn’t just eat the cost, we all pay for it collectively anyways
Because i think you’re the thinking sort, I suggest you Google ‘how Democrats sabotaged Obamacare’ or similar, select a source or sources you trust and see what you take away from your reading.
Edit: look… I don’t give a single shit about downvotes, what i want is for you to see… Just do it. Don’t be afraid. Do it, and see for yourself
In my view it was similar to the recent Manchin / Sinema travesty. Zero Republican votes, plus some very cowardly or corrupt “centrist Democrats” that neuter or kill bill. A classic recipe for disappointment.
Our (Australian) right wing government stopped increasing the amount they pay doctors when people visit, and the new left wing government isn’t doing anything either.
So now I have to “co-pay” $30 whenever I visit, when it used to be free. I found that so outrageous that next time, I’m travelling half an hour to go to a clinic that still “bulk bills” (read: doesn’t charge the patient).
If I was an American I think I’d just die of rage. I wonder how much that’d cost me.
Edit: Oops, turns out our new left wing government just recently INCREASED the GP payment rate, so hopefully we’ll see more bulk billing places return.
Yeah, no shit. I have a full time job, supposedly great health insurance, but I still can’t actually afford to go to the doctor (never mind an ER). You’re God damn right the healthcare system is broken!
Here’s the fun part.
It’s been like this for at least 20+ years.
I remember when my dad lost his job around 2002. I was a little kid and my mom told me to be careful when I’m playing outside, because if I broke my arm we could lose our house. That’s something I don’t think should ever be a reality, or something that parents or children should worry about in a functioning country.
Yes, but longer. It’s absurd. Not sure exactly when premiums really got out of control, though. There’s probably a good chart out there.
Democrats tried to fix this almost… 15 years ago (“thanks Obama”). Critical failure: no Medicare option for all. Most civilized democracies implemented right to free care 30+ years ago, should’ve been easy to follow. (Then higher education as well.) For-profit health insurance companies and their armies of lobbyists are evil and should be burned to the ground.
The worst part is Obamacare wasn’t even good - it was a huge compromise with insurance companies… Before it was further compromised and sabotaged. It came out of the heritage foundation after all - everything they come up with is some way to cause mass suffering to make a few people a lot of money
On the pro column, they gave up preexisting condition rejections - definitely good - and increased child coverage to 25 - which is nice to have I guess. It also made it easier to get health care not coupled to your job. Which would be great, except insurance gives you so much less protection at this point that people aren’t much better off than they were uninsured before
On the minus side, they came up with standards of care, which creates so much documentation it drove most of private practice out of business, forcing them to join healthcare systems. It’s as much as 2-4x as much time doing paperwork as seeing patients, and then the doctor has to negotiate with the insurance company back and forth on a case by case basis.
And healthcare systems are basically regional monopolies, which is why costs ballooned so ridiculously. It was always bad in this country, but nowhere near this bad.
They also overwork doctors, which is probably a big part of why outcomes are getting worse - they’re running healthcare as a business. People who have zero healthcare training are min-maxing health system policies to make line go up
Not to mention, the one big win was supposed to be a public option on the healthcare marketplaces - the idea is you get something like a government run, at-cost insurance company. That was going to be the base line - private competition with “government inefficiency”
It’s all just such a shit show - the solution is so simple too. Insurance does three things - it collects a little money from a lot of people to cover big costs from the minority who suddenly needs a lot of it. It uses economies of scale/collective bargaining to keep costs down on the provider side. And it has to have enough bureaucracy/oversight to keep embezzlement/fraud/kickbacks at sustainable levels (you don’t even have to stop it, you could just keep good records and watch for large scale offenders, and come down on them hard)
All of those things are better done without a profit incentive, and they work better the more people are in this kind of union… It’s mind boggling that people don’t understand how straightforward it is.
Hell, know what happens when a homeless man comes into the ER and racks up a 6 figure bill because they couldn’t afford treatment until they’re at deaths door? The hospital doesn’t just eat the cost, we all pay for it collectively anyways
Because i think you’re the thinking sort, I suggest you Google ‘how Democrats sabotaged Obamacare’ or similar, select a source or sources you trust and see what you take away from your reading.
Edit: look… I don’t give a single shit about downvotes, what i want is for you to see… Just do it. Don’t be afraid. Do it, and see for yourself
In my view it was similar to the recent Manchin / Sinema travesty. Zero Republican votes, plus some very cowardly or corrupt “centrist Democrats” that neuter or kill bill. A classic recipe for disappointment.
You are right. It was eerily similar. There was even a single scapegoat! His name was Ben Nelson, and he was a former insurance executive.
He joined politics for a few years, vsinglehandedly destroyed the public option, and then quit public service.
Makes you think, huh?
Fuck Joe Lieberman
Am aware, this is why I avoid seeking medical care.
Our (Australian) right wing government stopped increasing the amount they pay doctors when people visit, and the new left wing government isn’t doing anything either.
So now I have to “co-pay” $30 whenever I visit, when it used to be free. I found that so outrageous that next time, I’m travelling half an hour to go to a clinic that still “bulk bills” (read: doesn’t charge the patient).
If I was an American I think I’d just die of rage. I wonder how much that’d cost me.
Edit: Oops, turns out our new left wing government just recently INCREASED the GP payment rate, so hopefully we’ll see more bulk billing places return.
I hope the number of bulk billing places starts to increase again. I get scared thinking about how we’re becoming more and more like the US.