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can someone explain to me why the ACA is the devil?
- Thread starter shirlene29
- Start date
It means doctors have pretty damn good plans that are gonna be better than almost anything
Thats all I'm saying
they're planning on renewing with em too...despite EVERYONE in the company pissing and moaning about how bad they are.
We gotta talk to HR and see what the best way is to go here
I save all my happy shit for other forums
sort of like... getting the shir you deserve and such
sort of like... getting the shir you deserve and such
win
mrplunkey
New member
The ACA is an expansion of Medicare and Medicaid, with one being a very troubled federal version of health care insurance and the other being troubled state-run versions of health care insurance.
There are literally thousands of reasons why Obamacare is a bad idea in its current form, but the most obvious reason is macroeconomic:
- Medicare pays at around 90% of a provider's costs in reimbursement, representing a 10% loss per experience.
- Medicaid pays anywhere from 20% to 60% of a provider's costs.
- Since hospitals operate right about break-even as a sector, all of those gaps have to be filled with private insurance.
So even with massive subsidies from the private sector (remember, 40% of all cases are private-pay, yet they bring the entire industry back to zero profit), Medicare is bankrupting the federal government and threatening the solvency of many states.
Now picture doing that on a much larger scale. It's going to be a financial disaster.
And yes, it's true that we pay for the uninsured's emergency care already. But the uninsured also have limitations on their access to non-emergency care. Once the uninsured have insurance cards, utilization will go way up -- no question.
And yes, the previously uninsured will now have access to primary care. But guess what? That 400lb lady with a marlborough in her mouth at 2am chugging schaffer's beer in the Wal-Mart parking lot isn't going to see a primary care physician. Just look at Medicaid enrollment in the states. In Tennessee, 50% of the kids eligible for Medicaid aren't even signed-up. So what do they do? Their parents just haul them into the ER -- just like they'll do under Obamacare.
tl;dr
cool story bro.
There are literally thousands of reasons why Obamacare is a bad idea in its current form, but the most obvious reason is macroeconomic:
- Medicare pays at around 90% of a provider's costs in reimbursement, representing a 10% loss per experience.
- Medicaid pays anywhere from 20% to 60% of a provider's costs.
- Since hospitals operate right about break-even as a sector, all of those gaps have to be filled with private insurance.
So even with massive subsidies from the private sector (remember, 40% of all cases are private-pay, yet they bring the entire industry back to zero profit), Medicare is bankrupting the federal government and threatening the solvency of many states.
Now picture doing that on a much larger scale. It's going to be a financial disaster.
And yes, it's true that we pay for the uninsured's emergency care already. But the uninsured also have limitations on their access to non-emergency care. Once the uninsured have insurance cards, utilization will go way up -- no question.
And yes, the previously uninsured will now have access to primary care. But guess what? That 400lb lady with a marlborough in her mouth at 2am chugging schaffer's beer in the Wal-Mart parking lot isn't going to see a primary care physician. Just look at Medicaid enrollment in the states. In Tennessee, 50% of the kids eligible for Medicaid aren't even signed-up. So what do they do? Their parents just haul them into the ER -- just like they'll do under Obamacare.
tl;dr
cool story bro.
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