Ocasio-Cortez can't answer how to pay for her ideas
- Thread starter tlwwake
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This is rarer than you think in an a full employment economy, and it would be even rarer if the people going to college were decided on merit, not whose parents can foot the bill.
Free tuition is only to public institutions so it will be tough to get to 6 figures in debt on tuition alone.
Any proposals out there to address the actual costs of providing healthcare before the government takes over the payer side?
Yes, but I am OK with extra incentives for jobs we could use more of as long as that decision is determined by market value.
What did you do to earn scholarships?
That's an issue if we're going to use Medicare as a payer model.
Not use the current Medicare reimbursement model and remove all private insurance as an option.
Cut some employee premium checks for a few years and then tell me how afraid you are of rising costs. I can't help but sit back and shake my head at all the people that have their insurance paid for someone else, fretting about socialized health care. Hopefully Biff will stay true to his rhetoric excoriating health insurers.
We've sure tried it, it just hasn't worked anywhere that I've seen. We've had ERISA preemption and damage limitations since 1975(ish) and we see how well that's worked.
We've sure tried it, it just hasn't worked anywhere that I've seen. We've had ERISA preemption and damage limitations since 1975(ish) and we see how well that's worked.
He can’t say because his dem roots will show. He will lose what credibility a sooner could possibly have here.
Medic, do not answer that question.
Get the government into areas it should be in and get it out of areas it shouldn't be in for starters.
Why can't hearing aids be purchased like eye glasses?
Why can't I buy cheap Canadian and European drugs and medical devices?
Why are we obsessed with keeping people alive who will have no quality of life?
Why do drug manufacturers get to pay physicians to use expensive drugs when much cheaper alternatives work?
Why am I not informed about the expense and why I get a chest x-ray and bloodwork every day while I'm in the hospital?
If you show up in the ER with a non-life threatening condition, why do they think they have to treat you?
Why are ER visits incentivized by Medicaid?
Why do I get financially penalized for not using very expensive software for electronic medical records in my small physician practice?
This could end up being a very long thread.
I love that this chick is being paraded around. It’s not because of her grasp of the issues.
She is a money maker and Crowd pleaser because of her looks. How shallow and anti feminist.
She is a money maker because of the color of her skin. Sorry mlk jr your dream is now a nightmare.
The more she embarrasses herself the more popular she becomes...
...Wait a minute I might not want to highlight that one.
She is a money maker and Crowd pleaser because of her looks. How shallow and anti feminist.
She is a money maker because of the color of her skin. Sorry mlk jr your dream is now a nightmare.
The more she embarrasses herself the more popular she becomes...
...Wait a minute I might not want to highlight that one.
IMO, this is where the litmus test needs to occur. Being in the construction industry there are plumbers, electricians, hvac contractors and so forth who would love to have knowledgeable and dependable help.
There are many people in these trades with a lot of toys and lake houses.
That’s just because they don’t want to double salaries to incentivize the pursuit of the trade.
@07pilt yes yes?
Probably don't need to go as far as doubling.
Construction companies can pay more and pass the cost along to the consumer, once the consumer is healthy, which should be any day now in the Trump economy.
Because of the powerful pharmacy lobby?
Death Panels
First amendment issue according the SCOTUS (or will be if this is ever challenged)
Free Markets amirite?
I am guessing because that software reduces costs at scale?
Hmmmmm. You might look more toward the FDA for that one. IV paracetamol has been available across the world for years. The US didn't see FDA approval for IV acetaminophen until 2010, as an expensive brand name drug of course. Thank you bureaucracy.
Huh?
Prescribing very expensive drugs for the kickback drives up the cost of healthcare. That won't fly in a single payer system, eh?
Free markets don't make hospitals feel obligated to treat people without life threatening emergencies in the ED. The government does. EMTALA. Great idea run amok.
Nope. Check out Meaningful Use. It's expensive, it's idealistic, and a part of reimbursement is tied to it.
No regulatory capture at the FDA at all.
Thats death panels. The second you mention this kind of thing in public, Michelle Bachman will be on Jimmy Fallon saying you have death panels.
Correct.
I thought EMTALA only requires that ERs treat people in life threatening condition?
Seems like that would reduce costs at scale.
I don't get what you're trying to say.
Attempting to resuscitate less people and using outcome predictive data to guide care in the critically ill is death panels?
It does. How do you define life threatening?
Seems and does are on two different planets in CMS brains.
The Pharma lobby lobbies (and infiltrates) the FDA.
Michelle Bachman's words not mine
I don't usually. How does EMTALA define it?
So the issue is just which CMS is being pushed?
Taking a rational view of this one item might cut the country's HC costs by 5% to 10% by itself
Or maybe even more. Most people never think about the costs of keeping people alive for a little bit longer because (fill in the blank).
The FDA's rules on foreign drugs/devices have been around a long time. Big Pharma is nice to blame, but that isn't the hang up in this case. It's all beautiful government bureaucracy.
Guess I didn't pay much attention to her.
As ambiguously as possible.
Try this link from 2001 for starters. Here's part of the conclusion...
"Despite its initial intent as a nondiscrimination bill, EMTALA has far-reaching implications for all aspects of emergency care of patients. Although unambiguous in its intent, it is inherently ambiguous in its interpretations and has as many unforeseen ramifications as there are limitless presentations of disease in the ED."
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1305897/
No, the issue is the costs with little to none of the benefits CMS touted actually occurring.
Gee I wonder who has a vested interest in those rules remaining the same?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1305897/
We could eliminate EMTALA if we had Medicare for all.
Wouldn't those benefits be better seen at scale?
You really think it's all Big Pharma?
Not really. ERs are already overcrowded. Just imagine if they cost you "nothing." The only way ER care could work in a single payer is if the ER can refuse to see things that can be managed by a lower level of care. That concept won't be easy to implement and it won't go over well with our healthcare illiterate masses.
What scale? The only scale that matters to an individual provider with his/her own practice is what they spend and what they get in return. Pretty sad when quite a few providers just take the penalty because it's much cheaper than implementing and maintaining government mandates.
Yes.
It is already free to the people you are talking about. We could allow ERs to refuse to see things that can be managed by a lower level of care if everyone is insured.
At a healthcare network scale. If all hospitals use the same CMS it probably greatly reduces the cost of a regional hospital network. You are right though. You right that it is bad for small practices and this is the type of thing that happens when let neoliberals write your healthcare laws, implicit in their ideology is that if your practices isn't big enough to have a few MBAs skimming off the top, then you are unimportant. If they really wanted to reduce cost they could buy the CMS and open source it.
We'll have to agree to disagree.
We'd have to allow it. Why bother scheduling doctor's appointments when I can get all the stuff I need right now at the ER? Medicaid is a great example. It's cheaper and more convenient to go to the ER for your four day old toe pain.
CMS is the government, not software. Centers for Medicare and Medicaid Services.
LOL. No, I'm talking about the electronic healthcare record mandates from Centers for Medicare and Medicaid Services. I was wondering what you were talking about.
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