Random Thoughts (Political Edition)

You mean you don't like the new Romneycare?

I think there are good and bad things about this, but I would rather just have a single payer plan.
 
Whats your deductible through work? Better question whats your car insurance deductible?

Are you paying attention? My current deductible is already higher then any of the deductibles on the exchange.

The super high deductibles came from the HDHP plans that the Bush administration came out with in 2003 as a way for employers to control costs. That is what first allowed health insurance plans that have really high deductibles.



I don't think I have seen a deductible less then $1,000 since well ever at least not as long as I have been working. That's just too low healthcare is expensive unless you want to set up a single payer system and I am all for that.


Of course I think the tea party would stage an armed revolt if that happened. Maybe the Dems should add that onto their demands for a gov't restart.
 
Apart from the ideological issue, which is whether a "free trade" country like the US should "force" people into a mandatory insurance - how can it be possible that every developed country has a more-or-less working, more-or-less self-supporting health insurance system but the US are unable or even claim it's outright impossible to implement one? I frankly don't get it. I get how one can say it's wrong to do it because it limits liberties, but that's about it.
 
Apart from the ideological issue, which is whether a "free trade" country like the US should "force" people into a mandatory insurance - how can it be possible that every developed country has a more-or-less working, more-or-less self-supporting health insurance system but the US are unable or even claim it's outright impossible to implement one? I frankly don't get it. I get how one can say it's wrong to do it because it limits liberties, but that's about it.
The US has the most expensive healthcare in the world and that is the biggest problem.
 
They said Medicare/Medicaid would not work either, but it has for decades.
 
I had Romneycare while I was in law school. The cost became a bit higher because to pay for it I had to use my education loans. Coverage was an extra 2k and change a year that I was indifferent about paying but not pissed off. I don't have a problem with the ACA but I do think that a short delay on the mandate won't hurt anyone. I think that the Health Insurance Marketplace is the best thing for investigating buying insurance and does simplify it. However; it still is a big decision for anyone or a family to make and taking time to investigate the purchase should not be penalized. Rather than a year penalty delay perhaps a waver for those who are interested but have not made a final choice.

Putting aside the ACA for a moment the shutdown my be brought to an end with just an intent to negotiate on budget items. The rhetoric of all of this is way too high. The Democrats are saying that Republicans are "taking their ball and going home" and that is just childish and stupid. Now it has been along time since I was was on the playground but I do recall if you want the child bring back the ball you don't taunt them as they walk away to get them to play.
 
Last edited:
ACA is an improvement, but I'll say this: A proper, universal system would be better.

I get sick. I go to the doctor. I think I paid 20 USD the last time I went, I had a rift in the muscle that closes the stomach towards the throat, it hurt like you would not believe because the acid kept going from the stomach into the open wound. I have never felt a pain that extreme. So I got picked up by an ambulance (I was at this stage not capable of walking), and taken to the ER. Doctor took one look at me, and gave me a shot of morphine.

20 dollars, or so. And that would not change if I had something really serious. At all.

I just pay my taxes, and you know what? The system works. Just ask my mom, she recently spent a year in cancer treatment. The US has the greatest hospitals and medical professionals in the world, it's rather insane that the US can't have the best health system in the world.
 
  • Like
Reactions: TC
That is all just rhetoric, window dressing that both sides find easier to use than selling on the issues. If you go to local party meetings what you have is for every million Republicans or Democrats you have 50 people that will support and help. Of that 50 there are a small group that are willing to work a phone bank, an even small group that will do door to doors, and an even smaller group that will attend party meeting outside of an election. The smallest fraction are the true believers; the ones that would buy that Mitt Romney is a murderer and if you disagree with me oh he likes killing dogs, the ones that think the Obama was born in Kenya if you give me a birth certificate it is a fake and he eats dogs too. That said those people really are not listened to they might be used though.

The polls I am quoting used random samples of sufficient sizes that the probability of them just happening to get only those handful of true believers each time is mind bogglingly small. I know being a reasonable Republican you don't want to believe that somewhere between 30 and 50% of Republicans think Obama is an illegitimate president born outside the US but multiple polls suggest that is the case. Multiple Polls from multiple polling firms across a three year period cannot show roughly similar numbers unless those numbers are pretty much true.


How do you convince your constituents that you can negotiate with the President if a minimum of 30%, oh and by the way those are the 30% who are going to show up for primaries think he is not the legitimate POTUS?



I don't think that Republicans are terrified even if it works they know that there will be elements of it that don't work. Long run the ACA helps them with their base, fundraising, and it provides something that can later be reformed. Again I don't think that this is about the ACA or a health care related concession in exchange for the continuing resolution but for larger budget reforms in exchange for the debt ceiling with the shutdown for leverage. The political damage for Republicans and the shutdown has already been dealt there is no reason to end the shutdown before debt ceiling negotiations begin. This is not about behavior to reward to condemn, that is just playing the blame game and enabling more rhetoric. There is no such thing as good or bad situations there are just situations, deal with it and we can have champagne and tears later.

I agree that I think this drags on into the debt limit which is a good thing as the debt limit is the bigger problem. I cannot agree that the Democrats should reward this kind of behavior by caving in any meaningful way. N other shutdown has ever been framed in this way about a particular law before. Even if as you say it is really about the budget, which I just do not think is the case, as the Republicans have not framed it in this way at all. They already got with a couple percent of the budget number that they wanted with the last senate CR.

I don't even think that the President needs to go that far. I think that real budget concessions will end the shutdown and give him a debt ceiling till after the 2014 elections.


I sure hope not. As I said I was not at all comfortable with that list. I just am not sure what you give the Republicans to make them save face and move on from this disaster in the making.

The US has the most expensive healthcare in the world and that is the biggest problem.

And we have the most expensive healthcare because we are the only industrialized country left that doesn't have some sort of gov't run or subsidized healthcare for the majority of the population.

092113krugman2-blog480.png


Notice the two gov't run healthcare systems have had the lowest cost increases over the past decade?


There are some parts of the ACA designed to try and reduce the costs of healthcare and I think over time they will curb the reduction of costs somewhat. Just moving uninsured people from going to the ER system to regular Drs should save a huge amount of money.


The only thing that is going to really reduce costs is some sort of single payer system even if it is just for the most basic levels of care.



I had Romneycare while I was in law school. The cost became a bit higher because to pay for it I had to use my education loans. Coverage was an extra 2k and change a year that I was indifferent about paying but not pissed off. I don't have a problem with the ACA but I do think that a short delay on the mandate won't hurt anyone. I think that the Health Insurance Marketplace is the best thing for investigating buying insurance and does simplify it. However; it still is a big decision for anyone or a family to make and taking time to investigate the purchase should not be penalized. Rather than a year penalty delay perhaps a waver for those who are interested but have not made a final choice.

Putting aside the ACA for a moment the shutdown my be brought to an end with just an intent to negotiate on budget items. The rhetoric of all of this is way too high. The Democrats are saying that Republicans are "taking their ball and going home" and that is just childish and stupid. Now it has been along time since I was was on the playground but I do recall if you want the child bring back the ball you don't taunt them as they walk away to get them to play.



Well people without insurance do have up to the end of March 2014 before they have to decide what they want to do. That is about six months from now and should give most people enough time to figure it out.


The initial open enrollment for the ACA was extended longer then normal just for that reason. No one will pay a penalty as long as they have health insurance fore the first of April. People that sign up for plans now will have coverage start on Jan first of 2014. If you wait and sign up next year then I think there is a month long period before the policy kicks in.
 
ACA is an improvement, but I'll say this: A proper, universal system would be better.

The US has the greatest hospitals and medical professionals in the world, it's rather insane that the US can't have the best health system in the world.

Part of the reasoning why we have the greatest hospitals in the world though is because of our current model. "The Mayo Clinic in Rochester, Minn., is famous for some of the best quality and some of the lowest cost," Obama said and he acknowledges the reason why is purely capitalist. The example pointed to is The Executive Health Program at the Mayo Clinic. Basically its a VIP check up (1-3 days) that starts at $2,500 but averages $4,000 much of which is not covered by insurance. Now they could charge much more, the VIP's who go for this are fortune 500 CEO's whose companies many times pay for it. However the Mayo clinic controls the cost of it by using network externalities to turn a profit. They expanded the process sharing information reducing the cost of care and improving quality throughout the hospitals. The method is being expanded to other hospitals to control health care cost and improve care but also help the bottom line.

Now look at our one payer system we do have in the United States - VA Hospitals have an abysmal record of care. In 2007 there was the Walter Reed Scandal showing neglect and harmful care. The investigation found sixteen different information systems are used to process the forms, few could communicate with one another. One would think that after congressional investigation and calls to improve they got their act together. They didn't what they have done more recently: may have infected thousands of veterans with HIV, over prescribed narcotics and opiates leading to deaths, fail to notify patients when X-ray and CT scans have not been properly read, mishandling patient records, potentially gave hepatitis B and C to thousands, causing a Legionnaires' disease outbreak, ignoring it and then covering it up... Now after all those problems the VA gave bonuses to the administrators. These problems are emblematic of the VA Hospital System.
 
Last edited:
So basically it's a wonder that there still is quality healthcare in Europe.
 
I get sick. I go to the doctor. I think I paid 20 USD the last time I went, I had a rift in the muscle that closes the stomach towards the throat, it hurt like you would not believe because the acid kept going from the stomach into the open wound. I have never felt a pain that extreme. So I got picked up by an ambulance (I was at this stage not capable of walking), and taken to the ER. Doctor took one look at me, and gave me a shot of morphine.

20 dollars, or so. And that would not change if I had something really serious. At all.

Let's see... my last use of our healthcare system was when some insects deposited bacteria in my feet, causing them to go all colours and swollen... in total three doctor's appointments and some antibiotics, my cost at that time: 0?.
In August 2012 I spent three nights in an ENT specialist clinic after fixing the inner workings of my nose, plus several pre- and post-op appointments. I paid 10? per day in hospital (barely paid for the excellent food), about 170? for a 3D scan of my head (cone beam computed tomography). That scan was optional, I could have chosen a cheaper free x-ray - I believe the radiation dose was lower, and the image quality was higher giving me a lower risk of oopsies, considering the doc was basically digging through my nose blind.

All in all, I pay huge amounts in to the system and get less value out right now - but when I need it it's there. I can afford it, it's part of our value system as a society.
 
Last edited:
I know being a reasonable Republican you don't want to believe that somewhere between 30 and 50% of Republicans think Obama is an illegitimate president...

How do you convince your constituents that you can negotiate with the President if a minimum of 30%, oh and by the way those are the 30% who are going to show up for primaries think he is not the legitimate POTUS?

I am actually registered as Unaffiliated. The simple answer is you get to the far of the right as you can on issues and ignore what you said when you do compromise. Now House Republicans are sitting to negotiate with Senate Democrats; so its not a question of being willing to negotiate that concerns them about their constituency, it is a question of how much they are willing to give.

I agree that I think this drags on into the debt limit which is a good thing as the debt limit is the bigger problem. I cannot agree that the Democrats should reward this kind of behavior by caving in any meaningful way...

As I said I was not at all comfortable with that list. I just am not sure what you give the Republicans to make them save face and move on from this disaster in the making.

No one really knows what to give Republicans to move on because Senate Democrats won't even show up to hear the negotiation positions. What you should really be worried about is that both sides are intractably positioned and willing to drag it out to the Debt Ceiling. Tactically for Republicans it could mean that they will pass a resolution to extend the Debt Ceiling for only a week or several days. I know that no party will allow the sky to fall, so to speak, but they might pass something that makes it so precarious that everyone bumps their head. Imagine having to go week to week on the Debt Ceiling and the CR and saying you won't negotiate.



The only thing that is going to really reduce costs is some sort of single payer system even if it is just for the most basic levels of care.

I think I like the President's Mayo Clinic method advocacy more now
 
Last edited:
So... Last night, in a weekly comedy show much like The Today Show, they presented the current Top 3 idiotic countries in the world:

1. Hungary (for making it a law, that homeless people are forbidden to sleep in the open)
2. Austria (For giving a rightwing populistic and exnophobic party 30 % at the current elections)
3. USA (for wasting their status as a world power in exchange for becoming the world's laughing stock)

The show's host added a summarize of how the USA are currently perceived abroad: "When children can shoot themselves with guns, it's considered freedom. But when they are to be medically treated for free afterwards, it's considered communism. What the...?"

A colleague of mine flew over there yesterday as a tourist. She saved long for the journey... [irony]Boy, will she be having fun there, with no tourist attractions being open[/irony].
 
Last edited:
A colleague of mine flew over there yesterday as a tourist. She saved long for the journey... [irony]Boy, will she be having fun there, with no tourist attractions being open[/irony].
During my five-week California roadtrip I visited one National Park. All other things I visited were state-owned, like Hearst Castle.
 
So basically it's a wonder that there still is quality healthcare in Europe.

Spain had one of the best healthcare systems in Europe (tourists used to abuse it because it was better than those in their countries and for free), after the crisis I don't even want to know what it's going to be left of it.
 
Spain had one of the best healthcare systems in Europe (tourists used to abuse it because it was better than those in their countries and for free), after the crisis I don't even want to know what it's going to be left of it.
What the "Troika" and Frau Merkel did to the healthcare system in Greece is nothing short of a catastrophy. Don't know how bad they hit Spain.
 
What the "Troika" and Frau Merkel did to the healthcare system in Greece is nothing short of a catastrophy. Don't know how bad they hit Spain.

Here the right-wing party in charge found the perfect excuse in the crisis to privatise the system in some of the regions where they rule and 'sell' it to their friends. Now it is much worse than when it was 'state' owned and they still have room to make it even worst.
 
Top