Tag Archives: Repeal

Another reason Single Payer is inevitable – Managed Care Matters

Once again, Joe Paduda has broken down why single payer is inevitable, and what will happen to millions if repeal of the ACA happens.

I won’t go over the reality of what the landscape would look like, because we have heard about it before, and does not bear repeating. However, what does need to be said is, repeal will lead to single payer, no matter what the medical-industrial complex says or does to stop it, and those who advocate an incremental approach, such as fixing ACA, or some other half Medicare measure, will eventually lose ground politically, especially those running for president.

And those of you who advocate for more competition and a truly free market in health care should pay attention to what Joe say about that.

Finally, check out the infographic at the bottom of the text. It is funny.

Here is Joe’s post:

Earlier this week President Trump called for the GOP to become “the Party of Great Healthcare.” He wants three Senators to come up with a “terrific, beautiful” healthcare plan. What Trump is actually doing is accelerating the day when Single … Continue reading Another reason Single Payer is inevitable

Source: Another reason Single Payer is inevitable – Managed Care Matters

In Divided White House, Trump Sided With Mulvaney in Push to Nullify Health Law – The New York Times

This article from The New York Times explains why the Orangutan Administration seeks to eliminate the ACA.

Notice how defiant Budget Director and Acting Chief of Staff Mick Mulvaney is crossing his arms and glaring in the the picture below. A picture is worth a thousand words was never more true.

WTF are they doing?? – Managed Care Matters

Good morning all you minions of the medical-industrial complex and related businesses, Joe Paduda has once again simplified the issue before us now that the Orangutan administration has decided to repeal the ACA.

This article won’t probably convince your superiors or the wolves of Wall Street who will fight tooth and nail to see that Medicare for All never sees the light of day, just so that they can reap their precious profits off of other people’s misfortune.

But perhaps it will convince you of the critical junction we face at this moment; whether to let this happen and go back to the bad old days as Joe describes, or to move forward into a bright new day with universal coverage that does not generate huge profits for insurers, pharmaceutical companies, hospital systems too big to fail, device manufacturers, and even some physicians, but does provide all Americans the health care they deserve as a right, and not as a privilege of wealth or one’s bank account.

So here is Joe’s article:

Yesterday’s announcement that the Justice Department will move to kill the entire ACA – with NO replacement legislation – sent shock waves thru the healthcare world. And will send many Americans straight over the edge. If the Trump Administration is … Continue reading WTF are they doing??

Source: WTF are they doing?? – Managed Care Matters

Trump Regime to Repeal ACA

From the Overnight News Desk:

Both CNN and The Washington Post reported yesterday that the Justice Department will back a full repeal of the Affordable Care Act (ACA), after a federal judge in Texas ruled the law unconstitutional in December.

If this repeal takes effect, millions of Americans will lose their healthcare. Those of you employed in the medical-industrial complex, and related industries, must face the fact, that if the Republicans succeed in their long-held promise to destroy healthcare for Americans who could never afford it before, or had limited coverage, there will be no other alternative left to provide healthcare than to have an Improved Medicare for All/Single Payer system.

There are those who believe that Medicaid for All is a better option, but given that many states that expanded Medicaid elected GOP governors and legislatures, or could in the future, Medicaid in those states could also be taken away from those who receive expanded coverage.

Many of you are employed by the very same insurance companies, pharmaceutical companies, device manufacturers, and other businesses that are allied with the healthcare system, and it is these companies that are gearing up to fight passage of any Medicare for All/Single Payer health care bill.

Do you really want your fellow Americans to die because they cannot generate huge profits for your employers and for Wall Street investors and shareholders?

if the Orangutan gets his way, that is what will happen. Also, our hospital ERs will once again be clogged with patients who need immediate medical attention, and the quality of health care will deteriorate even further.

The only logical solution is Medicare for All/Single Payer, because the only option left will be Medicare for All/Single Payer.

Damned If You Do, Damned If You Don’t

“You can always count on Americans to do the right thing – after they’ve tried everything else.”

Winston Churchill

“Our policy is to create a national health service in order to ensure that everybody in the country irrespective of means, age, sex or occupation shall have equal opportunities to benefit from the best and most up-to-date medical and allied services available.

Winston Churchill

 

Veering away from the usual topics covered in this blog, I thought about some recent articles I saw about the attempt to repeal and replace, or to simply repeal the Affordable Care Act (ACA), which the current political regime wants to do.

The first article, in yesterday’s [failing] New York Times, warned that repealing the ACA would make it harder for people to retire early. Those who retire early, before reaching 65, can get retiree coverage from their former employers, but not many companies offer that coverage.

Those early retirees poor enough could turn to Medicaid, and everyone else would have to go to the individual market. Without the ACA, health care coverage would be more difficult to get, cost consumers more where available, and provide fewer benefits.

According to the article, if the ACA is repealed, retiring early would become less feasible for many Americans. This is called job-lock, or the need to maintain a job to get health insurance.

This is one of the concerns the ACA was supposed to address, in that it would reduce or eliminate job lock. Repealing the law could, according to the article, affect employment and retirement decisions.

The second article, from Joe Paduda, also from yesterday, reported that improving healthcare will hurt the economy, and Joe lays out the arguments for doing something or doing nothing to improve health care and what effect they would have on economic growth.

For example, Joe states that healthcare employs 15.5 million full time workers, or 1 out of every 9 job. In two years, this will surpass retail employment. As Joe rightly points out, those jobs are funded by employers and taxpayers. He suggests that some experts argue that healthcare is “crowding out” economic expansion in other sectors, thereby hurting growth overall.

But Joe also points out that by controlling health care costs, employment will be cut, and stock prices for pharmaceutical companies, margins for medical device firms, and bonuses at health plans will also be affected.

So, if cost control and increasing efficiency works, these lost jobs, reduced profits, and lower margins, Joe says, will hurt the economy. The economy will suffer if the health care sector is more efficient, and since healthcare is also a huge employment generator and an inefficient industry, fixing that inefficiency will reduce employment and growth.

Thus, the title of this article, “Damned if you do, damned if you don’t.”

But wait, there’s more.

Yesterday, a certain quote has been making the rounds through the media. It was uttered by Number 45. “Nobody knew health care could be so complicated.”

Yes, it is complicated and complex, but does it have to be so? If we consider the second Churchill quote above, and realize that the UK, France, Germany, Canada, and many other Western countries have some form of single payer, then one must conclude that it is only the US that has complicated and made too complex, the providing of health care to all of its citizens.

There are many reasons for this, which is beyond the scope of this article or blog, but there is one overriding reason for this complexity…GREED. Not the greed of wanting more of one thing, but the greed of profit, as one executive from an insurance company stated recently.

This brings me to the last of the articles I ran across yesterday. It was posted on LinkedIn by Dave Chase, founder of the Health Rosetta Institute. He cited a segment on the Fox News Channel’s Tucker Carlson program, in which Carlson interviewed a former hospital president who said that pricing was the main problem with the US healthcare system.

Mr. Chase does not solely rely on Carlson’s guest in his article, but cites other experts in the field as evidence that pricing failure is to blame.

If we are to except this as true, then it buttresses my point that the overriding problem is greed, for what else is the failure to control prices but a symptom of greed inherent in the American health care system, and something that does not exist elsewhere in the Western world.

Which brings me to Churchill’s first quote above. Since we Americans have tried the free market system of health care wanting, and have tried a reformed free market system, perhaps it is time to go all the way to a government-sponsored, Medicare for All, single payer system.

The bottom line is: we’re damned if we do, damned if we don’t. The question is, which is the lesser of two evils.

UPDATE: Here is Joe’s take on what will happen to the ACA in the next two years. I agree with his assessment.

All Quiet on the Medical Tourism Front

It’s been a while since I posted anything on medical travel, so you will forgive me for taking liberties with the title of Erich Maria Remarque’s novel about the First World War.

I guess the lull can be attributed to the shock of realizing that the current occupant of the White House is totally unfit and may be reckless, so the world is holding its collective breath to see what happens.

Or, it could be that you are waiting for the other shoe to drop, and by that, I mean, what will happen to the Affordable Care Act now that he has signed an executive order to dismantle it.

This much we do know. What we don’t know is will the Republicans in Congress repeal it completely, or will they replace parts of it. And what does you-know-who want? Canadian-style health care, as some have suggested he favors? And we also know that his nominee for Health and Human Services is against the ACA, and the Speaker of the House wants to kill Medicare and Medicaid.

Your guess is as good as mine. But whatever happens, it is certain that the industry needs to be prepared, because once people lose their coverage, they will need alternatives to high cost medical care here.

A total repeal would be catastrophic for health care in this country. Replacing it with something worse will also be bad for the health care industry, but may offer a way for medical travel to finally get a hearing with the American people, at least those who can afford to go abroad after losing their ACA coverage.

Those covered under Medicaid when their states expanded coverage will be the ones to lose the most, since they are the poorest and sickest. Those who purchased coverage through the exchanges and paid lower premiums than those who paid higher premiums, may be right for medical travel, if the industry goes after them.

Predictions are that should the ACA be repealed, premiums for everyone will go up. So, it is imperative that the industry be ready, willing, and able to handle the influx of new patients, and not just for boutique procedures and expensive treatments.

I said this once before, and I will say it again, the market will not come to you; you must go to the market. You must show Americans that there is an alternative to high cost care in the US, and for obvious reasons, only those locations within a three-hour flight will be possible.

BTW, if any of you need someone to work on a project for medical travel between the US and your country, let me know. You know me by now, so don’t be a stranger.

Another Fine Mess

Republican politicians are the Stan Laurel of American politics. For those not familiar with the famous comedy team of Laurel and Hardy from the first half of the 20th century, Stan Laurel was the one who always got the boys into what Oliver Hardy called, “another fine mess.”

laurel-hardy

Stan Laurel is the one on the left.

I call the GOP the Stan Laurel of politics because after three expensive wars that have drained our economy, and the financial meltdown they left the outgoing administration, they now want to repeal the Affordable Care ACT (ACA), more commonly referred to as “Obamacare.”

Some genius on Facebook recently said that he wanted them to repeal Obamacare because he was getting his insurance from the Affordable Care Act. His friends took him to task for not knowing that it is one and the same.

But the embodiment of Stan Laurel in the Republican Party should be Speaker of the House, Paul Ryan. For those unsure of who he is, here is his picture.

ryanrand

He’s on the left. The person to his right is his idol, Ayn Rand (throw in Rand Paul and you get ‘Ayn Rand Paul Ryan Ayn Rand, moving one name and some letters and dropping others). Paul Ryan, among other things, wants to eliminate Medicare, Medicaid, Social Security, and the ACA as well. I am sure unemployment and work comp are also on his agenda.

The only books on economics Ryan has ever read are “Atlas Shrugged” and the “The Fountainhead.” Works of fiction, just like his party’s proposal to repeal and replace the ACA. Replace with what? Before it was called “Obamacare” it was called, “Romneycare”, as it was the plan Mitt Romney and Ted Kennedy enacted in Massachusetts. [It should be noted that Rand towards the end of her life, lived on Welfare and Social Security; so much for rugged individualism]

So, this is really a Republican idea that they want to repeal, but don’t know what to replace it with, or even if they will replace it. They certain will, from all I have seen and heard, blow a hole in our budget if they do repeal and replace it with something worse. Another fine mess, GOP!

Here’s another picture of Paul Ryan, next to his long-lost sibling, Alfred E. Newman.

separated-at-birth

A striking resemblance, don’t you think?

Fellow blogger, Joe Paduda, has been chronicling an “ACA Deathwatch” and what repeal means.

So, if you don’t believe me when I say the GOP will get us into another fine mess, listen to Joe. And be aware that there are alternatives to the disaster that awaits us if they do repeal the ACA, but ignore them at your peril.