Tag Archives: replacement

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Predictions are that should the ACA be repealed, premiums for everyone will go up.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.