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Brown-Wyden Healthcare BillFollow

#1 Nov 19 2010 at 3:42 PM Rating: Excellent
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Senators Brown (R-MA) and Wyden (D-OR) plan to introduce legislation which would allow states to request waivers from the federal HCR bill in 2014 provided those states can create their own plans which would meet the same coverage benchmarks as the federal plan (for raw coverage numbers, pre-existing conditions, preventative care, etc). Technically, this option is open to the states in the existing legislation but isn't available until 2017. Since most provisions go into effect by 2014, this means states would have to gear up for the federal rules then re-do it all three years later. This bill attempts to make it easier, or even encourage, states to develop their own strategies.

The idea here is that if a state thinks the federal plan is a crock and it can do better via heavy tort reform and free market ideals, they're welcome to try so long as they meet the goals. If a state thinks the best way to go is a state-wide single payer option, they can try that as well. Senator Sanders (I-VT) wants Vermont to switch to a "true" universal, single-payer option. If its successful, other states can say "Hey, that's cost effective and works". If a state finds a free-market solution and wants to skip any mandates or whatever and they can meet goals then other states can choose to emulate that as well. Essentially, it makes the federal plan a framework for states to either met or simply use the federal plan.

Understandably, if someone's objection is to the government (at any level) being involved at all then this won't make them happier but I'm curious if anyone, especially those of a conservative bent, think this has merit. Or I suppose if anyone is horrified by the idea that states might not be bound by the existing legislation. Everyone in Congress kept agreeing that health care needed to be "fixed" and this would allow the plans with the most merit in practice to win.
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#2 Nov 19 2010 at 3:50 PM Rating: Good
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I suppose it's a small step in the right direction, but it's ultimately pointless if the state laws have to meet the same coverage requirements of the federal health care bill. At the end of the day, it's those mandated coverage levels which are the poison pill in the existing bill. The other stuff is really just window dressing.
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#3 Nov 19 2010 at 3:54 PM Rating: Excellent
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gbaji wrote:
I suppose it's a small step in the right direction, but it's ultimately pointless if the state laws have to meet the same coverage requirements of the federal health care bill. At the end of the day, it's those mandated coverage levels which are the poison pill in the existing bill. The other stuff is really just window dressing.


I rated you up because this was one of the shortest posts of yours I have ever seen. It gives me hope for the future, like a cute little baby smiling. Even if that baby is possibly mentally retarded and drooling on itself.
#4 Nov 19 2010 at 3:56 PM Rating: Excellent
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gbaji wrote:
it's ultimately pointless if the state laws have to meet the same coverage requirements of the federal health care bill. At the end of the day, it's those mandated coverage levels which are the poison pill in the existing bill.

I thought the "poison pill" was the whole "government takeover" thing and the "this'll cost a trillion-billion dollars" thing.

When Boehner was waving GOP bills around which he claimed were just as good as the Democrats plan but without all that take-over stuff, one would assume it did the same job. Or else Boehner was just full of crap.
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#5 Nov 19 2010 at 3:57 PM Rating: Decent
Jophiel wrote:
gbaji wrote:
it's ultimately pointless if the state laws have to meet the same coverage requirements of the federal health care bill. At the end of the day, it's those mandated coverage levels which are the poison pill in the existing bill.

I thought the "poison pill" was the whole "government takeover" thing and the "this'll cost a trillion-billion dollars" thing.

Mandates are government take-over and the reason it'll cost a "trillion-billion dollars".
#6 Nov 19 2010 at 3:59 PM Rating: Default
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MoebiusLord wrote:
Jophiel wrote:
gbaji wrote:
it's ultimately pointless if the state laws have to meet the same coverage requirements of the federal health care bill. At the end of the day, it's those mandated coverage levels which are the poison pill in the existing bill.

I thought the "poison pill" was the whole "government takeover" thing and the "this'll cost a trillion-billion dollars" thing.

Mandates are government take-over and the reason it'll cost a "trillion-billion dollars".

 
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 This. 


Edited, Nov 19th 2010 2:17pm by gbaji
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#7 Nov 19 2010 at 4:03 PM Rating: Excellent
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States wouldn't be required to use purchase mandates if they can get people covered some other way.
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#8 Nov 19 2010 at 4:15 PM Rating: Decent
Jophiel wrote:
States wouldn't be required to use purchase mandates if they can get people covered some other way.

So they would be able to substitute one set of burdensome mandates for another?
#9 Nov 19 2010 at 4:16 PM Rating: Excellent
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Boston Globe wrote:
The bill Brown filed yesterday with Senator Ron Wyden, a Democrat from Oregon, addresses a provision that allows states to obtain waivers that would exempt them from some of the requirements of the law, including the individual mandate and health care exchanges. In order to do so, states would have to prove that their insurance plan is at least as competitive and affordable and covers as many residents as the federal plan would.

Under the current law, states would be able to apply for those waivers starting in 2017, but the new measure would move that up to 2014, when most of the other aspects of the federal bill are implemented.

Is the admission here that there isn't a free-market solution to covering the same people as the Democratic legislation?
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#10 Nov 19 2010 at 4:22 PM Rating: Decent
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Jophiel wrote:
States wouldn't be required to use purchase mandates if they can get people covered some other way.


At the risk of repeating Moe (again), if the federal law requires that any state replacements have the same minimum mandates within them, then the very best that the state laws can do is *not* be worse than the federal law. That's not exactly a great thing.


The GOP bills were intended to be actual bills passed instead of the one the Dems passed. Passing any of them in addition to the existing Dem health care bill is kinda not even remotely the same thing.
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#11 Nov 19 2010 at 4:25 PM Rating: Excellent
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gbaji wrote:
The GOP bills were intended to be actual bills passed instead of the one the Dems passed.

And they their principles apparently won't work since it's unthinkable that a state could achieve the same coverage and affordability levels as the current legislation confers.
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#12 Nov 19 2010 at 4:26 PM Rating: Decent
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Jophiel wrote:
Is the admission here that there isn't a free-market solution to covering the same people as the Democratic legislation?


There is no free market solution which gives people something for nothing. You are correct. What is your point though?

Are you saying that since the government lies to people to make them think that they can get something for nothing, and then passes a law mandating that they be given something for nothing, that the inability of the free market to do the same dishonest thing is somehow a good reason to keep the lies in place? At some point, the bill for all the "free" stuff our government tries to hand out will come due. I'd rather we use a system which honestly assess what people can afford instead of giving them stuff they can't and lying to them that it's not really going to cost them anything down the line.
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#13 Nov 19 2010 at 4:27 PM Rating: Decent
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Jophiel wrote:
gbaji wrote:
The GOP bills were intended to be actual bills passed instead of the one the Dems passed.

And they their principles apparently won't work since it's unthinkable that a state could achieve the same coverage and affordability levels as the current legislation confers.


You missed the part where I said that the coverage level mandates were the problem. What part of the phrase "poison pill" did you not get the first time around?
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#14 Nov 19 2010 at 8:02 PM Rating: Decent
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Mandates are government take-over and the reason it'll cost a "trillion-billion dollars".


While this is a ****** bill, the idea that it makes health care more expensive in the aggregate is *fucking absurd*. It'd be virtually impossible to change the current system to make it more expensive. Ludicrous price guarantees legislated into government payments to big pharma (who, to some degree, now pays my salary, yes I'm a sell out) maybe. Oh wait, that happened in the last administration.

The current model of expensive private insurance combined with *even more expensive* safety net care for the uninsured along with the current state of tort law is pretty much a perfect storm of shit guaranteed to provide mediocre care at extravagant cost.
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#15 Nov 19 2010 at 8:23 PM Rating: Default
Smasharoo wrote:
While this is a sh*tty bill, the idea that it makes health care more expensive in the aggregate is *fucking absurd*. It'd be virtually impossible to change the current system to make it more expensive.

Especially not with panels in place to determine what care won't be paid for and at what age we should stop shelling out money for little benefit, right?

Smasharoo wrote:
The current model of expensive private insurance combined with *even more expensive* safety net care for the uninsured along with the current state of tort law is pretty much a perfect storm of shit guaranteed to provide mediocre care at extravagant cost.

You're right. We should deregulate, allow more a la cart options, enact tort reform and make the entire thing cheaper.
#16 Nov 19 2010 at 8:35 PM Rating: Good
MoebiusLord wrote:
Smasharoo wrote:
The current model of expensive private insurance combined with *even more expensive* safety net care for the uninsured along with the current state of tort law is pretty much a perfect storm of shit guaranteed to provide mediocre care at extravagant cost.

You're right. We should deregulate, allow more a la cart options, enact tort reform and make the entire thing cheaper.
I don't see any incentives for people to get regular checkups in there whatsoever. How about a "failure to do so guarantees your rates will be at least 300% the baseline population's average" clause?
#17 Nov 19 2010 at 8:44 PM Rating: Excellent
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gbaji wrote:
You missed the part where I said that the coverage level mandates were the problem. What part of the phrase "poison pill" did you not get the first time around?

Wow. So the problem is in expecting the GOP solution to actually cover people, provide for pre-existing conditions, etc. Because as soon as you say "Well, it should cover X many people" the GOP answer is to start screaming "Poison Pill!!!" rather than have an effective plan.

Yeah, I bet that wad of papers Boehner was waving around was a real peach. We really missed out on a great opportunity there.
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Belkira wrote:
Wow. Regular ol' Joph fan club in here.
#18 Nov 19 2010 at 9:00 PM Rating: Good
MDenham wrote:
MoebiusLord wrote:
Smasharoo wrote:
The current model of expensive private insurance combined with *even more expensive* safety net care for the uninsured along with the current state of tort law is pretty much a perfect storm of shit guaranteed to provide mediocre care at extravagant cost.

You're right. We should deregulate, allow more a la cart options, enact tort reform and make the entire thing cheaper.
I don't see any incentives for people to get regular checkups in there whatsoever. How about a "failure to do so guarantees your rates will be at least 300% the baseline population's average" clause?

Deregulating would allow companies to charge for risk, like other insurance industries. That's an inherent incentive to regular check-ups and health maintenance.
#19 Nov 19 2010 at 9:07 PM Rating: Excellent
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MoebiusLord wrote:
MDenham wrote:
MoebiusLord wrote:
Smasharoo wrote:
The current model of expensive private insurance combined with *even more expensive* safety net care for the uninsured along with the current state of tort law is pretty much a perfect storm of shit guaranteed to provide mediocre care at extravagant cost.

You're right. We should deregulate, allow more a la cart options, enact tort reform and make the entire thing cheaper.
I don't see any incentives for people to get regular checkups in there whatsoever. How about a "failure to do so guarantees your rates will be at least 300% the baseline population's average" clause?

Deregulating would allow companies to charge for risk, like other insurance industries. That's an inherent incentive to regular check-ups and health maintenance.


And then there are people like me that are deathly afraid of doctors and won't go unless we're dying. Or something has been cut off. And even then, I'd have to see just what was cut off. I think I could live without an arm.
#20 Nov 19 2010 at 9:08 PM Rating: Default
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Jophiel wrote:
gbaji wrote:
You missed the part where I said that the coverage level mandates were the problem. What part of the phrase "poison pill" did you not get the first time around?

Wow. So the problem is in expecting the GOP solution to actually cover people, provide for pre-existing conditions, etc.


No. The problem is with some people failing to grasp that the most certain result of government mandating costs and coverage is ultimately an *increase* in total cost and a decrease in quality. Your argument is like insisting that the GOP's ideas are bad because they don't involve sticking us in the eye with a sharp stick.

I reject the premise that government can make our health care system "better" by mandating coverage levels and costs. Thus, the absence of such things in the GOP alternatives is seen by me as a positive thing. I thought I'd been abundantly clear about this the last three times in this thread I said it, and the dozens of times I've said it in previous threads.


Quote:
Because as soon as you say "Well, it should cover X many people" the GOP answer is to start screaming "Poison Pill!!!..."


Yes. Because any coverage mandate requires increases total cost. The very idea that the government should mandate that every single citizen not just have availability to a product, but must be provided with that product even if they can't afford it, is frankly insane. You're just doubling down on insanity is all.


Quote:
...rather than have an effective plan.


Not doing something monumentally stupid is pretty effective relatively speaking, isn't it?


As I've stated before, the effective plan that conservatives would like to create is to dismantle as much of the government mandated health care system as possible anyway. Unfortunately, it's hard to do this given how many people have already paid into such systems and/or become dependent on them. But that's a pretty stupid reason to just keep expanding the same mistake.

Quote:
Yeah, I bet that wad of papers Boehner was waving around was a real peach. We really missed out on a great opportunity there.


Maybe you did. Has it occurred to you that you just might be completely wrong about the assumptions you hold? Everything you do and say proceeds from some pretty baseless assumptions. You can't seem to shake those assumptions (like the one that says we're all really better off if the government provides health care for us) and that limits your vision. Some of us are able to see the bigger picture though. What you're doing isn't making things better. It's making things worse.


Even doing nothing at all is better than doing something that will hurt us. If all we do is eliminate the new health care bill, without putting a single alternative bill in the field, that's still an improvement. You haven't figured that out yet?
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#21 Nov 19 2010 at 9:14 PM Rating: Default
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Nadenu wrote:
And then there are people like me that are deathly afraid of doctors and won't go unless we're dying. Or something has been cut off. And even then, I'd have to see just what was cut off. I think I could live without an arm.


And there are people who don't take their car in for maintenance until it breaks down on them. And those who don't clean the dishes until the sink and countertops are covered in dirty ones and they can't cook anything. And those who don't weed the yard until it's completely overgrown.

See a trend? I'm as opposed to seeing doctors as the next guy, but I also accept that that is my decision and I should be the only one responsible for any consequences that happen. In the same way that I don't blame the government if my car breaks down because I haven't gotten an oil change in 5 years. And I certainly wouldn't demand that the government pay for the cost of repair if I choose not to, and would be concerned that if I did the government would now feel perfectly entitled to mandate that I take my car in for an oil change every X months (and any other mandates it feels are important for proper maintenance).


See how handing the responsibility of the results of your life choices also hands the freedom of those choices away? This is exactly why conservatives are screaming at the whole "mandate that people buy health insurance and fine them if they don't" bit. To us, this is the proof that this path results in loss of liberty and we honestly can't figure out why so many people can't see it and/or don't care.

Edited, Nov 19th 2010 7:21pm by gbaji
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#22 Nov 19 2010 at 10:06 PM Rating: Excellent
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gbaji wrote:
I reject the premise that government can make our health care system "better" by mandating coverage levels and costs.

Right! It'll be so much better if we place no standard upon it whatsoever! Then we can just pretend it's better because any benchmarks are POISON PILLS!!

Quote:
Maybe you did.

That's right! I totally missed out on a bill that would have magically been just as productive as the Democratic bill... but we can never, ever test it because expecting it to meet any standards is a POISON PILL!!!!

HAHAHAHAhahahahaha...
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Belkira wrote:
Wow. Regular ol' Joph fan club in here.
#23 Nov 19 2010 at 11:25 PM Rating: Good
MoebiusLord wrote:
MDenham wrote:
MoebiusLord wrote:
Smasharoo wrote:
The current model of expensive private insurance combined with *even more expensive* safety net care for the uninsured along with the current state of tort law is pretty much a perfect storm of shit guaranteed to provide mediocre care at extravagant cost.

You're right. We should deregulate, allow more a la cart options, enact tort reform and make the entire thing cheaper.
I don't see any incentives for people to get regular checkups in there whatsoever. How about a "failure to do so guarantees your rates will be at least 300% the baseline population's average" clause?

Deregulating would allow companies to charge for risk, like other insurance industries. That's an inherent incentive to regular check-ups and health maintenance.
Inherent incentives don't work. Otherwise people would be getting regular checkups because of the inherent incentive of being healthy.

Nice try, though.
#24 Nov 19 2010 at 11:45 PM Rating: Good
MDenham wrote:
MoebiusLord wrote:
MDenham wrote:
MoebiusLord wrote:
Smasharoo wrote:
The current model of expensive private insurance combined with *even more expensive* safety net care for the uninsured along with the current state of tort law is pretty much a perfect storm of shit guaranteed to provide mediocre care at extravagant cost.

You're right. We should deregulate, allow more a la cart options, enact tort reform and make the entire thing cheaper.
I don't see any incentives for people to get regular checkups in there whatsoever. How about a "failure to do so guarantees your rates will be at least 300% the baseline population's average" clause?

Deregulating would allow companies to charge for risk, like other insurance industries. That's an inherent incentive to regular check-ups and health maintenance.
Inherent incentives don't work. Otherwise people would be getting regular checkups because of the inherent incentive of being healthy.

Nice try, though.

Your logic is incorrect. Fast food is cheap and convenient yet unhealthy for you in any meaningful quantity. The incentive of saving time and money outweighs the incentive of being healthy in most people. There are countless other examples. Give people a reason that hits them in the pocketbook, they'll respond.
#25 Nov 20 2010 at 12:15 AM Rating: Good
MoebiusLord wrote:
Your logic is incorrect. Fast food is cheap and convenient yet unhealthy for you in any meaningful quantity. The incentive of saving time and money outweighs the incentive of being healthy in most people. There are countless other examples. Give people a reason that hits them in the pocketbook, they'll respond.
There's one problem in your logic: fast food isn't cheaper than making your own damn dinner.

So it's the incentive of saving time despite the added expense over that of being healthy, which makes a monetary incentive kind of useless because people are already doing stupid things even though it already costs them more.
#26 Nov 20 2010 at 12:22 AM Rating: Good
MDenham wrote:
MoebiusLord wrote:
Your logic is incorrect. Fast food is cheap and convenient yet unhealthy for you in any meaningful quantity. The incentive of saving time and money outweighs the incentive of being healthy in most people. There are countless other examples. Give people a reason that hits them in the pocketbook, they'll respond.
There's one problem in your logic: fast food isn't cheaper than making your own damn dinner.

So it's the incentive of saving time despite the added expense over that of being healthy, which makes a monetary incentive kind of useless because people are already doing stupid things even though it already costs them more.

Impulse meal decision: it would cost me about $14.00 to make cheeseburgers, fries and get soda for myself and my family. I could get the same thing from McDonalds for about $10.00. Try again.
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