The Repeal of Obamacare/ACA: Step-bystep, Inch-by-inch

Someone named Lauren DeStefano on Twitter:

“100-200 years ago, people ate organic unprocessed food and didn’t have vaccines and lived to the ripe old age of died in childbirth.”

What is “Reeder-ruled”?

Reeder was a former poster who was constantly starting threads about Bush (like every few days). Eventually the mods told him that he was only allowed to have one Bush thread open at a time.

Are you truly that dense? Seriously?
I understand medicine just fine, i know how the human body works just fine, i know what the damned thing looks like turned inside out and spread all over the ground.
You still haven’t comprehended a word i said, not one, and they are not even complicated, and yet you call me stupid?

Yes you have a lovely 3d ultrasound imaging system, and a pretty new MRI unit, and a lovely cardio-pulmonary bypass unit and a thousand other very expensive items.

Great

You want to use them, fine, that’s your prerogative, all my blessings

I don’t want you using them on me
I don’t want you doing surgery on me
I don’t want you doing some kind of intervention on me
I will tell you want i want done which isn’t much you wont even need anything special, and if i can not tell you, you do nothing, yes really nothing, it’s ok.
If you have doubts that it’s ok, just check my bracelet necklace or ICE, there ya go, clear conscience.

Yes, i might die, i might not.
If i do, it was on my own terms, and that is fine.

Must i really have to pay 784 dollars for that?
The only good thing on it was it covered vaginal exams.
Say that’s something, if i ever mysterious grow a vagina i’m covered.

Just give me back what i had that i never used anyways.
Do you honestly not get that?

No, no palliative care, no hospice, no surgery of any type, no resuscitation of any sort etc etc etc.
Mud and leeches?
I doubt the hospitals have mud, and mud from here would be a bad idea probably, lot of “wee beasties” in it.

And leeches i can get for free at home, sometimes whether i like it or not, but since i dont plan on getting a skin graft or some such, and there are better natural blood thinners, and the fish dont seem to like them so i doubt they are much help.

I did not say otherwise, and he is writing about figures compiled by others.

…Mercola or Natural News reader?

What? A spanner in the works? This could get interesting.

The Republicans Trying to Slow Down Obamacare Repeal
*GOP Governors John Kasich of Ohio and Rick Snyder of Michigan urge lawmakers to protect the Medicaid expansions they say are working in their states.
*

Sigh. We knew we liked John Kasich.

Chaos ahead. (My bold.)

Muted Response From Health Lobby as Affordable Care Act Faces Repeal

It’s like no one believed it was really going to happen.

Well, shit, remember the sequester? Which was deliberately set up because it was so awful they were sure to come to their senses and vote it down. What a plan!

Even if you don’t remember what happened, you could probably guess.

Ok, fine. He said Medicaid. And YOU said Medicare. So what? You seem to be against expanding Medicare because then “It wouldn’t be Medicare”

How about you argue against the expansion of already in place programs, instead of getting hung up on the NAMES of the programs?

Not that I know, but is that what millionaires in London do? Go down to the local doctor’s office or whatever to get looked at? There are not private doctors that can be used instead?

I don’t know about Britain, but Australia has private doctors that millionaires visit. The visit is taxed pretty deeply, and this money goes to help fund the general program, the one millionaires don’t use. It works for everyone; there’s still an incentive to strive for the better plan, but no one goes untreated (or has to go to an emergency room with a clinic-treatable ear infection because they have no access to a clinic, as here in the U.S.)

I believe (but do not know for sure) that Canada also has supplemental plans, so that people who can afford to pay can get fancier medical treatment. They can’t jump the line to get treatment ahead of other people, but they can get into a private clinic with prettier rooms, less crowding, better food, more experienced nurses, etc.

Cool, thanks for the info.

Not exactly. Yes, there are supplemental insurance plans in Canada – usually employer-provided – but the key operative principle is that private insurance cannot apply to medically necessary procedures. The most common uses for supplemental insurance are for private hospital rooms, drug plans for those of less than retirement age, eyeglasses, dental, and a few random amenities.

The key principle of the Canada Health Act is that the single-payer plan is payment in full for all medically necessary procedures at the pre-negotiated set rates, and except for non-residents who must pay their own way, neither extra billing nor any form of private insurance is allowed. Hospital billing departments are there to process any extras and to deal with non-residents – most patients walk out after hospital stays without paying a dime or even talking to the billing department – all they need is the health card number they took when you were admitted.

The only real expense of a Canadian hospital stay is the famed parking ripoff, if you were silly enough to drive there and leave your car in the visitors’ lot for an extended period! Which is doubly silly because in any sort of even marginal emergency, ambulance services are generally subsidized – in Ontario the flat fee is $45, and even that is waived for certain categories of patients.

I rate as middling to high the likelihood that any repeal does not restore the Medicare cuts mentioned in the quoted article above.

Might that actually make Congress an enemy of the massive health care industry?

There is private health insurance, BUPA, and I believe private physicians. Canada is unusual in leaving little space for private health care. Most developed nations have a thriving private healthcare sector. In Norway, it is quite common for it to bid on surgeries alongside the public actors.

They are two different programs, funded and managed in two different manners. That’s why it matters.

Here’s a couple of differences my family has experienced:

Medicaid paid for my spouse to have IV antibiotics administered at home, instead of insisting he remain in a hospital for that. Medicare does not fund home IV treatment and would have insisted he stay in the hospital

Medicare paid for a home nebulizer for my mother when she had chronic obstructive lung disease. Medicaid (in my state, at least) will not pay for that.

Medicaid does not pay for kidney dialysis. You get that from Medicare.

Medicare is a Federal program with uniform rules across the entire country. Medicaid varies by state, meaning there are 50 different sets of rules.

That’s just off the top of my head. I’m sure if anyone cares to google the two programs they’ll find even more differences.

Again, so what? If MediCAID was expanded to cover more people, that would be good. Or, if MediCARE was expanded to cover more people, that would be good. Why are you hung up on that?

Not true – Canada is unusual in leaving little space for private health insurance, relegating it only to supplementary services, for good and valid reason. But Canada most definitely has a thriving private health care sector – indeed the entire health care provider sector is almost entirely private. Hospitals are usually (but not always) non-profit institutions, but they are independent entities not owned or operated by the government, and the majority of doctors are in private practice while virtually all clinics and medical labs are private businesses.

Canada does not, however, have a two-tier public-private health care system in which private insurance supports an exclusive tier of providers accessible only to the privately insured, and this is by design and is indeed a foundational principle of the Canada Health Act. The reasons for this are partly historic and largely attributable to the proximity of the US health care market, where massively capitalized health insurers and an enormously profitable health care provider system are like wolves howling at the door, seeking any possible excuse or loophole to establish a profitable American-style health care tier to which access is governed entirely by ability to pay.

No hospice? Really? Dying slowly and painfully sucks, and hospice care makes it suck a bit less - you wouldn’t want that?