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Just as it says...
#425338
I guess we shouldn't be complaining about our £8.00 prescription costs ( free if you live in Scotland which pisses the English and Welsh off). And free for kids and people on benefits. Everything else is free. Hospital visits, doctor visits, surgery. There is the private option available which doesn't always mean you get better care but you get dealt with faster and hotel conditions in the hospital. Dentists aren't free. Some drugs, the very , very expensive ones aren't always prescribed, the local health trust have an allotted amount of money and have to make decisions on how it's spent. It does mean care and drugs available vary from area to area. Trust have to weigh up things like, prescribe this drug for this one person or do ten by pass operations. That sort f thing.

The NHS is under strain in the UK , partly because of unrestricted immigration. Generally the Uk population aren't against immigration, it's the scale of it. The scale of it and benefit Britain, which is a bug bear of mine but I won't go into that now.

Back to the States. It sounds quite scary that you have to pay so much for health care. Some people must just not be able to pay that amount.
In the UK certain health care has to be offered even to foreign nationals on holiday or visiting relatives free. No questions asked. And that is any emergency treatment and anything to do with childbirth. Front line health care , there may be other things in that category. government then try to claim back from the persons home country, but in reality they rarely get the money back.
#425347
I take offense to that! I am not a communist! I feel very strongly the the best type of governance is a mixture of socialist high standard of living that allows for an entrepreneurial economic environment withing a regulated market.

Comrade = a fellow socialist (or communist), so get your knickers out of the bunch you dropped them into for no reason :P

Are you implying that communists share everything? Including undergarments? How about swinging? :wink:

Speaking of communists did you guys check out the vid of Putin putin' the moves on the Chinese First Lady? :hehe:
#425373
There are tangible benefits I feel because of the ACA, even though I work for a large corporation that by all definitions provides insurance that would likely classify as platinum under the ACA. I still have to fork over 450 dollars a month for it, and that's not including whatever the company pays on top of that. So your cost MOA is not that much more out of line. Healthcare is expensive because of the astronomical malpractice insurance doctors pay, it's expensive because doctors are in debt for a hundred thousand dollars when they get out of school, and they are expensive because it's precisely the regional and local variances that allow for loopholes. The companies that set usual and customary rates for doctors are owned by health insurers! Talk about letting the fox run the henhouse and you wonder why the chickens keep disappearing.

The cost is the cost, but that cost is way over what we can reasonably afford, so it's not affordable to us, which was the whole point of Obamacare, to make healthcare affordable for everyone. My wife has fibromyalgia and has tried all the generic drugs used to treat the condition and Lyrica and Cymbalta are the only combination of drugs that works for her. Just to be clear, I am not saying that the ACA is bad, I'm just saying it has issues, I also realize there was so much objection to the bill that it is probably not even close to the original bill that was presented by President Obama five years ago.

The issue is that the drugs my wife needs are tier 3 which means no bronze plan will cover it in any way, shape or form. After speaking to someone from the Marketplace, I might need to get a platinum plan to be eligible for coverage of these specific drugs, which don't leave much change from $1k.

I don't buy that tier 3 drugs are not covered by Bronze plans. Mine certainly does - there's the deductible to be met first before the insurance kicks in and pays, but once you've met the deductible, they're covered. Unless Kansas has some different rules, I don't see why they wouldn't be covered by your Bronze plan.

I was told by my insurance provider, Coventry Healthcare of Kansas that Lyrica was not covered, even after paying off the $5,600 deductible, even if it were covered after the deductible, it would take 11 months of insurance not covering the medication before they would pay for it.
#425375
It falls short on many accounts, but the idea was to have something that once integrated, would provide tangible enough benefits to a large segment of the population and therefore would be difficult to take away and there would be incentive to continue to build upon it. Yeah right... as if anything like that would happen in the current political environment of this country. :rofl:
#425376
There are tangible benefits I feel because of the ACA, even though I work for a large corporation that by all definitions provides insurance that would likely classify as platinum under the ACA. I still have to fork over 450 dollars a month for it, and that's not including whatever the company pays on top of that. So your cost MOA is not that much more out of line. Healthcare is expensive because of the astronomical malpractice insurance doctors pay, it's expensive because doctors are in debt for a hundred thousand dollars when they get out of school, and they are expensive because it's precisely the regional and local variances that allow for loopholes. The companies that set usual and customary rates for doctors are owned by health insurers! Talk about letting the fox run the henhouse and you wonder why the chickens keep disappearing.

The cost is the cost, but that cost is way over what we can reasonably afford, so it's not affordable to us, which was the whole point of Obamacare, to make healthcare affordable for everyone. My wife has fibromyalgia and has tried all the generic drugs used to treat the condition and Lyrica and Cymbalta are the only combination of drugs that works for her. Just to be clear, I am not saying that the ACA is bad, I'm just saying it has issues, I also realize there was so much objection to the bill that it is probably not even close to the original bill that was presented by President Obama five years ago.

The issue is that the drugs my wife needs are tier 3 which means no bronze plan will cover it in any way, shape or form. After speaking to someone from the Marketplace, I might need to get a platinum plan to be eligible for coverage of these specific drugs, which don't leave much change from $1k.

I don't buy that tier 3 drugs are not covered by Bronze plans. Mine certainly does - there's the deductible to be met first before the insurance kicks in and pays, but once you've met the deductible, they're covered. Unless Kansas has some different rules, I don't see why they wouldn't be covered by your Bronze plan.

I was told by my insurance provider, Coventry Healthcare of Kansas that Lyrica was not covered, even after paying off the $5,600 deductible, even if it were covered after the deductible, it would take 11 months of insurance not covering the medication before they would pay for it.

That's odd and a pain in the arse. Btw. Most often the drug deductible is part of the whole family deductible, so that deductible should be met relatively quickly...
#425377
It falls short on many accounts, but the idea was to have something that once integrated, would provide tangible enough benefits to a large segment of the population and therefore would be difficult to take away and there would be incentive to continue to build upon it. Yeah right... as if anything like that would happen in the current political environment of this country. :rofl:

You are my Facebook friend, you know my view of the current political situation, the Republicans are so desperate to screw Obama that they are willing to screw the people they represent at he same time, the government shutdown at the end of last year is a good example of this, which mean millions of government workers were off work unpaid while these idiots in the house and senate were still on full pay. Kinda off the point but, in my opinion, a true statement.

That's odd and a pain in the arse. Btw. Most often the drug deductible is part of the whole family deductible, so that deductible should be met relatively quickly...

We might have to split up our insurance premiums, my wife needs a platinum plan while myself and the kids need a bronze plan as we are all reasonably healthy and don't need medication other than general short term sickness medications.
#425382
All these websites have a political slant one way or another, I generally don't believe any of it, regardless of what side of the political divide they fall on.

Bottom line, the ACA has helped more than 10 million people get insurance who would not have any any coverage at all, that can not possible be construed as a bad thing. The individual mandate is a problem, to me that is the same as saying if you buy a Japanese car you will have to pay more for your tags and registration. But that does not completely undermine the system, as Obama explained it, the mandate was designed to discourage people waiting until they get sick before getting insurance as Insurance companies are no longer allowed to deny based on pre-existing conditions.
#425385
All these websites have a political slant one way or another, I generally don't believe any of it, regardless of what side of the political divide they fall on.


This is one of the authors of the bill admitting that it was passed under false pretenses. It is not being reported on ABC, NBC, CBS, or The New York Times so you, of course, can choose not to believe it.
#425389
All these websites have a political slant one way or another, I generally don't believe any of it, regardless of what side of the political divide they fall on.

This is one of the authors of the bill admitting that it was passed under false pretenses. It is not being reported on ABC, NBC, CBS, or The New York Times so you, of course, can choose not to believe it.

In the USA people can be bought and sold like commodities, politicians and their aids doing the bidding of pharmaceutical companies and corporations. Just because an article doesn't come from big name media, doesn't mean it isn't slanted one way or another politically, videos can be doctored. I'm not saying it's not true necessarily, I have no evidence to the contrary, but what I can see is millions of Americans insured that were not before because of cost or pre-existing conditions.
#425390
-7 Million Americans (and growing) have health insurance that couldn't have access to it before for a variety of reasons.

-no rejection from an insurance company because of pre-existing condition.

-A young adult can now be covered by their parent's family health insurance till the age of 26 before they got cut loose at the age or 18.

-There are no longer lifetime maximum limits allowed, it used to be that many types of claims would be capped.

-80% of revenue has to be put into the business, claims and operations, no more than 20% profit can be extracted.

Those things don't seem like scams to me. There are far more people now getting health care, people that would normally not be able to pay and have that deficit absorbed by you and I. Creating further revenue and income for doctors and hospitals. Insurance companies and private emergency care clinic providers were to primary lobbyist against the ACA. (what does that say?) We can discuss the political aspects and implications of it, but it seems to me that calling it a scam is more than a bit disingenuous, when the intent of having a single payer system so that EVERYONE in the country had access to the health insurance through the government but that was too socialist a concept to it was scrapped right away as it would not be accepted... stupidity of the American voter indeed.

If you want to call something a scam, why not comment on the pricing for censored drugs the US pays when compared to other countries?

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