General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsTrump's Actions Are About Crashing The Entire Health Care System Not Just ACA.
Actually the GOP as well as Trump wants to see the entire system collapse so they can shape it the way they want. it is about breaking Humpty Dumpty then reassembling him based on GOP, free market and conservative formulas. That model would mean NO regulation and buying all insurance across state lines. There would be NO government involvement. It would be wholly corporate run operation. All the Obama protections would disappear entirely.
It would be a totally free market model based on the "usage" principal. It would be like car insurance. Those people using less would pay less while the people using the most would end up paying more or end up not having any coverage.
Think about how they talk about anything. It is supply and demand in its purest form. The sickest could be sacrificed to keep premiums down for the most healthy.
ADDENDUM. I have pretty much come to the above conclusions based on their rhetoric. Then I took what they have said to its final logical conclusion. The trouble is that most voters just to not analyze what is said and carry it forward to what outcomes would be.
Matthew28
(1,798 posts)Huge monopolies would end up controlling everything and only the very well off will be able to afford it.
This is the republican model of our future if we don't vote democrat big time!
Demtexan
(1,588 posts)Just a few of us to the dirty work.
TheMastersNemesis
(10,602 posts)So many Americans are just so clueless.
Iliyah
(25,111 posts)a total fuck up dealing with lives. It will not work and they know it. People who can't afford suffers. ERs won't be able to help them, the health care system will fail. But they do not care.
Irish_Dem
(46,988 posts)about the welfare of the American people then. Even Obama, a realist, was shocked.
And they don't care now about healthcare, how many people will die. They will crash it just like they did the economy.
vlyons
(10,252 posts)would enable to allow insurance companies to flock to states with the very weakest consumer protections. Like everything else in this country, anti-trust laws will be ignored.
Wellstone ruled
(34,661 posts)We are headed for Health Care for the Privilege and only available to those who could afford Insurance.
JCMach1
(27,556 posts)Controlled by corporate monopolies...
Doreen
(11,686 posts)Work us until we drop in place. Toss us into a hole and move on. It's the repuke way.
global1
(25,242 posts)GOTV for the Dems in 2018 and win back the House and the Senate. We must run against all Repugs in 2018. We can't just focus on Trump as he is not running. If we make 2018 about Trump we'll lose. We need to make it about the Repugs and all the damage that they are enabling or doing to this government and democracy.
We also need to stop using the term 'Affordable Care Act/ACA' and 'Obamacare'. Given what has happened in the last few days - we need to hang 'healthcare insurance' around the necks of the Repugs. The Repugs and Trump now owe it.
I use the term Trumpcare. Trump will eat this up because it uses his name/brand. But when it all comes crashing down - the blame needs to fall on the Repugs and Trump. Trump will be conflicted. I can't wait to see his tweets about that.
Just like the Repugs wanted to hang a negative connotation by coining ACA - Obamacare - we need to hand the negative moniker on what comes now as Trumpcare.
BigmanPigman
(51,585 posts)you cross the border and see a Mexican doctor it is far cheaper than here (even with insurance). I do not know how I to bring drugs prescribed by a foreign doctor over the border even if it is legal.
Does anyone on DU know how that works with customs? Can you bring legally prescribed drugs into the country (especially Mexico or Canada)?
In the past if you had a prescription you could bring them in if they were approved for use in the US. I've known a lot of people who brought in drugs they didn't even have a prescription for (things like Cipro, corticosteroids, dermatological stuff) and they weren't even checked. They're after things that can be abused.
Prescription drugs are cheaper in most other countries. The drug companies have a "progressive" pricing scheme--if you can pay more as a society you pay more. In some countries the price covers cost of production and shipping, not much more. It's both business and public principles at play--if you leave the market open, black market drugs will patent-breaking production will become common and it's expensive to defend against intellectual property crimes. Moreover, not selling the drugs (and defending property) would be seen as immoral; it's already a problem with drug companies not producing drugs for sale in other countries when they'd only lose money. People usually have higher standards for what others should do than what they should do themselves.
Mean household income in Mexico is around $10k/year. In the US, it's around $70k/year (median is around $50k). Except drugs in Mexico to cost less. Expect medical services in general to cost less, including the wages for doctors and nurses.
But drugs are also cheaper in other countries because of differences in regulation. US FDA regs can increase some drug costs, and cheaper knockoffs are often available in other countries made under less rigorous regulatory schemes. It may mean contaminants, it may mean that what you get isn't at the strength shown on the label.
Note that "I'm going to take my business for services out of the country because it's cheaper and I want to save money" is a common thing to say in some parts of the SW. When a person does it, well, it's just being prudent. If 10k people do it, it's 10k people being prudent and a sign that things are too expensive here so they're taking their traffic elsewhere. It's still a good thing. After all, we all like to save a dime, whether your income is $10k/year or $100k/year.
When a company does it it's called "off-shoring" and it means American jobs are being exported. In the case of an individual going, no big deal--a doctor loses some revenue. If 10k people go, it means a few doctors, some nurses, and some clerical assistants lose their jobs, even if that may be spread out in a way that you can't point to the practice being put out of business. Now, we have a bit of a doctor shortage in many areas and nobody would balk at lowering doctors' wages. But we don't have a shortage of clerical staff. It's the same effect as a small company off-shoring, or a large company offshoring just one aspect of its in-house workforce.
People often have higher standards for what others should do.
We'll leave aside that Mexico also has a bit of a doctor shortage, and every person from the US who goes there for treatment helps keep wages high for doctors and keeps doctors bunched up close to the border, helping to make the doctor shortage more acute in other, lower-paying areas.
BigmanPigman
(51,585 posts)I do not speak Spanish. I guess I could find a friend to go with me who knows the language. I can barely understand English speaking doctors when they try to explain things to me.
Ms. Toad
(34,066 posts)Since that's pretty much the system that existed before the ACA. In case you were healthy enough not to be aware that's how it worked just a few short years ago.
yuiyoshida
(41,831 posts)Can't pay us? Too bad, guess you will just die than....
no_hypocrisy
(46,088 posts)diverdownjt
(702 posts)If you work for a company that pays for health insurance you would become a slave to it
just to stay healthy.....Wait a second that's our current situation...
Calculating
(2,955 posts)How does that make sense? How is it fair for those who use the least to pay more in order to subsidize those who use the most.? Not trying to sound heartless here, but the logic is sound.
dawg
(10,624 posts)Seriously.
They just don't think that much.
The original push to repeal and replace Obamacare was all about tax cuts for rich people. To Hell with everything else.
This EO is just about spite.
That's all.