Jubbergun wrote:
It's not popular
It's popular with basically everyone who has a pre-existing condition or a relative with one, as well as with everyone between the age of 21 and 26 who is unemployed but has parents with insurance (as well as their parents).
Between those two groups, you are talking about tens of millions of Americans. I'm not saying that's a good thing or a bad thing, just that in purely objective terms, the bill can't but be popular.
Jubbergun wrote:
Some of you say this is a good thing, that it's "progress" or "moving forward." Sometimes progress is realizing you're going in the wrong direction and turning back the way you came.
"Backwards" is "let people die".
You're also overlooking something very important.
Simple math: if per capita productivity grossly exceeds per capita consumption, full employment is mathematically impossible. And if full employment is mathematically impossible, so is privatized healthcare.
For reasons that have nothing to do with politics etc and everything to do with technology, working women, and the fact that the Third World now has industrial capacity and is no longer completely reliant on imports from the West for their needs, export/shortage-driven full employment is no longer mathematically possible even if we had a perfect trade balance.
Jubbergun wrote:
Our system has a lot of problems, but I don't think the ACA does anything to fix them, it just subsidizes them.
I agree with this.
Jubbergun wrote:
High demand is part of our problem, but we've removed any real personal cost for choosing to seek medical care. There are too many people heading for a doctor's office when they have the sniffles, because it's only $10-$25 to get your doctor to tell you what any idiot should already know: you're sick, go the fuck to bed and enjoy your chicken noodle soup.
Why do you believe this?
Jubbergun wrote:
Another part of the problem is that the government, though programs like Medicare and Medicaid, jack up costs for everyone else by telling providers what it's going to pay. Between the government paying 3/5-4/5 of what goods/services are worth and people who don't pay anything at all, that leaves a lot of money to make up for providers, and they make it up with little tricks like the infamous $12 Tylenol. I know this is, in part, an attempt to fix that, but I think a better answer would be for providers to develop a price for a particular good/service, and all payers, be they private individuals, insurance companies, or the government, should pay that cost.
This is false. Medicare and Medicaid have lower comps than private insurance, but their admin overhead is also a small fraction of private insurance. Public healthcare is simply more efficient.
Jubbergun wrote:
The law also does nothing to reform any of the tort law that is driving up the cost of malpractice insurance. I guess that's not surprising considering how many lawyers are in congress, or how much many lawyer's groups toss at congress. I'd suggest some huge reforms to malpractice law including caps on damages, some basic rules of evidence for bringing a suit, and some sort of third party/government body with the power to review and settle most claims without the expense of a trial.
Malpractice abuse is over-exaggerated. The burden of proof is high and so is the cost of bringing a suit. Doctors as a class have a vested interest in protecting the integrity of their profession. And doctors are typically well-off and therefore have the financial means to defend themselves against a suit. If a doctor is getting sued for malpractice, odds are it is because he did something very wrong.
Jubbergun wrote:
The only thing I really liked in the bill was that insurance companies can't just drop customers after years of service because they start getting sick and costing money.
Not quite. What the bill does is make it so means providers can't refuse to cover people because they have a pre-existing condition.