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It is basically a hole in a bucket. As long as money is going in faster than it is leaking out it will work. The overall medical cost of people who could afford insurance but are not getting it then get something like cancer is a pretty small percentage of the over all medical cost in this country and it won't crash the system. The mandate was at bone they threw to the insurance companies to get them to sign on and was more about forcing young healthy people to subsidize older less healthy people than it was about pre-existing conditions.
It is basically a hole in a bucket. As long as money is going in faster than it is leaking out it will work. The overall medical cost of people who could afford insurance but are not getting it then get something like cancer is a pretty small percentage of the over all medical cost in this country and it won't crash the system. The mandate was at bone they threw to the insurance companies to get them to sign on and was more about forcing young healthy people to subsidize older less healthy people than it was about pre-existing conditions.
With no pre-existing exclusions, a mandate to purchase is the only thing that stops everyone from waiting until they are in the back of an ambulance to get insurance. The provision is essentially there to keep the insurance companies from challenging the entire ACA in court (and winning) under restraint of trade and them not being subject to the interstate commerce clause as they have in the past. The most recent SCotUS precedent on the topic has insurance being State regulated.
Obama care repeal and replace
- 07/03/2017 12:33:18 AM
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The new House version looks fine.....
- 07/03/2017 03:12:55 AM
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A few questions - I've been doing a lot of reading on it but it's a hugely complicated matter.
- 07/03/2017 08:09:57 PM
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The "accross state lines" buzz is a farce. Do YOU want a PCP that is 800 miles away? *NM*
- 07/03/2017 09:18:57 PM
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That isn't what it means at all.
- 08/03/2017 03:21:27 AM
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But physician networks are local
- 09/03/2017 04:25:33 PM
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Of course they are.
- 09/03/2017 04:52:31 PM
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And your insurance premium would be WAY higher than it currently is with a native MA company.
- 10/03/2017 02:21:21 PM
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We could have benefited from reviews by Romneycares victims before taking it national
- 14/03/2017 02:17:28 PM
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One breakdown
- 07/03/2017 10:25:12 AM
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My head is going to blow up from reading all this news
- 07/03/2017 09:16:22 PM
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They can make it work and will just rasie rates
- 08/03/2017 03:52:50 PM
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That's the point though, isn't it?
- 08/03/2017 04:35:56 PM
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but it was the young that made it work and they are already opting out
- 10/03/2017 02:56:50 PM
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it wasn't a bone
- 10/03/2017 02:30:00 PM
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When you cut cancer out of a body, you don't replace it with something else...
- 07/03/2017 11:34:31 AM
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You know what I would propose?
- 08/03/2017 03:06:27 PM
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decoupling health insurance from employment eliminates an existing subsidy
- 08/03/2017 03:25:27 PM
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So what?
- 08/03/2017 03:53:29 PM
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I wasn't raising it as a show-stopper, because obviously it isn't one.
- 08/03/2017 04:17:47 PM
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As a self-employed individual, I have little sympathy for extending employer-based care 
- 09/03/2017 03:41:59 AM
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- 09/03/2017 03:41:59 AM
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Interesting. Wasn't expecting that, though it looks good to me. *NM*
- 08/03/2017 07:17:01 PM
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Looks like Republicans have TWICE the votes they need to kill it (in either chamber)
- 14/03/2017 01:50:35 PM
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As to healthcare itself, how are there no good options?
- 14/03/2017 01:59:17 PM
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I'm glad you asked...
- 14/03/2017 02:36:40 PM
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I have heard it said that "the perfect is the enemy of the good" 
- 14/03/2017 03:03:34 PM
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- 14/03/2017 03:03:34 PM
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the reason why Canadians with money seek treatment in the US is not bureaucracy
- 14/03/2017 04:00:09 PM
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