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Health Care Reform

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3.4K views 53 replies 18 participants last post by  DIRTMOD15JR  
#1 ·
#3 ·
No offense to anyone here:
Do you guys really, honestly, know much about healthcare as an industry? There are many parts of our healthcare system that need to be changed. Pre existing conditions? Absolutely ridiculous. Coverage terms and fees? Ridiculous.

Let me take Aetna as an example. I work for a large hospital conglomerate, that is part of an even larger group of hospitals across the nation. I often work on Aetna insurance claims, my job essentially being to make the insurance companies pay and deal with snags along the way. I cannot count how many times Aetna has delayed payment, denied payment, and all around wrapped us with red tape to avoid FULFILLING THEIR OBLIGATION TO THE INSURED THEY REPRESENT. I cannot stress this fact enough. In the current state of healthcare, it is in the insurance companies best interest to continue this strategy.

Why? Because eventually, we at the hospital won't catch something. Aetna won't pay, and we won't notice. Or we won't have the time to appeal a frivolous denial. And what happens? Well, the patient might just front the bill. Or the hospital eats it. Time paying a surgeon, that's gone, we're not getting money for that. Drugs, room time, all gone. Either way, everyone but the insurance provider loses.

And let me go back to a previous point, costs. The costs of healthcare continue to increase, copays, coinsurance rates, across the board. To the point of it being unaffordable to many folks who don't have access to larger amounts of funds. I'm sure you all know exactly what happens if you roll into an ER without insurance. In one of the premier first world nations, why is it that so many go bankrupt because of cancer, or another long winded illness. Look at the UK, look at Germany, look at Australia, and take a close look at their healthcare system, and how effectively they do work. I won't say their perfect, not nearly, but they help their citizens.

I'll leave you with a hypothetical. Lets assume you're married, and about to have your first child. You are insured through your job, but the company goes under, and you lose your coverage. Guess which part of your burgeoning family will not be able to get medical coverage? You guessed it, your wife, due to a pre existing condition. You'd really be surprised just how often this sort of thing happens.
 
#5 ·
From an outsiders point of view it's a total joke. I would like nothing more than for the UK to switch to private health care. If you have ANY sense & can afford it you use private healthcare anyway so yeah.

I don't really know what's happening in the states but I do know that you have better healthcare than us, fact.

You just have to pay a premium for it.
 
#6 · (Edited)
this can be a sensastive subject guys... keep it clean or this topic will be locked up

IMO, there should be a monopoly healthcare providor. BUT!!!! there should be several packages you can choose from and those packages should never be allowed to change.

example:

basic package:
covers basics like annual physicals, doctor visits, dental, ect... low price (lets just say $50 a month)

medium:
covers all the basics, and covers severe trauma accidents and hospital stay a few other stuff...(bike or car accident, ect...)(lets say $85 a month)

high coverage:
covers basics and medium, and covers any sugury needed for any reason, more stuff ect...(lets say $120 a month)

this is a quick example, do not take it seriously, its just to show how much coverage each should have and the cost difference. We should have many options for healthcare, but once you have a plan, your price should not be able to go up or down.

In other words, there should be a healthcare option for everyone based on what they can afford. And that price should not be allowed to change. As long as a patient can prove that they are part of a certain plan(simple ID card) the hospital should not make them pay no matter what the insurance company says.
 
#7 ·
I think healthcare is a great idea, heaven knows many people need it in our country, but I don't like the specific bill that was passed. It will mean that our family will have worse healthcare than we did before (my dads a professor). I think it's good that people with less income and worse healthcare will have better healthcare, but I think the healthcare should only come into effect individually if your current healthcare is worse than the government issued one. Like an option on a hospital bill, government healthcare is a choice, and so is your healthcare plan.
 
#10 ·
Then what do you say to someone who's hit by a car & dyeing except hasn't paid the $120 a month?

I see so much wrong with that design G36, I really disagree.
no no no, I just threw some example in there. I have no idea what should be in each plan, but there should be a lot plans for people to choose from. Or a "build your own" package. Something where the people can pick exactly what coverage they want for an affordable price. And a law, or something that would make it illegal for those prices to ever change.

IDK, its just an idea. I threw it out there to see what people would think. I am really no expert on this subject
 
#11 ·
The moderator says to keep this clean. So I will leave it at this. This bill is a slap in the face to all working Americans. Not just the rich. They never intended to reform Health care here. Its nothing more than a power grab. If it was reform they would have put Tort reform in the mix. They could have helped by letting insurance companies compete across the nation. They are not going to bring prices in line they will make it impossible for insurance companies to compete with the government. Then the government will have total control of the health industry. Any one who thinks its something different is fooling themselves.
 
#12 ·
no no no, I just threw some example in there. I have no idea what should be in each plan, but there should be a lot plans for people to choose from. Or a "build your own" package. Something where the people can pick exactly what coverage they want for an affordable price. And a law, or something that would make it illegal for those prices to ever change.

IDK, its just an idea. I threw it out there to see what people would think. I am really no expert on this subject
Yeah okay fair enough. :)
 
#13 ·
The moderator says to keep this clean. So I will leave it at this. This bill is a slap in the face to all working Americans. Not just the rich. They never intended to reform Health care here. Its nothing more than a power grab. If it was reform they would have put Tort reform in the mix. They could have helped by letting insurance companies compete across the nation. They are not going to bring prices in line they will make it impossible for insurance companies to compete with the government. Then the government will have total control of the health industry. Any one who thinks its something different is fooling themselves.
QFT. Oh god, QFT.
 
#15 ·
we need what Ireland and most of europe has, everything is just paid for by your taxes... simple and hasnt failed yet, republicans and democrats when they try it say "yes"... so basically just do that
 
#17 ·
we need what Ireland and most of europe has, everything is just paid for by your taxes... simple and hasnt failed yet, republicans and democrats when they try it say "yes"... so basically just do that
Sorry to say I can not agree with that. Its both these partys that have screwed up any chance of any kind of real reform. One for proposing the most radical change at a price that could very well bankrupt whats left of our country. The other for waiting till know to propose anything. Like I said we need reform but this isn't it. We pay so much in taxes now adding more will just push the ones that were squeaking by now into poverty.
 
#18 ·
Then what do you say to someone who's hit by a car & dyeing except hasn't paid the $120 a month?

I see so much wrong with that design G36, I really disagree.
You don't say a word. They get their hospital care, as hospitals are, by law, required to give life saving care. Then they are discharged as soon as possible, then go bankrupt from the bill. But wait, that's exactly what happens now.

Such a great system. I don't consider this bill a slap in the face to working Americans. Being one, I disagree with your statement. Feel free to disagree with the bill, as is your right, but saying you know exactly what the consequences will be is quite the stretch.
 
#19 ·
wth Skate what does QFT mean?
It means "Quoted for truth", Kinda like "+1" etc.

Such a great system. I don't consider this bill a slap in the face to working Americans. Being one, I disagree with your statement. Feel free to disagree with the bill, as is your right, but saying you know exactly what the consequences will be is quite the stretch.
I don't understand that last bit... wtf?
 
#20 ·
You don't say a word. They get their hospital care, as hospitals are, by law, required to give life saving care. Then they are discharged as soon as possible, then go bankrupt from the bill. But wait, that's exactly what happens now.

Such a great system. I don't consider this bill a slap in the face to working Americans. Being one, I disagree with your statement. Feel free to disagree with the bill, as is your right, but saying you know exactly what the consequences will be is quite the stretch.
The reason I say a slap in the face is because this is just one more entitlement program. Paid for by the working American. It means our taxes go up and the ones who had insurance that worked for them will now face higher payments as well as deductibles. As far as knowing what will happen. Its pretty clear. Look at every program the government runs. Name one that functions within its budget and has benefitted from government involvement? Not one. They can not even keep a balanced budget. Its not a stretch at all. This will not come in budget mark my words. They have changed the price 4 times since its introduction. There is no reform in the bill that will pass. And depending on exactly what Mr. Nelson was bribed with he may have opened the door to government funded abortions. Now However you feel about that is up to you. But I will say that this will cost a lot of politicians there jobs in the midterms. These are my opinions only. I have seen this process first hand and can tell you no I can not see the future but i've seen enough to be able to give you an educated guess.
 
#22 ·
The healthcare system needs help, yes, but completely handing it over to the government is not the answer. The main problem with the country, imo, is that there's too much spending. If we just cut back on spending (medicare and social security mainly), then everything would all work out better

Better yet, if the government would make its own, special, free clinics for ppl under ___ salary (I really don't know how much I'd do. $35,000 sounds fairly reasonable), that'd be even better. That way, if people want to do private, they can, but people who can't afford health care, can still get it free.
 
#23 ·
The healthcare system needs help, yes, but completely handing it over to the government is not the answer. The main problem with the country, imo, is that there's too much spending. If we just cut back on spending (medicare and social security mainly), then everything would all work out better

Better yet, if the government would make its own, special, free clinics for ppl under ___ salary (I really don't know how much I'd do. $35,000 sounds fairly reasonable), that'd be even better. That way, if people want to do private, they can, but people who can't afford health care, can still get it free.
I agree with you that the gov spends way to much of our hard earned money for special projects that do nothing except enable a large portion to sit on there rears and feed off the working folks.

The problem with your idea on the free clinic deal is there should be time limit on any program. It should never be intended for cradle to grave coverage. We have to get back to the way of thinking that we have to do for ourselves otherwise we will all be depending on the government to live and I don't think anyof us really want that.
 
#25 ·
It means "Quoted for truth", Kinda like "+1" etc.

I don't understand that last bit... wtf?
It was more of a joke than anything, poking fun at Dirt's generalization than any serious statement.

Really, I don't have much more to add. I've made my points about healthcare reform known. Yes, there is a major cost involved, but the result being 96%/94% of the American populace covered (depending upon which version you look at), I believe it's worth it, and for those who don't it's fully understandable. The destruction of pre-existing condition disbarment. Limited fees for those who do have outstanding conditions.

As a final caveat, I find it interesting you mention government funded abortions, considering both versions of the reform bill restrict abortions to the umpteenth degree. One disallows any abortions, including the removal of an already dead fetus, which serves no purpose to a woman other than a gigantic infection risk. Granted, I heard about this about a month ago, so the information may have changed.
 
#26 ·
It was more of a joke than anything, poking fun at Dirt's generalization than any serious statement.

Really, I don't have much more to add. I've made my points about healthcare reform known. Yes, there is a major cost involved, but the result being 96%/94% of the American populace covered (depending upon which version you look at), I believe it's worth it, and for those who don't it's fully understandable. The destruction of pre-existing condition disbarment. Limited fees for those who do have outstanding conditions.

As a final caveat, I find it interesting you mention government funded abortions, considering both versions of the reform bill restrict abortions to the umpteenth degree. One disallows any abortions, including the removal of an already dead fetus, which serves no purpose to a woman other than a gigantic infection risk. Granted, I heard about this about a month ago, so the information may have changed.
I respect your opinion. I am certainly glad you have one. Its a shame more folks do not show concern for the world around them. As afr as the government funded abortions. Don't be fooled by what they are saying can never happen. Given the loss of attention we will be paying for this that is a fact. They have been waiting for us to rest on it and they will have it in there. Im not going to get into a debate over that issue. I have my believes and it seems you have yours. The simple fact remains if we continue to spend, spend, spend we will have every single American living in poverty. But that may be exactly what they want to happen. Just look at the scale of rich to poor over the last 30 years.