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Trump's Full Court Press on healthcare

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LawBeefaroni
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Re: Trump's Full Court Press on healthcare

Post by LawBeefaroni » Thu Aug 08, 2019 9:08 pm

the average wage worker in the United States has the second-highest tax rate in the developed world
Sure, it's a regressive tax. Working as planned.

Average workers need to have high rates so the 1% doesn't.
" Hey OP, listen to my advice alright." -Tha General
"No scientific discovery is named after its original discoverer." -Stigler's Law of Eponymy, discovered by Robert K. Merton

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Re: Trump's Full Court Press on healthcare

Post by malchior » Thu Aug 08, 2019 10:09 pm

Pyperkub wrote:
Thu Aug 08, 2019 6:16 pm
A good look at employer sponsored health care as a tax:
The third source is employer-sponsored insurance, which covers about 159 million workers, spouses, and children. Employer insurance is very costly, with the average family premium running just under $19,000 a year. For average wage workers living in a family of four, this premium is equal to 26.4 percent of their total labor compensation. If you count this premium as taxes for international comparison purposes, the average wage worker in the United States has the second-highest tax rate in the developed world, behind the Netherlands. As with Medicaid, employer insurance is very unstable, with people losing their insurance plan every time they separate from their job (66 million workers every year) or when their employer decides to change insurance carriers (15 percent of employers every year).
This is the only way to analyze it. We spend about 150% of what the rest of the advanced economies do per capita with worse results. Keep in mind that ACA targets 25% overhead going to insurance/bill processing/etc. This system is massively inefficient, costly, and shitty for many. Rural hospitals are folding at about one a month (mostly in states that didn't expand Medicaid), and overall the system is slowly failing. ACA stopped it from imploding in say 5-10 years but it is still failing. Just another ticking time bomb that the boomers have built for the rest of us.

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Re: Trump's Full Court Press on healthcare

Post by Kraken » Thu Aug 08, 2019 10:42 pm

LawBeefaroni wrote:
Thu Aug 08, 2019 9:08 pm
the average wage worker in the United States has the second-highest tax rate in the developed world
Sure, it's a regressive tax. Working as planned.

Average workers need to have high rates so the 1% doesn't.
Do the 1% even have health insurance? Why would they?

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Re: Trump's Full Court Press on healthcare

Post by LawBeefaroni » Thu Aug 08, 2019 11:10 pm

Kraken wrote:
Thu Aug 08, 2019 10:42 pm
LawBeefaroni wrote:
Thu Aug 08, 2019 9:08 pm
the average wage worker in the United States has the second-highest tax rate in the developed world
Sure, it's a regressive tax. Working as planned.

Average workers need to have high rates so the 1% doesn't.
Do the 1% even have health insurance? Why would they?
That's the point. It's a tax by proxy so the 1% don't have to pay it. If it were an actual tax they might have to bear some of the burden.
" Hey OP, listen to my advice alright." -Tha General
"No scientific discovery is named after its original discoverer." -Stigler's Law of Eponymy, discovered by Robert K. Merton

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Re: Trump's Full Court Press on healthcare

Post by LordMortis » Mon Sep 16, 2019 4:16 pm

Just had a youtube ad make an appeal to me that medicare for all would double our income taxes and not fix anything, informing the real problem is to fix what's broken....

I kinda wish I'da noted what the political ad's website was. I really want to know how they intend to fix what's broken that they've been sitting on for 3 plus years and didn't think about all the years leading up to it. I can't say I'd approach it with an open mind but I do want to know.

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Re: Trump's Full Court Press on healthcare

Post by Isgrimnur » Thu Oct 03, 2019 4:09 pm

NPR
President Trump gave a speech and signed an executive order on health care Thursday, casting the "Medicare for All" proposals from his Democratic rivals as harmful to seniors.

His speech, which had been billed as a policy discussion, had the tone of a campaign rally. Trump spoke from The Villages, a huge retirement community in Florida outside of Orlando, a deep-red part of a key swing state.
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The executive order he signed had previously been titled "Protecting Medicare from Socialist Destruction" on the White House schedule, but has since been renamed, "Protecting and Improving Medicare for Our Nation's Seniors."
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The order is intended, in part, to shore up Medicare Advantage, an alternative to traditional Medicare that's administered by private insurers. That program has been growing in popularity, and this year, premiums are down and plan choices are up.

According to administration officials, the executive order directs the Department of Health and Human Services to take action to improve several aspects of Medicare, including expanding plan options for seniors, encouraging innovative plan designs, and improving the enrollment process to make it easier for seniors to choose plans.

The order also appears to include a grab bag of proposals, including removing "unnecessary regulations that get in between patients and their doctors," new online tools to help people choose their Medicare plans, quicker access to "breakthrough treatments," and better access to medical information, according to Seema Verma, the administrator of the Centers for Medicare and Medicaid Services, who spoke to reporters in a briefing call Thursday.
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Without a big health reform bill, the administration is positioning itself as a protector of what exists now — particularly Medicare.
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Medicare is extremely popular. People who have it like it, and people who don't have it, think it's a good thing, too. A recent poll by the Kaiser Family Foundation found that more than eight in ten Democrats, independents, and Republicans think of Medicare favorably.

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Re: Trump's Full Court Press on healthcare

Post by Isgrimnur » Wed Nov 06, 2019 4:36 pm

Skinypupy wrote:
Wed Jun 12, 2019 10:05 am
'Conscience Rights' for health care workers.
Last month, the U.S. Department of Health and Human Services put out a new rule that "implements full and robust enforcement" of existing laws that protect what the administration calls "conscience rights" for health care workers. The rule is set to go into effect on July 22.
NPR
In a blow to the Trump administration, a federal court in Manhattan has knocked down a rule that would make it easier for doctors and other health care workers to refuse care for religious reasons.

U.S. District Judge Paul Engelmayer ruled Wednesday that the Department of Health and Human Services, which issued the regulation earlier this year, exceeded its authority and "acted arbitrarily and capriciously" in promoting it.

The department's violations of federal law, according to the judge's opinion, were "numerous, fundamental, and far-reaching" — and he vacated the rule entirely, just over two weeks before it was set to take effect on Nov. 22.
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As NPR has reported, this rule was part of a big push from the Office for Civil Rights to bolster "religious freedom" in health care. Severino, who is Catholic and formerly of the conservative Heritage Foundation, has argued that previous administrations did not fully enforce existing law that protected what supporters call health care workers' "conscience rights."

To remedy that, Severino created a Conscience and Religious Freedom Division in January 2018, and in May of this year, his office issued this rule.
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Complaints of such violations are relatively rare — for a decade, the office would receive an average of one complaint like this each year. Severino frequently pointed to a jump in those complaints to 343 last year as proving the need for this rule. He attributed that increase to a strong message from his office that they were "open for business" when it came to issues of religious freedom.

However, that increase in the number of complaints is "demonstrably false," according to Engelmayer's ruling. Nearly 80% of all the complaints given to the court were about vaccinations — unrelated to health care workers and their religious beliefs in providing care.

The judge writes that only 21 — or 6% — of the complaints that the government provided the court are even potentially related to providers' moral or religious objections. During oral arguments, the government's attorney conceded that the real number of complaints was "in that ballpark."

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Re: Trump's Full Court Press on healthcare

Post by Isgrimnur » Tue Dec 10, 2019 3:14 pm

Vox
A trio of Supreme Court cases consolidated under the name Maine Community Health Options v. United States may fairly be described as the first “normal” Obamacare case to reach the Supreme Court.

They do not involve an existential attack on the Affordable Care Act, and they did not arrive on the justices’ doorstep after months of political turmoil over how the courts should resolve these cases. And during arguments Tuesday, a majority of the justices appeared to treat Maine Community as what it is — a difficult dispute about how the government makes promises and whether it is required to keep them, rather than as an opportunity to retreat into partisan camps.

Maine Community involves about $12 billion in payments owed to health insurers under a program known as “risk corridors.” Obamacare’s risk corridors program sought to encourage insurers to enter an uncertain new market by agreeing to reimburse a portion of their losses if the insurance company set premiums too low.

After many insurers agreed to sell plans on the Obamacare marketplace, Congress enacted a provision in an appropriations bill — a provision known as a “rider” — seeking to prevent the government from making most of the payments under the risk corridor program. The question in Maine Community is whether the government is still obligated by the Affordable Care Act’s original promise to make these payments, or whether the rider effectively ended the requirement.

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Re: Trump's Full Court Press on healthcare

Post by Isgrimnur » Fri Jan 24, 2020 12:02 am

WaPo
During an interview with CNBC on Wednesday, Trump was asked, “[Would] entitlements ever be on your plate?” Entitlements are, of course, Washington-speak for Medicare and Social Security. Trump responded, “At some point they will be,” adding, “It’ll be toward the end of the year.” Just in case Trump misunderstood, Joe Kernen followed up, reminding him this was something he had “said you wouldn’t do in the past” and specifically mentioning Medicare. Trump cut him off. “Well, we’re going to look.”
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Trump’s pitch when he ran for president, from the very first day of his campaign, was that he was the Republican who would, and I quote exactly, “save Medicare, Medicaid and Social Security without cuts.” He repeated that as recently as Thursday on Twitter: “Democrats are going to destroy your Social Security. I have totally left it alone, as promised, and will save it!” It was an obvious con then and is an obvious con now. In 2016, both the Trump campaign chief policy adviser and a prominent supporter assured people their man didn’t mean it.

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