obamacare and vaping?

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dave8944

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agreed...remove the incentive to just come here and leech off the system


healthcare needs to be fixed, insurance needs to be fixed...

These problems are not that hard to fix. If you put group of intelligent people in a room all with different ideologies, they could come up with a reasonable fix. It's the politics that gets in the way. Too bad we can't simply do the 20% of the things that 80% of us agree on.

It seems obvious to me that if we just jailed employers of illegals we'd stop illegal immigration, no fence needed. We could fix healthcare by making it catastrophic insurance you had to buy instead of a full plan with preventative care. Why make men buy a plan with coverage for mammograms? Preventative care has been shown to reduce life-expectancy anyway because people don't take as good of care of themselves when the doctor tells them they are fine.
 

WarHawk-AVG

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These problems are not that hard to fix. If you put group of intelligent people in a room all with different ideologies, they could come up with a reasonable fix. It's the politics that gets in the way. Too bad we can't simply do the 20% of the things that 80% of us agree on.

It seems obvious to me that if we just jailed employers of illegals we'd stop illegal immigration, no fence needed. We could fix healthcare by making it catastrophic insurance you had to buy instead of a full plan with preventative care. Why make men buy a plan with coverage for mammograms? Preventative care has been shown to reduce life-expectancy anyway because people don't take as good of care of themselves when the doctor tells them they are fine.
a little harsh...jailing for hiring illegals, jails are full of people right now for stupid laws anyway

Could you imagine how much auto insurance would cost if it payed out like healthcare?

Not sure on preventative care thing...will have to look into it more

Honestly...
Not_sure_if_serious.jpg
 

AttyPops

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These problems are not that hard to fix. If you put group of intelligent people in a room all with different ideologies, they could come up with a reasonable fix. It's the politics that gets in the way. Too bad we can't simply do the 20% of the things that 80% of us agree on.

It seems obvious to me that if we just jailed employers of illegals we'd stop illegal immigration, no fence needed. We could fix healthcare by making it catastrophic insurance you had to buy instead of a full plan with preventative care. Why make men buy a plan with coverage for mammograms? Preventative care has been shown to reduce life-expectancy anyway because people don't take as good of care of themselves when the doctor tells them they are fine.

1st paragraph: right on.
2nd...maybe. But to me insurance is about spreading the risks as broadly as possible...because you never know what happens. The main problem with the industry is in categorizing and cherry-picking. So just eliminate all that and simplify the whole thing. At a certain point, all that classification is....counterproductive. More or less creates a huge bureaucracy. Why should men help cover mammograms? Why should the young pay the same when they use less, and old pay the same when they use more? Why should women pay for men's prostate exams? Simply because you dump the whole population into a big insurance pool and streamline the whole process. Avoids some of the nanny stuff too. What about drug addicts? What about smokers? Drinkers? Illegal drugs? What about sun bathers and tanning booths? It's a slippery slope, IMHO. Just insure the stuff and reduce bureaucracy.

We'll deal with tanning beds on the back-side of the situation (tax em for increased burden to healthcare system).

As to preventative care....got a link to back that up?
 
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WarHawk-AVG

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1st paragraph: right on.
2nd...maybe. But to me insurance is about spreading the risks as broadly as possible...because you never know what happens. The main problem with the industry is in categorizing and cherry-picking. So just eliminate all that and simplify the whole thing. At a certain point, all that classification is....counterproductive. More or less creates a huge bureaucracy. Why should men help cover mammograms? Why should the young pay the same when they use less, and old pay the same when they use more? Why should women pay for men's prostate exams? Simply because you dump the whole population into a big insurance pool and streamline the whole process. Avoids some of the nanny stuff too. What about drug addicts? What about smokers? Drinkers? Illegal drugs? What about sun bathers and tanning booths? It's a slippery slope, IMHO. Just insure the stuff and reduce bureaucracy.

We'll deal with tanning beds on the back-side of the situation (tax em for increased burden to healthcare system).

As to preventative care....got a link to back that up?
agreed on the spreading of risk..but limiting the options to spread that risk creates bureaucracy too, then NOT keeping those guys in check (cousin works in medical field...insurance guy was delinquent on 300 Mil of payouts...funny...his bonus was right at 300 mil...hmmmm) fraud like that should have HARMFUL consequences...

Too many outs in the tax system..not loopholes...loopholes means it's getting around the law, it's written so convoluted and page after page...simplify!
 
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Fulgurant

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I by no means called you anything negative, let alone ignorant. I do think that (and was direct/terse about my thinking) a fence just isn't effective. There's not enough benefit to it unless you man it with armed guards every 1/4 mile 24/7. Otherwise you spend all your time repairing it. That picture with the ramp was hilarious. Then there's tunnels. Holes. Etc.

Besides, you could spend all your $$$$ building a fence and then they just use boats and go up the gulf or whatever. Then there's the whole Canadian boarder. It's easier for them to change routes than for us to build fences.

The Border Fence: Horrible Deal At Cost Up To $40,000 Per Illegal Immigrant Apprehended (Forbes)

Fair enough, no hard feelings.

That article amounts to an opinion piece written by two Democrats. I'm sorry, but I just find it amusing to hear politicians of any stripe dismiss a legally-mandated project on the basis that it isn't cost-effective enough, of all things. And the reasoning is loosely as I summarized it earlier: "Oh, the immigrants will take boats instead! They'll come through Canada!"

Yeah, well, it's significantly harder to take a boat or go through Canada [having started in Mexico] than it is to drive across an invisible border, isn't it? "Building a fence on the Rio Grande is unworkable for [insert reasoning about terrain here]!" That's a straw man: no one is so senseless as to insist that the fence must literally touch the border at every point. If it has to traverse inland at certain points, then so be it.

And as for whether a border fence hearkens back to "East and West Berlin," the difference between a totalitarian state and what we have here (at least as of this moment) is that the totatlitarian state builds walls to keep people in; we, by contrast, have to keep people out if we're to have any hope of making good on our social-program costs over the long term. If Julius Caesar could build ~40 kilometers of double walled fortifications over mountainous terrain in three weeks using 2,000-year-old technology, I just find it really hard to accept that we couldn't attempt something similar here for less than the cost of providing for all of the people who slip through the border uncontested. It'd certainly take more counter-evidence that the largely emotional posturing in that article to sway me. YMMV.

This is not a matter of skin color, either. If we had tens of millions of undocumented Canadians living in this country, I'd certainly support stronger border security up there -- but as things stand now, we Americans may end up fleeing North. ;)

All of that said, I do respect your opinion, and respectfully, I agree to disagree. If I've sounded dismissive or flippant in this post, it wasn't directed at Attypops; I was addressing the arguments in the Forbes' interview he linked. There certainly are other things we could do to improve the immigration situation; a fence isn't the end-all, be-all -- but until I see anyone make a good faith effort to address the problem, all of that is rather academic.
 

Fulgurant

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You completely pulled those #'s out of your posterior. The CDN costs alone, and hosting, and backup, and cloud services for a national system like that is huge. Not as big as, say, google. But huge.

And you're assuming full specs. Don't forget the design phase and the creation of the specs. And reviews. And scope changes later as congress makes changes. And 50 state severs. And coordination/grants for 50 state I.T. departments. And support for the states as they implement stuff. And the costs of the local "helpers" in each city, and their training on the system. And any IT training that happens (ACA specific info, not computer languages or whatnot). Testing. Commercials and public service announcements about the site. Printing of manuals (yes, probably some paper). Coordination and support with all the insurance companies involved.

Bet there's a lot of costs we're not considering here. It's always easy to say "I could name that tune in ____ notes." But composing it is tougher. And I admit those are just examples of things you're probably not considering. I made them up.

That's not to say I consider the 700 mil reasonable. Only that we have no idea what's included in that #

Agreed. The website is just the front end. Hard to say what else was required, but $700 million is a pretty crazy number.
 

Mohamed

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Once upon a time people like you are what made this country great.
:thumb:

It's the "Once upon a time" part that makes me sad. Even the American born citizens...especially the youth...that think they are entitled to something with no effort or no work. I'm in my my mid 50's now; don't have any children of my own; but still try to stress the hard work ethics onto my nephew and niece.
 

AttyPops

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What I would like to know is what happened to the campaign speaches about everyone getting insurance coverage the same as congress..what they didn't tell you was that is only if you were able to afford it!

As even the opposition pointed out...nothing is free. They won't raise taxes to support wars for over a decade, how are they going to support "free" health care?

Besides....Congress & staff DOES have the same insurance. (But congressmen can afford to purchase supplemental. lol.)
 

Danoman

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It's really NOT hard to fix, none of it truly is. If you have knowledgeable people in a room that's full of ideas that actually KNOW what they are doing.
Put a bunch of Engineers in a room and have a common goal to design something or fix a problem with an existing prom, they WILL figure out a solution or at least a temporary fix to get by in a crunch. It's really no different with the exception of "political correctness" that comes into play. I worked with electrical engineers for 20 years and know how they think, Biggest thing that pops into my head is Apollo 13 and all the engineers that had to come together to make something happen and in a serious crunch. They COULD make this whole system work, if they really wanted to without agendas and kick backs to special interest groups...
 

patkin

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We were discussing the #6 question off line along with the subsidy issue. They aren't even verifying income for subsidies from my understanding. Either that or they are via the IRS in some way and don't want to tell the truth about it. So let's say you answer honestly, and "assume" they mean "do you use nicotine" as in: either you don't use tobacco in the form of smokes, pipes, chews or you vape only zero nic while chewing nic gum (because BP nic is okay) or you make x-amount of money qualifying for a subsidy. You've answered honestly at the time but one or all of that changes a week after you answer the questions. What then? Are their provisions presented for that? I'm truly not being flip here as I assume any income provided from say family members trying to help out is included toward figuring a subsidy and may be erratic. Just these questions about how Big Brother is messin with and threatening private lives via health care is a worst nightmare becoming reality.
 
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dave8944

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a little harsh...jailing for hiring illegals, jails are full of people right now for stupid laws anyway

Could you imagine how much auto insurance would cost if it payed out like healthcare?

Not sure on preventative care thing...will have to look into it more

Honestly...
Not_sure_if_serious.jpg

The jails wouldn't be full of employers because they would stop doing it when they realized the boss was going to jail. I like your analogy with auto-insurance. With auto-insurance requirements you just have to carry liability insurance, not full blown coverage. That's the same requirement we should have with regards to health care. The annual exams are a waste of time. I can't find the exact research article I had in mind, but in a casual search of the journal literature I did find the attached article.
 

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AttyPops

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The jails wouldn't be full of employers because they would stop doing it when they realized the boss was going to jail. I like your analogy with auto-insurance. With auto-insurance requirements you just have to carry liability insurance, not full blown coverage. That's the same requirement we should have with regards to health care. The annual exams are a waste of time. I can't find the exact research article I had in mind, but in a casual search of the journal literature I did find the attached article.

They HAVE that option in ACA now if you're under 30. It's catastrophic coverage. At some point though, they have to dump you into the preventative maintenance cycle...regular BP checks and blood tests and disease cures and condition cure or management if not curable, and ...blah blah.

Kind of dumb to take that option though, IMHO. Particularly if you have a family.
 
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djezewski

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As even the opposition pointed out...nothing is free. They won't raise taxes to support wars for over a decade, how are they going to support "free" health care?

Besides....Congress & staff DOES have the same insurance. (But congressmen can afford to purchase supplemental. lol.)
I somehow do not believe that Congress has only catostrophic coverage and purchases supplemental. I am an ex- state employee and so is my husband, my son works for the county. You had a choice of HMO's, there was no such thing as basic coverage or supplemental and you pay for one of those, all have Dr's visits(with co-pays) as well as impatient, Vision full and Dental. I would think that the fed Gov works the same. Where with this Obama care you pay the catastrophic coverage up to cadallac...yeah and no dental or vision unless you are on welfare..go figure.
 

AttyPops

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There's a link in one of these threads about the congressional mandate.

Basically it was started by the GOP during the ACA debates to try and "embarrass" the Dems. However, the Dems embraced it and the GOP was stuck and now they are mandated (along with congressional staff) to use the ACA. The "Exemption" for congress is to exempt them from being excluded from ACA....in other words mandating that they use it.

However, as far as I know, any citizen can purchase supplemental coverage from some company privately as long as it's up-and-above and not a duplication. (I think)

And ACA is more than just catastrophic. Catastrophic is only an option for under-30's and not really ACA exchanges or medicaid as I understand it (well, it meets the requirement to purchase something).

That doesn't mean that ACA includes dental, etc.
 
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djezewski

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There's a link in one of these threads about the congressional mandate.

Basically it was started by the GOP to try and "embarrass" the Dems. However, the Dems embraced it and the GOP was stuck and now they are mandated (along with congressional staff) to use the ACA. The "Exemption" for congress is to exempt them from being excluded from ACA....in other words mandating that they use it.

However, as far as I know, any citizen can purchase supplemental coverage from some company privately as long as it's up-and-above and not a duplication. (I think)

And ACA is more than just catastrophic. Catastrophic is only an option for under-30's and not really ACA as I understand it. That doesn't mean that ACA includes dental, etc.
Well if that is that case then I guess the welfare recipients have the best deal.
 

AttyPops

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Well if that is that case then I guess the welfare recipients have the best deal.

IDK. I suppose it's hard to find doctors that take medicaid. Or if not, I'd still take the job option if I were them over welfare. I honestly think most would. However all can't. Besides, you have to basically be broke to be on it so that's not a situation anyone would want.

Who knows. Maybe ACA will get modified to have the "check this box for additional dental at ____ dollars and this box for additional vision for ____ dollars".

Besides, I don't think medicaid coverage is what you think it is. They pay for tooth extraction, not crowns. IDK about fillings. Or some such. That's why there's so many poor people on it with missing teeth. Not to be cliche or judgmental. Just a fact. (I think).

Maybe basic glasses and a glaucoma check every few years.
 
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Racehorse

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Preventative care has been shown to reduce life-expectancy

Is this some errant study or internet poll?

Every qualified medical journal international and otherwise cites the lack of preventative care as being the major predictors of ill health.

The increase in life expectancy from just reducing infectious disease mortality due to immunizations, antibiotics and screening and testing alone is huge.

Your children and family are safer when those around you are not carrying diseases. It all comes back to bite us otherwise.
 
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