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Archive for the ‘C – ACA – OBAMACARE NEWS’ Category

The Bill To Fix Health Care – Permanently

Let’s lay out the parameters for a bill, a fairly-modest update to my two previous missives on this point here and here (note the dates) and which can be easily turned into formal legislative language:
  • All providers must post, in their offices and on a public web site without any requirement to sign in or otherwise identify oneself to access it, a full and complete price list which shall apply to every person.  This instantly allows customers to compare pricing between providers for services and products in the medical realm.
  • All customers must be billed for actual charges at the same price on a direct basis at the time the service or product is rendered to them.  This immediately and permanently decouples “insurance” from the provision of care.  The current system of an “explanation of benefits” that often features a “negotiated discount” of some 90% is nothing other than an extortion racket and is arguably felonious — threatening to bankrupt someone if they don’t buy your “insurance” through a threat to charge them ten times as much certainly appears to be a criminal enterprise and, given that more than one entity is involved, looks like it meets the definition of Racketeering.  Insurance coverage may well cover some, part or none of a given bill, and nothing prevents an insurer from telling you in advance of your visit how much they will pay (if anything) for a given procedure or drug.  Indeed you should demand that information from them and use it as part of choosing where to obtain treatment but the bill still has to be rendered to you, you have to be the one to file the claim and everyone must pay the same price to the same provider for the same kind and quantity of product or service.
  • For a bill to be valid and collectible it must be affirmatively consented to in writing, with a disclosure of the actual price to be charged from the above schedule for each item to be provided whether good or service, prior to the service being performed or the good furnished, subject only to the emergency exception below.  A bill that is increased, has items added to it after consent is obtained, which contains any open-ended promise to pay without an actual price listed for each service or good prior to customer consent or is issued with no consent at all is deemed fraudulent and void. This instantly stops “drive-by” doctor charges in hospitals as just one example.  It also prevents charging $20 for an aspirin; nobody would tolerate being billed by the square for toilet paper in a hotel!  Hospitals will of course squawk that they cannot operate like this as they “can’t” figure out what is required until after-the-fact but that’s false; nothing prevents them from advertising “Appendectomy: $2,000” and that being the soup-to-nuts price.  In fact that’s exactly what the Surgery Center of Oklahoma does today so quite-clearly it both can and does work.  In addition this change will permanently and immediately put a stop to the ridiculous practice of defensive medicine (read below for the explanation.)  You would never accept a gas station that only displays the cost of your gasoline after you pumped it and varied that price based on who your car insurance was bought from or a grocery store that had no prices posted at all and only gave you a total after your groceries were taken out of the store and the transaction could not be refused.

  • No event caused by or a consequence of treatment can be billed to the customer.  This instantly aligns the interest of the customer in not having such an adverse complication (e.g. MRSA, etc) with the medical provider.  As it stands right now hospitals actually have an incentive for you to have a complication since they make more money if you do.  If you call me to fix your roof and I drop my ladder causing it to crash through your picture window I get to pay for the glass I broke through my ineptness.  The same must apply to medical providers.  For those who claim hospitals and similar can’t adopt such a model I point to the OKC surgery center, which does exactly this — and has a lower complication rate (gee, I wonder why when they have to eat it if they cause it….)

    MARKET TICKER – CLICK HERE FOR REST OF THE STORY>>>>>

A Health Care Plan So Simple, Even A Republican Can Understand

ANN COULTER LETTER

It’s always impossible to repeal laws that require Ann to pay for greedy people, because the greedy run out on the streets wailing that the Republicans are murdering them.  Obamacare is uniquely awful because the free stuff isn’t paid for through income taxes: It’s paid for through MY health insurance premiums. This is unfortunate because I wanted to buy health insurance.
 Perhaps you’re not aware — SINCE YOU EXEMPTED YOURSELVES FROM OBAMACARE, CONGRESS — but buying or selling health insurance is illegal in America.
Right now, there’s no free market because insurance is insanely regulated not only by Obamacare, but also by the most corrupt organizations in America: state insurance commissions. (I’m talking to you, New York!)   Federal and state laws make it illegal to sell health insurance that doesn’t cover a laughable array of supposedly vital services based on bureaucrats’ medical opinions of which providers have the best lobbyists.
As a result, it’s illegal to sell health insurance that covers any of the medical problems I’d like to insure against. Why can’t the GOP keep Obamacare for the greedy — but make it legal for Ann to buy health insurance?
This is how it works today:
ME: I’m perfectly healthy, but I’d like to buy health insurance for heart disease, broken bones, cancer, and everything else that a normal person would ever need, but no more.
INSURANCE COMPANY: That will be $700 a month, the deductible is $35,000, no decent hospital will take it, and you have to pay for doctor’s visits yourself. But your plan covers shrinks, infertility treatments, sex change operations, autism spectrum disorder treatment, drug rehab and 67 other things you will never need.
INSURANCE COMPANY UNDER ANN’S PLAN: That will be $50 a month, the deductible is $1,000, you can see any doctor you’d like, and you have full coverage for any important medical problems you could conceivably have in a million years.
Mine is a two-step plan (and you don’t have to do the second step, so it’s really a one-step plan).
STEP 1: Congress doesn’t repeal Obamacare! Instead, Congress passes a law, pursuant to its constitutional power to regulate interstate commerce, that says: “In America, it shall be legal to sell health insurance on the free market. This law supersedes all other laws, taxes, mandates, coverage requirements, regulations or prohibitions, state or federal.”
The end. Love, Ann.
There will be no whining single mothers storming Congress with their pre-printed placards. People who want to stay on Obamacare can. No one is taking away anything. They can still have health insurance with free pony rides. It just won’t be paid for with Ann’s premiums anymore, because Ann will now be allowed to buy health insurance on the free market.   Americans will be free to choose among a variety of health insurance plans offered by willing sellers, competing with one another to provide the best plans at the lowest price. A nationwide market in health insurance will drive down costs and improve access — just like everything else we buy here in America!
Within a year, most Americans will be buying health insurance on the free market (and half of the rest will be illegal aliens). We’ll have TV ads with cute little geckos hawking amazing plans and young couples bragging about their broad coverage and great prices from this or that insurance company.   HUMANEVENTS -CLICK HERE FOR THE REST OF THE STORY>>>>>

Trump takes risk with Freedom Caucus attack

Trump takes risk with Freedom Caucus attack

TheHill.com
BY
SCOTT WONG

Donald Trump famously bullied contestants on his “Apprentice” reality-TV show. He bullied his presidential opponents, “Little Marco” and “Lyin’ Ted” and “Crooked Hillary,” during the 2016 campaign.  After the far-right Freedom Caucus blocked his ObamaCare repeal bill, President Trump took to Twitter and threatened to back primary challengers to oust them in 2018.

But Trump’s usual bullying tactics don’t appear to have fazed the roughly three dozen members of the Freedom group.
For one, these archconservative rebels believe they’re standing on principle — and are unconcerned about losing their seats in Congress. They also represent some of the reddest districts in the country where the anti-establishment, ultraconservative group enjoys enormous popularity, making it hard to primary them from the right.  And the Freedom Caucus is getting air cover from outside conservative groups like Club for Growth and Heritage Action as well as influential conservative media personalities, from Sean Hannity and Laura Ingraham to Mark Levin.   “Now I don’t know who’s telling the White House to focus their anger on the Freedom Caucus, but I do think it’s misplaced,” Hannity, a close Trump ally, said on his Fox News show this week. “Because the Freedom Caucus … they want to make a deal, and they want the win for the president and the country.”   THE HILL – CLICK HERE FOR THE REST OF THE STORY>>>>>
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