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Posted

695 vs 1200 still betting on the lesser of two dollar amounts. And even then it still doesn't address the funding for the aging and their healthcare. If the fine is cheaper than the product why pay the product will be their mentality.

Price vs. value. I can pay the fine AND cover all of my healthcare costs out of pocket, or I can pay into an insurance plan instead, and it'll cover a substantial proportion of my healthcare costs.

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Posted

I can go to the emergency room and get heart bypass surgery?

If it is "life saving requirement" then yes. How crazy is that, but remember as soon as you are stable out you go.

Emergency Medical Treatment & Labor Act (EMTALA)

In 1986, Congress enacted the Emergency Medical Treatment & Labor Act (EMTALA) to ensure public access to emergency services regardless of ability to pay. Section 1867 of the Social Security Act imposes specific obligations on Medicare-participating hospitals that offer emergency services to provide a medical screening examination (MSE) when a request is made for examination or treatment for an emergency medical condition (EMC), including active labor, regardless of an individual's ability to pay. Hospitals are then required to provide stabilizing treatment for patients with EMCs. If a hospital is unable to stabilize a patient within its capability, or if the patient requests, an appropriate transfer should be implemented.

Posted

Price vs. value. I can pay the fine AND cover all of my healthcare costs out of pocket, or I can pay into an insurance plan instead, and it'll cover a substantial proportion of my healthcare costs.

But will the majority of the youths see it that way?

Older people myself included ( and as a youth ) Knew the value of insurance in the case of catastrophe, but more and more I see kids today believe they superman and rather spend money on toys than on security. Combined with the knowledge they can apply and must be given insurance if something happens I believe many will take the fine route over the security route.

Posted

Maybe you guys don't see it first hand because you live in more well to do areas, but on literally a weekly basis I talk to people that say they had to take their kid to the emergency room again for simple medical problems. This absolutely drives me nuts, and this gets passed on from generation to generation with no reason for it to ever change.

I know I won't change your mind if you are against it, and you won't change my mind. Luckily for now I'm on the side of the law, and I hope that the Obama administration (whom I'm ready to be out of office, because they are doing a terrible job) doesn't cave on this one.

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Posted

Maybe you guys don't see it first hand because you live in more well to do areas, but on literally a weekly basis I talk to people that say they had to take their kid to the emergency room again for simple medical problems. This absolutely drives me nuts, and this gets passed on from generation to generation with no reason for it to ever change.

So now they have insurance but since the copay is $50 they still have to go to the emergency room and act like they don't have coverage because they can't afford the copay. Or refuse to have insurance because they know they will never be able to afford the copay and insurance both.

 

 

Posted

Justin, why do they take them to the ER instead of a family doctor?

My assumption would be they know that they can go to an ER and then not pay the bill, If they did it to a Doctor in office the doctor would have the right to file a small claim in court.

A simple solution is require ER ( NON LIFE THREATENING VISITS ) Afford and allow for the same small claim based off the pricing of a office visit. I say that because I have seen these ER visits cost way more than an OV and a simple exam in an ER should be no more than that of a OV visit of the same type. This would potentially stop the abuse of ER.

But I will go back to this law ACA is a bad one, our politicians and in this case clearly the democrats need to knock off their ( no compromise ) stance. It is simple really is the Bill and again I posted it simply asked for delay of mandatory implementation and to deal away with exemptions. Hey what so hard to understand about that. 1 the delay would allow for trying to fix whats wrong and with the wrongs it is hard to get it the exchanges are NOT able to handle the volume that is not a myth or a maybe its a fact being reported by all news sources not only in this country but world wide so delay it for a year. Delay means people can still sign up but give everyone time and time to fix the problems. As to exemptions that is illegal by law.

My god how hard is it to say its not ready and ok we will delay and work together to fix it. I could get behind that and if the Senate would agree to it the dung down is over, well until the 17th then we go through it again im betting. But lets fix the ACA it needs it.

Posted

Maybe you guys don't see it first hand because you live in more well to do areas, but on literally a weekly basis I talk to people that say they had to take their kid to the emergency room again for simple medical problems. This absolutely drives me nuts, and this gets passed on from generation to generation with no reason for it to ever change.

I know I won't change your mind if you are against it, and you won't change my mind. Luckily for now I'm on the side of the law, and I hope that the Obama administration (whom I'm ready to be out of office, because they are doing a terrible job) doesn't cave on this one.

Yeah I have a friend that is an ER nurse, plenty of folks come to the ER when they have a cold or a flu thinking that they can receive some magic pill that will cure their cold. They'll sit and wait, as they are not a priority, and when there's time, they'll get some Nyquill or whatever and sent on their way. I guess with the ACA they'll clog up the doctor's waiting room instead of the ER, which is a good thing. But not good if you're trying to see that doctor yourself.

Posted

But will the majority of the youths see it that way?

Older people myself included ( and as a youth ) Knew the value of insurance in the case of catastrophe, but more and more I see kids today believe they superman and rather spend money on toys than on security. Combined with the knowledge they can apply and must be given insurance if something happens I believe many will take the fine route over the security route.

I understand the concern, but I don't think you're giving youth enough credit. Obama won 2/3ds of the youth vote in 2012, and his position on healthcare was pretty unambiguous. I can't imagine all those folks voted for him unaware of his views. The ACA allows the nation's youth to stay on their parent's plan until they're 26- they're covered under their young & dumb stage, and if they're too dense to see the value of healthcare once they turn 27, I don't have any sympathy for them.

But even if yours was the case, I'd argue paying something for healthcare is better than paying nothing for healthcare. If they have to pay a percentage of their income to use health services, I'd prefer that to the free-ride situation now.

Posted

I understand the concern, but I don't think you're giving youth enough credit. Obama won 2/3ds of the youth vote in 2012, and his position on healthcare was pretty unambiguous. I can't imagine all those folks voted for him unaware of his views. The ACA allows the nation's youth to stay on their parent's plan until they're 26- they're covered under their young & dumb stage, and if they're too dense to see the value of healthcare once they turn 27, I don't have any sympathy for them.

But even if yours was the case, I'd argue paying something for healthcare is better than paying nothing for healthcare. If they have to pay a percentage of their income to use health services, I'd prefer that to the free-ride situation now.

How is it a free ride? You'll still get billed if you don't have insurance. Of course, people may not be able to pay, or decide they have other priorities for there money, but I'm not seeing a free ride anywhere. There's more likelihood of a free ride under the ACA than there was prior. it's just that the money spent will come out of the treasury, instead of being dumped on the providers. It's heavily subsidized health care, not that I have a problem with that, but it's not "reform" and costs are still the same, but it's going to be paid by the government. Our 17 trillion dollar in debt government.

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