Obamacare still has issues

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The Affordable Health Care Act will make the biggest change in how we receive medical care since the inception of Medicare, adding millions to health-care rolls.

I am writing this letter while in Sweden, a country with a national health service since 1798. Granted, Sweden’s population is 9.5 million, its income tax rates average 50 percent and its sales tax (value-added tax) is 25 percent – all differing greatly from our own. As a percentage of gross domestic product (9.5 percent), Swedish health-care costs are half of our own (18.2 percent). The Swedish system works for citizens through a well-constructed network of primary care providers, preventive care programs, much lower rates of liability litigation and long-standing acceptance by its consumers.

As the ACA attempts to provide an inclusive plan for all Americans, it will not look like the Swedish NHS, nor will it likely achieve the same results. Unlike the Swedish system, the infrastructure of U.S. health care lacks an adequate network of primary care providers or comprehensive preventive services, both of which are essential to cost-effective care.

Once fully launched, the ACA may receive pushback from many private practitioners (50 percent of U.S. physicians) to see these newly “insured” patients whose health exchange policies will not provide the same level of reimbursement as many currently available plans. The anticipated lower fee schedules for Medicare and Medicaid patients also may deter providers from accepting new patients or any patients covered by these plans. The result: overcrowding of emergency rooms with higher costs for non-emergent care will continue, a situation we already have.

Regarding compliance with the requirement that all Americans buy health insurance, business owners and/or younger people may rather pay fines, simply because this is a much cheaper alternative. Businesses that do purchase health insurance for their employees may select less comprehensive basic policies, leaving their workers to fend for themselves for uncovered services.

Americans who currently pay for their own health insurance will bear the brunt of inevitable additional health-care costs to a degree that remains to be determined. Thus, the combination of “affordable” and “health care” may be our latest national oxymoron.

It would seem obvious that simply mandating a new national health plan without attending to the above issues, including tort reform, will not bring the desired results for all Americans: more coverage at lower cost.

Lawrence Devoe

Augusta

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Bodhisattva
6148
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Bodhisattva 06/01/13 - 05:55 am
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Why should physicians be

Why should physicians be singled out for shielding from negligence by tort reform. If I'm protected from lawsuits, shouldn't my automobile insurance decrease? Why not everyone's? We could have affordable automobile insurance for the entire country. For that matter, why noyt every industry. If a construction company decides to use subpar materials and a building collapses, to heck with all of the injured people and their families. Shield the company with tort reform. We could drop insurance rates to almost zero. An automobile company doesn't design an airbag quite right and it doesn't deploy? No problem. Save bucks on the design, the materials, the construction, the insurance, and protected from a lawsuit. A win, win, win, win, win.

deestafford
27431
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deestafford 06/01/13 - 08:08 am
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It's all about power--not health care

I would like to think that the liberals/ progs have a rudimentary understanding of human behavior and the law of supply and demand. When you do something that causes people pain they change their behavior such as employers reducing the number of hours an employee works in order to not have to provide outrageously priced health care.

To think millions could be added to the system along with increased coverage would reduce costs is both ignorant and stupid.

The obvious solution is the free market with the government getting completely out of the health care business as far as mandates and regulations and allow health insurance to be bought across state lines.

Tort reform would be a must. Bod does not understand what tort reform is. It does not mean the injured would not be made whole as a result of a law suit. It would simply eliminate the outlandish "pain and suffering" awards which drove a law suit from a few hundred thousand dollars to millions. The left is always after other people's money.

The left was/is not concerned about health care. The left is concerned only about power over us "stupid" people who are "too stupid" to take care of ourselves as we did from 1776 until the progs began to take over the government beginning with Teddy Roosevelt.

carcraft
25756
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carcraft 06/01/13 - 08:27 am
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Tort Reform would benefit

Tort Reform would benefit EVERYBODY, not just physicians. I would like to go to the English system where if you sue and lose you and your lawyer are responsible for all legal costs, both yours and the defendant. It would stop a bunch of legal fishing expeditions, i.e. "Have you drank water? If you have drank water at any time in your life and had to urinate you my have had a bad out come from water. Please call "Dewey, Cheatum and How" (tip of the hat to Car Talk on PBS)

ymnbde
9701
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ymnbde 06/01/13 - 08:46 am
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get the government out of education

quite simply, we need more doctors
but the government is so incompetent at the basics of education, reading writing and simple math, there is no way a poor unfortunate child forced into their schools could ever become a doctor

does anyone (local newspaper, perhaps) check how many doctors (not the newspeak "health care provider") each of our local schools produce?

school choice would really help...
get the government OUT of education

Young Fred
17448
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Young Fred 06/01/13 - 11:02 am
4
2
It's not about medical or

It's not about medical or health care for the masses. It's not about “helping” people get coverage they couldn't/can't get. If it were, it would've been done much more cheaply and efficiently.

It is/was about duping a large percentage of the ostrichsheeple into trading freedom for fictional security.

A deceitful power grab, that relied on a sleeping/uninformed public, and a lap-dog media, with a sprinkling of fanatical ideologues (several of which regularly post on this site) thrown in for good measure.

t3bledsoe
14290
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t3bledsoe 06/01/13 - 02:31 pm
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4
Obama care WILL work if started

In my opinion, if Obama care is started and is run exactly like has been discribed, it will work. It is my understanding that many people now on Medicaid, will have to FINALLY start paying their fair share.

chascushman
6653
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chascushman 06/01/13 - 02:32 pm
4
2
“A deceitful power grab, that
Unpublished

“A deceitful power grab, that relied on a sleeping/uninformed public, and a lap-dog media, with a sprinkling of fanatical ideologues (several of which regularly post on this site) thrown in for good measure.”
Fred, this is all about what Obama calls ‘Social Justice’. He believes minorities have been discriminated against and it is his job through the gov’t to take over because he believes the majority of the ‘minorities’ are not smart enough to look after themselves. Most liberals think this way but the commie in the WH carries it to a much higher level.

chascushman
6653
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chascushman 06/01/13 - 02:40 pm
4
2
“It is my understanding that
Unpublished

“It is my understanding that many people now on Medicaid, will have to FINALLY start paying their fair share.”
Mr. Bledsoe, it is pretty obvious that you have been listening to the misinformation that is being feed by the liberals. Instead of just taking their word for things why not investigate yourself and you will know the truth and not fall for a bunch of misinformation.

allhans
23619
Points
allhans 06/01/13 - 03:45 pm
4
1
Those who need help with

Those who need help with premiums will have to show a photo ID.

RMSHEFF
16001
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RMSHEFF 06/01/13 - 05:34 pm
2
1
Obamacare is destine and was

Obamacare is destine and was designed to fail. The only question is what will fill the vacuum. Obama is betting that when people are outraged at the results of this public/ private healthcare partnership they will ask the federal government to take over the whole system (single payer). This was his end goal from day one.

dichotomy
32777
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dichotomy 06/01/13 - 09:14 pm
1
2
Ever notice how Techfan can

Ever notice how Techfan can make an argument to something that was not said and run completely off a cliff with it when it isn't even germane to the discussion.

Techfan....tort reform was not the issue. The article merely mentioned that even under the classic, epitome of a single payer system that all of you liberals profess to want the doctors are subject to less liability.

What the article failed to mention was that Sweden has a completely different demographic where almost 100% of the people above college age and below retirement age actually work and pay taxes. Our demographic does not have that luxury. That system will not work here where we rely on a few percent of the population to pay 80% of the bills and the rest of the taxpaying 53% kick in our share and the other 47% freeload and eat up the benefits.

Tort reform my butt, we need TAX Reform and get EVERYBODY paying something into the kitty.

KSL
129006
Points
KSL 06/01/13 - 10:18 pm
1
2
Dichotomy

Facts the libs won't touch with a ten foot pole.

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