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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: Lane3 who wrote (40640)	1/8/2016 3:14:49 PM
From: i-node	Read Replies (1) \| Respond to of 42652

The difficult problem, IMO, is the Medicaid expansion. You can get insurance companies to do guaranteed issue because it was never a big deal. The number of people who were refused coverage was small and it was only the campaign to get the law passed that suggested it was a big deal. My friend keeps telling me how great it is not to have to worry about a $2,000,000 lifetime cap. Seriously? How many people ever came close to it? Not many. They could have been handled readily. I really think Medicaid expansion is the only really difficult sticking point. Are we going to provide coverage to those who are between 100% and 140% of the poverty line? I think a negotiated solution where the state pays a portion of it might have been more workable, such that out of pocket expenses are capped at a reasonable level but the state isn't on the hook for every nickel of expenditures, perhaps with some hardship exceptions. I just don't think it is that difficult to "fix" the law, although the damage it has caused isn't going away.

To: Lane3 who wrote (40640)	1/9/2016 11:57:25 AM
From: TimF	Respond to of 42652

I think I've seen alternatives that were more developed then Obamacare was before Obama was elected. The details get worked out once you get power (the white house, and both houses of congress with a filibusterer proof majority in the senate, hardly something that can be counted on) just like they did when Obamacare was passed. Thats for a complete revamp. Minor tweaks are much easier. Big changes that still leave enough of Obamacare intact that it could be painted as a fix or revision rather than an elimination (at least by some Democrats your trying to get on board at least to the extent of not-fillabustering) could perhaps be done with out the 60 seats in the senate.