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Politics : The Trump Presidency -- Ignore unavailable to you. Want to Upgrade?

To: Steve Lokness who wrote (45062)	11/14/2017 7:18:28 PM
From: i-node	Respond to of 364655

>>there are some people that get the short straw in life. Often that short straw starts at the time of birth. A child born with a defect(s) with a needed lifetime of medical expenses. Sometimes a 10 year old child (or anyone at any age) gets hit by a bus and also then faces debilitating cost for the rest of their life. Sometimes people in old age get dementia or any of the other diseases that will take years to bring them down - but will have a huge cost to maintain that will cost far more than their net wort Pre-Obamacare we were doing as good a job providing for those kids as we are today. We could have done better by simply reorganizing assigned risk pools into a federally operated and subsidized program with standardized benefits. The greatest mistake of ACA was the decision to give Medicaid benefits to those above the poverty level with no forays or deductible. They could have been low, but copay s and deductibles exist for really important reasons that have little to do with dumping costs onto patients and more to do with causing beneficiaries to make good decisions with they pool's money.

To: Steve Lokness who wrote (45062)	11/15/2017 3:16:10 PM
From: RetiredNow	Read Replies (1) \| Respond to of 364655

You'll note that I said that we should provide free health care and good education for all children until they are 18. So that takes care of the kids you mentioned. I don't care about costs when it comes to kids. Let's cut the military spending to pay for it. All kids (citizens only) deserve the best of this country. But for adults, we need a market based system. If you have a disease such as diabetes or heart issues, the root causes of which are not genetic, but due to life choices poor eating habits or lack of exercise, then your choices will cost you more money to be insured. That sounds harsh but 5% of the people in this country consume 50% of the health care expenses and the majority of those fall in the category of preventable disease if they made better choices. 4 out of 5 Americans are obese. These are life choices and choices have consequences. For those of you who make good choices and stay healthy, your choices will mean you pay less. That is only fair. For people who have genetic issues that lead to disease that are not your fault, that is where I don't really have answers. I think we probably need to create a high risk pool for those folks, but not sure how it would work. Maybe what we can do is create a charity fund that can be contributed to by everyone who wants to do some good with their money. That way folks like you could choose to donate and feel good that you've helped these people. I'd even join you in donating money for this category. But the folks who are making bad life choices that result in diseases that suck up tons of resources, they wouldn't get a penny from me.