Paul outlines Obamacare replacement as Sanders rallies Democratic supporters
Source: Guardian UK
Under pressure from president-elect Donald Trump, six years of expectations and more than 20 million Americans who could lose their health insurance, a Republican senator has offered first hints at what a replacement of the Affordable Care Act might look like.
Senator Rand Paul of Kentucky described details of his plan on Sunday, but did not say whether the 400,000 people in his state who have gained insurance under the existing law, often called Obamacare, would keep it under his own legislation.
Republicans in Congress have made repealing the ACA a priority, but hesitated for lack of a replacement that would not strip millions of Americans of health insurance.
We need policies that create more jobs, Paul told CNNs State of the Union on Sunday, when asked directly whether his constituents would keep their coverage. The more jobs we create the less need there is for government to jump in.
Read more: https://www.theguardian.com/us-news/2017/jan/15/rand-paul-obamacare-bernie-sanders
WhiteTara
(29,722 posts)an R after his name.
Cryptoad
(8,254 posts)he is GOP's Whore!
geez why havent we all thought of this..
lower taxes on Rich so they can create more jobs
then all "real American" will have insurance.......fucking brilliant
cstanleytech
(26,319 posts)onecaliberal
(32,898 posts)People cannot afford to buy healthcare or its NOT offered by the employer. Why are their constituent so stupid?
George II
(67,782 posts)....he failed to get into the details. The United States was losing $20 an hour jobs but was "creating" more $8 an hour jobs.
The net result was reduced earning. For example (not real numbers), we lost 100,000 $20 an hour jobs but created 200,000 $8 an hour jobs. So it looked like 100,000 jobs were "created", but instead of an aggregate of $2M it was only $1.6M.
modrepub
(3,503 posts)Will eliminate lots of jobs in the healthcare sector. In most rural areas healthcare is the largest employer. Less insured people means less people seeking health care means health care employers cutting jobs. This has to be pointed out at every opportunity.
Blackjackdavey
(178 posts)I logged in to point this out -- thank you for doing so. In my opinion, we need to dramatically ramp up education about what is actually in the Affordable Care Act. People believe, and it is framed this way, that it is only about people having insurance -- and many people don't want, or don't think they need health insurance. However, there is a great deal in Affordable Care Act about preventative services and community health programming. These programs benefit communities as a whole -- not only with care, but with employment. In our small, rural community, we have been able to use the program to build a whole new, 24 hour, emergency room diversion facility -- about twenty brand new job opportunities. I also had an explosion of customers at the existing clinic that allowed (encouraged?) me to hire 2 new prescribers, 3 new clinicians, 3 more customer support staff and a navigator. The local community college was able to expand it's nursing programs. Kids graduating from high school now have a number of local employment options, decreasing brain drain to some extent. The Affordable Care Act is also a jobs program! If it is repealed, I will need to lay people off and we will have wasted an enormous amount of time and money.
SammyWinstonJack
(44,130 posts)fleur-de-lisa
(14,628 posts)cstanleytech
(26,319 posts)The old world slaves might have had it better than that as atleast their masters provided housing where as the Republicans expect their slaves to provide their own.
Rollo
(2,559 posts)Sanders:
Republicans have had six years to come up with a replacement. They got nothing.
Let's see... the Dems came up with a workable health care reform, and passed it into law, no thanks to the GOP, in a couple of years back in 2010. They put in the hard work and made the difficult decisions.
What the hell have the Republicans been doing all this time? Sipping tea at their country clubs?
cstanleytech
(26,319 posts)to the polls and win a majority as all the Republicans care about is pulling a Putin to dismantle as much of the government assets as they can while scooping it into their own pockets on the cheap.
INdemo
(6,994 posts)here is the Question....if you fucking Republicans had a better plan.....why in the hell didn't you bring it forward in 2009 and a add to the ACA as amendments or as part of the bill and then voted on the damn thing?
George II
(67,782 posts)They weren't even shy about it.
INdemo
(6,994 posts)....The ACA was a very good plan originally until the Insurance Lobbyists and Insurance Companies began their propaganda campaign.
Insurance Companies spent millions on ads against the Health Care Act.
Republicans refused to even discuss the legislation.So what we ended up with was a Healthcare Plan that Insurance Companies could live with and a closer look revealed it was a plan that actually increased Insurance Companie's profits.
If states would have adopted the plan and took the funding for increasing Medicaid included in the plan it would have been fine But it was the beginning of the Revolt against a Black President and Republicans wanted to insure the failure of the Obama Presidency ...
lets see how the Republicans react in this new Fascist's administration...
SammyWinstonJack
(44,130 posts)Blue Idaho
(5,057 posts)Just more jobs. So the average joe can have three or four jobs, never sleep, but be able to pay for their health care...
Aviation Pro
(12,187 posts)...of crystal meth, opioids and heroin.
Until they die. Wash, rinse and repeat.
Dustlawyer
(10,497 posts)Virtually nothing said about the Rallys.
progree
(10,918 posts)So reproductive age women should have to pay extra for insurance? As for dental care, there isn't any in the ACA (other than say like for traumatic injury).
One of the greatest things about the ACA is that there is standardization of benefits and plans can be compared to each other when shopping. And that there isn't any "junk insurance" on the exchanges.
Whereas before, on the individual market, there was a ton of crap insurance with severe limitations on annual or life-time amounts, and very high or unlimited out of pocket maximums, and so what you had was placebo care. Something that was good if you had an ordinary illness or accident, but nothing that was going to matter if you had like a $200,000+ cancer treatment or coronary bypass etc. (So when a RWer or JPRer tells you about the cheap individual insurance plan (s)he had before the ACA, well, that's exactly what they had -- cheap "insurance" .
Also, young healthy people would generally buy the cheap policies, which would raise the cost of the more robust health policies for e.g. middle-aged and older needing serious health insurance.
The health savings account is just a tax dodge for relatively well-off people who can save significant amounts long-term -- savvy people with money to sock away long-term know that what's best is to pay their health costs from their regular accounts, and to let the money in the HSA's grow with tax-free compounding for decades like a super-IRA (one that combines the best features of a traditional IRA and a Roth IRA). Their tax features are of little help for most people unable to save large amounts long-term.
The tax credits are great however -- that's how the ACA subsidizes insurance for those below 400% of poverty. (Refundable tax credits are a gift that works dollar for dollar regardless of one's income, unlike deductions which benefits higher income people more than lower income people).
That's what the risk corridors thingy in the ACA that you fuckheads keep obstructing or refuse to help fix was all about.
I didn't know the ACA forbade that.
I'm surprised he didn't throw in the perennial RW bromides of "tort reform" and "selling insurance across state lines".
I didn't see anything about pre-existing conditions ... these are the people that have to be sacrificed so that the rest of us can buy "inexpensive insurance"?
mobeau69
(11,156 posts)riversedge
(70,305 posts)
....Paul said his plan would legalize the sale of inexpensive insurance, adding: That means getting rid of the Obamacare mandates on what you can buy.
One of the greatest things about the ACA is that there is standardization of benefits and plans can be compared to each other when shopping. And that there isn't any "junk insurance" on the exchanges. Whereas before, on the individual market, there was a ton of crap insurance with severe limitations on annual or life-time amounts, and very high or unlimited out of pocket maximums, and so what you had is placebo care. Something that was good if you had an ordinary illness or accident, but nothing that was going to matter if you had like a $200,000+ cancer treatment or coronary bypass etc. (So when a RWer or JPRer tells you about the cheap individual insurance plan (s)he had before the ACA, that's exactly what they had).
Also, young healthy people would generally buy the cheap policies, which would raise the cost of the more robust health policies for e.g. middle-aged and older needing serious health insurance.
mobeau69
(11,156 posts)"We're gonna legalize the sale of inexpensive insurance". We know WTF that means. Them minimum coverage requirements is one of the beauties of the exchanges. You know you're covered for the important things in any of the plans you pick. You can basically focus on price between one plan and the other.
People, including children, are going to die because of these bastards. This is an outrage.
Plucketeer
(12,882 posts)you wanna create jobs? How about all the folks that would be hired to run and monitor a Single Payer (Medicare for all, if you will) plan? It's truly hilarious that the likes of Paul and most of the rest of the GOP can stumble thru a food bazaar, gasping and groaning that there's no food in sight!
cstanleytech
(26,319 posts)a ton of jobs as well and its something thats needed but the GOP wants to push us towards having toll roads all over probably with most of them owning the roads so they get the $ plus it limits the ability of people to freely be able to travel with ease.
BumRushDaShow
(129,491 posts)at first I thought they were talking about Paul Ryan!
roamer65
(36,747 posts)A minimum tax rate of 50% on all incomes over 500k would do it.
Texin
(2,597 posts)How is someone who can't even afford to go a doctor or pay for a prescription going to pony up with the moola to open a HSA or file for a fucking tax credit?
The folks in Kentucky and elsewhere who are going to be thrown off their health coverage and face the overwhelming challenge of their lives just trying to stay alive. Many of these people are gravely ill as it is. Many aren't able to work as they battle their illnesses or chronic, crippling diseases. How in hell are these folks going to be able to put together the financial wherewithal to survive? What about the parents of that 26 year old, now covered because of the mandate from the ACA, is thrown off their policies and he goes out and gets in an auto accident or a skiing injury that results in hospitalization, surgery and a long recovery? What about all the people, like myself, with preexisting conditions?
Fucking tax credits and HSA are for people who have lucrative enough employment that might, might be able to scrape together a few coins at the end of the month. For those that are working at McDonalds, forget about it. They just need to eat and put a roof over their heads. It's back to the county public hospital's ER for all their healthcare - which all the taxpayers will be footing the bills for. Tax credit? What a fucking joke! It would amount to nothing more than a tiny partial reimbursement for the higher taxes the poor and middle class are going to be screwed over with by these Billionaire Boys Club members.
Fuck them all.
progree
(10,918 posts)And they are tax credits given in advance -- or more accurately they are given concurrently with each premium payment -- so that each monthly premium payment is reduced by them on a month-by-month basis (i.e. one doesn't have to wait until next year to collect after filing taxes).
They also reduce out-of-pocket costs for those with incomes below 200% of poverty.
I agree with you entirely on the HSA's being of little value to most people, but a great boon (and tax dodge) for the well-off.
El Mimbreno
(777 posts)We need policies that create more jobs, Paul told CNNs State of the Union on Sunday, when asked directly whether his constituents would keep their coverage. The more jobs we create the less need there is for government to jump in.
AKA: Piss on the 99%.
Turbineguy
(37,369 posts)is that the characters in the books don't actually exist, at least the heroic ones. And there is no plot to deprive inventors of their inventions, at least not on the part of the government or ordinary people.
The Randians want to turn everything over to predators who are looking to grab anything they can get their hands on without paying for it. Because they believe that these people don't exist, but people like Howard Roark, Dagny Taggart, John Galt, and Hank Reardon do.
It's the other side of the coin of Communism, a workers paradise, where everybody is happy!
vlyons
(10,252 posts)Jobs for prison guards, low-paid teachers in private Christian schools. burger flippers, coal mining.
Well it's Kentucky, so I guess there's always moonshining too.
weissmam
(905 posts)he has nothing