2016 Postmortem
Related: About this forumConvince Hillary Clinton to support single payer health care
The Affordable Care Act, for many Americans is unaffordable because premiums and deductibles are too expensive. Premium and cost sharing (deductible lowering) subsidies are too difficult to qualify for. Got a full time job? Better hope your kids qualify for Medicaid because the employer provided health insurance required by the employer mandate makes full time workers and their entire families ineligible for subsidies. Don't think the affordability threshold will help because it only includes the employee's portion of the premium (not their family) and does not include the deductible or annual maximum. Employer provided health insurance is never subsidized according to income. Single payer health care would be a huge cost savings for the poor and middle class. One of Hillary Clinton's campaign ads talked about price gouging by pharmaceutical companies. The best way to control the cost of prescription medication and the cost of health care is a single payer health care system. Single payer is the reason costs are so much lower in other developed countries. How do we convince Hillary Clinton to fight for single payer as hard as Bernie Sanders would if she's going to be the nominee? Any ideas?
bkkyosemite
(5,792 posts)Katashi_itto
(10,175 posts)PowerToThePeople
(9,610 posts)Hoyt
(54,770 posts)snot
(10,529 posts)MrsKirkley
(180 posts)Then she can negotiate toward the middle to a public option. If she starts negotiating with a public option she won't accomplish anything. Beginning negotiations further to the left is crucial.
think
(11,641 posts)Hoyt
(54,770 posts)Skwmom
(12,685 posts)NanceGreggs
(27,814 posts)... this video gets trotted out, with the caption "Single-payer healthcare will 'never, ever' come to pass - Hillary", when the chyron at the bottom from the actual broadcast says: "Clinton: Sanders' health plan will 'never, ever pass."
Two different things: single-payer healthcare and BERNIE'S plan for single-payer healthcare.
Skwmom
(12,685 posts)Downwinder
(12,869 posts)athena
(4,187 posts)but I agree it won't happen in the next four years. If we want single-payer health care, we need to do the hard work. We have to stop thinking that the president can work miracles. We have to elect progressives from the bottom up, and bombard our representatives with letters about this issue -- for years. We can't expect our president to burn precious political capital on something that has no chance of being approved by the current congress.
TM99
(8,352 posts)supported a single payer/medicare for all universal health plan.
She pushed for a HeritageCare like insurance mandate in the 1990's and that was it.
This is one of the top five reasons why I can't support her in the general if she is the nominee.
Hell, even Trump is calling for a change to the medical system in this country. And it is fucking sad that he is and she is not! Oye!
MrsKirkley
(180 posts)From what I read, Trump wants to repeal the health care law and allow health insurance to be purchased across state lines, which is pretty much what all the Republican candidates say. Unless the law is replaced with single payer, the only thing accomplished will be the return of preexisting condition denials and lifetime limits. From what I've read, Trump used to want single payer. Unfortunately he changed his mind. Pity, since I agree with him 100% on getting rid of free trade.
TM99
(8,352 posts)which I won't link to here.
It is not single payer but it is no worse than the ACA at this point.
In any case, I don't trust Clinton to ever implement a real change in medical care in this country.
BernieforPres2016
(3,017 posts)Hillary said single payer was something that will "never, ever" happen in this country. And we should take her at her word, shouldn't we?
Joe the Revelator
(14,915 posts)person and one person only: Hillary Clinton. She cares about nothing but her own power and her own ambition. She has a long and easily researched past. Thinking you can convince her now and she would stick to it later is Charlie Brown going after the football.
Art_from_Ark
(27,247 posts)Recursion
(56,582 posts)I'd personally prefer a system like Germany's, which ACA pushes us closer to.
insta8er
(960 posts)To ACA. Really curious....
Recursion
(56,582 posts)Last edited Thu Apr 28, 2016, 12:48 AM - Edit history (1)
This was, oddly enough, Baucus's idea in the Senate, though it never went anywhere. I'd love to see that happen. But the basic idea is along ACA's lines: mandate purchase and issuance of private insurance, which then negotiates provider rates.
Anyways, the insurers and the doctors and hospitals negotiate payment rates for the providers, which to me is better than the government doing it because insurers can't be lobbied whereas Congress can. Doctors start at about $55K and except for some high-need specialties max out at about $100K. We actually put the cart before the horse here because Medicare sets a rate that is way too high (see, e.g., this history of the so-called "doctor fix" because, again, Congress can be lobbied and doctors, like car dealers, are usually some of the richest people in rural districts and want to stay that way. Private insurers then use this too-high reimbursement rate as a starting point for negotiations with providers, from which payments usually go up (though in some cases down).
joshcryer
(62,270 posts)The public option actually passed, was in the negotiations right up until the end, and the co-op idea was his best hope of salvaging the whole fiasco. In the end though the co-op idea was him saving face after falling on his sword. The party was heavily divided over that failing. DFA / PCCC went all out, actually going after the dozen or so Democrats that weren't pushing for it.
MrsKirkley
(180 posts)I know Bernie Sanders is the best candidate. I've wanted him to run for president since the first time I heard him speaking on the Senate floor. Many liberal minded Americans register as Independents because they feel the Democratic Party has moved too far to the right. Unfortunately, closed primaries have greatly hindered Bernie's chances. Unless Bernie wins the nomination as a Democrat or runs as an Independent and wins in November, the best we can do is convince Hillary to support single payer so we can at least end up with a public option.
djean111
(14,255 posts)And if she were president, IMO, the ACA would get even more expensive.
insta8er
(960 posts)andym
(5,443 posts)are doctor, nurse and staff salaries, procedure costs, drug costs and medical device costs are all higher. The insurers are responsible for only 10-20% of the markup, the rest of the often than 2 fold or more difference is due to these. Single-payer could bring down costs IF the agency that runs it insists on paying less for everything from doctor's visits to stents for heart attacks. It can be done but will take a lot of determination.
Could it be done without single-payer?-- less likely because all of the clients (insurers and medicare etc) would have to agree to work together to bring down prices.
I would love to hear more about this reality from the candidates.
Gwhittey
(1,377 posts)"How do we convince Hillary Clinton to fight for single payer as hard as Bernie Sanders would if she's going to be the nominee? Any ideas?"
Need to figure out how much the health insurance companies have given her and then take up a fund drive to beat that amount and give it to Bill as a "payment for a speech" or hire Chelsea as a board of director and pay her a salary totaling that amount.
uponit7771
(90,339 posts)... he should set a progressive example instead of a right wing one
choie
(4,111 posts)uponit7771
(90,339 posts)... Sanders supporters seeing the have a true fantasized view of Sanders.
Fact not in dispute - Sanders voted for CFMA
Fact not in dispute - Sanders gets a passing grade from the NRA Clinton does not
choie
(4,111 posts)by anybody to sound ridiculous. Like many Clinton supporters, you are able to do it all by yourself.
uponit7771
(90,339 posts)azurnoir
(45,850 posts)it'll get her votes, but what she does after she has those vote is IMO another matter entirely
LiberalFighter
(50,928 posts)help get Senators and Representatives elected to support it. That is where legislation is proposed and passed.
That is why they are in Article I of the constitution and not the executive.
JI7
(89,249 posts)nichomachus
(12,754 posts)Pockets, I might have a chance.
Who do think she's going to listen to -- the working-class suckers who sent her a few bucks or the corporatists who were dumping six- and seven-figure sums into her money-laundering scheme -- I mean "foundation?"
akbacchus_BC
(5,704 posts)She has already said that it cannot be done. What amazes me is that she been advocating for health care reform and never got it done in 25 years, you really think she will be pushing for it now! Hell no, she just wants to get elected as President of the US, that is her goal.
JoePhilly
(27,787 posts)If you can't do that, you can't make this happen.
Its that simple.
And neither Hillary nor Bernie would be able to "force it".
B Calm
(28,762 posts)Demsrule86
(68,576 posts)That today many of us have workplace plans that are worse? I wish I could get Obamacare....I pay 500 a month for two adults and one college age kids. We have a 6000 dollar deductible before, the insurance pays for anything. We have 8000 out of pocket. Last year, our older girl who was still covered broke both her ankles and the younger one had a severe thyroid illness. We have spent close to 10,000 on medical last year; not everything was covered...16,000 if you count the premiums. This is a private work plan. I would love single payer...but with a House in GOP hands it won't happen...Obamacare was the best we could in 09 and still is the best we can do now. You want single payer...work in off-year elections and take congress. It can not happen until then...and talk is cheap. Bernie must know he could not do it now.
Vinca
(50,271 posts)If you manage to get single-payer passed, how many insurance companies will donate to your next campaign?