LTS TRN 2 wrote:There are unfortunate compromises in the bill
Yeah, they're unfortunate because they're the only parts of the bill that matter.
Since you're obviously clueless on this matter, here's how this little redistribution of wealth game is set up...
1. Medicare & Medicaid payments, which were already so low that most of these patients were seen
at a loss, are cut further yet providers are required by law to see these patients
2. Unscrupulous doctors begin and/or accelerate Medicare and Medicaid fraud to non-existent illegal immigrants in order to maintain their same standard of living.
3. Legit Doctors, who already pay out 40% of their income to malpractice insurers, need to make enough money to stay in business, so they renegotiate rates and/or charge more money to commercial insurers to stay in the black.
4. Commercial insurers make up the difference by cutting coverage ($25 x-rays instead of $800 MRIs), raising copays for office visits and taking high-dollar prescription drugs off of their formulary list so patients pay for them almost entirely out of pocket.
5. Commercial insurance rates skyrocket despite the cuts in coverage to cover the increase in payments for services, and the ending of many of the industry's (amdittedly fucked up) practices such as lifetime maximums, two-year max coverage of mental health issues, etc.
6. Employers greatly increase the out-of-pocket amount employees pay and switch to a plan with higher copays that include high deductibles and lousier coverage (like an 80/20 plan).
7. You, me and anyone else with commercial insurance end up paying the equivalent of a car payment in monthly premiums so others can get it for free while maintaining the current system’s profit structure for the big players.
Had they capped malpractice lawsuits and regulated the crazily-out-of-control malpractice industry, killed the HMOs anti-trust exemption and allowed competition across state lines, many of the insane costs of doing business would have “fixed themselves”. But they didn’t as a payoff to the trial attorneys association, malpractice insurance companies and HMOs. We
And finally, by not designing and putting an effective Medicare/Medicaid fraud detection and enforcement system in place BEFORE throwing billions more at these programs, they have guaranteed that this will all explode in a supernova of catastrophic clusterfuckery, all of which will be paid for by people like YOU.
They just served you a steaming Chalupa turd on a platter and you applaud them?
You're a fucking idiot.
