Nothing: Trump won't be able to change it
Trump and the republicans will eliminate it
It will get changes made but remain
He'll shoot for Universal Health Care at the horror of the republicans
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I trust that Trump will figure it out.
There is no doubt the ACA is a failure and needs to be repaired but not necessarily repealed. The fine is going up to 2000 this year, that is unacceptable but so is taking away pre-existing conditions.
Trump has a lot of work to do.
The problem will never be solved until you remove private insurance from the equation. How much of that $1000/mth premium is profit for the insurance company? Why would it not make sense to have an insurance company (the federal govt) that doesn't need to make a profit, it only needs to collect enough in taxes to pay the bills? Have the law say if we do not have enough in the kiddle to pay those bills then the tax goes up and if we run a surplus it goes down? It would HAVE TO be cheaper than the current system. The expense of those dozen or so secretaries sorting through those hundreds of different plans at the hospital would also be gone so there is one more HUGE cost that would be eliminated. Anywhere in the country you walk into a hospital and give your SS# and they type it in and either hand you a bill if you have not met your deductible or if you have treat you and say have a nice day. The millions upon millions of dollars in simple salaries to that bureaucratic nightmare would be gone reducing those healthcare costs even further. Why this doesn't make sense to everyone I will never understand. I think it's because it would be socializing healthcare and just that word scares the shit out of rightwing dumbshits, they think it means we would all become communists.
Can someone tell me in which state health insurance is so much cheaper so that when they repeal the ACA I know where to go buy it? The claim that going across state line means it will somehow be cheaper is about one of the fucking stupidest things that the rightwing dumbshit swallows. That and tort reform that experts argue over whether it would save 1% or 2.
I don't give a shit whether or not they want it, I want them to have it because if they don't the taxpayer, that's me, pays their fucking medical bills. Maybe if the govt were to break that expense down and include how much YOU paid to carry those medical bills on your tax return or tell you how much higher YOUR health insurance policy is in order to carry them they might say "wait a minute". It's like the right is saying they are against a subsidy but if you hide it in my tax bill or in my health insurance premium then it's ok, they feel better.
People that live in small states take a hit not being able to buy across state lines. People don't realize it. Especially now with the big players, Aetna, Cigna etc pulling out. That leaves customers like myself having to buy local HMO type insurers that nobody has ever heard of. So if the worst happens and I get cancer and need to get treatment in Boston, I am out of network. That makes my costs skyrocket. Also if I travel out to CA on vacation, will the hospitals there take Hitchcock insurance when it only has 45,000 customers and no one has ever heard of it? Believe me I have tried to use it out of state and often times they say "yea pay first and then you get reimbursed."
Yes. Something along those lines.
A point to remind ourselves. An Insurance Company is a business. They employ actuaries to assess risk on which to base premiums. Insurance is designed to protect against unexpected loss. Signing on those people with pre-existing conditions without factoring that condition into their premiums violates the basic Fundamentals of Insurance.
Am all for compassion and accommodation. But those folks with pre-existing conditions cannot be dropped into the general pool without just discarding the pretense that we are even talking about "insurance" any longer.