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( DeLaRick )

Comments made by DeLaRick

Community Clinics Push Enrollment in Covered California As Deadline Approaches

RC,

I agree that it's time the government actually tried something. However, the ACA doesn't address medical costs, which are more responsible for the problems with our health care delivery system than the uninsured. In my opinion, the biggest boost to our society from the ACA is the simple fact that we're actually discussing health care. If people would unhinge themselves from cable news talking points, we'd progress even further.

April 1, 2014 at 7:38 a.m. ( | suggest removal )

Roundtable: More On Balboa Park Flameout; Minimum Wage; Homeless Housing Under Fire

If a person just goes to work and doesn't get out much, that person will not understand how vital lower paying jobs are to the service/hospitality sector and our economy on the whole. Someone making $50K during the day is not going to put on a smock at night to serve someone who makes $100K. We can't have an economy like Las Vegas' where you're either getting into bed or making one to earn a living. Society benefits when people pay sales taxes, regardless of their socioeconomic level.

March 28, 2014 at 2:42 p.m. ( | suggest removal )

Community Clinics Push Enrollment in Covered California As Deadline Approaches

JM,

Epidemiology is not my area, so I can't say which societies are prone to metabolic disorders and which ones aren't. With 1.6 billion folks, I'm sure the total number of people in China w/metabolic disorders outnumbers ours. You should have a little bit of fun with this and do some research on the countries you listed. However, I agree with Duck about that being a slippery slope if you're trying to differentiate genetically superior folks from the inferior ones. It's much, much more practical to treat everyone while rewarding proactively healthy people with rebates and/or premium reductions.

March 26, 2014 at 4:15 p.m. ( | suggest removal )

Community Clinics Push Enrollment in Covered California As Deadline Approaches

JM,

Don't paint yourself into a corner with that statement. There are metabolic disorders such as Myxedema and Cushing's syndrome which must be controlled by trained professionals. Our glands can play lots of tricks on us regardless of diet and lifestyle.

"Perhaps it's because they know that the majority of the American population is intelligent enough to realize that a productive and healthy society DOES in fact require some subsidization of the poor."

You're right, Duck. That knowledge also includes accepting society's "losers" and realizing they are a fact of life in a capitalistic system. We can't have "winners" if there are no "losers." Politics is supposed to balance our imperfect markets, not exacerbate their shortfalls. There is always a better way to do just about anything, no?

March 26, 2014 at 2:29 p.m. ( | suggest removal )

Community Clinics Push Enrollment in Covered California As Deadline Approaches

I think it's the same as coercing citizens to abide laws: incentives must be monetized. In the case of health care premiums, there's a fine line between incentivizing members and fat-shaming. (Some people are obese or unhealthy because of genetic factors beyond their control.) Not achieving market equilibrium in a country with this many smart people and resources is inexcusable. Obviously, the health care market is not perfect. There's plenty of room for discussion and improvement. Compartmentalizing the health care problems of the last 50-years into one of Obama's administrative failures doesn't help.

While we're on the subject, almost all fee-for-service Medi-Cal enrollees have been shifted into managed Medi-Cal HMO plans as a result of the ACA. They can no longer self-direct and must stay within the confines of a provider network. In theory, that helps with medical outcomes and saves money. It's a good step forward.

March 26, 2014 at 10:02 a.m. ( | suggest removal )

Community Clinics Push Enrollment in Covered California As Deadline Approaches

JM and I aren't arguing, I merely pointed-out that the cost of caring for unhealthy folks is already being neutralized by healthy ones, which helps keep premiums low for everyone. He has a legitimate concern, but that ship has already sailed. Neutralizing costs between healthy and unhealthy people is not a new concept; and it's the reason for the very unpopular individual mandate. That's the only way the health insurance industry signed-off on the Affordable Care Act. (They also conceded pre-existing conditions and eligibility for adult children up to the age of 26.) The analogy about robbing Peter to pay Paul is apt.

March 25, 2014 at 3:18 p.m. ( | suggest removal )

Community Clinics Push Enrollment in Covered California As Deadline Approaches

Benz,

The health plan pays the same amount to the medical group/IPA/hospital "per member/per month," regardless of each member's current physical state. The amount paid by the insurer is the pool. In layman's terms, if you are a member of a fully-capitated HMO which isn't Kaiser, you are in the pool along with healthy and unhealthy people. A balanced mix of unhealthy and healthy folks in the pool keeps it viable. The system has been that way since the early 90's.

March 25, 2014 at 12:03 p.m. ( | suggest removal )

Community Clinics Push Enrollment in Covered California As Deadline Approaches

Tea Party members walk into a bear trap whenever they start spouting off about Obamacare. One simple question for them: If you're not a regressive and racist troll, where were you during the Medicare Part D prescription drug program fiasco? That question applies to anyone who believes the problems with health care started on 1/20/2009.

March 25, 2014 at 10:16 a.m. ( | suggest removal )

Community Clinics Push Enrollment in Covered California As Deadline Approaches

"Under obamacare, somehow 'fair' means that a healthy non-drinking non-smoking young man who exercises 5 days a week will pay the same for their insurance as a 300 pound diabetic smoker."

If you knew what capitation pools were, you'd know that already happens. TweePartyHero, any insight besides cable news talking points? Anyone can watch TV, remember what they hear, then say it or write it later.

March 25, 2014 at 7:16 a.m. ( | suggest removal )

Analysis Shows Flight 370 'Ended' In Indian Ocean, Malaysia Says

Is Fox News asking its viewers to be disrespectful? We can only hope most of the passengers and crew were asleep upon impact. The lives of the passengers' friends and loved ones will never be the same. Peace.

March 24, 2014 at 10 a.m. ( | suggest removal )