GOP just approved Single Payer Health Insurance

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The Democrats can not win in 2018 running on hatred for Trump, but this week Pres. Trump, Speaker Ryan, and Majority Leader McConnell have propose taking responsibility for Obama Care away from the Democrats.  Democrats will run on the spiralling death of health care  rising premiums, less people covered, fewer choices, fining the young and forcing them to buy insurance. 
Mitch McConnell the man that ran in 2013 campaign on repealing AHA and leading the fight to repeal root and branch.  Two weeks ago gave the big business health insurance lobbyist a chance to review the health care bill.  They fill his campaign and the senate's campaign coffers.  So nothing goes out without their approval.  Same goes for Paul Ryan that said he would put the VETOED 1/3/2016 AHA repeal bill on the desk of a GOP president after the 2016 election.
I just sent my representatives these tweet: 1)Tsunami flow over base CBO 20% & 3X for 45+ premiums 17% poll popularity Keep promise 1/2/2016 repeal GOP JH on this bill   2) Employer drops HC employee fined  running on this 2018 goodby base 
Both bills have about a 17% approval rating.  Hillary won the popular vote so the GOP can not loose a vote.  They won on the county district level.  Those districts that elect representative to congress and state legislatures.  The people most effected by premiums, and work for small employers are in those counties.   Big business attacked in effect the heart land of America to reduce risk, have a captured clientele.
When elected Democrats after the collapse of Obama Care (Trump Care) will put forth a single payer health care system completing FDR's 1944 state of the union "Second Bill of Rights" that was put in place not by amending the Constitution but by 85 years of hard work from both parties.


Mike Haluska Added Jun 28, 2017 - 11:44am
Anyone that witnessed the Obamacare debacle, listened to the "architect" of Obamacare admit it was passed because the American public and knows that there are only 4 "exchanges" left barely standing . . . and trusts the Democrats to get us out of this mess DESERVES Single Payer. 
Mike Haluska Added Jun 28, 2017 - 11:45am
Ooops - typo:
Anyone that witnessed the Obamacare debacle, listened to the "architect" of Obamacare admit it was passed because the American public is stupid and knows that there are only 4 "exchanges" left barely standing . . . and STILL trusts the Democrats to get us out of this mess DESERVES Single Payer. 
Thomas Sutrina Added Jun 28, 2017 - 12:09pm
The problem that the "architect" had was that the public knows when they pay more and get less.  Even the dumbest get that.  Even the dumbest will also get that their employer dropped health care and the government is fining them when they file for income tax.  Even the dumbest know when their pocket book has less money in it.
Christian Peschken Added Jun 28, 2017 - 12:10pm
It boils down to this, which do you like best Obamacare or Obamacare light?  We know liberals like Obamacare, which do you prefer?
Norton Louis Added Jun 28, 2017 - 12:30pm
Thomas, in my opinion Rand Paul has the most realistic view on the Republican's Obamacare Light.  Why pay insurers with taxpayer money to keep premiums low?  This is a sleight of hand that simply adds to our national deficit.
Every time a move is made by fiscal conservatives to trim the rate of growth of entitlements, the Democrats shout about the deaths caused, the number of people that will lose something etc.   It's all about votes, unfortunately, and not about ensuring our county does not hit a financial iceberg at some point in the near future.
Short term thinking.  Continuing to charge on the National Credit Card is going to lead to one place; financial collapse.  Kicking the can down the road has allowed politicians to keep their voter base at the cost of our future as a country. 
This is why we need term limits.  Personally, I hope Obamacare light does not get passed.  It will cause pain to many, but a little pain now will prevent massive pain later.  There is no free ride on this planet, though spending more money than we have has caused many to believe that a free ride should be the norm.
Dino Manalis Added Jun 28, 2017 - 1:38pm
After college, kids should have their own health insurance, if they want it, while the individual mandate has to be organized like Medicare drug coverage, people should choose which insurance they prefer, or none at all.
Thomas Sutrina Added Jun 28, 2017 - 1:48pm
Christian P., that is the choice if the GOP has a combined AHCA/BCRA and Trump signs it.  But that is some time off because we get to clew in our representatives.

Norton L., Rand Paul is correct, but Shumer as you can see does not care about the facts.  He will get the Democrats to run on premium increases by 3X.  Those over 45 voters put Obama in office but voted their pocket book for Trump.  Hillary ran on what Obama Care actually did, raise premium and deductibles.  

Shumer will be telling voters that the GOP is pushing them off a cliff, remember the ad showing a look alike pursuing grandmother in a wheel chair off a cliff.  Shumer will not let the GOP use slight of hand to push cost down the road.  GOP leadership are funding premium reductions with debt.

Term limits is just one component of the Convention of States effort to get 33 states to call for a convention.  Their are now 12 state that have passed bills calling for a convention and defining the content they will let their representatives discuss.  COS effort is to have the bills similar enought so they can be combined.  COS is not involved in the content of the actual draft any amendment.  Remember that 37 states must approve any amendment before it becomes law.
wsucram15 Added Jun 28, 2017 - 1:54pm
ITs going to pass in an amended form of the AHCA. Obamacare lite, even if they need Dems.  They need this done to go onto the budget, I dont see them going into September without it.  Just my opinion.
Thomas Sutrina Added Jun 28, 2017 - 2:00pm
Dino M., the tactic of the Democrats since FDR is to give out freebees which will get votes from the recipients and then sell the freebees as a right.  FDR put this in writing in his second bill of rights portion of his 1944 state of the union speech.  This is one of the reasons that GOP representative do not want to repeal Obama Care.  So even if the 2016 bill that Obama VETOED in the first week of January is put on the desk of Trump, which is what Speaker Paul Ryan promise on video.  That is not the end of it.  Congress will have to deal with the two freebees,  the expansion of Medicaid from 100% to 140% of poverty level eligibility that many state accepted and the one you point out, keeping children on their parents policy till 26.  
The cost of keeping adult children on a family policy is very cheep since the medical cost for these people is very low.  They are the people that are not purchasing Obama Care because the fine and paying for health care out of pocket is cheaper.
Thomas Sutrina Added Jun 28, 2017 - 2:05pm
Dems see blood in the water.  They need something to run on in 2018.  They need the GOP to take ownership of Obama Care.   Approvals of 17% for either the House or Senate for their bills is gold to the Democrats. 
wsucram15 Added Jun 28, 2017 - 3:17pm are right on the last comment and if they pass anything w/o Dems cooperation, they own it for 2018.
John Minehan Added Jun 28, 2017 - 3:58pm
I suggest we scrape both the PPACA and the AHCA and start from scratch.
Thomas Sutrina Added Jun 28, 2017 - 5:01pm
Scrapping both is may desire also, but conservatives represent less then a quarter of the population and we are out numbered by the statist or liberals since that is what our schools teach.  Weening people off big brother will be painful.  So just repeal Obama Care gets us to a state before Obama Care.  Jobs is the solution for getting people off welfare and  reducing the Medicaid rolls.  The next step is competition.  
The previous system was federalism in the states.  Each state could have its own system.  But this lead to corruption and no competition on a state level.  The lack of competition is the reason for the high cost of health care.  
We need competition.   Interstate commerce laws apply so that insurance and health care can be provided across state lines.  Thus the state can define regulations that define requirements.  Any companies that achieve the requirements can offer plans.  Federalism is retained.  And the companies can sue the states for discriminatory regulations.  Thus hospitals and insurance can occur across state lines.
Cost go down when people have choices.  All costs of procedures  as with a store must be posted both at the service provider and on the internet.  The internet provide a customer review of performance, and it will not be prohibited by laws of the states.  Also for consumer safety no filed suit, out of court settlement or court action can be hidden from the public.  
Health savings account will be tax deductible and money can accumulate and be transferred to to others.  Any organization can create a group to bargain for insurance or health services.  
Insurance is paid for future events.  The government to get itself out of being the provider of pre-existing conditions shall require that insurance policies have a cumulative portion that extend coverage with decreasing fraction of the cost as time passes without paying for a policy.  Thus the young health individual starting off is still covered by the family policy that they were a part of for as a child and a worker out of work has coverage while looking for work and until they are part of medicaid.  
Athena Carson Added Jun 29, 2017 - 8:13am
I think what frustrates me more than anything is the fact that so many people just don't understand how the healthcare system works.  By itself, there's nothing inherently wrong with that - it's complicated and counterintuitive.  But when those same people have very VERY strong opinions about what "should" be and how to get there ... I just don't have the time or the patience to really engage at that point.  Plus they don't want to be educated, anyway.
I think what should have happened (instead of the ACA) is:
1) Identify the 5 biggest, most urgent problems with healthcare
2) Implement small tweaks to fix the big issues, one at a a time and no less than 2 years apart.  That gives the market time to settle in between changes and gives everyone an opportunity to reevaluate.
Patrick Writes Added Jun 29, 2017 - 8:22am
The Senate plan apparently allows small businesses to be able to band together to organize giant group policies (as if they were large corporations). The plan is held with an insurance company but "organized" by the employer(s). 
Rand Paul wants to allow individuals to join into these "association" health care plans as well. 
THIS is the sort of thing that will avoid a slow motion transition to a single payer system. Actually, this is the ONLY sort of thing that will avoid single payer IMO. 
People need to be in a group policy, a pool, for health insurance to work. Individual health insurance policies (what ObamaCare forces people into if their employer doesn't organize a group policy) are virtually unworkable insurance products. 

In a normal setting, when you are young and healthy, they are cheap enough. When you're older with health problems, they can get astronomically expensive (because the risk-o-meter says you are at risk of thousands of illnesses as you approach retirement). 
And ObamaCare said (as I understand), insurance companies have to cover older, sicker people with pre-existing conditions in individual policies and can't charge them more than the going rate. Well that extra risk HAS to be covered one way or another. So insurance companies simply padded out premiums on ALL insurance policies to cover this government-forced risk. So everyone's health insurance premiums doubled.
Don't get mad at insurance companies. It's mathematics at the end of the day and measuring risk.  And the fact that individual health insurance products are unworkable (as opposed to group policies which are based on a large pool of people where the healthy balance out the sick). 
Ideally, there would be neighborhood association group plans that you could join if you live in the area, or the Lyons club, or church group X, etc... They'd be everywhere. The law up to this point effectively forbade any entity besides an employer from organizing a group policy with a health insurance company.
Norton Louis Added Jun 29, 2017 - 11:12am
Anyone read the Senate Bill?  Do we know if it allows competition between insurance companies over State lines? 
Competition between insurance companies, (not government subsidies) was supposed to be the driver of lowering insurance premiums as discussed by Trump during his campaign).
We probably need to approve this Bill regardless so that we can apply the savings towards new tax policy....... but the Republicans have a mess of a health care bill on their hands.  It is so tempting to let Obamacare tank, but that would place the Republicans/Trump playing the same opposition politics as the Dems.  Tax policy reform is what will jump start the economy and give Trump the authority from the People he needs to continue draining the swamp.
All things being equal, we need more people in Congress like Rand Paul.
Mike Haluska Added Jun 29, 2017 - 12:13pm
The sum total of the previous posts is the reason the Federal Government should just GET THE HELL OUT OF HEALTH CARE!!!  First of all, it's unconstitutional - nowhere does it state that the Federal Government is responsible for our health care.  Second, once you grant control of your personal freedom over to the government they will NOT surrender that power without violent overthrow. 
You're all worried about losing your "rights" to free speech, guns, etc. when you should be worried about the right that all others hinge on - economic freedom!  Without the ability to choose how OUR income is spent, we ALL become serfs to a larger and larger government with an insatiable appetite for power and money.
wsucram15 Added Jun 29, 2017 - 12:32pm
Mike..I cannot believe you are so selfish about the elderly and disabled.  You are such a selfish man.
George N Romey Added Jun 29, 2017 - 2:30pm
Jeanne a modern society understands the importance of providing dignity, respect and comfort to the elderly and the disabled. They seem to forgot the time honored slogan of "there by the grace of God there go I." 
Thomas Sutrina Added Jun 29, 2017 - 11:29pm
Althena C., Identify 5 biggest and fix one at a time implementing small tweaks would have been find before AHA which made big changes without knowing the effect or not informing the public of the effect and getting their approval. "have to pass it before knowing what is in it."
Now we have a health care insurance system that is in a death spiral. We could say that it is because the Democrats lost control of the house and the Republicans that did not vote for it, not one house member, chose not to fix it. But they lost control of the house because of the health care plan they passed in the first place. That plan taxed by a ridiculous high deductible, paying for services not needed thus pay a tax for someone else to use the service, Taxed the manufactures, Taxed the better health care planes. Basically got everyone mad except those that didn't have to pay for health care.
We have two Republican bills that do not fix the health care insurance system and in fact make the death spiral happen faster. They replaced some of the taxes with debt but retains most of them. They stopped the Democrats from the government paying for the insurance companies to administer in effect a single payer health care system with taxes. But accept fund the same single payer health care system with national debt and taxes.
I have identified the biggest problem Athena and the tweet that the politicians want. The problem is that the American people do not want the politicians solution. At least those that will pay the tax and be saddled with the debt do not want it.
Thomas Sutrina Added Jun 29, 2017 - 11:41pm
Paul, Rand Paul promoted this idea and he has not commented that individuals can form groups to purchase insurance is in the senate bill.  No one has.
You have a good understanding why the insurance companies are dropping like flies.  the young are not purchasing the very expensive insurance but the old that need insurance are and they get a price that will never cover the cost.   Obama tried to make a group out of individuals but did not get their consent.  Master Minds of socialism  that speech for the public actually do not.
Norton L.,  The house and senate bills do not open up interstate commerce which is actually one area that the Constitution give the Federal government the responsibility to do. 
Mike H Yes the politicians should get out of the business of health care and even welfare but they have discovered the advantage in their campaign coffers for slanting laws to favor those businesses or people.  Only a constitutional amendment will stop them.
Thomas Sutrina Added Jun 29, 2017 - 11:50pm
wsucram15  you are so selfish because by taking without asking the money to service elderly and disabled.  You prevent people from receiving the joy of giving.  "it is better to give then receive" did not come to be by accident.  Before the progressives took charge of welfare the communities and organization like churches, good will, adams house in chicago,  the Robber Barons have huge sums as they still do today.  Bill Gates for example.    Yes wsucram15  the pleasure of giving has been stolen by the federal government.
Thomas Sutrina Added Jun 29, 2017 - 11:51pm
George R I agree with you, "modern society understands the importance of providing dignity, respect and comfort to the elderly and the disabled."
Mike Haluska Added Jun 30, 2017 - 1:10pm
wsucram - your allegation:
"Mike..I cannot believe you are so selfish about the elderly and disabled.  You are such a selfish man."
deserves a giant FU!  You don't know me, you have no knowledge of my charitable efforts and are on the receiving end and condemning the donors! 
Just because I oppose the Welfare State doesn't mean that I am "selfish"!  Any time anyone points out the disastrous problems created by the Welfare State and the millions of lives it has ruined, the "Progressives" jump out of the woodwork to demonize the accuser.  I had put up with this crap for decades but not any more.  I am going to call out every parasite weasel who makes a living off the poverty system for what they really are. 
What the proponents of the Welfare State are really concerned about are:
1) maintaining political power by exploiting government dependency
2) keeping their "social worker", "entitlements administrator", "community organizer" jobs because they can't cut it in the real world
I realize you "Progressives" are in the final stages of relevancy and are panicking because your political influence is down to 22% nationwide, lost a Presidential race you spent billions on, are about to lose a dozen or more Senate Seats in Red States in 2018, 3 more liberal SCOTUS judges will be replaced by Constitutionalist judges in the next 3 years and are about to be tossed into the "Trash Heap of History" alongside the USSR, Cuba, China, Russia, East Germany, North Korea, etc.
You guys had your fun from FDR through Obama - you're done.  Go away quietly and let the Grown Ups clean up your mess and restore America to where she is supposed to be.
Mike Haluska Added Jun 30, 2017 - 3:26pm
Thomas -
Your suggestion:
"Only a constitutional amendment will stop them." is not the only way.  Measures are being taken to initiate a Constitutional Convention to get around the politicians.
There is no real difference between elitist Republican and Democratic politicians.  How many times did the Republican controlled Congress vote to repeal Obamacare while Obama was in office knowing full well he would veto it?  Now they have the House, the Senate, the Presidency and they are scared shitless to do anything except propose "Obamacare Light".
Trump has thrown down the gauntlet and told the Senate pass an acceptable Health plan or repeal Obamacare.  We'll see just how cowardly McConnell, Ryan, Graham, McCain, etc. really are.
Norton Louis Added Jun 30, 2017 - 4:08pm
Mike well said.  Totally agree that corruption and Deep State-ism is not party-specific.  This is why he is driving the GOP elite crazy...they are beholden to him for winning the Whitehouse, and still beholden to those that own them as well.....the proverbial rock and a hard place.  
While the media focused on a face-lift tweet, Trump's agenda is building up a head of steam.  Personally, I think our President is pretty cagey and deliberate with his tweets.  He has everyone convinced of his lack of self-discipline on tweets while he slides MAJOR agenda items past the nose of the Deep State Media.  Major new energy policy and two House Immigration related bills did not get the Deep State Media treatment due to his Mika Facelift Tweet.
Brilliant.  We're looking at another Reagan-eque legacy in the making.   Reagan was The Great Communicator, Trump may go down in history is a The Great Manipulator.  What looks like chaos and unPresidential behavior to most, is just another day in the Art of the Deal for our President.
Thomas Sutrina Added Jun 30, 2017 - 9:18pm
Mike and Norton, I agree, "There is no real difference between elitist Republican and Democratic politicians."  and even the founders realized that congress will not change itself.  That is why they provided the alternate approach to amending the Constitution, states meeting or rather the representatives of the states legislature meet to draft amendments.  
Now if the situation gets bad enough that 33 states agree that change is needed and also agree about the type of change needed then the likelihood that they are on a good path is high.
Thomas Sutrina Added Jul 2, 2017 - 7:12am
Trump through on the wall what the conservatives have said for months.  Put the repeal bill that you put on Obama's desk in January 2016 on my desk.  Mitch McConnell the "leader of the fight to repeal Obama Care 'root and branch' said NO.  He wants to repair Obama Care because of the  support he gets financially from the health care industry that are keeping the prices high and will get the subsidies coming out of debt or taxes to prop up the pre existing condition requirement, not insurance customers, thus government health care.  
John McConnell is the only voice I heard. 
Thomas Sutrina Added Jul 2, 2017 - 8:01am
Rand Paul and the house conservatives have said Republicans agree on repeal.  So do that first and then discuss replace.  Trump tweeted he is willing to do anything to get a win so will back Rand Paul.  
Trump wants a win.  That is his level of value he puts to health care reform.  If McConnell and Ryan put a single payer on his desk he will sign it.
We have a president that has zero standards.  He wakes up every morning with no idea what he will be doing.  They future in lunch.
Thomas Sutrina Added Jul 2, 2017 - 2:49pm
Ryan and McConnnell lead the effort for the house and senate repeal and replace bills AHCA and BCRA.  They are on the side of Obamacare since they keep 80 to 90% of Obamacare.  The Freedom Caucus, Rand Paul, Mike Lee, Ted Cruz, & John Kennedy are against both bills they favor a straight repeal.  Trump has said both AHCA & BCRA are great bills and he would sign them.  He also said recently he would support repeal only.  So he is not taking any stand really.  Total repeal is the direct opposite of the house and senate bills.
John Minehan Added Jul 2, 2017 - 6:45pm
For example, this . . . .
John Minehan Added Jul 2, 2017 - 6:47pm
and this . . . .
Thomas Sutrina Added Jul 2, 2017 - 11:49pm
The Democrats John M., I agree are trying to take advantage of the GOP leadership's plans.  The voters have clearly said they do not want it, over half the voters that is.  So if we are given a choice of Democrat or Republican single payer I have no idea which one will be choosen.
I have said this earlier healthcare is the Kansas Nebraska bill for this crisis.   That bill opened the Louisiana purchase territory to slavery.  And lead to the Republican Party.  The collapse of the Whig Party.  And the split of the Democratic Party.  Maybe we will get as lucky.  
Thomas Sutrina Added Jul 3, 2017 - 3:25pm
Mathew, I am not on the side of Obamacare or Ryan/McConnell care.  And I would choose Obamacare over Ryan/McConnell care.  We have no idea what Trumpcare will look like since it will be a compromised bill.  
The reason Obamacare may not be repealed and replaced is that the opposition is divided into two group on oppose end of the spectrum.  So neither side will compromise. 
The leverage Obama has if he wants to pass something is the pass actions of the politicians.  Trump could if he wants hold them to their word and passed actions.  but then he would be breaking some of his promises with just a repeal bill.  He would have to say he is keeping his promise but his desire for a seamless repeal and replace was not possible because of congress. That is a fact.
Mike Haluska Added Jul 5, 2017 - 12:13pm
Thomas - your assertion:
"And I would choose Obamacare over Ryan/McConnell care.  We have no idea what Trumpcare will look like since it will be a compromised bill."
illustrates my point about ALL government "entitlement" programs.  You don't get to CHOOSE Obamacare, Trumpcare, etc.!!!  The number of people dependent on the government is so enormous now that the 51% riding in the cart just keep demanding more and more from the 49% pulling the cart.  And every year another bunch of people pulling the cart get tired of getting cursed out by the riders that they just give up and jump on the cart!!!
We should be able to CHOOSE whether we want to participate in ANY government run charity, pension plan, health insurance plan, etc.  If there are not enough voluntary enrollees to fund it, then the program should be shut down because it can't stand on it's own merits.  Let private charity work.  
Thomas Sutrina Added Jul 5, 2017 - 4:42pm
Mike H. you are trying to say I am on an opposite side.  The whole article is in agreement with your basic statement.  All I am saying is that both parties in government have the same objectives ad evident by there actions.
Mike Haluska Added Jul 6, 2017 - 12:06pm
Thomas - I just listened to Paul Ryan (who should be the lead architect along with Dr Ben Carson of the health care bill) this morning saying that NOTHING in the current bill does anything to remove the problems of Obamacare and simply adds hundreds of $BILLIONS in insurance subsidies!   
The Republicans under Paul Ryan and Mitch McConnell aren't proposing "Obamacare Light" - they're proposing "Obamacare Ultra"!!!  Get on your phones and call your senator and let them know they are responsible to the American people - not the insurance industry!!!

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