McCain votes no on “Skinny” repeal, defeats bill


#21

Simple , pass around as much TAXPAYER money as possible and give free healthcare to 65 % of the population !! And screw those that work for a living and take care of themselves .


#22

Republicans have tried to repeal the ACA for 7 years. They have never stopped talking about it. We on the left, however, do seem to have stopped talking about the ACA for what it is – a compromise attempt at getting to universal health coverage. For all the many good things about the ACA, it still needs a public option. If the ACA debate is going to be constantly relitigated, we lefties should get out of our defensive crouch and start demanding that a public option be added to the ACA and that it should be available to all citizens, whether or not they receive healthcare as part of their employment compensation.

This would be similar to answering calls to cut Social Security by saying “actually, Social Security benefits are too stingy and should be expanded,” as opposed to saying “leave it alone.”


#23

I’m guessing you are a net ‘receiver’ rather than a ‘generator’ of govt. pander pay er, social benefits. Those of us who actually work- (what you leftists call suckers)- are not greedy, yet we resent those who are able bodied enough to amble down to the med/recreation pot shop but too ‘disabled’ to work.

I think you lefties should get out and march, and demand higher and higher taxes, means test of everything, and continue to shrill for special rights for all the goofs you call ‘the most vulnerable’. The midterms are only 15 months away, and we need your voices to tell the electorate loud and clear that the left is all about wealth redistribution!

Please Chandler- help us get to 61 GOP in the Senate!


#24

You forget 1 very important thing.

It is fiscally unsustainable.

1.1 trillion in healthcare spending this year and rising.

When will the left learn that you cannot have everything you want.


#25

I could watch him doing that thumbs down thing a million times and not get sick of it. Love it, love it, love it.


#26

Same here. Is it me or did he then pause and look straight at McConnel as if to say “screw you buddy”. Given his recent speech on partisanship this may have been more of a “this isn’t how we do things” no.


#27

If a public option starts gaining traction, it can scare Republicans into strengthening the private insurance markets under the ACA.

As Trump continues to sabotages Obamacare, the case for a public option or single payer becomes stronger.


#28

The entire universe of republican courage = two women and a guy with terminal brain cancer who has nothing to lose.

Don’t celebrate though, the insurance markets are rattled and they will have to price in the significant risk due to the instability that the Republicans have shown their intent to bring about. Now they all have even more spite to shower upon the existing law and they will do it in spades.

McCain could have simply stayed home saying he did not feel well, the fact that he flew in to knife McConnell and Trump is something to behold really, lets see how quickly they turn on the man with terminal brain cancer…if the comments here are any indication…:disappointed:


#29

McCain may have served in the military, but he’s doing a disservice to the people now. Pretending to be an R while being a D along with his other wackiness might be attributable to his physically condition, but either way, he needs to go.


#30


#31

You think?

Perhaps it has to do more with the unhealthy people in the ACA and their poor lifestyle choices.


#32

#33

What no witty comeback?

Think the ACA or single payer is sustainable?

How much are you personally willing to pay for your wet dream?


#34

The NHS is paid via your taxes. I know in Great Britain you pay on a sliding scale. I also know private insurance is available to those who pay for it. Private insurance pays for a variety of different hospitals that are not necessarily available to those who cannot afford supplemental insurance. The NHS is a two part system in this sense.

Of course the NHS wasn’t a service until 1949, prior to that England had what we have currently under the ACA, it was called the National Insurance Act of 1911.

What I am saying here is we are going through our own growing pains and our system will evolve, with the likelihood it will evolve into a single payer plan.

But I can’t make a firm prediction about that since we continue to elect Republicans. It is important that people understand the evolutionary nature of legislation. So give us time and our system will evolve, just like the one you currently benefit from in the UK did.

When I also mentioned about doing something better concerning single payer, I was thinking about countries in the Asia-Pacific like Hong Kong and Singapore. There is no reason why a private system and a public system could not coexist. If you aren’t happy with the wait times in the UK, then use the private options that are available to you.


#35

The tax rates in Britain are stunning: the parasite class pay nothing of course - then it is meteoric 40% of income between 45 - 150K, and 45% above that.

All that taxation gets you the NHS. For those of us in the US it would be a lot like going by ambulance to say USC Medical Center where you wait in agony for hours while the staff works its way through legions of illegals’ offspring with runny noses.

Need a hip replacement? No problem, let’s pencil you in for August 15, …2021.


#36

You live in a dream world feddo.

Half the country pays no Federal Income tax. Seniors pay little vs. the cost of medicare, people collecting medicaid pay nothing.

With 20 trillion in debt which you and your ilk ignore, just how do you propose paying for the freebies that you salivate over? Why should the other 50% of the country support your poor lifestyle choices?.

Nothing is free in life including free BC pills, physicals etc. Someone always pays, how much are you willing to pay a year for universal care? 10K a year???

Think all the people on the left are willing to pay 10K? 5K?? Or like you do they just want more for free???

And all the time you ignore the case of Charlie Gard and someone else making healthcare decisions for you with single payer. It holds true, there is a finite amount of healthcare services available. If you do not control the demand via pricing, you control it via availability and of course who is most deserving

Every time government gets involved in our lives it takes a slice for itself. Bureaucrats create administrative oversight requirements (more government agencies and workers) and more data requirements to be reported back to these agencies. More overhead. And so big government was both a primary cause and a primary beneficiary of the system we have today.

Since when did the government decide how a person should live his life?
And why should you determine how I live my life.


#37

The fundamental reason US healthcare costs are so high is precisely due to the fact that consumers of healthcare are not the one’s paying for it. Insurance companies pay for the care we receive, and we simply (mindlessly) pay smaller, incremental amount of money into this system that inherently causes the prices of everything to go up. Doctors, pharmaceuticals, hospitals, etc… all charge as much as they can because they know that insurance companies are responsible for paying, and not directly the consumer.


#38

Except that health care was expensive when people paid out of pocket, and it’s less expensive in nations with single-payer or more inclusive private insurance systems (more inclusive, even after the PPACA), despite the fact that those people get their health care paid for by insurance. Compared to other nations, in the U.S. you’re likely to pay significantly (perhaps vastly) more for deductibles and copayments, and face more exclusions from coverage, so if there’s a nation in the developed world in which patient contributions to health care keep costs down it should be this one – yet the U.S. has long been, and remains, home to the world’s most costly health services.

What you will see in those other nations, however, is that the nations that rely on private insurance for their national health care systems regulate those insurance companies to a significantly greater degree than occurs in the United States. For nations that utilize single payer, you will see the national health system use its bargaining power to negotiate down the cost of pharmaceuticals. Physicians tend to earn considerably less money.

Health care consumers are in a poor decision to make decisions about their care, as they have a tremendous information imbalance when dealing with doctors and hospitals. When consumers make their most expensive medical decisions, it’s usually in a context in which there’s no time for research, little to no time for negotiation, and little to no opportunity to change medical facilities before costs are incurred. A car accident victim with a head injury may not even be in a position to contemplate whether or not a CT scan is necessary, and how hard is that person likely to fight if the ER physician insists that it’s crucial to determine the nature and extent of any injury or internal bleeding? If your child is born with birth complications, how realistic is it to dicker over the cost of the NICU, or to propose transporting the child to another hospital for lower-cost treatment before they are admitted to the NICU in the hospital in which they’re born?

A few years back, a major health analytics firm analyzed health insurance plans that were designed to shift additional costs from insurance companies and employers onto workers – high deductible plans with HSA’s. On the plus side for insurance companies and employers, their costs (predictably) went down. But there was no net savings – in fact the total cost of care went up, with the difference coming out of patients’ pockets. Why? In no small part because the cost-shift removed the insurance company as a middleman. Rather than having a hospital call an insurance company for pre-authorization and having an adjuster suggest trying a less costly approach before using a more costly test or procedure, patients deferred to their doctors. It’s not that doctors were profit-seeking or treating these patients differently – most doctors are focused on patient care and don’t even think about what tests or procedures cost, let alone have actual knowledge of costs. It’s that without the informed intermediary who could say “no”, patients tend to defer to their doctors’ recommendations – with neither party considering the financial cost.

At the same time, one huge problem we face in our society is that many people who are uninsured or underinsured defer important health care until they qualify for Medicare. Many people don’t even realize that they have a looming medical condition, such as signs of the onset of diabetes or high blood pressure, because they can’t afford a physical or don’t want to spend the money out-of-pocket. Many people can’t afford to pay out-of-pocket for medication or treatment of chronic conditions, or can do so only intermittently, even when they understand the need. If having a large population of people who have to pay out-of-pocket for health care services were a factor that would drive down the cost of care, this country’s enormous historic population of uninsured and underinsured people should have triggered that effect – in 2012 we had a significantly larger population of uninsured people in this nation (47 million) than the entire population of Canada (34.8 million). We did not see the development of new and innovative ways to provide low-cost care as a result of market forces and the needs of that population – instead, as you know, we faced the highest per capita healthcare costs in the world.

Health care is simply not a context in which normal market principles apply.


#39

Of course it’s the insurance companies at fault for Fat Irresponsible Americans as well as government interference and of course government regulations. Insurance companies are of course responsible for FREEEE services dieted by government as well as regulation the numbers of doctors in the US.


#40

Thanks for your totally uninformed comment.

Anything for FREEEEE healthcare single payer so government can dicta who gets healthcare and who doesn’t just like the UK.

Can’t wait to wait for weeks to see a physician or months for needed surgery. Yes, the UK’s cheaper healthcare is cheap and rightfully so as they provide so much less.

And of course our high cost of healthcare has nothing to do with the fact that Americans cannot touch or see their feet.

The best and the brightest will move on to careers without government inference and w like the UK can import physicians from across the world for cheaper low quality healthcare.

Something Americans can look forward to with your single payer UK style system:
United Kingdom infant Charlie Gard’s parent’s announced today their baby boy has died, just a week short of his first birthday.