A New Politics Thread? That's Gold Gerry(mandering); Gold!

Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby TomatoPie » Tue Jul 15, 2014 13:27:26

drsmooth wrote: specific ways ACA "hinders delivery of quality care".


http://www.forbes.com/sites/greatspecul ... wont-work/

ObamaCare prohibits insurers to deny coverage to anyone for any reason. Healthy people can drop insurance until they actually need it without incurring any risk. It’s like allowing homeowners to buy fire insurance after their houses burn down.
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby TomatoPie » Tue Jul 15, 2014 14:11:30

drsmooth wrote:
TomatoPie wrote:If indeed that is the case, all the more reason to move away from policies - like ObamaCare - that hinder delivery of quality care.


right.

what?

identify, in detail, the specific ways ACA "hinders delivery of quality care". Remember, spelling counts, and you are being timed

this gives me a great idea for a thread: "Drunk Health Policy"


http://fortune.com/2012/05/22/even-with ... wont-work/
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby drsmooth » Tue Jul 15, 2014 14:18:05

sydnor wrote:This is economics and I work in healthcare so I'm jumping in:

1. I think there is some reasonable evidence that in areas of healthcare where insurance/government doesn't intervene, we've seen some gains in quality and lower cost - specifically cosmetic surgery and LASIK. You don't "need" either so insurance won't underwrite it and the consumer is on the hook for the whole cost. The results are that prices for boob jobs and LASIK are lower than ever while gains in quality have improved. This supply and demand thing is the same thing that's occurred with consumer goods like TVs, air travel, etc.

It's not surprising why people who believe in that would like to see it implemented for other areas of healthcare and certainly, whatever side you fall on, you should oppose the lack of transparency in pricing that currently goes on by hospitals. It's scandalous and it doesn't help people make decisions. Without people baring the full price, plus the whole mistaken assumption that quality equals high costs, there's likely not going to be a lot of pushing down prices going on.

2. The problem with TP is that healthcare isn't every other good for two reasons:

a. when the chips are down and somebody has opted out of healthcare, we're not a society that I (and a whole lot of other people) want to live in where we say "sorry, you opted out, we're not fixing your broken body from the car accident or your cancer with this chemo". So yeah, I don't mind making the young people pay for catastrophic care and maybe not even that catastrophic care.
b. while it goes on, I don't want to make it official that if you're rich, you get the best care and if you're poor you get the worst care. Again it happens, but we don't need to sanction it.


love this post, sydnor.

1. love the points you've made about the voluntary cosmetic transactions you've specified. transactional surgical procedures HAVE been refined and costs for performing them HAVE been crushed, all while probably improving the safety of the procedures for those who undergo them (we should note for the casual viewers at home that eye surgery processes, the more "health care" of the two types of treatment transactions you've named, were 1st radically transformed in that hotbed of free-market innovation, the USSR).

But these types of surgery are
a) only glancingly about "health care". I've brought a few meetings, and a conference presentation or two, to a grinding halt by whining that the term "health care" is the cause of way too much rhetorical confusion in a subject so important, mostly because it gets draped over sooooooooooooooooooooo much shit that's probably not health care by anyone but a marketer's definition.
b) almost purely transactional. They aren't about moving a person from a less than their optimally healthy state to their optimal health state. They are to health care as an oil change is to rebuilding a transmission (I don't know anything about cars so fix that if you do, wouldja).

Could processes and costs of other transactional health treatments be made more efficient? Sure, and they should. Should that then lead to lots more of them being done to the greater profit of hospitals across the land? Neeeeeaaaaahhhnnot really. Which surfaces a health care conundrum: theres' little financial incentive for any enterprise to tackle, let alone succeed at, systemic

So, lasik & boob jobs are a useful model for health care conversations, but not always for reasons the ideologically straitjacketed too often presume.

2) yep you've nailed it
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby drsmooth » Tue Jul 15, 2014 14:21:11

TomatoPie wrote:ObamaCare prohibits insurers to deny coverage to anyone for any reason. Healthy people can drop insurance until they actually need it without incurring any risk. It’s like allowing homeowners to buy fire insurance after their houses burn down.


Great example, except for the fact that it has nothing to do with care quality.

And don't tell me too many people will get care. Most clinical authorities settle the volume of unnecessary care currently rendered in the range of 33% to 50% - so there's plenty of capacity. What there's not is adequate transparency about anything like quality.
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby drsmooth » Tue Jul 15, 2014 14:27:25

Phan In Phlorida wrote:
Bucky wrote:
TomatoPie wrote:
I can choose the things I want to insure, or not, in all other aspects of my life.


not if you want to operate your motor vehicle on the streets

My wife prefers to do so on the sidewalk.


why don't we do it in the road?
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby drsmooth » Tue Jul 15, 2014 14:35:48

TomatoPie wrote:
drsmooth wrote: specific ways ACA "hinders delivery of quality care".


http://www.forbes.com/sites/greatspecul ... wont-work/

ObamaCare prohibits insurers to deny coverage to anyone for any reason. Healthy people can drop insurance until they actually need it without incurring any risk. It’s like allowing homeowners to buy fire insurance after their houses burn down.


Holy cow TP, I nearly didn't bother to actually check your Forbes source. Peter Schiff, whoever the hell he is, is as qualified to comment on health care as I am to interpret sanskrit. Likewise his interpretation of Roberts ACA decision:

Schiff, in Forbes wrote:In other words, he thought the law was constitutional because it will be ineffective
.

Wow, that is almost indescribably stupid
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby pacino » Tue Jul 15, 2014 14:37:37

Peter Schiff is the guy that couldn't beat out Linda McMahon for the right to lose the CT Senate race. A Ron Paul adviser.

During a January 2014 appearance on The Daily Show Schiff remarked that the "mentally retarded" might be willing to work for $2 an hour if there was no minimum wage, for which he received widespread criticism
thephan wrote:pacino's posting is one of the more important things revealed in weeks.

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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby TomatoPie » Tue Jul 15, 2014 14:45:43

pacino wrote:Peter Schiff is the guy that couldn't beat out Linda McMahon for the right to lose the CT Senate race. A Ron Paul adviser.

During a January 2014 appearance on The Daily Show Schiff remarked that the "mentally retarded" might be willing to work for $2 an hour if there was no minimum wage, for which he received widespread criticism


There's little to be gained by ad hominems on the guy who offered the criticism, unless you want to rehash Nancy Pelosi's argument that 'we have to pass ACA so we can find out whats in it"

If you wanna refute, focus on the points, not the talker
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby pacino » Tue Jul 15, 2014 14:46:40

where was the ad hominem in my post? i offered background.
thephan wrote:pacino's posting is one of the more important things revealed in weeks.

Calvinball wrote:Pacino was right.

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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby swishnicholson » Tue Jul 15, 2014 14:53:04

drsmooth wrote:b) almost purely transactional. They aren't about moving a person from a less than their optimally healthy state to their optimal health state. They are to health care as an oil change is to rebuilding a transmission (I don't know anything about cars so fix that if you do, wouldja).



I refuse to be drawn any further into this discussion, but I couldn't let this pass. I think "paint job" is the analogy you're looking for.
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby TomatoPie » Tue Jul 15, 2014 14:58:59

pacino wrote:where was the ad hominem in my post? i offered background.


With intent to discredit the guy who wrote the piece
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby pacino » Tue Jul 15, 2014 14:59:43

TomatoPie wrote:
pacino wrote:where was the ad hominem in my post? i offered background.


With intent to discredit the guy who wrote the piece

that's on how you percieve the background i provided. what makes what i posted something that would discredit him?
thephan wrote:pacino's posting is one of the more important things revealed in weeks.

Calvinball wrote:Pacino was right.

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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby Phan In Phlorida » Tue Jul 15, 2014 17:50:12

pacino wrote:this Israel/Palestine conflict is decidedly one-sided. I'm not sure what is being gained here by Israel. They can bat the 'rockets' down like flies but are killing what mostly amounts to innocent civilians. this is bad news.

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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby dajafi » Tue Jul 15, 2014 18:15:48

Maybe it's my sources, but the evidence thus far seems to be that the ACA is doing what it's supposed to do--expand coverage and improve health outcomes--at, if anything, lower cost than its proponents projected. This despite the initial self-inflicted wound of the website and ongoing republican sabotage.

Has Schiff written on this since it actually went into effect?

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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby drsmooth » Tue Jul 15, 2014 18:29:43

TomatoPie wrote:
pacino wrote:Peter Schiff is the guy that couldn't beat out Linda McMahon for the right to lose the CT Senate race. A Ron Paul adviser.

During a January 2014 appearance on The Daily Show Schiff remarked that the "mentally retarded" might be willing to work for $2 an hour if there was no minimum wage, for which he received widespread criticism


There's little to be gained by ad hominems on the guy who offered the criticism, unless you want to rehash Nancy Pelosi's argument that 'we have to pass ACA so we can find out whats in it"

If you wanna refute, focus on the points, not the talker


I'll go ahead and focus on the fact that Schiff is comprehensively an idiot
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby drsmooth » Tue Jul 15, 2014 18:34:54

swishnicholson wrote:
drsmooth wrote:b) almost purely transactional. They aren't about moving a person from a less than their optimally healthy state to their optimal health state. They are to health care as an oil change is to rebuilding a transmission (I don't know anything about cars so fix that if you do, wouldja).



I refuse to be drawn any further into this discussion, but I couldn't let this pass. I think "paint job" is the analogy you're looking for.


just so:

Image
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby TomatoPie » Tue Jul 15, 2014 20:04:12

dajafi wrote:Maybe it's my sources, but the evidence thus far seems to be that the ACA is doing what it's supposed to do--expand coverage and improve health outcomes--at, if anything, lower cost than its proponents projected. This despite the initial self-inflicted wound of the website and ongoing republican sabotage.

Has Schiff written on this since it actually went into effect?


We're surely reading from different playbooks.

And early returns mean little, at any rate. The perverse incentives - you will realize if you allow yourself to think about it - make it doomed. Young people will stay away in droves when they figure out that the tax/penalty is far cheaper than health insurance. Why buy it before you need it? It is actuarial disaster, doesn't require a crystal ball to see where it's going. Taxpayers will bail it out for a while, but it will crash badly.

Worse yet - I don't see much chance that either side will have a viable fix.
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby pacino » Tue Jul 15, 2014 20:07:50

young people are already hooked, whether it's through their employer, their parents, themselves, whomever. it's the drug you can't shake, TP, no matter how hard you want them not to. the sky is falling and the people who bought it love it.


Maybe the 25% uninsured rate for Texas children will save your future, though. Maybe they like the freedom of it all and will continue those good feelings into their 20s and beyond.
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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby ashton » Tue Jul 15, 2014 21:43:16

http://complex.foreignpolicy.com/posts/2014/07/15/israels_iron_dome_gets_new_funding_as_gaza_fight_intensifies
Israel's Iron Dome anti-missile system has kept the country safe from the hundreds of Hamas rockets flying toward its major cities from the Gaza Strip. With fighting intensifying, Congress seems poised to give Israel and one of the United States' largest defense contractors a jolt of good news: $175 million in new American aid that will help fund an expansion of the program.

The additional money for Iron Dome cleared one of its final hurdles Tuesday, when a key Senate appropriations subcommittee unanimously voted to double the Pentagon's $175 million request for fiscal year 2015. The full committee will consider the defense appropriations bill on Thursday. Meanwhile, three other panels have already signed off on the funding expansion, making it all but certain the additional money will be provided. Iron Dome has received $720 million in American funding since 2011, when the United States became directly involved in the program.

Israel is not part of the United States of America. What part of that do you fuckers in congress not understand?

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Re: A New Politics Thread? That's Gold Gerry(mandering); Gol

Postby Monkeyboy » Wed Jul 16, 2014 02:21:19

It's a trial run for the huge one they'll try to bill taxpayers to build around the US a decade from now.
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