Great Pretender offers "solution" to the "keep your plan" fiasco

Discussion in 'News / Current Events' started by thisnumbersdisconnected, Nov 14, 2013.

  1. thisnumbersdisconnected

    thisnumbersdisconnected
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    Great Pretender has no power to "administratively" restore these policies, because neither he nor anyone else can "undo" the "undone." Those negotiations can't be done in the six and half weeks that are left in the year. It's not impossible, but it would take a "perfect storm" of total agreement on the part of every single healthcare provider in every single city, county, state and the nation to agree to pretend none of this happened.

    To reinstate the plans they've cancelled, the insurance companies would have to renegotiate with the hospitals, doctors, physical therapists, mental health professionals -- in short, every single facet of the health care system. Those plans have been cancelled. Those plans are gone. They ceased to exist when the insurance companies realized they did not meet the criteria the misbegotten ACA set.

    Negotiations between insurers and healthcare providers take at least several months, if not most of a year. For example, the doctor charges $100 for an office visit and $75 for lab work. The insurance company refuses to pay that much, and says they will pay $55 and $35, respectively. The doctor counters that he can't pay staff and keep the lights on for that. He offers $80 and $60. The insurance company counters with $65 and $40. The doctor says he can't cover the lab for that, but if the insurance company will pay $50, it's a deal. The insurer agrees. But again, it takes weeks, months, maybe the whole year.

    That negotiation takes place for every possible service your doctor performs, with every insurance company, each year. It is duplicated between insurers and every other discipline in the medical profession, across the board, from labs to psychiatrists. Some insurance companies refuse to pay some doctors the amount those doctors believe they are entitled to be paid. When that happens, the doctor will stop accepting that form of insurance as reimbursement.

    Then, of course, once the doctor no longer accepts that insurance company's reimbursement schedule, then she no longer accepts patients who use that payer's insurance. What has happened here is that the insurance companies have attempted to, and failed, to negotiate coverage with the healthcare providers that meet the ACA requirements, so they have cancelled the policies, and the doctors, hospitals, etc., have also made the decision that they cannot afford to offer services through the ACA, or even through ACA-compliant policies.

    And Great Pretender wants to write an executive order and fix all that.

    His complete lack of knowledge about the industry he is trying to take over makes him not only unqualified to offer the ACA as "the new truth" in U.S. healthcare, it makes him completely unqualified for the office he holds. No one else in the history of the U.S. presidency has been as completely clueless as this "naked emperor." The man has no skills, knowledge or ability about anything other than campaiging and community organizing. The job he pretends to is far bigger than either.

    How SNIP he got elected to the office is a mystery only to those who don't understand the machinations at work to take over this country and turn it into a socialist police state without firing a shot. I'm becoming convinced the man himself is not the mastermind. He's just a pawn for a bunch of nameless, faceless Marxists masquerading as Democrats and socialists, manipulating it all from behind the scenes.
     
    #1 thisnumbersdisconnected, Nov 14, 2013
    Last edited by a moderator: Nov 16, 2013
  2. Doubting Thomas

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    Hopefully, this fiasco will become and object lesson for many of those who mistakenly think the Federal Govt can micromanage every aspect of our lives and can just keep on magically giving everybody stuff.

    As far as O's 'executive orders', to hell with them.
     
  3. poncho

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    You're starting to sound like me now TND. Only I have a name for the "nameless, faceless Marxists masquerading as Democrats and socialists, manipulating it all from behind the scenes." I call them globalists. :smilewinkgrin:
     
    #3 poncho, Nov 14, 2013
    Last edited by a moderator: Nov 16, 2013
  4. InTheLight

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    So I presume the Republicans will hold his feet to the fire, stand up for the fact that the President cannot unilaterally change a law, maybe even start impeachment proceediings?

    No?

    Perhaps because once again they got played by Obama. What Republican is going to stand on principle to deny people their old health care insurance policies? Anyone?
     
  5. thisnumbersdisconnected

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    Why not? He can't. He's done it before, and no one called him on it. Don't count on it this time.

    I presume you haven't heard that both Republicans and Democrats have introduced bills in both chambers to preserve these policies? But again, even if legislation is done legally rather than an illegal executive order that attempts to legislate, legal revision of the ACA won't make these policies magically reappear.

    Congress will be faced with the only logical choice -- repeal the ACA. Even Democrats will be forced to admit, it is the only real answer. It's either that, or total collapse of the government as the people determine to take back the power they've ceded through apathy over the years.
     
  6. Winman

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    It's just not as simple as allowing the insurance companies to issue old policies for one more year. There would have been increases with these old policies, they would have to be negotiated. The insurance companies did not spend any time on this, as they were ordered to scrap these old policies. So, this would take probably four or five months.

    Problem is, next year they would have to cancel these same policies again, and folks once again will scream they were told they could keep their old policies.

    Obama and the Democrats have created a real mess this time, and there is no easy fix.
     
  7. thisnumbersdisconnected

    thisnumbersdisconnected
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    I know that. I've been saying it all day, on several different posts. Others, however, don't seem to grasp that reality.
     
  8. Winman

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    Well, I sold insurance for 10 years, and one thing I know about insurance, it's not simple! Obama doesn't have a clue.
     
  9. thisnumbersdisconnected

    thisnumbersdisconnected
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    Nope. He's totally ignorant, so much so he's too ignorant to know how ignorant he is.
     
  10. Winman

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    The insurance companies would be foolish to reissue the old policies, even if they could pull it off, they are just going to have to cancel them again next year and we will be back exactly where we are today.

    The easiest fix is to issue new policies to these folks and subsidize the extra cost. This will cost billions, but it is the easy fix.
     
  11. Revmitchell

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    It is not easy to subsidize anything.
     
  12. Revmitchell

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    CBS just reported that Washington State's Insurance Commissioner said he will not allow previous policies to be restored.

    So it is not just Republicans that are against this

    It just not about Democrats also

    But it is also about the insurance commissioners.

    It turns out none of the blame will be placed on Republicans and most likely it will still fall on Obama.
     
  13. Revmitchell

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    Did anyone notice that while Obama said he would allow people to get their old plans back he said nothing about getting their old premiums back.
     
  14. Don

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    THANK YOU, MR. PRESIDENT.

    At a time when everyone else will be finding any possible negative point to sling at you, I just want you to know that I'm grateful. At a time that military retirees are finding out that their Tricare health insurance meets the minimum ACA requirements, but cuts their children off at age 23 instead of age 26 like you promised, it's reassuring to know that you're going to allow us to re-enroll in those cheaper insurance plans that satisfied our personal health care needs instead of the higher-priced plans that ensured we paid for additional coverage we don't need and will never use, in order to subsidize others who can't afford your higher-priced plans. Never mind that my cheaper rate insurance probably won't be sold back to me at the previously cheaper rate because the insurance industry had already made agreements with the healthcare industry and the cost of revising those agreements is causing everyone to wonder how they're going to do it, much less get it all approved by the regulatory agencies; we take comfort that because you've said it, you'll make it happen. Oh, and we'll just turn a blind eye to the fact that we can re-apply for our previously cheaper insurance, get it at most likely a higher rate (because any mandate you put out requiring insurance agencies to keep their previous rates will most likely cause them to go out of business, resulting in leaving us no choice but to go with the phenomenally higher ACA plans, or leave us without insurance--which we know you can't allow, because your whole goal was to ensure we ALL have health insurance)...but then turn around in a year and still have to enroll in an ACA-approved plan and pay up to ten times (or more) higher than our current plans.

    Forget all that, Mr. President. I'm grateful that you and Michelle are so concerned about our health that I don't mind paying thousands more each year that I could have used to buy my kids Christmas presents, and I don't mind my kids eating that noxious garbage that's passing for lunches as schools try to meet Michelle's healthier kids initiatives. I know you only have our best interests at heart, and mean us no harm.

    Thank you, Mr. President; I'd tell you to keep up the good work, but those folks you have in your administration keep mucking up all your good intentions, so I'll just say thanks, and keep trying!
     
    #14 Don, Nov 14, 2013
    Last edited by a moderator: Nov 14, 2013
  15. exscentric

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    "I don't mind my kids eating that noxious garbage that's passing for lunches as schools try to meet Michelle's healthier kids initiatives." Spose that is why he gets burgers every chance he gets .. not gunna eat no rabbit food.
     
  16. Doubting Thomas

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    WE LOVE BIG BROTHER! :love2::love2::love2::love2:
     
  17. thisnumbersdisconnected

    thisnumbersdisconnected
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    How's your tongue this morning? I would think sticking it deeply into your cheek might have sprained it!

    [​IMG]
     
  18. HankD

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    Here is something else most people don't realize:

    Being a software engineer and working a contract for an insurance company, I know that a great deal of software had to either be retrofitted or re-programed because of the "affordable" Health Care Bill.

    Now it will all have to be reversed for a year. Not an easy task and in some institutions an impossibilty.

    HankD
     

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