The fall of Trumpcare

Seriously? That raises some issues.
http://www.slate.com/articles/news_...2000/05/why_do_drugs_cost_less_in_canada.html
"In recent months, members of Congress from both parties have introduced bills to stop this drug price discrimination, either by allowing the re-importation of drugs from Canada and Mexico or by requiring U.S. drug companies to offer drugs at one price for all of North America. If drug companies had to charge the same price in the U.S. and Canada, what would that price be? It would have to cover R&D costs, so it would be higher than the current Canadian price. But those costs would be spread over more pills, so it should be lower than the current American price. (This assumes that companies will maintain the same profit levels they currently enjoy.) Canada would have to abandon or modify its price controls, or its citizens would not be able to buy these drugs."

However, there are several problems. Thing One is the lie buried at the center of that statement. Thing Two is influence/pressure on the government of another country. Not least is the unknown quantity at the top of the current US political pyramid, who doesn't know or care what effect a sudden, whimsical tariff policy might have.

Thing One: http://truecostofhealthcare.net/the_pharmaceutical_industry/
As you see, more of their outlay is in advertising than in research, and there is quite a nice profit margin - and some hardship for consumers - even at the Canadian prices;
Therefore : Thing Two: It would be better for the US to regulate the price of drugs than for Canada to stop doing so.

Here's a simpler view of just how well pharmaceuticals are doing: http://www.drugchannels.net/2015/06/profits-in-2015-fortune-500.html


WTF ?


Cialis 20 mg (for) Antique Bathtub Sex
 
What needs to be done is we need to divide medical care into two sectors. One sector will be all the high risk people, those with long term preexisting conditions, and special needs. The other sector will the more healthy people, who periodically require some medical care. The second group would be treated using free market insurance. Since this is a fairly low risk and usage pool, the cost of premiums should be quite low. The first group, which is high risk and very expensive, should be addressed with a government program. Many countries do it this way.

Name one of those "many countries"...just one. The fact is there are none. You can play accounting games all you want. It won't change the bottom line. It will not make healthcare any less expensive. At the end of a day, no matter how you divvy it up, an expense is still an expense. I know you are just repeating Ryan's explanation of Trumpcare. But at the end of the day, an expense is still an expense. Trumpcare was just a shell game operation to cover up a trillion dollar tax cut for America's wealthiest families.

I would combine high risk pool with the VA, to make a single health care entity which covers both military and high risk civilian needs. This is not new, but is the way it is during war. The Military not only fights and get wounded but is also responsible for civilians needs during times of high risk.

So you would put the high risk pool, which is essentially everyone over 50, into the VA system, an already over crowed healthcare system. Well that makes perfect sense! :) It makes no sense at all. That's why no one with any kind of horse sense would do such a thing. You would over whelm the VA healthcare system. That's not how it was during the Civil War. It has never been that way. Veterans hospitals were created to care for veterans only. That's why they are called veterans hospitals. The US military services may treat injured civilians during times of crisis. But they don't do it all the time and they don't provide extended care. e.g. the US Coast Guard routinely rescues people, but it doesn't provide extended care. It's crisis intervention, and it has nothing to do with the veteran hospitals. The VA system is not a part of the US military. It's a civilian administration which serves American veterans.

Transforming the VA system into a system which treats veterans plus high risk individuals couldn't be done quickly. It would take years. Thousands of hospitals and clinics would need to be built. The system would need to hire millions of people to staff those clinics and hospitals. It would be a massive undertaking, and it would cause existing hospitals and clinics great financial duress. Federal expenditures would soar. Your idea makes less sense than Trumper's great wall.

This is yet again another case of where a little bit of knowledge goes a long way, and you have none.
 
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How about we have universal healthcare paid by taxing the rich? And if you want more than a basic level of medical care you can get supplemental insurance.
 
What needs to be done is we need to divide medical care into two sectors. One sector will be all the high risk people, those with long term preexisting conditions, and special needs. The other sector will the more healthy people, who periodically require some medical care. The second group would be treated using free market insurance. Since this is a fairly low risk and usage pool, the cost of premiums should be quite low. The first group, which is high risk and very expensive, should be addressed with a government program. Many countries do it this way.

I would combine high risk pool with the VA, to make a single health care entity which covers both military and high risk civilian needs. This is not new, but is the way it is during war. The Military not only fights and get wounded but is also responsible for civilians needs during times of high risk.
no country does that. its is an idiotic idea that would only serve to drive up prices. is there just something about being a right winger that makes you not understand how insurance works?
 
The best plan I've heard over the last 6 months is "Medicare for All". Now Bernie Sanders says he will introduce a bill to do just this.

https://berniesanders.com/medicareforall/

It seems like a smart thing to do since it is single-payer and the Medicare structure is already in place. Just remove the "65 years old" minimum and let everyone sign-up. The health insurance companies can then expand their Medigap policies to everyone. Now, I realize this will cost a lot so let's do the smart thing and take the money from the defense budget. The $50 billion increase this year to the defense budget would have gone a long, long way to get "Medicare for All" going.
 
Is there just something about being a right winger that makes you not understand how insurance works?
It's strange how right wingers simply cannot grasp the concept of insurance. Once a day you can see some right wing talking head saying "I'm all for health insurance, but it's totally unfair that I have to pay for someone else's care!"
 
It's strange how right wingers simply cannot grasp the concept of insurance. Once a day you can see some right wing talking head saying "I'm all for health insurance, but it's totally unfair that I have to pay for someone else's care!"
If all right-wingers are like wellwisher then this country is in deep, deep doo-doo.
 
If all right-wingers are like wellwisher then this country is in deep, deep doo-doo.
Well, unfortunately, most of them are. Those who aren't are orchestrating this mess, e.g. the Kochs, Ailes, Murdoch, Mercers, et al. They mindlessly believe whatever they hear from right wing entertainers like Fox News, right wing radio, and blogosphere. They repeat it almost verbatim. They use the same words and same phrases. It's almost like the "Body Snatchers" made real, and I'm not joking.
 
Tax the churches, too!

All for it, but I doubt most Americas are considering the religiosity here. One step at a time.

It's strange how right wingers simply cannot grasp the concept of insurance. Once a day you can see some right wing talking head saying "I'm all for health insurance, but it's totally unfair that I have to pay for someone else's care!"

insurance is a lot of people pay into a system so that when they are sick the system can take care of them with that money, the result is yes a lot of healthy people paying for some sick people, but there is a middle man there: the insurance company, who skim a profit off the top and devise ways the optimize said profit by fucking over sick and dying when possible.
 
How about we have universal healthcare paid by taxing the rich? And if you want more than a basic level of medical care you can get supplemental insurance.
As long as basics include the ACA's minimum essential coverage, I'm OK with that.
 
All people deserve access to affordable, quality healthcare and a system of care that is transparent and efficient. Congress is considering legislation in the House and Senate that would allow wholesalers, pharmacies and individuals to import drugs from Canada.
That issue is decades old now, and that obvious possibility has been blocked by Republican Congressmen, in particular and most effectively, several times. http://www.nytimes.com/2003/10/23/business/cheap-drugs-from-canada-another-political-hot-potato.html
http://www.dallasnews.com/life/healthy-living/2010/09/28/20100927-To-cut-costs-seniors-get-8103
as/re greed
Insurance companies have a fiduciary responsibility that has nothing to do with medical care.
Call it greed? Call it capitalism? Hell man call it Fred if it makes you feel better.
I didn't call it anything - I pointed out that as an attribute of doctors, your claim, it wasn't a major factor in the cost spiral.

Your entire diatribe there was against the Federal government and greedy doctors and doctor supply and medical schools. The other 34 countries on this planet that get better medical care than US citizens at half the price US citizens pay all have Federal level governments, greedy doctors, a shortage of medical school grads, and a shortage of primary care physicians (an even bigger shortage - the US has lots more doctors per capita than most of the better functioning setups).

What they don't have is medical care delivery dominated by private corporate for-profit insurance companies contracted by employers. That's terminally stupid, and nobody else has copied it.
 
It would have to cover R&D costs, so it would be higher than the current Canadian price.
That probably isn't the case. American drug companies recover their actual R&D easily at current Canadian prices, plus a solid profit.

Even at the self-reported amounts spent on R&D, almost all drug companies spend much more on marketing, and most book more money as profit than R&D: http://www.bbc.com/news/business-28212223

Then figure that the self-reported R&D covers a lot of activity whose real purpose is to extend patent protection and the like.
bbc said:
This is why pharma companies go to such extraordinary lengths to extend their patents - a process known as evergreening - employing "floors full of lawyers" for this express purpose, one industry insider says.

For a drug raking in $3bn a quarter, even a one-month extension can be worth huge sums of money.

New formulations, combining two existing drugs to give a wider use, and enantiomers - a mirror image of the same compound - are some of the legal ways to eke out patents. But some drug companies, including the UK's GSK, have been accused of more underhand tactics, such as paying generics to delay the release of their cheaper alternatives.

As the loss of sales at the big pharma companies far outweighs the revenue made by the generics, this can be an attractive arrangement for both parties.

But drug companies have been accused of, and admitted to, far worse
- - - {list of crimes and sins}
The rewards are so great, it would seem, that pharma companies have continually been prepared to push the boundaries of legality.

It's possible that we might see more money spent on true R&D, rather than less, if we bled the big money from the pharmaceutical business.
 
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How about we have universal healthcare paid by taxing the rich? And if you want more than a basic level of medical care you can get supplemental insurance.
It shouldn't be only the rich. Everyone must pay into it. But the best would be taking from the bloated, wasteful, defense budget.
 
It shouldn't be only the rich. Everyone must pay into it. But the best would be taking from the bloated, wasteful, defense budget.

Well of course everyone will pay, but the rich will pay more per percentage of their personal income then the middle class. I'm all for cutting the defense budget as well.
 
Well of course everyone will pay, but the rich will pay more per percentage of their personal income then the middle class. I'm all for cutting the defense budget as well.
I would be happy if the rich just paid the same amount as the middle and lower classes. That would be fair. OK, maybe a bit more.
 
I would be happy if the rich just paid the same percentage as the middle and lower classes. That would be fair.

A simplified flat tax with not loop holes is a nice idea on paper, but in real life where the rich have all sorts of different income sources it would get complicated fast, more so it would greatly punish the poor due to how they need a greater percentage of their income for basic living expenses. It would not be some much more complicated to have a logarithmic tax.
 
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