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Daily Obamacare Thread: Good and Bad

Dirty Penguin

Master Of Ceremony
Well after spending millions of dollars of taxpayer's money it appears that Oregon will scrap their healthcare web site and go to the federal system. I guess when you let government bureaucrats design something it just doesn't work. Didn't the federal government have a problem like this? Also it looks like federal grants might have been, how should I say, misspent. Investigation forthcoming

Oregon panel recommends moving to federal health care exchange | Fox News

Good for the state to dump them and go a different route. I'm a network engineer and I've worked state, federal and private industry in the IT field. I worked for a consulting firm that wrote custom applications, websites, e-commerce sites and building databases with Access, Oracle and SQL so I understand how trying to get systems to work, work with other systems and work with sometimes other legacy systems can be. Sounds like Oracle screwed the pooch on this one.

I remember back in October when people were being really critical on the federal exchange and they were right to do so but many were going on and on about how the administration should have outsourced it to a private company. Well it's ironic that Oregon did just that and it still crashed and burned. I said it then and I'll say it now. Those that criticize thinking some other private company can do it better than the federal government simply don't know what they're talking about. Now Oregon has to look to the federal system to get its people enrolled, not counting the 69,000 that's already enrolled, because they relied on a private company and got screwed....so let the investigations begin to find out what went wrong..sounds to me that the state and Oracle share the blame but this makes Oracle, in the eyes of the IT world, look really, really bad....:sad:
 

esmith

Veteran Member
Good for the state to dump them and go a different route. I'm a network engineer and I've worked state, federal and private industry in the IT field. I worked for a consulting firm that wrote custom applications, websites, e-commerce sites and building databases with Access, Oracle and SQL so I understand how trying to get systems to work, work with other systems and work with sometimes other legacy systems can be. Sounds like Oracle screwed the pooch on this one.

I remember back in October when people were being really critical on the federal exchange and they were right to do so but many were going on and on about how the administration should have outsourced it to a private company. Well it's ironic that Oregon did just that and it still crashed and burned. I said it then and I'll say it now. Those that criticize thinking some other private company can do it better than the federal government simply don't know what they're talking about. Now Oregon has to look to the federal system to get its people enrolled, not counting the 69,000 that's already enrolled, because they relied on a private company and got screwed....so let the investigations begin to find out what went wrong..sounds to me that the state and Oracle share the blame but this makes Oracle, in the eyes of the IT world, look really, really bad....:sad:

Uh you do realize don't you that the healthcare gov was awarded to a private Canadian company GCI don't you. Now there is unproven speculation of questionable dealings which will never be proven or disproved. See below for controversy.

Did Valerie Jarrett And Michelle Obama Pick ObamaCare Website Developer? - Investors.com
 

Dirty Penguin

Master Of Ceremony
Uh you do realize don't you that the healthcare gov was awarded to a private Canadian company GCI don't you. Now there is unproven speculation of questionable dealings which will never be proven or disproved. See below for controversy.

Did Valerie Jarrett And Michelle Obama Pick ObamaCare Website Developer? - Investors.com

Yes I do realize that. I'm only speaking on what was in the news at the time..that ("government can't do anything")...yada...yada....But none of this changes the fact that a highly publicized company like Oracle screwed up. They're normally a decent company considering a lot of systems depend on their technology today. I believe they bit off more than they could hand. Now don't get me wrong....I'm sure a lot of blame can go around and I'm sure it will. The state doesn't have clean hands in this either....
 

Dirty Penguin

Master Of Ceremony
Now I know that most of you do not trust the following link, but you are welcome to look elsewhere for the statement of Aetna CEO. He says premiums will be going up,some by single digits others by double digits due to Obama's changes to Obamacare.


Aetna: 'On the Fly' Obamacare Changes Responsible for Half of 2015 Premium Jump

Obamacare had little impact on earnings, says Aetna CEO

Actually if you listen to what he says...he's being a little disingenuous. He actually doesn't know how things are going to fair but reported that Aetna has seen a huge profit increase in the first quarter. Out of the 600,000 people in the various state exchanges that have signed up with Aetna well over 500,000 have paid. He doesn't consider that to be the reason Aetna is doing well in the first quarter but is hard pressed to explain why. I know why....it's because Aetna just got a huge boost of customers who have paid which in turn has mande their bottom line look extremely good. So their overall speculations have been exceeded and investors are giddy. Even though it's too early to tell how the ACA is going to play out over all according to Bertolini...Aetna is poised to raised premiums. None of that makes sense unless they have set higher market expectations and now have to raise premiums to meet these expectations. In the mean time...my job is in the middle of their open enrollment and due to the ACA and the surge of new customers in the market the plans offered to us are actually lower than what they currently are.........:shrug:
 

metis

aged ecumenical anthropologist
Well if that's how he feels then we should scrap ALL of the government run/assisted healthcare systems we have...even the ones he benefits from...What do you think..?

What we have seen over and over again from so many on the right, including so many within the Tea Party elements, are rants against "big government", while at the same time saying things like "Don't touch my Social Security!", "Don't touch my Medicare!", and "Don't reduce military spending!", which are three of the four legs that over 80% of our entire federal budget is balanced on (the fourth is Medicaid).

So, what we see in probably the vast majority of cases is self-centered hypocrisy whereas, if it benefits them, they want it; but if it doesn't, to hell with the others. Essentially this is a group that has raised selfishness to a fine art, while at the same time claiming to be "true patriots". I would suggest that a real "true patriot" should actually care about their fellow Americans and try to help out those who need help.

And, btw, I am not suggesting just giving money away or trying to solve every problem by just throwing money at it. We very much need some structural changes with what we do in a variety of areas, which may or may not call for more money.

What do you think?
 

Revoltingest

Pragmatic Libertarian
Premium Member
What we have seen over and over again from so many on the right, including so many within the Tea Party elements, are rants against "big government", while at the same time saying things like "Don't touch my Social Security!", "Don't touch my Medicare!", and "Don't reduce military spending!", which are three of the four legs that over 80% of our entire federal budget is balanced on (the fourth is Medicaid).

So, what we see in probably the vast majority of cases is self-centered hypocrisy whereas, if it benefits them, they want it; but if it doesn't, to hell with the others. Essentially this is a group that has raised selfishness to a fine art, while at the same time claiming to be "true patriots". I would suggest that a real "true patriot" should actually care about their fellow Americans and try to help out those who need help.

And, btw, I am not suggesting just giving money away or trying to solve every problem by just throwing money at it. We very much need some structural changes with what we do in a variety of areas, which may or may not call for more money.

What do you think?
I think you're over-generalizing by taking the views of many different individuals in some
loosely defined group, & attributing them to the whole for the purpose of demonization.
 

Dirty Penguin

Master Of Ceremony
What we have seen over and over again from so many on the right, including so many within the Tea Party elements, are rants against "big government", while at the same time saying things like "Don't touch my Social Security!", "Don't touch my Medicare!", and "Don't reduce military spending!", which are three of the four legs that over 80% of our entire federal budget is balanced on (the fourth is Medicaid).

So, what we see in probably the vast majority of cases is self-centered hypocrisy whereas, if it benefits them, they want it; but if it doesn't, to hell with the others. Essentially this is a group that has raised selfishness to a fine art, while at the same time claiming to be "true patriots". I would suggest that a real "true patriot" should actually care about their fellow Americans and try to help out those who need help.

And, btw, I am not suggesting just giving money away or trying to solve every problem by just throwing money at it. We very much need some structural changes with what we do in a variety of areas, which may or may not call for more money.

What do you think?

I agree here. I have said over and over that we we need to strategically make lots of cuts and/or consolidation of agencies. Many of the agencies we have are redundant. And there may be some that just aren't working. People like esmith and Revoltingist make some very valid points. Many of these points need to be set along side the points that democrats have and I'm sure we could find some common ground. Considering our healthcare system is a hodgepodge I'm sure we could could streamline it and do a universal healthcare seeing as though we spend twice or more than most other industrialize countries. Many on the right and some Libertarians don't believe the government should be involved in healthcare but I say that if we're going to do it then do it in a way overall that doesn't cost as much as the current (systems) we have.

There here made lots of sense and I'm sure it still goes deeper than this....
https://www.youtube.com/watch?v=qSjGouBmo0M
 

Revoltingest

Pragmatic Libertarian
Premium Member
Many on the right and some Libertarians don't believe the government should be involved in healthcare but I say that if we're going to do it then do it in a way overall that doesn't cost as much as the current (systems) we have.
That's it....if we're gonna do socialism-lite, we should at least do a good job at it.
So I could support a well designed non-compulsory single payer system if it were
the alternative to Obamacare. What are the odds of that happening before I croak?
 

Dirty Penguin

Master Of Ceremony
That's it....if we're gonna do socialism-lite, we should at least do a good job at it.
So I could support a well designed non-compulsory single payer system if it were
the alternative to Obamacare. What are the odds of that happening before I croak?


I don't know how old you are...you may be knocking on deaths door already...:D ( I kid of course)...

But I do agree with what you say here.
 

metis

aged ecumenical anthropologist
I agree here. I have said over and over that we we need to strategically make lots of cuts and/or consolidation of agencies. Many of the agencies we have are redundant. And there may be some that just aren't working. People like esmith and Revoltingist make some very valid points. Many of these points need to be set along side the points that democrats have and I'm sure we could find some common ground. Considering our healthcare system is a hodgepodge I'm sure we could could streamline it and do a universal healthcare seeing as though we spend twice or more than most other industrialize countries. Many on the right and some Libertarians don't believe the government should be involved in healthcare but I say that if we're going to do it then do it in a way overall that doesn't cost as much as the current (systems) we have.

There here made lots of sense and I'm sure it still goes deeper than this....
https://www.youtube.com/watch?v=qSjGouBmo0M

I was quite disappointed in the ACA as I'm a firm believer in the KISS approach. However, many compromises had to be made in order to get anything passed.

To me, the ACA is a "work in progress", and what you'll probably see in 20 or maybe even less years will be undoubtedly different in many different ways that what we have now. As far as the Republicans are concerned, they sat on their duffs and did nothing but pass Medicare Plan D, which they threw onto the deficit. They had the opportunity to deal with a deteriorating medical system whereas medical inflation was over 9% per year, literally doubling between 1997 and 2007, but under "W" they did nothing.

Yes, some things the Republicans have been saying are spot on, no doubt, but they really offer nothing to even fix the problem areas, and junking the entire ACA is not a fix. If they want to keep certain parts of it, fine, but then they need to explain how they intend to pay for that, which they haven't done. Ryan's three-page attempt was a joke, and you certainly don't see other Republicans jumping aboard to push it.

Nor do the Republicans offer any plan on how they're going to deal with getting at least some basic insurance for all Americans, thus keeping millions of people from rushing into emergency rooms at high-cost levels for sometimes procedures that are best handled at local doctors or even just pharmacies.

Like dealing with our deteriorating infrastructure, the Republicans just don't care. Here in Michigan, our pot-holes have pot-holes, and the Republican controlled legislatures are thinking about giving tax breaks in this election year instead of helping communities deal with the terrible roads we have here. They seemingly forget that it was the pot-hole issue that went unfixed that undid Engler's "popularity" in his 2nd term. After that, he couldn't have run for dog-catcher here.
 
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Revoltingest

Pragmatic Libertarian
Premium Member
I don't know how old you are...you may be knocking on deaths door already...:D ( I kid of course)...
Are you deaf in both eyes?
Me age is right there in front'o ya on me profile!
(I've been 30 for 30 years.)

But I do agree with what you say here.
Picture-1021.png

2Q==
 
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esmith

Veteran Member

Revoltingest

Pragmatic Libertarian
Premium Member
To tell you the truth, after reading the article I find it forebodes a troubling future for the medical profession if the bureaucrats determine what is necessary for a physician to practice their profession.
There are problems with price fixing & over-regulation:
- As earning power of doctors falls, fewer will enter or stay in the field.
- In order to survive financially, they'll find efficiencies in areas not subject to regulation, eg, cutting back on facility quality, cutting down on patient contact time.
(I saw a similar situation with my electric supplier, DTE. Their income was fixed by law, so to boost profit they eliminated all local customer service. It was a disaster, & I would'a gladly paid more to solve problems, but gov knew better.)

This might be offset by an increase in concierge medicine.
Concierge medicine - Wikipedia, the free encyclopedia
This will be great for the wealthy, but those of us in the middle will likely see a drop in care quality.
 

tytlyf

Not Religious
Didn't think you would. Those that refuse to examine information have a tendency to be limited in ones knowledge.
Ok, I looked. It's what I expected. Answer me this with detail.
1.Buying individual health insurance in the exchanges is generally more expensive than it was before Obamacare, especially for young adults. In 11 states, 27–year–olds will see premiums double or more.
2.Buying individual health insurance in the exchanges is generally more expensive than it was before Obamacare. In 13 states, 50–year–olds will see premiums rise by 50 percent or more.
3.Buying individual health insurance in the exchanges is generally more expensive than it was before Obamacare. In 19 states, premiums for a family of four will increase by more than 10 percent.
 
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