Post by Josh Rosenbluth Post by Josh Rosenbluth Post by billbowden Post by billbowden
The sick who can't afford assigned risk insurance go on Medicaid. It's a
state problem, not the federal government. 10th amendment.
Firstly (a small point), Medicaid is a federal program administered by the
states as prescribed by federal law. Secondly (a large point), if you
have a pre-exisiting condition, you will not be able to afford insurance
even if you make a healthy salary that puts you far beyond the criteria
for receiving Medicaid.
Maybe the solution is to include Medicaid in the assigned risk category?
That would level the field a bit between insurance companies and the
states.Premiums would go down while state costs would go up.
In other words, the taxpayer would foot the bill for those with
pre-exisiting conditions. I think Jeff is right; single-payer is an
This just in. The Ryan Replacement plan permits insurance companies to
levy a 30% surcharge on those who have at least a 60-day lapse without
insurance each year, but does not permit them to charge more for people
with pre-exisiting conditions. Will that convince the young and healthy
to carry insurance? Or, will they continue to stay uninsured until they
get old/sick and incur the one-time 30% surcharge?
I was just looking at some of the mandatory services under the ACA and I
don't think I need most of them. I don't think I need depression screening
or obesity screening since I only weigh 155 pounds. I don't need sexually
transmitted disease screening, or syphilis screening, or birth control
pills, diet counseling , HIV screening, and a lot of other stuff. Get rid of
the silly screening stuff and insurance premiums will come down. The states
will save money and the individual health insurance subscriber pays less.
"Preventive care benefits for adults
All Marketplace health plans and many other plans must cover the following
list of preventive services without charging you a copayment or coinsurance.
This is true even if you havent met your yearly deductible.
IMPORTANT These services are free only when delivered by a doctor or other
provider in your plans network.
1.. Abdominal aortic aneurysm one-time screening for men of specified ages
who have ever smoked
2.. Alcohol misuse screening and counseling
3.. Aspirin use to prevent cardiovascular disease for men and women of
4.. Blood pressure screening
5.. Cholesterol screening for adults of certain ages or at higher risk
6.. Colorectal cancer screening for adults over 50
7.. Depression screening
8.. Diabetes (Type 2) screening for adults with high blood pressure
9.. Diet counseling for adults at higher risk for chronic disease
10.. Hepatitis B screening for people at high risk, including people from
countries with 2% or more Hepatitis B prevalence, and U.S.-born people not
vaccinated as infants and with at least one parent born in a region with 8%
or more Hepatitis B prevalence.
11.. Hepatitis C screening for adults at increased risk, and one time for
everyone born 1945 1965
12.. HIV screening for everyone ages 15 to 65, and other ages at increased
13.. Immunization vaccines for adults doses, recommended ages, and
recommended populations vary:
b.. Hepatitis A
c.. Hepatitis B
d.. Herpes Zoster
e.. Human Papillomavirus (HPV)
f.. Influenza (flu shot)
n.. Varicella (Chickenpox)
14.. Lung cancer screening for adults 55 - 80 at high risk for lung cancer
because theyre heavy smokers or have quit in the past 15 years
15.. Obesity screening and counseling
16.. Sexually transmitted infection (STI) prevention counseling for adults
at higher risk
17.. Syphilis screening for adults at higher risk
18.. Tobacco Use screening for all adults and cessation interventions for
tobacco users "