ACA Repeal/Replace: Progressives Face Moral Dilemma

[Bob Butler 54]

(03-13-2017, 03:51 PM)Kinser79 Wrote: I would say you're seeing too many specialists.  Really one needs to see a GP regularly, and see a specialist only if the GP detects something wrong beyond his pay grade.  I'd argue that the abundance of specialists actually results from lots of CYA in the insurance companies and naturally that drives up costs.

I disagree.  I'm not in favor of the feel of the modern assembly line specialist system, but I can see the efficiency of it.  My primary care guy is a heart specialist, which isn't my problem just now.  All the other specialists can cover their area of responsibility quickly and efficiently.  In this era of the bottom line, I understand why things moved in that direction.

I did get some early skin cancers frozen off, some intestine tumors removed, my blood pressure medications adjusted.  I'm on a C-PAP machine, and can definitely feel it helps.  I'd just as soon that each of these problems is being handled by people who are good at what they are doing. Expecting every general practitioner to be good at every specialty isn't right.

But then, you're still young enough to feel yourself immortal. You'd have a different attitude.

(03-13-2017, 03:51 PM)Kinser79 Wrote: Indeed in FL a lot of people who would have theoretically gotten employer based health care insurance under Obamacare instead found that they had their hours cut to under the 30 hours per week threshold.  I hope I don't have to explain to you how being cut from full time to part time effected people.

It's not just health care where that problem exists.  In the New Deal era, a lot of problems were pushed into the private sector.  As solving said problems wasn't the private sector's primary concern, as they care more about profits and share holders than their employees, more and more people are getting fewer hours so the old mandates can be bypassed.

Corporations just don't have the loyalty towards their people that existed in the GI's time.  One can't expect for profit organizations to take responsibility for social necessities at this point.  Growing the government bureaucracy is hardly something I'm thrilled with, but expecting corporate bureaucracies to be concerned with the welfare of the people and the nation is truly naive.