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Author Topic: AmeriPol thread  (Read 4459482 times)

PTTG??

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3330 on: March 08, 2017, 10:50:59 pm »

Overall, the writing is not awful, but not very good either.

Must be ghost written.

Ok, new idea: replace health insurance with "just make hospitals free." Everyone pays taxes to keep them running. Then all of this bullshit of having to decide between money or health gets forgotten.
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Frumple

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3331 on: March 08, 2017, 10:56:27 pm »

C'mon man, a functioning healthcare system? Particularly a federal level one? Completely against GOP goals regarding governance. It's a pipe dream and the hookah ain't even legal yet.
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MetalSlimeHunt

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3332 on: March 08, 2017, 10:56:42 pm »

Mark my words: High-Risk Pools will become the new Pre-existing Conditions. Insurance companies will stuff anyone they can into them, charge a premium, and then fail to provide coverage. I'm sure they've already worked it out in their meeting with Trump and his people.
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smjjames

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3333 on: March 08, 2017, 10:58:32 pm »

Overall, the writing is not awful, but not very good either.

Must be ghost written.

Ok, new idea: replace health insurance with "just make hospitals free." Everyone pays taxes to keep them running. Then all of this bullshit of having to decide between money or health gets forgotten.

COMMUNIST!

j/k, and just channeling what a conservative would say. And possibly riffing on that whole earlier discussion of how the meaning of 'socialism' has been dumbed down to meaninglessness, outside of it's actual meaning.

Seriously though, are there any countries with that system? Did Soviet Russia actually have that system?
« Last Edit: March 08, 2017, 11:09:54 pm by smjjames »
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misko27

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3334 on: March 08, 2017, 11:10:51 pm »

The problem is forcing people to get insurance is socialism, so we have to do the next best thing and let them pretend they have a choice, but make it cost money. Combined with the subsidies and medicaid-expansion, it meant only rich could pull it off.

But why did we have to force people? Because otherwise people would only get insurance when they got sick, meaning no one would be paying for insurance but the insurers themselves. But insurers don't want to just pay insurance out of the kindness of their hearts, so they'd jack up the costs so they could actually turn a profit. That means fewer healthy people would want to get insurance (because it costs more money), which exacerbates the problem. It ends with insurers leaving the market entirely, the so-called "death-spiral".

The point of Obamacare (in addition to a bunch of other things, and note that Obamacare has been very successful at some of those things; It's managed to reduce the inflation of costs significantly, so much as to add a solid 13 years of time to the Medicaid trust. Not bad for an imperfect solution) was to allow those rich enough to not want to have insurance to do whatever they want with their lives (freedom), while the rest get insurance.
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smjjames

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3335 on: March 08, 2017, 11:17:53 pm »

The problem is forcing people to get insurance is socialism

What is socialism? What do you mean by socialism? Do you mean the definition of socialism? Does forcing people to get socialism fit the definition of socialism? What's the definition of the definition of socialism? Okay, got silly with the last one, but that's the problem with saying socialism, what the heck do you mean by socialism. I blame it on the Republicans for amorphousizing it to nothingness. To me, it's politically become the go-to term for 'something that I don't like', almost equivalent to 'heretic', except without the religion and shouting.

Seriously though, you have to somehow incentivize the healthy people to get into the pool and stay  to keep prices down for everybody, otherwise you'd end up with a death spiral. That's why I asked on the EU thread if anybody knew how it worked in other countries or how they did it elsewhere, but from what LW said, it sounds like the US is the only one actually trying to tackle that particular problem right now, or HAS tackled it for that matter.
« Last Edit: March 08, 2017, 11:24:57 pm by smjjames »
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Grim Portent

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3336 on: March 08, 2017, 11:33:15 pm »

Overall, the writing is not awful, but not very good either.

Must be ghost written.

Ok, new idea: replace health insurance with "just make hospitals free." Everyone pays taxes to keep them running. Then all of this bullshit of having to decide between money or health gets forgotten.

COMMUNIST!

j/k, and just channeling what a conservative would say. And possibly riffing on that whole earlier discussion of how the meaning of 'socialism' has been dumbed down to meaninglessness, outside of it's actual meaning.

Seriously though, are there any countries with that system? Did Soviet Russia actually have that system?

The UK has that system. The NHS and it's regional equivalents are free to use and, at least here in Scotland not sure about the rest of the UK, prescriptions are also free. The system covers psychiatric and medical problems, dental check ups for adults and (all?) dental services for minors. Often a waiting period for services depending on where you are, ranging from a couple of days to weeks or months for more in demand services.

If you need a healthcare service here you just call your doctor's office and make an appointment, walk in on the day, get dealt with and walk out again. If you need a prescription you just get one from your doctor's office, take it to a pharmacy and they give you your meds. The bill for all of it is handled by the government.

The system costs a lot, but is probably the single biggest contributor to quality of life in the country.
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smjjames

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3337 on: March 08, 2017, 11:52:47 pm »

http://thehill.com/blogs/blog-briefing-room/news/323106-report-early-trump-administration-budget-would-cut-hud-funding

Even if it's an early preliminary proto-draft, the Trump adminstration is certainly taking the 'giant axe being used by a berserker in a chaotic berserker rage', or maybe 'scorched earth' approach to budgeting.

Edit: Also, the original WaPo article says that they'll release a complete budget plan next week sometime.
« Last Edit: March 08, 2017, 11:58:16 pm by smjjames »
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Frumple

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3338 on: March 09, 2017, 12:01:13 am »

Heh. Be neat if it actually happens. Just as neat if it doesn't.
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smjjames

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3339 on: March 09, 2017, 12:09:23 am »

Would be funny in a schadenfreudesque way if Trump ended up putting stuff that would cut transportation related funding. Because he promised a 1 trillion infrastructure spending thing.
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misko27

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3340 on: March 09, 2017, 12:10:55 am »

The problem is forcing people to get insurance is socialism

What is socialism? What do you mean by socialism? Do you mean the definition of socialism? Does forcing people to get socialism fit the definition of socialism? What's the definition of the definition of socialism? Okay, got silly with the last one, but that's the problem with saying socialism, what the heck do you mean by socialism. I blame it on the Republicans for amorphousizing it to nothingness. To me, it's politically become the go-to term for 'something that I don't like', almost equivalent to 'heretic', except without the religion and shouting.
Come on smjjames, work with my muh brother. I'm saying that as a shorthand for "It's something that will be accused of socialist because it is a government action which forces people into taking certain economic decisions (as opposed to coerces or incentivizes, which is perfectly ok, which is an illustration of a doublestandard regarding some abstract belief that you still have the freedom to make a decision, even if you cannot actually afford it in practice; in essence, you still have freedom even if one of those decisions is not realistic, which is a major assumption underlying american culture and US society and government), which is a common definition of socialism in the United States, and is thus politically unpalatable due to decades of cold war against an ideological foe associated with socialism which led to endless tarring of it and anything associated with it. Therefore, the label 'socialist' and 'socialism', regardless of its actual meaning (which is, in fact, a completely irrelevant question to begin with), will be used to endlessly tar the program with decades of association with the Soviet Union and anti-americanism, which will lead to very public attempts to avoid or subvert the policy even if it leads to going to prison, because then those people will be 'standing up to an oppressive system' and all sorts of nonsense that will be very bad politics indeed. Therefore, coercion/incentivization is used instead, because that avoids, at a minimum, people not following the system because it's 'unpatriotic' and instead creating an illusion that there is a freedom to make an economic decision to buy insurance or not (which as I said before is very common recurring bit in the US); this is not actually the case, since the cost of not making the correct decision can be made arbitrarily high, but as long as the illusion of freedom of choice exists, people will accept it, even if the only people who could actually use it are the ultrarich. By doing so, you actually prevent opposition in the first place; opposition still exists under the current plan, mind, but it's far less than it would be."

You see why I didn't want to write all that out? For fucks sake man, just assume. My hand is sore now, are you happy?

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Seriously though, you have to somehow incentivize the healthy people to get into the pool and stay  to keep prices down for everybody, otherwise you'd end up with a death spiral. That's why I asked on the EU thread if anybody knew how it worked in other countries or how they did it elsewhere, but from what LW said, it sounds like the US is the only one actually trying to tackle that particular problem right now, or HAS tackled it for that matter.
That sounds remarkably like what I just said! Amazing. The fact is that there is a country with a model that would help. A quote from Politico:

Quote from: Nobody likes the Obamacare Replacement
President Donald Trump has promised that his replacement for Obamacare will “increase access, lower costs and provide better health care,” an ambitious standard for a policy revolution in a modern industrialized nation. But in recent years, there is one country that managed to pass a reform achieving all three of those goals.

The problem for Trump and the Republican Party is that the country is the United States, and the reform was called “Obamacare.” It has well-documented flaws, but it has helped expand coverage to 20 million uninsured Americans, reduce the growth of U.S. medical costs to historic lows and start to shift the focus of the health system toward results—while also reining in the federal deficit and stabilizing Medicare’s finances.

This new baseline helps explain why the long-awaited House Republican bill to repeal and replace Obamacare is getting such brutal reviews—and why GOP leaders released it before the Congressional Budget Office could calculate how much it would cost or how many Americans it would cover. Critics on the right are trashing it as “Obamacare Lite,” while critics on the left are warning that it will throw millions of families off their insurance, jack up premiums and deductibles and finally create the insurance “death spirals” that Republicans have warned about under Obamacare. And really, both sides have a point.

That’s because health care is about choices, and Republicans who want to re-reform the system face a slew of uncomfortable policy and political trade-offs. Their repeal bill tries to duck many of those trade-offs, by preserving Obamacare’s most popular elements while ditching more controversial reforms that helped hold it together—and by punting on uncomfortable questions like how to pay for it all. There are several serious ideas in the Republican bill that could help improve Obamacare, but the overall result is an unworkable hodgepodge that might satisfy some of the GOP base’s demand for some kind of repeal bill—although judging by the initial conservative reaction, even that looks iffy—but would not achieve Trump’s stated goals.
« Last Edit: March 09, 2017, 12:13:18 am by misko27 »
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wierd

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3341 on: March 09, 2017, 12:16:58 am »

I get a bit tired of this whole barrel of fish.

Healthcare is expensive: Why?

1) The pharmaceutical industry extracts all of their research and development capital on the US market, and charges significantly less everywhere else in the world. Government will do nothing to change this. Simply distributing that cost over all markets instead of just the US one would raise world prices by a modest amount, but domestic prices would fall like a damned stone.  But No. We can't stop them from cranking up the costs beyond what is safe for the market (clearly, because we have this huge ass problem with insurance, because of the huge assed costs of healthcare), because CAPITALISM!!

2) American culture is so damned litigious about every goddamn thing (Seriously, I want to scream at the TV every time I see one of those "Predaxa and Xarelto" class action commercials, because the "side effects" they list, ARE THE SIDE EFFECTS OF BLOOD THINNERS IN GENERAL. DO you have blood clots!? Do you take a blood thinner!? DO you know how those work!? THEY STOP PLATELET ADHESION! THAT'S HOW IT KEEPS YOU FROM HAVING A GODDAMN STROKE, IDIOTS. Side effects? If you get hurt, YOU WILL BLEED UNCONTROLLABLY. They tel you that right on the damn package. Imagine that! Platelets are what enable blood to clot! That's why the medicine targets it! IDIOTS!*facepalm*) that healthcare costs have to amortize the inevitable flood of lawsuits, which means they have to be sky freaking high because people are suing for bullshit reasons. (Like the fucking xarelto thing.) What else do you expect from the land where they are required by law to warn you not to use your hair dryer in the damned bathtub?

So, from my perspective, we can resolve a substantial part of the healthcare problem with 2 things:

1) The Fed can actually exercise its power over commerce, to inform the drug industry that they can no longer price gouge the US, or suffer huge fines. (The kind that exceed what they would be gaining from the inflated regional pricing)

2) FUCKING TORT REFORM.

Fix those underlying pathologies, and the costs of healthcare would drop precipitously to the point of being actually affordable.

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Reelya

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3342 on: March 09, 2017, 01:17:11 am »

2) FUCKING TORT REFORM.

Fuck tort reform. If you think tort reform is a needed thing, you drank too deep of the corporate coolaid. Watch the start of the 2011 Hot Coffee documentary. I think it was about 12 minutes in, and I got all the information I really needed.
 
EDIT: They've been pushing for Tort Reform for the last 30 years, and it's never stuck. Why? Because everyone knows it's bullshit that just gives corporations another out when it comes to fucking people over. They already have LLC corporations where no matter what you do, nobody goes to prison. They don't need more ways to weasel out of their personal responsibilities.

As for phamaceuticals, the problem there isn't that they unfairly load all the costs on Americans, the problem is that they have patents, so no, the price won't come down if costs come down, because that's what the market is willing to pay, and they don't have competition. Also the other problem is that Medicare pays out retail prices from taxpayers money. That's the real problem here. Just force through bulk buying of generic medicines instead of the taxpayer paying label prices on medicare. There's a huge saving potential just there, and it will probably push down prices even for those off medicare, since some label prices will already be higher just for the excuse of tapping into more medicare money.
« Last Edit: March 09, 2017, 04:41:45 pm by Reelya »
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Greiger

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3343 on: March 09, 2017, 01:45:58 am »

I was gunna mention the whole mcdonalds coffee thing but looks like Reelya already beat me to it. (as an anti tort reform point)

Gotta say I agree with the annoyance at these drug lawsuits though.  Suing because a drug did what it was designed to do is absurd.  Coffee isn't designed to burn you every time you use it.  But anti clotting drugs are designed to cause you to be more prone to bleeding because that's exactly the purpose of the drug.  Suing over coffee being too hot and insufficient safety measures being in place is one thing.  Suing over something doing what it's designed to do, and literally would not function at all without, is another.

There are clearly some changes that can be made for the better.  But yea can't let corporations have too much power either.
« Last Edit: March 09, 2017, 01:54:50 am by Greiger »
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Reelya

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Re: AmeriPol thread: Russia scandal evolution edition
« Reply #3344 on: March 09, 2017, 01:58:37 am »

Another "Tort Reform is needed" case was mockingly brought up by Reagan himself, to show how far back this goes.

The case involved a man who was hit by a drunk driver while in a phone booth. He sued the phone company. Lol what a joker!

But what they don't tell you is that the specific phone booth was built on a dangerous intersection, it was repeatedly hit by cars on a regular basis, and they had a sloppy attitude to repairing it. So when the guy saw the drunk driver coming for him, he tried to get out but the door was stuck.

Gotta say I agree with the annoyance at these drug lawsuits though.  Suing because a drug did what it was designed to do is absurd.  Coffee isn't designed to burn you every time you use it.  But anti clotting drugs are designed to cause you to be more prone to bleeding because that's exactly the purpose of the drug.  Suing over coffee being too hot and insufficient safety measures being in place is one thing.  Suing over something doing what it's designed to do, and literally would not function at all without, is another.

Depends. If you have a case where pharma companies are basically bribing doctors to prescribe a patented drug, when there are other equally viable options, and both doctor and drug packaging are not properly warning people of possible side effects then you have a lawsuit potential. Even if it's "doing what it's supposed to" it's still a side-effect if it does it to an organ you weren't told would be affected. e.g. if you're prescribed a hair regrowth formula and your hands become hairy as a result, that's an unwanted side-effect, even though "growing hair" is what the drug does. In this case the drug is not specific enough and that non-specificity is a side-effect.
« Last Edit: March 09, 2017, 02:09:41 am by Reelya »
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