Simple Minded wrote:Tinker,
You misunderstood my post, to your credit, I should have been more clear. I was not talking about the pre-Obamacare era in terms of cause and effect at all. What I should have said is that the professed goals of Obamacare, and the unintended consequences/perverse incentives of Obamacare will have contradictory effects.
I don't know what it will do, I didn't read it, and I probably wouldn't understand what i was looking at if I did. A friend of mine in the healthcare industry here in NY said that an administrator that he works with went to the Obamacare training hating it and came away saying, "Obamacare is amazing."
Ie: more regulation that will raise costs/lower profits for individual doctors & nurses will not increase the number of healthcare professionals that are available. The age old phenomena of price controls & regulations creating shortages will apply at least at first. 20 years out might be a different story.
It could adjust the different aspects. I really don't know. We'll see. If I needed a serious expensive procedure, I'd probably go to India. Being in the global 1% has its privileges.
My opthamalagist told me the codes he has to use to track treatable conditions are going up 1,000 fold. My chiropractor told me Medicare often refuses payment with no explanation of why or how to remedy the situation. Two doctors I know are planning to retire early now. The personal relationships between doctor and patient are being strained.
Yea, it's nutty.
All the healthcare professionals I know have no confidence in DC to solve existing problems in the medical industry, I suspect you would feel the same regarding the computer code industry.
Confidence in DC, what's that? And yes, in terms of the internet, I only assume DC can genuflect it up. I had a conversation last year with Bre Pettis the CEO of Maker Industries (Makerbot) and talked to him about 3D printer policy, and his position was essentially that he wanted them to wait as long as possible to craft policy. My view on it was that the industry itself should be working on crafting policy prior to the DC lobbyists getting a hold on it.
I do agree with you that the legislation is rife with corruption, lobbyists and politicians will be the big winners, doctors and nurses will be the big losers. Increase regulation increases the ROI from lobbying. What else would one expect from DC? The MIC of Medical Industrial Complex has joined the other two.
Of course, that's the nature of 'industries' under corporatism. Industries are becoming uber corporations all in some form of regulatory collusion, rather than disparate producers trying to vie for the same market.
I also agree that what others often view as cause, I often view as effect and vice versa (a source of pride for me actually), and both labels are dependent on timeframe of observation, 5 years or 15 years of observation is a hell of a difference.
Absolutely.
Repubs would have done the same, GWB was on the same track. When in power, both parties seek to increase it, Obamacare was the nuclear option.
I still think it's a path toward Single Payer. And honestly, Single Payer would be the best thing for business of any size. Why should a carpenter be providing healthcare? Why should Intel be providing healthcare? Save every business anywhere from thousands to billions a year in healthcare costs. The employer mandate is the reason why healthcare burdens create perverse incentives and changes in the regulatory structure can cause layoffs.
This will be interesting to see it play out. Always is.
Yep.
Men often oppose a thing merely because they have had no agency in planning it, or because it may have been planned by those whom they dislike.
-Alexander Hamilton