tag:blogger.com,1999:blog-1747912489328463559.post7158388503932412432..comments2024-03-22T10:45:46.313-07:00Comments on MommyDoc: A Vote For TrumpCareMommyDochttp://www.blogger.com/profile/00518668787461899605noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-1747912489328463559.post-73061565658958884062016-11-28T21:56:04.411-08:002016-11-28T21:56:04.411-08:00Thank you for reading and sharing your thoughts. ...Thank you for reading and sharing your thoughts. We disagree, however there is a time I echoed your feelings on this matter. There are still 30 million people uninsured in this country, who need access to AFFORDABLE healthcare. I do not have all the answers, but we would have had universal health care with HRC. Basically, my clinic (and many others) is providing high quality healthcare to numerous children on Medicaid and now it has a chance to survive. As a physician in private practice, I am struggling and all four of my children see that, especially by the end of each month. None of us in medicine are supporting deportation of immigrants, murders, or decreased access to care. We are supporting access for affordable care for hardworking families and their children. Keep reading... and sharing your comments. :)MommyDochttps://www.blogger.com/profile/00518668787461899605noreply@blogger.comtag:blogger.com,1999:blog-1747912489328463559.post-66009461254420736952016-11-27T17:20:50.348-08:002016-11-27T17:20:50.348-08:00Most people in America, including the rural white ...Most people in America, including the rural white folk who voted in DJT, cannot afford to put money into HSAs. If they had thousands of dollars for HSAs, they'd happily pay for health insurance. Our employers do not provide us with health insurance or HSAs because those benefits cost money and low-income disposable labor is not worth it. When it is offered they know we don't get paid enough to take advantage, or if we do, they find ways to keep us from accessing benefits. <br /><br />The idea that the Republican Party, after an unprecedented victory in all branches of government, is going to unleash a can of industry regulation is beyond a pipe dream. It's a little silly. Unregulated free-market capitalism with it's attendant income stratification and consolidation of resources, including healthcare resources, is their economic policy. Their problem with the ACA is not that it gives insurance companies more customers, but that it provides the poor (which includes masses of urban blacks, immigrants, single mothers, pre-existing conditioners and other undesirables) with free or discounted healthcare at the upper classes' expense. The ACA was a pro-business compromise to avoid single payer healthcare (read: the dreaded socialism) but still help the uninsured get access. <br /><br />It worked. I know so many people, including myself, whose lives were dramatically changed by getting access to healthcare through the ACA especially mental healthcare. <br /><br />Dr. Al-Agba's son is celebrating that his mom's clinic won't close while other peoples' sons are worried that their parents will be deported, killed by xenophobic marauders or lose access to the healthcare that keeps them able to be parents. I'm so disappointed that this is her position. I understand that much of a pediatric practice's caseload is funded by Medicaid. The chance of a Republican Congress improving Medicaid payments is less than 0. Sometimes I wonder if the American folken enjoying our countrysides know which side their bread is buttered on. :( Anonymoushttps://www.blogger.com/profile/00578230140045627549noreply@blogger.comtag:blogger.com,1999:blog-1747912489328463559.post-22382860417036405932016-11-19T21:58:54.076-08:002016-11-19T21:58:54.076-08:00Thank you for reading and commenting. I cannot di...Thank you for reading and commenting. I cannot disagree with your ideas. I think they are good. You are absolutely right that government should regulate insurance companies if they are going to in turn regulate us. It has been a windfall for everyone except the physicians and patients. Keep reading!!! More to come...MommyDochttps://www.blogger.com/profile/00518668787461899605noreply@blogger.comtag:blogger.com,1999:blog-1747912489328463559.post-21025728037575383882016-11-19T14:55:15.956-08:002016-11-19T14:55:15.956-08:00One of the ways to fix health care would be to com...One of the ways to fix health care would be to combine the free market, personal responsibility, and Medicare.<br /><br />To accomplish this, let us keep more of the money we pay, or our employer pays, for our health insurance. Why does our employer or why do we give 100% of our monthly premiums to health insurance companies who then decide which treatment they will pay for with our money? Not only do insurance companies receive 100% of our premiums (often $20,000+ per employee annually) we (the patient) also pay large co-pays and office visits payments. Instead, could we create a system where employers send 50% of employees’ health care premiums to their employees’ health care savings account (HSA) and 50% to a new version of Medicare (coverage for everyone not just the elderly) instead of giving 100% of our premiums to health insurance companies? <br /><br />Using the 50/50 health care plan, health care costs would be reduced, risks could be managed (you are covered by Medicare if you deplete your HSA), and everyone would be covered. There would be no disagreements with insurance companies over services or payments. Patients and doctors would decide the treatment that is necessary and the patient would pay for the services through either their HSA or if their HSA was depleted then payment would be through the new Medicare. All preventative care would be paid through Medicare, so people would be encouraged to take good care of themselves. This would encourage more patient engagement and responsible behavior, and better patient-doctor relationships. The payments would be as easy as sliding your HSA card or app (like a credit card or ATM card or app) through a card reader at doctor’s offices. The payment would be made and you would receive a printout/text/email of the services, the costs, and the remaining balance in your HSA.<br /><br />Currently, if you lose your job, then you might pay enormous sums under Obamacare for health care or you become part of Medicaid (if you are poor enough) or Medicare (if you are old enough) programs. It would be helpful to have a HSA to draw upon when unemployed in addition to Medicare and Medicaid. For example, if the health insurance premiums your employer pays for you cost $20,000 annually and you worked for 30 years, then you could potentially have $300,000 ($20,000/2 * 30) in a health savings account. HSAs would be portable and preventative care would be paid through the 50% that goes to the new Medicare. The new Medicare would also cover the indigent or others who do not have and/or have depleted their HSAs with the 50% of the premium Medicare would receive in addition to the current payroll taxes that go to Medicare. This would also help shore-up Medicare too.<br /><br />The Affordable Care Act/Obamacare requires everyone to purchase health care coverage from the same health insurance companies who have gotten us into this mess. If the government can require everyone to buy health insurance, then the government should regulate the health insurance companies by banning health insurance companies from being traded on Wall Street and mandating that health insurance executives/employees may not be paid more than $1 million per person annually. Obamacare should not be a windfall for insurance companies and their employees.<br /><br />Using the 50/50 health care plan, when you reach 75, you can use your HSA as a supplement to your pension or 401k/retirement. This would encourage everyone to take great care of themselves, since preventative care is paid through Medicare and if you take good care of yourself then you could have a large HSA to help you when you are older.<br /><br />We need to go in a new direction for health care coverage…a direction that does not include the unnecessary middleman/insurance companies. The 50/50 health care plan eliminates the insurance companies so patients and doctors can engage directly with each other for better health care for everyone and at a lower cost.unknownhttps://www.blogger.com/profile/14014096553773551260noreply@blogger.com