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Thread: Omamacare is Romneycare.

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    Omamacare is Romneycare.

    The Patient Protection Affordable Care Act, (“Omamacare”) is conceptually “Romneycare”.

    The federal Patient Protection Affordable Care Act was modeled after the existing medical policy that was signed by the then Massachusetts Republican governor Mitt Romney.

    Romneycare's individuals' mandated requirement for individuals to purchase or otherwise acquire acceptable medical insurance was a concept advocated by “right-wingers” such as the Heritage Foundation think-tank. They proposed it to enable non-government medical insurance continuous existence. Without sufficient proportions of the population's participation within a medical insurance plan, any (government or non-government) medical insurance provisions for not considering applicants' previous medical conditions are much less financially sustainable.

    Respectfully, Supposn

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    Re: Omamacare is Romneycare.

    Quote Originally Posted by I'm Supposn View Post
    The Patient Protection Affordable Care Act, (“Omamacare”) is conceptually “Romneycare”.

    The federal Patient Protection Affordable Care Act was modeled after the existing medical policy that was signed by the then Massachusetts Republican governor Mitt Romney.

    Romneycare's individuals' mandated requirement for individuals to purchase or otherwise acquire acceptable medical insurance was a concept advocated by “right-wingers” such as the Heritage Foundation think-tank. They proposed it to enable non-government medical insurance continuous existence. Without sufficient proportions of the population's participation within a medical insurance plan, any (government or non-government) medical insurance provisions for not considering applicants' previous medical conditions are much less financially sustainable.

    Respectfully, Supposn
    Is your point that Romney is as big a dildo as the Democratics?

    IF EVERYTHING IS IMPORTANT THEN NOTHING IS

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    Re: Omamacare is Romneycare.

    Your first sentence is incorrect. A small portion of the omnibus law called the Affordable Care Act (ACA) is drawn from the Massachusetts plan signed by Mitt Romney. The majority is not and some parts are contradictory. Two major areas of difference are the mandated coverages and the actuarial soundness of the plan.

    You have repeated an old political spin which is about as accurate as calling Obama the fracking President.

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    Re: Omamacare is Romneycare.

    Quote Originally Posted by Jay59 View Post
    Your first sentence is incorrect. A small portion of the omnibus law called the Affordable Care Act (ACA) is drawn from the Massachusetts plan signed by Mitt Romney. The majority is not and some parts are contradictory. Two major areas of difference are the mandated coverages and the actuarial soundness of the plan.

    You have repeated an old political spin which is about as accurate as calling Obama the fracking President.
    The mandate is drawn from the Heritage Foundation blueprint.
    Quote Originally Posted by aociswundumho View Post
    I wouldn't know, I'm not a big Trump fan. I did vote for him, and I'll vote for him again in 2020.

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    Re: Omamacare is Romneycare.

    Quote Originally Posted by Jay59 View Post
    Your first sentence is incorrect. A small portion of the omnibus law called the Affordable Care Act (ACA) is drawn from the Massachusetts plan signed by Mitt Romney. The majority is not and some parts are contradictory. Two major areas of difference are the mandated coverages and the actuarial soundness of the plan.

    You have repeated an old political spin which is about as accurate as calling Obama the fracking President.
    Jay59,
    Quote Originally Posted by I'm Supposn View Post
    The Patient Protection Affordable Care Act, (“Omamacare”) is conceptually “Romneycare”.

    The federal Patient Protection Affordable Care Act was modeled after the existing medical policy that was signed by the then Massachusetts Republican governor Mitt Romney.

    Romneycare's individuals' mandated requirement for individuals to purchase or otherwise acquire acceptable medical insurance was a concept advocated by “right-wingers” such as the Heritage Foundation think-tank. They proposed it to enable non-government medical insurance continuous existence. Without sufficient proportions of the population's participation within a medical insurance plan, any (government or non-government) medical insurance provisions for not considering applicants' previous medical conditions are much less financially sustainable. Respectfully, Supposn
    Excerpted from: Massachusetts health care reform - Wikipedia
    Massachusetts health care reform
    The Commonwealth of Massachusetts passed a health care reform law in 2006 with the aim of providing health insurance to nearly all of its residents. The law mandated that nearly every resident of Massachusetts obtain a minimum level of insurance coverage, provided free and subsidized health care insurance for residents earning less than 150% and 300%, respectively, of the federal poverty level (FPL)[1] and mandated employers with more than 10 full-time employees provide healthcare insurance. ...
    ... the Commonwealth Health Insurance Connector Authority, also known as the Massachusetts Health Connector. The Connector acts as an insurance broker to offer free, highly subsidized and full-price private insurance plans to residents, including through its web site. As such it is one of the models of the Affordable Care Act's health insurance exchanges. The 2006 Massachusetts law successfully covered approximately two-thirds of the state's then-uninsured residents, half via federal-government-paid-for Medicaid expansion (administered by MassHealth) and half via the Connector's free and subsidized network-tiered health care insurance for those not eligible for expanded Medicaid. Relatively few Massachusetts residents used the Connector to buy full-priced insurance.
    After implementation of the law, 98% of Massachusetts residents had health coverage.

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    Re: Omamacare is Romneycare.

    These observations could have been made a full ten years ago now. It's well understood that the support for the ACA has had broad bipartisan support, conceptually, albeit at different points in time because of partisan politics.

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    Re: Omamacare is Romneycare.

    Quote Originally Posted by I'm Supposn View Post
    Jay59,

    Excerpted from: Massachusetts health care reform - Wikipedia
    Massachusetts health care reform
    The Commonwealth of Massachusetts passed a health care reform law in 2006 with the aim of providing health insurance to nearly all of its residents. The law mandated that nearly every resident of Massachusetts obtain a minimum level of insurance coverage, provided free and subsidized health care insurance for residents earning less than 150% and 300%, respectively, of the federal poverty level (FPL)[1] and mandated employers with more than 10 full-time employees provide healthcare insurance. ...
    ... the Commonwealth Health Insurance Connector Authority, also known as the Massachusetts Health Connector. The Connector acts as an insurance broker to offer free, highly subsidized and full-price private insurance plans to residents, including through its web site. As such it is one of the models of the Affordable Care Act's health insurance exchanges. The 2006 Massachusetts law successfully covered approximately two-thirds of the state's then-uninsured residents, half via federal-government-paid-for Medicaid expansion (administered by MassHealth) and half via the Connector's free and subsidized network-tiered health care insurance for those not eligible for expanded Medicaid. Relatively few Massachusetts residents used the Connector to buy full-priced insurance.
    After implementation of the law, 98% of Massachusetts residents had health coverage.
    You have presented nothing which contradicts anything I stated, but it appears you think you have. The OP first sentence is still in error.

    Quote Originally Posted by Neomalthusian View Post
    These observations could have been made a full ten years ago now. It's well understood that the support for the ACA has had broad bipartisan support, conceptually, albeit at different points in time because of partisan politics.
    It would be more accurate to say that there is wide bipartisan opposition. Specific elements have support but the entire law is a trainwreck.

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    Re: Omamacare is Romneycare.

    Quote Originally Posted by Jay59 View Post
    You have presented nothing which contradicts anything I stated, but it appears you think you have. The OP first sentence is still in error.

    It would be more accurate to say that there is wide bipartisan opposition. Specific elements have support but the entire law is a trainwreck.
    I'm not a huge fan of it overall, but I really wonder what its potential could be if a few glitches/failures embedded in it were changed:

    1) Eliminate the subsidy cap (at 400% of the FPL)
    2) Eliminate the disqualification from subsidies based on an employer's offer of coverage

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    Re: Omamacare is Romneycare.

    Quote Originally Posted by Jay59 View Post
    You have presented nothing which contradicts anything I stated, but it appears you think you have. The OP first sentence is still in error.


    It would be more accurate to say that there is wide bipartisan opposition. Specific elements have support but the entire law is a trainwreck.
    The "Romneycare" parts (i.e., certain coverage/insurance market-related pieces of the law) are the controversial parts: namely the individual and employer mandates needed to deter adverse selection and employer dumping once you eliminate pre-existing condition exclusions in the individual market.

    The non-Romneycare stuff in the ACA--like reforming Medicare to link payment to performance and move the market toward more sustainable business models, increasing transparency and accountability across the system, modernizing the nation's antifraud strategy, building up the nation's health care workforce, investing in our public health and prevention infrastructure, etc--has a great deal of bipartisan support.

    As for the "trainwreck" rhetoric, get real.

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    Re: Omamacare is Romneycare.

    Quote Originally Posted by Neomalthusian View Post
    I'm not a huge fan of it overall, but I really wonder what its potential could be if a few glitches/failures embedded in it were changed:

    1) Eliminate the subsidy cap (at 400% of the FPL)
    2) Eliminate the disqualification from subsidies based on an employer's offer of coverage
    Used to be that if your employer coverage was going to cost you more than 8% of your income, you could take the value of your employer's financial contribution to the company plan and put it toward any plan sold in the open marketplace. In essence you would be uncoupled from your group--probably self-insured--plan and got to shop in the marketplaces without giving up your employer's financial support. That was one of the first pieces of the ACA the GOP repealed in 2011 when they took the House, so it was never implemented. I'm all for supporting ways toward organically moving the employer market to either transition into the individual market or effectively mimic it (which is what I had hoped the employee choice aspect of the SHOP exchanges would facilitate).

    Anyway, I agree it's long past time to make the premium tax credits more generous and remove the 400% FPL cap. That's quite high on Congressional Dems' agenda!

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