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I am in favor of people "Opting-out" of the Affordable Health Care Act...

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JohnWxy Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-19-10 03:47 PM
Original message
I am in favor of people "Opting-out" of the Affordable Health Care Act...
I think those who wish to "Opt-out" of Health Care reform should be allowed to.

Of course, 20 years from now, when the "I don't want to buy insurance 'till-I-need-it'" crowd goes to the insurance company they might be in for a surprise:



At the Insurance Company office:

Joe "Not-till-I-need-it": "Okay, I'm here to get some health insurance."

Insurance Company rep: "Well, let's see Mr. "Not-till-I-need-it", I see you 'Opted-out' of the "Affordable Health Care Act 20 years ago."

Joe "Sign-me-up-later": "Yeah, I didn't want the Govmint pokin' its nose in my business. But I'm here now to get my insurance."

Insurance Company rep: "Okay, Joe, you'll have to have a physical taken to see what,.. I mean, IF you have any pre-existing conditions."

Joe: "Pre-existing conditions?! Hey, you aren't allowed to deny me converage for pre-existing conditions. That's against the law."

Insurance Company rep: "Oh, but Joe, you 'opted-out' of the Affordable Health Care Act. You aren't covered by the provisions of that law. So, you see (smiling) we CAN use pre-existing conditions to deny YOU coverage."

Joe: "Okay, fuck you, I'll go get free care at the Hospital emergency then."

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>


Hospital Emergency room:

Admittance Clerk: "Okay, what's your problem. Why do you need to see a doctor?"

Joe "gimme that 'free' heath care": "well, I want to have a doctor check me out."

Admittance Clerk: "Check you out? Sir, I need to know what's wrong with you. Are you sick, or shot or dieing in some way?"

Joe: "Well no. But I'm starting to not feel so well."

Admittance Clerk: "Sir, this is the Emergency room. It's for 'EEE-MERR-GENN-CEEE'S'. You got an emergency or not?"

Joe: "I just want a doctor to check me out. See if I'm okay, like."

Admittance Clerk: "Okay, sir. Take a seat. As soon as we can get to you, after taking care of the emergencies and people who are actually sick, we'll get to you. .....Did you bring a lunch?"


...... Finally, after a couple hours Joe leaves, pissed off.




a few years later, Joe arrives at the Emergency Room again....

Admittance Clerk: "Yes, sir, what's the problem. Why are you here."

"super-man" Joe: "I've had really bad chest pains for several hours. I think I'm havin' a heart attack."

Admittance Clerk: "Okay, sir. I'll need to see your insurance card."

Joe: "I don't HAVE any insurance card"

Admittance Clerk: "okay, you got some ID, then?"

Joe: "yeah, here's my driver's licence."

Admittance Clerk: "Okay, sir, I'll just be a second. ...... Oh, sir. I checked your ID in the database and it shows you 'Opted-out' of the Affordable Health Care Law"

Joe: "OH DAMMIT, WHAT IF I DID?! What's that matter? Hey, I'm really hurtin here."

Admittance Clerk: "Well, how much cash do you have on you?"

Joe: "HOw much CASH? well, (checking) about 20 bucks. But what's that got to do with it. I'm havin' a HEART ATTACK HERE!"

Admittance Clerk: "Well, you see sir, since you 'Opted out' of the AHC act, ...PLEASE sir, don't bang on the plexiglass... since you 'Opted out' of the AHC act, that means you said - you didn't want the "Govm'nt" messin' with your health care, so that means that the Government won't reimburse us for care given to those who 'Opted-out' of the AHC Act who don't have their own insurance and can't pay for it themselves... and the diagnostic procedures we will need to do to see if you have actually had - or are having a Cardiac Event will cost $7,000 (note: this is 20 or more years in the future so figure in inflation to $2,800 in 2009 costs)."

Joe "too soon old, too late smart": "The GOVERNMENT WON'T PAY FOR IT? What kinda shit is that?! I'm a citizen of this country."

Admittance Clerk: "Well, I'm sorry sir, but when you 'Opted-out' that meant you didn't want the community (represented by your government) helping you out with your health care. That's why the Government will not reimburse us for your care if you can't pay for it yourself. That's what 'Opting-out' meant. Now, can you come up with $7,000 dollars or not?"

Joe: "Well, can I use a credit card?"

Admittance Clerk: "Well, by law, we can only accept a Goldman Sachs credit card. That was put into law during President Palin's administration."


>
>

Hey Joe, have you contributed to the Republican Party in the last four years to keep your Goldman Sachs credit card active????

Oh, jee, that's tough, Joe. Well, good luck buddy. Maybe you can catch a flight to India. THink you can survive that long?

.....Hey look on the bright side, Joe. You should be able to pay for your ticket with all that money you saved on insurance premiums over the years!





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abelenkpe Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-19-10 03:53 PM
Response to Original message
1. Is this a problem in the states that already have mandated insurance?
Like Massachusetts? Or, Hawaii?
Do people there refuse to purchase insurance until they need it?
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dflprincess Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-19-10 04:04 PM
Response to Reply #1
4. Hawaii's system also mandates low copays and deductibles
so it does a better job of actually getting people access to health care the either the state or national Romeny Care plans do or will do.

People are probably a bit more willing to sign up for a plan if they know they will be able to get care.
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Warren Stupidity Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-19-10 04:30 PM
Response to Reply #1
5. Actually yes Massachusetts is having issues with people gaming the system.
Which is to be expected in any of these absurdly complicated 'insurance reform' systems. In Mass people can pay the $93/month fine for not having insurance - which is far less than insurance costs, and then three months before they want to have, for example, knee surgery, sign up for Romneycare, get insured, have the operation, and then immediately drop the insurance.

Similar gaming will go on with National RomneyCare. Of course it has to be covered semi-electable procedures that one can put off for the waiting period, but there will be people who do this.

Is it a huge problem? No.
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DesertFlower Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-19-10 03:54 PM
Response to Original message
2. it's like trying to buy car insurance after
you have the accident.
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Bluenorthwest Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-19-10 04:01 PM
Response to Original message
3. In the civilized world none of this is a problem
and no one goes begging to a company. But here, people like to picture people without health care, as a punishment for not paying. Other places, you just get health care. Your neighbors are not gleefully picturing your future problems for political pettiness, they just take care of each other.
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Mr. Sparkle Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-19-10 04:33 PM
Response to Original message
6. I think there is an Opt-out, just dont pay it.
My understanding is that there will be no recrimination for someone who doesn't pay in.

There will be 10 million people whom wont be eligible for the new healthcare deal, I cant see them paying a dime.
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JohnWxy Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-19-10 04:49 PM
Response to Reply #6
7. you don't have to "opt-out" if you aren't even eligible.
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damntexdem Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Apr-19-10 05:30 PM
Response to Original message
8. And are you in favor of providers' opting to not save their lives if they can't pay for healthcare?
Or if they are mistakenly taken to an emergency room and given expensive treatment that they can't pay for, maybe their care could be paid for by selling off their body parts.

Or we could all have a reasonable system where: (1) all must participate in paying for healthcare by opting in or otherwise being forced to pay, or (2) better, there is a single-payer system where all are enrolled and it is paid for by taxes.
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JohnWxy Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Apr-20-10 04:48 PM
Response to Reply #8
9. Maybe you forgot,but the GOP (i.e. the insurance industry) demanded Single Payer be "OFF THE TABLE".
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