We're going to repeal Obamacare and replace it with
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What would you replace Obamacare with?
The rules:
- You are allowed to replace Obamacare and Obamacare replacements.
- There are no restrictions on what you can replace Obamacare with.
- It's going to be so much better.
I would repeal Obamacare and replace it with an 8½×11 inkjet printout of John Cleese's face.
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Battle Royale, obviously.
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@ben_lubar
Communism
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I would say immortality, but that's essentially dooming everyone to getting permanently stuck under a rock.
Statistics is fun.
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Free cake. If we get the nation just a bit heavier than it is the continent might sink under the weight, and then the rest of the world can finally move on and be free of their loudmouth neighbors that always think they know the best and never take any good advice from anyone.
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@ben_lubar said in We're going to repeal Obamacare and replace it with:
I would repeal Obamacare and replace it with
the murders that will begin.
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I'll take the question seriously for a while. I would look at what has made the US healthcare become increasingly expensive compared to other, equivalent, countries since the beginning of the 70's -- to the point where it is today nearly 30% more expensive. Wikipedia: Health Expenditure per capita
A number of reasons are usually listed for this:
- More specialists. Things that are done by a nurse in other countries is done by a doctor in the US.
- Overtreatment. For fear of litigation, it is better to treat than to wait.
- Drug costs, and the rules for who is allowed to negotiate prices.
- Complex administrative system. One example that is touted is Duke University hospital with 900 beds and 1300 people employed to figure out whom to bill for different illnesses.
There is also a significant difference between US and the rest of the world with respect to public and private expenditure, but I haven't looked further into this.
If I were to change AH?CA I would look into the last two items. Where all state contracts are supposed to go to the lowest bidder it seems unreasonable that drugs should be excempt. And if it is mandated once and for all that a health insurance should cover EVERY instance where you might need to seek medical care, you will cut through plenty of red tape. Yes, in one end this will probably lead to that all premiums go up in the short term. But at the other end, you will not need 1.4 people employed per bed just to figure out the billing, which will reduce the costs.
A few other things can be done as well. Emergency wards are extremely expensive. If you enable people to seek help for their ailments before they are sick enough to visit the emergency ward you get cheaper treatments (you may even be able to treat things proactively before they turn expensive), and you get healthier people who are able to work more and pay regular taxes.
I am refraining from suggesting that healtcare should be payed for and run by the government to ensure fair treatment to all. I don't think the US:ians would agree to that.
And if all else fails, you can let people buy an iphone instead of a health insurance.
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@Onyx said in We're going to repeal Obamacare and replace it with:
free of their loudmouth neighbors
So you are taking care of the Dutch for us?
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@Luhmann said in We're going to repeal Obamacare and replace it with:
@Onyx said in We're going to repeal Obamacare and replace it with:
free of their loudmouth neighbors
So you are taking care of the Dutch for us?
Possibly. Still waiting on confirmation for that Bruges pipeline extension over to my place. If that goes through my payment is sorted and I can get to work.
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@Onyx said in We're going to repeal Obamacare and replace it with:
Bruges pipeline extension over to my place.
Sorry I asked but they didn't want to go further then my house
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I would replace ObamaCare with OsamaCare. Most ailments get a recommended treatment of flying a plane into a building
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OhLlamaCare: you ask for treatment and they spit in your face.
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@ben_lubar I would repeal Obamacare and replace it with the Affordable Care Act.
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I'd replace it with something like the NHS, except properly funded and not run by incompetents in the pockets of big business.
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@Jaloopa
Not by moving to a cave in Afghanistan?
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@RaceProUK said in We're going to repeal Obamacare and replace it with:
run by incompetents in the pockets of big business
That is for sure ... we are talking about the US of A.
@RaceProUK said in We're going to repeal Obamacare and replace it with:
not
Ah maybe not in the US of A then.
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@Luhmann said in We're going to repeal Obamacare and replace it with:
@Jaloopa
Not by moving to a cave in Afghanistan?Either way, very few people come back after treatment and claim it didn't work
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Great! So we can even save on the budget of the complaints department.
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...
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@Luhmann and repeat prescriptions. International travel is expensive though, especially when a lot of planes end up being flown into buildings
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@clatter said in We're going to repeal Obamacare and replace it with:
BattleRoyale With McCheese, obviously.And then the murders began.
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@boomzilla said in We're going to repeal Obamacare and replace it with:
@clatter said in We're going to repeal Obamacare and replace it with:
BattleRoyale With McCheese, obviously.And then the murders began.
And a century later, schoolchildren worldwide are taught about the Great Metric-Imperial War of the 21st century.
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@Zecc said in We're going to repeal Obamacare and replace it with:
OhLlamaCare: you ask for treatment and they spit in your face.
Excellent! I already have a solution for problems there!
Because, as we all know, it really whips the llama's ass.
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@Jaloopa said in We're going to repeal Obamacare and replace it with:
International travel is expensive though
It's only one way without re-use so we should be able to reduce that cost drastically
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@Luhmann
Starting with TSA & security measures ... no need to check for bombs anymore
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@ben_lubar said in We're going to repeal Obamacare and replace it with:
What would you replace Obamacare with?
shooting lying politicians in the face
The rules:
- everyone in a public office is a politician by definition
- everyone running for a public office is a politician by definition
- everyone who is hired by a politician to speak for them is a politician by extension
- everyone who speaks for or against a politician as part of a political platform is a politicion by extension.
- everyone who is not a politician is a civilian
- every civilian has "magic gun fingers" that shoot real bullets when the "trigger" is pulled while pointing at a politician that has lied in the last day
- half-lies will result in a non fatal wound, to the ass if at all possible.
- every civilian will have an extreme compulsion to user their finger gun to "shoot" politicians.
- Lies will be defined as:
- Truths presented in an incomplete or out of context way intended to support the politicians point of view where the full truths do not
- Deliberate lies where the politician knows their words are untrue
- Half Lies will be defined as
- Untruths where the politicain is unaware of the untruthfulness of the statement, but members of their staff are aware of the untruthfullness.
- Poorly researched (or not at all researched) statements that are provably untrue via basic research in less than half an hour
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That sounds like you're suggesting we should kill half the Congress and the government, starting with Drumpf.
Do you want to get on a watch list? Because that's how you get on a watch list.
Filed under: Hello, $secret_service
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@asdf said in We're going to repeal Obamacare and replace it with:
That sounds like you're suggesting we should kill half the Congress and the government, starting with Drumpf.
think of it not so much as murder but as...... applying selection pressure to encourage the evolution of politicians along certain lines.
@asdf said in We're going to repeal Obamacare and replace it with:
Do you want to get on a watch list? Because that's how you get on a watch list.
i know, i'm trying to get on all the lists, just because i want to be on all the lists. being on the list is its own reward.
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@Mikael_Svahnberg said in We're going to repeal Obamacare and replace it with:
I am refraining from suggesting that healthcare should be payed for and run by the government to ensure fair treatment to all. I don't think the US:ians would agree to that.
That's because USians don't mind being surrounded by sick people, as long as they don't have to pay out an extra buck.
Basically the plan is the plot of idiocracy: everyone gets stupider, but off the back of the 'Healthcare Eon', humans develop a surprisingly high tolerance to diseases. And gatorade. Then the aliens who seeded us here can use the resulting evolutions as a template for a clone army which they can use to take down the great universe-wide plague: Life.
Now if you excuse me, I have a religion to go and start.
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@Shoreline said in We're going to repeal Obamacare and replace it with:
Basically the plan is the plot of idiocracy: everyone gets stupider,
Hmm...is that what's behind the plan for opening the borders?
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@RaceProUK said in We're going to repeal Obamacare and replace it with:
I'd replace it with something like the NHS, except properly funded and not run by incompetents in the pockets of big business.
The NHS is a money-pit. It consumes everything it is allocated, then asks for more. What amount is enough?
The NHS is certainly run by incompetents, like most other public institutions. There is absolutely no incentive to run services responsibly (from finance to customer service).
Imagine how supermarkets would look if they were state-run like UK hospitals or schools. Choice? Opening times? Low prices? Certainly not!
I don't understand why there cannot be a sensible insurance scheme (in the UK) and then have competing providers. Isn't this a popular model on the continent?
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@richw said in We're going to repeal Obamacare and replace it with:
I don't understand why there cannot be a sensible insurance scheme (in the UK) and then have competing providers.
Because capitalism doesn't fix everything. In fact it seems to result in greedy monopolists lobbying the government.
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@Shoreline said in We're going to repeal Obamacare and replace it with:
Now if you excuse me, I have a religion to go and start.
If I call right now, do I get to be a bishop?
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@richw said in We're going to repeal Obamacare and replace it with:
The NHS is a money-pit.
Yep, and a lot of it is down to the sheer quantity of unnecessary middle-managers the service employs.
@richw said in We're going to repeal Obamacare and replace it with:
I don't understand why there cannot be a sensible insurance scheme (in the UK) and then have competing providers.
Private medical insurance is very much available in the UK (e.g. BUPA), but that's meant to sit alongside the NHS itself to cover stuff the NHS doesn't.
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@RaceProUK said in We're going to repeal Obamacare and replace it with:
but that's meant to sit alongside the NHS
Indeed. My BUPA cover requires me to go see an NHS doctor first for most things.
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@Luhmann said in We're going to repeal Obamacare and replace it with:
@ben_lubar
CommunismI am a busy man. Lots of shit going on. It will be a while before I make it over to Europe. Could you please burn your own house down? Thanks in advance.
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@Zecc said in We're going to repeal Obamacare and replace it with:
OhLlamaCare: you ask for treatment and they spit in your face.
That's what we have now.
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@RaceProUK said in We're going to repeal Obamacare and replace it with:
I'd replace it with something like the NHS, except properly funded and not run by incompetents in the pockets of big business.
So, not like the NHS at all, and it goes bankrupt more quickly?
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@Polygeekery said in We're going to repeal Obamacare and replace it with:
@Zecc said in We're going to repeal Obamacare and replace it with:
OhLlamaCare: you ask for treatment and they spit in your face.
That's what we have now.
Except the company behind Winamp doesn't charge you for the privilege
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@Shoreline said in We're going to repeal Obamacare and replace it with:
@richw said in We're going to repeal Obamacare and replace it with:
I don't understand why there cannot be a sensible insurance scheme (in the UK) and then have competing providers.
Because capitalism doesn't fix everything. In fact it seems to result in greedy monopolists lobbying the government.
Also, basically everything you use on a daily basis that makes your life differ from the cavemen. But sure.
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National funded herbal medicine farm.
Once upon a time, in ancient Chinese the doctors charge premium from the rich, then charge little or completely waive the consultation fee from the poor. When the patient got the formula of medicine, they go to "medicine shop" to buy the medicine they need, or fetch the medicines themselves in the wild. (Actually, there are also medicine shops that hire good reputation doctors to see patients in their shop. At that kind of "medicine shop" there is implicit rule that you also have to buy medicine there)
Let's understand that most of the time, people visit doctor for cold or flu, which most doctor will only prescribe medicine that reliefs the symptoms, let you have more rest and recover yourself. By triage these "common cases" that can be readily replaced by herbal doctor, the overall medical fee needed to sustain government sponsored medication will be noticeably decreased and enables more option on how to handle the remaining cases that are "actual needs".
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@cheong said in We're going to repeal Obamacare and replace it with:
people visit doctor for cold or flu
Which, let's be honest, is a waste of time unless you specifically need a doctor's note.
@cheong said in We're going to repeal Obamacare and replace it with:
By triage these "common cases" that can be readily replaced by herbal doctor
Or Lemsip. I like the blackberry one, because it's purple :D
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@accalia said in We're going to repeal Obamacare and replace it with:
i know, i'm trying to get on all the lists, just because i want to be on all the lists. being on the list is its own reward.
Join my other forum, we're on all the watchlists.
(Our founder did actually get contacted by the hosting company about some of our activities.)
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@cheong said in We're going to repeal Obamacare and replace it with:
these "common cases" that can be readily replaced by herbal doctor,
We are running pilot programs on that in Colorado and California.
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Like @Mikael_Svahnberg, I'm going to take this seriously.
The first thing I would do is to utterly abolish the current health insurance system, because it's a massive part of the problem.
The second thing I would do is slash patent protection for prescription drugs. A huge amount of their research and development is already paid for by the public at universities, so they don't need exclusive rights to recoup those costs. The other major cost for drug development is testing, so I'd have my people look into ways to streamline that and bring those costs down.
But bringing down the cost people pay is the highest priority. There's simply no justification for taking something that costs $5 to produce and selling it for hundreds, not when it's something a person needs to live. It used to be that when we found somebody whose business model was based upon the words "your money or your life," we would either shoot them or throw them in prison. These days, we turn them into millionaires, and that makes no sense at all.
I would require all hospitals, clinics, and similar medical institutions to give their customers itemized bills on demand, and empower the CFPB to go after predatory medical care pricing. ($20 for cotton swabs is a real thing that happens. It shouldn't.)
Then I would allow real medical insurance, which would have to be in line with what we think of as "insurance" in other markets: it covers unforeseen catastrophes. Injuries and long-term treatment for serious illnesses would be covered, but not ordinary doctor's visits, which should be affordable out-of-pocket.
The effect of the current insurance system is to drive costs up until no one without insurance can afford to pay for medical care. Saying "then everyone should have insurance so they can afford medical care" is stupid, as anyone familiar with the workings of monopoly economics could have predicted what's happened to prices since Obamacare came into effect. (And, in fact, many did!) My policy would be to fix it the other way, by driving prices back down to where people don't need insurance for ordinary care.
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@CarrieVS said in We're going to repeal Obamacare and replace it with:
@accalia said in We're going to repeal Obamacare and replace it with:
i know, i'm trying to get on all the lists, just because i want to be on all the lists. being on the list is its own reward.
Join my other forum, we're on all the watchlists.
(Our founder did actually get contacted by the hosting company about some of our activities.)
You, my indomitable feline, have my attention
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@cheong said in We're going to repeal Obamacare and replace it with:
Let's understand that most of the time, people visit doctor for cold or flu, which most doctor will only prescribe medicine that reliefs the symptoms, let you have more rest and recover yourself. By triage these "common cases" that can be readily replaced by herbal doctor
The risk there is that those herbal doctors might not be qualified to recognize the signs of serious and rare diseases, which can often be mistaken as something harmless. There's a reason why GPs exist.
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@CarrieVS said in We're going to repeal Obamacare and replace it with:
Join my other forum, we're on all the watchlists.
I seem to recall you talking about it before, but I forget exactly what it's about
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@accalia Well it was all perfectly innocent. We have an annual event called Hate Week where we pair up and pretend to insult each other, all in good fun.
BlueGodaddy were slightly alarmed by it.@RaceProUK said in We're going to repeal Obamacare and replace it with:
I seem to recall you talking about it before, but I forget exactly what it's about
Just general stuff. We have games and a theoretically serious forum about current affairs, and a bunch of stuff about various media, and other stuff.
EDIT: got mixed up between two of the three hosting providers we've been through.
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@masonwheeler said in We're going to repeal Obamacare and replace it with:
ordinary doctor's visits, which should be affordable out-of-pocket.
Affordable by whom? Would this plan exclude pensioners/unemployed/underemployed people?
For all of its problems, the NHS guarantees that if I need to see a doctor I don't have to worry if I can afford it or if it's better to wait until after payday when whatever I have may have got worse and more expensive to treat