“I have never understood why our government programs don't work this way. And with the way that the health care reform bill works it's a lot more than $100 a month that people are penalized if they make $1 over about $15K. The other issue is the underground economy. How many people are doing child care and other manual work under the table. We must figure out a way to tax the purchase of non nonessential items.”
tkondaks on Sep 6, 2011 at 22:09:23
“I'm quite good at math. But it took an H & R Block course on taxes one summer to understand the concept of marginal tax rates. As a result, I am convinced that 95% of the population has no clue. All they know is that they earn X number of dollars each week and Y number of dollars are withheld for the various taxes. I became convinced that if most people understood our progressive tax system there would be rioting on the streets.”
“I still think we need to be asking ourselves what can we do to ensure more jobs in the USA and our own communities. We as Americans have to stop buying cheap products made in China and abroad. We have to demand that employers pay our brothers and sisters a living wage. For too long we complicity looked the other way and allowed our economy to go on a race to the bottom.”
“I think they should make the median wage of their area plus a small stipend to pay for their DC apartment and the increase in food costs etc in DC. So someone from Ohio would make $35K plus maybe $1500 a month stipend for having a second home in DC. It would be more in CA to reflect the higher cost of living. This would truly make the members work harder for their constituents.”
rchwel on Aug 27, 2011 at 13:23:10
“Great idea Jennifer but would it make them work harder for us or would they just have more fund raising events and lobbyists coming and going ? Fanned and faved”
“The problem is that as health care costs increase, healthy people bail out of the system which causes costs to go up further and creates a spiral of unaffordability.
What ObamaCare does is actually get healthy people back into the risk pool which brings down the cost for everyone. Now if we could get people to take care of themselves, get some cost transparency as well as get people to be involved in their health care decision making, we could see cost come down dramatically.
We need health care to become about health and not consuming as much care as possible "because I paid for it."”
JVene on Jun 16, 2011 at 19:11:57
“I think you've veered toward the right direction, but "ObamaCare" doesn't quite steer straight toward the objective.
Profit motive is the right and purpose of every corporation (non-profits are exceptions, of course). The problem is that the motivation of profit are contrary to the purpose of insuring healthcare.
So, the risk pool size increases. Subsequently the occasional outgoing costs increase when healthy people file claims. Note, however, that the profit motive is to take as much as possible out of that incoming stream of cash. There is nothing wrong with this! They are a corporation, it's what they do. Even if law dictates 80% must go to actual healthcare, the details are combined by armies of attorneys to squeeze out every exception, like they do with tax law.
Metaphorically, insurance is a contracted communal resource; a capitalists "acceptable" version of socialism by contract. However, when profit motive chairs the resource, it's use is no longer communal, it is seen as the property of the corporation, and those who draw from it through healthcare claims are viewed as liabilities, a force attacking profits.
At the least, the law should dictate that these pools be managed by non-profit organizations, or separate the ownership of the pool of money from the act of administrating it. Insurance companies should be nothing more than a group of accountants that manage the mountain of cash that BELONGS TO THE MEMBERS, not company shareholders.”
mansterEZ on Jun 16, 2011 at 18:35:34
“IMHO Obamacare was drafted in such a way as to slowly introduce a public option over time because sooo many employers would have opted out providing coverage for their employees. Decision making for personal preferences should always be in the hands of individuals. I'm a freedom lover, so what do I know?”
“I just wish there was a way to link to the value of the education received to the actual cost. I almost think these for profit colleges should have to pony up the money for loans themselves and should only receive a % of income above AIG for X years. So let's say that someone enrolls in a culinary school and the average wage is $20K a year. Then the school would receive approximately $1K a year for 10 years or a total of $10K. Currently these schools are charging $20K or more and many of these workers are making just above minimum wage. It is sick.”
“spriddler - very well said. But another big piece of the problem is our lifestyles. 70% of health care costs can be prevented due to lifestyle choices. Working on that will free up money to spent on otherwise incurable diseases and conditions.”
spriddler on May 20, 2011 at 15:58:48
“Absolutely. We have the government running psa's, insurance companies pushing wellness programs and preventive care, companies charging smokers more for their healthcare, but we still have a very long way to go. Its an odd situation. There seems to be a much larger portion of the population doing more to stay healthy. Look at participatio n in marathons. They have exploded in the last decade. But we still have the same, embarassingly large portion of the population that just doesn't seem to care; not enough to do something about it anyway.”
“The funny thing about these tech company is that they have a great ROI, but don't actually add much to the economy. I.e. it's easy to grow a company to a couple million or even billion dollars on a modest investment, but they don't grow large enough to actually offset the unemployment problems. Furthermore, while their products and services are fun they generally don't help solve any of the nations big programs.”
“Well, he's actually right. 70% of health care costs are due to poor lifestyle. That being said, obesity wouldn't strike poor people as much if they had access to healthy food and time for exercise and recreate as higher income folks do.”