River Dog wrote:This isn't just a "Tax Bill." There's a whole lot of stuff in there that's going to hurt the working class.
I just found out that there's a good chance that I may lose my primary care provider. His clinic serves the lower Yakima Valley, where there's a lot of farm workers that are on Medicaid. This "Big, Beautiful Bill,", in addition to the income tax cuts on SS and OT income, slashes about a trillion dollars out of Medicaid. This is going to decimate clinics like those where my PCP works at. It's not going to hurt just those who are on Medicaid, it's going to hurt working class people, too, force them to look for other options for their health care needs.
So please, don't tell me how great this bill is for the working class. It's one of the worst pieces of federal legislation to have been passed in my lifetime.
Aseahawkfan wrote:This is the kind of cognitive dissonance that is damn irritating with human beings. You just wrote that you want government support of the healthcare system, now you're complaining when that government support is cut. What short-signed, selfish rubbish.
Oh, you're concerned about healthcare? What about capitalism Riverdog? You don't need those Medicare boosts from the government, capitalist healthcare is the best. If those clinics can't survive with capitalist healthcare, I guess they shouldn't survive. Competition in healthcare, right?
If you're healthy worker, all those jobs and tax breaks on tips and overtime are great for you. It will be great for the healthy working and middle class. But if you're sick or live in places that can't compete in the healthcare market, I guess you're SOL.
But you gotta live by what you believe Riverdog. You don't believe in government supported healthcare. So reap it if you that's what you believe.
For healthy middle and working class people, this bill is great. Going to make them more money, boost their stocks, and boost their investments. Make people more money. Just don't get sick in the wrong area, Riverdog.
You can't have it both ways. Either you want government supported healthcare for all or for no one. Go find a capitalist way to keep it going. You said the capitalist method to healthcare works. Make it work, Riverdog, like you claim it does.
Yes, I can have it both ways. IMO the existing government health care programs, specifically Medicare, Medicaid, Obamacare, and the VA, have to be maintained, at least for the near future. I don't necessarily like or agree with them, but they are here, and we have to deal with them. There are too many people who depend on them for us to be pulling the carpet out from beneath them.
What I meant by not wanting to go to a single payer health care system is this decades-long movement towards a single payer, national health care system similar to what western European countries and Canada have, like the Medicare for All proposal of a few years ago and that Ted Kennedy proposed back in the 70's. We have to allow drug manufacturers and companies that invent medical devices like MRI's and CT scans to make a handsome profit off their new products if we are to find new cures for diseases and improve the quality of our lives. I don't want to take away the profit motive. It's not a dirty word.
I don't like Medicaid any more than DJT likes it. But the reality is that there are over 70 million people, around 20% of the total US population, that are currently on Medicaid. That's too many people to be making significant changes to a critical program with little more than a few months' notice while offering no viable alternatives. It's too much of a shock effect. The
"Big, Beautiful Bill" cuts Medicaid funding by 20-25%. If you're going to make large scale reductions, it needs to be modest and graduated over the course of years, not months. Imagine the military having to adjust to a 25% reduction in funding within a matter of months.
If you want to downsize them, then do it incrementally. For example, Medicaid. Raise the bar...or lowering it depending on how you look at it...for acceptance to Medicaid. Currently, it's at 138% of the poverty level. Lower that percentage to 125%. Don't kick anyone off of it but start limiting the number of new people enrolling. Fewer people enrolling combined with the Baby Boomer generation dying off will result in a smaller program.
I do agree that there has to be a certain amount of government regulation, that there's a delicate balance between over regulation that stifles R&D and excessive profiteering that limits consumer access. Things like the lifespan of patents have to be calculated so as to allow companies to make a profit off a new drug, giving them a financial means to support their R&D departments, while establishing a point where other companies can jump in and offer the same product with the resulting competition lowers the price while raising quality and service.
That's why you haven't heard me railing about the cost of this weight loss drug I've been on, which is costing me over $500/month. But at some point, that cost has to come down to where more people can afford it.