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J_RtheWriter's profile
j.r. leonard
j.r. leonard
j.r. leonard
@J_RtheWriter

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j.r. leonard

@J_RtheWriter

“We got some hats now, motherfuckers!”

Joined April 2018

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    1. manic tipsy scene girl‏ @kstreethipster Oct 17
      • Report Tweet
      Replying to @J_RtheWriter @timeout2575

      How would you have done it then? How do you get growth insurance for more people and protect pre-existing conditions without a law similar to this one?

      3 replies 0 retweets 0 likes
    2. manic tipsy scene girl‏ @kstreethipster Oct 17
      • Report Tweet
      Replying to @kstreethipster @J_RtheWriter @timeout2575

      Health*

      1 reply 0 retweets 0 likes
    3. Nationals Secret Weapon‏ @ersatzverite Oct 17
      • Report Tweet
      Replying to @kstreethipster @J_RtheWriter @timeout2575

      According to a McKinsey study, premiums rose 10% before the ACA and 6% in the following years. Ppl who shopped on the exchanges saved a lot. But most of the newly insured was through Medicaid expansion, not exchanges plus subsidies.

      3 replies 0 retweets 0 likes
    4. Nationals Secret Weapon‏ @ersatzverite Oct 17
      • Report Tweet
      Replying to @ersatzverite @kstreethipster and

      The major cost drivers in American HC is not from quality or number of ppl covered, it’s things like market concentration, lack of pricing regulation, and regulations designed to limit the supply of health care.

      1 reply 0 retweets 0 likes
    5. j.r. leonard‏ @J_RtheWriter Oct 17
      • Report Tweet
      Replying to @ersatzverite @kstreethipster @timeout2575

      I mostly agree this. Which is why it’s weird to take a milquetoast set of reforms like the ACA and make it the arbiter of who is and isn’t a good person

      2 replies 0 retweets 0 likes
    6. Nationals Secret Weapon‏ @ersatzverite Oct 17
      • Report Tweet
      Replying to @J_RtheWriter @kstreethipster @timeout2575

      Most ppl who opposed the ACA opposes the Medicaid expansion. Also, the exchanges worked at making things cheaper, and yet we won’t expand the exchanges, and I think that a public option would hold prices down even further.

      2 replies 0 retweets 0 likes
    7. Nationals Secret Weapon‏ @ersatzverite Oct 17
      • Report Tweet
      Replying to @ersatzverite @J_RtheWriter and

      Widen-Bennett was so much better. Converted employer insurance into wage increases and put everyone in the exchanges. But, ppl really dislike change and it would have been too disruptive.

      1 reply 0 retweets 0 likes
    8. manic tipsy scene girl‏ @kstreethipster Oct 17
      • Report Tweet
      Replying to @ersatzverite @J_RtheWriter @timeout2575

      I love that idea if only for the fact it makes health insurance portable

      1 reply 0 retweets 2 likes
    9. Nationals Secret Weapon‏ @ersatzverite Oct 17
      • Report Tweet
      Replying to @kstreethipster @J_RtheWriter @timeout2575

      Employer based HC is a scourge, but I have no idea how we root it out.

      2 replies 0 retweets 0 likes
    10. Nationals Secret Weapon‏ @ersatzverite Oct 17
      • Report Tweet
      Replying to @ersatzverite @kstreethipster and

      I wish every American could go to France as an uninsured person and realize how fucked our system is. Fucked up my foot and ankle, panicked about lack of HC, it was painless and cheap.

      4 replies 0 retweets 1 like
      j.r. leonard‏ @J_RtheWriter Oct 17
      • Report Tweet
      Replying to @ersatzverite @kstreethipster @timeout2575

      I’ve lived in HK for the past 4 yrs; this version of no frills public system with ability to purchase private care is probably my preference BUT, lots of reasons this would be difficult in the US. One, our public system would be much worse; two, Americans chafe at no frills

      6:34 PM - 17 Oct 2019
      2 replies 0 retweets 0 likes
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        2. manic tipsy scene girl‏ @kstreethipster Oct 17
          • Report Tweet
          Replying to @J_RtheWriter @ersatzverite @timeout2575

          No frills sure sounds preferable to not having healthcare at all. Which prior to the ACA was about 48 million people. Currently we still have 27 million people completely without healthcare. No frills would be a big step up.

          1 reply 0 retweets 1 like
        3. 3 more replies
        1. Nationals Secret Weapon‏ @ersatzverite Oct 17
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          Replying to @J_RtheWriter @kstreethipster @timeout2575

          IIRC, HK HC relies on a lot of public competition to help hold prices down. All payer rate saying and public competition would be a key feature in reducing HC costs in the US. Every other industrialized country does some combo.

          0 replies 0 retweets 0 likes
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