Why this renewed assault? “Obamacare Sucks!!!” declared the former and possibly future president. For those offended by the language, these are Trump’s own words, and I think I owe it to my readers to report what he actually said, not sanitize it. Trump also promised to provide “MUCH BETTER HEALTHCARE” without offering any specifics.
So let’s discuss substance here. Does Obamacare, in fact, suck? And can we believe Trump’s promise to offer something much better?
Agreed.
Medical billing is a pachinko game that provides no health benefits. I’ve overseen things and had things like medicaid/medicare billing mapped out and it’s terrifyingly stupid. It makes our tax laws look rather simple.
We can’t even trust cost plus models because of the for profit games like:
Hey we need 1000 bandaids at the hospital. Ok, how about 1000 for $100 bulk? Uh…no we need special ones. Um okay how about 1000 individually packaged bandaids hand prepared atop Mt Olympus by golden haired virgins during intense thunderstorms for 1000 bucks each? Perfect!
Because they have to defend only making cost plus a fixed percentage of profit so better to make 15k than 15 bucks. Jackassery
I’m not against financial rewards for superior products but there’s nothing like that in healthcare here. Financial incentives for better outcomes might be good, but instead every incentive begs for bad things.
Trump promised a plan, teased it constantly, never released one. No plan except getting rid of Obamacare.