Project 2025, Healthcare Reform, Implications for Pain...

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drusso

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With the upcoming election and the potential re-election of Trump, it's crucial to understand the implications of Project 2025 on healthcare. The impact of this project on Pain is significant and cannot be overstated.

  • Increased Autonomy and Efficiency:
    • Medicare Advantage as Default: Project 2025 encourages more competition between private plans and traditional Medicare by making Medicare Advantage the default option for seniors. This can lead to improved efficiency and innovation in the private sector. Private practices could benefit from streamlined processes and potentially higher reimbursements than traditional Medicare (Media Matters).
    • Market-Based Health Care: The emphasis on a market-based, patient-centered approach allows private practitioners more autonomy in setting prices and managing their services. This could lead to more personalized and efficient care as doctors tailor their practices to meet the needs of their patients without excessive government intervention (American Progress).
  • Financial Incentives and Growth Opportunities:
    • Reduced Regulation: The proposed reduction in government regulation and oversight can lower administrative burdens for private practices. This would free up resources for patient care and business expansion. Practices could see improved profitability and the ability to invest in advanced medical technologies and staff (American Progress).
    • Enhanced Private Insurance Options: Encouraging private insurance options through Medicare Advantage and other reforms can increase the number of insured patients seeking care from private practitioners. This boosts patient volumes and provides more stable revenue streams for private practices (American Progress) (Media Matters).
  • Improved Patient Relationships:
    • Direct Patient-Doctor Interactions: Project 2025 aims to enhance the doctor-patient relationship by minimizing third-party interference. Private practitioners can focus more on patient care and less on navigating complex insurance requirements, leading to better health outcomes and patient satisfaction (Media Matters).
    • Personalized Care: The market-based approach promotes personalized care as private practices can develop specialized services tailored to patient demographics. This can differentiate practices in a competitive market, attracting more patients and fostering loyalty (American Progress).
  • Increased Role in Community Health:
    • Local Decision Making: Project 2025's policies support local decision-making, allowing private practices to play a more significant role in community health initiatives. This can enhance the practice’s reputation and integration within the community, leading to increased patient trust and engagement (American Progress).

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Members don't see this ad :)
How does making every senior go into Medicare advantage minimize third party interference? That’s literally how they make money. That, and apparently defrauding the govt for $50 billion
 
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Hey if everyone goes on Medicare advantage, then no more MIPS!! yay
I don't know about how it affects pain medicine, but the Medicare Advantage plans are way worse in terms of bureaucracy and metrics than regular Medicare for those of us in primary care.
 
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The only thing of minimal substance I see is encouraging Medicare Advantage. Trump is not gonna go for this because it's politically unpopular, even though it's necessary from a budget standpoint and already written into law.

Traditional Medicare is not sustainable and will be phased out, one way or another.
 
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This does not refute what I'm saying. Since when has EFFICIENCY driven policy in the federal government?

Medicare Advantage costs more and provides less than traditional Medicare - true.

But it allows for more government control of costs and most importantly, it offloads political accountability for poor performance. The final result is cost savings. That's why it is being promoted
 
This does not refute what I'm saying. Since when has EFFICIENCY driven policy in the federal government?

Medicare Advantage costs more and provides less than traditional Medicare - true.

But it allows for more government control of costs and most importantly, it offloads political accountability for poor performance. The final result is cost savings. That's why it is being promoted
Where is the cost savings? There isn’t any. Every analysis shows that the MedAdv plans are enormous boondoggles.




 
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After looking into it more, maybe you're right.

I assumed the government was pushing this so they could reduce benefits and blame the insurance.

Maybe Advantage has a more manageable growth trajectory? IDK.
 
After looking into it more, maybe you're right.

I assumed the government was pushing this so they could reduce benefits and blame the insurance.

Maybe Advantage has a more manageable growth trajectory? IDK.
For radiology, Medicare advantage is the bane of our existence for prior auth. Medicare is straightforward compared to these vultures!
 
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Members don't see this ad :)
After looking into it more, maybe you're right.

I assumed the government was pushing this so they could reduce benefits and blame the insurance.

Maybe Advantage has a more manageable growth trajectory? IDK.
It was originally done to try to control costs. Its the usual thing of "more competition results in lower costs".

Problem is, when large for-profit companies are able to lower costs its not like they give the extra money back to the government. Plus you then end up with more denials of care or higher copays/deductibles for some services to balance out lower copays/deductibles for others.

There's a big MA plan that's popular in my area that has zero copay for primary care, zero copay on generic prescriptions when done through mail order pharmacies. But, specialist copays (which includes PT) are around $100 and brand-name medications have a copay of $400 for a 90 day supply.
 
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If I could afford to drop Medicare advantage plans altogether I'd love to. All the hassle of dealing with an insurance company, PLUS the low, low Medicare rates you love!
 
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I'm too lazy to look it up but iirc the basic Trump philosophy of healthcare was really good.

This p25 thing is not the Republican platform or the Trump platform. It's just something some guys came up with, probably under lobbying influence.
 
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I'm too lazy to look it up but iirc the basic Trump philosophy of healthcare was really good.

This p25 thing is not the Republican platform or the Trump platform. It's just something some guys came up with, probably under lobbying influence.
It's not "some guys", it's the Heritage Foundation. They basically created modern Conservative policy.
 
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Can you list a few specific items that you're concerned may be executed under Trump?
it doesnt matter...it's all speculation to trigger the left. The democrats and media are trying to use it falsely to rally their voters.
 
it doesnt matter...it's all speculation to trigger the left. The democrats and media are trying to use it falsely to rally their voters.
Yeah, I want to pin them down with some concrete specific fears they have with Trump/Vance so we can revisit in 4 years to see if it came to pass. But they're too smart for that apparently.
 

140 authors were part of the trump administration.


least biased source:

It has produced similar documents in connection with subsequent presidential elections, including in 2016, when Trump won the presidency.

A year into his term, the think-tank boasted that the Trump White House had adopted nearly two-thirds of its proposals.

and if you truly believe he doesnt know about the heritage foundation:

6 years ago, here is his speech at heritage foundation:


2 years ago:



5 days ago from heritage foundation personnel:


will post about what is so bad about heritage foundation in future post - have to get to work.
 
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140 authors were part of the trump administration.


least biased source:



and if you truly believe he doesnt know about the heritage foundation:

6 years ago, here is his speech at heritage foundation:


2 years ago:



5 days ago from heritage foundation personnel:


will post about what is so bad about heritage foundation in future post - have to get to work.

yea we get it.......project 2025 is an existential threat to democracy
 

140 authors were part of the trump administration.


least biased source:



and if you truly believe he doesnt know about the heritage foundation:

6 years ago, here is his speech at heritage foundation:


2 years ago:



5 days ago from heritage foundation personnel:


will post about what is so bad about heritage foundation in future post - have to get to work.

Gosh it would be easier just to Google the Republican party platform. There you can find out what Trump supports.

After doing that, is there something in that platform that frightens you?
 
first, up until 10 days ago, there was no formal Trump platform.

my understanding is after all this started coming out about heritage foundation is when trump posted his "platform", which i believe is this document, and posted as a counter to those who say he follows Project 2025.


it is rather weak on substance, more on broad sweeping proclamations.

just like trump.
 
first, up until 10 days ago, there was no formal Trump platform.

my understanding is after all this started coming out about heritage foundation is when trump posted his "platform", which i believe is this document, and posted as a counter to those who say he follows Project 2025.


it is rather weak on substance, more on broad sweeping proclamations.

just like trump.
On the topic of Medicare, is the Trump position different than Biden's? They both say they're gonna protect it and the other guy is gonna destroy it.
 

Care to list which 1st world, industrialized countries you consider to have 'socialized medicine'? Not trolling, as a child of European immigrants whose entire family stayed in Europe, I truly don't understand what is being referenced by Americans with this term.
 
first, up until 10 days ago, there was no formal Trump platform.

my understanding is after all this started coming out about heritage foundation is when trump posted his "platform", which i believe is this document, and posted as a counter to those who say he follows Project 2025.


it is rather weak on substance, more on broad sweeping proclamations.

just like trump.
wouldn’t it be a waste of time to go over the 2020 democrat party platform? Did they have or mention leaving the border open, causing everything to be 30% more expensive, abandoning $85 billion in military equipment in Afghanistan to the Taliban, or having 2 wars?
 
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wouldn’t it be a waste of time to go over the 2020 democrat party platform? Did they have or mention leaving the border open, causing everything to be 30% more expensive, abandoning $85 billion in military equipment in Afghanistan to the Taliban, or having 2 wars?

Never let facts get in the way of a good story.

What else are you making up?

"Several Republican members of Congress and former President Donald Trump have cited a grossly exaggerated figure of $85 billion worth of equipment they say has now fallen into the hands of the Taliban. But that figure — actually $82.9 billion — is the total amount spent on the Afghanistan Security Forces Fund since the war began in 2001."


 
Never let facts get in the way of a good story.

What else are you making up?

"Several Republican members of Congress and former President Donald Trump have cited a grossly exaggerated figure of $85 billion worth of equipment they say has now fallen into the hands of the Taliban. But that figure — actually $82.9 billion — is the total amount spent on the Afghanistan Security Forces Fund since the war began in 2001."


what else am i making up? I dont know....you tell me? Im open to correcting the record.

And you may be right....what's a few billion between friends? How about the actual military base with air strip that we let go? How much is a military base now a days? But the dollar amount really isnt the point, is it? Sounds almost as ridiculous as trying to justify an open border because we need crop pickers.

That's some great investigative journalism btw......how come they dont do their job when it comes to Democrats?
 
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Never let facts get in the way of a good story.

What else are you making up?

"Several Republican members of Congress and former President Donald Trump have cited a grossly exaggerated figure of $85 billion worth of equipment they say has now fallen into the hands of the Taliban. But that figure — actually $82.9 billion — is the total amount spent on the Afghanistan Security Forces Fund since the war began in 2001."


If Democrats spent half the time they spend "fact checking" to actually address the unbelievable incompetence that led to the Afghan withdrawal, people would actually take them seriously.

Why did Lloyd ("White-supremacist hunter") Austin not get fired after that? Was there ANY accountability by ANYONE?

This is why independent voters will vote for Trump.
 
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what else am i making up? I dont know....you tell me? Im open to correcting the record.

And you may be right....what's a few billion between friends? How about the actual military base with air strip that we let go? How much is a military base now a days? But the dollar amount really isnt the point, is it? Sounds almost as ridiculous as trying to justify an open border because we need crop pickers.

That's some great investigative journalism btw......how come they dont do their job when it comes to Democrats?

Were you aware that the actual value of the equipment left behind was $7B and not $85B, or is that new information to you?
 
Were you aware that the actual value of the equipment left behind was $7B and not $85B, or is that new information to you?
The outrage was about the Taliban had been decimated, and were allowed to take over immediately. Remember that Biden lie? Also leaving people behind, especially the afghans who helped us over the years, and the loss of life. All those translators and their families were hunted down. The military equipment or the money wasn’t really the issue. The weakness and abandoning the military base was an issue because of Russia.
 
Were you aware that the actual value of the equipment left behind was $7B and not $85B, or is that new information to you?
You might want to specify whether it is working equipment or total equipment or depreciated equipment. Lol. I’m sure we destroyed or scuttled a lot of the equipment. So was it a waste after destroying them or are you asking about the value of what the Taliban was actually able to recover?
 
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fwiw, the reason the US had to withdraw is because of the untenable deal that trump made with the taliban, which effectively neutered that afghan administration. the deal stated that withdrawal was to have taken place by May 1, not August 16.

with that horrible "deal", the US was essentially forced to withdraw, or face international criticism for reneging on their word.

Biden says he “inherited a diplomatic agreement” between the U.S. and the Taliban that all U.S. forces would be out by May 1. “It is perhaps not what I would have negotiated myself, but it was an agreement made by the United States government, and that means something,” Biden says, adding that final troop withdrawal would begin on May 1.

April 18, 2021 on X:
trump likes wd.PNG

June 26 — At a rally in Ohio, his first since leaving office, Trump boasts that Biden can’t stop the process he started to remove troops from Afghanistan, and acknowledges the Afghan government won’t last once U.S. troops leave.

“I started the process,” Trump says. “All the troops are coming back home. They [the Biden administration] couldn’t stop the process. 21 years is enough. Don’t we think? 21 years. They couldn’t stop the process. They wanted to, but it was very tough to stop the process when other things… It’s a shame. 21 years, by a government that wouldn’t last. The only way they last is if we’re there. What are we going to say? We’ll stay for another 21 years, then we’ll stay for another 50. The whole thing is ridiculous. … We’re bringing troops back home from Afghanistan.”



so trump knew the afghan government would not last, and yet he still sold them out.
 
fwiw, the reason the US had to withdraw is because of the untenable deal that trump made with the taliban, which effectively neutered that afghan administration. the deal stated that withdrawal was to have taken place by May 1, not August 16.

with that horrible "deal", the US was essentially forced to withdraw, or face international criticism for reneging on their word.



April 18, 2021 on X:
View attachment 390070




so trump knew the afghan government would not last, and yet he still sold them out.
no response needed......cuz Biden was sharp as a tack.

You also conveniently forgot that the deal was more complex than that, and we werent going to leave the air base.
 


well he believes it.

yes he did say that....because he thinks the major things would be fixed in the next 4 years. What did your media tell you to think he meant? That he wasnt going to leave? Again with that authoritarian crap? lmao
 
i dont rely on the media to tell me what to think, unlike right wing supporters, including some on this forum.

he said it. wouldnt have to vote any more. theres no other way of interpreting that

oh wait through those blacked out glasses that right wingers are wearing that prevent any independent thought, right wingers dont think he is making any authoritarian comment and are going to jump head over heels in justifying these statements.


suppose Joe Biden said this. the outrage would be deafening.





btw, i got the clip from WSJ.
 
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he said it. wouldnt have to vote any more. theres no other way of interpreting that
The only way to interpret that statement is that Trump will make contact with the with mother ship and laser the planet into oblivion.

You should vote twice to save the earth!!
 
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i dont rely on the media to tell me what to think, unlike right wing supporters, including some on this forum.

he said it. wouldnt have to vote any more. theres no other way of interpreting that

oh wait through those blacked out glasses that right wingers are wearing that prevent any independent thought, right wingers dont think he is making any authoritarian comment and are going to jump head over heels in justifying these statements.


suppose Joe Biden said this. the outrage would be deafening.





btw, i got the clip from WSJ.
you're right.....he's going to stay until he is 95 years old......get ready...he could have easily been a dictator during covid but this time he will for sure. lol

i saw it on every TV in my gym that had CNN and MSNBC this AM. You and everyone else is triggered. Take your xanax quick!!!!
 
fwiw, the reason the US had to withdraw is because of the untenable deal that trump made with the taliban, which effectively neutered that afghan administration. the deal stated that withdrawal was to have taken place by May 1, not August 16.

with that horrible "deal", the US was essentially forced to withdraw, or face international criticism for reneging on their word.



April 18, 2021 on X:
View attachment 390070




so trump knew the afghan government would not last, and yet he still sold them out.
We had a deal with the US Border under Trump, remain in Mexico. Biden took that away day 1. So he couldn't negotiate Afghanistan?
 
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