VOTE!!!

Started by drusso
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Maybe with the presidency and both chambers of Congress the Repubs can finally repeal ACA... or is that deja vu.
 
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Ok, now let’s talk actual implications for pain here.
Republicans have pushed to privatize Medicare, and I don’t think they’ll dare touch it directly but I think we’ll see further push toward Medicare “Advantage” plans.
Most of our needles and syringes are made in China so heavy tariffs would mean heavy cost increases.
Musk as some sort of “efficiency officer” is an interesting idea overall, but if I had a dollar for every businessman with no healthcare background who was dead certain he could “fix” healthcare by bringing in business principles, and ended up making it worse, I could retire now.
Doctors compensation: unfortunately I think that will continue the slow slide it’s been on for the last 20 years. Probably no effect either way from the election. My concern right now is that politicians will be so busy scrambling for post-election advantage that they won’t do anything about the impending Medicare fee schedule cuts.
R.F.K. seems very cozy with Trump at the moment, and while most of his agenda is (anti) public health, he’s not going to be friendly to doctors.
Taxes: well, I live in CA, so the supposed Trump “tax cuts” cost me tens of thousands more due to the SALT cap.
 
Ok, now let’s talk actual implications for pain here.
Republicans have pushed to privatize Medicare, and I don’t think they’ll dare touch it directly but I think we’ll see further push toward Medicare “Advantage” plans.
Most of our needles and syringes are made in China so heavy tariffs would mean heavy cost increases.
Musk as some sort of “efficiency officer” is an interesting idea overall, but if I had a dollar for every businessman with no healthcare background who was dead certain he could “fix” healthcare by bringing in business principles, and ended up making it worse, I could retire now.
Doctors compensation: unfortunately I think that will continue the slow slide it’s been on for the last 20 years. Probably no effect either way from the election. My concern right now is that politicians will be so busy scrambling for post-election advantage that they won’t do anything about the impending Medicare fee schedule cuts.
R.F.K. seems very cozy with Trump at the moment, and while most of his agenda is (anti) public health, he’s not going to be friendly to doctors.
Taxes: well, I live in CA, so the supposed Trump “tax cuts” cost me tens of thousands more due to the SALT cap.
im also taking a heavy hit with the lack of SALT deduction. is that offset by a lower bracket than with Harris? im unsure.

I agree that not much will change in the health care space. these are big problems that would take a lot of political capital to address.
 
Ok, now let’s talk actual implications for pain here.
Republicans have pushed to privatize Medicare, and I don’t think they’ll dare touch it directly but I think we’ll see further push toward Medicare “Advantage” plans.
Most of our needles and syringes are made in China so heavy tariffs would mean heavy cost increases.
Musk as some sort of “efficiency officer” is an interesting idea overall, but if I had a dollar for every businessman with no healthcare background who was dead certain he could “fix” healthcare by bringing in business principles, and ended up making it worse, I could retire now.
Doctors compensation: unfortunately I think that will continue the slow slide it’s been on for the last 20 years. Probably no effect either way from the election. My concern right now is that politicians will be so busy scrambling for post-election advantage that they won’t do anything about the impending Medicare fee schedule cuts.
R.F.K. seems very cozy with Trump at the moment, and while most of his agenda is (anti) public health, he’s not going to be friendly to doctors.
Taxes: well, I live in CA, so the supposed Trump “tax cuts” cost me tens of thousands more due to the SALT cap.

Goodbye SOS, hello site-neutral payment:


Goodbye ACA, hello competition:

Goodbye DocFix, hello physician fee schedule fix:
 
Goodbye SOS, hello site-neutral payment:


Goodbye ACA, hello competition:

Goodbye DocFix, hello physician fee schedule fix:
joker-walking.gif
 
Goodbye SOS, hello site-neutral payment:


Goodbye ACA, hello competition:

Goodbye DocFix, hello physician fee schedule fix:
I know what you’re hoping they’ll do. But with the power of the hospital lobby, do you really think they’ll do any of that?

That physician payment fix bill sure would be nice though.
 
Ok, now let’s talk actual implications for pain here.
Republicans have pushed to privatize Medicare, and I don’t think they’ll dare touch it directly but I think we’ll see further push toward Medicare “Advantage” plans.
Most of our needles and syringes are made in China so heavy tariffs would mean heavy cost increases.
Musk as some sort of “efficiency officer” is an interesting idea overall, but if I had a dollar for every businessman with no healthcare background who was dead certain he could “fix” healthcare by bringing in business principles, and ended up making it worse, I could retire now.
Doctors compensation: unfortunately I think that will continue the slow slide it’s been on for the last 20 years. Probably no effect either way from the election. My concern right now is that politicians will be so busy scrambling for post-election advantage that they won’t do anything about the impending Medicare fee schedule cuts.
R.F.K. seems very cozy with Trump at the moment, and while most of his agenda is (anti) public health, he’s not going to be friendly to doctors.
Taxes: well, I live in CA, so the supposed Trump “tax cuts” cost me tens of thousands more due to the SALT cap.
Maybe to offset moving people from Medicare part b to Advantage would be to dramatically increase HSA plan limitations?

Our part would be to expand cash pay options...
 
im also taking a heavy hit with the lack of SALT deduction. is that offset by a lower bracket than with Harris? im unsure.

I agree that not much will change in the health care space. these are big problems that would take a lot of political capital to address.
Agree here 100%. Fortunately, if you had read Trumps tax plan, they are planning to reinstate the SALT deduction. You are about to have much more disposable income. You’re welcome
 
Agree here 100%. Fortunately, if you had read Trumps tax plan, they are planning to reinstate the SALT deduction. You are about to have much more disposable income. You’re welcome
yeah, i did see that. it'd be nice, im not gonna lie, but im not sure it will happen.

there needs to be "some" amount of revenue coming in. we cant just tax cut our way out of everything. it will be difficult to cut taxes, implement the tariffs, keep inflation down, AND grow the economy. will the GOP take an ax to governmental spending?
 
yeah, i did see that. it'd be nice, im not gonna lie, but im not sure it will happen.

there needs to be "some" amount of revenue coming in. we cant just tax cut our way out of everything. it will be difficult to cut taxes, implement the tariffs, keep inflation down, AND grow the economy. will the GOP take an ax to governmental spending?
Here’s to hoping. The anti-hawkish talk on the right is refreshing. Hopefully it gains traction toward action: less foreign involvement, less DoD spending, etc.
 
Here’s to hoping. The anti-hawkish talk on the right is refreshing. Hopefully it gains traction toward action: less foreign involvement, less DoD spending, etc.
its gonna take a lot more than cutting some funding to ukraine and israel. a LOT more
 
100%. DoD has a lot of low hanging fruit, though. Some zero-based budgeting would do wonders for our financial outlook.
this just isnt gonna pencil out.

we are gonna have a lot of money in our 401ks in the next couple years but inflation is also gonna return. feds will have to keep interest rates high which may prompt a housing crisis. LTIR have already jumped a lot.

for you and me, it may not have a big affect, but those subsiding on gvt programs, for better or worse, are going to feel it
 
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this just isnt gonna pencil out.

we are gonna have a lot of money in our 401ks in the next couple years but inflation is also gonna return. feds will have to keep interest rates high which may prompt a housing crisis. LTIR have already jumped a lot.

for you and me, it may not have a big affect, but those subsiding on gvt programs, for better or worse, are going to feel it

Nick Catoggio is a staff writer at The Dispatch:

You Broke It, You Bought It

"On Tuesday morning, I passed some time scrolling through news stories I’d bookmarked over the last few weeks, luxuriating in the insanity of the kakistocracy Trump voters are about to unleash. Abortions cause hurricanes; a “secretary of retribution”; rescinding the broadcast licenses of unfriendly news bureaus; anti-vax kookery inside the West Wing. There’s a lot of demagogic woo-woo know-nothing-ism at the top of the American right, and it’s going to break a lot of things. And the “normal” Republicans in Congress won’t try to stop it. On the contrary, they’ll say—and are already saying—that they owe it to Americans to give them every stupid, destructive thing they voted for.

Those Republicans are correct. Trump’s voters broke America and deserve to get what they’ve bought, economically, politically, and morally. I was right about the rottenness of the electorate and I’ll be right, in spades, about the rottenness of Trump’s abuses in a second term. And when millions of our friends and neighbors decide they don’t care how abusive he’s being so long as he’s hurting the right people, I’ll remind everyone who’s scolded me for assuming the worst about our wonderful fellow Americans that I was right about that too. If you’ve been dismayed by what Trump voters have been willing to condone in the past, get ready. You ain’t seen nothing yet.

Getting to watch an amoral country be serially embarrassed by the consequences of its immoral choices is the greatest consolation of all."
 
Nick Catoggio is a staff writer at The Dispatch:

You Broke It, You Bought It

"On Tuesday morning, I passed some time scrolling through news stories I’d bookmarked over the last few weeks, luxuriating in the insanity of the kakistocracy Trump voters are about to unleash. Abortions cause hurricanes; a “secretary of retribution”; rescinding the broadcast licenses of unfriendly news bureaus; anti-vax kookery inside the West Wing. There’s a lot of demagogic woo-woo know-nothing-ism at the top of the American right, and it’s going to break a lot of things. And the “normal” Republicans in Congress won’t try to stop it. On the contrary, they’ll say—and are already saying—that they owe it to Americans to give them every stupid, destructive thing they voted for.

Those Republicans are correct. Trump’s voters broke America and deserve to get what they’ve bought, economically, politically, and morally. I was right about the rottenness of the electorate and I’ll be right, in spades, about the rottenness of Trump’s abuses in a second term. And when millions of our friends and neighbors decide they don’t care how abusive he’s being so long as he’s hurting the right people, I’ll remind everyone who’s scolded me for assuming the worst about our wonderful fellow Americans that I was right about that too. If you’ve been dismayed by what Trump voters have been willing to condone in the past, get ready. You ain’t seen nothing yet.

Getting to watch an amoral country be serially embarrassed by the consequences of its immoral choices is the greatest consolation of all."
Kind of a silly, heavily partisan article that misses the point of what we're talking about. The financial issues in our country are on a course that wouldn't be significantly altered by either presidential candidate in 2024. Some fundamental change would be necessary to change course and that's not politically palatable. I'm afraid Trump's policies may be as bad, or possibly worse, than Kamala's re: our country's financial security. He is no financial conservative, unfortunately.

This isn't a red-blue issue to me. It's a brown about to hit the fan issue.
 
yeah, i did see that. it'd be nice, im not gonna lie, but im not sure it will happen.

there needs to be "some" amount of revenue coming in. we cant just tax cut our way out of everything. it will be difficult to cut taxes, implement the tariffs, keep inflation down, AND grow the economy. will the GOP take an ax to governmental spending?
Yes I sure hope they do! I’m sick of paying for abortions in Mexico and other bull**** initiatives and give aways that your side always votes for. We could slash spending by 1/3 with no effect on anyone in OUR country
 
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