Steph 🏳️‍🌈

Trans rights! Free Palestine!

[Steph 🏳️‍🌈 @Steph_lly]

@LargoLentoVento @N_Boyajian @atlas_jarreta @Karl_Was_Right You’re arguing pointless semantics are kinda dumb, sorry

[Steph 🏳️‍🌈 @Steph_lly]

@LargoLentoVento @N_Boyajian @atlas_jarreta @Karl_Was_Right The only way it’s remotely similar to the “pre-existing system” is that it is still private insurance. American insurance today is very different in all other respects compared to 20 years ago

[Steph 🏳️‍🌈 @Steph_lly]

@LargoLentoVento @N_Boyajian @atlas_jarreta @Karl_Was_Right The ACA doesn’t benefit private insurance like you think it does and it’s really ignorant of you to claim that when you clearly don’t have any actually knowledge of the legislation in place.

[Steph 🏳️‍🌈 @Steph_lly]

@king_of_bob @Karl_Was_Right And how many more wouldn’t have coverage without it

[Steph 🏳️‍🌈 @Steph_lly]

@caitoz This is an incredibly stupid take

[Steph 🏳️‍🌈 @Steph_lly]

@dbeatdadrocker @Karl_Was_Right It was widely unpopular among democrats too 🥲

[Steph 🏳️‍🌈 @Steph_lly]

@Boon_doggl @Karl_Was_Right @miiryos I can accept that position. I’m in the same boat as you insurance wise, some states are a lot better than others unfortunately. The state exchanges were a stupid fucking compromise it should have stayed federal. Shrinking insurance markets is bad but republicans are ever so smart

[Steph 🏳️‍🌈 @Steph_lly]

@Karl_Was_Right @N_Boyajian Mind you, all of this is from the perspective of a capitalist framework. As I said before, I would much prefer a national single payor system, but I don’t have that yet. I have to work to help people get covered with the tools I have available, and the ACA is not bad for that

[Steph 🏳️‍🌈 @Steph_lly]

@Karl_Was_Right @N_Boyajian The structural change is called Risk Adjustment, if you haven’t heard of it I would recommend reading up on it. It’s really a really fascinating system

[Steph 🏳️‍🌈 @Steph_lly]

@Karl_Was_Right @N_Boyajian You didn’t write it off completely I dunno what he is saying. The subsidies aren’t the structural change. The change was the ACA changed the incentives for private insurance to cover benefits for the extremely ill! That didn’t happen before. I wasn’t covered before bc asthma!

[Steph 🏳️‍🌈 @Steph_lly]

@N_Boyajian @Karl_Was_Right It is fair to have complaints about the ACA! It’s wasn’t enough *but the political climate of this shithole does not afford any chance of a fully reformed national healthcare system. The left has been able to work around that with *just okay* regs with ACA and MCD expansion

[Steph 🏳️‍🌈 @Steph_lly]

@Karl_Was_Right @miiryos Do you know how the subsidy structure works? Would you please explain?

[Steph 🏳️‍🌈 @Steph_lly]

@Karl_Was_Right @miiryos The issues they you have with the ACA are not because the ACA is actually bad policy, you’re just looking at it from a narrow perspective and don’t see how it’s actually changed things so dramatically. You have yet to bear any evidence for your claims

[Steph 🏳️‍🌈 @Steph_lly]

@Boon_doggl @Karl_Was_Right @miiryos There was a structural change! It just didn’t happen all at once. I know it can be hard to see that because of all the other glaring issues in our healthcare system-medical student debt, excessive hospital administration spending and mismanagement, rural primary care collapsing

[Steph 🏳️‍🌈 @Steph_lly]

@Karl_Was_Right Given what I’ve posted about the ACA, it’s obvious how I think about this. However, I do think the biggest failure of the ACA is regulating cost of care, specifically pharmaceuticals. The way pharmacy related health care is currently structured is absolutely evil.

[Steph 🏳️‍🌈 @Steph_lly]

@Boon_doggl @Karl_Was_Right @miiryos Oh I agree 100%. The real answer unfortunately is most Americans don’t want a nationalized healthcare system because they have been brainwashed to believe socialized medicine is bad. “Waiting 8 months for a procedure is bad” meanwhile they already wait longer than that

[Steph 🏳️‍🌈 @Steph_lly]

@Karl_Was_Right @miiryos The ACA isn’t perfect by any means, a single payer system would be far better, but saying the ACA accomplished nothing to address these issues is factually incorrect

[Steph 🏳️‍🌈 @Steph_lly]

@Karl_Was_Right @miiryos Do you have examples of these work arounds?

[Steph 🏳️‍🌈 @Steph_lly]

@Karl_Was_Right @miiryos The subsidies are based on income- subsidies are available to those within 400% of the FPL (still low but it’s better than nothing). The introduction of ICHRA helps to shift the employer-funded insurance coverage to the market place as an alternative to traditional EB insurance