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RE: What the Republicans got - 10/19/2013 1:07:34 PM   
DomKen


Posts: 19457
Joined: 7/4/2004
From: Chicago, IL
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quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: DomKen
quote:

ORIGINAL: Phydeaux
quote:

ORIGINAL: DomKen
Really? Can you tell me, without digging out your plan, what exactly is and isn't covered? Or does your plan simply require preapproval of all procedures? What if the no blood transfusions wasn't even in the plan? What if it was just the HMO's policy as a JW business itself and was just always denied when the preapproval call was made?
Do you not see how problematic this could get?

No. I don't see anything other than usual due diligence.
But thats the difference. You want a nanny state.
I want to be able to choose for myself.

Bullshit. You already admitted to not having insurance. You even claimed you would refuse to get insured under the ACA because of your opposition to it.


Again, you are choosing for people and not letting them choose for themselves. If Phydeaux has chosen to not buy insurance, then the choice has been made, hasn't it? Self-determination is such a bitch for a nanny state.


I just pointed out that he couldn't have looked at his insurance plan unless he had previously lied about not having one.

(in reply to DesideriScuri)
Profile   Post #: 101
RE: What the Republicans got - 10/19/2013 1:10:05 PM   
DomKen


Posts: 19457
Joined: 7/4/2004
From: Chicago, IL
Status: offline

quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: DomKen
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: DomKen
Really? Can you tell me, without digging out your plan, what exactly is and isn't covered? Or does your plan simply require preapproval of all procedures? What if the no blood transfusions wasn't even in the plan? What if it was just the HMO's policy as a JW business itself and was just always denied when the preapproval call was made?
Do you not see how problematic this could get?

My plan covers everything at 100%.
So, you're complaining that things might be difficult? Well, FFS, why didn't you just come out and say that?!? Apparently, people are too stupid to be responsible enough to know what is and what isn't covered. They shouldn't be bothered with understanding their plans, options, and responsibilities, either.
As far as the insurance company not covering blood transfusions because they are a JW organization, that would be something that should come up in negotiations, shouldn't it? I guess we can't let a company negotiate it's own insurance options, either, now, huh?

Really? Your plan has no exclusions? Are you really sure about that? (no plan I've ever seen did so and I used to help choose plans for a software firm that wanted to provide the best policy possible.) You might want to reread the policy small print. They all exclude "experimental" treatments and most also include wording that says they don't cover procedures not considered standard care or the like.


!00% sure. I don't care what you've been part of before. Your not seeing a plan does not mean it doesn't exist.

Then name the plan. I'd like to see a plan that has no exclusions.

quote:

quote:

Why would the JW insurance company be required to explain it's preapproval policies? No law requires such. Luckily the ACA says insurance now has to provide a certain core set of things including blood transfusions and contraception.
But still the company simply provides health insurance. What the employee does with said insurance is no concern of the employer. Otherwise the employer is infringing on the employees rights to privacy, association and religion (at least). Trying to get the government to place the employers "right" over the employees actual rights is absurd.


If the company is paying for the insurance, then it's covering transfusions means that they are paying for transfusions, doesn't it? Now, if there is zero difference in premium amount and the company isn't self-insured, then covering or not covering transfusions is moot.


So if the plan covers contraception and doesn't cost any more, it doesn't or the price for women would be higher, it is moot as well. So why are you arguing?

(in reply to DesideriScuri)
Profile   Post #: 102
RE: What the Republicans got - 10/19/2013 3:13:39 PM   
Phydeaux


Posts: 4828
Joined: 1/4/2004
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quote:

ORIGINAL: DomKen


quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: DomKen
quote:

ORIGINAL: Phydeaux
quote:

ORIGINAL: DomKen
Really? Can you tell me, without digging out your plan, what exactly is and isn't covered? Or does your plan simply require preapproval of all procedures? What if the no blood transfusions wasn't even in the plan? What if it was just the HMO's policy as a JW business itself and was just always denied when the preapproval call was made?
Do you not see how problematic this could get?

No. I don't see anything other than usual due diligence.
But thats the difference. You want a nanny state.
I want to be able to choose for myself.

Bullshit. You already admitted to not having insurance. You even claimed you would refuse to get insured under the ACA because of your opposition to it.


Again, you are choosing for people and not letting them choose for themselves. If Phydeaux has chosen to not buy insurance, then the choice has been made, hasn't it? Self-determination is such a bitch for a nanny state.


I just pointed out that he couldn't have looked at his insurance plan unless he had previously lied about not having one.


Not having an insurance plan *is* choosing for yourself.

(in reply to DomKen)
Profile   Post #: 103
RE: What the Republicans got - 10/19/2013 3:36:58 PM   
graceadieu


Posts: 1518
Joined: 3/20/2008
From: Maryland
Status: offline
quote:

ORIGINAL: DesideriScuri
The argument that is an invalid twist is the claim that when an employee buys birth control, it is the same as if the employer purchased the birth control. That ignores that once an employee is paid, that money is no longer the employer's property to control, but is now the employee's. The employer can not dictate what an employee does with his or her private property.


The employer isn't buying the birth control either way. In one case, the employer is giving the employee money, and then the employee uses their money to pay for birth control. In the other case, the employer is buying the employee an insurance plan, and then the insurance company uses their money to pay for the employee's birth control. In both cases, the employer's control over the use of the employee's compensation package ends when the money leaves the employer's bank account.

(in reply to DesideriScuri)
Profile   Post #: 104
RE: What the Republicans got - 10/19/2013 3:41:08 PM   
graceadieu


Posts: 1518
Joined: 3/20/2008
From: Maryland
Status: offline

quote:

ORIGINAL: DomKen
Consider if this would be acceptable, a Jehovah's Witness business could, under this theory, provide health insurance to its employees but mandate that that insurance follow their beliefs on blood transfusion which would mean a covered procedure, say trauma surgery after an accident, could never include a blood transfusion even to save the employees life. Do you really think that is acceptable?


Or, hell, a business run by a Christian Scientist could provide a health plan that covered nothing, since they don't believe in using medicine.

(in reply to DomKen)
Profile   Post #: 105
RE: What the Republicans got - 10/19/2013 3:57:43 PM   
graceadieu


Posts: 1518
Joined: 3/20/2008
From: Maryland
Status: offline

quote:

ORIGINAL: cloudboy

quote:

Taxes and regulation make doing business less profitable,


If government policies help stabilize the economy and boost the middle class, higher taxes and regulations would actually increase corporate profits. Also, reducing the cost of health care and expanding coverage helps small businesses who would otherwise fold having to pay the prices for existing health care premiums.

Higher taxes did not cripple the economies under Clinton or Eisenhower.


Hey, I actually do agree with you. I'm saying that that's the perspective of a lot of business lobbies.

Though when you're in business, regulation and taxes can take out a sizeable chunk out of your income (and can be a frustrating pain in the ass). But I agree with you that government services - e.g., having an effective police force, good schools, solid infrastructure, stable financial system, safe buildings, decent wages, etc - are worth the money, and do help your business in the long run. I think the issue is that public corporations tend to think in terms of short-term profits for their shareholders, rather than looking at the bigger picture like that.

(in reply to cloudboy)
Profile   Post #: 106
RE: What the Republicans got - 10/19/2013 6:12:43 PM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: DomKen
Then name the plan. I'd like to see a plan that has no exclusions.


Never heard of cash, eh?

quote:

quote:

quote:

Why would the JW insurance company be required to explain it's preapproval policies? No law requires such. Luckily the ACA says insurance now has to provide a certain core set of things including blood transfusions and contraception.
But still the company simply provides health insurance. What the employee does with said insurance is no concern of the employer. Otherwise the employer is infringing on the employees rights to privacy, association and religion (at least). Trying to get the government to place the employers "right" over the employees actual rights is absurd.

If the company is paying for the insurance, then it's covering transfusions means that they are paying for transfusions, doesn't it? Now, if there is zero difference in premium amount and the company isn't self-insured, then covering or not covering transfusions is moot.

So if the plan covers contraception and doesn't cost any more, it doesn't or the price for women would be higher, it is moot as well. So why are you arguing?


You sure there is no added cost of contraceptives?

None at all?

My ex's employer is self-insured, so until the stop loss is hit, that 80/20 split is 80 employer and 20 for her. That, right there, would be a cost to the employer, no? All the premiums her employer pays goes towards the stop loss amounts and the negotiated procedure costs. It's ridiculous and costs them millions. In addition to not having to pay anything towards the premiums, the employees have better benefits than the insurance rep (according to the rep), which is going to end up costing the employer even more due to the "Cadillac Tax" (even more odd when you consider they aren't even a Union shop).

So, here we have a program that forces people to gain a minimum level of insurance, or pay a fine. An employer with more than 50 employees will have to offer a minimum level of insurance or pay a fine, and, if that level of insurance is too high, they'll have to pay a fine. Fuck treating your employees great. Seems to be a twist of priorities there.



_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to DomKen)
Profile   Post #: 107
RE: What the Republicans got - 10/19/2013 6:17:26 PM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: graceadieu
quote:

ORIGINAL: DesideriScuri
The argument that is an invalid twist is the claim that when an employee buys birth control, it is the same as if the employer purchased the birth control. That ignores that once an employee is paid, that money is no longer the employer's property to control, but is now the employee's. The employer can not dictate what an employee does with his or her private property.

The employer isn't buying the birth control either way. In one case, the employer is giving the employee money, and then the employee uses their money to pay for birth control. In the other case, the employer is buying the employee an insurance plan, and then the insurance company uses their money to pay for the employee's birth control. In both cases, the employer's control over the use of the employee's compensation package ends when the money leaves the employer's bank account.


If the premium cost is higher if it includes contraceptives, then, yes, it surely is the employer paying for the contraceptives.


_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to graceadieu)
Profile   Post #: 108
RE: What the Republicans got - 10/19/2013 6:31:37 PM   
DomKen


Posts: 19457
Joined: 7/4/2004
From: Chicago, IL
Status: offline

quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: DomKen
Then name the plan. I'd like to see a plan that has no exclusions.


Never heard of cash, eh?

So you lied when you claimed you had an insurance plan that paid 100% of everything. I guess that pretty much ends any chance of honest discussion.

(in reply to DesideriScuri)
Profile   Post #: 109
RE: What the Republicans got - 10/20/2013 2:57:38 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: DomKen
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: DomKen
Then name the plan. I'd like to see a plan that has no exclusions.

Never heard of cash, eh?

So you lied when you claimed you had an insurance plan that paid 100% of everything. I guess that pretty much ends any chance of honest discussion.


Cash isn't a plan?

Interesting.

_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to DomKen)
Profile   Post #: 110
RE: What the Republicans got - 10/20/2013 5:12:32 AM   
DomKen


Posts: 19457
Joined: 7/4/2004
From: Chicago, IL
Status: offline

quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: DomKen
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: DomKen
Then name the plan. I'd like to see a plan that has no exclusions.

Never heard of cash, eh?

So you lied when you claimed you had an insurance plan that paid 100% of everything. I guess that pretty much ends any chance of honest discussion.


Cash isn't a plan?

Interesting.

Cash is not an insurance policy which is what we were discussing. You knew that and your response was an intentional misrepresentation. Dishonest at its most basic.

(in reply to DesideriScuri)
Profile   Post #: 111
RE: What the Republicans got - 10/20/2013 8:17:49 AM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: DomKen
Cash is not an insurance policy which is what we were discussing. You knew that and your response was an intentional misrepresentation. Dishonest at its most basic.


What is an insurance plan, other than a way to pay for health care (which is what the shut down was about, fyi)? And, not surprisingly, so can cash.



_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to DomKen)
Profile   Post #: 112
RE: What the Republicans got - 10/20/2013 12:12:28 PM   
DomKen


Posts: 19457
Joined: 7/4/2004
From: Chicago, IL
Status: offline

quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: DomKen
Cash is not an insurance policy which is what we were discussing. You knew that and your response was an intentional misrepresentation. Dishonest at its most basic.


What is an insurance plan, other than a way to pay for health care (which is what the shut down was about, fyi)? And, not surprisingly, so can cash.



I asked you to read your insurance plan. You claimed to have done so when that is a physical impossibility. How precisely was that not dishonest?

(in reply to DesideriScuri)
Profile   Post #: 113
RE: What the Republicans got - 10/20/2013 5:24:49 PM   
Phydeaux


Posts: 4828
Joined: 1/4/2004
Status: offline
quote:

ORIGINAL: DomKen



quote:


I asked you to read your insurance plan. You claimed to have done so when that is a physical impossibility. How precisely was that not dishonest?



Actually, that's a lie, to try to win the argument.

Here's what you actually said:

quote:

Really? Can you tell me, without digging out your plan, what exactly is and isn't covered?


See you've bit from the apple twice. Once when you called me a liar for choosing not to have insurance.
Here when you lie, to try to make it seem like DS is lying.

It is perfectly fine plan to set aside money for medical expenses Ken.
It is perfectly fine to have a plan that you pay the first $500,000K of expenses and the insurer picks up everything over that.

It is perfectly fine to participate in other medical coops -such as presbyters sometimes do, and amish often do.

Don't try to shoehorn your preconceptions on what a health care plan should be onto other people.

< Message edited by Phydeaux -- 10/20/2013 5:27:28 PM >

(in reply to DomKen)
Profile   Post #: 114
RE: What the Republicans got - 10/20/2013 6:12:56 PM   
DomKen


Posts: 19457
Joined: 7/4/2004
From: Chicago, IL
Status: offline
quote:

ORIGINAL: Phydeaux

quote:

ORIGINAL: DomKen



I asked you to read your insurance plan. You claimed to have done so when that is a physical impossibility. How precisely was that not dishonest?



Actually, that's a lie, to try to win the argument.

Here's what you actually said:

quote:

Really? Can you tell me, without digging out your plan, what exactly is and isn't covered?


See you've bit from the apple twice. Once when you called me a liar for choosing not to have insurance.
Here when you lie, to try to make it seem like DS is lying.

It is perfectly fine plan to set aside money for medical expenses Ken.
It is perfectly fine to have a plan that you pay the first $500,000K of expenses and the insurer picks up everything over that.

It is perfectly fine to participate in other medical coops -such as presbyters sometimes do, and amish often do.

Don't try to shoehorn your preconceptions on what a health care plan should be onto other people.

More bullshit in defense of a lie in an attempt to win an argument.

BTW learn to use the quote function.

< Message edited by DomKen -- 10/20/2013 6:14:08 PM >

(in reply to Phydeaux)
Profile   Post #: 115
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