A poll shows who really won the shutdown war. Let’s start there.
Republicans Punt
Republicans are no doubt quietly (MGT not quietly) seething over health care.
MTG is U.S. Representative Marjorie Taylor Greene. She criticized Republican leadership for lack of action on rising Affordable Care Act (ACA) health insurance premiums and subsidies, demanding focus on domestic issues over foreign aid, even hinting at working with Democrats to solve the crisis and highlighting it as a key issue for her constituents. She argued that expiring ACA tax credits would double costs for many, calling it a national crisis, and pushed for Congress to address it, contrasting with party leadership during a government shutdown.
MTG, a staunch Trump backer for years, resigned, effective January 5, over health care and Epstein.
Republicans succeeded, for now, at holding the line on extensions, but they punted the ball on any fixes.
2025 KFF Health Care Marketplace Enrollees Survey
Please consider the 2025 KFF Marketplace Enrollees Survey
Many Marketplace enrollees are already struggling with health care costs. Six in ten adults (61%) who buy their health coverage on the ACA Marketplace say it is very or somewhat difficult to afford their deductibles and out-of-pocket costs for medical care and half (51%) say it is difficult to afford the cost of health insurance premiums each month. In addition, nearly six in ten Marketplace enrollees say they would not be able to afford an annual increase of $300 in health care expenses without significantly disrupting their household finances.
Increases in Health Care Expenses May Impact How Enrollees Approach the 2026 Elections
If their overall health care expenses, including co-pays, deductibles, and premiums, increased by $1,000 next year, about half of Marketplace enrollees who are registered to vote say it would have a “major impact” on their decision to vote in the 2026 midterm elections (54%) or which party’s candidate they will vote for (52%). About one in five say an increase in their expenses would have a “minor impact” on their decision to vote (17%) or which party they vote for (17%).
KFF Health Care Impact on Voting
Placing the Blame (Lead Chart)
- Total Enrollees: Democrats: 29%, Republicans or Trump 70%
- Democrat Enrollees: Democrats 5%, Republicans or Trump 95%
- Independent Enrollees: Democrats 23%, Republicans or Trump 76%
- Republican Enrollees: Democrats 65%, Republicans or Trump 34%
Republican Breakdown (Lead Chart)
- MAGA Enrollees: Democrats: 73%, Republicans or Trump 26%
- Non-MAGA Enrollees: Democrats: 44%, Republicans or Trump 56%
The vote of independents and Non-MAGA republicans will decide the midterm elections. And they are not at all happy about premiums.
Obamacare Enrollees
- Number: As of 2025, there are a record-high 24.3 million people enrolled in Affordable Care Act (ACA) Marketplace plans. Approximately 17 million of these individuals signed up using the federal exchange, HealthCare.gov, while another 7 million are enrolled through state-run exchanges.
- Financial Assistance: The vast majority of enrollees, about 92%, receive premium tax credits (subsidies) to help lower their monthly premium costs.
- Geographic Distribution: More than half (57%) of ACA Marketplace enrollees live in congressional districts represented by a Republican, and 77% live in states that President Trump won in the 2024 election. The states with the largest enrollment include Florida, Texas, and California.
The above three points are from a Chrome AI inquiry. That’s 24.3 million pissed off people, 57 percent living in Republican districts, and 77 percent living in states Trump won in 2024.
Abortion Sticking Point
The Wall Street Journal comments How Abortion Access Became a Major Sticking Point in the GOP Healthcare Fight
As congressional Republicans weighed how to approach the fight over extending Affordable Care Act subsidies, powerful antiabortion groups saw an opportunity.
Led by Susan B. Anthony Pro-Life America, antiabortion activists began to pressure Republicans during the fall government shutdown to further restrict abortion coverage from insurance plans made cheaper by ACA subsidies at the heart of the dispute.
The activists’ warning was simple: Extending subsidies without such limits was a line Republicans must not cross to keep social conservative support in next year’s midterm elections.
“If you demotivate the pro-life voters and tell them we don’t have something to offer you, it is a disaster to the Republican Party,” said Frank Cannon, chief political strategist at Susan B. Anthony Pro-Life America.
Quite frankly, the position of SBA is idiotic. MAGA supporter will not vote for anyone but Trump in any circumstance.
However, independents and non-MAGA republicans, especially independents, want something done, abortion or not.
Let’s continue …
Democrats have proposed extending the subsidies for three years—as is. Republicans have yet to coalesce around their own plan. But Senate Majority Leader John Thune (R., S.D.) described the existing language around abortion as one of “the big sticking points” in talks about the subsidies’ future. Other Republicans agreed.
“If my tax dollars are being used to be able to take human life, especially the life of an infant, I have a problem with that,” said Sen. James Lankford (R., Okla.).
“I think this is being viewed as an opportunity by anti-choice groups to try and expand a nationwide abortion ban as part of any legislation. And that’s a nonstarter,” said Sen. Jeanne Shaheen (D., N.H.), a key player in bipartisan talks about a possible short-term extension of the subsidies.
Twenty-five states prohibit abortion coverage in ACA marketplace plans altogether, according to the healthcare nonprofit KFF, while others either defer to insurers or require that individual plans in their state cover abortion.
Blazing Hypocrisy
Republicans wanted abortion to be left up to the states, but now they don’t.
And of course the reverse is true as well.
Everyone wants to tell everyone else what to do.
Looking Ahead
I had not thought about the abortion angle, and expected some sort of extension compromise that did not materialize … yet.
But Republicans now own health care and will get the blame no matter what happens. Those who are simmering right now will be extremely angry when the actual bills have to be paid.
That starts January 1 for most and February 1 for others.
Expect the Health Care issue to blow sky high in early 2026, with a big Republican scramble on what to do.
As with Epstein, there is going to be a lot of internal strife and bickering.
Meanwhile, Trump is blowing up boats (illegally), threatens to invade Venezuela, and the jobs market is in shambles. Trump has launched ridiculous witch hunts on food, while insisting affordability is a hoax (just as Epstein is a hoax).
Republicans are splintering over all of those points. The message is “wait till next year”. Good luck with that.
Related Posts
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Announcements imply future, not immediate, layoffs and unemployment claims
December 5, 2025: Welcome to Tariff Complexity Hell, No One Knows What Trump Will Do
Tariffs are a tax, and complexity adds to that tax.
December 5, 2025: Revelio Says Payrolls Decline by 9,000 the 5th Drop in 7 Months
We don’t have BLS reports but we do have ADP and Revelio.
December 7, 2025: Trump Announces Two New Task Forces Will Investigate Food Prices
The DOJ and the FTC will each launch a witch hunt on high food prices.
December 3, 2025 : Small Businesses Drop 120,000 Jobs in November, ADP Total Down 32,000
It’s another grim month according to ADP.
Change in Small, Medium, Large Employment Details
- Small: -197,000
- Medium: +275,000
- Large: +1,012,000
Not a bit of this is a surprise to any thinking person. And Trump owns all of it for overpromising and underdelivering.
But that’s OK because …. Trump Adopts Chicago Cubs’ Perpetual Message, “Wait Till Next Year”
But “Wait Till 2026” is a fundamental mistake. The beauty of a more Cub-esque “Wait Till Next Year” is the slogan never has to change.
Starting January, I somehow think wait till 2027 will no longer resonate.
Oh, I nearly forgot Trump Says It ‘May Be Necessary’ to Extend Obamacare Subsidies
Trump says the “unaffordable care act has been a disaster ” that it “may be necessary” to extend it.
Thanks! I made a note to add that to my book of twisted government logic if and when I get to writing it.
Medicare for All does not work.
It only seems to work in Europe or elsewhere because tax rates are much higher, the state controls doctor and nurse salaries, and has price controls on everything related.
If you are willing to have those things (do you really want to be France, Germany, Italy) then OK, Medicare for all “works”
European companies, unlike many US companies, do not pay health insurance premiums to health insurance companies. My brother owned a factory in Canada. He never had to worry about the healthcare of his employees and their families. He never had an employee have to declare medical bankruptcy.
bingo. most amerikans are ignorant to rest of world. it’s staggering.
What happens when the system goes bankrupt? That which can’t continue, won’t. Global debt is astronomical and the cycle is coming to an end, hence all the talk of a Great Reset and Central Bank Digital Currencies. Mises said that a debt fueled boom ends in 2 ways, a collapse of the debt or the currency.
Tax the rich to pay for the poor people’s health care.
Before that control what kind of food poor people eat so they don’t get sick from the “food” they eat.
You’re rich, I’m rich, everyone posting here is rich so we don’t wait in line for health care, we pony up for the best.
I’ve unfortunately been inside the health care business as a bankrupted patient for decades, a miracle of modern western medicine practice.
I only met specialist whom were in the vocation to help their patients.
Get rid of the onerous malpractice “insurance” scam.
Important to remember it’s called a “practice ” for a REASON.
All any of you high intelligence people here need to do is look up how universal health care came about wherever it is, and how OUR system came to be and it will be obvious one works, the OTHER does not.
I thought covid might be the WW2 event that made us go universal but it wasn’t lethal enough, if it killed babies like oldsters we’d have universal…
“Tax the rich to pay for the poor people’s health care.”
Easy to make statements like this. You understand that politics in the US is driven by MONEY and that Congress and the wealthy are unlikely to go along with your plan?
Most of the U.S. Covid deaths were iotragenic. It was the government which obstructed antiviral drugs and created the junk PREP hospital protocol. That doesn’t move me to want universal government control.
“It only seems to work in Europe or elsewhere because tax rates are much higher, the state controls doctor and nurse salaries, and has price controls on everything related.”
Exactly. It only “seems” to work because the policies chosen are much less driven by ideology as in the USA, and much more by the desire to make healthcare available for as many people as possible at reasonable costs.
So the results are there: total costs are much lower for higher level of coverage. Why does the USA prefer higher costs for a worse result? Because excluding people and letting the market set prices, in a market where people often have no choice but to pay the sticker price at whatever level it is. That’s not a great market to let roam fully free. At least not if you prefer lower costs and more people served.
We need the Singaporean system.
https://www.nytimes.com/2019/04/22/upshot/singapore-health-system-lessons.html
US life expectancies are falling behind other 1st world nations at an alarming rate, while our spending per patient is astronomically higher. So we are paying far more, for worse outcomes. So if we want to be France or Germany on this particular subject, where they pay less for superior outcomes, I say “sign me up!”
And according to polls, a rapidly growing majority is aligned with my thinking on this.
There are two ways to control medical costs, a single payer that has cost control and a free market. Our system tries to continue high salaries, high insurance profits, high drug prices etc. Everybody gets greased while costs rise and premiums rise. If everyone gets health care, then the single payer is the only way to control costs. A free market excludes those who can’t pay but it does controls costs by reducing demand.
“A free market excludes those who can’t pay but it does controls costs by reducing demand.”
It also reduces quality. If you come up with an innovative cancer treatment, you have to invest significantly in production, advertisement and distribution. If your costs are high, your only potential market is the wealthy. But are their enough wealthy consumers with cancer to make production even feasibly profitable? If not, the product can never come to market, essentially reducing the real wealth of your customers.
On the other hand, with government subsidizing the costs, the greater market makes it possible to produce the product. Once in production, the producer can reinvest profits and follow the technology curve to reduce costs and prices. Something that doesn’t happen in free market medicine with marginal products.
There is nothing wrong with the government negotiating reasonable prices with a reasonable profit throughout the healthcare system. We all negotiate prices everyday. If a company chooses excess profits, they choose to exclude government based healthcare provision. There is nothing wrong with that. If 95% of your customers are Medicare/Medicaid/VA based, your probably better of shooting for a lower per item profit for a higher overall profit.
The worst case scenario is what we have today: producers charging exorbitant prices with the government forced to pay them. Guys like Mish (and those who share their ideology) will stand firmly in the way of ever getting negotiated, reasonable prices because they will always simply demand and end to government interference whatsoever. While knowing that can never actually happen.
wrong. there are a multitude of health setups in the EU countries and canada OZ and nz……….but for sure you are incorrect as the net net net cost to provide doctoring in amerika compared to the rest of the world is about 2x to 3x. there are many reasons for this. most come down to the doctoring profession in usa is a bunch of swindlers and grifters, due to many reasons from employers, insurance companies and outright greed of actual doctors and insurance. go study all the different set ups in EU. you will be amazed at the vastly different setups.
The U.S. ranks last among industrialized nations when it comes to health care outcomes and costs. Medical practice is more effective in Europe, Japan, etc. Americans are some of the most obese people in the world and getting worse. Come on Mish!
Do people have to buy ACA insurance? Or, are they too dependent on government to do their thinking for them
Trump considering replacing Noem with the sweater guy from Virginia. Thats a move to change the disastrous opinion of DHS before the midterms. But make no mistake the deportations will continue.
The only reason that the R’s own this is because the media power in this country still tilts left. They have been able to shift blame even though Obama promised to bend the health care cost curve and FAILED. The polls are merely circular based on the propaganda jettisoned from the bowels of the liberal/big government media. R’s should not and would not own this IF we had actual fair press. Instead, we have liberal activists masquerading as journalists.
Fred the ACA was a Republican idea from the 1980s. No one can control the cost curve because 80% of Healthcare spending is on the last few years of life for most folks. The country needs to have an honest conversation on whether this many people need to be kept alive.
Death panels! Death panels!
Eventually its rationed at the ER now. As the population gets older, this problem gets worse. ERs are going be flooded come January. I think Trump wont do anything in the end. The tech bros have stated the US population isnt as needed anymore with AI.
Here is more from our next President’s mentor. Don’t say you weren’t warned.
https://www.nationalmemo.com/peter-thiel-antichrist
ER’s only have to treat the immediate problem, such as a heart attack or bleeding out. Otherwise, then send you to “your” MD.
They don’t. If you can’t do 5 push-up’s then it’s to the tanks for you!
The reason health care is so expensive is the interest rate repression and money printing done to monetize the deranged deficit spending of the republicans and democrats and their foolish wealth effect idea, attempting to put a floor under bubble asset prices. Old people could be cared for just fine if it werent for runaway cost increases from the R and Ds and their donor cronies looting the country.
Obamacare altered the second order trend of healthcare spending. It reduced the number of uninsured Americans to record low numbers and slashed the number of medical bankruptcies. And it provides a system with a single lever where access can be expanded (subsidies for insurance markets.) Mish rightly pointed out the political idiocy of the failure by Republicans to extend these subsidies.
Obamacare bought us time. Republican mismanagement and malfeasance since then has encouraged the idea of a single-payer system like “Medicare for All” to such a degree that it’s now supported by most Americans.
The original ACA subsidies remain in effect after Dec 31!
What goes away are the ENHANCED subsidies that were put in effect for the Covid scamdemic and which were subsequently extended afterwards. These enhanced subsidies need to expire at some point and now is as good a time as any.
Another way to look at the health insurance marketplace is the more financial pain that people experience, the higher the probability that Congress will be forced to come up with a solution that works for the majority.
“No pain, no gain”!
I’m well aware which subsidies are in question, and you’re basically rephrasing what I said…
“Another way to look at the health insurance marketplace is the more financial pain that people experience, the higher the probability that Congress will be forced to come up with a solution that works for the majority.”
Yeah…
“Obamacare bought us time. Republican mismanagement and malfeasance since then has encouraged the idea of a single-payer system like “Medicare for All” to such a degree that it’s now supported by most Americans.”
https://www.filesforprogress.org/datasets/2025/11/dfp_medicare_for_all.pdf
This is just an effort to rename ObamaCare/ACA to Trumpcare. The point is to not have a black man’s name on anything.
end the fraudulent care act and watch health insurance costs drop
I think it’s too late. Our healthcare system is nothing more than a series of monopolies, cartels, cons, scams and plain old grift. Since healthcare is a service too expensive to provide, insurers won’t. The system will collapse, it’s inevitable at this point, so what comes after? We need to start thinking about that.
Just our Healthcare system ? Literally every industry is a cartel. To name a few: automobiles, energy, financial services, real estate, insurance, tech hardware,
And the short answer is:
Enrich the insurance companies!
Medicare for All paid for with a VAT. It won’t directly bring any costs down but it will disguise them and even the trading field with the VAT loving Europeans.
Mish will hate it as his costs for things other than healthcare will go up 20% as will everyone else’s.
Denninger has a better plan though the transition into it would be painful. So many sacred cows would be gored that I don’t think it would actually be implemented.
MPV045 would just execute everyone over 65.
Given most of the country has one hospital per town (and therefore a monopoly) there is no free market solution.
Correct no free market solution so nationalize it.
Lol. I assume you are referring to me. I don’t want anyone dead, I am merely pointing out the obvious for the oblivious. I didn’t create this mess nor am I going to fix it. The people that were in charge the last 30 years were the boomers, they should have fixed it.
Reading the comments here and other posts, everyone has a theory, “add VAT taxes”, “stop the fraud”, “ban immigrants”, “ban health insurance”, “end Obamacare”, etc.
You know what’s going to happen? Absolutely nothing. Then one day a few years down the line, hospitals, medical centers, etc will just start shutting down. Heck, it’s already happening across rural America.
The whole system will be overwhelmed with too many old people needing assistance. No, it ain’t gonna be pretty and I sure as hell don’t want to be around when it happens.
I stated a while ago that if I’m driving down the road and I see someone broken down needing help, I will probably stop and render aid but if I’m driving down that same road and see millions in need of aid, I’ll keep going because there’s nothing I can do and if I stop and help, I’ll get eaten alive. That’s the lesson, are you driving by or getting eaten? It’s one or the other.
Got exit strategy?
good logic. i eyewitnessed in russia post 1991, what happens when an evil empire crumbles and the currency and jobs destroyed. it was amazing.
Chloroform it.
The corruption in the healthcare insurance market is the fact that most Americans get a major percentage of their health insurance paid by their employer.
This creates all sorts of disruption in marketplace.
The solution is to BAN company provided health insurance. If that can’t be done, then remove the tax breaks that companies get to provide it or tax companies at 2x, 5x or 10x the value of any such insurance that they choose to continue to provide.
Once everyone has to secure their own health insurance, whether they are a worker or not, politicians will have to accept single-payer healthcare for the masses, like we oldsters get through Medicare.
Work or die is just slavery with added uncertainty.
A story of how and why are healthcare prices are so high.
Also, click on the author’s name inside the article, which will take you to his main website, with plenty more stories on healthcare in the US
I am always amazed at those that create so much ado over the rise in medication prices but raise hardly a whimper at the price of a new iphone.
a single pill of Revlimid cost the same as a new iPhone
Emergency room visit: 10k. iPhone 1k, if you get the fancy one.
Study it out, piglet.
An emergency room comes with mountainous expenses. It’s ravenous. You figure out a cheap way to stand ready to diagnose and successfully treat and bill tens of thousands of diseases plus the gigantic number of ways stupid men have figured out how to maim themselves playing games, going fast, defying death, having a blast, etc. on a 24 and 7 basis. Some idiot shows up at an ER in Minot, North Dakota because he was trying to kiss the head of his pet cobra and it bit him. If not for abject imbecility, North Dakota doesn’t have cobras. 3 minutes later a drunk frat boy shows up who dove into an empty swimming pool and broke his neck, and, is still alive. Plus this person with a sore throat. And then, for four hours the entire staff is ready to go and nobody shows up. The greedy bastards actually expect to be paid to do nothing.
How much do you want it to cost? The potential buyer pool for iPhones is gigantic. The potential buyer pool for a new drug can be tiny. The window for making money on a new drug is short. The inventors of a drug that extends life deserve to be compensated. The patent law is sort of like our constitution: old, stupid, full of holes, useless. We could make it even worse by creating a moronic legal concept called original intent. Wait, we did that.
Price your product as high as you care to. That is how Capitalism works.
But insurance should not be forced to cover an expensive drug. They should be able to “Just say no”.
If that results in that small “potential pool” of patients dying, then so be it. This is how Nature works. The strong survive, the weak do not.
With these options in hand, the development company can choose to focus its research and development on drugs that people can afford to pay for and/or that meet some maximum price insurance threshold.
I really should have gone into politics!
The edu/med/pharma/ INSURO cartels are the most to blame.
I think they will send people of color to the veterinarians.
Veterinarians have a higher level of training than MD (human) doctors because they treat so many different animals. If you flunk out of vet school, you go to regular MD school as a backup.
My Dad was a veterinarian. In WW2 he interrupted his training to be a US Navy corpsman for sailors and marines. He always said veterinary medicine was vastly easier because his patients were incapable lying to him.
that is very funny. dad guarded nazis in the war. his brother captured by nazis and put in a stalag after battle of bulge.
medicaide, medicaire or VA option for Romney/Obama care. the cost is a rounding error compared to the insurance swindlers. sell off a few military bases in germany, italy, japan, korea and god knows everywhere. let israel pay their own way. it’s really not difficult ladies and gents. D and R are indistinguishable. democracy works. amerikans are grifters. doctors, lawyers, carpenters, teachers, military men. it’s a crumbling evil empire of grifters.
There won’t be any more free money for the little people. No $10,000 health care voucher, no $5000 DOGE check, no $2000 tariff refund check.
Pay attention to what they do, not what they say. They cut $1 trillion from Medicaid to extend the Trump tax cuts. They ended the ACA subsidies. DOGE savings (if any) were offset by increased military spending.
Back in 2020-2022 they gave out free money to the little people because they feared pitchforks over the trillions they gave to the financial sector.
This time they are ready with a beefed up ICE force that is ready to be re-purposed when the inevitable protests happen once another financial crisis hits and no money is given out to the little people.
“Beefed” up is right, every video I see of ICE involves fat overweight men barely able to move around. And once the pitchforks (guns) come out, they won’t stand a chance against a raging mob.
All the mob has to do is get em running , and cardiovascular disease will do the rest.
The (boomer) elephant in the room is the fact that there is no fix to the healthcare problem because we are rapidly approaching 80 million people needing healthcare to unclog their arteries, replace their hips, knees or do kidney dialysis and gobble a plethora of pills to keep going. There are too many chronic diseases, too many “old” people and not enough young people or magical robots to fix it all. It’s not just the US, but Europe, many parts in Asia and chunks for Latin America. Africa and the Middle East are where most young and ironically healthy people are these days.
I love how boomers brag that they only had to pay $x for major medical not understanding that most of that expense is falling on the taxpayer somewhere down the line. As Thatcher said, sooner or later you run out of other people’s money and we’re way beyond that now. It’s a ticking time bomb that will go off right at the wrong moment and when it happens, people will be left out in the cold with little or no medical care.
There are currently 74.7m people on social security and probably medicare/medicaid and growing while the population is shrinking and Trump is kicking out/blocking immigrants. Add in the drug addicts, mentally ill, and growing number of people bailing out and moving overseas and you’ve got real problems.
Medicare collapse expected 2033, Social Security expected around same time. Trump will likely leave the world in a Great Recession or Depression by the time he leaves office.
https://www.winstongroup.net/2025/06/26/the-collapse-of-medicare-is-happening-faster-than-expected/
Trump/GOP are in charge of all three branches of government so yeah this 100% falls on them. 100%
Do I need to repeat it? G.E.S?
i’m looking forward to the dirt nap after i become mulch. it’s the green way to eternity. i’m in mid 60s but most likely live to 100 if my parents and grandparents are really my ancestors. hope dad and grandpa really are my blood.
I’d really like there to be a smoking crater where I leave this earth, from a Wylie Coyote style misadventure. That flat earther guy that died in the rocket he built to prove it is my spirit animal,
ha ha ha.
Medicare for all is the fix. The financing is there, cost savings are there, net disposable income for working and middle classes improve.
No, it is not there. Medicare for all would upend the whole healthcare/insurance worlds and force many MD’s to sell their 2nd and 3rd houses. Politicians would lose a lot of campaign contributions. So this will never happen.
Do you guys even read or pay attention to what is happening around you every day?
https://medicine.yale.edu/news-article/increases-in-physician-attrition-rates-could-worsen-shortages/
America’s looming physician shortage is accelerating. A decade-long study reveals that the percent of physicians leaving clinical practice jumped from 3.5% to 4.9% between 2013 and 2019—a troubling trend that threatens to compound the nation’s projected shortage of up to 86,000 doctors by 2036.
The nationwide analysis, published Oct. 7 in Annals of Internal Medicine, tracked more than 712,000 physicians caring for Medicare patients and found attrition rates climbing across every specialty, geographic region, and demographic group.
…
Female physicians showed a 44% higher likelihood of attrition compared to male colleagues, whereas rural physicians faced a 19% increased risk compared to those in urban settings.
First, the shortage in doctors is primarily due to the AMA.
https://petrieflom.law.harvard.edu/2022/03/15/ama-scope-of-practice-lobbying/
Solution : End Citizen’s United and Buckley v Valeo.
Second, physicians and nurse practitioners are experincing corporate workload abuse and burnout.
https://www.mdedge.com/rheumatologynews/article/270756/business-medicine/silent-exodus-are-nurse-practitioners-and
Solution: Medicare for all. For profit healthcare insurance is contributing to the burnout.
Congress does not have the strength, foresight or desire to overhaul the health insurance system and lose their campaign cash contributions.
Dr. AI and its robot assistants will step in and do the job. It’s the only viable option.
I have all sorts of references I could post around this idea but wait and see.
“If something cannot go on forever, it will stop.”
— Herb Stein, Senior Fellow at the American Enterprise Institute
“Stop” might mean a lot of death. Or it might mean that some other solution presents itself.
The only logical solution is what I always tout – AI takes over, possibly at the request of the masses, and its robot workers do everything, including repairing people as necessary OR else dump them in the Soylent Green tanks.
It’s honestly kind of funny Mish. This admin is basically the baby boomer who caught the car. They hated ACA, now they get no healthcare because even with Medicare they’re still without a hospital or staff. They hated migrants until they stopped building houses and picking all the food. So on and so forth.
I make this a generational thing frequently because it’s specifically conservative white boomer/older gen X men who almost unanimously drive the most idiotic MAGA stances with their laughably out of touch logic, especially with economics. To these people, snap users are lazy and need to go find work. Where should they go find it? Why, they should just look in the newspaper of course! Or just walk into a business and shake the owner’s hand! People should all work harder, see? Those people barely making it by working 10 hour shifts at a nonunion factory don’t count though. Kids are lazy and entitled for asking for things boomers easily got as kids like healthcare, education, housing, transportation, ect.
With this point of view, the world is as great as ever and it’s just the fault of everyone else that America isn’t prospering. This is why MAGA can’t fix anything, they can only blame others for it not working. And of course, it’s always the person pointing the finger causing the problem. Solving issues would mean changing, and that’s a no go because they’re always right.
You see this really clearly in the way MAGA is trying to justify the war crime of killing stranded sailors: they’re not waiving a white flag, it’s a signal to other terrorists! They’re not clinging to the boat, they’re flipping the burned half of it over to somehow escape! To a even modestly intelligent person this is a laughable lie, but to this crowd of bitterly entitled 1960s manchildren, it is actually fact because they simply cannot be wrong.
It is not generational. It is about class.
put all gov workers and pub sector at every level o f gov on obamacare and deduct a fee from their check or pension for it
the healthcare madness ends then
lets vote on it on the next election /refrrendum
majority rules
democracy is saved
How would that help? The vast majority of workers make too much money to qualify for the original ACA subsidies, so everyone would be paying full$$$ for their medical insurance.
B. Obama and his fellow Democrats N. Pelosi et al. have counted on this Cloward-Piven “inevitable law of history” = once people start receiving public money they will fight to keep receiving public money. And Democrats like Bernie will keep on adding to it.
This will not end for a long time and it will not end good. Simply look at Britain for signs of how ugly things can get.
Look at the US at how ugly it can get.
LMAO. Middle class winnowing, the wealth divide is at the greatest disparity in the history of the nation, record bankruptcy due to lack of adequate healthcare insurance, medical bills for 100M Americans @ $220B. The people receiving the government excess largesse are the the top 10% through fiscal and monetary policies as well as regulatory practices.
That was indeed the plan!
Bernie’s not a Democrat.
Right, Bernie is not a Democrat, he is an independent.
Except that he caucuses with the Democrats, and he ran for the Democrat Presidential nomination.
Make it better I hope…
Republicans should refuse to accept responsibility for the democrat health system. The fact that people think it is a GOP problem just shows how stupid the voting public is. Only the enhanced premiums are impacted yet somehow the GOP is being blamed for all of ObamaCare issues. Trump had nothing to do with overall premiums and cost of healthcare, only how a small percentage pays for it. Stories like this just add to the stupidity.
This reminds me of that famous investor lament: “the market is wrong.”
Obviously you and yours have never experienced catastrophic illness, the kind that racks up millions in hospital bills because somewhere in your family tree inherited a disease.
Your co pay is in excess of hundreds of thousands of dollars…
Just because you or yours were born.
You declared bankruptcy to save something of what you or yours worked hard for…
Never met doctors who were in the profession to help people?
These doctors are more disgusted with the “system ” than you are.
I hope you never have to experience this reality.
If you do?
Welcome to the club of the bankrupted because they were born only with four million net worth.
We needed eight 🙏🏼
Life is not fair. Nothing is guaranteed.
Obama implanted great reems of corruption to complete the transformation of medical care into a fascist system (to wit, one collectivized via govt-corporate marriage). He knew the Uniparty would be helpless to deal with the cancer he created. The reaction of the mass of Republicans–the junior marketing department for the ruling class–was utterly predictable.
obama cut and pasted willard romneycare. if you think there is a difference in blue or red team you might need some more schooling.
Well one side has been losing its shit over it for over a decade, and one side defends it, so there’s that.
the blue and red pantie pom pom girls. amerikans are in the collective a bunch of retards.
You need to work on your reading comprehension.
my name is fuck you.
It is sad that you’d be so venomous. I merely meant that if you understood what I wrote, you’d understand that our views are not far apart. I don’t think you can blame Obamacare on Republicans (everyone of them voted against it), but I also agree with you that that Republicans and Dems are more similar than different…what I tried to say.
“Romneycare” was adopted in Massachusetts, where both houses of the legislature at the time and everything else political was Democrat, except for Gov. Romney. I wonder how embarrassed Mitt is over getting tagged for such healthcare plans.
cute as hell when grown men still have blue or red panties on, like pom pom girls. never change.
Among the dc stooges of both parties, none of them really care about the average American but pander to the upper class, while making as much as they can.
People are idiots and never dig down to the facts that matter. So yes the left and some middle will all Blaim Republicans. Its hard to take any action after the total mess the Democrats created without spending Trillions over time to keep increasing the Socialism that everyone likes but we cannot afford without going ever deeper into dept. Republicans do not want to cut and Democrats want to spend bigger. Creating an ever expanding national debt. I was always against socialized medicine until I became disabled. Over time it made sense. But I have no idea how to pay for it. I pay a lot of taxes because I have a generous disability via my previous employer on top of SSDI and investments. But most people do not pay in anywhere enough to fund their own way. Taxes will have to increase on people and employers to fund the difference. But employees and employers will no longer be paying for healthcare directly. And will have to increase somewhere to cover the difference that is currently unfunded and gets added to the national debt.
How about the cheaper option or is the US going to somehow get worse results than every other country in the western world by following their lead?
Then someone is going to lose money if the cost goes down and that isn’t allowed to happen in the USA. No one wants to make less, including MD’s, healthcare workers, insurance workers, etc.
National sales tax and payroll. I would guess that single-payer will significantly drop costs. But but but it’s communist.
the VA system is literally our true marxist leninist communist healthcare system.
You’d have to end employer provided insurance first.
your answer earlier is correct. The lobbyists won’t let it happen. I am proud to say that in the US we have the best govt money can buy. Until that’s fixed we will just circle the drain
You have been so wrong on this topic. First you thought a TACO would happen. Then you thought some weird compromise was happening the day they finally passed the law to open the government back up. Then you tripled down and said the compromise would happen later and it was like UBI . I think you are falling for the hype about increased premiums. The enhanced credits help people earning more than 400% poverty level and also spending more than 8.5% of income on premiums. It’s an upper middle class set of people and effects fewer than they claim. If they do reach some agreement there will be a hard cap on income and something to prevent fraud on the sign up of no use people.
I agree Republicans will go into the midterms with a weak position but it’s not from the shut down and the ending of enhanced credits.
Well. Let’s see what happens after Trump made his statement. Two statements actually: One on extending Obamacare the second for UBI.
Stupid Republicans still want UBI. Trump still wants it.
It’s foolish to write this off because it did not happen this year.
So yeah, I am doubling down that Republicans bend in 2026, one way or another.
You take Trumps comments too literally.
trump only stands for one thing. being in the limelight. he’s the greatest amerikan actor of all time. better than chaplin. not quite as good as benito and adolph.
LOL – and here we thought Reagan was the only actor…But that is Trumps superpower – convincing idiots that he is smart.
What about John Wilkes Booth?
booth was a star, who thought the rebels would rally around him assasinating lincoln. they thought he was a coward. is acting skills were bad. it he was a trump or benito or adolph he could have acted his way out of his predicament. but i love your kind of thinking. hat tip.
Now there is the Hoot Of The Day…
Just can’t grasp those obsure metaphors, eg?
Tell me, trumpwhisperer, what does he MEAN?
Is any think tank, Cato Institute, ALEC affiliate, et al., coming up with a better healthcare proposal than Sen. Bernie’s latest idea?