The coronavirus

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  • static111
    static111 Posts: 5,110
    pjl44 said:
    Oh, and that Medicare premium doesn't include a drug plan. So tack another $40/month on for a basic plan.
    $184/month seems like a deal to me
    Scio me nihil scire

    There are no kings inside the gates of eden
  • pjl44
    pjl44 Posts: 10,549
    edited June 2020
    static111 said:
    pjl44 said:
    Oh, and that Medicare premium doesn't include a drug plan. So tack another $40/month on for a basic plan.
    $184/month seems like a deal to me
    Again, plus every dollar you've paid in ahead of time.

    Also, I only quoted the $1,400 hospital deductible (which you're on the hook for as many as 5-6 times per year, depending on how your hospitalizations fall). For routine medical care, there is an annual $200 deductible and you pay 20% of the cost of services.

    Basically, cost share for services winds up being much higher than copays people are used to paying with private plans.
  • mrussel1
    mrussel1 Posts: 30,887
    pjl44 said:
    static111 said:
    pjl44 said:
    Oh, and that Medicare premium doesn't include a drug plan. So tack another $40/month on for a basic plan.
    $184/month seems like a deal to me
    Again, plus every dollar you've paid in ahead of time.

    Also, I only quoted the $1,400 hospital deductible (which you're on the hook for as many as 5-6 times per year, depending on how your hospitalizations fall). For routine medical care, there is an annual $200 deductible and you pay 20% of the cost of services.

    Basically, cost share for services winds up being much higher than copays people are used to paying with private plans.
    This is an important point. M4A won't be $184 per month.  It's designed as an entitlement earned over your working years.  So I don't see how it could be priced the same as for a senior.  The only caveat is risk,  which none of us can possiblity calculate.  Usage obviously increases as you age. 
  • pjl44
    pjl44 Posts: 10,549
    mrussel1 said:
    pjl44 said:
    static111 said:
    pjl44 said:
    Oh, and that Medicare premium doesn't include a drug plan. So tack another $40/month on for a basic plan.
    $184/month seems like a deal to me
    Again, plus every dollar you've paid in ahead of time.

    Also, I only quoted the $1,400 hospital deductible (which you're on the hook for as many as 5-6 times per year, depending on how your hospitalizations fall). For routine medical care, there is an annual $200 deductible and you pay 20% of the cost of services.

    Basically, cost share for services winds up being much higher than copays people are used to paying with private plans.
    This is an important point. M4A won't be $184 per month.  It's designed as an entitlement earned over your working years.  So I don't see how it could be priced the same as for a senior.  The only caveat is risk,  which none of us can possiblity calculate.  Usage obviously increases as you age. 
    Very true. Plus, all of the enrollment rules, penalties, etc. are designed for beneficiaries who are ultimately going to stay on it once they join. It would take a pretty massive overhaul to design it as a safety net. To your point, accounting for that actuarially seems pretty daunting. I can’t see how excess costs would be passed along to older folks without a revolt, so it would almost certainly have to be absorbed by this newly eligible class.
  • pjl44
    pjl44 Posts: 10,549
    Let me get things back on track. First Fauci and now Gottlieb sounding optimistic on a vaccine. Gottlieb here saying 6 months seems possible and also bullish on more treatment options over that period.

    https://theweek.com/speedreads-amp/922516/former-fda-commissioner-confidently-predicts-6-months-until-vaccine-treatment-ends-epidemic
  • mrussel1
    mrussel1 Posts: 30,887
    pjl44 said:
    Let me get things back on track. First Fauci and now Gottlieb sounding optimistic on a vaccine. Gottlieb here saying 6 months seems possible and also bullish on more treatment options over that period.

    https://theweek.com/speedreads-amp/922516/former-fda-commissioner-confidently-predicts-6-months-until-vaccine-treatment-ends-epidemic
    Yes but the demand worldwide means it could be months after that before we have it available,  particularly if said treatment does not originate in the States. 
  • pjl44
    pjl44 Posts: 10,549
    mrussel1 said:
    pjl44 said:
    Let me get things back on track. First Fauci and now Gottlieb sounding optimistic on a vaccine. Gottlieb here saying 6 months seems possible and also bullish on more treatment options over that period.

    https://theweek.com/speedreads-amp/922516/former-fda-commissioner-confidently-predicts-6-months-until-vaccine-treatment-ends-epidemic
    Yes but the demand worldwide means it could be months after that before we have it available,  particularly if said treatment does not originate in the States. 
    Who's to say only one demonstrates safety and efficacy? There are several heading into Phase 3 trials soon.
  • mrussel1
    mrussel1 Posts: 30,887
    pjl44 said:
    mrussel1 said:
    pjl44 said:
    Let me get things back on track. First Fauci and now Gottlieb sounding optimistic on a vaccine. Gottlieb here saying 6 months seems possible and also bullish on more treatment options over that period.

    https://theweek.com/speedreads-amp/922516/former-fda-commissioner-confidently-predicts-6-months-until-vaccine-treatment-ends-epidemic
    Yes but the demand worldwide means it could be months after that before we have it available,  particularly if said treatment does not originate in the States. 
    Who's to say only one demonstrates safety and efficacy? There are several heading into Phase 3 trials soon.
    There may be more than one, but as soon as the first one is ready, the demand for that will far outpace any available supply for many months.  Now you would think whoever is successful will provide the science to other nations can start producing, but it will still be a long process before the virus is gone.  I'm not being negative but even if it is ready by the end of the year, I feel like that the logistical challenges will be just starting.  
  • mickeyrat
    mickeyrat Posts: 44,551
    meanwhile 500k dead worldwide confirmed and 10 mil confirmed positive worldwide
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  • dignin
    dignin Posts: 9,478
    Hate to be Debbie Downer but...

    Asymptomatic COVID-19 findings dim hopes for 'herd immunity' and 'immunity passports'


    Antibodies few and short-lived, lung abnormalities found in asymptomatic carriers


    https://www.cbc.ca/news/health/asymptomatic-covid-19-1.5629172

    And then there's this...


    chase-rice-concert-coronavirus-1593383417

    Tennessee Concert Attracts Packed Crowd With No Masks Or Social Distancing


    https://www.stereogum.com/2089588/chace-rice-concert-tennessee-coronavirus-crowd/news/



    YOLO!!
  • Smellyman
    Smellyman Asia Posts: 4,528
    The Darwin tour.


  • Halifax2TheMax
    Halifax2TheMax Posts: 42,391
    dignin said:
    Hate to be Debbie Downer but...

    Asymptomatic COVID-19 findings dim hopes for 'herd immunity' and 'immunity passports'


    Antibodies few and short-lived, lung abnormalities found in asymptomatic carriers


    https://www.cbc.ca/news/health/asymptomatic-covid-19-1.5629172

    And then there's this...


    chase-rice-concert-coronavirus-1593383417

    Tennessee Concert Attracts Packed Crowd With No Masks Or Social Distancing


    https://www.stereogum.com/2089588/chace-rice-concert-tennessee-coronavirus-crowd/news/



    YOLO!!
    The energy of an outdoor venue at a former state penitentiary has to be unreal. Right up there with Immagine in Cornice. 
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  • static111
    static111 Posts: 5,110
    mickeyrat said:
    meanwhile 500k dead worldwide confirmed and 10 mil confirmed positive worldwide
    But Rush said it’s the flu
    Scio me nihil scire

    There are no kings inside the gates of eden
  • static111
    static111 Posts: 5,110
    mrussel1 said:
    pjl44 said:
    mrussel1 said:
    pjl44 said:
    Let me get things back on track. First Fauci and now Gottlieb sounding optimistic on a vaccine. Gottlieb here saying 6 months seems possible and also bullish on more treatment options over that period.

    https://theweek.com/speedreads-amp/922516/former-fda-commissioner-confidently-predicts-6-months-until-vaccine-treatment-ends-epidemic
    Yes but the demand worldwide means it could be months after that before we have it available,  particularly if said treatment does not originate in the States. 
    Who's to say only one demonstrates safety and efficacy? There are several heading into Phase 3 trials soon.
    There may be more than one, but as soon as the first one is ready, the demand for that will far outpace any available supply for many months.  Now you would think whoever is successful will provide the science to other nations can start producing, but it will still be a long process before the virus is gone.  I'm not being negative but even if it is ready by the end of the year, I feel like that the logistical challenges will be just starting.  
    I’m really hoping that whoever produces the vaccine sees it as A humanitarian resource and not a cash grab. Not to derail but just wanted to thank you and @PJ44 For your perspectives on the health insurance pitfalls surrounding covid.
    Scio me nihil scire

    There are no kings inside the gates of eden
  • pjl44
    pjl44 Posts: 10,549
    static111 said:
    mrussel1 said:
    pjl44 said:
    mrussel1 said:
    pjl44 said:
    Let me get things back on track. First Fauci and now Gottlieb sounding optimistic on a vaccine. Gottlieb here saying 6 months seems possible and also bullish on more treatment options over that period.

    https://theweek.com/speedreads-amp/922516/former-fda-commissioner-confidently-predicts-6-months-until-vaccine-treatment-ends-epidemic
    Yes but the demand worldwide means it could be months after that before we have it available,  particularly if said treatment does not originate in the States. 
    Who's to say only one demonstrates safety and efficacy? There are several heading into Phase 3 trials soon.
    There may be more than one, but as soon as the first one is ready, the demand for that will far outpace any available supply for many months.  Now you would think whoever is successful will provide the science to other nations can start producing, but it will still be a long process before the virus is gone.  I'm not being negative but even if it is ready by the end of the year, I feel like that the logistical challenges will be just starting.  
    I’m really hoping that whoever produces the vaccine sees it as A humanitarian resource and not a cash grab. Not to derail but just wanted to thank you and @PJ44 For your perspectives on the health insurance pitfalls surrounding covid.
    I work in healthcare and could peck out a random list of strong opinions, glaring inefficiencies, and principles that I think should be bedrocks. Whenever I try to mash all of that together and figure out how I think the system should function, it's completely overwhelming. There's a reason why private companies and governments constantly fumble it. Balancing cost effectiveness with equal access and quality is really, really, extremely, very difficult. 
  • Smellyman
    Smellyman Asia Posts: 4,528
    static111 said:
    mrussel1 said:
    pjl44 said:
    mrussel1 said:
    pjl44 said:
    Let me get things back on track. First Fauci and now Gottlieb sounding optimistic on a vaccine. Gottlieb here saying 6 months seems possible and also bullish on more treatment options over that period.

    https://theweek.com/speedreads-amp/922516/former-fda-commissioner-confidently-predicts-6-months-until-vaccine-treatment-ends-epidemic
    Yes but the demand worldwide means it could be months after that before we have it available,  particularly if said treatment does not originate in the States. 
    Who's to say only one demonstrates safety and efficacy? There are several heading into Phase 3 trials soon.
    There may be more than one, but as soon as the first one is ready, the demand for that will far outpace any available supply for many months.  Now you would think whoever is successful will provide the science to other nations can start producing, but it will still be a long process before the virus is gone.  I'm not being negative but even if it is ready by the end of the year, I feel like that the logistical challenges will be just starting.  
    I’m really hoping that whoever produces the vaccine sees it as A humanitarian resource and not a cash grab. Not to derail but just wanted to thank you and @PJ44 For your perspectives on the health insurance pitfalls surrounding covid.

    One reason to hope it is first developed outside the USA.
  • pjl44
    pjl44 Posts: 10,549
    mrussel1 said:
    pjl44 said:
    mrussel1 said:
    pjl44 said:
    Let me get things back on track. First Fauci and now Gottlieb sounding optimistic on a vaccine. Gottlieb here saying 6 months seems possible and also bullish on more treatment options over that period.

    https://theweek.com/speedreads-amp/922516/former-fda-commissioner-confidently-predicts-6-months-until-vaccine-treatment-ends-epidemic
    Yes but the demand worldwide means it could be months after that before we have it available,  particularly if said treatment does not originate in the States. 
    Who's to say only one demonstrates safety and efficacy? There are several heading into Phase 3 trials soon.
    There may be more than one, but as soon as the first one is ready, the demand for that will far outpace any available supply for many months.  Now you would think whoever is successful will provide the science to other nations can start producing, but it will still be a long process before the virus is gone.  I'm not being negative but even if it is ready by the end of the year, I feel like that the logistical challenges will be just starting.  
    Maybe? I think there are too many different scenarios for how this plays out to really sweat one. What you're describing is one of the worst case scenarios, short of no vaccine.

    I'll throw an extra wrinkle in your scenario, though. What if the first one that breaks has good but not great efficacy data? And preliminary data for 2 others looks great but is still a month or two away from review? So neither is a lock. What do you do then? It's going to be a wild ride.
  • pjl44
    pjl44 Posts: 10,549
    Smellyman said:
    static111 said:
    mrussel1 said:
    pjl44 said:
    mrussel1 said:
    pjl44 said:
    Let me get things back on track. First Fauci and now Gottlieb sounding optimistic on a vaccine. Gottlieb here saying 6 months seems possible and also bullish on more treatment options over that period.

    https://theweek.com/speedreads-amp/922516/former-fda-commissioner-confidently-predicts-6-months-until-vaccine-treatment-ends-epidemic
    Yes but the demand worldwide means it could be months after that before we have it available,  particularly if said treatment does not originate in the States. 
    Who's to say only one demonstrates safety and efficacy? There are several heading into Phase 3 trials soon.
    There may be more than one, but as soon as the first one is ready, the demand for that will far outpace any available supply for many months.  Now you would think whoever is successful will provide the science to other nations can start producing, but it will still be a long process before the virus is gone.  I'm not being negative but even if it is ready by the end of the year, I feel like that the logistical challenges will be just starting.  
    I’m really hoping that whoever produces the vaccine sees it as A humanitarian resource and not a cash grab. Not to derail but just wanted to thank you and @PJ44 For your perspectives on the health insurance pitfalls surrounding covid.

    One reason to hope it is first developed outside the USA.
    In many of these cases you're talking about large, multinational pharmaceutical companies. It's not all about what country they're headquartered in. I expect that whomever has the first would take care of their home country first with existing stock, but if it's as simple as sharing the technology they almost certainly will. There are ramifications well beyond profits that would disincentivize hoarding.

    Look at how these companies have handled early treatment authorizations. Whether it was the brief moment when hydroxychloroquine looked viable or remdesivir later, companies gave away their supplies for distribution and ramped up production. 
  • g under p
    g under p Surfing The far side of THE Sombrero Galaxy Posts: 18,237
    g under p said:
    *THINGS NEED TO BREATHE*

    ONLY in Florida and my county Palm Beach. These are citizens of PBCounty who are anti-maskers raging at *devils laws* mandate. Please give a watch of what this woman says within the first minute. UNBELIEVABLE! 

    https://youtu.be/9CmTSRAI0Ks

    Peace
    These are people who live here whom I might run into if I ever go out. At my club we just had our first confirmed case COVID19 last week. These people seem to be unaware Florida is BACK in a crisis mode. This while my PBeach friends are leaving in droves on their private planes, oh I think I need a vacation from this crazy state.

    Peace
    *We CAN bomb the World to pieces, but we CAN'T bomb it into PEACE*...Michael Franti

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    .....song_Music & Politics....Michael Franti

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  • JimmyV
    JimmyV Boston's MetroWest Posts: 19,600
    FOX should just rebrand this as "Obamaflu" so that the tribe can take it seriously and toe the party line. 
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