Office of IDS Emperor Scott
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Southern Senator North Carolina Yankee
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« Reply #25 on: June 28, 2014, 07:57:16 AM »
« edited: June 28, 2014, 08:02:10 AM by Senator North Carolina Yankee »

Your Imperialist Highness, IDS legislators, I draw your attention to this:


The area of concern is primarily clause 3 of Section 1, Part 1 of the Reforming Atlasian Public Health Act of 2014. You have to decide whether or not to allow other providers to compete with ANHC.

What happens if you do nothing?
ANHC will have a monopoly on providing care in the region and no competitors will be allowed on the exchange until you decide to allow them.

What options for competition are there?
Aside from the traditional for profit insurance models, there is also a wide variety of non-profit and cooperative based options and possibly even a regional level public option as well. There may be other options as well and as long as you comply with the other requirements in the act and other Federal law, you have a wide range of flexibility.

Can Single Payer be obtained with this?
Yes, if you insist. Tongue Just refuse to allow any competitors and pay for the difference between the subsidized amount and 100% of the cost of the ANHC plan for the upper middle and rich, to effectively give you free at the point of use healthcare for all in the region.

I cut out the rest of the bill so that you can zone in on the primary area of responsbility, you are probably going to need to read the rest though. If you have any questions please contact myself or shua. Some of the parts that shua was responsble for, like CIEP at the bottom of the text, or the subsidy formula, he is better at explaining then I am.
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Donerail
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« Reply #26 on: June 28, 2014, 09:49:56 AM »

I'd like to introduce non-profit and cooperative insurance providers. Not sure on for-profits though.
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Associate Justice PiT
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« Reply #27 on: June 28, 2014, 11:27:25 PM »

I'd like to introduce non-profit and cooperative insurance providers. Not sure on for-profits though.

     I'm not an expert on health insurance, but I've heard some people posit that there isn't much practical difference. I think a discussion on the matter would be very fruitful.
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The world will shine with light in our nightmare
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« Reply #28 on: June 29, 2014, 04:43:50 PM »

Sorry, Yankee.  I just finished two days' worth of nonstop house-packing, so this is going to take me some time.

At the moment, I'm a little conflicted on how to act.  I am open to sitting back and allowing the ANHC to take effect, but I'm also entertaining the idea of establishing a region-based health care program to compete with the ANHC.  This would be a nice opportunity to toy around with a German-based health care model or something to that effect.

I expect members of the Legislature to work with me on a new policy, but for now, give me some time to think and write something up.
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Southern Senator North Carolina Yankee
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« Reply #29 on: July 01, 2014, 01:26:33 AM »

Everyone is basically in ANHC from the start, since most people agree the privates could not compete under the previous situation. The side benefit of this is that you have time to debate and consider what approach to take.


I am not familiar with a German style system, but if you can put on the exchage in a way that competes with ANHC, I see no problem. Just remember you cannot bar ANHC from the exchange.
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« Reply #30 on: July 05, 2014, 03:13:56 AM »

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Southern Senator North Carolina Yankee
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« Reply #31 on: July 06, 2014, 01:36:44 AM »

Thanks, guys! I see that now. Wink

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X DemPGH, President

When the SoIA is confirmed we shall seek to ensure that we steel our fair share of that $5 billion, no? Wink
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Southern Senator North Carolina Yankee
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« Reply #32 on: July 06, 2014, 01:42:02 AM »

Barring a court case, which none has been brough in the two weeks hence, this is probably going to stick then at least for now.

Your Imperial Supremeness, are there any Regional laws which conflict with this text and would possibly be overriden by it? If so I encourage the amending/repeal of those laws in question to bring them into compliance.

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x Duke

Let's hope this holds up!
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Associate Justice PiT
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« Reply #33 on: July 06, 2014, 01:59:00 AM »

     I expect that there are not any explicit regional laws that contravene that one, but is it really okay to bar people from accessing the courts for particular grievances? I don't really care to contest the issue, but that seems like it would violate a common law principle or two.
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The world will shine with light in our nightmare
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« Reply #34 on: July 06, 2014, 02:23:05 AM »

To answer your first question, Senator, I'm surprised you'd even ask.  You know I'm licking my chops just thinking about getting that first bite of fresh Nyman pork. Wink

As to your second question, I think our Attorney General knows best on these things and I'm inclined to go by his expert opinion.  There are no laws, to my mind, that run into potential conflict with the new federal law, but it would be best for the Senate to alter the language slightly in case someone decides to challenge it.  I have no desire myself to contest it, but you or the original sponsor might want to fix that law, soon.
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Southern Senator North Carolina Yankee
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« Reply #35 on: July 06, 2014, 02:30:30 AM »

You realize how difficult it was just to get it improved just that much? Tongue
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The world will shine with light in our nightmare
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« Reply #36 on: July 06, 2014, 02:37:35 AM »

You realize how difficult it was just to get it improved just that much? Tongue

After seeing the debate on the education bill, nothing surprises me about how slow you guys are. Wink
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Southern Senator North Carolina Yankee
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« Reply #37 on: July 06, 2014, 03:45:54 AM »

You realize how difficult it was just to get it improved just that much? Tongue

After seeing the debate on the education bill, nothing surprises me about how slow you guys are. Wink

Slow wasn't exactly the word beginning with s I had in mind. Tongue Also speed wasn't what I was referring to all, but more in the realm of reason versus lack thereof.

And it is not my fault if some of your Labor friends insist on tilting at windmills via the Supreme Court, which is why it was so hard just to get that redraft through. Tongue
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The world will shine with light in our nightmare
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« Reply #38 on: July 07, 2014, 06:29:02 PM »

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Signing statement: We are, by my knowledge, the first region in the Republic of Atlasia to experiment with these new sentencing reforms.  Therefore, we don't have a clear picture of how the courts will adapt to them with respect to judicial gridlock and workload.  Attorney General PiT has said that he will explore setups to limit time and expenditure involved.  For now, I sign this bill with great caution and am prepared to rectify any possible shortfalls via appropriate legislation, either through executive order or by act of the Legislature.

It should be noted that current inmates are not affected by this bill.
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The world will shine with light in our nightmare
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« Reply #39 on: July 18, 2014, 12:26:20 AM »

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The world will shine with light in our nightmare
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« Reply #40 on: July 19, 2014, 03:28:11 PM »

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The world will shine with light in our nightmare
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« Reply #41 on: July 26, 2014, 06:14:23 PM »



Executive Order #4

I hereby appoint Duke to the Legislature.

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The world will shine with light in our nightmare
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« Reply #42 on: August 20, 2014, 11:18:17 PM »



Executive Order #5

I hereby appoint Flo to the Legislature.

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The world will shine with light in our nightmare
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« Reply #43 on: August 23, 2014, 03:00:31 PM »



Executive Order #6

I hereby appoint Maxwell to the Legislature.

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Donerail
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« Reply #44 on: August 24, 2014, 09:10:59 PM »

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Dereich, you're in charge - and it's up to you to interpret 'immediately'.
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Dereich
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« Reply #45 on: August 24, 2014, 09:13:00 PM »

I know. We're dealing with poorly written statutes here; I'm working on it.
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Associate Justice PiT
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« Reply #46 on: August 24, 2014, 10:08:55 PM »

     Eh, it's the Constitution, so this sort of vaguery is pretty normal. We only know how vague the U.S. Constitution is.
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