(12-08-2015 09:20 AM)Sleeprider Wrote: Remember, the manufacturer's attitudes and behavior towards patients existed in the U.S. before the ACA was even dreamed up.
Good point. I admit I'm extremely frustrated that I (as a taxpayer) am forced
to pay for the healthcare of others. Now under the ACA, I can't even afford to pay for my own
health care insurance. And yet I'm forced to not only pay for the healthcare of other people through the income tax system, but I also have to pay a penalty fee for not having my own
insurance on top of that, and I still have to pay for my own health care 100% out of my own pocket. It's theft of my money, plain and simple, and I'd vote in a heartbeat to go back to the system we had prior to ACA. I was spending less
on taxes and was able to afford a somewhat reasonable health care insurance policy back then.
But what do I know? I'm just a middle-class schmuck who exists to provide funds to the state.
I sat down once and figured out that when I consider all the taxes I pay, it's something close to $4 of every $10 I make goes to some form of tax. I have to work nearly 5 months out of every year just to pay all the various taxes! Income tax is just a small
part of the whole we pay to governments each year.
The list of taxes Americans now pay is amazing. Here's just a partial
list: Air Transportation Taxes, Building Permit Taxes, Business Registration Fees, Capital Gains Taxes, Disposal Fees, Dog License Taxes, Drivers License Fees, Automobile Registration Fees, Employer Health Insurance Mandate Tax, Employer Medicare Taxes, Employer Social Security Taxes, Environmental Fees, Estate Taxes, Excise Taxes On Comprehensive Health Insurance Plans, Federal Corporate Taxes, Federal Income Taxes, Federal Unemployment Taxes, Fishing License Taxes, Food And Beverage License Fees, Gasoline Taxes, Gift Taxes, Gun Ownership Permits, Hazardous Material Disposal Fees, Highway Access Fees, Hotel Taxes, Hunting License Taxes, Import Taxes, Individual Health Insurance Mandate Taxes, Inheritance Taxes, Insect Control Hazardous Materials Licenses, Inspection Fees, Insurance Premium Taxes, Interstate User Diesel Fuel Taxes, Inventory Taxes, IRA Early Withdrawal Taxes, IRS Interest Charges, IRS Penalties, Library Taxes, License Plate Fees, Local Corporate Taxes, Local Income Taxes, Local School Taxes, Local Unemployment Taxes, Luxury Taxes, Marriage License Taxes, Medicare Taxes, Medicare Tax Surcharge, ACA Individual Mandate Excise Tax, ACA Surtax On Investment Income (3.8%), Passport Fees, Professional Licenses And Fees, Property Taxes, Real Estate Taxes, Recreational Vehicle Taxes, Registration Fees For New Businesses, Sales Taxes, Self-Employment Taxes, Septic Permit Taxes, Service Charge Taxes, Social Security Taxes, Sports Stadium Taxes, State Corporate Taxes, State Income Taxes, State Unemployment Taxes, Telephone 911 Service Taxes, Telephone Federal Excise Taxes, Telephone Federal Universal Service Fee Taxes, Telephone Minimum Usage Surcharge Taxes, Telephone State And Local Taxes, Telephone Universal Access Taxes, The Alternative Minimum Tax, Tire Recycling Fees, Tire Taxes, Tolls, Use Taxes (Out of state purchases, etc.), Utility Taxes, Vehicle Registration Taxes, Waste Management Taxes, Water Rights Fees, Watercraft Registration & Licensing Fees, Well Permit Fees, Workers Compensation Taxes, Zoning Permit Fees, etc, etc..
So, I think we Americans are taxed enough already. If they can't even pay for legitimate government with all those taxes, then, my friends, something is severely wrong. I believe the current system is unsustainable and will implode in time.
That said, you're correct that the disregard that CPAP manufacturers have towards patients existed long before ACA. That part
of the system which caused such attitudes has been the same prior to
the implementation of the ACA. But I will say that the shear volume of additional laws & regulations (including the 900+ pages of the original ACA
) that have been put on the books has done nothing but confuse everyone, drive up overall costs and make it so that CPAP manufacturers must charge even more to pay their fiscal and legal staff to interpret and ensure that they don't violate any of the regulations, of which the ACA is only a small part. So it's no wonder they don't want to deal with patients' issues - they don't have the time nor the money to do it - so they simplify their lives by making the DMEs their "customer"... much easier for them, that way.
Sorry for venting... All this is just my opinion, of course.