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Baobab

(4,667 posts)
159. The limit on profits violates WTO rules so it is likely just temporary
Thu Feb 25, 2016, 06:11 PM
Feb 2016

(Note there are elements of satirical/sardonic thinking in my rant here, please understand I am very very very tired of telling people all this, it takes a toll on somebody, so please understand - the core is factual and please i beg you verify it and learn more about it, by googling phrases i use. We have been victimized by a huge scheme, we of planet Earth. )

In 1998 the US signed a document - part of the WTO GATS understanding on financial services which contains something called a standstill clause that freezes all regulations and creates what is in essence a one way street So called "progressive liberalisation" - You should Google that term. Basically, as Lori Wallach discussed in a Democracy Now episode around two years ago about TiSA, in a show entitled "a plan that only banksters could love" the WTO General Agreement on Trade in Services agreement which will be merged with TiSA has special dates that will apply to set a ceiling for any public "state owned enterprise" "non conforming monopoly" etc, Rollback means that regulations literally have to be - will likely have to be "rolled back" to their state when the financial part of the GATS was signed (1998) if challenged (and its guaranteed that insurance firms will challenge it because its seen as a trade barrier, preventing international firms that want to enter the market - also open hospitals or set up arrangements to treat sick Americans overseas, for example in india. this maintains a healthy profit margin and is compatible with the free trade ideology of both US political parties, generally the trade deals and the secrecy has been a model of cooperation and consensus between the two US parties. (See "Washington Consensus" )

In exchange for opening "essentially all service sectors and modes of supply" services and their labour become tradeable commodities on the international market - with contracts to perform work, such as run schools, prisons, and perhaps even legislatures - except for the politicians (privatizations scope would be determined by the two part test found at GATS Article I:3 (b) and (c) - Those services that fail the test because they are not completely free and services provided as an exercise in governmental authority to low bidding firms, (which is called Mode Four) countries corporate leaders get concessions like National Treatment and Most Favored Nation (abbreviated MFN) in the foreign lands. Also, "the rise in monthly premiums may be reduced by 2.7% over ten years" (sound familiar) . Low cost providers with offices of convenience in countries with favorable regulatory structures and low wages may even operate hospitals. International services firms already have a presence in prisons, refugee detention and health care plan management, may be able to open new facilities outside of the US to care for the indigent sick. The demand for 'cafeteria style' plans that target specific diseases for extra coverage may be popular. For example, people could pick from a list of diseases to cover, excluding ones they felt were unlikely. Also firms can offer discounts to people who are willing to agree to be put into suspended animation if they become sick, allowing them to be shipped to the other side of the world for lower cost treatment, assuming their credit card is not declined.in short I can see a huge expansion in selling of "consumer driven" health care plans in the US that offer high deductible catastrophic coverage, and US firms will get the right to sell insurance and open factories in other countries and be treated exactly as if they are a domestic firm there. Plus profitability will be maintained. Former employees, such as doctors nurses, teachers, programmers, etc who clearly have lost their jobs as a result of treaties may receive retraining benefits.
The additional regulations - enacted after the signing of the GATS likely violate its standstill which reads as follows. " Standstill Any conditions, limitations and qualifications to the commitments noted below shall be limited to existing non-conforming measures." TiSAs standstill clause is essentially the line at the very beginning of the so called "mandate" which reads as follows" In detail, the agreement should seek to bind, in general, the autonomous level of liberalisation of the
parties
" Those words will be seen as basically blocking any New Deal like programs in order to ensure that corporations have a level playing field. Also, dozens of other provisions act to systematically make cost reduction impossible without maintaining the rigid ideology of good better best being bought only by money-

Limits in medical underwriting are likely to be dumped too as violative of both standstill and the "fair and equitable Treatment" (FET for short) legal standard- as violative of the rights of investors to regulatory constancy- The other poster who said that our system really doesn't have any way to ask a company to not make its accustomed profit on something, was right, the lack of cost controls is a regrettable part of our private for profit only system, a uniquely American aspect that we are now successfully exporting by means of trade deals, resistance is futile, as shown by the failure of proposals such as the one linked here to gain buy in from the stakeholders, these deals are procedurally superior to national laws so they take precedence, as shown by the tone of this UNlinked document- ht tp://ww w.euro parl.eur opa.eu/sides/getDoc.do?pubRef=-//EP//NONSGML+AMD+A8-2016-0009+002-008+DOC+PDF+V0//EN (may need to remove the spaces then plug it into browser and then when it starts arriving, right click, save it as filenameyouchoose.pdf and then open- if the mime types are wrong and it doesnt open a PDF viewer as it should-)

that violates the Constitution, also we cannot switch to single payer because that would violate around a dozen provisions in the GATS ( see "The potential impact of the World Trade Organization's general agreement on trade in services on health system reform and regulation in the United States" by the late Nicholas Skala, RIP )

and also TiSA which is almost completed Also TPP and TTIP its likely. (see https://www.policyalternatives.ca/sites/default/files/uploads/publications/National%20Office/2016/02/Major_Complications.pdf especially the discussion of Achmea/Eureko v. Slovak Republic which you can find a factual summary of in the document here ) An long planned "solution" to the crisis created by rigid mercantile ideology is of course, more of the same- TiSA likely will push wages down by globalizing healthcare and education, maintaining profitability by opening services - "everything you cannot drop on your foot" to competition. Global subcontracting with no wage parity requirement, with disciplines on domestic regulation" to insure that no regulation is "more burdensome than necessary to ensure the quality of the service" Its likely that the convenient emergency would help with the sensitive nature of the transition, that, especially if they get the timing just right so it all falls apart creating a health care emergency just as the TiSA is signed. TiSA is almost completed in Geneva. So that is all basically in the pipeline -

May the Good Lord have mercy on our souls.

Too much </sarcasm>

That is why we need a single payer system. darkangel218 Dec 2015 #1
Medicare for all, including dental, optical, hearing aids and mental health services. Scuba Dec 2015 #61
The limit on profits violates WTO rules so it is likely just temporary Baobab Feb 2016 #159
Embedded Greed In The For Profit Health Insurance System Will Drive All To Single Payer cantbeserious Dec 2015 #2
I thought profits were limited under the ACA Travis_0004 Dec 2015 #20
Fixed Profit On Top Of Escalating Cost = Increased Pain To Citizens cantbeserious Dec 2015 #21
Not an innocent DEATH SPIRAL - something much much worse- a crime against humanity disguised as one Baobab Feb 2016 #160
There is no specific limit on profits, but spending on admin + profits must not exceed 20% progree Dec 2015 #26
Are you in a state that expanded Medicaid? VanillaRhapsody Dec 2015 #3
OP said s/he doesn't qualify for a subsidy. mucifer Dec 2015 #5
Well then.. VanillaRhapsody Dec 2015 #9
For the ACA subsidies, it doesn't matter whether one is in a Medicaid expansion state or not progree Dec 2015 #8
If you are in a state that didnt no.... VanillaRhapsody Dec 2015 #13
The Medicaid expansion thing affects only Medicaid. It has nothing to do with progree Dec 2015 #14
Good thing ... Cigar11 Dec 2015 #4
Comparing RayLib Dec 2015 #6
But NOW there are max out of pocket....no more going bankrupt....there is a lrice for that... VanillaRhapsody Dec 2015 #10
Yeah, RayLib Dec 2015 #11
No you are not...... VanillaRhapsody Dec 2015 #12
Keep it you can RayLib Dec 2015 #17
No it wasn't VanillaRhapsody Dec 2015 #18
Did you have a cap on what you paid out of pocket on your pre-ACA plan? progree Dec 2015 #22
In 2012 RayLib Dec 2015 #28
And now.. progree Dec 2015 #35
That is EXACTLY what I was talking about! VanillaRhapsody Dec 2015 #42
so there are 5 in your household and you don’t qualify for subsidies VMA131Marine Dec 2015 #15
Doable??? RayLib Dec 2015 #16
On $113,000 +? VanillaRhapsody Dec 2015 #19
31%. increase!! RayLib Dec 2015 #23
So come on then VanillaRhapsody Dec 2015 #24
Not a bit RayLib Dec 2015 #25
Good luck with your high stakes gamble... VanillaRhapsody Dec 2015 #32
This message was self-deleted by its author darkangel218 Dec 2015 #60
Yeah.....you said you are not going to pay for it.... VanillaRhapsody Dec 2015 #89
you make $8000+ a month and can't find an extra $400? uppityperson Dec 2015 #27
Not with RayLib Dec 2015 #29
This message was self-deleted by its author uppityperson Dec 2015 #30
31% increase! RayLib Dec 2015 #31
My insurance went you that much before ACA. Now not so much. Isn't it wonderful your kids uppityperson Dec 2015 #36
Please ignore the negative comments. darkangel218 Dec 2015 #39
What is that supposed to mean? darkangel218 Dec 2015 #37
You can afford 3 kids in college and your complaining? VanillaRhapsody Dec 2015 #33
Whow... darkangel218 Dec 2015 #38
Jury results pintobean Dec 2015 #40
I am floored by this comment JonLeibowitz Dec 2015 #45
Awful, isn't it? A man is being reamed for LibDemAlways Dec 2015 #54
I was the one who alerted to that heartless comment. darkangel218 Dec 2015 #57
The poster who made that comment has no LibDemAlways Dec 2015 #85
Divide and Conquer - Works every time Nictuku Dec 2015 #76
We should be, but we're not. Years ago LibDemAlways Dec 2015 #78
Who pays your healthcare premiums? Depaysement Dec 2015 #62
I do.... VanillaRhapsody Dec 2015 #65
I did Depaysement Dec 2015 #73
So.... VanillaRhapsody Dec 2015 #83
RayLib, I feel your pain. No one should be telling you LibDemAlways Dec 2015 #34
Bullshit... VanillaRhapsody Dec 2015 #41
What if he can't afford the premiums??? darkangel218 Dec 2015 #44
What would a poor person do? VanillaRhapsody Dec 2015 #46
That is WHY we need to stop defending the ACA and fight for single payer!!!! darkangel218 Dec 2015 #48
Bullshit VanillaRhapsody Dec 2015 #66
Yes, defend it from Republicans trying to gut it. JonLeibowitz Dec 2015 #71
The same thing that would have happened before the ACA, no coverage. While I understand and agree still_one Dec 2015 #128
I can't speak for the OP. However, if he says he can't afford the premiums for LibDemAlways Dec 2015 #51
How so? VanillaRhapsody Dec 2015 #67
I had insurance RayLib Dec 2015 #114
Try living without.... VanillaRhapsody Dec 2015 #145
And don't forget, he and his wife are expected to save a couple million $$ for Nay Dec 2015 #74
Absolutely. As the parent of one LibDemAlways Dec 2015 #81
Thats not because of the ACA.... VanillaRhapsody Dec 2015 #84
The Affordable Care Act was a gift to the LibDemAlways Dec 2015 #90
Said the upper middle class guy that can afford 3 kids in college.... VanillaRhapsody Dec 2015 #91
Most people VanillaRhapsody Dec 2015 #121
The ACA or the finagling being done by BCBS against the spirit of the ACA? blm Dec 2015 #79
The ACA in principle is very different from the ACA in practice. LibDemAlways Dec 2015 #80
That is a problem with California....not the ACA VanillaRhapsody Dec 2015 #86
you can thank repukes for college costing so much Skittles Dec 2015 #47
What about the "leave it up to the States" to decide expanding Medicaid darkangel218 Dec 2015 #49
The ACA did NOT leave it up to the states to expand Medicaid. That was a fucked up 5-4 progree Dec 2015 #52
Why didn't the President veto it? darkangel218 Dec 2015 #53
President can't veto Supreme Court decisions progree Dec 2015 #55
Then lets fight for it and not compromise to private ins companies!!! darkangel218 Dec 2015 #56
Yes....those the other people VanillaRhapsody Dec 2015 #87
Then take it up with VanillaRhapsody Dec 2015 #68
Do you understand that this isn't a Sanders vs. Hillary discussion? This is real people hurting JonLeibowitz Dec 2015 #72
You just wrinkled my brain krawhitham Dec 2015 #146
Good catch... VanillaRhapsody Dec 2015 #153
You have three kids in college but can't afford to insure them????? Sounds fishy. marble falls Dec 2015 #63
He is no doubt facing thousands upon thousands LibDemAlways Dec 2015 #82
And? VanillaRhapsody Dec 2015 #88
How can he afford NOT to insure college aged students? If I was making $100K.... marble falls Dec 2015 #108
Haha RayLib Dec 2015 #116
Some of the posters here (and I put the most LibDemAlways Dec 2015 #119
The real world indeed VanillaRhapsody Dec 2015 #122
+1 darkangel218 Dec 2015 #140
And yet I have three "kids" educated and employed. Must have been a miracle. marble falls Dec 2015 #141
it is not unusual for college to cost 25K and up per year per child, including books, board and room still_one Dec 2015 #133
But it doesnt have to cost that much VanillaRhapsody Dec 2015 #143
That could easily run 300K plus for 4 years. That is why some who still_one Dec 2015 #102
Subsidies for a family of 4 is $97k a year VanillaRhapsody Dec 2015 #123
Do you have any idea how much it costs to send a kid to college, plus a mortgage, homeowners still_one Dec 2015 #126
What if you had 12 kids? VanillaRhapsody Dec 2015 #129
I don't have a problem, I have the means, but a lot of what is referred to as the middle class do still_one Dec 2015 #130
Upper Middle Class.... VanillaRhapsody Dec 2015 #144
No offense but you really have no idea what you are talking about. It also depends where you live still_one Dec 2015 #147
if you can afford 3 kids in college.... VanillaRhapsody Dec 2015 #150
We just disagree on this, and that's ok. That is what a discussion board is all about still_one Dec 2015 #151
How? VanillaRhapsody Dec 2015 #152
ok, I am not going to debate this with you. Take care still_one Dec 2015 #154
The dude that wrote this OP VanillaRhapsody Dec 2015 #156
I am not defending the OP. What I am saying there are people who are on the borderline, just over still_one Dec 2015 #157
Look....a family of 4 are subsidized up to $97k! VanillaRhapsody Dec 2015 #158
So there's a lot more to this story that you are leaving out VMA131Marine Dec 2015 #75
Point is RayLib Dec 2015 #112
I do not believe you... VanillaRhapsody Dec 2015 #124
Medicare for 2 with a drug plan and supplemental F it can run still_one Dec 2015 #101
That's over $20,000 per year! RayLib Dec 2015 #7
Medical costs, including premiums, are tax deductible -- the amount above 10% of your AGI that is. progree Dec 2015 #43
What would you pay for private insurance for the 5 of you? Squinch Dec 2015 #77
It's actually about RayLib Dec 2015 #113
It is very expensive, but you are no worse off Squinch Dec 2015 #149
We need a single payer system asap, or we are fucked. darkangel218 Dec 2015 #50
You think single payer is free? VanillaRhapsody Dec 2015 #125
What a silly question.. darkangel218 Dec 2015 #131
Did you ask a question? VanillaRhapsody Dec 2015 #134
No thanks. darkangel218 Dec 2015 #136
Bernie is no magician VanillaRhapsody Dec 2015 #138
Whatever. Nt darkangel218 Dec 2015 #139
Whatever is right..... VanillaRhapsody Dec 2015 #142
This is why we need Bernie Zinner88 Dec 2015 #58
+1 darkangel218 Dec 2015 #59
Uh Bernie supports this system VanillaRhapsody Dec 2015 #69
The costs and tax increases necessary were staggering.... Historic NY Dec 2015 #103
Thus we have Obamacares.... VanillaRhapsody Dec 2015 #106
It doesn't require that kind of tax increase on everyone equally. snot Dec 2015 #132
The you didn't click through to find out why Bernies state Vt. couldn't do it... Historic NY Dec 2015 #135
I feel your pain. Kilgore Dec 2015 #64
You have three kids in college and pretend you can't afford VanillaRhapsody Dec 2015 #70
WTF? I dont even have three kids!! Kilgore Dec 2015 #92
Your old policy would VanillaRhapsody Dec 2015 #93
Bullshit Kilgore Dec 2015 #94
Bullshit.....you were not immune to VanillaRhapsody Dec 2015 #95
I have to deal with the cards as they dealt to me. Kilgore Dec 2015 #99
Those less fortunate in your family ALSO have VanillaRhapsody Dec 2015 #96
They do, and they did before. Kilgore Dec 2015 #100
Well thats good.....now they wont go without.... VanillaRhapsody Dec 2015 #107
Thats bullshit... VanillaRhapsody Dec 2015 #97
So lets agree to disagree Kilgore Dec 2015 #98
Nope...i do not agree VanillaRhapsody Dec 2015 #109
Happy about your success... RayLib Dec 2015 #110
So? VanillaRhapsody Dec 2015 #111
None RayLib Dec 2015 #115
A 30% increase is not VanillaRhapsody Dec 2015 #117
From original post RayLib Dec 2015 #118
Uh I have had BCBS all those same years... VanillaRhapsody Dec 2015 #120
10,000 deductible? abelenkpe Dec 2015 #104
now we know what's in the bill mwrguy Dec 2015 #105
37 posts. Welcome to DU...I guess. stopbush Dec 2015 #127
What's your point? darkangel218 Dec 2015 #137
FWIW, check his profile. eoom uppityperson Dec 2015 #148
We called it.... VanillaRhapsody Dec 2015 #155
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