| Healthcare Bill Part III; Obamacare | |
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| Tweet Topic Started: Mar 3 2014, 02:20 PM (48,688 Views) | |
| kbp | Mar 28 2014, 10:23 AM Post #256 |
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The number that seemed to be set in stone when Obamacare opened enrollment was 46 million, though the CBO used 55 million by adding illegals into the count. |
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| kbp | Mar 28 2014, 01:02 PM Post #257 |
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The Obamacare religious freedom basically was limited to "religious objections to insurance," not what the policies must pay for. However, conceding that the "regulation does force [Christians] to act against their Christian faith" seems to open an entirely new case in how it applies to Individuals. Depending on how they conceded such, they may have admitted they are violating the rights of many! ADD: Much more of interest in the article. Edited by kbp, Mar 28 2014, 01:09 PM.
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| kbp | Mar 28 2014, 01:24 PM Post #258 |
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http://www.breitbart.com/Big-Government/2014/03/27/Obamacare-Zero-Covered-Dentists-in-100-Miles ZERO COVERED DENTISTS WITHIN 100 MILES FOR MANDATORY DENTAL PLAN UNDER OBAMACARE |
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| Baldo | Mar 28 2014, 01:34 PM Post #259 |
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We have all expressed viewpoints that the enrollment figures are most likely just another Obama lie. I have no doubts these figures are massaged and are filled with corpses from Chicago's graveyards. The real test of Obama-care comes in delivery of services. Doctors & Hospitals like to get paid for delivery of services. However I expect MEANBALL when it comes to the Administration .Will the Insurance companies buckle under? Will they be paid off? How much will they lose to stay in the good graces of Obama? Will the rates for 2015 be set honestly? Or will they cave? Will their stockholders demand real figures. |
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| kbp | Mar 28 2014, 04:12 PM Post #260 |
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The exchange is not even necessary to provide subsidies for any reason other than keeping your income data somewhat private. Those not getting subsidies could just go direct the companies. They'd need bi-partisan legislation to accomplish it. The "choose your own" is a limited selection subject to what the federal government says you may be offered. Changing the tax law is a long shot. This program was based solely on providing health care for the uninsured, but instead it is a law that takes regulating controls away from the people and states, shifting them to the federal government, and not adding coverage for the uninsured. The system is a middleman, like a broker, that adds costs with zero benefit. |
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| Baldo | Mar 28 2014, 04:54 PM Post #261 |
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Insurance Companies as We Know Them Are About to Die And here's what's going to replace them BY EZEKIEL J. EMANUEL Americans hate health insurance companies. They are easy targets for everyone to beat up on. When premiums go up, we blame insurance companies; we do not blame the underlying hospitals or physicians who charge high prices that drive up insurance costs. When people with cancer, heart attacks, or other diseases are denied insurance, we blame insurance companies; we do not blame the underlying voluntary insurance market that necessitates underwriting. When our wish for a new high-priced drug is denied, we blame insurance companies; we do not blame drug companies that set the price at over $100,000. Politicians can always elicit an applause by attacking the health insurance companies, reinforcing this bad-guy image of insurance companies. This is not to say that insurance companies are angels, but they are also not the devil incarnate. A lot of what people consider to be their bad behavior is the inevitable result of the way the health care system is structured and how it incentivizes and forces certain behaviors. The good news is you won’t have insurance companies to kick around much longer. The system is changing. As a result, insurance companies as they are now will be going away. Indeed, they are already evolving. For the next few years insurance companies will both continue to provide services to employers and, increasingly, compete against each other in the health insurance exchanges. In that role they will put together networks of physicians and hospitals and other services and set a premium. But because of health care reform, new actors will force insurance companies to evolve or become extinct. The accountable care organizations (ACOs) (which I discuss in Chapter 8 of my new book) and hospital systems will begin competing directly in the exchanges and for exclusive contracts with employers. These new organizations are delivery systems with networks of physicians and hospitals that provide comprehensive care. This health delivery structure is in its infancy. Today there are hundreds of these organizations being created and gaining experience within government-sponsored programs or getting contracts from private insurers. They are developing and testing ways to coordinate, standardize, and provide care more efficiently and at consistently higher quality standards. Over the next decade many of these ACOs and hospital systems will succeed at integrating all the components of care and provide efficient, coordinated care. They will have the physician and hospital networks. They will have standardized, guideline-driven care plans for most major conditions and procedures to increase efficiency. They will have figured out how to harness their electronic medical records to better identify patients who will become sick and how to intervene early as well as how to care for the well-identified chronically ill so as to reduce costs. The key skill these ACOs and hospital systems lack—the skill insurance companies specialize in—is the actuarial capacity to predict and manage financial risk. But over the next decade this is something they will develop—or purchase. After all, actuarial science is not rocket science, even if it involves a lot of mathematical equations. And with that skill, ACOs and hospital systems will become integrated delivery systems like Kaiser or Group Health of Puget Sound. Then they will cut out the insurance company middle man—and keep the insurance company profits for themselves. Therefore, increasingly these ACOs and hospital systems will transform themselves into integrated delivery systems, entering insurance exchanges and negotiating with employers, in direct competition with insurance companies. This trend is already beginning. A recent article noted, More health systems are seeking to contract directly with employers with deals to bundle the price for certain services or serve as exclusive contractor for all healthcare services for a company’s employees, as in a recent agreement between Intel and Presbyterian Healthcare Services in New Mexico. The direct deals have emerged as hospitals and doctors face mounting pressure to keep healthcare spending in check....snipped http://www.newrepublic.com/article/116752/ezekiel-emanuel-book-excerpt-end-health-insurance-companies i think this is really what the democrats want. A move to a system like Kaiser here in California. Then they can directly control these mega medical/hospital providers. Kaiser is known for good service in some locations, but pooer service in other locations. Kaiser Permanente is an integrated managed care consortium, based in Oakland, California, United States, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield. Kaiser Permanente is made up of three distinct groups of entities: the Kaiser Foundation Health Plan and its regional operating subsidiaries; Kaiser Foundation Hospitals; and the autonomous regional Permanente Medical Groups. As of 2006, Kaiser Permanente operates in nine states and the District of Columbia, and is the largest managed care organization in the United States. http://en.wikipedia.org/wiki/Kaiser_Permanente |
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| chatham | Mar 29 2014, 07:32 AM Post #262 |
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Democrats should be dropping like flies now…. http://www.dailymail.co.uk/news/article-2591304/Obama-sucked-Romney-Former-Sen-Bob-Kerrey-DEMOCRAT-uncorks-Nebraska-sized-tornado-president-slamming-Obamacare-lies-saying-hes-not-saving-Social-Security.html Obama 'sucked less than Romney': Former Sen. Bob Kerrey, a DEMOCRAT, uncorks a Nebraska-sized tornado on the president, slamming him for health care lies and saying he's not up to saving Social Security Kerrey, a two-term Senator in the '80s and '90s, is disappointed in the president for risking the health of the U.S. economy over Obamacare 'He had to know he was misleading the audience,' he said of Obama's infamous 'If you like your health care plan' deception Explains that an even bigger lie Democrats tell is that 'everybody' can get 'high-quality, affordable health care' Obama, he says, lacks the courage to bring Democrats and Republicans together to save U.S. entitlement programs from bankruptcy 'If he was up to it, he would have done it,' Kerrey tells MailOnline Read more: http://www.dailymail.co.uk/news/article-2591304/Obama-sucked-Romney-Former-Sen-Bob-Kerrey-DEMOCRAT-uncorks-Nebraska-sized-tornado-president-slamming-Obamacare-lies-saying-hes-not-saving-Social-Security.html#ixzz2xM2DUCYo Follow us: @MailOnline on Twitter | DailyMail on Facebook |
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| kbp | Mar 29 2014, 08:35 AM Post #263 |
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The ACO's are basically HMO's, not really something new other than what having renamed it. They do not cut out the middle man, actually they add one - Exchange. The participants in the ACO's, the network of doctors and hospitals, would have added management and funding duties, those tasks previously handled by the insurance companies, which they will NOT take on for free. Zeke's dream, our nightmare, only works if there are a few giant companies that own all the medical service providers across the nation or Uncle Sam owns the entire system. The only other alternative for ownership I see is for the insurance companies to be outlawed and the Exchange take over the entire market. The irony here is the consumer would have no choice when selecting a plan. They'd have Plan A "to coordinate, standardize, and provide care more efficiently and at consistently higher quality standards"... he means consistent standards he could classify as higher quality when compared to no other standards. Edited by kbp, Mar 29 2014, 08:36 AM.
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| kbp | Mar 29 2014, 08:45 AM Post #264 |
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That's a strong condemnation there! |
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| Baldo | Mar 29 2014, 08:49 AM Post #265 |
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Kaiser does market & sell it own services. They are one stop shopping for healthcare & service. The problem with Kaiser is close access to hospital treatment. They have a very large clinic near me with numerous doctors, but their hospital is 40 miles away. Meanwhile there are 3 major hospitals close by. One size fits all doesn't work anywhere. It doesn't work with shoes and it won't work with healthcare. But that is the dream of all Marxists, as long as they have their own dachas and special doctors for themselves. |
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| kbp | Mar 29 2014, 10:21 AM Post #266 |
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The article has much more you should read. I picked this excerpt to illustrate how masterful the administration has been in splitting the damage into parts & pieces put out in small doses that create damage not so obvious to those who do not pay much attention. ...the number who neither support nor oppose the law has tripled, to 30 percent The people are disappointed in the overall problem of the economic status they now face, but they're too busy getting by to complain about all the pieces that create the mess. The jump from 10% to 30% is scary, when you consider the fact that all of them are experiencing increases in their insurance premiums... an obvious indication Obamacare is a problem. I suppose the good news is that the percentage of people upset about Obamacare and the economy should create a stronger enthusiasm for the right, as the only motivation the left offers is fixing their own problem and complaining the right won't help them. Edited by kbp, Mar 29 2014, 10:21 AM.
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| kbp | Mar 29 2014, 10:33 AM Post #267 |
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Encouraging remarks in this column... http://www.bostonglobe.com/opinion/2014/03/27/democrats-obamacare-albatross/DXKt7O0xSo6ARTBUM8kkUI/story.html Democrats’ Obamacare albatross ....Voters rewarded the GOP for standing fast against the law four years ago, and there is a growing sense that they’re going to do so again this fall. Obama has been warning Democrats for months that they are likely to “get clobbered” at the polls this November. It’s not just widespread disapproval of the president’s signature legislation that makes his party so vulnerable — it’s the intensity of that disapproval. “The people who favor Obamacare, which is a minority, aren’t really that enthusiastic about it even if they favor it,” says political analyst Larry Sabato of the University of Virginia. “But the majority who oppose Obamacare are much more charged up, and they’re the people who tend to turn out” for midterm elections. It had been widely assumed on both sides of the debate that as the Affordable Care Act was implemented, the law’s frontloaded benefits and subsidies would quickly become such sacred cows that repealing the law would soon be a political impossibility. So far it hasn’t worked out that way. Most Americans haven’t come around to accepting the massive law and its unprecedented mandates as a permanent feature on the landscape. Ardent liberals, such as House Minority Leader Nancy Pelosi, have been telling Democrats to run as unabashed defenders of Obamacare, insisting “it’s a winner” of an issue for them. But it proved a losing issue for Democrat Alex Sink, who was beaten in Forida’s special congressional election this month by Republican David Jolly. Obamacare was a key issue in the race, which pitted Jolly’s “repeal and replace” message against Sink’s “don’t nix it, fix it” theme. The pro-repeal candidate won...... |
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| kbp | Mar 29 2014, 11:00 AM Post #268 |
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http://www.washingtonpost.com/blogs/post-partisan/wp/2014/03/28/the-insiders-is-obamacare-working/ The Insiders: Is Obamacare working? As we inch toward the March 31 enrollment “deadline,” I think it is fair to ask, “Is Obamacare working?” And by working, I mean both politically for the Democrats and substantively for the country. White House senior official Dan Pfeiffer tweeted out, “Important to remember that back in Oct and November, everyone thought getting to 6 mil was impossible. Amazing comeback story.” We can discount that; Team Obama’s credibility is shot. So what do we really know? What does the information available really tell us, and what can we discern from the constant evasiveness of the administration? Substantively, the administration is refusing to acknowledge a few essential points. One, the original definition of “success” — the CBO number they adopted as their own — was 7 million enrollees. And next, an estimated 20 percent of the alleged 6 million enrollees have not paid their premiums, which means they do not actually have insurance. That leaves us with 4.8 million enrollees at best, without discounting duplicate enrollments, unfinished applications and any other factors that would diminish the number who have actually signed up for Obamacare. [The "other factors" could include quite a few enrollees dropping out, as enthusiasm and the cost of jumping for political reasons soaks in. I wouldn't be surprised if quite a few have been paid for by left groups just to bump the #'s.] HHS Secretary Kathleen Sebelius continues to stonewall Congress and to claim that HHS does not know how many people have paid their premiums. In response, House Ways and Means Committee Chairman Dave Camp (R-Mich.) and Ways and Means Health Subcommittee Chairman Kevin Brady (R-Tex.) wrote her a letter saying, “We have recently obtained information that suggests your most recent testimony before the Ways and Means Committee was at best evasive and perhaps misleading.” (Camp and Brady are such gentlemen.) The letter continued, “Insurers are submitting information to CMS about who has effectuated their enrollment, i.e. who has paid their premium. Please provide this information in its most updated form immediately.” In other words, the administration has the data but doesn’t want to release it because it would derail their narrative that Obamacare has reached a point where something meaningful has happened. But, oh, by the way, the most stunning omission from the White House, Sebelius, et. al. is that Obamacare has failed miserably in its original purpose — insuring the uninsured. President Obama and his Democratic allies can claim that 6 million people have gotten insurance, but we still don’t know how many of those are newly insured. Regardless of the number of enrollees, or the number of people who are receiving subsidies, or how many people are able to keep their doctor, the bottom line is that Obamacare’s success should be based on the number of people who have insurance today who were uninsured before Obamacare was passed. Of course, that’s not something the administration will even admit they are tracking. What does that tell you? After all the insurance cancellations, the administration’s insistence that 6 million people now have insurance because of Obamacare is a lot like firing 20 people, hiring 18 of them back and claiming that you have created 18 new jobs. In other words, nobody knows what the net number of people insured is once you have factored in how many people lost their insurance because of Obamacare. [Obamacare - to insure the uninsured! The cost looks to be close to $150,000 per if 1 million sign up. This individual cost should come out in campaigns soon... I hope] But all of this is just the appetizer. The political entrée is how voters will react to the quality of care, access and premiums/co-pays they will encounter in the Obamacare exchanges over the next year. Maybe the Web site works better, and maybe some newly insured individuals have signed up. The real test will be if Obamacare can deliver insurance with a health-care plan that people actually like by November. That’s a lot harder than fixing a Web site or fudging enrollment numbers. From an insurer standpoint, an enrollment mix where only 25 percent are in the golden 18-34 age bracket is not the definition of “success.” And if the enrollees lean toward older, sicker people, premiums are going to go up dramatically for everyone. The premiums will be higher, and the only way insurers can lower prices is to make their networks more and more restricted, limiting access and choice for millions of Americans. That’s not what success looks like. [...or set premiums using the bailout as another source of government subsidies the next year or two.] Vulnerable Democrats on the ballot in 2014 know this. They are going to spend the next seven months offering “fixes” for the unpopular parts of Obamacare – as we started to see yesterday – and will try to escape blame for the continuing failures. We can already hear the “there is more work to do” pablum they will be spewing. The champions of Obamacare — who are quickly diminishing in number — say it is here to stay, that it is the law of the land and millions are counting on it. They celebrate the idea that the infection that is Obamacare has crept into the population and will never be undone. This all overlooks how much of the law has been changed, delayed, overturned, or otherwise diluted by lawmakers who struggle with all of Obamacare’s failures. The more we find out about Obamacare, the less chance there is that Obama and his Democratic allies will be able to claim success and convince voters they are better off with it than without it. Is Obamacare working? The short answer is no. Follow Ed on Twitter: @EdRogersDC |
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| kbp | Mar 29 2014, 11:31 AM Post #269 |
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He forgets that the premium estimates start rolling in mid-May, so by late June we should start seeing more numbers the Dem's will have to worry about. |
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| Baldo | Mar 29 2014, 11:59 AM Post #270 |
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It all comes down to what will it actually cost & what will the service be like. For businesses the cost is the biggest issue. What will it cost them? For the individuals it is cost, actual out of pocket expense, & what kind of service will they get. These issues are forgotten by the Dems in their PR "save our azzes" Blitz. As one of the articles says enrollment is only one marker, there are so many. I believe one will be actually seeing a doctor in a timely fashion. Then reality sets in if you need a drug that isn't generic. |
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