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Healthcare Bill Part III; Obamacare
Topic Started: Mar 3 2014, 02:20 PM (48,614 Views)
kbp

Mason
Dec 3 2014, 02:30 PM
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I am speaking to the new case before the Supreme Court, the one on subsidies from STATE exchanges. Halbig and King vs. Burwell, just to be clear.


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I have no idea HOW they can get the Gruber data in if it had not been a part of the King case that is under appeal.
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kbp

:think: :think: :think:

Quote:
 
http://dailycaller.com/2014/12/03/harkin-we-shouldnt-have-passed-obamacare-the-way-we-did/print/

Obamacare Author: We Shouldn’t Have Passed Obamacare The Way We Did
Posted By Sarah Hurtubise


Democratic Sen. Tom Harkin, who helped co-author Obamacare in 2009 and 2010, says the bill is too complicated and Congress probably shouldn’t have passed it at all.

Harkin, a liberal senator who’s in favor of a single-payer health-care system, told The Hill Wednesday that the Affordable Care Act turned out too complicated and doesn’t actually make health care more affordable for most people. As chairman of the Senate Health, Education, Labor, and Pensions Committee, Harkin was instrumental in constructing Obamacare and getting the bill passed, but is retiring this year.

“We had the power to do it in a way that would have simplified healthcare, made it more efficient and made it less costly and we didn’t do it,” Harkin told The Hill. “So I look back and say we should have either done it the correct way or not done anything at all.”

Harkin’s the second high-profile Democrat to pull his support from the law. New York Sen. Chuck Schumer, the third-ranking Democrat in the Senate, said in November that Congress should not have passed Obamacare because the law does not help the middle class.

“Unfortunately Democrats blew the opportunity the American people gave them,” Schumer said. “We took their mandate and put all of our focus on the wrong problem — health-care reform.”

Harkin is less worried about the middle class and more concerned that Obamacare lacks a government-provided coverage option.

“What we did is we muddled through and we got a system that is complex, convoluted, needs some corrections and still rewards the insurance companies extensively,” Harkin continued. Insurance companies are some of the biggest beneficiaries of Obamacare now that all Americans are required to purchase their product and many are given federal subsidies to do so.

“We had the votes in ’09″ for a law included single-payer or a public option, Harkin said. “We had a huge majority in the House, we had 60 votes in the Senate.”

The retiring senator charged that Congress should have passed “single-payer right from the get-go or at least put a public option, would have simplified a lot,” according to The Hill. “We had the votes to do that and we blew it.”

“The House passed public option. We had the votes in the Senate for cloture,” Harkin argued. “There were only three Democrats that held out and we could have had those three,” he said, referring to Sens. Blanche Lincoln, Ben Nelson and Joe Lieberman. “We could have had all three of them if the president would have been just willing to do some political things but he wouldn’t do it.”

Obamacare turned out unnecessarily complicated, Harkin explained, because Democrats were attempting to appease the few senators who were still on the fence about voting for the law. ”So as a result we’ve got this complicated thing out there called the Affordable Care Act,” he concluded.
What two committees wrote bills never passed that Obamacare borrowed the text from?

I'll give you a couple hints:

  • Sen. Chuck Schumer is on the Finance Committee (and the Subcommittee on Health Care)
  • Sen. Tom Harkin is chairman of the Senate Health, Education, Labor, and Pensions (HELP) Committee
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Baldo
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Sen. Chuck Schumer & Sen. Tom Harkin

Two of the most powerful Democratic Senators who helped pass Obama-care are now having second thoughts. Weasels! They see the political disaster it is and they are jumping ship like two rats. They and their cohorts never let the republicans see the bill until it was time to pass it. Treachery & Deceit. That was their Modus operandi

They did not have a mandate for a single payer system. What Obama ran on was if you like your plan you can keep your plan, if you like your Doctor you can keep your Doctor. It was going to cover many millions of uninsured citizens. Finally it was going to save the average family $2500/year.

Big BSers to get elected. Liars!
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kbp

...“We had the votes in ’09″ for a law included single-payer or a public option, Harkin said. “We had a huge majority in the House, we had 60 votes in the Senate.”

He NEVER had the votes for that. The ironic thing is Harkin was a full-time whiner about getting mo' money to pay for the VA, especially in his state. He knew the single-payer or a public option modeled on the VA was a sinkhole for funding long before Obamacare passed.
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LTC8K6
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Assistant to The Devil Himself
Latest Gruber Video Ruins Administration's Supreme Court Argument To Save Obamacare
Gruber explains that if your state doesn't set up an exchange its residents aren't eligible for tax credits, which is precisely the opposite of what the Administration is arguing before the Supreme Court.

http://www.truthrevolt.org/news/latest-gruber-video-ruins-administrations-supreme-court-argument-save-obamacare#.VICwyeOkWn4.twitter

If you’re a state and you don’t accept an exchange, that means your citizens don’t get their tax credits. But your citizens still pay the taxes to support this bill. So you’re essentially saying to your citizens, you’re going to pay all the taxes to support all the states in this country.
Edited by LTC8K6, Dec 4 2014, 03:13 PM.
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Baldo
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AP: Health law impacts primary care doc shortage

MIAMI (AP) — When Olivia Papa signed up for a new health plan last year, her insurance company assigned her to a primary care doctor. The relatively healthy 61-year-old didn't try to see the doctor until last month, when she and her husband both needed authorization to see separate specialists.

She called the doctor's office several times without luck.

"They told me that they were not on the plan, they were never on the plan and they'd been trying to get their name off the plan all year," said Papa, who recently bought a plan from a different insurance company.

It was no better with the next doctor she was assigned. The Naples, Florida, resident said she left a message to make an appointment, "and they never called back."

The Papas were among the 6.7 million people who gained insurance through the Affordable Care Act last year, flooding a primary care system that is struggling to keep up with demand.

A survey this year by The Physicians Foundation found that 81 percent of doctors describe themselves as either over-extended or at full capacity, and 44 percent said they planned to cut back on the number of patients they see, retire, work part-time or close their practice to new patients.

At the same time, insurance companies have routinely limited the number of doctors and providers on their plans as a way to cut costs. The result has further restricted some patients' ability to get appointments quickly.

One purpose of the new health law was connecting patients, many of whom never had insurance before, with primary care doctors to prevent them from landing in the emergency room when they are sicker and their care is more expensive. Yet nearly 1 in 5 Americans lives in a region designated as having a shortage of primary care physicians, and the number of doctors entering the field isn't expected to keep pace with demand.

The Association of American Medical Colleges projects the shortage will grow to about 66,000 in little more than a decade as fewer residency slots are available and as more medical students choose higher-paying specialty areas.

For now, experts say most patients are receiving the care they need, even if they have to drive farther, wait longer or see a nurse practitioner or physician assistant rather than a doctor.

More importantly, many are getting care for the first time. The surge also has forced many doctors to streamline their practice and rely more on mid-tier professionals instead of seeing every patient themselves.

"Family doctors are seeing a pretty significant increase in requests for appointments from new patients," said Dr. Wanda Filer, a primary care doctor in York, Pennsylvania, and president of the American Academy of Family Physicians...snipped

http://news.yahoo.com/newly-insured-struggle-primary-physicians-155516875.html;_ylt=AwrBEiHu_4RUDRoAJR7QtDMD

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kbp

The copy/paste networks create excusable errors by insurance companies.
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kbp


Quote:
 
http://www.usatoday.com/story/news/politics/2014/12/07/supreme-court-obamacare-challengers/19291951/

Pessimist's persistence could pay off against Obamacare

WASHINGTON — A Supreme Court challenge that poses a grave threat to President Obama's health care law had its genesis precisely four years ago as a power-point presentation by a self-proclaimed pessimist from South Carolina.

The idea was picked up by an Ohio law professor, given a policy and public relations push by a Washington health economist and turned into a lawsuit by an Oklahoma attorney general. Three more lawsuits followed.

Nearly five years after the law was passed, their effort has reached the Supreme Court, which saved the president's signature domestic policy achievement in 2012 but now could deal Obama a significant setback.

The challenge hinges on four words repeated several times in the statute: "established by the State." It posits that only state-operated health insurance exchanges can offer the federal subsidies that make premiums affordable for millions of participants. In 36 states where the federal government runs the exchanges, the lawsuit claims, such assistance shouldn't be allowed.

If the challengers succeed — a prospect that once seemed far-fetched but now looks like a 50-50 proposition — it would threaten federal tax credits averaging $4,700 a year for more than 7 million people. Without that help, most of them would not be required to get health insurance, because it would not be affordable. If they drop out, insurers would be forced to raise rates on everyone else, and the entire economic model behind Obamacare could collapse.

That potential chain reaction — representing the greatest threat to Obamacare since its last near-death experience at the Supreme Court — looms because of the grunt work put in by people such as Tom Christina.

"I'm a pessimist," the employee benefits lawyer told his audience at the American Enterprise Institute four years ago, explaining why he feared the original challenge to the law's individual health insurance mandate would fail — a prediction that proved prophetic. So he devised another line of attack.

In his power-point presentation, preserved on the AEI website, Christina said any challenge to the Patient Protection and Affordable Care Act should focus on "something that really is functionally critical to the operation of the act." He cited the health insurance exchanges as "particularly attractive targets."

His reading and rereading of the law paid off when he discovered language indicating that federal tax credits were to be offered in states that set up their own exchanges — but no mention was made of similar subsidies in federal exchanges.

'LAWYERLY AND ACADEMIC NOODLING'

The legal argument was fleshed out early in 2011 by Jonathan Adler, a law professor at Case Western Reserve University. Asked to write a paper for a University of Kansas School of Law conference, he read the 906-page law, "which it's clear a lot of people didn't do." He concluded that tax credits were dangled as an incentive for states to create the online exchanges, which administration and congressional proponents deny.

Then Michael Cannon, a health policy economist at the libertarian Cato Institute, discovered that the Internal Revenue Service was preparing regulations that would allow tax credits in federal as well as state exchanges. That, he said, was not the letter of the law.

As is typical in legal circles, the emerging theory made the rounds of the academic press, from the Kansas Journal of Law and Public Policy to Tax Notes. It didn't gather much public attention until Oklahoma Attorney General Scott Pruitt filed the first of four lawsuits.

What began as "lawyerly and academic noodling," Cannon says, became a real threat to the health care law once that lawsuit was filed. "I thought, 'Thank God, the cavalry has arrived.' "

Michael Carvin, one of the losing Supreme Court litigators in the 2012 lawsuit brought by states and employers, took over as counsel in two other cases, based in Virginia and Washington. The Competitive Enterprise Institute, led by Michael Greve and Sam Kazman, bankrolled the effort.

At the time, few expected that dozens of states would refuse to create exchanges. The Obama administration argues that it is merely standing in for those states, and the tax credits authorized by the Internal Revenue Service are both logical and legal.

Timothy Jost, a Washington and Lee University law professor with whom Adler and Cannon have jousted for years, says the challenge lacks merit.

"If the court approaches the statute as they normally interpret statutes, they should consider the text of the entire statute rather than focusing on a single phrase," he wrote in Health Affairs. "If the court regards the statute as ambiguous, they should defer to the agency charged by Congress with interpreting the statute, the IRS."

'PERFECT STORM FOR LITIGATION'

It wasn't until July of this year that a court ruled in the challengers' favor. The first such ruling came in a 2-1 decision from a panel of the powerful U.S. Court of Appeals for the D.C. Circuit. Later that same day, a panel of the 4th Circuit appeals court ruled unanimously for the government.

Without waiting for the full appeals court process to play out, the Supreme Court agreed last month to consider whether, as the challengers contend, the IRS must stop shelling out billions of dollars in tax credits in all but 14 states because their online marketplaces were not "established by the State."

Pruitt wants the Oklahoma case, which won its first round in federal district court in September, added to the Supreme Court's docket when it hears the Virginia case, most likely in March.

Christina, whose power point inadvertently jump-started the effort Dec. 6, 2010, doesn't plan to be there. "It's cold in Washington in March," he says.

Even if they win, Adler says, there will be more opportunities to return to the Supreme Court. The health care law will survive — albeit damaged — for another round of lawsuits.

"This is a full employment act for lawyers," Adler says. "This law creates the perfect storm for litigation."

Timothy Jost, a Washington and Lee University law professor with whom Adler and Cannon have jousted for years, says the challenge lacks merit.

"If the court approaches the statute as they normally interpret statutes, they should consider the text of the entire statute rather than focusing on a single phrase," he wrote in Health Affairs. "If the court regards the statute as ambiguous, they should defer to the agency charged by Congress with interpreting the statute, the IRS."


IOW... UNread the plain text, ignore the UNabsurd explanations for any parts of the law they wish to find ambiguity in, and then ignore the absence of plain text granting authority for tax credits in federal exchanges.
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kbp

http://online.wsj.com/article/AP48355eb933634a9dbc7198ece5c90c53.html

Hearing scheduled on NY Health single-payer health coverage

ROCHESTER, N.Y. — The state Assembly is holding the second of six statewide public hearings on legislation to establish New York Health, a universal single-payer health coverage plan to replace insurance company coverage.

Assembly Health Committee Chair Richard Gottfried will take testimony on the bill which would provide comprehensive, universal health coverage for every New Yorker.

The Monday morning hearing in Rochester will focus on the effects and costs of the current health coverage system on patients, health care providers, employers, labor and taxpayers, as well as how the single-payer system would work.

The committee also will review a proposal to fund New York Health through broad-based taxes and the elimination of the local share of Medicaid, which would become New York Health.

Other hearings are scheduled in Buffalo, Manhattan, Mineola, and Albany.
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Mason
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Parts unknown
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O-Administration playing games hiding information from Congress and the American people.

They sent some of the requested data in Spreadsheets. Spreadsheets that been encrypted and they did not provide the passwords.

More games. Hard to believe anything out of this Administration.

http://www.usatoday.com/story/news/politics/2014/12/08/house-oversight-gruber-tavenner-hearing/20091465/


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kbp

Mason
Dec 8 2014, 06:08 PM
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O-Administration playing games hiding information from Congress and the American people.

They sent some of the requested data in Spreadsheets. Spreadsheets that been encrypted and they did not provide the passwords.

More games. Hard to believe anything out of this Administration.

http://www.usatoday.com/story/news/politics/2014/12/08/house-oversight-gruber-tavenner-hearing/20091465/


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Quote:
 
...That was revealed only after the House Oversight and Government Reform Committee asked for the data to back up those numbers. Even then, it took HHS a month to provide hundreds of pages of barely legible printouts. When the committee asked for spreadsheets, HHS provided 289 of them — all password protected.
They had more data (policy costs) than I gave them credit for, though they evidently were too ignorant to read it or outright liars. It appears they're claiming to be ignorant.

ADD: I wonder if the reason it was 289 spreadsheets is because that was data provided from insurance companies and HHS was just too lazy to read it. Sounds more like gubermint employee's working without a backend program that does the work for them!
Edited by kbp, Dec 9 2014, 09:46 AM.
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Joan Foster

PLEASE pass this video along. This is what this Obama are has done to real people.

https://www.facebook.com/video.php?v=10153066471085579
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wingedwheel
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Not Pictured Above
Joan Foster
Dec 9 2014, 05:01 PM
PLEASE pass this video along. This is what this Obama are has done to real people.

https://www.facebook.com/video.php?v=10153066471085579
That even shut up Elijah Cummings. Well at least for a while...
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Joan Foster

God, they are smug. But this woman doesn't fall under their selective empathy category.
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kbp

Tavenner wanted to pass along her sympathy.
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