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posted on my mobile device please excuse any errorsBratigan and mrsmumbles like this.11-14-2013 04:19 PMLike 2 - Because he is a democrat.
posted on my mobile device please excuse any errorsBratigan and mrsmumbles like this.11-14-2013 04:22 PMLike 2 -
posted on my mobile device please excuse any errors11-14-2013 04:24 PMLike 0 -
- Kevin OQuinnAC Team Emeritus
No, it can't be race. That's not the answer for everything. If he (or any President) does anything that legitimately and impeachable offense than that should be done. Maybe, just maybe, there isn't anything legitimate being thrown out there. You know if it could happen that the Obama haters would MAKE it happen, just like they've made other things happen.11-14-2013 04:28 PMLike 0 - Now he is trying to come up with a "fix", which by the way is illegal. He cannot make amendments to a passed law. That is Congress' responsibility. He got away with it with the delay of employer mandates, but I don't think that he will this time.
Plus, the insurance companies probably won't go along with it, anyway. He is in a pickle!11-14-2013 10:47 PMLike 0 - Now he is trying to come up with a "fix", which by the way is illegal. He cannot make amendments to a passed law. That is Congress' responsibility. He got away with it with the delay of employer mandates, but I don't think that he will this time.
Plus, the insurance companies probably won't go along with it, anyway. He is in a pickle!11-14-2013 10:53 PMLike 0 - Just to clear something up from page 1:
Impeachment is to bring charges against the president for breaking the law.
Clinton was impeached because he lied under oath in court. Which is illegal.
Neither Obama nor Bush has been caught breaking a law, thus no way to impeach.
Don't get me wrong, I would love to charge the man with several crimes, but there is not currently a legal leg to stand on at the moment. As far as I know, there is no evidence of him actually breaking the law.11-14-2013 10:56 PMLike 0 - No, I had just rather that it be done the way that the Constitution states, instead of him thinking that he is above the Constitution. Too much of that has gone on already (employer mandates, Dream Act).11-14-2013 10:59 PMLike 0
- I definitely agree that they should follow procedures, but I'm not clear on exactly what the procedure is for this change. If this is only a change to enforcement he might be able to do that. I'd assume that he'll propose an amendment or new law to the Congress and let them vote on it, but I guess he didn't really say how he was going to try to do this.11-14-2013 11:09 PMLike 0
- I definitely agree that they should follow procedures, but I'm not clear on exactly what the procedure is for this change. If this is only a change to enforcement he might be able to do that. I'd assume that he'll propose an amendment or new law to the Congress and let them vote on it, but I guess he didn't really say how he was going to try to do this.11-14-2013 11:11 PMLike 0
- It sounds like it might have a chance of passing the House, very small chance of getting through the Senate, a guaranteed presidential veto and no chance of a joint vote to overcome the veto. That bill sheds the entire point of the law, rather than trying to make it easier on people trying to transition into the new coverage options.
What I think the country needs, and I see democrats asking for it too... if they're going to abandon the ACA long term, is a plan that replaces it with something better, not reverting to the old system that it's a relatively poor attempt to fix.
Saying, "yeah we've spent a couple billion of dollars, but it didn't work, so we're going to abandon it, screw over everyone that it was going to help and then sit here and whine about wasted spending" just doesn't seem to be effective when what we need is a way to move forward.11-14-2013 11:29 PMLike 0 - Just to clear something up from page 1:
Impeachment is to bring charges against the president for breaking the law.
Clinton was impeached because he lied under oath in court. Which is illegal.
Neither Obama nor Bush has been caught breaking a law, thus no way to impeach.
Don't get me wrong, I would love to charge the man with several crimes, but there is not currently a legal leg to stand on at the moment. As far as I know, there is no evidence of him actually breaking the law.
ΜΟΛΩΝ ΛΑΒΕ11-14-2013 11:32 PMLike 0 - It sounds like it might have a chance of passing the House, very small chance of getting through the Senate, a guaranteed presidential veto and no chance of a joint vote to overcome the veto. That bill sheds the entire point of the law, rather than trying to make it easier on people trying to transition into the new coverage options.
What I think the country needs, and I see democrats asking for it too... if they're going to abandon the ACA long term, is a plan that replaces it with something better, not reverting to the old system that it's a relatively poor attempt to fix.
Saying, "yeah we've spent a couple billion of dollars, but it didn't work, so we're going to abandon it, screw over everyone that it was going to help and then sit here and whine about wasted spending" just doesn't seem to be effective when what we need is a way to move forward.
⊙⊙ Signatures, shmignaturesAquila likes this.11-14-2013 11:33 PMLike 1 -
One of the biggest fears about a single payer system is the rediculous costs, but they all assume current costs that include a 30% markup for insurance companies on top of a 300-400% markup based on uninsured compensation + margins, etc. Now might not be the time, and it may be a long time, but I think that we're all here intelligent enough to realize that's where the destiny of healthcare lay. And in a large way, the most conservative way of thinking big about healthcare is to lower the costs for as many people as possible, for everyone if possible, especially the costs for the bloated government. We NEED to lower those costs.
Single payer might be or might not be the right option for the US, it's got some huge challenges to figure out, not the least of which is if our government has any legitimate interest in the industry.... but if it could slash federal funding by 70% and eliminate private contributions entirely, we'd be insane not to check that solution out. Even if we are looking for solutions that include private savings or insurance contributions, drastically lowering costs is still not only possible, but fairly easy. It can be as simple as inserting medicare earlier in the supply chains.11-14-2013 11:44 PMLike 0 - We've already got doctors that either aren't taking new Medicare patients or not taking Medicare all together due to the low amounts they get for reimbursements. That just leads to increased wait times and it's reasonable to expect it increases unnecessary E.R visits. For example, around here it can be a 6 month wait to see a dentist if on the state sponsored plans. Pay cash and you can be seen the next day. To cut that funding even more would just increase the doctor shortage for Medicare patients.11-15-2013 05:27 AMLike 0
- We've already got doctors that either aren't taking new Medicare patients or not taking Medicare all together due to the low amounts they get for reimbursements. That just leads to increased wait times and it's reasonable to expect it increases unnecessary E.R visits. For example, around here it can be a 6 month wait to see a dentist if on the state sponsored plans. Pay cash and you can be seen the next day. To cut that funding even more would just increase the doctor shortage for Medicare patients.
The billable cost is an aggregate markup of the % paid, including markup and includes a major push from the 80-90% of bills that aren't paid at all. Clinics and GP's are probably being paid on a higher % of their billable cost, but fixing healthcare costs is more about addressing the unpaid, eliminating the waste and middlemen and lower the total due (not necessarily the % paid) by all parties, over time.
When I say lower costs, I'm not saying necessarily to pay doctors less, but to not pay $35 for a nicotine patch that comes in a box of 12 for $18. To not pay $2.50 for a bandage that comes in a box of 100 for $4. Actually eliminating the wasted money that is marked up almost entirely because of the uninsured and under-insured populations being unable or unwilling to pay for their services/supplies in emergency situations.
So you're right, Medicare typically does pay less as a % of the billable amount than private insurance or cash payers, but they pay much more than people who have no ability to pay and sometimes they do pay more than private insurance on some things. Either way, the problem is they're still paying at least 500%, but usually 800-1000% of the actual cost of services (supplies, labor, operations, etc) to Medicare patients. If we get that down to ... around 100%, maybe 200% we have a huge cost savings and the savings could be either used to enroll 2.5 to 4 or 5 times more people in Medicare (not my favorite option) which would also lower the healthcare industries unpaid populations, meaning more profit for them OR we could use that savings to lower the Medicare contributions, increase it's solvency, etc OR create a higher taxed opt-in public option... lots of things can be done with that HUGE amount of money.
It's easy to ask a hospital if they'd rather be paid 100% of a $10,000 bill or 2% of a $100,000 bill.11-15-2013 05:40 AMLike 0 - Easy, that's government for you. Remember all those "healthcare will become the DMV" jokes? Looks like they were right. o_o11-15-2013 06:24 AMLike 3
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