Recently, I was in a discussion about the prospect of a second term for our president, Barack Obama. My right wing friend was crowing about the soon-to-be-decided outcome of the Affordable Care Act and its constitutional question. I don't know how this will turn out, but I am encouraged about our president's chances for re-election.
Well, Obama has great poll numbers. The GOP has managed to destroy any base they may have had with women, Hispanics or youth. And, then there is the Affordable Care Act. There are many people already benefiting from this act. If, the Supreme Court does declare it as unconstitutional I am of a mind to say OK.
All the fallout from such a political bomb will fall on the GOP shoulders. There will be so much heart-breaking change for so many people who can't afford medical insurance coverage, can't be approved for coverage if they can afford it and can't change jobs because of the need to keep the coverage they need. Will the voters like it when big med and big pharm see record stock price increases?
You see, they will no longer have to control how they manage their margins so that 80 percent goes to care of premium payers. It will be the "good old days" again for all the medical industry special interest groups. So while coverage will be denied to those that want to buy coverage the medical insurance companies will make billions in the "so called" free market.
"Obamacare" was already working to provide coverage for those that were being denied coverage. Why do people without coverage go to the emergency room for help ? The cost to all of us is very high when they get treated in the ER. And, the care they get in the emergency room is not what it should be because most of these medical problems could have been more efficiently managed with preventable care that comes from having a medical plan.
The "Obamacare" Affordable Care Act would take care of this problem. Well then, if the Supreme Court in the land declares a law to be unconstitutional then the law was wrong, right? Maybe in civics class, but in the real-world politics of Washington, D.C., I am thinking that there is a pretty clear 5-to-4 party line voting history in the current court.
Which brings it all back to re-reelecting Obama in November and changing the court more in this liberal's favor.
JH Wilson
11:27 am on Tuesday, April 3, 2012
Yeah lets reelect him again. How are these people going to afford to pay for insurance with no jobs. The few jobs created by Obama pay barely above minimum wage. The little we have seen from Obama care is a 27% rise in drug cost. Wow ! You think Emergency room care is bad, let this pass and see what kind of care you receive. By the way here is a link to the National Debt Clock, go there daily. This is Obama care. http://www.usdebtclock.org/
Ned Lane
11:47 am on Tuesday, April 3, 2012
My wife has had lupus for30 years. She has never been very sick with it, never needed a lot of care for it. But she has been denied insurance coverage because of it. Because of Obamacare, she now has health insurance. That is what I have seen from Obamacare.
Crystal Huskey
12:00 pm on Tuesday, April 3, 2012
My family has been positively effected by it as well. My brother has epilepsy and was able to stay under our parents coverage longer. Without it he couldn't have afforded his own health insurance, and probably wouldn't even have qualified because of "pre-existing conditions." However, I don't agree with the requirement that a person be fined if they don't have healthy insurance.
David Brown
12:14 pm on Tuesday, April 3, 2012
Ned, my wife is a 14-year breast cancer survivor. Thanks to "Obamacare", it will be easier for her to qualify for insurance in the future. I also worry about folks like my altruistic daughter, who has chosen to become involved in Christian ministry and thus currently is uninsured. My wife and I have had to help her a number of times with her medical needs. I pray that "Obamacare" is upheld by the Supreme Court.
Floyd Akridge
1:16 am on Wednesday, April 4, 2012
David...here you are again willing to sacrifice values. For some reason that has no validity in reality you want Obamacare to stand even though it is an enormous shift in the balance of powers. Of course the good parts of the bill can't be done in any other manner...isn't that right David? Yeah...to hell with our balance of powers and where this unconstitutional shift of them might lead down the road. This reminds me of the time said that you can get someone to swallow poison as long as it looks like M&M's.
Cool thing about your daughter...the ministry part. Good for her.
Floyd Akridge
1:31 am on Wednesday, April 4, 2012
Ned...what you also have seen is a fundamental shift in the balance of powers. This like one of those huge falling domino setups...once you knock down the first one...you have no idea what else falls too.
While I am very very glad she has insurance...this bill can be easily done without the Obama power grab. To start...the SCOTUS is going to throw the thing out on it's ear and we all should be thankful for it. We'll get the opportunity to do it right...and it will.
Bluedobee
1:13 pm on Tuesday, April 3, 2012
Let's understand that a couple of the "left" leaning judges on the Supreme Court have already conceded that the individual mandate is unconstitutional by thier comments in regard to "what can we salvage". The bill won't work correctly without the individual mandate. Does health care need an overhaul, absolutely.....but not in a way that undermines our rights under the constitution.
Floyd Akridge
1:24 am on Wednesday, April 4, 2012
Teresa, the interesting thing here is that there is no severance clause in the bill...that basically says that parts of the bill can continue to function without the other parts. If the individual mandate goes Obamacare is done...I'll be celebrating that day too.
Bonnie
4:55 pm on Wednesday, April 4, 2012
Agree - providing coverage for preexisting conditions as well as "eliminating ER visits" for the illegals and "Medicaid" folks would go a long way - but, we don't need Obamacare to do it!!!
David Brown
1:45 pm on Tuesday, April 3, 2012
It seems as though the opponents of "Obamacare" already have adequate health care. It's no wonder, then, they are so insouciant regarding the plight of folks without adequate health care or with a pre-existing medical condition.
Floyd Akridge
1:22 am on Wednesday, April 4, 2012
magawd David...you will say just about anything to protect your guy won't you? I bet you're even okay with his comments to the Supreme Court on Monday, eh? Look...when you shift the balance of powers in the federal government you shift one fo the foundations upon which the nation was founded. Do you even know where the idea of a 3 prong government came from? Remember there was no such system in existence when the Constitution was written. Obamacare is just simply wrong. They were so desperate to ram ths "we have to vote for it so we know what's in it" bill in it that they didn't even put in a severance clause. Heck...in 2700 pages why couldn't we get the ability to buy insurance across state lines? Answer...because Obama is more concerned about 'transforming' America. Healthcare was just a convient vehicle...the mandate is gone. It's a done deal. The rest of the bill is gone too because they were too stupid to put in that severance clause.
Sharon Swanepoel
5:46 pm on Tuesday, April 3, 2012
I lost a very special person three years ago. She died from a rare blood disorder that wasn't diagnosed until the last couple of years of her life. What they were able to diagnose before that, was that she had cirrhosis of the liver and she was put on the transplant list. During that time, she lost her job because of the illness and with it her medical coverage. Where I find this really odd when I hear all these other cases, is we found her coverage even though she was already on the transplant list so her pre-existing condition was very evident. Granted, it cost almost $600 a month, but as a family we covered it for her - that's what families do. When she was overcharged (as someone with coverage) by a hospital in Gwinnett County, Emory (where she was on the transplant list) made sure that the $400,000 overcharge was taken off the bill. So I always get confused when I hear people can't get health insurance because of pre-existing conditions. Sadly she died as she went over the $2 million lifetime limit and although I do wonder about that, a little, I pretty much think I had the answer. After she died we received forms from the hospital for the $60,000 that went over that limit just before she died. Those forms were for Medicaid that was going to pick up the balance after her insurance ran out. I understand that Medicaid is a safety net and believe there absolutely should be a safety net for certain cases.
Sharon Swanepoel
5:52 pm on Tuesday, April 3, 2012
All that being said, I recently almost did a story, but the person concerned backed out for fear of losing the only health care she did have. It was a lady in Grayson who couldn't marry her caregiver, and the love of her life, because if she did, she would not qualify for the program that would cover her medical treatment. Medicaid, a government program, had turned her down when her cancer re-emerged. She was able to qualify under another program that was not government run, but she had to be indigent in order to do so. If she married, she would have lost that status. It just makes me wonder what would have happened had the government program been her only option. I don't think there is anyone who doesn't think that health care needs fixing - but putting it all in one hand seems a very frightening alternative to me.
Tammy Osier
10:58 pm on Tuesday, April 3, 2012
I was under the understanding that nationalized health care was not to go into effect until 2014. So, it seems to me that people are benefitting from what we have in place right now? We have the gov't as a safety net right now, alongside free market insurance; but it's not universal. So, I'm wondering how they are affected by Obamacare? Just wondering. I may have heard wrong, but I thought that that was the case.
Floyd Akridge
1:27 am on Wednesday, April 4, 2012
Tammy...portions of the bill do not go into affect until 2014 but some taxes when ineffect in 2011. That's how they propogated the lie that the bill would reduced the federal debt...6 years of spending covered by 10 years of revenue collection. Of course the CBO has now said that the bill will cost more than double initial estimates so..tada..more ObamaDebt.
Mike Davison
11:53 pm on Tuesday, April 3, 2012
Does everyone realize this law is now expected to cost almost twice the original projected amount (surprise)? Quote from the Washington Times last week: "Recently, the Congressional Budget Office (CBO) uncovered some of these hidden costs, and it is clear that the original $938 billion price tag was only a low-ball estimate. The CBO now pegs the cost at nearly double - $1.79 trillion. Even worse, the CBO also estimates that nearly 20 million people could lose their employer-provided insurance due to the rising costs of Obamacare mandates.
- Here's the link: http://www.washingtontimes.com/news/2012/mar/27/obamacare-costs-double-in-two-years/
Floyd Akridge
1:33 am on Wednesday, April 4, 2012
Thank you Mike. It really is that simple.
Brian Crawford
8:59 am on Wednesday, April 4, 2012
Mike, your first clue that this is complete nonsense is that this article was written by Paul Broun. Broun's article is a complete misrepresentation of the CBO report designed to keep you blissfully ignorant of the fact that there is no net cost to the ACA and indeed the CBO estimates the ACA reduces government deficits by hundreds of billions of dollars over the next 10 years.
http://www.cbo.gov/publication/43104
Floyd Akridge
11:35 am on Wednesday, April 4, 2012
Brian...no...I'm sorry but your facts are uncoordinated (copyright kudos to the M5 Unit).
The simple unescapable fact is that ObamaCare came with a promise to actually reduce the deficit over 10 years. isnt that a hoot...we can reduce the debt by spending more. Only in Obama's mind. But the real truth is that the CBO had to, by law, take the bill as written regardless of its absurdity and score it. The first 10 years of OC had 6 years of service funded by 10 years of taxes. The CBO had to score it the way they did BY LAW. When the CBO took 10 years of service and 10 years of revenue...TADA...it seriously adds to the debt.
Brian Crawford
6:34 pm on Wednesday, April 4, 2012
Floyd, have you actually ever taken the time to read a CBO report or read sections of the PPACA? I ask this because you are one of the most chronically misinformed persons I have ever encountered. Get your facts straight.
Bob Chadwick
8:46 pm on Wednesday, April 4, 2012
Brian,
I read the report. It is entitled "Another Comment on CBO’s Estimates for the Insurance Coverage Provisions of the Affordable Care Act" and appears to be limited in scope to only one provision of the act. I also read the 10 years of taxes to fund 6 years of benefits and the doubling of the cost from multiple sources that write on both sides of the fence. I'd like to see your sources that compare apples to apples.
Bob
Brian Crawford
9:34 pm on Wednesday, April 4, 2012
"Another Comment on CBO’s Estimates for the Insurance Coverage Provisions of the Affordable Care Act" is not the actual report. The comment was issued to clarify some of the mis-reporting on the subject; i. e. "the cost of Obamacare has doubled" which is a popular misreading of the report.
The actual report states "Those amounts do not encompass all of the budgetary impacts of the ACA because that legislation has many other provisions, including some that will cause significant reductions in Medicare spending and others that will generate added tax revenues, relative to what would have occurred under prior law. CBO and JCT have previously estimated that the ACA will, on net, reduce budget deficits over the 2012–2021 period; that estimate of the overall budgetary impact of the ACA has not been updated."
http://www.cbo.gov/sites/default/files/cbofiles/attachments/03-13-Coverage%20Estimates.pdf
Floyd Akridge
9:20 pm on Thursday, April 5, 2012
Brian...being called "cronically misinformed" by a left-left-left wing is quite the compliment. Translated into everyday language it means that you're getting intellectually slapped around because I am able to expose all of your left-left-left wing hysteria. Thank you Brian for the compliment.
Have I read the CBO report? You betcha. Brian...do YOU know how the CBO must operate BY LAW? ObamaCare showed a phantom debt reduction because it had 6 years of service funded by 10 years of taxes. But you being a left-left-left wing hysteria propagator rarely actually do the math do you? Those dang facts just suck don't they Brian. The CBO is REQUIRED BY LAW to score the bill as written regardless of reality. If the bill said they were going to pay for OC by selling Elephant steaks at 500,000/pound the CBO **MUST** score it using 500,000/pound Elephant steaks.
When 10 years of service and revenue are actually scored factually...OMG...the cost more than doubles and your phantom deficit reduction morphs into more and more ObamaDebt.
Of course...any rationally thinking person knew that already.
David Leader
7:48 am on Wednesday, April 4, 2012
I think people are looking at this wrong; the reason that insurance does not cover pre-existing conditions is, well, it's not insurance at that point. It's expected that it will be paying out, and you're basically asking the taxpayers to take care of other people. We can't afford this, and looking up the numbers of people who end up in ER that are uninsured, they cost the US only $80 billion a year (only?), compared with the $1.79 trillion over the next decade (180 billion per year) the Obamacare will cost.
It's not the solution, and not what we need. We need to cut back on what we feel people are entitled to in this country, otherwise our debt situation will get worse and worse.
Wes Allen
12:30 pm on Thursday, April 5, 2012
But, if you have a very large pool of premium payors the "pre-existing condition" problem goes away. Sort of like when you get employed by a very large corporation.
The math is always wrong by the right. How about the additional growth in the economy when the medical system is Not in the way od commerce. as it is today many decisions are being made because of medical insurance not whats best to earn money.
Lots of growth being stunted by the current system. Dollars being wasted.
Karsten Torch
8:31 am on Wednesday, April 4, 2012
Our private insurance we currently have is far from 'free-market.' We have mandates in place that demand the insurance companies cover this or that. When you do that, prices go up. It only makes sense. The insurance companies can't compete across state lines - thereby reducing the pool going into the insurance company, also increasing the prices. Regulations add costs, thereby increasing prices. Our problem is not that government needs to get more involved in heathcare, they need to get a lot more uninvolved. The only role government should have in our lives is public safety, infrastructure, and enforcing contracts, such as between us and our insurance company. When did people decide they shouldn't have to pay for their standard doctor visits? Or for contraceptives? Why should somebody else pay for this for us? Just so we get the honor of paying more in premiums? Not really sure how much sense that makes....
David Brown
8:36 am on Wednesday, April 4, 2012
The United States currently ranks 35th in the world in life expectancy. 35th!!! Wow! We are blessed with so many resources, including a top-notch healthcare system. Something is wrong somewhere. But, let me not get started:)
David Leader
8:52 am on Wednesday, April 4, 2012
I think that has as much to do with the people and the health industry as anything else. Seriously, people eat things that don't even vaguely represent food, and drink these "suppliment" shakes that are no better for you than a candy bar. They drink milk without the fat necessary to support the calcium and protein, they drink juice instead of eat real fruit, and they can't even get in their half hour of excercise per day. So blame the people for that, not the health care system.
Floyd Akridge
11:37 am on Wednesday, April 4, 2012
VERY well said David. Excellent rebuttal
Bruce Mitchell
9:12 am on Wednesday, April 4, 2012
Wow, The Patch has touched a nerve with this one. It's obvious that most of those in support of Obamacare have personal experiences that are the basis of support and virtually all of those against it either have the funds to not need its benefits (now) or haven't yet had the occasion to appreciate it. Same old story.
David Brown
9:46 am on Wednesday, April 4, 2012
Bruce, your point is similar to what I was trying to say earlier. I confess that you said it much softer than I did. Proverbs 15:1 is right, after all.:)
Floyd Akridge
11:44 am on Wednesday, April 4, 2012
Bruce...you propogate a complete distortion that frankly is laughable.
I've already posted this here several times but the problem is the fundamental shift in the balance in checks and balances. The fact that you are oblivious to this speaks volumes. It should shake you to the core of your being and the fact that you are willing to sacrifice such for a few M&M's is frightening.
2700 pages and there's no buying insurance across state lines? I can get on EBay or Amazon and buy a DVD anywhere in the US but I can't cross a state line for health insurance? HUH? And why is there no severability clause in the bill...it WAS in there but was yanked to help it pass (and now the lack of it will be, thank GOD, gets the whole bill tossed).
There are some decent things in the bill. If the M&M's weren't there you wouldn't gulp down the poison. But those things...AND MORE..could be easily done in a real reform bill that everyone could support and without Obama's power grab.
Floyd Akridge
11:55 am on Wednesday, April 4, 2012
David...you continue to amaze me. You want to hide behind a veil of Christianity while sacrificing values for a holiday. I'm sorry David but you have absolutely NO credibility. NONE...
The way you are willing to sacrifice such foundations of our nation for a few goodies is astounding. I mean no offense by this but take the time to read the Declaration of Independance a few times a year. I do. It inspires me and reminds me of what kind of sacrifices were made. Every person who signed it was DEAD if we had lost the war. Also, I suggest a read of George Washington's Farewell address. "Patriot" is tossed around like a salad nowadays but in Washington's time was when the word was invented. I'm interested in what a real Patriot has to say...It's a good read btw.
David...I know BO is your guy. Fine...but do like I did when Bush was doing some stupid stuff in 2008. I spoke out when he was wrong. BO's Obamacare is an Unconstitutional shift in the foundations of our nation. It's wrong. Speak out against it because it is and stop waving your small bag of M&M's in our Founding Father's face.
Brian Crawford
9:21 am on Wednesday, April 4, 2012
Great post Wes. The activism from the current cast of conservative justices is the worst I've seen in my lifetime. Justice's Scalia and Thomas in particular have undermined the credibility of the court by allowing themselves to be wined and dined by the Koch brothers and their ilk. Scalia's questioning during oral arguments was a litany of Republican talking points. Justice Thomas' support of his wife's extreme political activities alone makes any opinion he renders highly suspect.
Not only do we need to re-elect President Obama. We need to elect filibuster proof Democratic majorities in both houses of Congress and take bake the state houses as well. The Tea Party mania that swept the country during the mid-term elections, no matter how well intentioned, has proven to be a disaster for our our country.
Obamacare isn't perfect, but the amount of misinformation surrounding it promulgated by the GOP is astounding. The ACA is already benefiting millions of Americans and is projected to both lower medical costs and the our national debt over time. While it needs to be fine tuned, most importantly with the inclusion of a public option, repealing it would be a huge mistake.
RL
1:29 pm on Thursday, April 5, 2012
Brian - talk about activism. Sotomayor, Kagan, Ginsburg and Breyer are already the new "gang of four". At least, some if not all of the remaining Supremes are pragmatic enough to consider the entirety of the debate. What about un-constitutional do you not understand? If it is un-constitutional, it is a bad law. Period. Talk about Scalia and Thomas - Kagan worked in the Barry Soetero administration! No partisanship there.
Brian Crawford
8:13 pm on Thursday, April 5, 2012
RL, the fact that you use the pejorative "Barry Soetero" tells one all one needs to know about you and the value of any argument you may have.
Floyd Akridge
9:23 pm on Thursday, April 5, 2012
RL...don't you love the way the Left-Left-Left wing hysteria propagators avoid any factual discussion on issues?
Floyd Akridge
12:03 pm on Wednesday, April 4, 2012
Brian...don't worry...none of that is going to happen. America will be safe on November 7th from your liberal hysteria. Ya know...I actually believe you really do think the Tea Party is a disaster. You have to hate freedom and liberity thinking people getting involved in the national debate. That's terrible for people like you who treat the liberties of our nation as so much rubbish.
Your posts do make me laugh though with stuff like this.."...lower...our national debt over time". The CBO already sent you to bed on this one fella. Of course we all knew that already when you fund 6 years of service with 10 years of taxes.
Brian...in an earlier post here I recommended the reading of Washington's Farewell Address. For you, however, I feel the need to issue a warning before you do. Washington is going to give you the biggest slam that someone of that time could give out. I won't spoil the moment...if you have the guts to read it you'll find it.
Bob Chadwick
1:00 pm on Wednesday, April 4, 2012
Contrary to everyone's belied, the Supreme Court is pretty evenly balanced. There are four liberals and four conservatives with a swing vote that has gone both ways in Justice Kennedy. And the court will surprise you. Even with this breakout most people are surprised when they hear that Bush v. Gore was not a simple majority; I think it was either 7-2 or 6-3 in favor of Bush. Most people believe that it was decided 5-4 by a conservative court. Obama created his own problems with ObamaCare. He had promised no new taxes on the middle class. So rather than set this up as a tax, which he probably would have gotten through the Court with no problem, he got creative and used the mandate/penalty approach, which doesn't look like will fly. Does the medical system need to be reformed? Certainly, but it needs to be bipartisan, actually reduce costs and not just create new classes of insureds funded by the taxpayers. Anybody that thinks that the Republicans were the only obstructionists in this process only need to look at the statement "No John. I won. Elections have consequences" that Obama made to John McCain when approached about working together shortly after the election.
Brian Crawford
1:10 pm on Wednesday, April 4, 2012
There were several issues decided by Bush v Gore but the final issue was decided 5-4 by the conservative Justices. Justice should be neither conservative or liberal it should only be just. Unfortunately several of the Justices have chosen to politicize the court by overtly aligning with conservative Republican causes.
Bob Chadwick
1:20 pm on Wednesday, April 4, 2012
I’ll be the first to admit that it’s confusing. It appears that The Court ruled 7-2 that that the Florida Supreme Court's decision calling for a statewide recount violated the Equal Protection Clause of the Fourteenth Amendment though two of the seven disagreed with the Court's remedy. The Court is polarized both ways. There are several justices can be counted on to polarize the court in the opposite direction.
Floyd Akridge
5:25 pm on Wednesday, April 4, 2012
Brian...the flies won't even get near that junk...Ruth Gater Ginsburg hasn't alligned herself with Liberal causes? Sotomayer? please. You get caught talking out of all 5 sides of your mouth all the time here. Pleeeeeze.
And Brian..THANK GOD the justices decided Bush V Gore for Bush. Gore only wanted to recount a few counties that were likely to favor him. This was clearly unconstitutional and was correctly ruled so by the court. Of course you also left out that a time after the election all the ballots were counted and Bush won. But leave it to the left-left-left-left wing hysteria propogandists to slam a conservative for no cause.
Brian Crawford
6:49 pm on Wednesday, April 4, 2012
Bob, I just can't think of anything that parallels Ginni Thomas' extreme activism. She has been directly involved with efforts to defeat Obamacare. Justice Thomas has openly supported his wife's activities. How do you not let that influence your thinking on this case?
It's well documented that both Thomas and Scalia were honored guests of the Koch brother's annual Palm Springs gathering of right wing billionaires, pundits and lawmakers the year Citizens United was decided. Again, I can't think of any similar breach of decorum from the left.
Bob Chadwick
8:35 pm on Wednesday, April 4, 2012
I didn't even have to think hard to come up with a parallel. You are concerned about lobbying by a Justice's wife and the possible impact it might have on his rulings. Yet there is a sitting Justice that was initimately involved in the drafting and initial phases of ObamaCare in Justice Elena Kagan. Hard to believe it wasn't 1 - zip before the case was even heard.
What is even scarier to me is that when the rumors came up that she spilled the beans to Obama I asked one of my more liberal friends what he thought and his appalling reply "of course she did it, they're tight!
Which is worse, I'll leave for you to decide. I stand by my opinion that it is happening on both sides of the fence (the middle too if you want to nit pick) and that nobody has clean hands.
Brian Crawford
9:25 pm on Wednesday, April 4, 2012
Doh....well that was obvious. While I think it's incorrect to say Kagan was "initimately involved in the drafting and initial phases of ObamaCare", I can certainly understand why her tenure as Solicitor General gives you the same queasy feeling Thomas gives me.
Bob Chadwick
8:51 pm on Thursday, April 5, 2012
An interesting article on Justice Kagan.
http://www.reuters.com/article/2012/04/05/us-usa-court-kagan-idUSBRE83410E20120405
Floyd Akridge
10:20 pm on Thursday, April 5, 2012
A moment here to deviate from the topic at hand. Isn't it funny to hear democrats wax on about how bad the Bush Tax cuts were and how they were for the rich. One of the things in the package was an expansion of the Child Tax Credit from 500 to 1000 per child. Funny...it's actually Democrats who want to increase taxes on working middle income families.
LK
1:12 pm on Wednesday, April 4, 2012
It should appeal to both Democrats and Republicans because it’s sensible and logical. At the same time, it’s what religious conservatives learn in church - the “promise of America – the idea that we are responsible for ourselves, but that we also rise or fall as one nation; the fundamental belief that I am my brother’s keeper; I am my sister’s keeper” President Barack Obama
Ned Lane
1:15 pm on Wednesday, April 4, 2012
The bedrock premises of Obamacare were originally conservative ideas. The Heritage Foundation were the first to champion the individual mandate. Newt liked the idea back in the day. The presumptive Republican presidential nominee implemented the plan on which Obamacare was modeled. I have read a lot of outrage at Obamacare, but never seen a viable alternative put forth.
The only option I can imagine other than an individual mandate to buy insurance from a private insurance company, is a single payer government run plan. Every single other wealthy, capitalist, democratic country in the world has insurance guaranteed for their citizens. All we have is guaranteed, expensive, emergency room treatment for life threatening emergencies. We can, and must, do better. For every car General Motors sells, they spend more on retiree health care than they do for the steel in the car. It's hard to compete with Toyota with that legacy cost hanging on you
David Leader
1:37 pm on Wednesday, April 4, 2012
I fact-checked the Democratic country statement (made apparently by Dean in 2009). It's untrue; India, Mexico, and Turkey have none; while many other countries (especially in Europe) are beginning to falter under their universal health care. I "get" that there may be a better system, but we can't be a democracy part of the time; medicine needs to face free market as well, and we as a country cannot afford this program. Especially when we are a nation of hypochondriacs that you don't find in many other countries.
Even many countries that DO have universal health care allow for people to get private as well. I was actually talking to our friend from Sweden about this; basically healthcare can take weeks to get, so many citizens that can afford it pay privately because they can't afford to wait that long.
Finally, I'm against ANYTHING that punishes you for being healthy. Americans already have problems taking care of their health :).
Brian Crawford
6:24 pm on Wednesday, April 4, 2012
Actually David, according to the GAO we as a country can't afford not to do it (Obamacare). http://www.gao.gov/assets/590/589835.pdf
I hate to break it to you but we already have long waits for much advanced care here in the US. It takes a minimum of 2 months for me to schedule an appointment with my Cardiologist and I had to wait 6 weeks for a hernia repair last year.
When you talk about healthy Americans you're really talking about young Americans. Many folks, even those who live healthy lifestyles, are genetically predisposed toward illness. Before my forties I rarely went to the doctor. Things change as you age. Most folks under 50 have no clue about the realities of our health care system.
David Leader
7:54 am on Thursday, April 5, 2012
I don't know enough about that document to comment; other than it seems a bit of a stretch to have it skyrocketing without Obama care and a flat level on it.
I will disagree on the healthy adult think; my parents are in their 70s and very healthy; and we have a lot of members of the Atlanta Outdoor Club in their 60s and 70s that are active, healthy, and fit. I don't really think age is an excuse here; that is just when people who have not practiced preventative care their whole life begin to see their bodies decline. As American's we spend the lowest % of our income on food in the world, and the highest in medical. It's not a coincidence; people need to change their mindsets in this country to make healthy eating priority #1.
Floyd Akridge
11:21 am on Thursday, April 5, 2012
Brian...you will grasp at literally anything to try to make a half-point. Did you actually READ this document from the GAO? I wonder...
Early on it starts with this assumption which I quote "Further, as the economy recovers, revenue increases and spending decreases". Can we all laugh together? Spending decreases...yeah right. This is Barak "1.3 trillion dollar deficit a year" Obama. He can't use "spending" and "decreases" in the same sentence. What a hoot.
But here's the kicker and you have to read to page 5 to find it...again...I quote "Under the Baseline Extended simulation, revenues as a share of the economy are higher and discretionary spending is lower than historical averages".
MAGAWD BRIAN...discretionary spending is lower than historical averages? Under Obama??????
Brian, as usual, you help me make my point but frankly I don't need the help. Obamacare is not only unconstitutional but is terrible legislation otherwise. We could do the good parts of the bill (and yes there are some...you can't make people eat poison if there's no candy) and SO MUCH MORE if the real reason for the reform wasn't a power grab and "transforming America" into communism.
Floyd Akridge
11:23 am on Thursday, April 5, 2012
Brian...if it takes you 6 weeks to get an appointment with a cardiologist you should look for another cardiologist instead of trumpting obamacare. I don't have that problem at all.
Brian Crawford
7:55 pm on Thursday, April 5, 2012
Floyd, you've obviously read the report and yet STILL deny the facts. Yes, as the economy improves and more people go back to work tax revenues increase and safety net spending decreases. This is ECON 101. Seems pretty easy to understand to me.
Go back and read the definition for the Baseline Extended Simulation which includes current assumptions on entitlements plus the impact of both Obamacare and the recently passed Budget Control Act. It also assumes the expiration of the Bush tax cuts.
Under that scenario the GAO does indeed project that for the next decade "revenues as a share of the economy are higher and discretionary spending is lower than historical averages". I'm pretty sure those folks know a lpt more about this stuff than you or I. Sounds like Obama's doing a pretty good job to me. Sorry if the truth is in conflict with the GOP's manufactured version of reality..
Floyd Akridge
10:19 pm on Thursday, April 5, 2012
Brian...I do agree...as more people return to work, *all other things being equal*, revenue will increase. However, you confuse terms with regard to spending. The GAO uses "discretionary" and you use "safety net". Not the same things.
The key here is that all other things are not equal. We have President Obama who has successfuly increased the national debt by more than any other President in history. He makes the previous President look like a spend thrift. Projections for FY2012 are 1.3+ trillion dollars alone. Taking OC out of the equation for a moment...how much do interest payments ALONE increase? Monies going for interest payments are funds that could otherwise be used for business investment/expansion. That means a stronger economy which means a LOT more revenue. Consequently ObamaDebt is raping our economy which is one of the reasons for this pathetic "recovery". Revenues will not expand above historical averages and discretionary spending falling below historical averages are words President Obama can't use in a sentence. Won't happen.
You also note the assumption of the expiration of the Bush Tax Cuts. That would be a further drag on the economic "recovery" making it even more unlikely for the senario predicted by the GAO to occur.
Tammy Osier
3:13 pm on Wednesday, April 4, 2012
Youtube Marco Rubio / Obamacare / Msnbc. He has a great idea which keeps costs low, gives people access to good healthcare of their choosing and includes a government safetynet for those with castastrophic illnesses who previously had been uninsurable due to prexisting, and low income coverage. Very sound.
People shouldn't defend obamacare for purely partisan reasons, which I suspect they are but won't admit, but look at what we have now that isn't working and fix it. Obamacare simply gives us no choices, waiting lines and eventual banckruptcy nationally.
Anne Thomas
7:55 am on Thursday, April 5, 2012
All of us instead should focus on demanding that our representatives fight for the real solution to the problem - separating health care from employment. It is a commodity like any other insurance and should be treated as such. Listen to most economists and that's what they'll say.
We sure love to over-complicate things here in America.
David Leader
8:11 am on Thursday, April 5, 2012
That'd be great; if it wasn't for the fact that people just wouldn't do it if it wasn't there. We're simply lazy in this country; sad but true... I had trouble remembering to get my health insurance during my layoff period a decade ago, and wouldn't have if my parents had not hounded me. Plus, they would need to increase incomes to compensate for what we always took for granted. And while I may pay $20 a week, asking me to pay a few hundred or more per month might get me to just want to "take my chances"; especially as a person who hasn't been to the doctor's office in 13 years.
Rick Smith
10:19 am on Tuesday, June 26, 2012
Anne - you hit it on the head! Do we go to our employer or government for homeowners insurance, or auto insurance? Of course not.
As for David's comment below that most people wouldn't do it - that's OK David. Your choice! But you get to live with the consequences of that decision. Maybe you'll come out ahead, maybe not. But we should all be responsible for our own health care.
John Wagner
11:48 am on Thursday, April 5, 2012
It is disappointing such an important subject has become politicized. The law has some good objectives but for every example provided for people helped....I can show harm and unintended consequences with specific marketplace examples. The bill must be significantly downsized/restructured to achieve its own stated objectives and of course the financial assumptions were not sound and will bankrupt us.
I don't mean this note to critique anyone's views but rather I present this with a hope that a more fact based process will be undertaken away from the political considerations. We should be able to help people in need and those with severe medical problems without having the taxpayers foot the bill for individual, personal care decisions.
In the end, the Supreme Court Decision is not what is important. If they strike it down, we have a system that all agree needs reform. If they don't, we have a new process that will cause more harm than good and will surely bankrupt us.
Personal responsibility and free market innovation in healthcare practices are needed along with some sensible catastrophic protections/ help for our most needy.
Brian Crawford
8:07 pm on Thursday, April 5, 2012
Obamacare has to be the most thoroughly vetted, over analyzed piece of legislation in history. Dozens of CBO and GAO reports have repeatedly reached the same conclusions. Obamacare bends the curve on medical expenses and reduces the deficit over the next decade. Those are conclusions generated by non-partisan, fact based analysis.
Bob Chadwick
8:15 pm on Thursday, April 5, 2012
I hope your right Brian, assuming you get the chance, because I haven't seen anything that has come to those conclusions. My concern is that the attempts to place price controls on the system, Obama's primary cost containment mechanism, don't drive primary care doctors, those that get paid the least, out of medicine because they can't afford to pay back the costs of their education.
Brian Crawford
8:23 pm on Thursday, April 5, 2012
Actually Bob, Obamacare attempts to address that problem with the Primary Care Incentive Payment program: http://www.acponline.org/running_practice/practice_management/payment_coding/bonus.htm
Bob Chadwick
8:33 pm on Thursday, April 5, 2012
The report you link to says that those providers can expect to receive $8,000 in Medicare payments each year with a 10% bonus, or $800. Doesn't change my concern at all.
Brian Crawford
8:48 pm on Thursday, April 5, 2012
I'm pretty sure that first paragraph meant to say "$8,000 in additional Medicare revenue", meaning an $8,000 bonus, I can't imagine them making a fuss over $800. I'll see if I can clarify that.
Floyd Akridge
10:24 pm on Thursday, April 5, 2012
Brian...your statement about ObamaCare reducing the deficit has only one small problem...it isn't true.
When the CBO, ***as required by law***, scored the bill it had to take it as written. The bill contained 10 years of revenue funding 6 years of services. Unfortunately that senario doesn't continue and once the system has to be fully funded it costs about twice what was advertised. But leave it to Obama and his socialism/communism to try to make the public believe that you can lower the debt by spending more.
Tammy Osier
12:10 pm on Thursday, April 5, 2012
Jw thats exactly what Marco Rubio was trying to say. Unfortunately, partisan politics and pride will keep liberals from admitting it. Sad.
Karsten Torch
12:24 pm on Thursday, April 5, 2012
JW, partisan politics was the whole reason that Obamacare was passed. In the middle of the night. If passed, they got their 'healthcare' bill for the masses, especially those that are already beholden to the government for their very existence, and if not, they could blame it on the GOP for blocking it. The timing was very calculated to help with the last elections. It didn't, but it was supposed to. There's nothing about this bill that is bipartisan. That's why Obama and his criminals, er, cronies, had to buy and intimidate the dems to get it pushed through.
John Wagner
3:10 am on Friday, April 6, 2012
To the point on scenario planning and vetting. There were volumes of numbers but they were largely assumptive scenarios and not fact based. We are just beginning a vetting stage. Remember, many rules are still in development so these costs could not be known until this step was completed.
Class was already identified as unworkable in ACA and was an important source of funding. Class was the Long Term care program. We were going to pay in premiums for a number of years before benefits were dispersed. The change in Class happened when better data was developed and the results were way off the projections (these projected benefits were low anyway and below actual LTC costs).
Class is probably the tip of the iceberg. We are already seeing a shift from an employer supported market to the individual market which could shift more cost to middle class consumers despite what you might hear on the campaign trail. Do we know what will happen to premiums when coverage standards are applied at the exchanges? Other possible outcomes: Capitation reducing healthcare supply or more medical practices opting out of the insurance program and going concierge/fee.
My main disappointment and personal opinion is that this has been built on a political foundation(not the best approach). Personal responsibility and free market innovation in healthcare practices are needed along with some sensible catastrophic protections/ help for our most needy.
Jane Patla Tanner
12:31 pm on Friday, April 6, 2012
From the World Health Organization's report entitled "World Health Statistics 2009":
The United States spends the most money in the world on its health care system, as a percentage of GDP, and ranks 37th in overall performance.
Healthcare reform is a step in the right direction - I'm hopeful we are on our way to a universal, single payer system. May everyone live healthy, be healthy, and enjoy a long healthy life. :-)
Karsten Torch
3:07 pm on Friday, April 6, 2012
Only problem with the WHOs report is that it grades based on what it calls humanitarian criteria, like access to free care and such. For the truly important numbers (to me, at any rate) like survivability rates for cancer and such, and length of wait for doctors, especially specialists, the US comes out best. We have the technology and the innovation that comes from having a free market system - or at least as free and we can still be with the current level of government involvement. I'd personally rather pay a bit and live, thank you....
John Wagner
8:51 am on Saturday, April 7, 2012
The US probably spends the most as it uses the system more for all the reasons we know (entitlements...money doesnt come out of one's pocket, lawsuits resulting in more tests than what are needed, need for improved general heath, etc) . Insurance doesn't solve that. Having personal international experience, single payer can produce either capitation (reduced supply) and/or massive budget deficits. I do think "cost" is the better discussion to debate and how best to accomplish. In my view, innovations in how care is implemented, tort reform, and other new private marketplace innovations that foster competition will help drive down cost. Supported by consumer directed health plans like HSA's etc. along with a safety net for truly needy and those with severe medical problems can provide the answer. In substance, ACA is not going in this direction.
Mike NIfong
5:47 pm on Monday, April 9, 2012
If I were as ignorant as the author of the screed, I wouldn't broadcast it to the world.
Simply pathetic.