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The PPACA - Implementation Phase I

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  • Guest's Avatar
    Guest replied
    Re: The PPACA - Implementation Phase I

    The Affordable Care Act authorizes an array of grants to local hospitals, community health clinics and doctor training programs, as well as public health initiatives to improve health and access to care. The billions of dollars in grants are awarded on a competitive basis, and lawmakers on the state and federal levels have sent letters endorsing applicants.

    Texas Senator John Cornyn, the Republican whip, wrote to the Centers for Disease Control to recommend a grant for Houston and Harris County. Congressman Michael McCaul, a Republican and the chair of the Homeland Security Committee, wrote a letter praising the same grant request, calling the effort a “crucial initiative to achieve a healthier Houston/Harris County.” Senators Johnny Isakson and Saxby Chambliss of Georgia, Mark Kirk of Illinois and Thad Cochran of Mississippi also recommended grant request approval for public health or health clinic funding.

    House Republicans and the Senate Republican Policy Committee have trashed the ACA’s Community Transformation grants as an Obamacare “slush fund.” In the letters seeking these grants, however, GOP lawmakers have heaped praise on their potential. Cornyn writes in his letter that the grant would help “improve the health and quality of life of area residents.” Congressman Aaron Schock, a Republican from Illinois, congratulated a local nonprofit for winning a Community Transformation grant, noting that the program will give “people the tools to live healthier and longer lives.”

    The National Republican Senatorial Committee warns of Obamacare that “as this awful legislation gets ever closer to going into effect, the negative consequences are only becoming increasingly clear.” But the NRSC’s chair, Jerry Moran, has hailed programs that exist because of it. In August, he attended a ceremony announcing a $4.7 million expansion of the Community Health Center of Southeast Kansas. A picture posted on Moran’s official Facebook page shows the senator in a suit with his foot on a shovel to break ground for the health clinic. “That funding—that came from the Affordable Care Act, and he voted no,” says Krista Postai, CEO of the CHC-SEK clinics. She adds that Moran had been supportive of health clinics in the past, and she was disappointed to see him vote against the law that made her clinic expansion possible. Postai noted that her clinics are already improving lives with ACA funding, and that there are thousands of uninsured and disabled people in her community who now receive coverage and preventive care thanks to the law.
    Sounds terrible.

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  • sagard
    replied
    Re: The PPACA - Implementation Phase I

    Originally posted by FreshFish View Post
    ...The drafters of PPACA were akin to those 16 year olds, but they didn't even allow any parents in the room....
    Well if half your parents simply tell you repeatedly your stupid and the other half are dems, would you really want any of the parents in the room?

    The concept of providing health care for everyone at a lower cost than we are currently spending is a good one. The PPACA's execution of that concept is not likely going to be great. The Republicans will be in charge again at some point. When this occurs will they do anything to improve PPACA? No. They will let it continue flawed as it may be. They will be busy starting wars, creating fear, and giving tax breaks to oil and defense.

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  • FlagDUDE08
    replied
    Re: The PPACA - Implementation Phase I

    So, to all of those gloating about PPACA, I was wondering... how many of those people were doing the same gloating about the Defense of Marriage Act?

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  • Rover
    replied
    Originally posted by FreshFish View Post
    Apparently you are quite the expert on stupid comments, eh?
    Not until you joined the message board.

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  • FreshFish
    replied
    Re: The PPACA - Implementation Phase I

    Originally posted by The Flatulant One View Post
    Stupid commentary on several levels.
    Apparently you are quite the expert on stupid comments, eh?

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  • aparch
    replied
    Originally posted by FreshFish View Post
    I can't find the link on my phone but I read that it used to be a # for social security years ago, and since it was still part of the Gov't numbers, they were assigned it.

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  • ScoobyDoo
    replied
    Re: The PPACA - Implementation Phase I

    Originally posted by Priceless View Post
    Look on the bright side...at least you are a productive member of society. All I am is a leech and everyone would be better off if I stopped consuming precious oxygen.
    I think "Productive Member of Society" is a relative term. Since I'm on the dole I'm just as bad as you are. Maybe more cause my ceiling should be higher.

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  • Rover
    replied
    Originally posted by FreshFish View Post
    My impression of the people who wrote PPACA is a group of ideologically motivated young who meant well and who were quite naive and inexperienced and didn't even know how much they didn't know. They acted as if they knew all that was needed to be known, yet they were completely oblivious to the existence of mini-med programs (hence the 1,800 waivers or whatever in the first year).

    I am reminded of Mark Twain's observation, which I paraphrase slightly: "when I was 16, my father was one of the most ignorant beings on the planet. by the time I turned 24, I was amazed at how much wisdom the old man picked up over the last 8 years." The drafters of PPACA were akin to those 16 year olds, but they didn't even allow any parents in the room.

    Again, no malice, no "screwing" just way too many "oops, I didn't know that" moments.

    Stupid commentary on several levels. Your impressions are often inaccurate so its safe to assume this one is to. As anybody associated with the PPACA often stated in public for anybody with at least one working ear, is that the law could always be tweaked upon its passing as situations came up. Indeed, most legislation does over time. Now tweaking does not equal repeal or we'll force a debt default. The major failing of The Boner and the knuckledragger caucus was not playing ball and getting some of what they wanted in there. Now they have zero credibility and trust as the public at large believes the primary motive of the party is to make things difficult for the Prez. This is coupled with unprecedented unpopularity of the GOP and the Congress. There's a reason for that, which isn't everybody loves Obamacare. The reason is that the public sees Republicans as a bunch of petty old whiners who are offering no real solutions to anything.

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  • Guest's Avatar
    Guest replied
    Originally posted by ScoobyDoo View Post
    All I know is I'm on the public dole. So, I don't really care.
    Look on the bright side...at least you are a productive member of society. All I am is a leech and everyone would be better off if I stopped consuming precious oxygen.

    Leave a comment:


  • ScoobyDoo
    replied
    Re: The PPACA - Implementation Phase I

    Originally posted by FreshFish View Post
    My impression of the people who wrote PPACA is a group of ideologically motivated young who meant well and who were quite naive and inexperienced and didn't even know how much they didn't know. They acted as if they knew all that was needed to be known, yet they were completely oblivious to the existence of mini-med programs (hence the 1,800 waivers or whatever in the first year).

    I am reminded of Mark Twain's observation, which I paraphrase slightly: "when I was 16, my father was one of the most ignorant beings on the planet. by the time I turned 24, I was amazed at how much wisdom the old man picked up over the last 8 years." The drafters of PPACA were akin to those 16 year olds, but they didn't even allow any parents in the room.

    Again, no malice, no "screwing" just way too many "oops, I didn't know that" moments.
    All I know is I'm on the public dole. So, I don't really care.

    Leave a comment:


  • FreshFish
    replied
    Re: The PPACA - Implementation Phase I

    My impression of the people who wrote PPACA is a group of ideologically motivated young who meant well and who were quite naive and inexperienced and didn't even know how much they didn't know. They acted as if they knew all that was needed to be known, yet they were completely oblivious to the existence of mini-med programs (hence the 1,800 waivers or whatever in the first year).

    I am reminded of Mark Twain's observation, which I paraphrase slightly: "when I was 16, my father was one of the most ignorant beings on the planet. by the time I turned 24, I was amazed at how much wisdom the old man picked up over the last 8 years." The drafters of PPACA were akin to those 16 year olds, but they didn't even allow any parents in the room.

    Again, no malice, no "screwing" just way too many "oops, I didn't know that" moments.

    Leave a comment:


  • FreshFish
    replied
    Re: The PPACA - Implementation Phase I

    Originally posted by jerphisch View Post
    since a construction company still has office staff that may be paying rates that are more geared to construction workers
    ah, good, so here at least we do tacitly agree: generally, one very significant component health insurance rates is the prospective risk of the pool of covered insureds. You seem to acknowledge that health insurance premiums in an employer-sponsored plan will indeed vary in part based on the risk profile of the employees.

    Originally posted by jerphisch View Post
    you are complaining that young people get screwed by Obamacare.
    No, I'm not. That's the second or third time now that you've attributed a moral component to my comments, which have been limited in this context solely to practical concerns. I never used the term "screwed." To say that young people are over-paying relative to their risk profile is merely a statement of fact, one which you seem to tacitly acknowledge as well. Your emotion-laden terms seem to indicate that you have inferred that I somehow think that PPACA has deliberately set out to do young people a disservice, and that is just not correct.

    Let's walk together for a moment, to translate the conversation into practical terms without value judgments. You are saying that one way to set insurance rates is to have one pool of people from age 18 through 64 (let's assume children under 18 are already covered in states' CHIPs).

    No argument here. One could indeed set rates based on that risk pool.

    I might reply that it seems preferable to me to have two sets of rates, one for smokers and one for non-smokers. Smokers have far higher risks of cancer and lung disease than non-smokers, and smoking is a voluntary choice. Having dual rates in practice would have an ancillary benefit of providing another financial incentive for smokers to quit, thereby reducing their usage of the healthcare system, reducing costs for everyone. I just don't think it is "fair" to non-smokers to pay extra to cover the extra costs of treatment that smokers will incur. Now, if we do NOT have separate rates for smokers and non-smokers, would you say that non-smokers are "getting screwed"? or would you merely note that smokers are paying more than their risk profile would indicate, so that smokers can thereby pay less than their risk profile would indicate?

    There are two things to note (facts only) about the way PPACA uses one risk pool for people 18 - 64:
    1) they give people the choice to opt out. This makes pricing far more unstable and volatile. Health insurance pricing generally occurs one year in arrears (or a rolling average of 3 or 5 prior years). This year's rates are based on anticipated experience, and much of that anticipated experience is an extrapolation from existing experience, perhaps adjusted or tweaked by the pricing actuaries. However, in the case of PPACA, it's all brand new: there is no prior experience from which to extrapolate. Giving people the choice to opt out adds another huge component of uncertainty and volatility to the situation.
    2) the administration has been all over the news telling people how important it is to get young people to sign up. It has been the administration, not me, telling people they need lots of younger participants to enroll so that their premiums will help cover expenses expected to be incurred by older people that exceed premiums expected to be paid by older people. This is all by their design, it is all one risk pool, remember? It is very much analogous to the smoker / non-smoker situation.


    I'm saying this is a very poor design. Smoker / non-smoker rate differential and age banding would have been a much, much better implementation.
    Last edited by FreshFish; 10-04-2013, 11:33 AM.

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  • unofan
    replied
    Originally posted by FreshFish View Post
    Funny how you have time to post tripe like that but have no response after being schooled in statutory interpretation.

    So much for wanting to engage in meaningful discussion.

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  • Guest's Avatar
    Guest replied
    Re: The PPACA - Implementation Phase I

    Originally posted by FreshFish View Post
    No. It was done intentionally to see who would be childish enough to see it. Congratulations.

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  • St. Clown
    replied
    Re: The PPACA - Implementation Phase I

    Originally posted by ScoobyDoo View Post
    Yeah, no kidding. Sorry everyone I guess I'm a ****ing freeloader. Where the **** is my food stamps etc? I should be getting as much as everyone else. In fact I want my unemployment insurance even though I'm working.

    God this conversation is stupid.
    Why is that? Is it because you're unaware of just how much the government does and it's challenging you to open your arms?


    Even though I don't agree with him on much, at least unofan will have a real conversation about things and not simply pout.

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