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America's Affordable Health Choices Act of 2009 - The USCHO debates

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Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

I cracked a joke and offered an addition. I guess that's "gutter ball" to someone who lives with his head in the gutter.

A Republican talking point is an addition? Calling someone who offers real experience to the discussion Barack who has no experience in health care at all is a joke?

Wow, I'm rolling with laughter.
 
Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

To call them "death committees" is accurate... these will be the boards that decide that your life is too expensive to maintain and deny access to treatment X. The Public Option will become supreme because that's what the dems need it to be so there'll be very little option other than the gov't so denied access will likely be denied access.

The worry about her little child is that, like you, the child is not a senior citizen YET. There will be open talk about the pragmatism of weighing the "quality of life" and I'm sure one of those will be the quality of life of the mentally handicapped. We've already seen it argued that such children are a burden on society. WE'VE ALREADY SEEN IT ARGUED THAT THIS SPECIFIC CHILD IS A DE FACTO BURDEN ON SOCIETY. The fact is old people are a financial burden but its one we accept right now because of own desires and our morals system. Government is often much colder than this dependent on the "just doing my orders" mentality or owing to specific cold realities or ideological pronouncements.

Of course they won't be called "death panels" nobody would call it that and nobody would want to call themselves that... Britain has NICE boards and the US legistlation also calls the program NICE but the words specifically means different things. To reign in costs those "tough decisions" will be made whether people like them or not. Those "tough decisions" will be made by the government. Similarly, there's items in the bill which stress DNRs and other matters.... what happens if its in the gov'ts interest to not generate costs and one manner of cutting costs is to insist on DNRs for those over a certain age as the numbers tell them the costs are not worth it.

Pay attention to what they say because they've been talking in these terms for years. The difference is that they're OK with this system and terminology because they've decided its morally ethical to the state and to their fellow man. After all, they're the knowledgeable pragmatists that are trying to save us.

Are you really this stupid or do you just play a character on the message board?

Regardess, I'll let a fellow conservative answer you:

The reckless Right courts violence
Hysterical talk from TV and radio hosts may be a cynical marketing exercise. But it's getting too dangerous to ignore.
THE BULLPEN•Thursday, August 13, 2009Comment Print Email
David Frum
David Frum

A man bearing a sidearm appears outside President Obama's Aug. 11 town hall meeting in Portsmouth, N.H., under a sign proclaiming, "It is time to water the tree of liberty."

That phrase of course references a famous statement of Thomas Jefferson's, from a 1787 letter: "The tree of liberty must be refreshed from time to time with the blood of patriots & tyrants."

Earlier that same day, another man is arrested inside the school building in which the president will speak. Police found a loaded handgun in his parked car.

At an event held by Rep. Gabrielle Giffords in Arizona last week, police were called after one attendee dropped a gun.

Nobody has been hurt so far. We can all hope that nobody will be. But firearms and politics never mix well. They mix especially badly with a third ingredient: the increasingly angry tone of incitement being heard from right-of-center broadcasters.

The Nazi comparisons from Rush Limbaugh; broadcaster Mark Levin asserting that President Obama is "literally at war with the American people"; former vice presidential candidate Sarah Palin claiming that the president was planning "death panels" to extirpate the aged and disabled; the charges that the president is a fascist, a socialist, a Marxist, an illegitimate Kenyan fraud, that he "harbors a deep resentment of America," that he feels a "deep-seated hatred of white people," that his government is preparing concentration camps, that it is operating snitch lines, that it is planning to wipe away American liberties": All this hysterical and provocative talk invites, incites, and prepares a prefabricated justification for violence.

And indeed some conservative broadcasters are lovingly anticipating just such an outcome.

Here's Fox News' Glenn Beck clucking sympathetically that white males are being driven into murderous rage by "political correctness."

Here again is Beck chuckling as he play-acts the poisoning of Nancy Pelosi.

Just yesterday, the radio host Sean Hannity openly contemplated violence—and primly tut-tutted that if it occurs, the president will have only himself to blame.

Hyperbolic accusation and fantasy murder may well serve a talk-radio industry facing a collapse in advertising revenues—down 30–40 percent over the past two years, reports NewMajority.com's Tim Mak.

As revenues dwindle, hosts feel compelled to intensify the talk-radio experience, hoping to win larger audience share with more extreme talk. It's like the early days of the pornography industry: At first a naked woman is thrilling enough, but soon a jaded audience is demanding more and more, wilder and wilder.

For the radio hosts, it's all mostly a cynical marketing exercise. But the audience? Not all of them know better.

In April, the Department of Homeland Security released a report warning of the danger of right-wing political violence in the United States, and mainstream conservatives erupted in offense.

National Review's Jonah Goldberg wrote: My real objection to this report is that its source material amounts to "everybody knows." Everybody knows the right is full of whack-jobs, hatemongers, and killers, and if we don't remain vigilant, bad things will happen.

Michelle Malkin asked in her syndicated column: What and who exactly are President Obama's Homeland Security officials afraid of these days? If you are a member of an active conservative group that opposes abortion, favors strict immigration enforcement, lobbies to protect Second Amendment rights, protests big government, advocates federalism or represents veterans who believe in any of the above, the answer is: You.

Newt Gingrich tweeted: "The person who drafted the outrageous homeland security memo smearing veterans and conservatives should be fired."

I don't think the former speaker could tweet such a thing today in good conscience. The person who drafted that homeland security memo has gained very good reason to be worried. The guns are coming out. The risks are real.

It's not enough for conservatives to repudiate violence, as some are belatedly beginning to do. We have to tone down the militant and accusatory rhetoric. If Barack Obama really were a fascist, really were a Nazi, really did plan death panels to kill the old and infirm, really did contemplate overthrowing the American constitutional republic—if he were those things, somebody should shoot him.

But he is not. He is an ambitious, liberal president who is spending too much money and emitting too much debt. His health-care ideas are too ambitious and his climate plans are too interventionist. The president can be met and bested on the field of reason—but only by people who are themselves reasonable.

----------------------------------------------------------------------
 
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Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

Wow. A nice comprehensive posting like that and you decide to go gutter ball.

When ideology is refuted by experience, when has ideology ever yielded?

To extend your analogy, once a ball is in the gutter it has nowhere else to go. There are plenty of other balls in the lane that can still change course, even if they have a lot of spin on them. Those are worth the time.
 
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Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

-Massachussetts plan is failing. The folks that used to save money for appts now shell out 350 (most closer to 600) a month for a plan that has mostly catastrophic coverage because it has a 3000$ deductible. I know of one person who is opting to pay the fine at the end of the year because it is less expensive than the coverage and she is more able to pay her costs without insurance. Can't make ends meet if she gets the required coverage. In my area there is one primary care practice taking new patients. The primaries are inundated and the resources to care for the influx as well as the availability of appts for many specialists are at a premium. They shoved this thru so Romney would look good but no one thought of the consequences without getting stuff in place.

This is interesting
 
Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

I think office holding conservatives have difficulty saying this politically, but since conservatives on this board don't hold office, would it be fair to say that...

1) Medicare and Medicaid should be eliminated entirely?
2) Members of Congress should have a private insurance company manage their coverage in order to save costs?
3) While it's our duty as citizens to pay for the medical treatment of our veterans, we should not constrain them to the VA system and allow them to choose whichever doctors they want?
 
Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

I think office holding conservatives have difficulty saying this politically, but since conservatives on this board don't hold office, would it be fair to say that...

1) Medicare and Medicaid should be eliminated entirely?
2) Members of Congress should have a private insurance company manage their coverage in order to save costs?
3) While it's our duty as citizens to pay for the medical treatment of our veterans, we should not constrain them to the VA system and allow them to choose whichever doctors they want?

1) Correct. But since they can't say that politically they'll go with what they've got now. Big problem they have with their true feelings is they're the ones that passed the drug benefit. Why? I still wonder.

2) Yes. Put your money where your mouth is and pay for your own health care.

3) Veteran's should have the best health care available to them. I'm not sure that's the VA or why we need a VA. They should be able to go wherever they need to and get what they need.
 
Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

A Republican talking point is an addition? Calling someone who offers real experience to the discussion Barack who has no experience in health care at all is a joke?

Writing off what I said as a "Republican talking point" is the joke. I guess just because some Republicans have said it, it isn't true, right Biff?

The Exiled One said:
I think office holding conservatives have difficulty saying this politically, but since conservatives on this board don't hold office, would it be fair to say that...

1) Medicare and Medicaid should be eliminated entirely?

I don't know. I'm not completely heartless. I could even see Medicaid being slightly expanded if they could ever get rid of the rampant waste and corruption in that program. Medicare needs a total revamp and is way too bloated, though. Bush made it even bigger.

2) Members of Congress should have a private insurance company manage their coverage in order to save costs?

Really, they should. We're in this mindset, or at least Congress is, that being in Congress should entitle someone to all kinds of wild benefits. Their pensions are ridiculous too. There's a reason they say that an individual is serving in Congress.

3) While it's our duty as citizens to pay for the medical treatment of our veterans, we should not constrain them to the VA system and allow them to choose whichever doctors they want?
An interesting point for me personally, since my first VA clinic appointment is next week. I think the VA is a microcosm of how well government-run healthcare works. Vets certainly don't go to the VA for any other reason than that they can get free or cheap service there, but it certainly isn't easy, efficient, or even high in quality. Then again, that's what happens in a cost-preventative system. Allowing them to choose their own doctor, in this case, would cost more money, which is exactly why it won't eventually be an option in a government-run system that seeks to be cost-preventative. I believed this even before I became a vet - the government owes healthcare to those who have fought and were wounded (or, possibly like me, became sick) fighting for our country. It's not an efficient system but it's at least something, and it's a small segment of our total population. So it seems heartless to say it, but even as a vet I have to say no. If they want to choose their doctor, that's their choice but not on the VA's thin dime.
 
Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

1) Medicare and Medicaid should be eliminated entirely?

Medicare/Medicaid is proof of what happens when you let gov't into the picture. M&M started out as a combined $7B program in 1968. It now costs $700B/yr.

So why should we let gov't control more healthcare?:confused:
 
Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

Similarly, there's items in the bill which stress DNRs and other matters.... what happens if its in the gov'ts interest to not generate costs and one manner of cutting costs is to insist on DNRs for those over a certain age as the numbers tell them the costs are not worth it.

No one's forced to enter into DNRs, it's completely voluntary, all it says is if there's a conversation the doctor must cover a set of subject areas if they want reimbursement. (http://www.npr.org/templates/story/story.php?storyId=111742098)
 
Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

I don't know. I'm not completely heartless. I could even see Medicaid being slightly expanded if they could ever get rid of the rampant waste and corruption in that program. Medicare needs a total revamp and is way too bloated, though. Bush made it even bigger.
I don't think somebody can be partially for Medicare, as people under the current health care system often end up on Medicare because medical bills wipe them out. I think, to be idealogically pure, one has to be completely against government health care... the VA included. I mean, we should be paying for vet's health care no doubt, but should the government be employing the doctors? Wouldn't it be capitalistically more pure for the VA simply to negotiate rates with medical service providers, thus allowing a vet to choose from more than a limited pool of doctors?
 
Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

I don't think somebody can be partially for Medicare, as people under the current health care system often end up on Medicare because medical bills wipe them out. I think, to be idealogically pure, one has to be completely against government health care... the VA included.

And I disagree. Just because I don't favor nationalized healthcare on a rampant scale, doesn't mean there aren't places where it might be called for on a smaller scale - even if, in many, if not most or all situations where it might actually be used, there are better options both quality-wise and efficiency-wise.

I mean, we should be paying for vet's health care no doubt, but should the government be employing the doctors? Wouldn't it be capitalistically more pure for the VA simply to negotiate rates with medical service providers, thus allowing a vet to choose from more than a limited pool of doctors?

If the government could better control costs that way with no rationing, that would be fine.
 
People need to be willing to consider the healthcare plan may or may not work:

The reckless Right courts violence (condensed)

The Nazi comparisons from Rush Limbaugh; broadcaster Mark Levin asserting that President Obama is "literally at war with the American people"; former vice presidential candidate Sarah Palin claiming that the president was planning "death panels" to extirpate the aged and disabled; the charges that the president is a fascist, a socialist, a Marxist, an illegitimate Kenyan fraud, that he "harbors a deep resentment of America," that he feels a "deep-seated hatred of white people," that his government is preparing concentration camps, that it is operating snitch lines, that it is planning to wipe away American liberties": All this hysterical and provocative talk invites, incites, and prepares a prefabricated justification for violence.

And indeed some conservative broadcasters are lovingly anticipating just such an outcome.

Here's Fox News' Glenn Beck clucking sympathetically that white males are being driven into murderous rage by "political correctness."

Here again is Beck chuckling as he play-acts the poisoning of Nancy Pelosi.

Just yesterday, the radio host Sean Hannity openly contemplated violence—and primly tut-tutted that if it occurs, the president will have only himself to blame.

In April, the Department of Homeland Security released a report warning of the danger of right-wing political violence in the United States, and mainstream conservatives erupted in offense.

National Review's Jonah Goldberg wrote: My real objection to this report is that its source material amounts to "everybody knows." Everybody knows the right is full of whack-jobs, hatemongers, and killers, and if we don't remain vigilant, bad things will happen.

Michelle Malkin asked in her syndicated column: What and who exactly are President Obama's Homeland Security officials afraid of these days? If you are a member of an active conservative group that opposes abortion, favors strict immigration enforcement, lobbies to protect Second Amendment rights, protests big government, advocates federalism or represents veterans who believe in any of the above, the answer is: You.

Newt Gingrich tweeted: "The person who drafted the outrageous homeland security memo smearing veterans and conservatives should be fired."

If Barack Obama really were a fascist, really were a Nazi, really did plan death panels to kill the old and infirm, really did contemplate overthrowing the American constitutional republic—if he were those things, somebody should shoot him.

But he is not. He is an ambitious, liberal president who is spending too much money and emitting too much debt. His health-care ideas are too ambitious and his climate plans are too interventionist. The president can be met and bested on the field of reason—but only by people who are themselves reasonable.

And

Obama's healthcare horror (condensed)

Having said that, I must confess my dismay bordering on horror at the amateurism of the White House apparatus for domestic policy. When will heads start to roll? I was glad to see the White House counsel booted, as well as Michelle Obama's chief of staff, and hope it's a harbinger of things to come. Except for that wily fox, David Axelrod, who could charm gold threads out of moonbeams, Obama seems to be surrounded by juvenile tinhorns, bumbling mediocrities and crass bully boys.

Case in point: the administration's grotesque mishandling of healthcare reform, one of the most vital issues facing the nation. Ever since Hillary Clinton's megalomaniacal annihilation of our last best chance at reform in 1993 (all of which was suppressed by the mainstream media when she was running for president), Democrats have been longing for that happy day when this issue would once again be front and center.

But who would have thought that the sober, deliberative Barack Obama would have nothing to propose but vague and slippery promises -- or that he would so easily cede the leadership clout of the executive branch to a chaotic, rapacious, solipsistic Congress? House Speaker Nancy Pelosi, whom I used to admire for her smooth aplomb under pressure, has clearly gone off the deep end with her bizarre rants about legitimate town-hall protests by American citizens. She is doing grievous damage to the party and should immediately step down.

There is plenty of blame to go around. Obama's aggressive endorsement of a healthcare plan that does not even exist yet, except in five competing, fluctuating drafts, makes Washington seem like Cloud Cuckoo Land. The president is promoting the most colossal, brazen bait-and-switch operation since the Bush administration snookered the country into invading Iraq with apocalyptic visions of mushroom clouds over American cities.

I just don't get it. Why the insane rush to pass a bill, any bill, in three weeks? And why such an abject failure by the Obama administration to present the issues to the public in a rational, detailed, informational way? The U.S. is gigantic; many of our states are bigger than whole European nations. The bureaucracy required to institute and manage a nationalized health system here would be Byzantine beyond belief and would vampirically absorb whatever savings Obama thinks could be made. And the transition period would be a nightmare of red tape and mammoth screw-ups, which we can ill afford with a faltering economy.


Surely, the basic rule in comprehensive legislation should be: First, do no harm. The present proposals are full of noble aims, but the biggest danger always comes from unforeseen and unintended consequences. Example: the American incursion into Iraq, which destabilized the region by neutralizing Iran's rival and thus enormously enhancing Iran's power and nuclear ambitions.

What was needed for reform was an in-depth analysis, buttressed by documentary evidence, of waste, fraud and profiteering in the healthcare, pharmaceutical and insurance industries. Instead what we've gotten is a series of facile, vulgar innuendos about how doctors conduct their practice, as if their primary motive is money. Quite frankly, the president gives little sense of direct knowledge of medical protocols; it's as if his views are a tissue of hearsay and scattershot worst-case scenarios.
 
Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

White House uses e-mail to counter health critics (AP)

AP - President Barack Obama's push to revamp health care got a boost Thursday as a new coalition of drug makers, unions, hospitals and others launched a $12 million pro-overhaul ad campaign. Meanwhile, the administration sought to regain control of the health care debate by asking supporters to forward a chain e-mail to counter criticism that's circulating on the Internet.
 
Re: America's Affordable Health Choices Act of 2009 - The USCHO debates

Patman- did not quote your post- too long. Perhaps I was not clear enough. The Insurance companies regularly and systematically ration care. .They are much more reticent as far as taking things into consideration than the gov't plan. Significantly more arbitrary. The public plans (medicare/aid) tend to be much more straight forward about rejection. Most people do not have the ability to leave their plan until a new enrollment period. For some that is a year away.

The death panel thing is stupid. Any large hospital already has one in place for ethics. Insurance companies routinely deny accepted care for patients they label as experimental (even tho it has been standard of care for years) they have excluded from benefits or any manufactured reason. Don't you watch the news? this is on all the time. After our brainless leader of the last admin made sure the patient cannot sue the insurance company this has become the norm for expensive procedures. There is no recourse.

They also routinely require prior authorizations for tests even on an emergent basis. I had someone in the last month who had signs of a stroke. You would think that the insurance company would think that a good indication. NOPE. It took us more than 2 hours of arguing to get the test. The magic hour (when intervention should take place) was long past. THe person we were arguing with was not a Dr. The hospital will not do the test without the prior auth no matter what unless the patient has hard cash (who has a few thousand in their pocket). They also are refusing to pay in certain facilities- the latest stupidity- we are linked with one hospital. The insurance is in a contract with us thru the PHO at that hospital. They refuse to pay for the test at that hospital Folks in the ER need to go to the hospital across town to get the test. THey cannot however go to the ER there. That is not covered.

Do I need to go on? I could for a few more pages cos today sucked as far as this stuff is concerned.

1) Correct. But since they can't say that politically they'll go with what they've got now. Big problem they have with their true feelings is they're the ones that passed the drug benefit. Why? I still wonder.

2) Yes. Put your money where your mouth is and pay for your own health care.

3) Veteran's should have the best health care available to them. I'm not sure that's the VA or why we need a VA. They should be able to go wherever they need to and get what they need.
This is interesting.

Writing off what I said as a "Republican talking point" is the joke. I guess just because some Republicans have said it, it isn't true, right Biff?



I don't know. I'm not completely heartless. I could even see Medicaid being slightly expanded if they could ever get rid of the rampant waste and corruption in that program. Medicare needs a total revamp and is way too bloated, though. Bush made it even bigger.


Really, they should. We're in this mindset, or at least Congress is, that being in Congress should entitle someone to all kinds of wild benefits. Their pensions are ridiculous too. There's a reason they say that an individual is serving in Congress.

An interesting point for me personally, since my first VA clinic appointment is next week. I think the VA is a microcosm of how well government-run healthcare works. Vets certainly don't go to the VA for any other reason than that they can get free or cheap service there, but it certainly isn't easy, efficient, or even high in quality. Then again, that's what happens in a cost-preventative system. Allowing them to choose their own doctor, in this case, would cost more money, which is exactly why it won't eventually be an option in a government-run system that seeks to be cost-preventative. I believed this even before I became a vet - the government owes healthcare to those who have fought and were wounded (or, possibly like me, became sick) fighting for our country. It's not an efficient system but it's at least something, and it's a small segment of our total population. So it seems heartless to say it, but even as a vet I have to say no. If they want to choose their doctor, that's their choice but not on the VA's thin dime.
1. I agree that the public plans are bloated. I do not agree that removing them is the answer. After spending yet another day where I saw people who I was playing pick up the pieces because they had no access d/t their insurance, people who's companies are jerking them around with cobra benis and folks who's medical conditions are wacked out because they can't get what they need --I cannot imagine if we trashed the only safety net we have. These people don't melt away when they are sick, they are messily and repetitively sick and stress thier families, the ER, the medical system etc.

Interestingly, my Dad is a vet and loves his VA care. He is savy and very picky. In some cases the care folks get with the VA is very superior to what they can access out here. There are horror stories too but I aouldn't malign the whole system.

Why are you, a vet, any different than my patients who have paid medicare/medicaid taxes for years? I do not say this as a hit on vets. I say this because you went into this knowing you would be taken care of if anything happened. The people have paid into the system for years and they too feel like they are owed something.
Medicare/Medicaid is proof of what happens when you let gov't into the picture. M&M started out as a combined $7B program in 1968. It now costs $700B/yr.

So why should we let gov't control more healthcare?:confused:

Boy is that dumb. In 68' people were paying a mortgages that were below a few hundred bucks. Now they are paying thousands. Healthcare is more complex. There are more treatments available. The number of people aging up is huge. You know, the boomer bubble. I would be much more interested to see the cost per patient compared although even that isn't helpful. I worked in a teaching hospital less than 30 yrs ago and all the things we did then to fix folks are now antiquated as far as technology and medication. I was on a floor that tested the first version of nifedipine- a wonder drug that we don't even prescribe anymore. Before folks just died. Now they take meds for years after their dx.

And I disagree. Just because I don't favor nationalized healthcare on a rampant scale, doesn't mean there aren't places where it might be called for on a smaller scale - even if, in many, if not most or all situations where it might actually be used, there are better options both quality-wise and efficiency-wise.



If the government could better control costs that way with no rationing, that would be fine.

The rationing thing may give me a coronary. WE HAVE RATIONING!!!!!!!!
 
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