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The PPACA - Implementation Phase I

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Re: The PPACA - Implementation Phase I

brookyone said:
More disturbing to me...as someone who has supported the legislation, is my own recent discovery that the federal government may indeed be intruding upon and restricting the dispense of certain prescription drugs with complete disregard for the doctors orders for dispense of those prescription drugs and subsequently the doctors intended benefit to his patients per his / her decision to prescribe those medications.
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Howard Dean (yes, that Howard Dean...) wrote about the very same thing last week in the WSJ. I'll see if I can find an active link. While generally in favor of most of PPACA provisions, he took issue with the Independent Payments Advisory Board. He thought that element of the law was a very, very, very bad idea, for just this reason and similar reasons. The IPAB is likely to completely stifle innovation while also shafting people with relatively rare conditions that are expensive to treat.

You have cancer? here, this morphine will leave you so you don't care one way or the other. Next?
 
Re: The PPACA - Implementation Phase I

Howard Dean on Obamacare:

He is generally favorable of most of the law's provisions and hails its passage, except that we do need to fix a few "flaws":

One major problem is the so-called Independent Payment Advisory Board. The IPAB is essentially a health-care rationing body. By setting doctor reimbursement rates for Medicare and determining which procedures and drugs will be covered and at what price, the IPAB will be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them.

There does have to be control of costs in our health-care system. However, rate setting—the essential mechanism of the IPAB—has a 40-year track record of failure. What ends up happening in these schemes (which many states including my home state of Vermont have implemented with virtually no long-term effect on costs) is that patients and physicians get aggravated because bureaucrats in either the private or public sector are making medical decisions without knowing the patients. Most important, once again, these kinds of schemes do not control costs. The medical system simply becomes more bureaucratic.

The nonpartisan Congressional Budget Office has indicated that the IPAB, in its current form, won't save a single dime before 2021. As everyone in Washington knows, but less frequently admits, CBO projections of any kind—past five years or so—are really just speculation. I believe the IPAB will never control costs based on the long record of previous attempts in many of the states, including my own state of Vermont.

If Medicare is to have a secure future, we have to move away from fee-for-service medicine, which is all about incentives to spend more, and has no incentives in the system to keep patients healthy. The IPAB has no possibility of helping to solve this major problem and will almost certainly make the system more bureaucratic and therefore drive up administrative costs. [emphases added]
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An astute, well-reasoned, fact-based discussion, from a progressive who favors universal health care. Take heed.
 
Re: The PPACA - Implementation Phase I

This sums it up nicely:

"We’re being “gifted” with a health care plan we are forced to purchase and fined if we don’t, which purportedly covers at least ten million more people, without adding a single new doctor, but provides for 16,000 new IRS agents, who have recently demonstrated their objective and professional integrity, written by a committee whose chairman says he doesn’t understand it, passed by a Congress that didn’t read it but exempted themselves from it, and signed by a President who smokes, with funding administered by a treasury chief who didn’t pay his taxes, for which we’ll be taxed for four years before any benefits take effect, by a government which has already bankrupted Social Security and Medicare, Fannie Mae and Freddie Mac, and the Post Office all to be overseen by a surgeon general who is obese, and financed by a country that’s broke!!!!!
What the hell could possibly go wrong?"
 
Re: The PPACA - Implementation Phase I

This was the Republican alternative to Universal Care. For some reason we refuse to do what most of the rest of the world is already doing. Beyond me.
 
Re: The PPACA - Implementation Phase I

Bill said:
This sums it up nicely:

"We’re being “gifted” with a health care plan we are forced to purchase and fined if we don’t, which purportedly covers at least ten million more people, without adding a single new doctor, but provides for 16,000 new IRS agents, who have recently demonstrated their objective and professional integrity, written by a committee whose chairman says he doesn’t understand it, passed by a Congress that didn’t read it but exempted themselves from it, and signed by a President who smokes, with funding administered by a treasury chief who didn’t pay his taxes, for which we’ll be taxed for four years before any benefits take effect, by a government which has already bankrupted Social Security and Medicare, Fannie Mae and Freddie Mac, and the Post Office all to be overseen by a surgeon general who is obese, and financed by a country that’s broke!!!!!
What the hell could possibly go wrong?"
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In the wake of a June 2012 Supreme Court decision upholding the constitutionality of health care reform legislation commonly known as Obamacare, the above-quoted criticism of that legislation began circulating on the Internet, attributed to business magnate Donald Trump. However, that criticism didn't originate with any public statement made by Donald Trump: it's an anonymous bit of political humor that has been <A HREF="http://voices.washingtonpost.com/44/2010/03/letterman-top-10-takes-on-eman.html" TARGET=post>posted</A> and <A HREF="http://insureblog.blogspot.com/2010/03/obamacare-in-nutshell.html" TARGET=repost>reposted</A> many times in blogs and social media since at least as far back as March 2010.
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Although I would expect a statement with this many lies, half-truths and strawmen to have originated with Trump...

ScoobyDoo said:
This was the Republican alternative to Universal Care. For some reason we refuse to do what most of the rest of the world is already doing. Beyond me.
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Universal care is Socialism! Just ask those Communists in Japan, Germany and England.
 
Re: The PPACA - Implementation Phase I

Priceless said:
Although I would expect a statement with this many lies, half-truths and strawmen to have originated with Trump...



Universal care is Socialism! Just ask those Communists in Japan, Germany and England.
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I'd agree that the number of new IRS agents is likely exaggerated, but aside from that it still sums things up pretty nicely.
 
Re: The PPACA - Implementation Phase I

joecct said:
Add Maryland to the Aetna list, too.
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Reminds me of the aftermath of Hurricane Andrew in Florida in the early 1990s. Property insurance companies raised rates to cover their losses, and the Florida state legislature responded by passing a law that capped rate increases. Just about every major property insurance company said, "see you later."

In that case, at least, the Florida legislature had enough sense to revise the law.

Mandating rates never works; nature has a way of impacting claims in a way that no one can predict.
 
Re: The PPACA - Implementation Phase I

I like conservatives newfound faith in insurance companies! I'm curious who else you plan on getting into bed with next.....used car salesmen....the tobacco lobby.....Republicans!!! :eek: :D

I think you people need to find some new champions. So an insurance company can't make obscene profits so they don't want to participate in coverage. I'm shocked...
 
joecct said:
#1 Huh? http://dailycaller.com/2013/08/08/o...ritable-hospitals-that-treat-uninsured-people

#2 A GOP Alternative to PPACA -- http://townhall.com/columnists/john...-republican-alternative-to-obamacare-n1660684
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This is why I actually like it when conservitives post where they get their info from! Opening up joe's townhall link, two pop up ads hit you. One has Obama living a secret double life, the other asks you to call on Congress to immediately impeach him. Clearly we're dealing with an unbiased website here. :D

But the stupidity of the article he posted is breathtaking. Everybody gets the same money to purchase insurance from the gubmint in the form of a tax credit, so that solves all problems. I'm wondering where the pot of gold is at the end of the rainbow, but I stopped reading before the end. :rolleyes:

This "plan" is a laughingstock for several reasons. 1) It does nothing about people being too poor to afford coverage, and therefore getting no benefit from a tax write-off. You know, the people who may choose to waste money on stupid stuff like food. 2) As best I can tell it makes no provision for insurance charging you up the wazzoo for a pre-existing condition. It just helpfully assumes that everybody would be crazy not to have insurance under this plan, so if you're always insured, no pre-existing conditions!!! Woohoo!!!

So I'm forced to wonder, are conservatives really this simple, or do they post dumb stuff just to be heard? I already exposed Fishy in a blatant lie a few days ago regarding the auto industry bailout. Not sure if this poster is trying the same tactic.
 
Re: The PPACA - Implementation Phase I

Some people... just... wow...

<iframe width="560" height="315" src="//www.youtube.com/embed/XoHFWx5JWEk" frameborder="0" allowfullscreen></iframe>
 
Re: The PPACA - Implementation Phase I

FlagDUDE08 said:
Some people... just... wow...

<iframe width="560" height="315" src="//www.youtube.com/embed/XoHFWx5JWEk" frameborder="0" allowfullscreen></iframe>
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Oh oh, post the one about morons who signed a pledge to ban dangerous dihydrogen monoxide.
 
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