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-   -   What do(n't) you like about the healthcare reform bill? (https://thetfp.com/tfp/tilted-politics/153825-what-do-nt-you-like-about-healthcare-reform-bill.html)

robot_parade 03-21-2010 08:55 PM

What do(n't) you like about the healthcare reform bill?
 
So, now that the healthcare reform bill has passed the house, let's hear it. What don't you like about the bill? Please, please, stick to facts about the actual bill...not the process, not conspiracy theories...the bill.

Here's what I don't like:

o Personal mandate. I'm just not entirely comfortable with this. I know about the subsidies for people who truly can't afford it, and I understand the why - but I really wish healthcare reform could have been achieved without the personal mandate.

o Not single payer or some other 'socialist' system. It freaking works for the rest of the industrialized world.

o Not even 'public option', but I'm not so sure that the public option would've been such a great idea after all.

Here's what I do like:

o Gets most Americans covered.

o Bans some of the nastier insurance company practices.

o Some fixes for medicare and medicaid

o Various other goodies, like encouraging preventative care, etc.

Willravel 03-21-2010 10:02 PM

It's not what it could have been had the proper people been properly motivated. President Obama is a smart man, but he's not a bold man. I fear his decision to begin the compromise with an already compromised position, that of the public option, all but ensured that we would not have any major reforms. I've read every incarnation of the bill that's been released to the public. The bill being passed could be worse, but there are so many areas in which it could be better, I don't know that I can list them all.

Things I don't like: align with robot_parade, at least in the broad strokes. While it probably was unreasonable to expect single-payer, I didn't feel it was unreasonable to expect a public option until the Democrats started opening their mouths and the GOP completely went off the deep end. The mandate scares the shit out of me. A mandate without a public option means higher risk pools in the private market, something that's causing problems already without forcing people into them. The public option along with the mandate made sense because the public option existed without high risk being a factor.

I'm very happy that the bill at least seeks to present the illusion of stopping irresponsible practices in the market. It's not the changes that matter, it's the illusion that the government is regulating the market. Over the next few years, as the US does not become a communist state, the nay-sayers will be forced to dine upon their venomous words. The free market can be regulated without it leading to some imaginary nightmare. And if these reforms help one person in real life, at least it will have helped at all. It's better than nothing.

Shauk 03-22-2010 01:50 AM

I haven't been following this at all. Can someone explain what "public option" or "personal mandate" mean?

those words by themselves mean nothing to me.

samcol 03-22-2010 05:50 AM

mandating insurance without having a public option just seems like a total failure to me.

Derwood 03-22-2010 06:09 AM

Quote:

Originally Posted by Shauk (Post 2770463)
I haven't been following this at all. Can someone explain what "public option" or "personal mandate" mean?

those words by themselves mean nothing to me.


public option was an idea where the government would act as the insurance agent for those who did not want/could not afford private insurance.

the personal mandate is a new law that says that everyone in the US must have health insurance of some kind or else face an additional income tax

flstf 03-22-2010 07:16 AM

Quote:

Originally Posted by samcol (Post 2770506)
mandating insurance without having a public option just seems like a total failure to me.

I agree, and I believe many people will be insisting on one in the near future.

Derwood 03-22-2010 08:09 AM

I'm hoping the outrage over the mandate will result in either the public option or single payer. I have no fear that this will be repealed, so that seems like the next logical step forward

Shauk 03-22-2010 08:40 AM

So I'm missing something, how does this cover anyone if there is no public option to get it?

how would one use it?

dippin 03-22-2010 09:08 AM

Quote:

Originally Posted by Shauk (Post 2770534)
So I'm missing something, how does this cover anyone if there is no public option to get it?

how would one use it?

A few ways:

medicaid access was extended, it used to be that only those with income at the federal poverty line or below could qualify, and now it was extended to 133% of the federal poverty line or below.

Young people can stay on their parents' insurance until 26.

Significant tax breaks and subsidies for individuals to spend on health insurance, as well as tax breaks for small business to provide them.

And finally, the creation of the so called insurance exchange, where people and small business can pool together to negotiate a lower rate.

---------- Post added at 09:08 AM ---------- Previous post was at 08:55 AM ----------

By the way, here's a decent summary:

Health care reform bill 101: what the bill means to you / The Christian Science Monitor - CSMonitor.com

Shauk 03-22-2010 09:09 AM

Quote:

Originally Posted by dippin (Post 2770535)
A few ways:

medicaid access was extended, it used to be that only those with income at the federal poverty line or below could qualify, and now it was extended to 133% of the federal poverty line or below.

Young people can stay on their parents' insurance until 26.

Significant tax breaks and subsidies for individuals to spend on health insurance, as well as tax breaks for small business to provide them.

And finally, the creation of the so called insurance exchange, where people and small business can pool together to negotiate a lower rate.


Sounds decent enough, now can you tell me why my conservative friends are quoting hitler and marx on my facebook feed because the bill passed?

“Make the lie big, make it simple, keep saying it, and eventually they will believe it” Adolf Hitler

"The oppressed are allowed once every few years to decide which particular representatives of the oppressing class are to represent and repress them."
Karl Marx

are these people just brain damaged or what?

pan6467 03-22-2010 09:19 AM

It's the wrong bill. The Dems passed this in a way that was a pure power grab with backroom deals and BS. The only windfalls will be for the insurance companies. If you say "we'll better the bill in reconciliation" you've already admitted that you KNOW you passed a bad bill.

They didn't take their time and truly find the best bill possible. To me that shows they cared nothing about true reform or getting people covered, it was all about POWER.

They didn't look into a true public option and seeing if they could make it work. They didn't even consider a sliding scale fee with a maximum lifetime out of pocket (which I advocate). They ramrodded something EVERY SINGLE ONE OF THEM KNEW was the wrong bill. And it is quite obvious by the way they passed it.

dippin 03-22-2010 09:24 AM

Quote:

Originally Posted by Shauk (Post 2770537)
Sounds decent enough, now can you tell me why my conservative friends are quoting hitler and marx on my facebook feed because the bill passed?

“Make the lie big, make it simple, keep saying it, and eventually they will believe it” Adolf Hitler

"The oppressed are allowed once every few years to decide which particular representatives of the oppressing class are to represent and repress them."
Karl Marx

are these people just brain damaged or what?

As you can see, there is a lot of misinformation out there on the bill. There was a case to be made against this bill, but the republicans chose to go the "make absurd claims" route. That created the interesting case where in polls where individuals were asked explicitly about provisions in the plan, they overwhelmingly supported it, but when they were asked simply if they support the current bill, support would be 50/50.

As much as this bill in being touted as something revolutionary, it is actually mostly subsidies for some and tax increases for others, with some new insurance regulations. It is not national health care, government run health care, or anything like that. The rage will subsidy once people realize that their lives didn't change that much, if at all.

---------- Post added at 09:24 AM ---------- Previous post was at 09:21 AM ----------

Quote:

Originally Posted by pan6467 (Post 2770539)
It's the wrong bill. The Dems passed this in a way that was a pure power grab with backroom deals and BS. The only windfalls will be for the insurance companies. If you say "we'll better the bill in reconciliation" you've already admitted that you KNOW you passed a bad bill.

They didn't take their time and truly find the best bill possible. To me that shows they cared nothing about true reform or getting people covered, it was all about POWER.

They didn't look into a true public option and seeing if they could make it work. They didn't even consider a sliding scale fee with a maximum lifetime out of pocket (which I advocate). They ramrodded something EVERY SINGLE ONE OF THEM KNEW was the wrong bill. And it is quite obvious by the way they passed it.


Other than the "no public option" part, what specific parts of the bill don't you like? Let's not turn this thread into another vent and rant thread without factual information.

rahl 03-22-2010 09:26 AM

Quote:

Originally Posted by pan6467 (Post 2770539)
It's the wrong bill. The Dems passed this in a way that was a pure power grab with backroom deals and BS. The only windfalls will be for the insurance companies. If you say "we'll better the bill in reconciliation" you've already admitted that you KNOW you passed a bad bill.

They didn't take their time and truly find the best bill possible. To me that shows they cared nothing about true reform or getting people covered, it was all about POWER.

They didn't look into a true public option and seeing if they could make it work. They didn't even consider a sliding scale fee with a maximum lifetime out of pocket (which I advocate). They ramrodded something EVERY SINGLE ONE OF THEM KNEW was the wrong bill. And it is quite obvious by the way they passed it.

What specifically do you have a problem with in this bill?

the fact that over 32 million people will now have coverage?
the fact that pre-ex's will be covered?
the fact that life time maximum pay outs are gone?
the fact that you can keep what you have if you like it or get something new?
the fact that it is budget nuetral?
what is it you don't like?

snowy 03-22-2010 09:29 AM

The whole "no denying coverage for those with preexisting conditions" is something I really like. I have a family member who would have been denied coverage if his health insurance hadn't been COBRA'd for the next two years. For people with serious, chronic conditions who do not qualify as disabled, this is huge.

pan6467 03-22-2010 09:36 AM

Quote:

Originally Posted by dippin (Post 2770540)
Other than the "no public option" part, what specific parts of the bill don't you like? Let's not turn this thread into another vent and rant thread without factual information.

You can say what you want, but the TRUEST FACT IS that even THEY don't like what they passed because they keep saying "we'll make it better in "reconciliation". Call it a rant call it what you like, but when the very people who voted to pass it had to be bribed and exempt themselves to do so.... it's not a good bill.

How are we going to "subsidize" people when we are broke?

You're going to add 17,000 IRS people to enforce this bill?

You never made the bill public, allowed no true debate and passed it in a way that is questionably unconstitutional?

But it's a good bill?

Come on, be real.

dogzilla 03-22-2010 09:38 AM

What I like: No public option
What I don't like:
People who have self induced pre existing conditions get coverage without any requirement for personal responsibility
The mandate that everyone must have insurance coverage or be fined
Subsidies that come out of the taxpayer pocket for people who are not disabled and whose income falls below some threshold.
Government's intrusion into yet another segment of private enterprise and the resulting expansion in the size of government.

Bottom line is this bill does absolutely nothing for me and requires me to pay for other's insurance coverage.

rahl 03-22-2010 09:40 AM

Quote:

Originally Posted by pan6467 (Post 2770546)
You can say what you want, but the TRUEST FACT IS that even THEY don't like what they passed because they keep saying "we'll make it better in "reconciliation". Call it a rant call it what you like, but when the very people who voted to pass it had to be bribed and exempt themselves to do so.... it's not a good bill.

How are we going to "subsidize" people when we are broke?

You're going to add 17,000 IRS people to enforce this bill?

You never made the bill public, allowed no true debate and passed it in a way that is questionably unconstitutional?

But it's a good bill?

Come on, be real.

This bill has been debated for over a year, it can't even hypothetically be considered unconstitutional.

Stop throwing out republican talking points and answer what specific things don't you like in the bill.

---------- Post added at 01:40 PM ---------- Previous post was at 01:39 PM ----------

Quote:

Originally Posted by dogzilla (Post 2770547)

Bottom line is this bill does absolutely nothing for me and requires me to pay for other's insurance coverage.

The insurance you have now(assuming you have it) is paying for others insurance coverage already.

dippin 03-22-2010 09:43 AM

Quote:

Originally Posted by pan6467 (Post 2770546)
You can say what you want, but the TRUEST FACT IS that even THEY don't like what they passed because they keep saying "we'll make it better in "reconciliation". Call it a rant call it what you like, but when the very people who voted to pass it had to be bribed and exempt themselves to do so.... it's not a good bill.

How are we going to "subsidize" people when we are broke?

You're going to add 17,000 IRS people to enforce this bill?

You never made the bill public, allowed no true debate and passed it in a way that is questionably unconstitutional?

But it's a good bill?

Come on, be real.

Again, what exactly is the problem with this bill? Do we really need another thread of emotional rants without specifics? How can you be against subsidies because of the cost and for a public option despite the cost?

Shauk 03-22-2010 09:44 AM

I don't envy the president in this situation.
The house is polarized to ridiculous extremes that it's like fighting tooth and nail to get anything passed. However. this is hardly rageworthy.

From reading the breakdown of it that dippin posted, it reads off like car insurance, and it reads off that basically if you make under 44k per individual then it will be subsidized anyway?

It's not exactly what I envision when people use the words "public health care" when all it seems to be is "go get insurance, job or not, so we can drive the costs down" much like car insurance.

For some of the things that people are mentioning online about this bill, either that breakdown left out a lot of things, or people are misinformed.

That said, I can't call this "public health care" until there is a "public option"

am I off base in saying that?

dippin 03-22-2010 09:45 AM

Quote:

Originally Posted by dogzilla (Post 2770547)
What I like: No public option
What I don't like:
People who have self induced pre existing conditions get coverage without any requirement for personal responsibility
The mandate that everyone must have insurance coverage or be fined
Subsidies that come out of the taxpayer pocket for people who are not disabled and whose income falls below some threshold.
Government's intrusion into yet another segment of private enterprise and the resulting expansion in the size of government.

Bottom line is this bill does absolutely nothing for me and requires me to pay for other's insurance coverage.

Unless you make more than $200,000 or have a very expensive health care plan, you are not paying for anyone's insurance.

pan6467 03-22-2010 09:56 AM

How about if I go with the only thing I do like. No pre-existing. And that won't even start until 2014.

It'll eventually divide the insurance between very basic care and premium care, thus dividing the classes by who can afford what.

Say what you want.... but when the very people passing it don't like it, saying they will fix it in reconciliation, they didn't truly debate it they made promises, backroom deals and so on to get enough votes to pass it AND they exempt themselves.....it's a slam dunk the bill is bad.

dippin 03-22-2010 10:04 AM

Reconciliation isn't about not liking it and has been used in virtually every health care bill in this country.

Every bill has to "fix" the difference between the house version and the senate version, this one just used the "reconciliation" procedure to do it to avoid a filibuster in the senate. It has nothing to do with how much the people who actually voted for it like it.

And one would think that this is the most perfect bill ever, given how hard it is for anyone to actually make a case against it based on what is on it.

It is specially puzzling when someone complains that this bill doesn't go far enough in providing benefits or a public option while complaining about the cost of what is being provided. I mean, sure, it'd be lovely if we had full coverage for everything for free forever, but that is not reality.

roachboy 03-22-2010 10:05 AM

what i don't like about the bill: no public option. i do not understand how it is that access to basic health care is not a fundamental human right. it is understood that way in the rest of the industrialized world. only in the backwater of the united states is there a Problem with it.



last year 3.47 BILLION dollars were spent on lobbying congress. on health care, 1725 entities registered as being active in this area. initial numbers for outlay on this should be available 20 april. which brings me to the other thing i don't like about this bill: the nihilist strategy adopted by the ultra-right. the overwhelming role that corporate money has played in the disinformation campaign that has people like pan convinced that exactly the opposite of what's in the bill is in fact the case. persuading the gullible of this is expensive it seems.




what i like about it: the subsidizing of basic health care insurance for those who cannot afford it.
the extension of the definition of child to 26 as a recognition of a shitty job climate that's unlikely to change any time soon.
elimination of pre-existing condition restrictions.

Cimarron29414 03-22-2010 10:06 AM

Quote:

Originally Posted by rahl (Post 2770548)
This bill has been debated for over a year, it can't even hypothetically be considered unconstitutional.

Serious question to anyone here: Where does the Constitution grant authority to Congress to require every person to purchase a particular thing?

dippin 03-22-2010 10:08 AM

Quote:

Originally Posted by Cimarron29414 (Post 2770565)
Serious question to anyone here: Where does the Constitution grant authority to Congress to require every person to purchase a particular thing?

The bill doesn't officially require anyone to purchase insurance, it only taxes those who don't. Might sound the same, but the constitution actually allows for selective taxes like that.

dogzilla 03-22-2010 10:11 AM

Quote:

Originally Posted by dippin (Post 2770555)
Unless you make more than $200,000 or have a very expensive health care plan, you are not paying for anyone's insurance.

I pay taxes, so at least in the case where the receipts from people earning over $200K or payments from those with expensive health plans (which doesn't kick in until something like 2018) fail to cover the expense of the subsidies I most definitely will be paying for them. I don't expect Obama to announce that the insurance plan is out of money, so no more subsidies.

---------- Post added at 02:11 PM ---------- Previous post was at 02:08 PM ----------

Quote:

Originally Posted by rahl (Post 2770548)
The insurance you have now(assuming you have it) is paying for others insurance coverage already.

The insurance premiums I pay today go into an insurance pool. The other employees also pay their own money into the insurance pool. That pool pays for each person's medical expenses plus insurance plan expenses. So no, I am not paying for someone else's premiums. They pay the 'buy in cost' to the insurance plan

dippin 03-22-2010 10:15 AM

Quote:

Originally Posted by dogzilla (Post 2770568)
I pay taxes, so at least in the case where the receipts from people earning over $200K or payments from those with expensive health plans (which doesn't kick in until something like 2018) fail to cover the expense of the subsidies I most definitely will be paying for them. I don't expect Obama to announce that the insurance plan is out of money, so no more subsidies.

That could be the case, but right now the projections are that it will reduce the deficit, not increase it. The projections might be wrong, but even if they are this program will be far from adding significantly to the deficit, and depending on you income even then you'd be better off given the new deductions related to healthcare spending.

flstf 03-22-2010 10:16 AM

Quote:

Originally Posted by pan6467 (Post 2770539)
They didn't even consider a sliding scale fee with a maximum lifetime out of pocket (which I advocate).

I think it does have a sliding scale premium schedule for those with incomes below 400% of the federal poverty level and an annual out of pocket limit.

samcol 03-22-2010 10:23 AM

Forcing insurance companies to cover people with pre existing conditions sounds kind of like buying fire insurance for your house as it's burning imo. I'm not sure how that's supposed to work...

Also, how is the tab for this group of people going to be picked up? It sounds like those of us already struggling to get by are going to be picking up much of it.

flstf 03-22-2010 10:34 AM

Quote:

Originally Posted by dogzilla (Post 2770568)
The insurance premiums I pay today go into an insurance pool. The other employees also pay their own money into the insurance pool. That pool pays for each person's medical expenses plus insurance plan expenses. So no, I am not paying for someone else's premiums. They pay the 'buy in cost' to the insurance plan

I think rahl was referring to the fact that everyone currently insured or paying for healthcare are paying for the uninsured via higher prices charged by hospitals, etc.. and therefore higher premiums charged by insurance companies.

---------- Post added at 02:34 PM ---------- Previous post was at 02:28 PM ----------

Quote:

Originally Posted by samcol (Post 2770582)
Forcing insurance companies to cover people with pre existing conditions sounds kind of like buying fire insurance for your house as it's burning imo. I'm not sure how that's supposed to work...

Also, how is the tab for this group of people going to be picked up? It sounds like those of us already struggling to get by are going to be picking up much of it.

As I understand it one of the major ways we will be paying for it is by forcing everyone to buy insurance and expanding the pool.

roachboy 03-22-2010 10:35 AM

the elimination of the pre-existing condition restrictions is a step toward shifting the whole way of understanding what insurance does away from the interests of insurance companies--which really should not be for-profit, but whatever---to the idea that access to basic health care is a fundamental human right. so it moves insurance away from being able to put profit maximizing over the interests of the insured. it's like that.

Cimarron29414 03-22-2010 10:52 AM

Quote:

Originally Posted by dippin (Post 2770567)
The bill doesn't officially require anyone to purchase insurance, it only taxes those who don't. Might sound the same, but the constitution actually allows for selective taxes like that.

We will have to disagree on all points. I was hoping someone could say "Article X, Section Y, Clause Z".

rahl 03-22-2010 10:55 AM

[quote=flstf;2770585]I think rahl was referring to the fact that everyone currently insured or paying for healthcare are paying for the uninsured via higher prices charged by hospitals, etc.. and therefore higher premiums charged by insurance companies.
QUOTE]

Yes, that was exactly what I was talking about.

---------- Post added at 02:55 PM ---------- Previous post was at 02:53 PM ----------

Quote:

Originally Posted by pan6467 (Post 2770559)
How about if I go with the only thing I do like. No pre-existing. And that won't even start until 2014.

It'll eventually divide the insurance between very basic care and premium care, thus dividing the classes by who can afford what.

Say what you want.... but when the very people passing it don't like it, saying they will fix it in reconciliation, they didn't truly debate it they made promises, backroom deals and so on to get enough votes to pass it AND they exempt themselves.....it's a slam dunk the bill is bad.

So you are going off on an emotional tirade and can't name a single thing wrong with the bill itself?

---------- Post added at 02:55 PM ---------- Previous post was at 02:55 PM ----------

Quote:

Originally Posted by Cimarron29414 (Post 2770565)
Serious question to anyone here: Where does the Constitution grant authority to Congress to require every person to purchase a particular thing?

Where does it prohibit them?

dogzilla 03-22-2010 11:01 AM

Quote:

Originally Posted by roachboy (Post 2770591)
the elimination of the pre-existing condition restrictions is a step toward shifting the whole way of understanding what insurance does away from the interests of insurance companies--which really should not be for-profit, but whatever---to the idea that access to basic health care is a fundamental human right. so it moves insurance away from being able to put profit maximizing over the interests of the insured. it's like that.

What makes health case a special human right? Even more important is food, and possibly utilities, and I've not read of any plans Obama has to interfere with the grocery business or the utility companies

rahl 03-22-2010 11:31 AM

Quote:

Originally Posted by dogzilla (Post 2770603)
What makes health case a special human right? Even more important is food, and possibly utilities, and I've not read of any plans Obama has to interfere with the grocery business or the utility companies

Well, if someone has food poisoning they won't be eating any food, and if they don't get treated they will likely dehydrate and die. If people have to choose between paying for their medical bills, because they can't get insurance, and paying the utilities I would think you'd want to fix the underlying problem so they can get back to payinf for said utilities.

Fixing healthcare would let people get healthy affordably and be able to buy groceries and pay utilities.

Cimarron29414 03-22-2010 11:41 AM

Quote:

Originally Posted by rahl (Post 2770600)
Where does it prohibit them?

The 10th amendment:

"The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people."

It is on this basis that I am fairly hopeful that a Constitutional challenge to this law will be successful and the whole of the legislation shall be thrown out. 10 States have already drafted their challenge and are simply waiting for Obama to sign it so that they can file. Due to the magnitude of the legislation, it will most likely be fast-tracked through the courts and reach SCOTUS within a few weeks.

rahl 03-22-2010 11:46 AM

Quote:

Originally Posted by Cimarron29414 (Post 2770618)
The 10th amendment:

"The powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people."

It is on this basis that I am fairly hopeful that a Constitutional challenge to this law will be successful and the whole of the legislation shall be thrown out. 10 States have already drafted their challenge and are simply waiting for Obama to sign it so that they can file. Due to the magnitude of the legislation, it will most likely be fast-tracked through the courts and reach SCOTUS within a few weeks.

Taxing is well within the powers of congress. This suit will almost certainly not make it to the appelate level

Derwood 03-22-2010 12:17 PM

remember when Ronald Reagan said that Medicare would mean the end of America as we know it? was pan his speech writer?

Cimarron29414 03-22-2010 12:24 PM

Quote:

Originally Posted by rahl (Post 2770621)
Taxing is well within the powers of congress. This suit will almost certainly not make it to the appelate level

I guess we will all see.

loquitur 03-22-2010 12:26 PM

The biggest problem is that there is no reason to believe the cost of services will go down. Second biggest is that it disincentivizes medical professionals, which may reduce supply while increasing demand.

I had my own ideas for improving access and lowering costs but no one ever listens to me.

flstf 03-22-2010 12:33 PM

Quote:

Originally Posted by Cimarron29414 (Post 2770565)
Serious question to anyone here: Where does the Constitution grant authority to Congress to require every person to purchase a particular thing?

Article I, Section 8, Clause 3:

“ [The Congress shall have power] To regulate Commerce with foreign Nations, and among the several States, and with the Indian tribes;

I believe that the Supreme Court has ruled that this clause includes regulation of interstate commerce. I think the position of those in favor of this bill will be that healthcare is over 1/6th of US commerce and practiced between the States and therefore the activities can be regulated and taxed by the Federal Government.

Cimarron29414 03-22-2010 12:54 PM

Quote:

Originally Posted by flstf (Post 2770630)
Article I, Section 8, Clause 3:

“ [The Congress shall have power] To regulate Commerce with foreign Nations, and among the several States, and with the Indian tribes;

I believe that the Supreme Court has ruled that this clause includes regulation of interstate commerce. I think the position of those in favor of this bill will be that healthcare is over 1/6th of US commerce and practiced between the States and therefore the activities can be regulated and taxed by the Federal Goverment.

They aren't taxing the use of healthcare across states. They are taxing you NOT using it. That's called a fine.

---------- Post added at 04:54 PM ---------- Previous post was at 04:47 PM ----------

Quote:

Originally Posted by loquitur (Post 2770629)
The biggest problem is that there is no reason to believe the cost of services will go down. Second biggest is that it disincentivizes medical professionals, which may reduce supply while increasing demand.

I had my own ideas for improving access and lowering costs but no one ever listens to me.

Let's assume that 32 million people are actually uninsured and have never received healthcare. Now they can go to the doctor because they are finally insured - there is now a 11-12% increase in demand on doctors and these patients are in the lowest paying, most fraudulent bracket of the paying spectrum.

If I'm a 60 to 65 year old doctor, I retire. So now, the remaining doctors have > 11-12% increase in patient load in the least paying bracket. The doctors become even more overworked, get to spend less time with each individual patient, and get paid less.

That does not seem like a recipe for improved quality of care - oh, except for those 32 million voters. "General Welfare", indeed.

flstf 03-22-2010 12:56 PM

Quote:

Originally Posted by Cimarron29414 (Post 2770631)
They aren't taxing the use of healthcare across states. They are taxing you NOT using it. That's called a fine.

So I guess the position of those against this bill will be that the federal government does not have the right to fine those involved in interstate activity?

Cimarron29414 03-22-2010 01:16 PM

Quote:

Originally Posted by flstf (Post 2770633)
So I guess the position of those against this bill will be that the federal government does not have the right to fine those involved in interstate activity?

Well, I can't speak for all of those against this bill. The argument which will be set before the courts is whether the Congress has Congressional authority to fine someone for NOT participating in one form of commerce.

rahl 03-22-2010 01:23 PM

Quote:

Originally Posted by Cimarron29414 (Post 2770631)
They aren't taxing the use of healthcare across states. They are taxing you NOT using it. That's called a fine.

---------- Post added at 04:54 PM ---------- Previous post was at 04:47 PM ----------



Let's assume that 32 million people are actually uninsured and have never received healthcare. Now they can go to the doctor because they are finally insured - there is now a 11-12% increase in demand on doctors and these patients are in the lowest paying, most fraudulent bracket of the paying spectrum.

If I'm a 60 to 65 year old doctor, I retire. So now, the remaining doctors have > 11-12% increase in patient load in the least paying bracket. The doctors become even more overworked, get to spend less time with each individual patient, and get paid less.

That does not seem like a recipe for improved quality of care - oh, except for those 32 million voters. "General Welfare", indeed.

So you believe that once the bill is signed, that all 32 million people will go to the doctor the following day? Collapsing the health care community?
What makes the 32 million the lowest paying and most fraudulent bracket by the way? They will have access to the same private insurance that you do now.

flstf 03-22-2010 01:28 PM

I dislike this forced buy-in requirement as much as you but I see nothing unconstitutional about it, especially considering past Supreme Court decisions. Perhaps we should amend the constitution.

dippin 03-22-2010 01:30 PM

Quote:

Originally Posted by Cimarron29414 (Post 2770638)
Well, I can't speak for all of those against this bill. The argument which will be set before the courts is whether the Congress has Congressional authority to fine someone for NOT participating in one form of commerce.

The Constitutionality of Health Insurance Reform, Part II: Congressional Power

Cimarron29414 03-22-2010 01:40 PM

Quote:

Originally Posted by rahl (Post 2770639)
So you believe that once the bill is signed, that all 32 million people will go to the doctor the following day? Collapsing the health care community?
What makes the 32 million the lowest paying and most fraudulent bracket by the way? They will have access to the same private insurance that you do now.

No, I don't believe that all 32 million will show up the next day. Any more than I believe the other 270 million all show up every other day because they ARE insured. Good Lord, man.

They are the lowest paying, most fraudulent bracket because they are medicare/medicaid.

---------- Post added at 05:40 PM ---------- Previous post was at 05:38 PM ----------

dippin,

I appreciate the link. Again, it's really up to the courts and not me.

edited: dippin, of the articles I scanned, the writer of your article takes the liberal point of view on every article he writes. He doesn't seem like an objective Constitutional scholar. Maybe it was just the ones that I saw...

dippin 03-22-2010 01:56 PM

Quote:

Originally Posted by Cimarron29414 (Post 2770646)
No, I don't believe that all 32 million will show up the next day. Any more than I believe the other 270 million all show up every other day because they ARE insured. Good Lord, man.

There are the lowest paying, most fraudulent bracket because they are medicare/medicaid.

---------- Post added at 05:40 PM ---------- Previous post was at 05:38 PM ----------

dippin,

I appreciate the link. Again, it's really up to the courts and not me.

edited: dippin, of the articles I scanned, the writer of your article takes the liberal point of view on every article he writes. He doesn't seem like an objective Constitutional scholar. Maybe it was just the ones that I saw...

The thing is that there is no "objective Constitutional scholar." People follow certain constitutional philosophies, and are generally consistent in following those philosophies. The issue is not whether he is liberal, it's whether the precedent backs him up.

Cimarron29414 03-22-2010 02:08 PM

Quote:

Originally Posted by dippin (Post 2770655)
The thing is that there is no "objective Constitutional scholar." People follow certain constitutional philosophies, and are generally consistent in following those philosophies. The issue is not whether he is liberal, it's whether the precedent backs him up.

Agreed, but if one were to go find a Jeffersonian scholar, they would provide ample case law supporting a 10th amendment position.

I would contend that SCOTUS is looking forward to a 10th amendment case and that they are no friend to the other two branches right now. With a law of such magnitude, all the pumps are primed for a conclusive decision regarding modern federalism.

roachboy 03-22-2010 02:15 PM

seems to me that alot of the question of what folk think copasetic or the contrary about this bill comes down to a matter of framing.
in the rest of the world one or another form of universal health care was instituted as an aspect of the construction of the welfare state after world war 2, typically during periods of left political ascendancy. the main arguments in favor of it were:

access to basic health care is a fundamental human right. this is an ethical argument, both in itself (everyone should be treated with dignity) and in relative terms (capitalism produces enough material benefits such that they can and should be allocated to accord this dignity to everyone...and it empirically produces inequalities and worse, which the system can and should be called upon to address.)

it makes sense from a political and business viewpoint as well; it addresses an important political question because it extends the legitimacy of the existing order by incorporating people that capitalism tends to exclude. it allows for a smoother reproduction of the labor pool and for treating health insurance costs as an externality.

this decision to make health care available is poses a resource allocation question, but this should have been posed as also political, because it bloody well is political: the united states wastes more money on military expenditures than the next 10 countries behind it on the list put together. the united states obviously has the resources to do this; it simply up to now has chosen to emphasize death (military expenditures can be reduced to that, yes?) rather than quality of life as an overall political objective.

there were other arguments of course, but these are the main types that were advanced.
i will never understand why the obama administration was not more aggressive about making its case on ethical and political grounds. doing it would have pushed the ultra-right, which seem to be all that remains of the right now that the republican party is essentially in bed with the militia movement across the tea bagger coalition, into making arguments that would be crazy for them to make---like the uninsured should not be treated with the same dignity as others, that dignity correlates with income, that there are no human rights. and you've seen it---that asshat glenn beck and others arguing that social justice is code for communism, etc.

the constitutional questions are subsidiary to political questions, and even those quaint strict construction folk know this given that strict construction is itself a politics in which it is politically acceptable to toss around quaint outmoded terms like "objectivity" which of course means really "written from a viewpoint sympathetic to mine"---which is what "objectivity" has always meant--a rhetoric of neutrality masking political positions built into the arguments or viewpoint of a piece---which is why the notion is quaint.

so alot of this chaos, this noise from the right is an effect of there simply not having been adequately clear ethical and political arguments made from the outset. it think it's a problem. i never believed personally that the right was going to work in good faith to do something about health care---particularly not once they started acting as a tick sucking the money from the insurance industry et. al.

Martian 03-22-2010 02:32 PM

From Reuters:

Healthcare overhaul faces new challenges | Reuters

Healthcare Overhaul Faces New Challenges   click to show 


And CBC's coverage:

CBC News - World - Republicans vow to repeal health-care bill

Republicans Vow Health-Care Fight Will Continue   click to show 


So it seems the Republican party will fight this on all available fronts. I suppose that's not really a surprise.

If I were a resident of the US, I would be saying that this doesn't go nearly far enough. Turns out that publicly funded health-care is working out pretty well for the rest of the world.

I don't understand the objections here. Can someone who's opposed to the bill give a clear and concise summary of precisely what the negative impacts are going to be, and why? All I've seen so far is vague prophecies of doom with no root in the actual legislation being passed.

Cimarron29414 03-22-2010 02:41 PM

Quote:

Originally Posted by Martian (Post 2770667)
I don't understand the objections here. Can someone who's opposed to the bill give a clear and concise summary of precisely what the negative impacts are going to be, and why? All I've seen so far is vague prophecies of doom with no root in the actual legislation being passed.

There is nothing one could say to adequately satisfy you. It would simply restart the debate which has been fought for over a year, both here and in Congress. You know why we oppose it, you just don't agree - and that's fine.:thumbsup:

dogzilla 03-22-2010 02:56 PM

Quote:

Originally Posted by rahl (Post 2770614)
Well, if someone has food poisoning they won't be eating any food, and if they don't get treated they will likely dehydrate and die. If people have to choose between paying for their medical bills, because they can't get insurance, and paying the utilities I would think you'd want to fix the underlying problem so they can get back to payinf for said utilities.

Fixing healthcare would let people get healthy affordably and be able to buy groceries and pay utilities.

That's a pretty contrived example which, since the occasional e.coli breakout makes the national news for a few days, probably happens a handful of times in a week, if that. If the admen on TV or the people who claim that the only decent meal kids get is school hot lunch are to believed, then hunger is a much larger problem than the number of cases of food poisoning in the US. It doesn't explain why access to health care is a fundamental right and access to sufficient food is not.

Baraka_Guru 03-22-2010 02:56 PM

Quote:

Originally Posted by roachboy (Post 2770662)
[...] it would have pushed the ultra-right, which seem to be all that remains of the right now that the republican party is essentially in bed with the militia movement across the tea bagger coalition, into making arguments that would be crazy for them to make---like the uninsured should not be treated with the same dignity as others, that dignity correlates with income, that there are no human rights. and you've seen it---that asshat glenn beck and others arguing that social justice is code for communism, etc.

the constitutional questions are subsidiary to political questions, and even those quaint strict construction folk know this given that strict construction is itself a politics in which it is politically acceptable to toss around quaint outmoded terms like "objectivity" which of course means really "written from a viewpoint sympathetic to mine"---which is what "objectivity" has always meant--a rhetoric of neutrality masking political positions built into the arguments or viewpoint of a piece---which is why the notion is quaint.

"The modern conservative is engaged in one of man's oldest exercises in moral philosophy; that is, the search for a superior moral justification for selfishness."
— John Kenneth Galbraith

rahl 03-22-2010 03:03 PM

Quote:

Originally Posted by rahl (Post 2770543)
What specifically do you have a problem with in this bill?

the fact that over 32 million people will now have coverage?
the fact that pre-ex's will be covered?
the fact that life time maximum pay outs are gone?
the fact that you can keep what you have if you like it or get something new?
the fact that it is budget nuetral?
what is it you don't like?

I've asked this question 3 times in 2 different threads now.
Can someone who is opposed to this bill please answer each one of the questions that I've posed please?

flstf 03-22-2010 03:04 PM

Quote:

Originally Posted by Martian (Post 2770667)
I don't understand the objections here. Can someone who's opposed to the bill give a clear and concise summary of precisely what the negative impacts are going to be, and why? All I've seen so far is vague prophecies of doom with no root in the actual legislation being passed.

As I understand it in a nutshell the thinking is that people here are free to fail or succeed and the government has no business taking from the successful and giving to the failures no matter how they got that way. This goes for income or purchasing goods and services including healthcare.

rahl 03-22-2010 03:04 PM

Quote:

Originally Posted by dogzilla (Post 2770675)
That's a pretty contrived example which, since the occasional e.coli breakout makes the national news for a few days, probably happens a handful of times in a week, if that. If the admen on TV or the people who claim that the only decent meal kids get is school hot lunch are to believed, then hunger is a much larger problem than the number of cases of food poisoning in the US. It doesn't explain why access to health care is a fundamental right and access to sufficient food is not.

My post was fairly sarcastic, but there are already programs in place for people who need food.

flstf 03-22-2010 03:24 PM

Quote:

I've asked this question 3 times in 2 different threads now.
Can someone who is opposed to this bill please answer each one of the questions that I've posed please?

Originally Posted by rahl
What specifically do you have a problem with in this bill?

the fact that over 32 million people will now have coverage?
the fact that pre-ex's will be covered?
the fact that life time maximum pay outs are gone?
the fact that you can keep what you have if you like it or get something new?
the fact that it is budget nuetral?
what is it you don't like?
I'll play devil's advocate.
The first three require everyone to purchase insurance from the evil insurance companies.
If you work for a company that furnishes insurance, I don't think you can take that money and use it to go out on your own.
Many think that this plan is not revenue neutral especially when one includes the Doc fix and too generous Medicare reduction assumptions.

dogzilla 03-22-2010 03:26 PM

Quote:

Originally Posted by rahl (Post 2770678)
I've asked this question 3 times in 2 different threads now.
Can someone who is opposed to this bill please answer each one of the questions that I've posed please?

the fact that over 32 million people will now have coverage?

To the extent that coverage come out of my tax dollars, I object. The claim is this is covered by increased taxes on those earning over $200/$250K and by taxes on high cost insurance plans. Taxes on high cost insurance plans don't kick in until 2018. Over the last couple years, we've all seen how well government revenue projections can be counted on to be accurate. To the extent either of those fall short, the middle class taxpayer (me) gets to make up the difference.

the fact that pre-ex's will be covered?

If someone has a pre-existing condition because of a lifestyle choice, that's their problem, not mine. Somebody who has a pre-existing condition because of hereditary factors, probably ok.

the fact that life time maximum pay outs are gone?

That sounds an awful lot like expecting the insurance company write you a blank check for your medical care with no way to recoup their expenses. You get enough people and I don't care if you've got the entire world population in your insurance pool, you're still going to go broke. I kind of like the companies my 401K money is invested in to remain profitable, not bankrupt.

the fact that you can keep what you have if you like it or get something new?

That assumes my employer doesn't decide that it doesn't like the cost of health insurance plans any more, ditches the health care plan, pays the small penalty, and expects me to now pick up the cost of insurance, which I don't get any subsidy for.

the fact that it is budget nuetral?

That remains to be seen. See my comments about high cost insurance plans and assuming revenue streams for the next 10 years.

Rekna 03-22-2010 03:55 PM

So in your opinion what qualifies as a lifestyle choice?

Smoking?, Drinking?, being a driver? living in a new york? Choosing to have a baby? Moving into a bad neighborhood? It seems to be that the term lifestyle choice is pretty damn vague....

Charlatan 03-22-2010 04:07 PM

Quote:

Originally Posted by dogzilla (Post 2770603)
What makes health case a special human right? Even more important is food, and possibly utilities, and I've not read of any plans Obama has to interfere with the grocery business or the utility companies

The big secret in America is that you, as a nation, spend a lot less than other nations on your food bill. A lot less. This is because the US government is heavily involved in subsidizing your food industry (largely through corn and soy bean production).

A for ulitities... I don't know the answer to this but as I understand it (and I could be wrong), utilites are an essential service in the US. Can people have their power completely cut off, their access to fresh water, what about heat in the winter? All of these can be cut off in other parts of the world.

With regards to food, it wasn't Obama that set the particular food plan in motion... it was Nixon (not to say there wasn't a plan to keep food cheap prior to him it's just that with Nixon it was reformed to create the system you have today).

On top of this, you also have a little thing called food stamps (though I will admit, I don't know how that works).

dogzilla 03-22-2010 04:24 PM

Quote:

Originally Posted by Rekna (Post 2770700)
So in your opinion what qualifies as a lifestyle choice?

Smoking?, Drinking?, being a driver? living in a new york? Choosing to have a baby? Moving into a bad neighborhood? It seems to be that the term lifestyle choice is pretty damn vague....

Obesity, smoking, drugs, alcohol, etc. Basically choices that you made that are generally recognized as having a high correlation to health problems and where the health problems are preventable if you did not make those choices.

dippin 03-22-2010 04:44 PM

Quote:

Originally Posted by dogzilla (Post 2770707)
Obesity, smoking, drugs, alcohol, etc. Basically choices that you made that are generally recognized as having a high correlation to health problems and where the health problems are preventable if you did not make those choices.

The issue is, of course, that while those cause certain diseases, it is impossible to know if they were specific culprit for any single case. We simply don't know the specific threshold where these things cause the diseases.

Having a BMI over 25 or 30 can lead to a higher chance of heart attacks, but we simply don't know whether that specific heart attack was caused by obesity, genetics, stress, etc.

So unless you eliminate everyone who ever did something unhealthy, you have no way of doing this. Being sunburned as a kid increases the risk for skin cancer, but whether or not skin cancer was caused specifically by that time someone got sunburned as a kid is impossible to tell.

roachboy 03-22-2010 05:05 PM

one thing i do not understand is this idea that seems to be shared amongst more conservative folk that others only respond to coercion or pressure from outside--so that people will all smoke or all drink or all be overweight unless there is some outside Penalty that kicks in to punish them for doing it. you see it all the time---this nonsense about "lifestyle choices" above works on that assumption. so you'd think that folk with this condescending christian notion of other people--not themselves of course--oppose universal health care because it removes some fictive "moral hazard"

following that logic, you'd think that places with universal health care would have obesity rates higher than the united states.
but strangely the opposite is the case.
so how does that work exactly?

Charlatan 03-22-2010 05:08 PM

America's obesity epidemic is linked to its food policy (cheaper food at any cost) and not its health care policies.

roachboy 03-22-2010 05:14 PM

well, it's linked to alot of things--industrial food production, the subsidy system, the ways in which industrial food is marketed both directly (adverts) and indirectly (sold to, say, public schools)---and ignorance about the consequences of industrial food and diet/nutrition in general. other stuff too---but of these two, you could say that the lack of adequate information about industrial food is a matter of both the educational and health care system. i think more about the french system than any other tho---because basic health care is free across the board, it makes sense for the state to be proactive about nutrition information (among other things) in order to try to influence folk to live more healthy lifestyles in the longer run as a cost-control move. so there's alot of information available about it. i've lived in france more than any other country outside the us so it's my alternate reference point.

pan6467 03-22-2010 07:36 PM

Watch this. It takes page numbers, lines and all and TELLS you exactly what is wrong with this bill from the bill ITSELF.

Tell me and show me where these items this video quotes is NOT in the bill.


SecretMethod70 03-22-2010 08:06 PM

Kind of getting tired of the unnecessarily large and all-caps inflammatory language. It stopped being amusing awhile ago, and does nothing to add to discussion here.

Baraka_Guru 03-22-2010 08:09 PM

Quote:

Originally Posted by pan6467 (Post 2770764)
Watch this. It takes page numbers, lines and all and TELLS you exactly what is wrong with this bill from the bill ITSELF.

Tell me and show me where these items this video quotes is NOT in the bill.

Um, how about it taking things out of context (sometimes almost completely) and "translating" much (most?) of it into some kind of conservospeak?

Most of these aren't direct quotations, and they contain embellishments. Some of it is simply misleading and propagandist.

It's not stating what exactly is wrong; it's stating things wrongly. And it's called fearmongering.

No wonder so many people are confused, with shit like this floating around for months leading up to this.

pan6467 03-22-2010 08:14 PM

Quote:

Originally Posted by Baraka_Guru (Post 2770772)
Um, how about it taking things out of context and "translating" much (most?) of it into some kind of conservospeak?

Most of these aren't direct quotations, and they contain embellishments.

It's not stating what exactly is wrong; it's stating things wrongly. And it's called fearmongering.

No wonder so many people are confused, with shit like this floating around for months leading up to this.

Tell me how. Go to the page and lines it quotes and post them word for word. Until then, I'll believe the video.

After all every link I follow, every search I do... I cannot find this bill online ANYWHERE.

So there's the challenge, show me the lines quoted and then let ME decide.

---------- Post added at 12:14 AM ---------- Previous post was at 12:13 AM ----------

Quote:

Originally Posted by SecretMethod70 (Post 2770769)
Kind of getting tired of the unnecessarily large and all-caps inflammatory language. It stopped being amusing awhile ago, and does nothing to add to discussion here.

Taken care of but this could have been handled with a PM.

Baraka_Guru 03-22-2010 08:24 PM

Quote:

Originally Posted by pan6467 (Post 2770773)
Tell me how. Go to the page and lines it quotes and post them word for word. Until then, I'll believe the video.

After all every link I follow, every search I do... I cannot find this bill online ANYWHERE.

So there's the challenge, show me the lines quoted and then let ME decide.

http://candicemiller.house.gov/pdf/hr3200.pdf

Knock yourself out. That's the version referenced in the video.

It's difficult to post "out of contextization" here.

SecretMethod70 03-22-2010 08:33 PM

As for the video, forgive me if I'm skeptical of a user who calls himself "1NationUnder1God3in1." The video says it is referring to H.R. 3200, which might be useful if it weren't for the fact that the bill the House passed is H.R. 3962. H.R. 3200 never even made it to a vote, and its last activity was Oct 14, 2009. But hey, pan, I'm glad you're making sure to get up-to-date information.

pan6467 03-22-2010 08:36 PM

Quote:

Originally Posted by Baraka_Guru (Post 2770775)
http://candicemiller.house.gov/pdf/hr3200.pdf

Knock yourself out. That's the version referenced in the video.

It's difficult to post "out of contextization" here.

To be quite honest, I tried to research it and like I said I couldn't find it, even with links from people here. Now that it is passed, I don't care to find it.

And my challenge was not to show ANY context OTHER THAN the exact language written on the pages and lines the video quotes and letting ME decide what to believe.

I showed primarily what I have and some of the reasons why I find this the wrong bill and all about power.... now show me the true text and let me decide what it means.

Otherwise there isn't even debate. You simply say "out of context" but refuse to show how simply by posting the exact words from the pages and lines quoted. To me ANYONE can say "out of context" but if they don't show how then they have nothing to stand on but their beliefs and well, sorry my beliefs and seeing someone who actually did the work means more to me than "out of context".

SecretMethod70 03-22-2010 08:37 PM

You'll note that the pdf the video links is also hosted on the website of one of the staunch Republican critics of the bill. Sorry if I don't trust her materials. If you're going to reference the bill, get it from a neutral website like GovTrack: H.R. 3200: America's Affordable Health Choices Act of 2009 (GovTrack.us) (Looking closely, this link is the updated version of the bill in October 2009, the video is based on an older version of the bill from July 2009 and that is the version they link to.)

But like I said, none of this matters because this isn't the bill that passed. It's not even the bill they've been discussing for 5 months now.

Baraka_Guru 03-22-2010 08:38 PM

Quote:

Originally Posted by SecretMethod70 (Post 2770779)
As for the video, forgive me if I'm skeptical of a user who calls himself "1NationUnder1God3in1." The video says it is referring to H.R. 3200, which might be useful if it weren't for the fact that the bill the House passed is H.R. 3962. H.R. 3200 never even made it to a vote, and its last activity was Oct 14, 2009. But hey, pan, I'm glad you're making sure to get up-to-date information.

Even still, this 1NU1G3in1 guy "quotes": "HEALTHCARE RATIONING" where you will find lines referencing limitations to cost-sharing, conveniently leaving out the preceding "provision of quality health care and financial security, that— [...] does not impose any annual or lifetime limit on the coverage of covered health care items and services;" and other such items.

How are limitations on cost-sharing "healthcare rationing"? I can't say I'm completely familiar with how these thing work, but isn't this in reference to how much you pay as a co-payer?

Maybe I'm confused because of the video....

And this is just one example, by the way.

SecretMethod70 03-22-2010 08:45 PM

Quote:

Originally Posted by pan6467 (Post 2770780)
I showed primarily what I have and some of the reasons why I find this the wrong bill and all about power.... now show me the true text and let me decide what it means.

Pan, why do you want us to do your work for you? Baraka pasted the link your own video gave for H.R. 3200. I pasted a different link to H.R. 3200. Do you not have Adobe Reader? More importantly, why do you get so outraged if you can't even be arsed to read the bill yourself or to even paste videos that refer to bills that are less than 5 months old?

---------- Post added at 11:45 PM ---------- Previous post was at 11:39 PM ----------

Baraka: Pretty sure you're reading that section correctly.

Charlatan 03-22-2010 08:48 PM

Wow Pan... you really have a lot of pent up anger still to get out.

I have to say, I started watching your attached video and thought... I don't believe that *any* US Administration could get away with passing something like this. It's CRAZY. It motivated me, a non-US citizen, to find the actual BILL and compare it to what was being said in your video...

Here is what I discovered:



Quote:

Page 22: is not a mandate to audit ALL employers who self insure. It is a study to examine a large group of insured and self-insured employers to ensure the efficiency of the system. Read the actual text of the Bill.

Page 29: Rationing. Please also read page 27 lines 10-12, “(3) does not impose and annual or lifetime limit on coverage of covered health care items and services. Page 29 is not about the services to be provided but about cost sharing and actuarials. Perhaps our insurance wonks can flesh this out, but it seems to be about something other than Health Care Rationing.

Page 30: health benefits committee: This is a private and public committee which will decide what benefits are to be covered under the health care plan. They will not be looking at individual cases but rather they will be deciding things like, Will plastic surgery be covered. What forms of dental surgery are covered? This is something your insurance company already does and does to their profit and your detriment. Bitch and moan about this all you wish but it would not be an efficient system if it just covered every crazy new fad (I am looking at you healing power crystals) that comes along. (See page 31 part five to see the ultimate make up and diversity of this committee).

Page 32: Again, this is precisely what I have stated above. It is not about limiting what health care you receive but rather what is covered under the plan. You are free to go and pay for things that are not covered (your cosmetic boob job is not likely covered). There are limits on any policy you sign up for. If you want additional coverage beyond what this plan covers there are plenty of add on plans out there to choose from. This is no different from what you have today, except that now everyone will have access to a minimum standard. To say you have NO CHOICE is hogwash.

Page 50: it does not say that Non-US citizens will be covered. Rather it is a clause that deals with discrimination (i.e. you cannot deny coverage). It says nothing all about citizenship. The interpretation is definitely skewing to the usual fears…

Page 58: it does not say that the government will have access to your real time finances. Rather it is a clause about the efficiency of this system and it says that it will strive to have real-time information about any person’s coverage. This may be achieved by a health card system. It does not say WILL, it clearly says MAY. I am sure this will be open for debate at a later point. The idea is to create a) savings through simplifying the current paperwork hell that exists and b) a clear and instant understand of what any users coverage is (given that there are multiple insurance coverage options out there any individual may have more or less coverage than someone else). Efficiency is a good thing. Again, this has nothing to do with your personal finance but everything to do with efficiencies in the health care system.

Page 59:
The government will not have direct access to your bank account. This section continues to be about efficiency and offers methods that can be used to encourage this efficiency. One of which is the ability to transfer funds to your account. At present, anyone can transfer money into your account if you give them an account code. That doesn’t mean they have access to your account. When you do a refund on your debit card, does the store have access to your information? No. They are just transferring money to your account. When you get paid and your company does direct deposit, does your boss see what’s in your account? No. It should also be noted that it does not say you have to use direct electronic transfers. I am certain that you can also be issued a cheque if you want… but where is the efficiency in that?

Page 65: Acorn? Really? This is scraping the bottom of the fear-mongering barrel. Read the Bill. It is not about this. But man… it gave the producer of this piece a chance to rile people up with Acorn!

Page 72: This is about regulating how insurance companies can pool their services to that costs can be reduced by sharing risk. This is not about Government Control. This is about regulation of private organizations. Regulation is not a bad thing.

I don’t think I need to go on. I am just over 1:40 into this thing and when following along with the actual Bill it is clear to see that this video is not just a reinterpretation but a blatant attempt to skew what the Bill ACTUALLY says with lies, misdirection and bald faced fear mongering using the usual assortment of bugaboos.

Try it yourself. Find the Bill online and see what it says vs. what this video says.

pan6467 03-22-2010 09:08 PM

Quote:

Originally Posted by Charlatan (Post 2770788)
Wow Pan... you really have a lot of pent up anger still to get out.

I have to say, I started watching your attached video and thought... I don't believe that *any* US Administration could get away with passing something like this. It's CRAZY. It motivated me, a non-US citizen, to find the actual BILL and compare it to what was being said in your video...

Here is what I discovered:






I don’t think I need to go on. I am just over 1:40 into this thing and when following along with the actual Bill it is clear to see that this video is not just a reinterpretation but a blatant attempt to skew what the Bill ACTUALLY says with lies, misdirection and bald faced fear mongering using the usual assortment of bugaboos.

Try it yourself. Find the Bill online and see what it says vs. what this video says.

I appreciate this man. It's not hard. You can get pissy and start trying to personally attack or you can show where the differences lie and let the other decide for themselves once they see the actual text.

I also agree that the video is a scare tactic, however, if the true text of the bill CAN IN ANYWAY be legally interpreted as described by the video then there are issues that need to be resolved.

As for the bills HR3200 and HR3296 are relatively the same not much was changed. But if the bill numbers want someone to try to get others to believe the bill is almost totally different then so let them.

Yes, there is a lot of anger towards this bill. From the way they passed it and had to find support for it, to the way it wasn't readily available, to the contents and way they are handling this.

It is in no way good for this country. Even Reps. that voted for it say that. Some reps that voted for it admit they have no idea all that is in it. I find that somewhat foolish and it tells me they just wanted to pass something.

I also find it funny that Dems are more willing to attack and work on destroying someone and heighten concerns and paranoia and anger over the bill rather than stand up the bill proudly and show what they passed.

Wrong bill, wrong way to pass it, wrong way to support it and try to ease the public's worries.

SecretMethod70 03-22-2010 09:25 PM

Quote:

Originally Posted by pan6467 (Post 2770791)
I appreciate this man. It's not hard. You can get pissy and start trying to personally attack or you can show where the differences lie and let the other decide for themselves once they see the actual text.

You act like people have been hiding the bill(s) from you. Except, as all bills, they've been posted online. Then when you were given direct links to the bill in this discussion, and your own video told you exactly where to look, you wouldn't even take the time to click the link, instead demanding that someone do the work for you and post it here. It's nice that Charlatan did, but frankly I didn't have the time or patience to put that kind of time into it when I already knew the outcome. Why did I know the outcome? Because videos like the one you posted and similar e-mails have been making the rounds for a year now, and they're almost always wrong. I hate to break it to you pan, but you're not special (and neither are the rest of us). If you post a propaganda video that cites specific passages of something, you can't refuse to click a damn link to see those passages and act like other people are the ones keeping you in the dark.
Quote:

I also agree that the video is a scare tactic, however, if the true text of the bill CAN IN ANYWAY be legally interpreted as described by the video then there are issues that need to be resolved.
I'll save you the time, since again you apparently refuse to open Adobe Reader yourself: they can't.
Quote:

As for the bills HR3200 and HR3296 are relatively the same not much was changed. But if the bill numbers want someone to try to get others to believe the bill is almost totally different then so let them.
You know, I don't know exactly how different the bills are, but you know what I do know? You're equally lacking in knowledge. I didn't read either bill in its entirety, and you won't even open either bill in its entirety. The point was not that the bill that passed is entirely different, but that propaganda is bad enough on its own, but even worse when it's not even talking about the bill that's being considered. For all you or 1NationUnder1God3in1 know, the new bill could have changed all the sections your video references. Kind of pointless to be basing arguments on 5 month old bills, no matter how similar they may or may not be.
Quote:

It is in no way good for this country. Even Reps. that voted for it say that. Some reps that voted for it admit they have no idea all that is in it. I find that somewhat foolish and it tells me they just wanted to pass something.
Citation please. And, no, a representative saying they're not eager about this bill is not the same as a representative saying this bill is bad for America. Seeing as how we've already established you're a special voice expert for Dennis Kucinich, though, I don't expect you to understand that.
Quote:

I also find it funny that Dems are more willing to attack and work on destroying someone and heighten concerns and paranoia and anger over the bill rather than stand up the bill proudly and show what they passed.
Really? Like this link that is easily accessible from the House website and the first Google result for H.R. 3962? (Warning: that's a pdf file of the whole bill, I know how you hate to open those and look for yourself)

pan6467 03-22-2010 09:33 PM

Quote:

Originally Posted by SecretMethod70 (Post 2770792)
You act like people have been hiding the bill(s) from you. Except, as all bills, they've been posted online. Then when you were given direct links to the bill in this discussion, and your own video told you exactly where to look, you wouldn't even take the time to click the link, instead demanding that someone do the work for you and post it here. It's nice that Charlatan did, but frankly I didn't have the time or patience to put that kind of time into it when I already knew the outcome. Why did I know the outcome? Because videos like the one you posted and similar e-mails have been making the rounds for a year now, and they're almost always wrong. I hate to break it to you pan, but you're not special (and neither are the rest of us). If you post a propaganda video that cites specific passages of something you can't refuse to click a damn link to see those passages and act like other people are the ones keeping you in the dark.I'll save you the time, since again you apparently refuse to open Adobe Reader yourself: they can't.You know, I don't know exactly how different the bills are, but you know what I do know? You're equally lacking in knowledge. I didn't read either bill in its entirety, and you won't even open either bill in its entirety. The point was not that the bill that passed is entirely different, but that propaganda is bad enough on its own, but even worse when it's not even talking about the bill that's being considered. For all you or 1NationUnder1God3in1 know, the new bill could have changed all the sections your video references. Kind of pointless to be basing arguments on 5 month old bills, no matter how similar they may or may not be.Citation please. And, no, a representative saying they're not eager about this bill is not the same as a representative saying this bill is bad for America. Seeing as how we've already established you're a special voice expert for Dennis Kucinich, though, I don't expect you to understand that.Really? Like this link that is easily accessible from the House website and the first Google result for H.R. 3962? (Warning: that's a pdf file of the whole bill, I know how you hate to open those and look for yourself)


I also find it funny that Dems are more willing to attack and work on destroying someone and heighten concerns and paranoia and anger over the bill rather than stand up the bill proudly and show what they passed.

Wrong bill, wrong way to pass it, wrong way to support it and try to ease the public's worries.

I rest my case and am done here.

SecretMethod70 03-22-2010 09:38 PM

Dude, I linked to the damn bill, if that's not proudly showing what passed I don't know what is.

But I am guilty as charged when it comes to attacking laziness and having no sympathy for anger that is demonstrably based on ignorance (not being willing to actually open the file yourself, for one thing).

silent_jay 03-22-2010 10:01 PM

Quote:

Originally Posted by pan6467 (Post 2770793)
I also find it funny that Dems are more willing to attack and work on destroying someone and heighten concerns and paranoia and anger over the bill rather than stand up the bill proudly and show what they passed.

I believe a link was already posted, but I'll do it again, maybe this time you'll actually read it rather than ranting about something you've admittedly never read.
http://docs.house.gov/rules/health/111_ahcaa.pdf
You can downlaod this to open it:
Adobe - Adobe Reader download - All versions
enjoy

Charlatan 03-22-2010 10:32 PM

Quote:

Originally Posted by pan6467 (Post 2770791)

I also agree that the video is a scare tactic, however, if the true text of the bill CAN IN ANYWAY be legally interpreted as described by the video then there are issues that need to be resolved.

I am confused. You see it as a scare tactic and yet you are willing to buy into it hook, line and sinker.

As for legal interpretation... I have to say, looking at the text of the actual Bill vs. what was said in that video, there is no way that the exaggerations and out right lies that are in that video are in any related to what the actual Bill says... both in the letter and the spirit of the Bill (FYI-I spend a lot of my job reading and writing contracts).


I have not heard any who actually voted in favour of this Bill state that it is a *bad* Bill. If anything they are saying it didn't go far enough (i.e. Public Option or Single Payer).

Here is the thing Pan:

1) The Republicans gave up every opportunity to work with the Democrats on this piece of legislation. They *could* have taken part in the reformation of Health Care. They could have engaged in debate. They could have offered alternatives. Obama explicitly invited them to participate saying that nothing was off the table. I would even suggest that by removing Public Option and Single Payer from the table, he was trying to meet some of their demand (explicitly stated or not). Unfortunately, the Republican party chose a different route. The route of do nothing constructive. Argue for the status quo while vilifying the attempt to bring change to a system that most people would agree was not working very well.

2) Regarding legal interpretations... ALL laws are open to legal interpretation. That's what the courts are there for. They interpret laws as they are written. The job of those who create legislation is to mitigate this with clarity (i.e. the legalese that you find in contracts isn't there just because the lawyers bill by the word... it is there to lay out, as clearly as possible what is expected and what is intended -- letter and spirit).


This law was *not* rammed through. It went through due process. The Bill has been posted and available for anyone to vet it (certainly for longer than most Bills are ever made available). Attempts were made to bring about a bi-partisan solution but when the other party does not want to participate, what are you to do?

Having now read quite a bit of the Bill, I can say that this is mostly about regulating the existing industry to remove some of the more egregious practices (cutting people off, the pre-existing clauses, etc.) while bringing coverage to nearly everyone.

This is not an attack one personal freedom. The government is legislating minimum coverage for all (more people covered means lower costs as the risk is spread amongst a much greater number people). If you want more coverage you can get it. Nobody will prevent this from happening. If you want to go without coverage, you will pay an additional tax as an incentive to participate (i.e. you don't need to participate if you wish to opt out... by why would you when you can actually have coverage at a decent rate?)

dippin 03-23-2010 12:13 AM

Quote:

Originally Posted by pan6467 (Post 2770793)
I also find it funny that Dems are more willing to attack and work on destroying someone and heighten concerns and paranoia and anger over the bill rather than stand up the bill proudly and show what they passed.

Wrong bill, wrong way to pass it, wrong way to support it and try to ease the public's worries.

I rest my case and am done here.

This is yet another thread where we again are deep into it, and the people throwing a fit (which, just to be clear, is not everyone who is against the bill - samcol and cimarron did add something of substance) have yet to provide something that is actually on the bill that is bad.

If this bill is indeed that bad (which I don't think it is), maybe the reason for that is that even the people who say that this will "destroy America" are too fucking lazy to even read it. I mean, if it is so bad and the stakes are so high, you'd imagine the people who are complaining the loudest would actually get off their damn butts and read at least the basics of the fucking bill.

It's like arguing with children, for fucks sake.

-"They are HIDING the bill"
-"Dude, the link is right there, you can read it for yourself"
- "But I don't wanna!!!"


Ps: I'm sorry to everyone else if this is too aggressive, but how many pages can we waste on the same bullshit?

dogzilla 03-23-2010 03:10 AM

Quote:

Originally Posted by roachboy (Post 2770725)
one thing i do not understand is this idea that seems to be shared amongst more conservative folk that others only respond to coercion or pressure from outside--so that people will all smoke or all drink or all be overweight unless there is some outside Penalty that kicks in to punish them for doing it. you see it all the time---this nonsense about "lifestyle choices" above works on that assumption. so you'd think that folk with this condescending christian notion of other people--not themselves of course--oppose universal health care because it removes some fictive "moral hazard"
so how does that work exactly?

That was not my point. My point was that if someone makes a poor lifestyle choice, why is it my responsibility to cover the expenses due to their actions? If I decide that dinner every night is going to be a super-size McDonalds meal, why should you be responsible for paying for my bypass operation 10 years later? If I decide that using crack is fun, why should you be responsible for paying for my trip to the ER when I OD? If I decide that smoking Marlboros makes me look cool, why should you pay for my chemotherapy when I get lung cancer?

If, on the other hand I know the risks, and realize that doing any of the above is quite likely to end up with me dead sooner rather than later, that of itself is sufficient motivation for me to not do any of the above.

Why do I need the nanny state to save me from myself? Why should the nanny state make you pay for my mistakes?

roachboy 03-23-2010 03:24 AM

actually, dogzilla, all i did was restate the point i took you as making, which you then restated again in a slightly different way. you are in fact arguing that the absence of access to health care introduces an element of "moral hazard" into these lifestyle choices (smoking is an addiction btw. trust me i know). the implication is, like i said, that were universal health care in place everyone would eat super-sized meals at macdo, drink a whole lot every night and smoke like a chimney.

all you changed in the end was you substituted for "moral hazard"---one conservative fiction---some notion of "the nanny state"---another conservative fiction.
across that, your argument is that you don't want to pay.

to which the counter is that you can then pretend your tax money is going into programs that you like. whether you want to pay or not changes nothing. but this applies more to a universal health care system, which this bill does not institute. single-payer, uk/canadian style seems to be the only alternative on the table--again the french system is better, more effective and would be a far more likely and simple model to consider instituting from the position this bill will bring the united states to. but anyway, that's another matter

Rekna 03-23-2010 06:06 AM

Quote:

Originally Posted by dogzilla (Post 2770707)
Obesity, smoking, drugs, alcohol, etc. Basically choices that you made that are generally recognized as having a high correlation to health problems and where the health problems are preventable if you did not make those choices.

What if someone is genetically obese? What if they have a thyroid condition?

What I don't get is we have people on the right saying the government is to involved in our lives but you are saying that the government should tell us exactly what we should eat and drink, how often we should exercise, etc. That seems a bit to Orwellian to me.

dogzilla 03-23-2010 07:05 AM

Quote:

Originally Posted by Rekna (Post 2770863)
What if someone is genetically obese? What if they have a thyroid condition?

Then that's not a lifestyle choice and you have nothing to worry about. Someone can make determinations like that at the point where you apply for insurance.

Quote:

Originally Posted by Rekna (Post 2770863)
What I don't get is we have people on the right saying the government is to involved in our lives but you are saying that the government should tell us exactly what we should eat and drink, how often we should exercise, etc. That seems a bit to Orwellian to me.

No, you still have the choice. If you choose to do something which is detrimental to your health that's still your right. I'm exercising my right not to pay for it.

Rekna 03-23-2010 07:24 AM

Quote:

Originally Posted by dogzilla (Post 2770873)
Then that's not a lifestyle choice and you have nothing to worry about. Someone can make determinations like that at the point where you apply for insurance.



No, you still have the choice. If you choose to do something which is detrimental to your health that's still your right. I'm exercising my right not to pay for it.


So you want to give the insurance company a right to deny coverage based upon what they deem is an unhealthy lifestyle choice. Give them this inch and they will take a mile. They will start saying things like, well you ate fastfood once in your life, well you live in a dangerous city/neighborhood, well you work at a school, well you drive a car, well your church serves wine for communion, well you drink Soda, well you don't drink enough water, well you don't work out enough, well you work out too much.

We are then right back where we started. The insurance companies have the power to deny or revoke coverage based on what they deem is a healthy lifestyle.

Shauk 03-23-2010 07:45 AM

well here's a list of 18 positive things in the bill I suppose.

Health Reform Bill Summary: The Top 18 Immediate Effects

instead of all this negative nancy bashing how about some optimism?

Cimarron29414 03-23-2010 08:38 AM

Quote:

Originally Posted by Rekna (Post 2770875)
So you want to give the insurance company a right to deny coverage based upon what they deem is an unhealthy lifestyle choice. Give them this inch and they will take a mile. They will start saying things like, well you ate fastfood once in your life, well you live in a dangerous city/neighborhood, well you work at a school, well you drive a car, well your church serves wine for communion, well you drink Soda, well you don't drink enough water, well you don't work out enough, well you work out too much.

We are then right back where we started. The insurance companies have the power to deny or revoke coverage based on what they deem is a healthy lifestyle.

Rekna,

What he is stating has nothing to do with the insurance company. It has to do with Dogzilla's wallet. Ultimately, the costs associated with this expanded coverage will come from our (yours, dogzilla's and my) wallet.

To simplify this and every other political argument to its core:

There are people who believe that the haves should be required to pay for the havenots.

There are people who believe that the haves should not be required to pay for the havenots.

Internet hair-splitting isn't going to change people's core positions.

Derwood 03-23-2010 08:42 AM

Quote:

Originally Posted by Cimarron29414 (Post 2770891)
Rekna,

What he is stating has nothing to do with the insurance company. It has to do with Dogzilla's wallet. Ultimately, the costs associated with this expanded coverage will come from our (yours, dogzilla's and my) wallet.

To simplify this and every other political argument to its core:

There are people who believe that the haves should be required to pay for the havenots.

There are people who believe that the haves should not be required to pay for the havenots.

Internet hair-splitting isn't going to change people's core positions.


so you don't believe the president when he says the bill is budget neutral and paid for?

Cimarron29414 03-23-2010 08:54 AM

Quote:

Originally Posted by Derwood (Post 2770893)
so you don't believe the president when he says the bill is budget neutral and paid for?

I don't think you know what budget neutral means. All that means is that they have found a way to fund their expenditures and that the funding and expenditures are all listed in the legislation. That does not mean they aren't raising taxes to do it.

Well, that and the fact that he's a politician and his lips moved - so naturally, he's lying.

dogzilla 03-23-2010 09:18 AM

Quote:

Originally Posted by Derwood (Post 2770893)
so you don't believe the president when he says the bill is budget neutral and paid for?

What I've read is that this bill is getting funding from three sources, an increased tax on those earning over $200K/$250K per year, a tax on expensive insurance plans and by saving a few hundred billion dollars in Medicare. The claim is that these revenue streams cover all the expenses. However, this is assuming that the money is actually coming in from these sources. We already know that the money from high cost insurance plans doesn't start coming in until 2018. Taxes on high income people don't start until 2011. Who knows when the government will really save hundreds of billions of dollars in Medicare.

Starting this year, seniors get a $250 credit, offsets to early retirement health expenses go into effect, businesses with < 50 employees get a 35% credit on their health care costs and adoption tax credit (WTF does this have to do with health care?) goes up by $1000. In addition, insurance companies get a whole lot on restriction imposed on them. That sure doesn't sound budget neutral to me. That sounds like there's more government funny money (loans) coming out of taxpayer pockets to pay for this.

And, as I stated before, we all know how well government revenue projections worked out over the last couple years. So I have little faith that this bill is anywhere near budget neutral.

aceventura3 03-23-2010 10:01 AM

I recently read the CBO scoring of the PPACA. I can not imagine any person who reads it actually believing the cost estimates and the deficit reduction impact. In fairness to the people at the CBO, they are required to work within the totally unrealistic assumptions given. The cuts projected will not materialize, the savings projected will not materialize, the proposed new taxes will be altered, and ultimately young people will bear the cost of this fraud long after those who passed it are out of office - unless it gets fixed. It is amazing they got away with this without ever answering any specific questions or getting off of their talking points.

roachboy 03-23-2010 10:14 AM

so ace...how about a link please?

ottopilot 03-23-2010 10:20 AM

20 Ways ObamaCare Will Take Away Our Freedoms

Below is an article from an Investor's Buisness Daily blog. The author highlights (with a bit of sarcasm) just a few of the many bait-and-switch "features" buried throughout the new health care law. I don't necessarily agree with each conclusion, but generally agree with the overall sentiment.

For some reason the article has been unavailable today, but I was able to grab it from a cashed Google page. The original link is listed at the bottom of this post.

Enjoy!

Quote:

20 Ways ObamaCare Will Take Away Our Freedoms

By David Hogberg

Sun., March 21, '10 3:24 PM ET


With House Democrats poised to pass the Senate health care bill with some reconciliation changes later today, it is worthwhile to take a comprehensive look at the freedoms we will lose.

Of course, the overhaul is supposed to provide us with security. But it will result in skyrocketing insurance costs and physicians leaving the field in droves, making it harder to afford and find medical care. We may be about to live Benjamin Franklin’s adage, “People willing to trade their freedom for temporary security deserve neither and will lose both.”

The sections described below are taken from HR 3590 as agreed to by the Senate and from the reconciliation bill as displayed by the Rules Committee.

1. You are young and don’t want health insurance? You are starting up a small business and need to minimize expenses, and one way to do that is to forego health insurance? Tough. You have to pay $750 annually for the “privilege.” (Section 1501)

2. You are young and healthy and want to pay for insurance that reflects that status? Tough. You’ll have to pay for premiums that cover not only you, but also the guy who smokes three packs a day, drink a gallon of whiskey and eats chicken fat off the floor. That’s because insurance companies will no longer be able to underwrite on the basis of a person’s health status. (Section 2701).

3. You would like to pay less in premiums by buying insurance with lifetime or annual limits on coverage? Tough. Health insurers will no longer be able to offer such policies, even if that is what customers prefer. (Section 2711).

4. Think you’d like a policy that is cheaper because it doesn’t cover preventive care or requires cost-sharing for such care? Tough. Health insurers will no longer be able to offer policies that do not cover preventive services or offer them with cost-sharing, even if that’s what the customer wants. (Section 2712).

5. You are an employer and you would like to offer coverage that doesn’t allow your employers’ slacker children to stay on the policy until age 26? Tough. (Section 2714).

6. You must buy a policy that covers ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services; chronic disease management; and pediatric services, including oral and vision care.

You’re a single guy without children? Tough, your policy must cover pediatric services. You’re a woman who can’t have children? Tough, your policy must cover maternity services. You’re a teetotaler? Tough, your policy must cover substance abuse treatment. (Add your own violation of personal freedom here.) (Section 1302).

7. Do you want a plan with lots of cost-sharing and low premiums? Well, the best you can do is a “Bronze plan,” which has benefits that provide benefits that are actuarially equivalent to 60% of the full actuarial value of the benefits provided under the plan. Anything lower than that, tough. (Section 1302 (d) (1) (A))

8. You are an employer in the small-group insurance market and you’d like to offer policies with deductibles higher than $2,000 for individuals and $4,000 for families? Tough. (Section 1302 (c) (2) (A).

9. If you are a large employer (defined as at least 101 employees) and you do not want to provide health insurance to your employee, then you will pay a $750 fine per employee (It could be $2,000 to $3,000 under the reconciliation changes). Think you know how to better spend that money? Tough. (Section 1513).

10. You are an employer who offers health flexible spending arrangements and your employees want to deduct more than $2,500 from their salaries for it? Sorry, can’t do that. (Section 9005 (i)).

11. If you are a physician and you don’t want the government looking over your shoulder? Tough. The Secretary of Health and Human Services is authorized to use your claims data to issue you reports that measure the resources you use, provide information on the quality of care you provide, and compare the resources you use to those used by other physicians. Of course, this will all be just for informational purposes. It’s not like the government will ever use it to intervene in your practice and patients’ care. Of course not. (Section 3003 (i))

12. If you are a physician and you want to own your own hospital, you must be an owner and have a “Medicare provider agreement” by Feb. 1, 2010. (Dec. 31, 2010 in the reconciliation changes.) If you didn’t have those by then, you are out of luck. (Section 6001 (i) (1) (A))

13. If you are a physician owner and you want to expand your hospital? Well, you can’t (Section 6001 (i) (1) (B). Unless, it is located in a country where, over the last five years, population growth has been 150% of what it has been in the state (Section 6601 (i) (3) ( E)). And then you cannot increase your capacity by more than 200% (Section 6001 (i) (3) (C)).

14. You are a health insurer and you want to raise premiums to meet costs? Well, if that increase is deemed “unreasonable” by the Secretary of Health and Human Services it will be subject to review and can be denied. (Section 1003)

15. The government will extract a fee of $2.3 billion annually from the pharmaceutical industry. If you are a pharmaceutical company what you will pay depends on the ratio of the number of brand-name drugs you sell to the total number of brand-name drugs sold in the U.S. So, if you sell 10% of the brand-name drugs in the U.S., what you pay will be 10% multiplied by $2.3 billion, or $230,000,000. (Under reconciliation, it starts at $2.55 billion, jumps to $3 billion in 2012, then to $3.5 billion in 2017 and $4.2 billion in 2018, before settling at $2.8 billion in 2019 (Section 1404)). Think you, as a pharmaceutical executive, know how to better use that money, say for research and development? Tough. (Section 9008 (b)).

16. The government will extract a fee of $2 billion annually from medical device makers. If you are a medical device maker what you will pay depends on your share of medical device sales in the U.S. So, if you sell 10% of the medical devices in the U.S., what you pay will be 10% multiplied by $2 billion, or $200,000,000. Think you, as a medical device maker, know how to better use that money, say for R&D? Tough. (Section 9009 (b)).

The reconciliation package turns that into a 2.9% excise tax for medical device makers. Think you, as a medical device maker, know how to better use that money, say for research and development? Tough. (Section 1405).

17. The government will extract a fee of $6.7 billion annually from insurance companies. If you are an insurer, what you will pay depends on your share of net premiums plus 200% of your administrative costs. So, if your net premiums and administrative costs are equal to 10% of the total, you will pay 10% of $6.7 billion, or $670,000,000. In the reconciliation bill, the fee will start at $8 billion in 2014, $11.3 billion in 2015, $1.9 billion in 2017, and $14.3 billion in 2018 (Section 1406).Think you, as an insurance executive, know how to better spend that money? Tough.(Section 9010 (b) (1) (A and B).)

18. If an insurance company board or its stockholders think the CEO is worth more than $500,000 in deferred compensation? Tough.(Section 9014).

19. You will have to pay an additional 0.5% payroll tax on any dollar you make over $250,000 if you file a joint return and $200,000 if you file an individual return. What? You think you know how to spend the money you earned better than the government? Tough. (Section 9015).

That amount will rise to a 3.8% tax if reconciliation passes. It will also apply to investment income, estates, and trusts. You think you know how to spend the money you earned better than the government? Like you need to ask. (Section 1402).

20. If you go for cosmetic surgery, you will pay an additional 5% tax on the cost of the procedure. Think you know how to spend that money you earned better than the government? Tough. (Section 9017).

Article from investors.com

20 Ways ObamaCare Will Take Away Our Freedoms

Cimarron29414 03-23-2010 11:32 AM

Section 9017-a: Except Nancy Pelosi (D-California)

ottopilot 03-23-2010 11:51 AM

Quote:

Originally Posted by Cimarron29414 (Post 2770929)
Section 9017-a: Except Nancy Pelosi (D-California)

:eek:


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