Health Care Debate

djv

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Nov 4, 2000
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I Give credit for our Gov at least trying to help explain some of the problems this subject brings.
One thing I learn is something has to be done. Or we all face cost that will bust our balls.
 

gardenweasel

el guapo
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"the bunker"
djv...dude...i love ya...but why bring this into the general forum?....:shrug:

don`t we already have enough poo flinging in the other threads in this forum?...
 

DOGS THAT BARK

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CNN Poll: Only 25% want Dems to pass their health bills....

capt.8ecd0a1a7c0e471fad7a0318aa690f5d.obama_health_care_overhaul_dcpm110.jpg
 

djv

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This subject attacks all of us. And I don't look at it as a all out election pissing match. It's was my thought that at last our Gov did something right today. And that was good to see for a change. Explaining the subject and how tough it is.
 

BuckwheatJWN

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The BIGGEST problem is that it is the wrong forum. The issue shouldn't be about politics. We should also understand why no President before this actually tried to change the status quo especially a Republican one. There would be just as big or bigger uproar among the people if a conservative model for changing healthcare was taking place.
 

gardenweasel

el guapo
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"the bunker"
Wouldn't it be easier to just ask Jack for a job?

i know guys like you enjoy mucking the place up for everyone else....such a childish trait....rooted in basic immaturity and stunted mental/emotional growth...

that`s why i try and give you an occasional pass...
 

Mags

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I watched the whole 7 hours of this today - as I am a consultant to the health care industry, and I do understand the issues, and consequences of each possible action very well being an actuary.

I have to admit, at the end of the sessions I was saddenned greatly. Both sides really made no progress - it was all theater.

Clearly, there are a number of things that could be done quickly to improve things.

But what scares me the most after listening to these guys - neither the Republicans nor Dems understand the whole system, issues and consequences very well. Some have a high level understanding, but most of them really have no clue - other than their anecdotal stories about "the letter I got from person x". The only persons in the room that I would grade as a 50% understanding of the whole issue or greater would be Paul Ryan (R-WI) and Obama himself. And both of them are at best 60%.

It is a very complex system. It provides 16% of our GDP - and that feeds a lot of people and clothes a lot of kids. It also hurts people that don't work in the industry, due to rising costs.

Their focus on the insurance insdustry driving the costs up is just stupid. They are part of the problem, sure - but the costs that doctors, hospitals and RX companies charge are 80% or more of the problem. Somehow they were excused from the whipping done by Obama today.

What scares me the most is having the folks (both Reps and Dems) deciding effectively the fate of our country - because if they pass a bill or don't pass a bill - either way it will have huge consequences for us and our children.

But none of the representatives are capable of making these type of decisions. Most (if not all) have not read the entire Senate or House bill (I have read both). There is no way in God's green earth that this group of people should be making decisions on something they just don't understand - and something they haven't taken the time and training to understand. Look at Dingel from MI - he is really going to vote on this issue? I had serious doubts that he was really alive when he was talking today. He may have been sharp during his younger days, but he predates the Model T Ford - and it shows. No way should a a guy like that be making decisions for our country. There is no way he can grasp all the issues and evaluate them correctly.

And I'm not trying to be critical of our elected representatives - I wouldn't expect them to make the correct decision or understand the issue. (although I am saying that some of them have no business helping run our country when they couldn't even understand how the game of checkers is played anymore, due to their senility).

Health Care IS 16% of our economy. Every change you make will produce outcomes - and more importantly unintended outcomes which are tough to predict.

I also have no confidence in the CBO, primary because of the rules they have to operate under. The folks there are certainly smart enough, but they have to evaluate a bill they way it is presented, even if they know there is no way in God's green earth that the parts of the bill will come to pass (I'm talking about the annual medicare cuts that always get reversed by Doc Fix).... They are not allowed to incorporate probability into their models - the chance of what is being proposed even happens. How shortsighted is that? Even us at MJ's include probablility into every bet we make!

I am with everybody else - we have to do something to our health care system. Rationing care will be part of it - which is fine - as it is the only way we can pay for the care we need (and the burgeoning care we'll need in the future due to our obesity epidemic).

But, the part that scares me the most - these folks in our politicial system are certainly not qualified to be making these type of decisions, and aer driven by political issues and party priorities instead of possiibly doing the right thing - BOTH sides are guilty of this.

God helps us, no matter how this all turns out.
 

Mags

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I would like both parties to at least pass a bill that deals with waste, fraud and abuse, would be a winner for both sides.


JMHO

Skulnik - it is more than that. I believe EVERYONE should have access to insurance - at a rate equal to, or close to, what "Healthy" people pay...

Everyone, should be able to get insurance, but not be required to get insurance. And we shouldn't discriminate and make a few people pay for it - we should all share equally (no matter race, height, weight, economic status, state you live in, length of your dick... etc... you get the point)
 

gardenweasel

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I watched the whole 7 hours of this today - as I am a consultant to the health care industry, and I do understand the issues, and consequences of each possible action very well being an actuary.

I have to admit, at the end of the sessions I was saddenned greatly. Both sides really made no progress - it was all theater.

Clearly, there are a number of things that could be done quickly to improve things.

But what scares me the most after listening to these guys - neither the Republicans nor Dems understand the whole system, issues and consequences very well. Some have a high level understanding, but most of them really have no clue - other than their anecdotal stories about "the letter I got from person x". The only persons in the room that I would grade as a 50% understanding of the whole issue or greater would be Paul Ryan (R-WI) and Obama himself. And both of them are at best 60%.

It is a very complex system. It provides 16% of our GDP - and that feeds a lot of people and clothes a lot of kids. It also hurts people that don't work in the industry, due to rising costs.

Their focus on the insurance insdustry driving the costs up is just stupid. They are part of the problem, sure - but the costs that doctors, hospitals and RX companies charge are 80% or more of the problem. Somehow they were excused from the whipping done by Obama today.

What scares me the most is having the folks (both Reps and Dems) deciding effectively the fate of our country - because if they pass a bill or don't pass a bill - either way it will have huge consequences for us and our children.

But none of the representatives are capable of making these type of decisions. Most (if not all) have not read the entire Senate or House bill (I have read both). There is no way in God's green earth that this group of people should be making decisions on something they just don't understand - and something they haven't taken the time and training to understand. Look at Dingel from MI - he is really going to vote on this issue? I had serious doubts that he was really alive when he was talking today. He may have been sharp during his younger days, but he predates the Model T Ford - and it shows. No way should a a guy like that be making decisions for our country. There is no way he can grasp all the issues and evaluate them correctly.

And I'm not trying to be critical of our elected representatives - I wouldn't expect them to make the correct decision or understand the issue. (although I am saying that some of them have no business helping run our country when they couldn't even understand how the game of checkers is played anymore, due to their senility).

Health Care IS 16% of our economy. Every change you make will produce outcomes - and more importantly unintended outcomes which are tough to predict.

I also have no confidence in the CBO, primary because of the rules they have to operate under. The folks there are certainly smart enough, but they have to evaluate a bill they way it is presented, even if they know there is no way in God's green earth that the parts of the bill will come to pass (I'm talking about the annual medicare cuts that always get reversed by Doc Fix).... They are not allowed to incorporate probability into their models - the chance of what is being proposed even happens. How shortsighted is that? Even us at MJ's include probablility into every bet we make!

I am with everybody else - we have to do something to our health care system. Rationing care will be part of it - which is fine - as it is the only way we can pay for the care we need (and the burgeoning care we'll need in the future due to our obesity epidemic).

But, the part that scares me the most - these folks in our politicial system are certainly not qualified to be making these type of decisions, and aer driven by political issues and party priorities instead of possiibly doing the right thing - BOTH sides are guilty of this.

God helps us, no matter how this all turns out.

agree with most of this...can`t imagine why folks in certain states(florida/texas/nebraska)...and folks belonging to certain politically connected orgs.(unions) are getting sweetheart deals the rest of us have to pay for....

also,nobody...i mean nobody can explain why,if a public option is forced on the citizens,the feds are exempting themselves....

doesn`t that alarm anyone else?..

once you open that door...once the camel gets his nose under the tent,the government will regulate private insurers out of existence...they make the rules...capping rates and profits...banning pre-existing condition exemptions....they`ll keep regulating until private insurers can`t make a living....and businesses will gladly shift their empoyees onto the public dole....

this is what`s being attempted here...they hoped to ram governmental care through so fast(before people had a chance to understand what they were attempting to do) ...but,despite having veto proof majorities up until recently,logical,conservative dems were afraid to go down the path of no return...


they want us to have a european/canadian style government run health care system...and if this happens,we won`t be the only people getting buggered...

http://voices.washingtonpost.com/checkup/2010/02/canadian_premier_has_heart_sur.html?wprss=checkup

80 odd % of americans are happy with their insurance/health coverage...yes,there need to be fixes and remedies for the uninsured...those with pre-existing conditions..those that lose or change jobs(with health insurance ramifications)...tort reform....an answer to the illegal alien issue(putting a huge burden on our healthcare system in certain parts of the country).....

but gutting an entire system that over 80 % of the population is relatively satisfied with for total governmental control(a.k.a. finishing the job of bankrupting the country) is ridiculous...

this why there`s such public resistance to this draconian bait and switch job the "progressive"dems attempted before the people knew what the hell was happening...

thankfully,this was delayed until the light of day was allowed to shine on this frantic attempt to overwhelm the public...

and we have some conservative democrats to thank for allowing us the time to semi-understand what was being attempted...

we owe them...i hope they all keep their seats(yes,i said the dems) for their service to their country in the face of amazing pressure from the president/leadership in congress...
 
Last edited:

DOGS THAT BARK

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I Give credit for our Gov at least trying to help explain some of the problems this subject brings.
One thing I learn is something has to be done. Or we all face cost that will bust our balls.


Hey Dave

I been reading lots of articles from AP and others where they say O answered all question of rebs. I know you follow this stuff pretty close and was wondering if you could point us to where he answered questions from just one senator--Paul Ryan from Wisconsin

Please post O and companies rebuttal for us--as I'm sure he didn't kurby from these issues--did he?

Ryan's issues--


? "This bill does not control costs (or) reduce deficits. Instead, (it) adds a new health care entitlement when we have no idea how to pay for the entitlements we already have."

? "The bill has 10 years of tax increases, about half a trillion dollars, with 10 years of Medicare cuts, about half a trillion dollars, to pay for six years of spending. The true 10-year cost (is) $2.3 trillion."

? "The bill takes $52 billion in higher Social Security tax revenues and counts them as offsets. But that's really reserved for Social Security. So either we're double-counting them or we don't intend on paying those Social Security benefits."

? "The bill takes $72 billion from the CLASS Act (long-term care insurance) benefit premiums and claims them as offsets."

? "The bill treats Medicare like a piggy bank, (raiding) half a trillion dollars not to shore up Medicare solvency, but to spend on this new government program."

? "The chief actuary of Medicare (says) as much as 20% of Medicare providers will either go out of business or have to stop seeing Medicare beneficiaries."

? "Millions of seniors who have chosen Medicare Advantage (Medicare through a private insurer) will lose the coverage that they now enjoy."
 

kcwolf

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I decided to take a look around this forum. After wading around so much worthless crap, I find the intelligent thoughts of Mags. Thank you.

I've spent quite a bit of time looking health reform over, and find it to also be very complex. It seems that trying to take on the entire issue at once is a mistake. Piece meal legislation seems the way to go, yet so many repairs warrant implementing several things at once. Thus, we immediately have an impasse over this issue alone.

From the start, the democrats made a big mistake thinking they could ramrod whatever they wanted without any help from accross the aisle. Although republicans have overblown this issue, it was still wrong and they are paying for it. Then they try outright bribery to get a senate bill. Just as big a mistake, the rebs went on the attack looking like obstructionists - painting the dems too far into a corner. They went to far, and now the Dems will pass a bill out of spite.

People want improvements, overwhelmingly. Yes, 80% are satisfied with what they have now. Unless you work for a saint that absorbs all premium increases, that statistic will be completely reversed in the 2-3 months before this fall's election, maybe sooner. No one will be able to keep up with the 40% increases already across the nation.

How can we get an honest committee of intelligent people together Mags? I think it is probably to late, a bill will be passed soon thanks to terrible performances on both sides of the aisle. Then, the years of work trying to patch something else together to correct all the wrongs.
 

RAYMOND

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we do need reform , i agree

i just a letter from my insurance co . they are rising my rate by 50%:mj1: wtf

where the the change! the only change i can see in my pocket!:sadwave:

broken goverment! we the people are screw:eek:
 

JOSHNAUDI

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Please post O and companies rebuttal for us--as I'm sure he didn't kurby from these issues--did he?

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FWIW - I thought Representative Ryan did a good job with his presentation - He does eloquently present the fear of government run health care and the cost associated with it.

He also states that the current system is not working so maybe we can move on from the "if it ain't broke" schtick. It is broke. Let's find a solution and in my humble opinion, if both sides are going to argue over who knows what JOSHNAUDI and DTB wants, howabout moving forward with duel plans -ala option A or option B.

I'm naive by nature but not naive enough to discount that this would be a costly and complex solution. To be debated at a later time - y'all enjoy the rest of the weekend.

Here's the transcript from where the video cuts off - it's a slight of hand, confusing as shit rebuttal that will piss you off but he does reply and focuses mainly on Medicare Advantage

ref
http://www.washingtonpost.com/wp-dyn/content/article/2010/02/25/AR2010022504074.html

OBAMA: I'm going to call on Xavier Becerra, but I just want to follow up on a couple points. There are some strong disagreements on the numbers here, Paul, and, you know, but I don't want to get too bogged down in -- the first question I have is whether your side thinks Medicare Advantage is working well.


Because I think it's important just to point out that, when we keep on talking about cuts in Medicare, what we're really talking about is what Joe alluded to, which is, a decision was made a while back to set up a system in which Medicare costs, let's say, $1 under the government program that 80 percent of people still use and are perfectly satisfied with, and there's no showing that it's not working for them.


We said we'd give it to private insurers and we'd give them a bonus of $1.15 for every dollar in their normal plan.


And it turns out that people aren't healthier because of that extra $15 -- or 15 cents. It's estimated that it's costing us about $180 billion over 10 years. Let's say $18 billion a year.


And essentially what my proposal would do and what the House and Senate proposals would do would say, instead of having the insurance companies get that money, let's take that money -- the savings are between $400 billion and $500 billion a year -- and let's devote some of that money to closing the doughnut hole, which has already been talked about. Seniors who need more prescription drugs than their -- than Medicare currently is willing to pay for hit this gap where suddenly they've got to use it out of pocket, and they just stop taking the drugs or break them in half, or what have you.


Let's fill that. That costs around $30 billion a year, or $300 billion. And, you know, let's make some other changes that would result in, actually, the 80 percent of seniors who aren't in Medicare Advantage getting a better deal.


So the -- we can address some of the broader issues, but I just want to focus on Medicare Advantage because I haven't seen an independent analyst look at this and say seniors are healthier for it or taxpayers are better off for it.


That's what we're talking about reforming. We're not talking about cutting benefits of -- under the Medicare program as is required under law. What we're talking about is Medicare Advantage.


And, you know, it may be that some people here think that it's working. I know that there are some Republicans who are sitting at this table who don't think it's working.


You can argue and say, OK, let's not do Medicare Advantage and let's not close the doughnut hole, for example, or, you know, there may be other ways you want to spend that money.


But I just want to establish whether we've got some agreement that the Medicare Advantage program, which is what we are proposing to reform, is actually not a good deal to taxpayers or for seniors and certainly not a good deal for the 80 percent of seniors who aren't in Medicare Advantage. Because, by the way, they're paying an extra premium of about 90 bucks (ph) a year to subsidize the 20 percent who are in Medicare Advantage.
 

Mags

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Aug 8, 2000
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I decided to take a look around this forum. After wading around so much worthless crap, I find the intelligent thoughts of Mags. Thank you.

I've spent quite a bit of time looking health reform over, and find it to also be very complex. It seems that trying to take on the entire issue at once is a mistake. Piece meal legislation seems the way to go, yet so many repairs warrant implementing several things at once. Thus, we immediately have an impasse over this issue alone.

From the start, the democrats made a big mistake thinking they could ramrod whatever they wanted without any help from accross the aisle. Although republicans have overblown this issue, it was still wrong and they are paying for it. Then they try outright bribery to get a senate bill. Just as big a mistake, the rebs went on the attack looking like obstructionists - painting the dems too far into a corner. They went to far, and now the Dems will pass a bill out of spite.

People want improvements, overwhelmingly. Yes, 80% are satisfied with what they have now. Unless you work for a saint that absorbs all premium increases, that statistic will be completely reversed in the 2-3 months before this fall's election, maybe sooner. No one will be able to keep up with the 40% increases already across the nation.

How can we get an honest committee of intelligent people together Mags? I think it is probably to late, a bill will be passed soon thanks to terrible performances on both sides of the aisle. Then, the years of work trying to patch something else together to correct all the wrongs.

KCWolf:

Thanks for the kudos - it is much appreciated. I try to add some background on the issues to help people understand, as the vast majority (including the House and Senate) are not close enough to the industry to really understand the big picture. I'm certainly not representing that I am the "be all, end all" on this topic, but I certainly do know more than 99% of the folks in this country on these issues due to my background.

And, to be fair, I must disclose that I have a right leaning slant, so what I do put out there at times may be a bit biased - in Obama's words "Let me make this clear - I am biased".

I do truly believe that every citizen (read that closely - CITIZEN) of this country has the right to be able to purchase health care coverage at a reasonable cost. I also believe that there is a segment of our society that needs help paying for it - which I believe EVERYONE should help pay for as it is for society's good in general. It is NOT right to ask just a few to carry this burden (such as the rich) when this is a "for the good of the country issue".

You ask "can we get an honest committee of intelligent people together". Yes, I do believe that, in theory, that could be possible - bring the right people in the room and accomplish what I've listed above. However, this will not happen under this administration. The will to use the healthcare vehicle to create 2 things make this impossible: 1) a new entitlement program that the Dems can take credit for (this is the overriding motivation, don't kid yourself) and 2) coming in 2nd, but just barely, is the opportunity to dramatically increase the size of government and increased regulation - which is the backbone of Democratic politics.

I found it funny that the Dems on Thursday kept saying how "close" the Repubs were to their bill in terms of "we agree on 80% of this".... The differences are so vast in fundamentals and philosophy, that they will never be in agreement.

1. The role of Gov versus private sector
2. Who should pay for this, and how many should we pay for?

Those are the 2 biggest issues - and #1 will keep any Repub from getting on board.

What is really hurting the Dem's is that by the latest polling, only 25% want this bill passed, 25% want the Gov to start over on this bill, and 50% want Obama to just leave healthcare the way it is now!

So, what do I think will happen (if I was a betting man, which I am :shrug: ):

1. There is a 75% chance that Obama will actually take this bill to the Senate, use reconciliation and pass the bill. He will not allow it to even be voted on unless it is guaranteed to pass (has the votes in his pocket). But this has a good chance of happening - although it will take a long time to get to a vote, as there will be a lot of discussion of what could be included in this portion of the bill (abortion, insurance company regulation likely could not be included as they are not considered budget related). But Biden can override any of this. So Biden (yes, Biden) can put things back in that AREN'T budget related - which will touch off a shit storm. THEN, the amendment process will begin - and there is no limit to the amendment process - which means there likely will be 100's, if not 1000's of amendments. This will likely drag this process out until June or July at a minimum (remember elections are in November - so time is now on the Repubs side).

2. So, let's say it is June or so, and it does pass the Senate on reconcilation. Now it goes to the House. 4-5 months until the elections, and many of the members are already out compaigning by then. It has been said that the bill doesn't even have 200 votes currently in the House (no matter what wacko Pelosi says). I see very little chance this could get though the House at that time - no matter how many threats and arm twisting that Obama does (and don't kid yourself - he has done, and will do things like "your political career is over if you don't vote for this" - of course, it will never be proven - that's how politics works - for BOTH parties).

Even if the bill gets through the House and Senate (again, VERY little chance in my opinion), the Repubs will be set up perfectly for Nov elections - as the process will have drawn out for another 5 months (at least) from now - and people will be really pissed off about it (imagine 90% against the bill, instead of the current 75%).

So, the Repubs political platform will be "elect us and we'll repeal the flawed Dem plan, and put in something that you the Public will actually like".

And if the Dems don't pass something (the likely scenario), the Repubs will campaign on "the Dem's had the wrong approach - let us fix health care incrementally.....

A while ago, DeMint from SC says "Healthcare will be Obama's Waterloo"... people laughed at him then - will he be right? He just may be....

He who laughs last, laughs hardest... .we'll see who that will be - It COULD still be Obama...

Fun times we live in....
 

Chadman

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Apr 2, 2000
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Thanks for such depth and discussion here guys. I've simply been too busy to read it all and comment. I will do my best to catch up and comment when I can. I thought it was refreshing and unique to see this forum so widely watched and commented on. While it was a podium for some, it was a frank discussion of important issues for others. More of this would be welcome IMO.
 
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