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- freeman3
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18 Jul 2013, 5:15 pm
Well, on one hand you have this massive study on outcomes for trauma patients based on whether they are insured or not. On the other hand, this Oregon study measures blood pressure, cholesterol level, and blood sugar levels for a brief two year period. The trauma study is pretty much unanswerable, whereas the Oregon study (as the writer of the article notes) has significant flaws on how it is done. I don't see why statistical analysis of Medicaid patients can't be made over a longer period with regard to mortality rates (which is the primary thing to track) I am not dismissing the Oregon study, but I don't see how that overrides all of the other studies pointing to increased mortality among the uninsured. I am also wondering what the writer of the article believes with regard to studies showing uninsured do worse. He does not discuss that at all.
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- Ray Jay
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19 Jul 2013, 6:40 am
With the employer and employee mandates unraveling and the substantial evidence that employers are reducing hours to 29 per week, and other implementation delays, I'm wondering whether politically speaking the Democrats would have been better off if the SC ruled it unconstitutional.
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- freeman3
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19 Jul 2013, 9:00 am
I don't think that we will know the political consequences until we see what happens when we have full implementation. It is going to be implemented no matter how much Republicans complain about it. It is the law and there is no way Republicans could ever pass a bill getting rid of the ACA with enough support to override a presidential veto.
I do find it interesting that Republicans note without comment that employers have complete power to reduce workers' hours to under 30 hours a week. If employers can do what they want with workers' hours (and deny workers medical coverage) then there is clearly not equal bargaining power between workers and employers and the government needs to make sure that there are minimum wage laws at a level that is reasonable. Unions are helpful in promoting equal bargaining power as well. The market cannot be trusted to establish fair rates for labor when clearly employers have unequal bargaining power vis-vis labor.
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- Ray Jay
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19 Jul 2013, 9:20 am
Freeman:
It is going to be implemented no matter how much Republicans complain about it.
You do realize that the implementation delays are because of the administration, not the Republicans, right?
I do find it interesting that Republicans note without comment that employers have complete power to reduce workers' hours to under 30 hours a week.
In many cases it is new jobs coming on line that are under 30 hours. Do you want to ban part time employment?
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- Doctor Fate
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19 Jul 2013, 9:22 am
Ray Jay wrote:With the employer and employee mandates unraveling and the substantial evidence that employers are reducing hours to 29 per week, and other implementation delays, I'm wondering whether politically speaking the Democrats would have been better off if the SC ruled it unconstitutional.
I loved how the President suggested yesterday that Republicans were playing politics and that the ACA was going to save money. It might save some people, some money--especially if they live in an already outrageously expensive State. However, for many,
that will not be the case. But experts predict that premiums on individual plans will increase in most states because of the new consumer protections the sweeping legislation requires. The impact on premiums will vary across states depending on geographic location, the type of coverage and the individual characteristics of the enrollee.
For example, while Obama pointed to a reduction in premiums in New York state, state officials in Ohio say the average premium proposal for individual coverage next year is up 88 percent from this year’s average price as reported by the Society of Actuaries. In Maryland, CareFirst BlueCross BlueShield proposed a 25 percent increase in premiums next year, after first seeking a 50 percent increase. Final rates haven’t been determined in either state.
The higher rates, supporters say, buy a health insurance system that guarantees access to coverage for everyone and improves benefits, such as requiring insurers to cover older children and outlawing lifetime spending limits on claims.
Obama, fighting to sell the health care law against an onslaught of criticism from Republicans, focused on the positives.
Since the insurance companies have a vested interest in seeing costs rise (remember, they are capped at 20%, so their goal will be to grow the overall pie, thus increasing the value of that 20%), premiums are bound to go up.
Amazingly, Democrats voted with Republicans to forestall the individual mandate. Why is that?
Oh, because it's smart politics? That would only be true if Americans don't want the law . . .

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- Doctor Fate
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19 Jul 2013, 9:39 am
Oh, and the HHS is now admitting . . .
you may not be able to keep your doctor, no matter how many times the President (and others) lied about it.
"Depending on the plan you choose in the Marketplace, you may be able to keep your current doctor." The bottom line is that Obamacare guarantees neither. Doctors may be only available through certain networks, just as in the current system. And only plans that existed in their current form on March 23, 2010, are even eligible to be "kept." The vast majority of plans will be new, subject to a raft of new regulations, requirements, and restrictions.
Because it's just so good!
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- GMTom
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19 Jul 2013, 11:22 am
and already some people are getting rebate checks from insurance companies that did not meet the minimum standards of the ACA. Wow, seems like this is going to be pretty sweet huh?
On the radio this morning they had a spokesman for the largest insurance carrier in this area, he said we will not be getting checks back because they already far surpass this minimums and across the US only 1/4 of 1% can expect such refunds.
...but it was reported as being such a sweet Obamacare effect!? 1/4 of 1%, really?
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- Archduke Russell John
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19 Jul 2013, 4:57 pm
freeman3 wrote:Well, on one hand you have this massive study on outcomes for trauma patients based on whether they are insured or not. On the other hand, this Oregon study measures blood pressure, cholesterol level, and blood sugar levels for a brief two year period. The trauma study is pretty much unanswerable, whereas the Oregon study (as the writer of the article notes) has significant flaws on how it is done. I don't see why statistical analysis of Medicaid patients can't be made over a longer period with regard to mortality rates (which is the primary thing to track) I am not dismissing the Oregon study, but I don't see how that overrides all of the other studies pointing to increased mortality among the uninsured. I am also wondering what the writer of the article believes with regard to studies showing uninsured do worse. He does not discuss that at all.
The problem with this entire comment is this comment from the first paragraph of the article I linked to. It says
Piles of studies have shown that people on Medicaid have health outcomes that are no better, and often worse, than those with no insurance at all.
This seems to imply that more studies that show the same thing as the Oregon study as opposed to your two studies about trauma
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- Doctor Fate
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19 Jul 2013, 5:21 pm
So . . .
Unions say it will hurt their members
Businesses are cutting hours.
People are being forced to change doctors.
Insurance companies are incentivized to let costs balloon.
There are going to be "guides" to help people navigate the system, increasing costs.
More IRS agents have to be hired.
And, this is good for the economy?
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- freeman3
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19 Jul 2013, 7:46 pm
In the Forbes article (
http://www.forbes.com/sites/matthewherp ... years-old/) you can find a peer reviewed study from Harvard (the one that says 40% increase in mortality. That articles cites 10 studies showing a link between being uninsured and higher mortality. And the author of your article says there are piles of studies out there on the ineffectiveness of medicaid to help people's health but then says we should excuse the problems in the Oregon study methodology because there is nothing else like it elsewhere. That seems a bit contradictory.
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- geojanes
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23 Jul 2013, 8:59 am
GMTom wrote:and already some people are getting rebate checks from insurance companies that did not meet the minimum standards of the ACA. Wow, seems like this is going to be pretty sweet huh?
On the radio this morning they had a spokesman for the largest insurance carrier in this area, he said we will not be getting checks back because they already far surpass this minimums and across the US only 1/4 of 1% can expect such refunds.
...but it was reported as being such a sweet Obamacare effect!? 1/4 of 1%, really?
The checks I know of are for making too much money, not a fine for not meeting the minimum standards. Is that what you mean? If so, those are very common. Most insurance providers in NY State sent out rebate checks either this year, last year or both. If the employer chips in a part of the premium for the employee, they get to keep it, as long as the rebate doesn't exceed the amount that they paid, and since the rebate is relatively small to the annual premium, that's unlikely, so that may be your 1/4 of 1%. But someone's getting a check for you Tom: Your employer is getting a rebate, thereby reducing the cost of giving you insurance. You should be thanking Mr. Obama for forcing your insurance company to give your job creator a dividend check for employing you and making your owner happy.
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- Doctor Fate
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23 Jul 2013, 9:30 am
geojanes wrote:GMTom wrote:and already some people are getting rebate checks from insurance companies that did not meet the minimum standards of the ACA. Wow, seems like this is going to be pretty sweet huh?
On the radio this morning they had a spokesman for the largest insurance carrier in this area, he said we will not be getting checks back because they already far surpass this minimums and across the US only 1/4 of 1% can expect such refunds.
...but it was reported as being such a sweet Obamacare effect!? 1/4 of 1%, really?
The checks I know of are for making too much money, not a fine for not meeting the minimum standards. Is that what you mean? If so, those are very common. Most insurance providers in NY State sent out rebate checks either this year, last year or both. If the employer chips in a part of the premium for the employee, they get to keep it, as long as the rebate doesn't exceed the amount that they paid, and since the rebate is relatively small to the annual premium, that's unlikely, so that may be your 1/4 of 1%. But someone's getting a check for you Tom: Your employer is getting a rebate, thereby reducing the cost of giving you insurance. You should be thanking Mr. Obama for forcing your insurance company to give your job creator a dividend check for employing you and making your owner happy.
That's right.
It doesn't matter if you lose your health insurance, have to change doctors, or your rates go through the roof, Obama only does what is good!
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- geojanes
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23 Jul 2013, 7:57 pm
Doctor Fate wrote:geojanes wrote:GMTom wrote:and already some people are getting rebate checks from insurance companies that did not meet the minimum standards of the ACA. Wow, seems like this is going to be pretty sweet huh?
On the radio this morning they had a spokesman for the largest insurance carrier in this area, he said we will not be getting checks back because they already far surpass this minimums and across the US only 1/4 of 1% can expect such refunds.
...but it was reported as being such a sweet Obamacare effect!? 1/4 of 1%, really?
The checks I know of are for making too much money, not a fine for not meeting the minimum standards. Is that what you mean? If so, those are very common. Most insurance providers in NY State sent out rebate checks either this year, last year or both. If the employer chips in a part of the premium for the employee, they get to keep it, as long as the rebate doesn't exceed the amount that they paid, and since the rebate is relatively small to the annual premium, that's unlikely, so that may be your 1/4 of 1%. But someone's getting a check for you Tom: Your employer is getting a rebate, thereby reducing the cost of giving you insurance. You should be thanking Mr. Obama for forcing your insurance company to give your job creator a dividend check for employing you and making your owner happy.
That's right.
It doesn't matter if you lose your health insurance, have to change doctors, or your rates go through the roof, Obama only does what is good!
Know that whenever I use the expression "job creator," especially when I use the expression, "your job creator," my tongue is firmly implanted in my cheek.
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- freeman3
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24 Jul 2013, 1:58 am
Here is an analysis of the effect of the so-called 80/20 rule.
http://m.washingtonpost.com/blogs/fact- ... _blog.htmlBy the way, I remember George way back when touting this aspect of the ACA. Kudos to him for being right .
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- Doctor Fate
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24 Jul 2013, 7:43 am
So, I know you favor the idea of insuring those without insurance (as do I), but is it a "good deal" as currently structured?
Clearly, the $3.4B figure is questionable. The 80/20 rule leads, inevitably, to higher costs. So, is the ACA good enough, not good, or a "train wreck?"
I am still waiting for rickyp to show it "will be good for the economy." All the evidence, including the complaints of the President's union friends, seems to be shouting "No!"