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Statesman
 
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Post 20 Nov 2013, 10:49 am

fate
Actual evidence is that the Obama Administration is incapable of doing anything remotely as complex as the ACA
.
Oh I don't know. The NSA spying is a lot more complex....

fate
For the thousandth time, we have a Federal system. If you don't like that, change it. States are different. Period

And that system includes Federal standards. Forcing states to meet minimum standards for program delivery. Not just Medicaid either. In dozens of areas...
So States are different. But Federal minimum standards apply to each of them equally.
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Post 20 Nov 2013, 12:14 pm

rickyp wrote:fate
Actual evidence is that the Obama Administration is incapable of doing anything remotely as complex as the ACA
.
Oh I don't know. The NSA spying is a lot more complex....


They keep claiming they know nothing about what the NSA is doing, so . . . there's that.

fate
For the thousandth time, we have a Federal system. If you don't like that, change it. States are different. Period

And that system includes Federal standards. Forcing states to meet minimum standards for program delivery. Not just Medicaid either. In dozens of areas...
So States are different. But Federal minimum standards apply to each of them equally.


Education--different, even though Federal money is involved.

Driving, different, even though Federal money is involved.

Again, feel free to change the system.
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Post 21 Nov 2013, 8:37 am

fate
Education--different, even though Federal money is involved

Yes, But there are standards in place for the use of that Federal money.
Part of the Department of Education is the OCR.
OCR is one of the largest federal civil rights agencies in the United States, with a staff of approximately 650 attorneys, investigators, and staff. The agency is located in twelve regional offices and in Washington, D.C., headquarters. The Office for Civil Rights is responsible for ensuring compliance by recipients of federal education funds with several federal civil rights laws, including:
Title VI of the Civil Rights Act of 1964,
Title IX of the Education Amendments Act of 1972,
Title II of the Americans with Disabilities Act,
Section 504 of the Rehabilitation Act of 1973,
the Boy Scouts of America Equal Access Act, and
the Age Discrimination Act of 1975.


Driving, different, even though Federal money is involved.

Sure.
But again:
FHWA's role in the Federal-aid Highway Program is to oversee federal funds used for constructing and maintaining the National Highway System (primarily Interstate Highways, U.S. Routes and most State Routes). This funding mostly comes from the federal gasoline tax and mostly goes to state departments of transportation[citation needed]. FHWA oversees projects using these funds to ensure that federal requirements for project eligibility, contract administration and construction standards are adhered to
.

I don't have to change the system to prove my point that Federal standards are common.
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Post 21 Nov 2013, 9:56 am

rickyp wrote:I don't have to change the system to prove my point that Federal standards are common.


And, I don't have to move to Canada to prove that States have authority reserved to them.

Furthermore, and back on topic, when this is the cover of Time, you're losing.

Image

And, if this is anywhere near accurate, there will be rioting in the streets next year to repeal Obamacare. Actually, there won't be rioting, because Democrats will be voting to repeal it.

An analysis by the American Enterprise Institute, a conservative think tank, shows the administration anticipates half to two-thirds of small businesses would have policies canceled or be compelled to send workers onto the ObamaCare exchanges. They predict up to 100 million small and large business policies could be canceled next year.


Plus, doctors are going to be a problem:

WASHINGTON — Many doctors are disturbed that they’ll be paid less – often a lot less – to care for the millions of patients who are projected to buy coverage through the health law’s new insurance marketplaces.

Some have complained to medical associations – including those in Texas, California, Georgia, Connecticut and New York – saying the discounted rates could lead to a two-tiered system in which fewer doctors participate, perhaps making it harder for consumers to get the care they need.

“As it is, there is a shortage of primary care physicians in the country, and they don’t have enough time to see all the patients who are calling them,” said Peter Cunningham, a senior fellow at the nonpartisan Center for Studying Health System Change in Washington.

If providers are paid less, he said, “Are (enrollees) going to have difficulty getting physicians to accept them as patients?”

Insurance officials acknowledge that they have reduced rates in some plans, saying they are under enormous pressure to keep premiums affordable. They say physicians will make up for the lower pay by seeing more patients, since the plans tend to have smaller networks of doctors.

But many primary care doctors say they barely have time to take care of the patients they have now.

The conflict sheds light on the often murky world of insurance contracts, in which physicians don’t always know which plans they’re listed in or how much they’re being paid to treat patients in a particular plan. As a result, some doctors are just learning about the lower pay rates in some plans sold in the online markets, or exchanges

Read more here: http://www.mcclatchydc.com/2013/11/20/2 ... rylink=cpy


All in all, I'd say the ACA is in a world of hurt.

Meanwhile, here's a beautiful anecdote. A woman who had wanted not to be on Medicaid is forced onto it! Lovely.

This is what is hard for socialists to understand: many Americans don't like to even think of themselves as "on the dole." When you force them to do it, they won't love you for it.

Again, there's something unique about Americans. Even if we are not as "enlightened" as you think we ought to be, we don't enjoy having "enlightenment" forced upon us.

NB: if she was happy about Medicaid, there would be no story.
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Post 22 Nov 2013, 12:16 am

Hmm, a minor law signed by President Reagan in his last year to help seniors is then repudiated in the first year of the next president....this is comparable to the ACA, a signal achievement of president Obama? You funny, DF!
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Post 22 Nov 2013, 1:05 am

Republicans' game plan to overturn ACA...http://www.nytimes.com/interactive/2013 ... oints.html
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Post 22 Nov 2013, 9:05 am

freeman3 wrote:Hmm, a minor law signed by President Reagan in his last year to help seniors is then repudiated in the first year of the next president....this is comparable to the ACA, a signal achievement of president Obama? You funny, DF!


Sure. But, did it outrage people? Was Dan Rostenkowsk's car assaulted by people because of the law?

Laugh all you want, funny man. But, the last laugh will not belong to you nor your comrades. People hate this law and the pain is just starting. When tens of millions more are forced off their insurance, you won't be laughing. Why not? Because, o jester of the royal court, your king's approval ratings will be in the 34% range and other Democrats won't care about him.
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Post 22 Nov 2013, 9:06 am

freeman3 wrote:Republicans' game plan to overturn ACA...http://www.nytimes.com/interactive/2013 ... oints.html


Democrats' plan: keep lying to people.

It's working great so far.
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Post 22 Nov 2013, 10:33 am

Here is a fairly balanced article on the subject. http://www.businessinsider.com/why-rate ... rm-2013-10
Yes, there are going to be some healthy younger upper-middle class people who pay more. Because of the 3:1 rule some wealthier older Americans will benefit. But millions of Americans with pre-existing conditions will benefit, millions will get coverage that never had it, and millions will benefit from the end of life-time caps that used to cause many bankruptcies. And Republicans have no interest in passing any of their ideas on health care reform. So the net gain for the country is going to be enormous.
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Post 22 Nov 2013, 12:02 pm

freeman3 wrote:Here is a fairly balanced article on the subject. http://www.businessinsider.com/why-rate ... rm-2013-10
Yes, there are going to be some healthy younger upper-middle class people who pay more. Because of the 3:1 rule some wealthier older Americans will benefit. But millions of Americans with pre-existing conditions will benefit, millions will get coverage that never had it, and millions will benefit from the end of life-time caps that used to cause many bankruptcies. And Republicans have no interest in passing any of their ideas on health care reform. So the net gain for the country is going to be enormous.


The article is one man's opinion.

Here's what you've not grasped: "scoreboard." That's a sports term, meaning "You can say whatever you'd like, but check out the scoreboard--we won."

The President's popularity has nosedived since . . . the ACA website rollout. The ACA is underwater and pretty much has been. There are at least as many anecdotes of people getting shafted by the law as there are being helped by the law.

And, as I keep saying, the other shoe store to drop (with millions of shoes) is the employer mandate. When that hits, all hades will break loose. You may not be able to measure the ACA's popularity because it will have so little. The President's numbers will slide even further because people will (rightly) hold him responsible.

He said we could keep our insurance. He lied.

He said we could keep our doctor. He lied.

He said we would save money. He lied.

(In fact, I saw a clip of his spokesman saying the nation, companies and individuals will all save money. That is, essentially, the "free lunch" paradigm.)

This gives some idea of what is coming.

Sweeping differences in health care exchange pricing among states and counties is leading to sticker shock for some middle-class consumers and others who aren't eligible for subsidies under the Affordable Care Act.

The average prices for the most popular plans are twice as high in the most expensive states as those with the lowest average prices, according to a USA TODAY analysis of data for 34 states using the federal health insurance exchange.

PPOs, the most popular type of health care plan, carry monthly premiums that range from an average of $819 a month in the most expensive state to $437 in the least expensive. Plans on the federal and state exchanges are grouped into four categories that cover 60% to 90% of out-of-pocket costs. USA TODAY looked at the pricing of PPOs and HMOs across these bronze, silver, gold and platinum categories.

The premiums for bronze-level plans are generally the least expensive, but "the deductibles are simply not affordable," says Laura Stack, a former financial analyst looking for full-time work and using her 401k to pay for health insurance. "Many will not be able to afford the per person deductibles before insurance begins to pay. What are you really paying for?"

About 4.4 million people in the individual insurance market are not eligible for the subsidies and tax credits that can help cover premiums and out-of-pocket costs, including deductibles.

Insurance brokers and "navigators" helping people apply for insurance say there are shockingly high prices for some consumers who aren't eligible for subsidies. Without much competition in some states and because they know so little about their new customers, insurers may have priced higher than they would have otherwise.


Now, to be fair, if the President had sold this program as "everyone paying a bit more so we can all get the benefit of having everyone covered," then this would probably not be a problem. However, this is the President who promises no one will have to sacrifice--except those nasty rich people. So, when the middle class finds out they've been clowned by the President, they won't be very amused.

Scoreboard.
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Post 22 Nov 2013, 12:22 pm

Yep, scoreboard. Except it's the first quarter....Long way to go....the gameplan of the Republicans is to exaggerate the harm by focusing on every person who has a complaint and ignoring those who benefit...The Republicans realize that after full implementIon, when the fully tally is made, there will be a lot more winners than losers. That is why there is this shrill propaganda machine designed to put pressure on Obama to pull the plug. Not going to happen.
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Post 22 Nov 2013, 2:54 pm

freeman3 wrote:Yep, scoreboard. Except it's the first quarter....Long way to go....the gameplan of the Republicans is to exaggerate the harm by focusing on every person who has a complaint and ignoring those who benefit...


Meanwhile, the Democratic playbook is to focus on every person who gains a benefit and ignore those who are harmed. The problem is the numbers are not on the Democrats' side.

The Republicans realize that after full implementIon, when the fully tally is made, there will be a lot more winners than losers.


Prove it.

That is why there is this shrill propaganda machine designed to put pressure on Obama to pull the plug. Not going to happen.


Sure. Look at the scoreboard:

A lower number than most polls, but not all. That ruinous CBS survey from a few days ago pegged support for O-Care at a breezy 31/61. Kaiser’s not quite that bad — they’ve got it at 33/49 — but the 16-point spread is the largest in two years.


Many Americans have stopped drinking the Kool-Aid long enough to look at what is actually happening, rather than listen to happy-talk from Nancy Pelosi and Tim Carney.

It may be the first quarter, but the score is about 77-3. It will be the most miraculous comeback since . . . well, since polls were invented to get this thing above water. It would be like raising the Titanic with just willpower. Not gonna happen.
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Post 22 Nov 2013, 5:25 pm

Read these numbers and weep, coach....http://thinkprogress.org/health/2013/11 ... subsidies/
71 percent of people buy individual plans are eligible for subsidies. 64.5 percent of of people who had individual plans kept their insurance for only a year and only a whopping 0.6 percent of Americans are at risk of losing their individual plan and are ineligible for financial assistance in getting new coverage! You guys have been crying and gnashing your teeth over 0.6 percent of Americans...
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Post 23 Nov 2013, 9:34 am

freeman3 wrote:Read these numbers and weep, coach....http://thinkprogress.org/health/2013/11 ... subsidies/
71 percent of people buy individual plans are eligible for subsidies. 64.5 percent of of people who had individual plans kept their insurance for only a year and only a whopping 0.6 percent of Americans are at risk of losing their individual plan and are ineligible for financial assistance in getting new coverage! You guys have been crying and gnashing your teeth over 0.6 percent of Americans...


I guess we'll see. A few observations:

1. Nothing makes it more clear that this is more about socialism than medicine than this article.

2. If it is true, where is the documentation? Not that I don't trust Families USA, even though they've been in full-throated support of the ACA since Lenin was born.

3. This does not tell us what people will have to pay out of pocket. In many of these plans, the co-pays and deductibles are beyond the means of most Americans. No "subsidy" helps there.

4. The die is already cast. The ship has sailed. There is no putting the Humpty-Dumpty of the President's credibility back together again. He lied repeatedly. Americans know that. He squandered his credibility and so now he's going to try and rule through fiat.

5. The law is still unpopular. Let me know when it breaks 50% popularity.

Oh, you won't be able to. Sorry. It will never get there.
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Post 23 Nov 2013, 9:39 am

Meanwhile, have you been keeping up on the website? I saw a security guy saying the security is laughable.

I saw a programmer, one who knows about millions of lines of code and putting systems together, saying healthcare.gov has 500 MILLION lines of code. He says that's why it can't be fixed. It's too bloated.

The Administration also delayed the deadline for 2014 until a couple of weeks AFTER the election. Gee, why would they do that?

Oh, so some voters don't find out how high the prices are? Got it.

Transparency . . . not so much.