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Post 23 Nov 2013, 10:30 am

Here is the most important number--34 Senate Democrats. I was reading a conservative website and they were saying there were 20 Democratic seats were up for re-election of which 9 were considered safe. Even if you win all 11seats that are up for grabs and hold serve on all of your seats you would have have a total of 56 seats. Still not enough and there are only 10 Democrats up for reelection in 2016--there are 23 that come up for reelection in 2018, so they will not be subject to pressure because of the ACA. You're not going to get the numbers. Would Obama yield to pressure from Democrats or would Senate Democrats vote to override the veto? Obama will not give in and while Democrats in conservative areas might be able to vote against the ACA, that won't be true in most areas of the country. I just can't see many Senate Democrats voting to get rid of the signal achievement of a president of their own party. Maybe a few would do it, not many. Not enough.
As for Familes USA I understand why you would be skeptical since they support the law; however, I don't think the numbers are that controversial. If 3.6 percent of the country buys individual plans it stands to reason that some of those folks have plans that meet ACA standards and of the rest many of them will be eligible for subsidies. I guess if their numbers are wrong, we'll hear about it from some conservative source, right. So far, there has been no response...
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Post 23 Nov 2013, 12:18 pm

Socialism is not "stuff I don't like". It is not defined by whether you take a Federal or State level decision. It is not the same as the ACA - which is largely about increased regulation. Single player would be closer to being socialism, but what you are getting is not - it's just a fudge based on maintaining a flawed market system (the essential flaw being that medicine is not really suited to markets, frankly).

I know it's a lovely boogie-word in the US, but please.
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Post 23 Nov 2013, 12:31 pm

freeman3 wrote:Here is the most important number--34 Senate Democrats. I was reading a conservative website and they were saying there were 20 Democratic seats were up for re-election of which 9 were considered safe. Even if you win all 11seats that are up for grabs and hold serve on all of your seats you would have have a total of 56 seats. Still not enough and there are only 10 Democrats up for reelection in 2016--there are 23 that come up for reelection in 2018, so they will not be subject to pressure because of the ACA. You're not going to get the numbers. Would Obama yield to pressure from Democrats or would Senate Democrats vote to override the veto? Obama will not give in and while Democrats in conservative areas might be able to vote against the ACA, that won't be true in most areas of the country. I just can't see many Senate Democrats voting to get rid of the signal achievement of a president of their own party. Maybe a few would do it, not many. Not enough.


Really? If the President is at 35% and the law is at that or lower? You really think there are so many brave Democrats (read "arrogant" or "condescending") to keep pushing a law Americans don't like? Really? They're already moving away from it. Even socialist know-nothing Franken thinks the mandate may have to be pushed back.

Here's the thing: it's not just the anecdotes that are going to kill this law: it's the absolute incompetence in implementing it. This whole article bears digesting:

Rate shock round two. Most insurers thought they could break even on the exchanges, but that outlook has soured to losses of 3% to 5% with a 5% to 10% downside over the long term. Also in February and March, the insurers will start the months-long process of repricing their premiums for 2015, on the basis of what they learned this year.

The insurers will try to pass along the higher costs of the failed launch in the next year's rates. The consumers who were forced to buy more expensive ObamaCare-compliant insurance this cycle will be exposed to another big price spike.

You can't even keep your ObamaCare plan. The White House and regulators will lean on insurers to block these price hikes, but they can't deny reality forever. Companies accountable to shareholders will flee unprofitable states as some are already doing, leading to even fewer options. New Hampshire already has just one for the entire state.

. . .

The fee-for-service status quo is largely intact and reimbursement is merely being squeezed down. Exchange insurance with Medicaid-style networks pays Medicaid rates, while ObamaCare's Medicare cuts are also sending that program's price controls to Medicaid levels.

These rates are already so low that many doctors won't take new government patients. Look for many doctors to start to conclude they will make a better living—and have more autonomy—by opting out. Providers participating in federal programs are subject to onerous quality-reporting rules, even if the metrics don't accurately measure quality. The Affordable Care Act treats health professionals like robots on a factory line who can be reprogrammed to execute federal work orders.


Will young people sign up? Not if they value their identity and info being safe:

Warning to Americans: Don’t use HealthCare.gov.

That was the advice from four tech experts Tuesday morning who testified before a congressional committee about security concerns related to the new federal health insurance marketplace.

The experts warned that the website central to Obamacare’s implementation still contains serious security flaws that make user information vulnerable to hackers. Three of the four experts agreed that the site should be shut down until security flaws are resolved.

“I would say the website is either hacked already or will be soon,” David Kennedy, head of the computer security consulting firm TrustedSec LLC, located outside of Cleveland, told the committee. He added, “There’s not a lot of security built into the site.”


As for Familes USA I understand why you would be skeptical since they support the law; however, I don't think the numbers are that controversial. If 3.6 percent of the country buys individual plans it stands to reason that some of those folks have plans that meet ACA standards and of the rest many of them will be eligible for subsidies. I guess if their numbers are wrong, we'll hear about it from some conservative source, right. So far, there has been no response...


That's not the heart of the problem. Again, you make it sound as if it's all roses and sunshine. "Well," you say, "what's the problem? After all, look at all the subsidies!"

Right, because subsidies are free. Um, except they're not. We are paying for them. And, they don't cover deductibles, co-pays, etc., which are exploding.

Furthermore, the biggest problem in the next year is the employer mandate. When that kicks in, estimates are that anywhere from 50 million to 170 million will lose their insurance. They will go into the exchanges and then what?

You can't see it: even if people break even, they've been jolted into paying attention and the one lesson they all will have learned? Obama lied. Pelosi lied. Democrats lied.

Then they'll go to the website that they've been told is unsafe and put in all their private info?

:no:

You think the ACA is immune to repeal? Read The New Republic. I know, it's almost moderate and you like your magazines to fly the hammer and sickle, but the author is correct:

What, then, are the lessons that Americans and supporters of Obamacare can learn from Australia’s experience? The most obvious is that no piece is legislation is permanent, but must be sustained politically. If it is passed over the opposition of a rival party, and if that party comes into power, it can always repeal it or simply make it impossible to implement. The only way to ensure that the legislation will survive a change in the party in power is if the legislation becomes thoroughly popular. If it can’t be fully implemented—which is what happened to the original Medibank legislation—it will be vulnerable to a challenge.

From all appearances, the Obama administration seemed to believe that the mere act of getting the Affordable Care Act through Congress would ensure its survival and popularity. But now it faces the very real possibility that the Republicans, campaigning on the failure of Obamacare and flagging recovery, would win back the Senate in 2014, and be in a position to force the administration to accept changes in the Affordable Care Act that will weaken the program. Obama has already embraced modifications to the act—allowing insurance companies to bypass the exchanges and their regulations—that will hurt it. And if Republicans were to win the White House and Congress in 2016, they could simply repeal the Affordable Care Act.

. . .

For those of us who think America should provide access to healthcare for all its citizens, the lessons of Australia are not cheery. They suggest that it is possible that Obamacare would be dismantled in the years to come, but they don’t suggest an easy way in which it can, like the Australian system, be re-installed after the public suffers from the effects of its demise. Obamacare is a mess, but it’s not clear that the existing structure of healthcare in America invites a less messy alternative. One can only hope that the Obama administration can finally get its act together and get healthcare,gov to work properly. And do so quickly enough so that in November 2014, the political ax doesn’t fall on Democrats’ heads.
(Emphasis added)

The website won't work. People are not enthralled with the law and won't want to hear about calling different companies, shopping around, etc. They liked what they had in many cases and the President told them they could keep it.

This is a political millstone. Liberals keep cheering the President on, "You can do it, Mr. President!" But, no one swims across a lake with a millstone around his neck, not even the man who used to walk on water.
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Post 23 Nov 2013, 12:37 pm

Doctor Fate wrote: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.
I call BS on that. Window 8, which is typical MS bloatware, has about 80 million lines of code, and that is largely because it is based on previous versions. Full Debian 5 is 325 million lines of code, but that's including over 15,000 software packages, and a Linux operating system.

I am a former programmer, and I work on complex web systems now. You could not get that number of lines of code written in the time, or for even the outside given cost of a few hundred million dollars. And the comparison given in a NYT article was to the systems of a large bank - that's the kind of thing I work on, and I do see large systems around that get nowhere near 500 million lines simply because you can't right that many - they take years and years - decades even - to get to the size they are.

Now, this programmer (what's his name, DF, as you 'saw' him?) could be including all kinds of things to get to this figure, such as adding all the State systems, using compiled rather than written code, including HTML, XML, CSS etc, lumping in the OS being used for each part of the system, including all of the systems that already exist and interact with it but already existed...

Or it could have been plucked out of thin air. Impresses the people credulous enough to believe it though, eh?
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Post 23 Nov 2013, 12:38 pm

danivon wrote:Socialism is not "stuff I don't like". It is not defined by whether you take a Federal or State level decision. It is not the same as the ACA - which is largely about increased regulation. Single player would be closer to being socialism, but what you are getting is not - it's just a fudge based on maintaining a flawed market system (the essential flaw being that medicine is not really suited to markets, frankly).

I know it's a lovely boogie-word in the US, but please.


This scheme, as evidenced by the article, is all about redistributing money. If that were not the case, we would not see people in the middle class receiving subsidies for health insurance. Most of them have it right now, without a subsidy. This is all about fining the rich, socking it to corporations, and bleeding insurance companies and doctors. There's precious else in it.

Does anyone believe we will have better overall outcomes? There may be anecdotal improvements, but overall networks are shrinking. How can that improve outcomes?

This isn't about improving healthcare. It's about exerting control and moving capital around.
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Post 23 Nov 2013, 12:41 pm

Doctor Fate wrote:This isn't about improving healthcare. It's about exerting control and moving capital around.
Whatever. That is not socialism.
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Post 23 Nov 2013, 12:46 pm

danivon wrote:
Doctor Fate wrote: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.
I call BS on that. Window 8, which is typical MS bloatware, has about 80 million lines of code, and that is largely because it is based on previous versions. Full Debian 5 is 325 million lines of code, but that's including over 15,000 software packages, and a Linux operating system.

I am a former programmer, and I work on complex web systems now. You could not get that number of lines of code written in the time, or for even the outside given cost of a few hundred million dollars. And the comparison given in a NYT article was to the systems of a large bank - that's the kind of thing I work on, and I do see large systems around that get nowhere near 500 million lines simply because you can't right that many - they take years and years - decades even - to get to the size they are.

Now, this programmer (what's his name, DF, as you 'saw' him?) could be including all kinds of things to get to this figure, such as adding all the State systems, using compiled rather than written code, including HTML, XML, CSS etc, lumping in the OS being used for each part of the system, including all of the systems that already exist and interact with it but already existed...

Or it could have been plucked out of thin air. Impresses the people credulous enough to believe it though, eh?


Saw him in passing on a program. He is not a programmer, but a security specialist--or so he was billed.

Hey, you can make whatever claims you want. The bottom line is this:

1. The website is not functioning.
2. The website is not secure.
3. The Administration knew both of those things and launched it anyway.
4. No one has been held accountable for the biggest debacle in rollout history.
5. The President said it was going to be like using Kayak or Amazon.
6. No one seems to think it will be ready by its second "promised date."
7. No matter how many lines of code there are, it's garbage.
8. This shows the inability of government to run a major project, but we're supposed to believe it knew what it was doing when the ACA was written up? Sure.

The federal health insurance exchange website —which cost taxpayers more than $600 million to build, according to the Government Accountability Office— has been crippled by technical problems since its Oct. 1 launch. Since then, everyone from top White House officials to the contractors who worked on the site have been called before congressional committees to determine what went wrong and who is to blame.

The White House originally promised to have the site running smoothly by the end of November. But at a news conference last week, President Obama said he couldn't guarantee that the site will be completely bug free by then.

The HealthCare.gov site is supposed to serve as a marketplace where people can enter their personal information, search and sign up for required health care coverage. But the site is a patchwork quilt of sorts. It pulls together a slew of contributions from various government contractors and attempts to join the structure with the systems of participating insurance companies.

Experts say the amount of information coursing through HealthCare.gov dwarfs that of any other government website, making it more similar to a high-traffic e-commerce operation such as Amazon.com or eBay. They contend the government didn't design the site with the kind of retail-like infrastructure it needs to keep up with demand and failed to knit its pieces together in an efficient way.

Curtis says visible parts of the website's programming code reveal a host of analytic and data coordination failures — a red flag that the site wasn't designed by people with a lot of experience building high-traffic websites. He notes that government projects are typically awarded to the lowest bid, a factor that limits the amount of money a contractor can make. As a result, bid-winners don't always assign their top people to those jobs.

Himanshu Sareen, CEO of Icreon Tech, a New York-based web and mobile design and development firm, says the government has made some progress fixing the site in recent weeks, but there are still big problems. He worries that the website is operating at half the capacity that it needs to.


The Administration has done the American people a great service by demonstrating complete and utter incompetence and bragging about how wonderful it would be for months before the unveiling. I tip my 40-ouncer to them!
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Post 23 Nov 2013, 12:46 pm

danivon wrote:
Doctor Fate wrote:This isn't about improving healthcare. It's about exerting control and moving capital around.
Whatever. That is not socialism.


Redistributing wealth is.

Centralizing power is.
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Post 23 Nov 2013, 12:55 pm

Doctor Fate wrote:Hey, you can make whatever claims you want.
And so can a 'security specialist', who may or may not be the same person as the NYT's anonymous 'programmer' bandying about the same number.

However, I am not actually making claims. I'm simply arguing that his/theirs are likely to be misleading. Admit it, you repeated it not because you have any actual reason to know it makes sense, but because it plays into the narrative.
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Post 23 Nov 2013, 1:03 pm

Doctor Fate wrote:Redistributing wealth is.
Possibly, depending on how it is done and where it's going. Of course, redistribution of wealth is a feature of all kinds of economic system, such as capitalism.

Centralizing power is.
False. Socialism can be decentralised, the ultimate aim of Marxist utopian communism is no government at all (not that I am a Marxist). On the flip-side, conservatives can be just as enamoured by centralisation or the state when it suits their interests.

No wonder you rail against socialism. You haven't a clue what it is or is not - no surprise, as it's not something that happens much in the USA, and where it does it not called socialism due to decades of demonisation.
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Post 23 Nov 2013, 1:32 pm

danivon wrote:
Doctor Fate wrote:Hey, you can make whatever claims you want.
And so can a 'security specialist', who may or may not be the same person as the NYT's anonymous 'programmer' bandying about the same number.

However, I am not actually making claims. I'm simply arguing that his/theirs are likely to be misleading. Admit it, you repeated it not because you have any actual reason to know it makes sense, but because it plays into the narrative.


Nope. I repeated it because the guy seemed to know what he was talking about.

Look, a "white hat" hacker testified before Congress about how easy the thing is to hack. The website is a disaster in every respect.

A final “pre-flight checklist” before the Web site’s Oct. 1 opening, compiled a week before by CMS, shows that 41 of 91 separate functions that CGI was responsible for finishing by the launch were still not working.

And a spreadsheet produced by CGI, dated the day of the launch, shows that the company acknowledged about 30 defects on features scheduled to have been working already, including five that it classified as “critical.” For instance, one critical defect was that people who had finished creating applications — an early step in enrolling — got incorrect messages that their applications were incomplete if they tried to sign back in.

All told, of the 45 items in which CGI had expressed high confidence at the late August meeting in Baltimore, most were still not ready by the time consumers were supposed to be able to start to buy health plans online through the federal marketplace, according to a government official familiar with the project who spoke on the condition of anonymity to discuss private information.


Do you know how many lines of code are in it? If not, then, at best, you're no better off than I am.

Meanwhile, the President is not responsible and neither is Sebellius. In fact, no one is.

I suggest that is 90% of the problem.
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Post 23 Nov 2013, 1:37 pm

danivon wrote:
Doctor Fate wrote:Redistributing wealth is.
Possibly, depending on how it is done and where it's going. Of course, redistribution of wealth is a feature of all kinds of economic system, such as capitalism.

Centralizing power is.
False. Socialism can be decentralised, the ultimate aim of Marxist utopian communism is no government at all (not that I am a Marxist).


Have mercy. Marx wrote that. When has it ever happened? It cannot.

And, yes, centralizing is a tenet of practical, implemented socialism.

On the flip-side, conservatives can be just as enamoured by centralisation or the state when it suits their interests.


Not in my definition of "conservative." In fact, to me, it's common sense. Why should Boston get a cut of the money every town needs for schools? Why should DC have a say in the education of kids in Idaho? A "conservative" believes in the Constitution, thus would not want more power in DC than the Constitution permits.

No wonder you rail against socialism. You haven't a clue what it is or is not - no surprise, as it's not something that happens much in the USA, and where it does it not called socialism due to decades of demonisation.


It seems you know far less of it. For example, please cite ONE country in which socialism has been featured and the government has yielded, resulting in a worker's paradise.

I'll wait.
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Post 23 Nov 2013, 2:02 pm

As for the government not being able to do anything, see western europe's health care systems...

If if I were going to fix the ACA I would do the following:

1. Mandated state exchanges (to promote competition)
2. Keep the rule that insurers must pay out 80 percent in premiums (this seems to be a significant reason in the fact that health care costs have slowed)
3. Allow insurance companies to offer any plan but with the proviso that they must provide easy to read explanations of coverages they are providing and not providing
4. Everyone under age 65 is allowed to join a modified medi-care coverage. A person can be treated and the medical provider will be reimbursed at Medicare rates. The government then bills you for what it paid for the services with one limitation: you only have to reimburse the government up to a max percentage of your income in a year. If you don't pay, then the IRS can pursue you.
How's that?
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Post 23 Nov 2013, 2:24 pm

freeman3 wrote:As for the government not being able to do anything, see western europe's health care systems...


Hey, maybe Democrats should have consulted Europe, instead of winging it.

If if I were going to fix the ACA I would do the following:

1. Mandated state exchanges (to promote competition)


That would be interesting. I don't think it would survive the USSC. I don't think Roberts is a creative enough writer to cover that one.

Question: would you permit companies to compete across State lines?

2. Keep the rule that insurers must pay out 80 percent in premiums (this seems to be a significant reason in the fact that health care costs have slowed)


And, is that why doctors are bailing? The downward pressure on prices is entirely artificial and is having predictable consequences. Networks are shrinking--why?

3. Allow insurance companies to offer any plan but with the proviso that they must provide easy to read explanations of coverages they are providing and not providing


Perfectly reasonable, but not something Democrats have indicated they are willing to do.

4. Everyone under age 65 is allowed to join a modified medi-care coverage. A person can be treated and the medical provider will be reimbursed at Medicare rates. The government then bills you for what it paid for the services with one limitation: you only have to reimburse the government up to a max percentage of your income in a year. If you don't pay, then the IRS can pursue you.


I don't know, to be honest. My suspicion is this (#4) would not be as popular as you think. I'd like to see how much it would cost.
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Post 23 Nov 2013, 2:52 pm

Doctor Fate wrote:
danivon wrote:
Doctor Fate wrote:Redistributing wealth is.
Possibly, depending on how it is done and where it's going. Of course, redistribution of wealth is a feature of all kinds of economic system, such as capitalism.

Centralizing power is.
False. Socialism can be decentralised, the ultimate aim of Marxist utopian communism is no government at all (not that I am a Marxist).


Have mercy. Marx wrote that. When has it ever happened? It cannot.
If you know what Marx was saying, you also know it was a long term prediction and aim, rather than a definition of how it worked straight away. He was mainly wrong (in my view) about the middle bit - getting from here to there via revolution and the dictatorship of the proletariat. It instead needs democratic action and consent.

And, yes, centralizing is a tenet of practical, implemented socialism.
False. It's a common feature, but not a 'tenet'. More of a means than an end, you see. And not universally applied. Tanzania in the 1970s decentralised under it's socialist government. France decentralised under Mitterand in the 1980s (it was the right wing Gaullists who liked to centralised post-war France). The UK saw devolution under Labour in the 90s.

On the flip-side, conservatives can be just as enamoured by centralisation or the state when it suits their interests.


Not in my definition of "conservative." In fact, to me, it's common sense. Why should Boston get a cut of the money every town needs for schools? Why should DC have a say in the education of kids in Idaho? A "conservative" believes in the Constitution, thus would not want more power in DC than the Constitution permits.
Well, yes, because you have your own definition of words. Ever heard of Lewis Carroll's Walrus?

Conservatism pre-dates the existence of America, and is not defined by America. A conservative, by definition, opposes change. Applying a narrower definition needs a little more than claiming 'common sense'. Besides, Conservatives have supported anti-constitutional measures, such as DOMA, the Patriot Act, etc.

No wonder you rail against socialism. You haven't a clue what it is or is not - no surprise, as it's not something that happens much in the USA, and where it does it not called socialism due to decades of demonisation.


It seems you know far less of it. For example, please cite ONE country in which socialism has been featured and the government has yielded, resulting in a worker's paradise.

I'll wait.
It was happening in Spain before the fascists launched their coup in 1936. It was happening in Hungary and Czechoslovakia before the Soviets crushed it. The areas controlled by that Zapatist rebels in Mexico are explicitly beyond government control. Of course the forces of the state (left, right, centrist) do not take kindly to challenges to it's power.

And of course we are still awaiting how Capitalism brings such great freedom and fairness, or avoids governments getting too powerful. Individuals get screwed by ideologies of all sides.