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The Health Care Debate 
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Post Re: The Health Care Debate
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So these GOP Governors are objecting...why?


Because it wasn't their idea this time. It was their idea when they used it to oppose Clintoncare in the 90s, but that doesn't matter. All they care about is getting Obama out of office. If that means screwing their constituents out of health care, that's a small price to pay.


Mon Jul 02, 2012 5:17 pm
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Valencia Place
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Post Re: The Health Care Debate
aknowledgeableperson wrote:
But how much is too much?

Anyway, looks like GOP governors are taking steps to not implement Obamacare in their states. One, not starting the insurance exchanges and two, not increasing Medcaid coverage.

With regards to Medicaid Howard Dean ripped GOP gov. Bobby Jindal for not accepting the increased Medicaid coverage. However, Dean's wife has a family medicine practice that does not accept Medicaid patients (reason reimbursement rates to low).


If the states fail to set up the exchanges, the feds do it for them. They're just waiting until after November on the chance that Romney wins. If Obama is re-elected they will fall in line, and in a hurry.


Mon Jul 02, 2012 11:58 pm
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Mark Twain Tower
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Post Re: The Health Care Debate
KCMax wrote:
aknowledgeableperson wrote:
But how much is too much?

Anyway, looks like GOP governors are taking steps to not implement Obamacare in their states. One, not starting the insurance exchanges and two, not increasing Medcaid coverage.

With regards to Medicaid Howard Dean ripped GOP gov. Bobby Jindal for not accepting the increased Medicaid coverage. However, Dean's wife has a family medicine practice that does not accept Medicaid patients (reason reimbursement rates to low).


Many (I believe up to 26) GOP Governors have said they will not take fed funds to comply. I'm guessing they will once they see how popular it is in other states and how many of their own they are leaving uninsured. Its also funny -the mandate is the controversial part, and everyone has to comply with that regardless. The exchanges are a conservative idea, and the Medicaid expansion is pretty popular. So these GOP Governors are objecting...why?


One has to remember that the Medicaid program was adopted slowly by states. Arizona was the last state to set up a Medicaid program, and that was in the early 1980s.


Tue Jul 03, 2012 5:17 am
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Valencia Place
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Post Re: The Health Care Debate
Thank you for linking to that article. I love following court stuff though don't have much time to do so and had been looking for an explanation like that. Good read.

KCMax wrote:
Support for Obama healthcare law rises after ruling

Quote:
Among all registered voters, support for the law rose to 48 percent in the online survey conducted after Thursday's ruling, up from 43 percent before the court decision. Opposition slipped to 52 percent from 57 percent.


Roberts switched views to uphold health care law

Quote:
Chief Justice John Roberts initially sided with the Supreme Court's four conservative justices to strike down the heart of President Obama's health care reform law, the Affordable Care Act, but later changed his position and formed an alliance with liberals to uphold the bulk of the law, according to two sources with specific knowledge of the deliberations.

Roberts then withstood a month-long, desperate campaign to bring him back to his original position, the sources said. Ironically, Justice Anthony Kennedy - believed by many conservatives to be the justice most likely to defect and vote for the law - led the effort to try to bring Roberts back to the fold.

"He was relentless," one source said of Kennedy's efforts. "He was very engaged in this."

But this time, Roberts held firm. And so the conservatives handed him their own message which, as one justice put it, essentially translated into, "You're on your own."


Tue Jul 03, 2012 4:33 pm
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Alameda Tower
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Post Re: The Health Care Debate
The entire "tax increase" meme is pretty bogus.

Only people without health insurance will pay the relatively modest penalty.

But guess what, if they buy insurance they will get a very generous tax credit.

Here is a handy calculator.

http://healthreform.kff.org/SubsidyCalculator.aspx

A single person making 40K a year who does not get health insurance through work will get a tax credit of almost $5 K per year. That is a lot bigger tax cut than the measely $600 penalty that will be paid by the knuckleheads that just plain refuse to get insurance.

Plus if you pay the penalty you are getting a very valuable option to purchase health insurance in the future if you get sick (via the prevision that requires insurers to accept everyone including people with pre-existing conditions).

My guess is the tax cuts will greatly exceed the tax increases.

The discussion in the media is just plain propaganda. It is temping to call the mainstream media incompetent. But they are not. It is just bias masquarading as incompetence.

The states will probably have to raise taxes or cut spending elsewhere to pay for their small share of the medicaid expansion. One could argue that the government should not provide health care to the poor if that is what you believe - and complain about the tax effects of medicaid expansion. But to whine about the penalties being a tax increase is just silly, when they are more than offset by the credits.


Tue Jul 03, 2012 4:44 pm
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Post Re: The Health Care Debate
Well there are some serious tax increases, just not related to the mandate. Medicare taxes will go up for those making $200k and up and expensive health-care plans will have tax increases. There are also taxes on health insurance providers, drug companies, health product manufacturers, and tanning beds.

Its certainly not "the largest tax increase in history" as many conservatives have claimed (Reagan actually signed a much larger tax increase), but it is a fairly substantial tax increase, at least on the wealthy.


Tue Jul 03, 2012 5:11 pm
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Alameda Tower
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Post Re: The Health Care Debate
I agree with you.

It is just harping on the penalties as a tax increase that irks me.


Tue Jul 03, 2012 5:36 pm
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Post Re: The Health Care Debate
The Fading Momentum for Obamacare Repeal

Quote:
In the 2010 midterms, the verdict was clear: Voters wanted to repeal Obamacare. According to the exit polls, half of the electorate that installed Speaker of the House John Boehner wanted full repeal. Only 19 percent wanted to expand it.
In 2012, with an electorate more slanted toward the Democrats, we saw a sea change. Only 25 percent of voters wanted Obamacare "repealed completely." Twenty-six percent of them wanted to expand it.


Tue Nov 13, 2012 6:58 pm
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Mark Twain Tower
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Post Re: The Health Care Debate
Boehner has already said Obamacare is the law of the land. Expect some tinkering here and there that is all. Now we just have to wait until the program becomes a drag on the budget.


Tue Nov 13, 2012 8:53 pm
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Post Re: The Health Care Debate
Kansas, Missouri won't set up health insurance exchanges

Quote:
Missouri will be unable to implement a key provision of federal health care law, Gov. Jay Nixon announced Thursday.

Meantime, Kansas Gov. Sam Brownback says he won't support an application from Insurance Commissioner Sandy Praeger to establish a state-federal health insurance marketplace.

That means it will be up to the federal government to establish health insurance exchanges in Missouri and Kansas. The exchanges are designed to be online marketplaces where individuals and small businesses can compare and buy private insurance plans.


Tue Nov 13, 2012 9:02 pm
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Mark Twain Tower
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Post Re: The Health Care Debate
People are starting to understand the benefits of the Affordable Care Act. Many people have someone in their family with diabetes, or who had cancer at some point, who no longer will have to deal with pre-existing condition problems with insurers.

Many single-person, or small businesses are seeing that their insurance rates are going to be cheaper through the insurance exchanges.

Many people in their 20s have insurance through their parents now, and might not have otherwise.

Many people forget that in our past history, many people were initially opposed to Social Security and Medicare. Many parents had to move in with children when they couldn't work any longer. I think people started seeing the advantages of independent seniors, since many people didn't like the
idea of their parents moving in. :D

I recall growing up hearing many older people talking about their in-laws moving in with them, and how they hated one, or both, of their in-laws. Women mostly had this opinion, since they were the ones who had to deal mostly with them. A hovering mother-in-law who bickered all the time, and interfered in marriages, raising of children, finances, etc. Or an in-law with bad habits.


Tue Nov 13, 2012 9:03 pm
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Valencia Place
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Post Re: The Health Care Debate
aknowledgeableperson wrote:
Boehner has already said Obamacare is the law of the land. Expect some tinkering here and there that is all. Now we just have to wait until the program becomes a drag on the budget.

Except the night he said that, he tweeted that the GOP would continue to oppose its implementation and work to repeal it. It's a good indication of the trouble he's having in leading the House GOP away from extremist positions.


Tue Nov 13, 2012 9:29 pm
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Post Re: The Health Care Debate
http://tpmdc.talkingpointsmemo.com/2013/02/which-states-are-building-obamacare-exchanges.php?ref=fpnewsfeedGOP States Invite Washington To Run Their Health Care - includes Missouri and Kansas.

Quote:
“Now, in an ironic way, some of what progressives wanted is going to happen. The national government will be setting the framework for at least half of the country,” Theda Skocpol, a professor at Harvard University and expert on health care politics and policy, said in an email Tuesday. “State-level experiments and variants will often have a more progressive flavor — in the states doing their own exchanges — and of course those may create models that could later spread. Meanwhile, the feds will at least create some consistency.”


Wed Feb 20, 2013 6:57 pm
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Post Re: The Health Care Debate
http://healthland.time.com/2013/02/20/b ... illing-us/

Pretty extensive reporting on what some of the problems are in healthcare. Once you introduce phony numbers, it's all downhill.


Thu Feb 28, 2013 1:37 am
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Mark Twain Tower
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Post Re: The Health Care Debate
Been reading the article. Very informative.

What was of interest was that some of the changes in health insurance required by Obamacare will actually drive up the overall cost of health care. One such item was the elimination of maximum payouts, over yearly or lifetime. Overall though it was neither for nor against Obamacare. It was just a 20,000 plus word article that tried to explain why US healthcare is more expensive than other countries.


Thu Feb 28, 2013 3:17 am
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Mark Twain Tower
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Post Re: The Health Care Debate
Liberty Hospital lays off 129 employees

Quote:
Hospital officials say the cuts are necessary to prepare for mandates in the Affordable Care Act that take effect in 2014.


Tue May 14, 2013 8:49 pm
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Post Re: The Health Care Debate
One of the new requirements is a targeted ratio of admin costs versus health care costs. Sounds like Liberty was a bit admin heavy.


Tue May 14, 2013 8:57 pm
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Mark Twain Tower
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Post Re: The Health Care Debate
Thought that was only for insurance companies.


Tue May 14, 2013 10:14 pm
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Post Re: The Health Care Debate
aknowledgeableperson wrote:
Thought that was only for insurance companies.


No.


Tue May 14, 2013 10:14 pm
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