Amid controversy, health care law changes are under way

By Michelle Andrews
Kaiser Health News

Two years after its passage, the sweeping health care overhaul remains deeply controversial, with both political parties trying to use it to their advantage in the upcoming elections. As GOP lawmakers constantly deride "Obamacare" and threaten to repeal it, it’s easy to forget that implementation marches on, and a number of notable changes will take effect for consumers this year. 

They will, that is, unless the Supreme Court strikes down some or all of the law, including the requirement that nearly everyone have health insurance beginning in 2014. If that happens, all bets are off. Provisions that have already taken effect -- such as allowing adult children to remain on their parents’ health plans until age 26 and the 50 percent discount on brand-name drugs for seniors who reach the so-called donut hole in their prescription drug plans -- could be rolled back, and provisions for 2012 cancelled. The court will hear arguments in the case later this month and a decision is expected this summer.

If the law stands, here are the major new provisions that will affect consumers this year:

Free contraception coverage
Starting in August, the Obama administration's new rules on contraceptive coverage that have generated such controversy take effect. That means that women in a new health plan or in an existing one that has changed its benefits enough to not be considered grandfathered under the law will be able to receive contraceptives without an out-of-pocket charge. In addition, these plans will have to provide a variety of basic women’s health services, including well-woman visits (breast exams, pap smears, etc); screening for gestational diabetes; HPV testing; counseling for sexually transmitted infections; counseling and screening for HIV; and screening and counseling for interpersonal and domestic violence.

Religious employers such as churches are exempt from the new requirement. Colleges, hospitals and other employers that are affiliated with religious institutions are not exempt, but employees at those institutions will receive free contraceptive services from their employer's insurer.

Religiously-affiliated employers have a one-year grace period to implement this change, so some employees may not receive the free benefit until August 2013.

Rebates for consumers
Under the health-care overhaul, insurers have to spend at least 80 to 85 percent of premium revenues on medical claims and quality improvement or else rebate the difference to policyholders. In most group plans, that would mean the employer.

How much consumers can expect to receive remains an open question. An analysis by the National Association of Insurance Commissioners, based on 2010 data, estimated that insurers would have returned $2 billion to consumers had the provision been in force then. The analysis said rebates would have gone to 53 percent of people in individual plans, 23 percent in small-group plans and 15 percent of large-group plan members.

In December, the Obama administration estimated that 9 million Americans might receive rebates totaling up to $1.4 billion, also based on 2010 data. The administration says some reports show insurers have been moderating their premium increases to avoid having to pay rebates. But other policy experts aren't so sure.

"My guess is that rebates will be higher [than the NAIC estimate] in 2011," says Timothy Jost, a law professor at Washington and Lee University who helped prepare the NAIC report. "Insurers seem to have raised their premiums based on projected increases in utilization that never occurred."

Clearer descriptions
Beginning in September, at the start of the open enrollment season, all health plans will have to provide concise, consistent plan information aimed at allowing consumers to easily understand their benefits and compare plans.

Every plan will be required to give people a short summary of coverage and a uniform glossary of terms. It will also have to provide examples of how much the plan would cover if someone had a baby or was managing Type 2 diabetes -- two common situations that should make it easier for people to compare plans.

"This is a big deal," says Jennifer Tolbert, director of state health reform at the Kaiser Family Foundation. "Some of the materials people get explaining their health plan benefits are extraordinarily confusing, and this should make it clearer." (Kaiser Health News is an editorially-independent project of the Foundation.)

Shrinking doughnut hole
The health care overhaul is slowly eliminating the ‘doughnut hole.’ This is the break in Medicare prescription drug benefits that, in a standard plan, begins after total drug spending by the beneficiary and the health plan exceeds $2,930 and continues until the beneficiary has hit the $4,700 out-of-pocket limit.

Last year, Medicare beneficiaries with high drug costs got a 50 percent discount on brand-name drugs once they reached the doughnut hole. This year, they'll see a 14 percent discount on generic drugs as well.

Drug costs will continue to diminish in coming years, until in 2020 the doughnut hole no longer exists and Medicare beneficiaries with drug plans will simply be responsible for 25 percent of their drug costs.

'Accountable Care'
Last December, the administration announced that 32 health-care organizations would participate in a three-year Pioneer Accountable Care Organization programaimed at providing better, coordinated care for 860,000 Medicare beneficiaries. Providers -- including hospitals, clinics and physician groups -- that work together to improve beneficiaries' health and to bring costs down will share in the savings that they achieve.

Although Medicare beneficiaries may not realize that their health-care provider is participating in the program, they may start to notice changes in their care this year, says Debra Ness, president of the National Partnership for Women and Families. She leads the Campaign for Better Care, a coalition of organizations focusing on improving health-care delivery.

"For some of these folks, it may start to feel like they have a team working with them, or like their primary-care provider is developing an individualized care plan," she says. "Compared to what happens now, it could feel like a pretty big change."the

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Comment author avatarRoscoe2uExpand Comment Comment collapsed by the community

Universal Healthcare, because people are more important than profit......................

  • 55 votes
#1 - Fri Mar 16, 2012 9:04 AM EDT

Roscoe,

This is not universal healthcare it is universal health insurance, they are completely different things. You can have health insurance but if the co-pays and deductibles are so high that you cant afford to use it you don't have access to health care

Obamacare is will be run primarily by the for profit insurance , hospital and pharmaceutical industries so there still will be plenty of for profit waste in the system

  • 27 votes
#1.1 - Fri Mar 16, 2012 9:15 AM EDT

I am not sure that any of you really get it. More than anything, what the health care bill does is cut out loop holes that the insurance companies have come up with to not cover certain things that cost them a lot of money. That is it's main function, along with helping people who cannot afford insurance to get insurance.

  • 31 votes
#1.2 - Fri Mar 16, 2012 9:42 AM EDT

The entire health care la is going to wind up going down the toilet. The individual mandate is unconstitutional and the Supreme Court will almost certainly rule it as such. The government does not have the right to force someone to do business with a private company. Once this happens the entire law goes away. This is because unlike most laws, there is no severability clause in the health care law. This is because the only way to get the insurance industry to go along with the changes requiring them to cover preexisting conditions was to include the individual mandate. If you have one without the other then people would just wait until they got sick to buy health insurance. Another reason for not having a severability clause was the requirement that the law be revenue neutral. That meant that they could not allow parts of the law to be struck down separately as this could result in it no longer being revenue neutral. Without the severabillity clause, if any part of the law is struck down the entire law goes away.

  • 22 votes
#1.3 - Fri Mar 16, 2012 9:59 AM EDT

Gotta love Republicans that came up with the mandate in the first place and then went against it when Obama used it in t he legislation.

Universal health care is cheaper and higher quality. Other countries do it better and cheaper than we do. The US ranks 37th in the world in health care.

Go and repeal Republicans, you have nothing to replace it with, and the voters whose children now don't have pre-existing conditions, youth can stay on their parents plans, and seniors get discounted prescription drugs, will vote against you.

For the record, the mandate is likely to pass. http://articles.latimes.com/2010/dec/15/opinion/la-ed-health-20101215

Kennedy is the swing vote here, and if you look at his record its likely to be a 5-4 vote for the mandate.

  • 24 votes
#1.4 - Fri Mar 16, 2012 10:07 AM EDT

Call it all you want, but 99.999% of Americans including, yes, Teabaggers and Republicants secretly wish there was something that could them their ass in times of crisis....

Those of us who have healthcare already pay a premium, so the argument of such a program raising taxes is ridiculous.

If the entire US could institute a Universal Healthcare Program that will more than likely be less than you pay now in insurance premiums, would that be a good or bad? Right now, most people have insurance through their employers. The employer probably pays alot more than you realize for your benefits package, but that is part of his compensation to you...

If the government instituted UHC, you would probably end up with more money in your pocket in the end because now you can demand your compensation in full.

My employer pays the bulk of my premium and I could collect that because that is part of my compensation.

Also, there would be no pre-existing conditions clauses, no pre-authorizations and no denials. I still would like to see deductibles and copays to help prevent the "free-healthcare" mindset.

Medicare is the most efficient healthcare provider in the country with only a 1% mark up over cost. Why not run with that? Do you want a business guy in charge of your healthcare while he's looking at his balance sheet?

Give us a break Teabaggers...Cmon folk

  • 22 votes
#1.5 - Fri Mar 16, 2012 10:11 AM EDT

If anybody could ever read their health insurance policy and these laws in a way that makes sense, maybe they could make an informed decision whether they support them or not.

Don't count on it from Republicans and Democrats, though. Too much money to be made keeping you in the dark.

  • 6 votes
#1.6 - Fri Mar 16, 2012 10:31 AM EDT

Eric...I just wanted to point out that Kennedy is dead.

  • 3 votes
#1.7 - Fri Mar 16, 2012 10:41 AM EDT

MeMe - I'm pretty sure Eric was referring to Justice Anthony Kennedy of the Supreme Court

  • 14 votes
#1.8 - Fri Mar 16, 2012 11:37 AM EDT

Anthony Kennedy, Supreme court justice, would be surprised to hear that.

  • 12 votes
#1.9 - Fri Mar 16, 2012 11:45 AM EDT

DocHolliday #1.5: "Give us a break Teabaggers...Cmon folk"

Ahem! Minor modification: Give yourselves a break, Teabaggers, sit back and enjoy the fruits.

Over the course of time when the law is fully implemented, We, the People, (don't worry, you are part of us and wont' be left out) shall all enjoy more benefits and watch the costs reduce.

Next job, Mr President, save our housing please. God Bless.

Obama/Biden. Four more years, at least!

  • 16 votes
#1.10 - Fri Mar 16, 2012 11:49 AM EDT

...reduce costs???????...LOL.....I guess you missed yesterday's news.........this boondoggle will cost at least double of what Obummer promised us and we are no where near implementing it yet......this plan is going to solidify the country's bankruptcy.....and health care will still be bad.....some plan.....

  • 10 votes
#1.11 - Fri Mar 16, 2012 12:06 PM EDT

You don't even know if it's a boy or a girl yet, don't listen to Fox News talking points to rush to buy blue or pink, they're just that, talking points to detract from the good happening around the country.

Be a true patriot! Trust in your President, he's doing the best he can in spite of total obstructionism.

  • 13 votes
#1.12 - Fri Mar 16, 2012 12:31 PM EDT

There are a couple of things I agree with regarding health care but there are things that really bother me as to government involvement. I totally disagree with using the IRS and tax laws to either force people to purchase health insurance or face a tax penalty. Not a single person should be forced to purchase something they do not want or be taxed if they don't. This is and should be a choice people make and not the heavy hand of government. I have seen many young engineers hired and many will tell us that they chose NOT to take the health insurance. They say they would rather have the extra $150 to $300+ per month. Of course many change their minds once they start having children but still it's their choice. It would be similar to saying every one has to wear the same size clothes or to buy the same size car. Another thing is that in the first several years health care quality seems to rise but after several years companies realize that they cannot afford to have all the equipment and hospitals in nearly every city. They begin to consolidate and centralize the facilities by moving them to more populated areas. This causes hardship and long wait times for services and testing. Many doctors from Canada that I have worked with have said that some people must wait up to a year for a simple MRI and then may have to travel several hundred miles (kilometers) to the nearest facility. Some people pass away while waiting due to the long times for testing to diagnoses. This isn't addressed in the present health care laws in the US. The insurers in Canada are meeting the letter of the law and are not responsible for the inconvenience of travel or wait times. This will happen here or the government will completely take over the health care system and would force higher taxes to pay for it. This may be the final goal of politicians anyway.

Maybe if all the states were to allow more insurers into their states the competition would lower prices. There could be a national listing of companies that meet requirements that allow them to bid for customers across all 50 states. Same with drug plans. Instead of requiring the purchase of health insurance open up the cost of health care (hospital services, prescription drugs, office visits, dental, etc) not covered by insurance or if you have no insurance all costs and let that be a tax write off whether you itemize or not. With certain restrictions of course. Not most cosmetic surgery, etc.

It appears that this new health care law is another step towards getting control and power in each individuals life through health and taxes. Sometimes when I read some of the laws that are being enacted I think of the book "Animal Farm".

  • 5 votes
#1.13 - Fri Mar 16, 2012 12:54 PM EDT

Good morning Robotman #1.13. If I didn't have insurance I would rather pay the penalty than bear the guilt of having your premiums pay for my health costs, if needed. Wouldn't you think that is fair?

As for "...after several years companies realize that they cannot afford to have all the equipment and hospitals in nearly every city..." let's be optimistic rather than let pessimism bring us down. Let's hope the insurance companies will still make a profit, they are smart, and hope they're not foolish to cause further disenchantment among their customers.

Finally, like our Constitution, this is a 'Living' Law. President Obama has done his best in spite of all the obstructionism. We can always petition Congress to allow more insurers in the states in future, after it is fully implemented, to allow for more competition if we think it benefits us.

We, the People, elect governments. They must do what we need of them.

Meanwhile let's enjoy the fruits of hard earned legislation we've been hoping for since decades.

  • 5 votes
#1.14 - Fri Mar 16, 2012 1:44 PM EDT

There is almost no such thing as a "non profit" hospital anymore. I should know because I work for 4 of them and trust me they are raking in the $$$$$$. That's why they can build new buildings and remodel old ones and a continual basis. As other have said, we have the most expensive healthcare in the world yet we only rank in the mid 30's for care according to the WHO. Germany, U.K., Canada...etc all have socialized medicine and guess what, they all have a longer life expectancy than us and we pay more than twice as much per capita than they do.

  • 4 votes
#1.15 - Fri Mar 16, 2012 3:04 PM EDT

Pray tell JS, which article or amendment of the Constitution does the Affordable Care Act supposedly violate? Please be specific.

  • 3 votes
#1.17 - Fri Mar 16, 2012 3:48 PM EDT

nycguy said...

...reduce costs???????...LOL.....I guess you missed yesterday's news.........this boondoggle will cost at least double of what Obummer promised us and we are no where near implementing it yet......this plan is going to solidify the country's bankruptcy.....and health care will still be bad.....some plan.....

Saying this is a claim I have seen running around lately that essentially ignores half of the reform. Yes it costs money. However it also produces new revenue and cuts costs elsewhere. When you take everything into account it saves money and reduces the debt.

Here is a story that directly addresses your erroneous claim.

http://www.washingtonpost.com/blogs/ezra-klein/post/cbo-health-reform-to-cut-deficit-by-50-billion-more-than-we-thought/2011/08/25/gIQAXgPSES_blog.html

Here is a link to the CBO report if you want to look at it

http://cbo.gov/publication/43076

Basically the new report shows increased costs in some areas and decreased costs in others resulting in a net reduction.

Also this new report looks at a different timeframe, namely it looks farther into the future. When you do this costs and savings and revenues go up as you see the long term effects of the bill and not the implementation. Revenues and savings are going up faster than costs.

  • 2 votes
#1.18 - Fri Mar 16, 2012 4:39 PM EDT

JS posted: " The government does not have the right to force someone to do business with a private company."

JS, would you please tell my state, which requires car insurance in order to get a tag, your opinions!

  • 3 votes
#1.19 - Fri Mar 16, 2012 4:49 PM EDT

Robotman 854737,you are right no one should be forced to buy insurance for himself,also no medical facility should be forced to treat that person which they are by a law that was passed in 1986 I believe and when that facility is forced to treat the un insured they pass the cost on to the ones that has purchased insurance.

    #1.20 - Fri Mar 16, 2012 5:36 PM EDT

    Toasty McGrath

    The commerce clause. Specifically, can't believe you didn't look at it. :)

      #1.21 - Fri Mar 16, 2012 7:57 PM EDT

      PJuliett

      It is so refreshing seeing the post of someone that thinks the government works for them. Let me know how petitioning the government works for you.

      To paraphrase Thomas Jefferson, A government big enough to give you everything is a government big enough to take all that you own.

      I do wish it was as you see it but realize it is not and I hope you will not be totally disappointed when you find this out.

        #1.22 - Fri Mar 16, 2012 8:03 PM EDT

        [The Congress shall have Power] To regulate Commerce with foreign Nations, and among the several States, and with the Indian tribes;

        Sorry AW, but you're going to have to do a lot better than that.

          #1.23 - Fri Mar 16, 2012 8:50 PM EDT

          Collapse my comments all you want to community. But you can't collapse away the truth. Universal Healthcare works better and is far cheaper than our current system and the research backs that up. Just go check us out at the WHO and you'll see the truth.......

          • 2 votes
          #1.24 - Fri Mar 16, 2012 10:16 PM EDT
          Reply

          If these radical provisions are implemented, the health care (and therefore the health) of the American citizen is liable to get...... better! And less expensive!!! Can't have that!! Repeal! Repeal!!!

          • 71 votes
          #2 - Fri Mar 16, 2012 9:07 AM EDT

          Yes, insurance should only be for the rich............. (rolls eyes)

          • 25 votes
          #2.1 - Fri Mar 16, 2012 10:08 AM EDT
          Comment author avatarSteve-3883232Expand Comment Comment collapsed by the community

          Less expensive Bob? my rates when up about 20% in the last 2 years. Oh wait, the savings will come after they find out this is only going to cost quadruple what they originally thought. It's only triple right now.

          • 23 votes
          #2.2 - Fri Mar 16, 2012 10:24 AM EDT

          Jersey Bob you hit the nail right on the head.

          This country is only great when we all get to play. The Rich think they should get all the money and do nothing for it. They have stolen the money the working people have worked all there life's for and put into 401k's. When the market crashed all the money was wiped out. Well it didn't just disappear, someone took it. Or the market is just a Phantom and that money never did existed. Either way the working people got ripped off, and the rich people got richer. The rich peoples money was protected, they never loose. I remember when that guy bought out Easteren Air lines. Then he went in and took the retirement money and split up the company and sole it off and walked away with all that money. If a real person stole some food to feed his family, he would get 10 years in prison for it. But when rich people steel millions, Well that just fine. That is not what made and or makes this country great. That is what has bankrupted us morally, Spiritually. And the crooks are always hiding behind God. The steel everything and lay the blame on everyone else.

          • 33 votes
          #2.3 - Fri Mar 16, 2012 10:38 AM EDT

          Sarcasm Eric.

          Steve - did you read the article? Insurer's raised rates expected an increase in costs that haven't materialized, and they have to refund those funds back to consumers if they haven't used 80-85% on plan coverage. I imagine it'll be several years before they figure out an accurate formula, it'll take new actuarial tables.

          • 16 votes
          #2.4 - Fri Mar 16, 2012 10:54 AM EDT

          Steve: Please don't let the facts interfere with what Faux news has spewed.

          • 27 votes
          #2.5 - Fri Mar 16, 2012 10:54 AM EDT

          chuck -- for this discussion would you be kind enough to provide your definition of "rich"?

          thanks

          • 3 votes
          #2.6 - Fri Mar 16, 2012 11:03 AM EDT

          Steve - You don't even realize you are proof things needed to change. Almost no provisions from "Obamacare" have gone into effect, yet your rate keeps rising, as it has been for decades. So what is your point? That your rates rose like they do every year? The program is aimed at better healthcare for all, AND it being more affordable. Stop being a block head and realize it is a good thing.

          • 21 votes
          #2.7 - Fri Mar 16, 2012 12:28 PM EDT

          I can't believe people think this is insurance. It is not, this is health care. Do a simple comparision to home or car insurance. Does insurance pay for your oil change? How about home maintenance? Of course not, yet that is what the current health car plan does for individuals. It pays for your yearly physical, for contraception, etc. These are unexpected accidents, these are matters of routine health maintenance. But what what about cancer or other deseases with disaterous effects? Guess what the health care won't cover those. Check your employer's health plan, most cap benifits at $250K a year. That is not insurance. Compare with Aflac, where the cap is in the millions of dollars and covers unexpected medlical problems like cancer, accidents, spinal injuries, etc.

          Anyone who thinks this means you don't need insurance in addition to the manditory health care that is coming needs to take another look.

          • 7 votes
          #2.8 - Fri Mar 16, 2012 12:37 PM EDT

          Health care should not be regulated by how much profit a company wants to make. Part of Obama care is that insurance companies are required to spend more health care dollars that they take in on people instead of profits and this will make better use of the health care dollar. The only bad thing I see with Obama care is that it didn't go into effect completely in 2012.

          Socialize health care and oil now for a better life, and cheaper.

          • 15 votes
          #2.9 - Fri Mar 16, 2012 12:39 PM EDT

          Dear Steve and bethany - the ACA doesn't control how much insurance companies will charge you. They can do whatever the eff they want with their rates. What the ACA can - and will - control is for what 80-85% of that money will be used (if you haven't guessed them yet, your health and well-being!). "Obamacare" will end up letting idiots like you live longer and contribute to the gene pool. In this case, then it should get repealed....

          • 11 votes
          #2.10 - Fri Mar 16, 2012 1:07 PM EDT

          No service is free. Someone pays for it. The crime is the people that have been paying for insurance all along are seeing their rates go up while their benifits go down. All this to pay for those free services for others. The loosers of the whole plan is the middle class as they end up paying for all these health care benifits for the poor by paying higher premiums themselves. Then people blame the wealthy for destroying the middle class.

          • 12 votes
          #2.11 - Fri Mar 16, 2012 1:33 PM EDT

          Suppose that every day, ten men go out for dinner and the bill for all comes to $100. If they paid their bill the way we pay our taxes, it would go something like this:

          The first four men (the poorest) would pay nothing like they do now with the present income tax structure.

          The fifth would pay $1.

          The sixth would pay $3.

          The seventh would pay $7.

          The eighth would pay $12.

          The ninth would pay $18.

          The tenth man (the richest) would pay $59 of the bill.

          So that is what the ten men decide to do.

          The ten men ate dinner in the restaurant every day and seemed quite happy with the arrangement, until one day, the owner threw them a curve. “Since you all are such good customers I am going to reduce the cost of your daily meal by $20”. Dinner for the 10 men now costs just $80...

          The group still wanted to pay the bill the same way that they paid their taxes so the first four men were unaffected. They would still eat for free. But what about the other six men -- the Paying customers? How could they divide the $20 windfall so that everybody would get his “Fair Share”?

          They realized that $20 divided by six is $3.33. But they subtracted that from everybody’s share, then the fifth and sixth man would each end up being paid to eat their meal…So, the restaurant owner suggested it would be fair to reduce each mans bill roughly the same amount; and proceeded to work out the amounts each man would pay.

          The fifth, like the first four now paid nothing (100% savings).

          The sixth man now paid $2 instead of $3 (33% savings)

          The seventh man now paid $5 instead of $7 (28% savings)

          The eight man now paid $9 instead of $12 (25% savings)

          The ninth man now paid $14 instead of $18 (22% savings)

          The tenth man now paid $49 instead of $59 (16% savings)

          Each of the six was better off then before. And the first four continued to eat for free. But once outside the restaurant, the men began to compare their savings…

          “I only got a dollar out of the $20,” declared the sixth man. He pointed to the tenth man “but he got $10”…“Yeah, that’s right,” exclaimed the fifth man. “I only saved a dollar, too. Its unfair that he got ten times more than me!?”“That’s true”, shouted the seventh man. “Why should he get $10 back when I got only two? The wealthy get all the breaks!”“Wait a minute,” yelled the first four men in unison. “We didn’t get anything at all. The system exploit’s the poor!”The nine men surrounded the tenth man and beat him up…

          The next night the Tenth man did not show up for dinner, so the Nine sat down and ate without him. But when it came time to pay the bill, they discovered something important. They didn’t have enough money between all of them for even half the bill!

          And that my friends is what will happen. When you HATE the very people who pay for the majority of our country's needs one day you will wake up and find there are no more "rich" to pay the bill - then how do you plan to PAY for all this "free" health care then???

          • 17 votes
          #2.12 - Fri Mar 16, 2012 2:59 PM EDT

          Bingo Gloryhound.

          • 1 vote
          #2.13 - Fri Mar 16, 2012 3:04 PM EDT

          Gloryhound

          The poor DO receive some health care already -- if they can find a doctor that accepts medicaid -- or in costly emergency room visits.

          The losers will be those healthy people who do not have any health insurance but can afford it. They will HAVE to get insurance or pay penalties. My 20-something daughter and husband are in this group, they were discouraged from buying insurance two years ago when the insurance companies were playing all those shenanigans with coverage for pre-existing conditions and waiting periods for pregnancy coverage.

          Then there are the businesses who have more than 50 employees...they will have to start providing health care benefits to their employees. Since all 50+ employers will have to meet this regulation, it will place a similar cost on all them at the same time (i.e. market competition should not be adversely affected for individual firms). Here we may see some consumer price increases.

          Really, the potential is there to reduce health care costs, too bad so many people want it to fail...like what we had before was working.

          • 7 votes
          #2.14 - Fri Mar 16, 2012 3:21 PM EDT

          Insurance companies will continue to over charge, make money on the excess fees and then send rebates after the fact.

          Contrary to the goal of reducing the cost of medicine in the US, insurance companies, hospitals, pharmaceutical AND doctors will now both be on the same side, increased spending on medical coverage. The executives of insurance companies will want to spend more so that the amount spent on non-coverage items can increase. The actual health care side always wanted to spend more.

          The only way to contain ever escalating medical costs is a single payer system with the force of law to contain costs. Medicare for all, particularly the OLD, STALE, MALE in the US Senate.

          • 3 votes
          #2.16 - Fri Mar 16, 2012 6:21 PM EDT

          Jersey Bob

          Not so fast with the BS spin. Before the 50% cut on medications in the donut hole went into effect, my prescriptions doubled in cost, so you tell me what the hell will I be saving. Also many of the name brand medications were dropped from the list of medications my insurance pays for. So all and all we have been screwed so far by this BS spin and will only be done so more in the future, especially when the 1 Billions between Obamacare and the Obama proposed budget come out of the Medicare plan. We won't be able to find doctors that will take us and the numb skulls in this administration have come out almost monthly saying this test and that test are not really needed. If you and Obama think we are dumb enough to buy this bull, think again!

          • 2 votes
          #2.17 - Fri Mar 16, 2012 8:41 PM EDT

          Dick! Your Parents named you for what you are ! Hopelessly in Love with the Muslim Commie Fraud in the White House ! Ask yourself why the Politicians aren't going to be on OBAMACARE? Why can all of the Unions OPT PUT ? Do you think the half Breed has the same medical Plan as you and your Family ?

          Think again you " Dumb Putz " (Putz is Dick in Yiddish in case you wanted to know)

          Pray that the Supreme Court Repeals this Stupid Plan. Remember what MZZZZ Pullosi said! We have to Pass this Bill before we read WHAT'S IN IT ? I have a few Contracts for that Ugly Dumb Broad to sign, but she can't read what's in them !!!! Hello , Wake up America !

          • 1 vote
          #2.18 - Fri Mar 16, 2012 8:48 PM EDT

          I hate to inform everyone but the insurance companies are not the problem its the doctors and hospitals that charge too much.

          Small example I had a twing in my left knee and called around most wanted $400 for the visit. I found the cheapest in the area told me to bring $250-300 to cover the bill.

          I went in took an hour to get in and out but as soon as I was in the room I was told to put on some paper shorts and they tried to head me to the X-ray room. I said I would like the DR to see me first, she said ok and looked alittle puzzled until I told her I was a health insurance agent and would like to DR to see me first. He came in did a 5 min exam and said to stay off it and take an anti-inflammatory. No X-ray no prescription given but just to see him for 5 mins cost $116.

          One ER visit can cost 5-10K

          Insurance companies are simple piggy banks and when the hospitals overcharge and people overuse the costs goes up. I see lots of companies that exceed the incoming moneys outwieght the outgoing by 140% and that 40% has to come from a rate increase and spreading the hurt. The Gov't simply adds more debt , but insurance companies can't do that or go broke.

          FYI if a MRI machine costs 2 million dollars at an avg. cost of only 1,500 a scan doing 11 scans a day = 4 months and the unit is paid for. With 8 more months of pure profit for the year.

          Healthcare is way overpriced and killing off the insurance companies and agents isn't going to fix the problem of GREED in the system.

          • 1 vote
          #2.19 - Fri Mar 16, 2012 9:08 PM EDT

          I dont like the whole forced to have insurance thing. And anything ran by the government is always ran badly and whatever costs are quoted,triple that at least.

          Most people who are very poor get free health care(well at least for them) so mabe Obamas plan is to make everyone poor?

          I wonder what the true cost of universal health care would be? mabe we could close some military bases and pay for it. How long are we going to stay in Germany or Okinawa or ?

          • 1 vote
          #2.20 - Fri Mar 16, 2012 9:09 PM EDT

          What is the dictator going to do if you cant afford health insurance ., put you in prision , oops better not give them any ideas, its like if you dont have auto insurance you dont drive , they come and get your plates , they can raise your insurance to what ever they want, its blackmail is all it is. I dont have health insurance I have to go to a clinic and it still cost 35 dollars a visit and you get a nurse practioner not area real doctor , my wife is a med tech and she knows more than they do. the poor get the dumb doctors and the rich and goverment workers get the real doctors , right Mr. O, you need to go.

          • 3 votes
          #2.21 - Fri Mar 16, 2012 9:16 PM EDT

          Besides that 57% of Americans are against Obamacare ,Democrats , Republicans and independents among them want it repealed

          The cost of Obamacare will increase from $900 billions to 1.7 Trillions, the estimate from the CBO is more than double than when Democrats passed the law and Obama signed it. According to the same report 20 millions or more will lose their insurance and patients wont be able to keep the same Doctor. Obamacare also is in favor to cut benefits to seniors over 70 , ethic panels ( death panels) will have the job to decide what kind of treatment an insured can have. How this law can be a good law. Repeal Obamacare is a fraud.

          • 3 votes
          #2.22 - Fri Mar 16, 2012 9:38 PM EDT

          Expanding - it costs almost a million dollars a year just to RUN the MRI machine on average. Then you have to pay doctors, technicians, custodians etc to maintain it and make sense of the information for patients. They are not making money off of it after 4 months. And I'd be really surprised if they were doing more than 4 or 5 scans a day, as it can take several hours.

            #2.23 - Sun Mar 18, 2012 5:33 PM EDT

            Jesus Christ Wayne, how can you be so convinced to act against your own self intrest? YOu are, right now, describing the current pathetic state of health services, especially for the poor, and your conclusion is that Obamacare, the point of which is to get you on insurance (the poor get rebates and discounts to help defray the cost of premiums), so that you can go see an actual doctor and get decent service, is a bad thing?

            I want to pull my hair out reading these comments. The man is trying to HELP YOU. There's a mandate for a public option in the legislation that can be triggered. We should have Universal Coverage, but the right, the GOP, the Republicans, hate the very idea of giving every American access to decent healthcare, and yet, you blame Obama?

            What logic are you using???? You know how @!$%#ed up the system is, why do you hate the guy trying to change it, make it better, expand your access, get you contributing to your own health so you don't have to settle for a nurse practitioner? What exactly do you think the healthcare reform is ABOUT?

            • 3 votes
            #2.24 - Sun Mar 18, 2012 5:43 PM EDT

            Rom - the government actually generally controls the prices for consumers - a major complaint by providers regarding Medicare is the low reimbursement rates - the government specifies the costs it will pay for each procedure. Also happens with the post office, where you can mail a letter anywhere in the country, including Alaska and Hawaii, for 45 cents. That's not the true cost, but it's paid elsewhere. And before anyone starts with "but the post office is bankrupt", no, they are not. There's a scheme in place to force the PO to prepay pension benefits for 75 years, within the next decade. THAT is completely the reason for them being in the red every year. It's an insane requirement, and seems motivated by the fact that the government regularly "borrows" from the PO pension surplus, much as they do Social Security, which should have several decades of benefit payments saved, as it's been running a surplus for 50 years, yet everyone is claiming is bankrupt.

            • 1 vote
            #2.25 - Sun Mar 18, 2012 5:54 PM EDT

            Capt Tipps, government controls prices such as Medicare's to contain costs. Private insurers negotiate their own cost agreements with providers. Providers are then identified as "participators," in that insurers plans. These agreements are customary as most are familiar with the term " in network and out of network" regarding insurance coverage. You are absolutely correct about the PO and the requirement to greatly fund in advance it's retirement fund. Pure and simple political strategy for ideology purposes at the expense of the little guy. Closing PO's does nothing to create or keep jobs rather hurt a lot more people including small business and cities over all.

            • 1 vote
            #2.26 - Sun Mar 18, 2012 11:51 PM EDT

            Capt. & Mary: On the USPS, its not only the retirement, its the projected health care costs that the USPS has to fund up front too. In the grand world of government accounting, they count the money from the USPS for future outlays as receipts today, offsetting the current deficits, thus reducing the current deficit, much like they do for Medicare and Social Security. The government then "borrows" that money and uses it, today, with a promise to pay it back in the future, with interest.

            Your government at work, they make the mafia look like angels.

            • 1 vote
            #2.27 - Mon Mar 19, 2012 11:20 AM EDT

            Probusiness,

            You divided the cost of the meal like taxes, but you forgot to divide up the food like property. The tenth man gets 95% of the food, what he doesn't eat, he takes home in a doggie bag. The other 9 get to divide up the rest of what's left.

            Nobody in the restaurant business is giving these no tipping cheapskates decent service, much less a price break.

              #2.28 - Wed Mar 21, 2012 7:38 PM EDT
              Reply

              Universal mediocre care, welcome to socialized medicine...

              • 14 votes
              #3 - Fri Mar 16, 2012 9:18 AM EDT

              As mentioned above, it's universal insurance, not medical care.

              • 28 votes
              #3.1 - Fri Mar 16, 2012 9:35 AM EDT

              Isn't it strange that our country spends more money than all other countries yet gets less results? Mediocre (by the way you should at least use spell checker) is what you should call our current system. Our church had a group of two individuals... a senior pastor (with a special needs child) who paid $1,400 per month and a single person youth pastor who paid $450 per month... total monthly premium of $1,850 per month (Highmark Health Care). Our youth pastor left and we decided to replace him with a part time (20 hours per week) with no benefits. Well, we got kicked out of Highmark (no longer a group)... BUT do we have a plan for your pastor... Oops... it's only $2,500 per month or maybe $3,000 per month... Same guy... same illness history... same special needs child. That's crazy and that's why we need a national plan.... The insurance companies are just rip off artists...

              • 39 votes
              #3.2 - Fri Mar 16, 2012 9:46 AM EDT

              You are ignoring the fact that the U.S. does far better than in other countries in terms of how long you have to wait to get tests or to have surgery. Far better.

              • 3 votes
              #3.3 - Fri Mar 16, 2012 10:01 AM EDT

              Tell that to the 50 million that don'r have any health care!

              • 36 votes
              #3.4 - Fri Mar 16, 2012 10:10 AM EDT

              Republicans exaggerate having "to wait" when they talk about universal health care.

              I had universal health care in the Netherlands and England. I never waited in line, I was always treated immediately. I paid no co-pays. When my sister in law had her baby. A well baby nurse came to her house everyday to assist for 2 weeks.

              American health care is arcane. US health care ranks 37th in the world compared to other countries.

              Countries with universal health care do it better and cheaper than the US.

              • 46 votes
              #3.5 - Fri Mar 16, 2012 10:10 AM EDT
              Comment author avatarDaniel Newvia Facebook

              @tom8896-source for that?

              • 5 votes
              #3.6 - Fri Mar 16, 2012 10:14 AM EDT

              We may not have to wait longer, but we're #36 for life expectancy and #34 in infant mortality rates. Hard to justify the outrageous costs of our healthcare compared to other countries.

              • 29 votes
              #3.7 - Fri Mar 16, 2012 10:14 AM EDT

              Mediocre care is better than none at all, and the rich can still pay extra to have their Park Ave. doctors. Are you aware that most aids patients choose death over taking medication that would absolutely save their lives because they can't afford the medication. I myself have refused to buy the medications for my high blood pressure and high cholesterol because of the cost. I have insurance, but couldn't afford the deductible (thank you HMOs and the pharmaceutical industry). I remember the look on my wife's face when I had to say "I'd rather die than pay that price". It's a look you never want to see on the face of someone you love. Thank you President Obama. The plan isn't yet perfect, but you're saving a lot of lives with this health care overhaul.

              It's very easy to mock this plan if you're filthy rich and have first rate, company paid for insurance. The deaths of thousands are on your conscience though if you have one. Sleep well, and may your children be as fortunate as you.

              • 20 votes
              #3.8 - Fri Mar 16, 2012 10:57 AM EDT

              You are ignoring the fact that the U.S. does far better than in other countries in terms of how long you have to wait to get tests or to have surgery. Far better.

              Unless you're uninsured. Then the wait is infinite.

              • 21 votes
              #3.9 - Fri Mar 16, 2012 11:02 AM EDT

              Last December, the administration announced that 32 health-care organizations would participate in a three-year Pioneer Accountable Care Organization programaimed at providing better, coordinated care for 860,000 Medicare beneficiaries. Providers -- including hospitals, clinics and physician groups -- that work together to improve beneficiaries' health and to bring costs down will share in the savings that they achieve.

              Would these be the same people that decided women didn't need mammograms until they were 50? Yep, THAT will "bring costs down," except for the women who will get breast cancer from not being screened early enough. Sorry, I've got no faith in this "plan."

              • 5 votes
              #3.10 - Fri Mar 16, 2012 11:02 AM EDT

              I had universal health care in the Netherlands and England. I never waited in line, I was always treated immediately. I paid no co-pays. When my sister in law had her baby. A well baby nurse came to her house everyday to assist for 2 weeks.

              American health care is arcane. US health care ranks 37th in the world compared to other countries.

              Countries with universal health care do it better and cheaper than the US.

              The Netherlands has a fraction of the population of the United States. Government run programs are much easier to maintain and fund properly with small populations.

              • 4 votes
              #3.11 - Fri Mar 16, 2012 11:12 AM EDT

              Eric-913730 - You assume that because the Netherlands could successfully implement a universal health care program that the US government can as well. That is not the case. If there is one thing our government has a tract record for it's running poorly. There are fundamental changes that need to be made on how our government operates before any such program could ever be successful. A universal health care program implemented by the government how it currently operates would fail with catastrophic financial results.

              • 6 votes
              #3.12 - Fri Mar 16, 2012 11:52 AM EDT

              Hey allegroman: would you rather folks have no opportunity for health insurance or health care coverage at all? OK, if that is your reasoning, you feel to drop all of your insurance coverage today. Go first. Just hope you do not need any medical attention for a hang nail...that may cost you big time. Nincompoop.

              • 5 votes
              #3.13 - Fri Mar 16, 2012 1:04 PM EDT

              "We may not have to wait longer, but we're #36 for life expectancy and #34 in infant mortality rates. Hard to justify the outrageous costs of our healthcare compared to other countries."

              Because we sue everyone and anything that looks at us different or rubs us the wrong way. US as a whole have itchy sueing fingers.

              • 2 votes
              #3.14 - Fri Mar 16, 2012 3:06 PM EDT

              And what, pray tell, is wrong with socialized medicine?

              • 3 votes
              #3.15 - Fri Mar 16, 2012 3:06 PM EDT

              Being from Australia and living here a long time, I really do not see the big deal about this Health care Mandate, and neither do most of my Foreign friends that come from Europe, Canada, Australia, New Zealand, South Africa..I can go on.

              Australia and New Zealands Health care works and it has not Bankrupted either Country.For all of you that scream about Socialism and omg we are all going to fall apart come on.Then maybe we should take away your Food Stamps,Assisted Housing and everything else that you depend on from the Government.

              As I said earlier go vote Republican when you are poor and in need of help.A wise choice when you cannot feed your Kids, afford Health Insurance, or better Education.No doubt they will really have your best interests at heart.. ( Da )

              • 10 votes
              #3.16 - Fri Mar 16, 2012 3:08 PM EDT

              Eric. The Netherlands has a small population and is no comparison for the burden that US citizens place on the health care workers/ hospitals/ doctors etc..

              Non Breeder! Good thing! IT sounds like you are faulting a working man for having insurance that he EARNS. Maybe we should all stop working so that all the welfare cases will starve as well??

              The only problem with our previous health care insurance is that the insurance industry lobbyists see to it that they are accountable for paying for fewer claims every year! Adding the burden that Obama has created on small business will only add to their demise and allow more corporate entities to fill the gaps!

              Socialized medicine is a failure in most countries! I have worked in most countries world wide and I have first hand experience of how inadequte they are! In example Norway has the second highest standard of living (monetary) per capita in the world. They have socialized medicine. While I was there every single employee in the company where I was working became ill with a very contagious respiratory illness. All of us including my American coworker and I sought medical treatment within their system. All of the engineers we worked with there were off from work between two and three months as the treatment we all received did absolutely nothing to eradicate the illness. When I returned home for a break I went to my family doctor and I was well within three days after suffering in Norway for more than a month after getting treatment there. The doctors I saw there didn't have a clue how to combat disease!

              Routine prenatal care and routine physicals that socialized medicine covers are not a good measure of a nations health care! When you are sick and dying the USA WAS the place to be. If Obamacare is not repealed that will be a thing of the past!

              YOU will learn the hard way!

              • 1 vote
              #3.17 - Fri Mar 16, 2012 9:51 PM EDT

              Well surely that would translate into shorter life expectancies and higher mortality rates from disease in those countries, right Michael? You wouldn't just be making @!$%# up, would you? Because wait, what? The exact opposite sis true? Now, who'd have thunk it.

              • 2 votes
              #3.18 - Sun Mar 18, 2012 6:02 PM EDT
              Reply
              Comment author avatarProgressivesNowExpand Comment Comment collapsed by the community

              Personal Responsibility. What a concept.

              • 11 votes
              Reply#4 - Fri Mar 16, 2012 9:30 AM EDT

              Of the people, by the people, FOR THE PEOPLE is a better one.

              • 17 votes
              #4.1 - Fri Mar 16, 2012 9:36 AM EDT

              ProgressivesNow, I am going to walk out on a limb here and say that you call yourself a huge patriot, as most of the people who take your stance do. Well, I have news for you... your not. Patriotism has always been team sport. Whether you join the team of the military to defend it, political realm to serve it, or help to manufacture things to help our country out in times of need, or (the one you probably hate the most) pay taxes to keep money in our coffers to be able to help out the country in our time of need so our deficit does not grow larger and larger until it gets so big we can't do it any more. Let's not forget the deficit shrank under Clinton, so it can and has been done. Your way is selfish, mean, and not very Christian which I bet you like to call yourself as well.

              • 21 votes
              #4.2 - Fri Mar 16, 2012 9:47 AM EDT

              Set up your straw man and knock him down. Since we're all part of "team patriot," which as implied by you excludes personal responsibility, I'm going to quit my job and cancel my health insurance that I pay for. I'll just send my doctor bills to you. Oh, please also pick up a flat screen and an x-box for me, and some snacks. And pay my cellphone bill and get me a carton of smokes. Don't be selfish, mean, and un-Christian about it. I'll be napping on the couch waiting for you to bring me my stuff.

              • 11 votes
              #4.3 - Fri Mar 16, 2012 10:05 AM EDT

              factcheckero, you sound like the typical southern republican. Most of them from past studies have the lowest levels of education with the highest levels of being on the government dole.

              • 15 votes
              #4.4 - Fri Mar 16, 2012 10:42 AM EDT

              Well I guess I'll have to change my voter registration then. I'm not giving up my diplomas, but I think I'm going to add myself to the "team patriot" dole, courtesy of Devon. But I can play your game too. It sounds like the typical Democrat response to a call for personal responsibility is straw man and ad hominem attacks. I guess I'm educated enough to recognize logical fallacies. Now, where's my free stuff?

              • 7 votes
              #4.5 - Fri Mar 16, 2012 10:54 AM EDT

              Well, you could probably go on welfare, get food stamps, and get covered by Medicare factcheck. If that's the quality of life you'd rather lead, by all means, quit your job. We all know how people in public housing have it better than us working folk, right? Right? Living the good life in the ghetto....so someone keeps pissing in your stairwell, at least you get to sleep in.

              Personal Responsibility is not a catchall. What does it have to do with insurance coverage or medical care? Those are things by their very nature done communally. You can't spout a catch phrase with no understanding of what it means and when it applies.

              • 15 votes
              #4.6 - Fri Mar 16, 2012 10:57 AM EDT

              factcheckero. I have to disagree with you here. I get the fact that your making a commit on welfare in this country. And you make it out that these people are less then human. And yes some people do take advantage of it. But that is because it has been made to easy for them. But what about company's like Walmart. They only hire people part time so they don't have to give them benefits. Now Walmart is the biggest company in the country. And where to there people get Health Insurance, you got it, the government. Walmart get's its Health Insurance from good old uncle Sam. We call that company welfare. And every big company in this country has adopted that same practice. Of course there profits have went up, but the tax payers are picking up the bill.

              • 10 votes
              #4.7 - Fri Mar 16, 2012 10:58 AM EDT

              I think one of the worst decisions we ever made as a country regarding healthcare was tying medical insurance to employment. It should be a thing you have always, because it's something everyone needs regardless of whether they work at Goldman Sachs or Walmart.

              • 6 votes
              #4.8 - Fri Mar 16, 2012 11:03 AM EDT

              Capt. - Here's the rub. If I work, yes, I have a higher quality of life than if I'm on the dole. And I could choose to live on welfare. If I work, I support myself. If I choose not to work, my life is subsidized by you. That is what I was attempting to illustrate in my, admittedly snarky response. If Devon thinks personal responsibility is not patriotic, then let him pay for my stuff while I sit on my butt. Personal responsibility applies to insurance and medical care precisely because I pay for both. If I don't pay for my medical care, you pay for it. Insurance coverage and medical care are not, and have never been, done communally. In fact, insurance is a commune of sorts, insofar as multiple policyholders spread the risk, but I have to pay my premiums. It is a pay-to-play commune. And I pay my membership dues. I shouldn't have to pay for yours, nor you for mine. That is personal responsibility.

              Chuck - I fail to see your noted dehumanization, but Walmart, like any employer, provides health care coverage as a benefit. It is not a right, and they are not required to provide it. Some jobs provide other benefits, like 401K matching, parking, or gym memberships. If your job doesn't offer this benefit, pay for it yourself. Or, just pay your medical bills when you go to the doctor like any other bill for a service provided (car repair, home maintenance, etc.).

              • 3 votes
              #4.9 - Fri Mar 16, 2012 11:18 AM EDT

              hey everyone you should youtube "Why conservatives suck", by Bill Whittle, that would explain a lot of conservative views and values. Have fun!

              • 1 vote
              #4.10 - Fri Mar 16, 2012 11:25 AM EDT

              Except that most people on welfare did not CHOOSE to be in that situation. That was my point. They don't choose to live that life. Often they can't be employed. Sometimes it's a result of other choices they made, sometimes it's just bad luck, but they didn't wake up one morning and go "you know what, I'll let the government take care of all my problems".

                #4.11 - Fri Mar 16, 2012 10:54 PM EDT

                Charities, religious institutions, and local communities can provide for those truly in need through unfortunate circumstances. Their de-centralized, local presence can also focus on individual assistance and weed-out fraud, which is rampant and will only become moreso as health care transitions to a bloated, government bureaucracy. This generational dependence and learned helplessness needs to end. And you need to keep your heart from bleeding all over the place. The American poor are wealthy by any international or historical standard. The life of man has usually been "nasty, brutish, and short." Look at the poor in India or Africa and then tell me how bad the U.S. poor have it.

                  #4.12 - Mon Mar 19, 2012 12:31 PM EDT

                  Fctcheckero,

                  The condition of poor people elsewhere is irrelevant, unless you're cheering the U.S.'s collapse into third world status. If you were a patriot you would want the lot of our working poor to improve. You would prefer that they just die, like Somali villagers from the tenor of your post.

                  Most food stamp recipients have jobs. If you want to reduce dependence on government social programs, all you have to do, is increase minimum wage to the poverty line plus 15%. But you dog in the manger types never think of solving problems by doing anything as positive as guaranteeing a living wage. It's I've got mine, to hell with you and yours.

                    #4.13 - Wed Mar 21, 2012 7:59 PM EDT
                    Reply

                    Obamacare does nothing to control the greed of the big three (doctors, insurance companies and paharmaceutical companies) but it does force you buy insurance whether you can afford it or not.

                    • 10 votes
                    #5 - Fri Mar 16, 2012 9:37 AM EDT

                    Actually it does. It changes what doctors get paid for. Instead of being paid for doing "stuff". You are given a lump sum to keep the whole person healthy. This forces doctors and hospitals to lower costs. It's a proven system and has worked in England, Australia, and other countries.

                    In Australia for example, if they see that drug use amongst teens is growing, they give incentives to health care groups that come up with ways to treat this. Those groups then target that problem and come up with affordable ways to treat the problem. Businesses like incentives.

                    • 19 votes
                    #5.1 - Fri Mar 16, 2012 10:14 AM EDT

                    It actually does.

                    It will restrict the percentage of costs that are for administrative costs. That is forcing them to reduce overhead and consolidate administrative costs. It also forces cutbacks on middle managers and non-essential admin jobs.

                    It will cap the costs for certain procedures in a similar fashion that States cap auto insurance charges with yearly reviews.

                    It also encourages and sets up volume drug purchases to negotiate lower overall costs for the most commonly used medications.

                    And, since most people will have to have coverage, it will cut down on the use of emergency rooms for non-critical uses and Hospitals won't have as many charges for treating people without insurance that is passed on to other hospital patients and in other costs.

                    So, that does reduce costs by the big three, and takes the responsibility of paying for health care premiums to the individual/family level so we don't have to pay for their lack of coverage in our rates like we do today.

                    • 15 votes
                    #5.2 - Fri Mar 16, 2012 10:23 AM EDT

                    Obamacare does nothing to control the greed of the big three (doctors, insurance companies and paharmaceutical companies) but it does force you buy insurance whether you can afford it or not.

                    I'd have to disagree with 2 of those "big 3" you're mentioning. Doctors have to be hard-working, intelligent and studious all of their young adult lives to have the "pleasure" of studying even more in med school and then paying off all the debt that goes into it. And they, in fact, do save lives.

                    Pharmaceutical companies have to sink a ton of money into research, development and testing of drugs that save lives, too. The people that do this kind of work aren't inexpensive.

                    I'm not saying there might not be greedy doctors or or pharmaceutical companies, but they do, as a whole, work to improve, and sometimes even save, our lives.

                    Insurance companies, OTH, I agree, are people who've concocted a scheme that's been in place for generations, and thrives on public fear and the manipulation of politicians with their deep pockets and lobbies. Insurance companies don't improve, nor save, our lives. They add nothing but frustrating bureaucracy and cost while making ridiculous profits.

                    • 10 votes
                    #5.3 - Fri Mar 16, 2012 10:36 AM EDT

                    Did you not read the article?

                    "Under the health-care overhaul, insurers have to spend at least 80 to 85 percent of premium revenues on medical claims and quality improvement or else rebate the difference to policyholders. In most group plans, that would mean the employer."

                    "In December, the Obama administration estimated that 9 million Americans might receive rebates totaling up to $1.4 billion, also based on 2010 data."

                    • 6 votes
                    #5.4 - Fri Mar 16, 2012 11:04 AM EDT

                    Of course he didn't read the article, he already learned everything he needs to know about this issue from the radio. What need does he have for your pesky liberal facts?

                    • 7 votes
                    #5.5 - Fri Mar 16, 2012 11:09 AM EDT

                    Mike a couple of problems:

                    It will restrict the percentage of costs that are for administrative costs. That is forcing them to reduce overhead and consolidate administrative costs. It also forces cutbacks on middle managers and non-essential admin jobs.

                    There are ways around this. All insurers require pre-approval for anything a provider does. If the insurer defines this staff as adminitrative they can cut back.This increses the wait for care and drives up provider administrative costs. less care and less staff equals more profit. It is win - win for them.

                    And, since most people will have to have coverage, it will cut down on the use of emergency rooms for non-critical uses

                    This HAS NOT happened in MA under RomneyCare (NEJM Oct 2011). MA ER utilization is the same as other states.

                    • 2 votes
                    #5.6 - Fri Mar 16, 2012 11:11 AM EDT

                    Insurance companies, OTH, I agree, are people who've concocted a scheme that's been in place for generations, and thrives on public fear and the manipulation of politicians with their deep pockets and lobbies. Insurance companies don't improve, nor save, our lives. They add nothing but frustrating bureaucracy and cost while making ridiculous profits.

                    And believe it or not, THAT is the problem I have with ObamaCare - overly relying on INSURANCE, when we KNOW they are just a bunch of greedy bastards who will do everything they can to get out of paying the bill! IF a public option had been included, THAT might have been the incentive to insurance companies to get their act together - or it could have driven alot of them out of health insurance, but that wouldn't exactly break my heart. And a public option could have been SO EASY, instead of blowing bucks on a "health exchange" where people can shop for insurance policies they CAN'T AFFORD, the gov't could have just sold Medicare policies to people who didn't qualify for free. BOOM, there's your public option. Money going INTO Medicare instead of only going OUT. But no, Congress can't do anything without setting up a huge new department/bureaucracy that has to be funded.

                    And someone was complaining about WalMart, well WHERE in the law is a requirement that businesses even provide health insurance??? IT'S NOT THERE!!! Instead, the burden is on we the people to buy something we might not be able to afford! Right now I'm on my husband's policy, he's paying over $400 a month for family coverage. I'd have to pay over $100 a month where I work to buy their insurance, and honestly I'd rather put that money into retirement savings. But what if I wasn't married? I'd either have health care or retirement, no way could I afford BOTH, and at my age I NEED to be thinking about retirement? Or what about young people who really don't make much? My daughter is engaged to a guy with 2 kids from a previous marriage. His company doesn't even provide health insurance, and guess what? Neither he nor his kids have health insurance; he'd rather eat and pay rent than try to buy a private policy - imagine that. But in 2014 ObamaCare will FORCE him to buy something he can't afford, and THAT'S why I'm against it! WHY is that so HARD for you Liberals to understand???

                    • 5 votes
                    #5.7 - Fri Mar 16, 2012 11:18 AM EDT

                    T Bourlon

                    You need to do more research and then YOU can understand.

                    Amongst other things, health care reform requires employers with more than 50 employees to offer a health care plan or face penalties. Individuals/families who work for small companies or themselves can receive government subsidies depending on their income. So your soon-to-be son-in-law family will be better off if what you say is true.

                    • 1 vote
                    #5.8 - Fri Mar 16, 2012 3:40 PM EDT

                    Amongst other things, health care reform requires employers with more than 50 employees to offer a health care plan or face penalties. Individuals/families who work for small companies or themselves can receive government subsidies depending on their income. So your soon-to-be son-in-law family will be better off if what you say is true.

                    BULL!!! How many large employers will decide the fine/tax is cheaper than the healthcare??? There's NOTHING requiring them to provide healthcare coverage. And I'll believe those gov't subsidies for low-income people when I SEE them; right now we're running a HUGE deficit, don't you know that? There's NO MONEY to cover these subsidies, where's the money going to come from???

                    IF what I say is true??? You calling me a LIAR??? A pox on your head!

                      #5.9 - Fri Mar 16, 2012 4:31 PM EDT

                      For the companies which have health insurance, there is nothing mandating that they have health insurance right now, so why do they do it ? The assumption is that companies which currently do offer health insurance will suddenly change their policies, make their employees upset, and make themselves less competitive for good employees by cancelling the policies and only paying the fines ? That just does not make any kind of sense.

                      As to paying for the subsidies, about half-way down on page 1243 of the law there is a provision calling for a 27% tax on people who use the term "A pox on your head." :)

                      • 1 vote
                      #5.10 - Fri Mar 16, 2012 6:36 PM EDT

                      You are right Truth! Eric is wrong! The trillions more that the insurance companies will make when EVERYONE has to pay will far exceed the few billion they will pay back in rebates!

                        #5.11 - Fri Mar 16, 2012 10:12 PM EDT

                        Amen Jax A!! See my post!

                          #5.12 - Fri Mar 16, 2012 10:18 PM EDT

                          T Bourlon! Great insightful posts!

                          Pragmatist. The boon you see in requiring companies with over 50 employees to provide insurance WILL cause at least two after effects.

                          One) Many of the effected companies will fail due to the added overhead.

                          Two) The effected companies that do stay in business after adding the cost of healthcare to their overhead will do so by passing the costs of it on to the consumers so we will all be paying AGAIN for this boon to the American people.

                          It seems to me that most of this administrations policies are actually carefully constructed to bring America down to the levels of subsistence in Third World Countries.

                          This is supposed to be the "Land of the Free and the Brave". We earn the right to be that by working hard and being smart with our money! Not by being dependant on a government that really shouldn't be meddling in our personal affairs!

                            #5.13 - Fri Mar 16, 2012 10:38 PM EDT

                            Actually they were concocted to bring us up to the level of other industrialized, 1st world nations, that offer Universal Healthcare to their citizens.

                            Insurance is not a personal affair. I would pay a lot more in taxes if I could get an insurance option that won't dissolve should I lose my job, or my company decide to cut benefits. Governments a lot more stable than anybodies employer, just ask the millions on Medicare if they'd rather switch to some private insurer.

                            • 1 vote
                            #5.14 - Fri Mar 16, 2012 10:52 PM EDT

                            I have been in all of the 1st world industrialized nations you refer to and ALL of the very educated, literate enginers/ scientists I have worked with in those countries tell me they wish they had healthcare like ours. They feel like a visit to their hospitals is flirting with death!

                            I have lost jobs due to companies closing before. I simply got another job! There are always jobs available for people willing to work. I'd rather pay for my own healthcare than be forced to pay $1 in taxes.

                            Dependence on government programs are the downfall of humankind! Independent thinking and lifestyle cause us grow and become more as human beings. The welfare state needs to be weaned from the government tit!

                              #5.15 - Fri Mar 16, 2012 11:32 PM EDT

                              OH please. You have never met one person from Canada, or Europe who wishes they had an American style system of healthcare. Not one, single person. What a liar. Not even on the their worst days would a citizen of the UK trade in the NHS for the potluck @!$%# we have to deal with here. You are lying thru your keyboard if you claim otherwise. Canadians are generally appalled at the state of our health system. The idea that visiting the hospital in Sweden is"flirting with death" is so obviously ridiculous I'm surprised you actual;ly typed it out and hit enter. Neither anecdote nor fact are on your side in this debate, you can't just go making @!$%# up.

                              • 1 vote
                              #5.16 - Sun Mar 18, 2012 5:37 PM EDT

                              I have worked in Japan for the past ten years. I do not belong to the Japanese health plan so I pay out of pocket for health care then get paid back by an international health care plan. The point though is that when I pay out of pocket I am paying much less and in most cases actually less then the co-pay I would pay in the USA. Every two months I visit a clinic at a hosptial and get a full on blood work-up, a EKG, see a heart specialist (same doctor each time), and get a two month supply of a name brand blood pressure medicene. My total time for this is two hours and around $200.00 USD. On-top of that I get a free annnual health check-up which is very complete just for living in Japan as a resident. Japan is not the only place I have worked and I find it the same in most places. So for those of you who claim the world envys American health care, let me inform you they do not. In fact I have had many instances where I have been asked why such a great country of America cannot take care of their own. I have no answer for that question.

                                #5.17 - Mon Mar 19, 2012 7:00 PM EDT
                                Reply

                                I say that medical insurance companies should be non-profit. They don't need to rake in billions, they don't produce anything. They can stay private companies, but by being non profit, they won't be focused on the wishes of the shareholders. Your health should be more important than a dividend.

                                • 15 votes
                                Reply#6 - Fri Mar 16, 2012 9:38 AM EDT

                                It doesn't work as well as you would think Jon. Most of the insurers in MA are "non-profit". Though they don't pay out to shareholders they do keep very healthy "reserves". They are now engaged in a successful campaign to shift all the risk to providers (capitation). In addition they also "have to compete" with the for profits for executives so they pay big salaries to their CEOs. As far as driving up provider administrative costs they behave pretty much like the for-profits (I have the misfortune of dealing with both).

                                The real solution is to remove theses parasites from the system. They do not contribute anything to patient care.

                                • 9 votes
                                #6.1 - Fri Mar 16, 2012 10:32 AM EDT

                                ALL Health Insurance companies used to be Non-Profit by law. But the Republicans changed that law to allow them to be FOR PROFIT companies. Their reasoning is that making them for profit would lower costs due to competition. We can see how well THAT worked out. Most of the time when Republicans say things like that they are lying through their teeth and they know it. Plus they know the average american is GULLIBLE enough to believe it.

                                • 13 votes
                                #6.2 - Fri Mar 16, 2012 10:46 AM EDT

                                Insurance companies earn a very low percentage for their investment, if you don't believe me, buy you some insurance stock. See how quick you get rich.

                                  #6.3 - Fri Mar 16, 2012 11:40 AM EDT

                                  ALL Health Insurance companies used to be Non-Profit by law. But the Republicans changed that law to allow them to be FOR PROFIT companies.

                                  Sandy, I'm sure you are prepared to back up your claim.

                                  Please cite the law that Republicans passed that allowed insurance companies to earn a profit. Please also document the law that required them to be nonprofit in the first place.

                                    #6.4 - Fri Mar 16, 2012 12:56 PM EDT
                                    Reply

                                    Why does anyone think that a medicare system that is going totally broke within 5 years will repackaged as Obamacare and will be solvent by adding 30 to 40 million more people that can't afford healthcare insurance. Also, why does the SEIU union in Obamacare get to unionize all medical workers like it or not. What about the 6000 people who will be funded to train as a civilian ready reserve army better trained and equipped than our military and has already been funded. Why do taxpayers have to pay for abortions and contraceptives when it violates their religious belief? Why does the govt intrude on states rights through Obamacare and why do the democrats who passed this bill think socialized medicine is better than the healthcare that made our nation the envy of the world in the health care industry. I know for a fact that many highly qualified doctors are leaving their practices, so I guess we see a nurse when we need medical help. The quality of health care is already getting bad.

                                    • 3 votes
                                    Reply#7 - Fri Mar 16, 2012 9:40 AM EDT

                                    howe- Envy of the world in healthcare? Maybe in Faux noise land, ask any other Country like Canada, if they envy us? LOL

                                    • 17 votes
                                    #7.1 - Fri Mar 16, 2012 9:48 AM EDT

                                    Howe, I think the better question is what kind of smoke are you trying to blow up our hind-sides. First, Doctors are not leaving their practices unless they are trying to retire or go work for someone that is paying them more money than their personal practice was making (many doctors do this because after opening their practice they figured out they were good doctors but terrible businessmen/women).

                                    I will also say that you don't understand the system if you think we are adding more people to medicare when "repackaged" to Obama Care. Medicare is medicare, you qualify or you don't. The additions are most likely those that will have to get regular health insurance for those who have decided not to get it in the past... and they dont have to, they will have to pay an extra tax if they do not... which is fair by the way, because you and me will have to pay for their health care if they still do not get heath insurance.

                                    What this does is cut out the loopholes insurance companies use to not pay for services even though we have paid for insurance. This law does not give them the ability to do so any more. It also helps to make sure costs are down (in theory)... which is the part that will remain to be seen and only the future will tell. Please stop drinking the conspiracy theory coffee man... this is not the end of the world or the end of your personal financial freedom.

                                    • 13 votes
                                    #7.2 - Fri Mar 16, 2012 9:59 AM EDT

                                    howe

                                    You sir don't know what your talking about. Most of or at least some of the as you call it Obamacare were idles that came from Rep's. Even Rep's know things can't go on like they are. These people with out insurance end up costing people with insurance more. When they can't pay for the hospital visit, the hospital charges more to the people that are insured. And when that comes up short they give the bill to the government. Remember there is a law that a hospital can not turn anyone away. So when people that don't have insurance get sick its to the ER for treatment that will be $1,500.00 or more. A trip to the DR office is $ 100,00 Do the math. That is welfare.

                                    • 6 votes
                                    #7.3 - Fri Mar 16, 2012 11:21 AM EDT

                                    ROFL, the "civilian army" conspiracy theory.

                                    • 4 votes
                                    #7.4 - Fri Mar 16, 2012 12:41 PM EDT

                                    Hummbird

                                    When Canadian citizens require health care of any specialized nature they come here!

                                    Their doctors are severely inadequate compared to ours!

                                      #7.5 - Fri Mar 16, 2012 11:15 PM EDT

                                      That's because of the population size. Canada has far fewer people, so they have fewer specialists. Their health care SYSTEM is still better than ours.

                                        #7.6 - Sat Mar 17, 2012 11:44 AM EDT
                                        Reply

                                        Article sited the controversy, but did not elaborate on that. Would have been interesting to know about the increased cost to taxpayers over the next ten years and how taxes will have to be raised to fund it. Yes, taxpayers foot the bill, the government waste money as the middleman.

                                        • 1 vote
                                        Reply#8 - Fri Mar 16, 2012 9:41 AM EDT

                                        basically, the article was laying out the changes that will be taking place, unless the SCOTUS kills the bill entirely.

                                        IMO, the SCOTUS will likely approve this law, but may alter the penalty provisions. Effectively the way the law is written, the objective is to get everyone covered. Since everyone, at one time or another, will partake in the health care industry, everyone is already paying for health care. The law just eliminates the "self-insurance" option.

                                          #8.1 - Fri Mar 16, 2012 6:57 PM EDT
                                          Reply

                                          Wow, health Insurance Co's actually spending the bulk of premiums on health care, what a novel idea! Come on people let's start the bitching about the POOR Insurance Co's, not being able to bilk their customers.

                                          • 19 votes
                                          Reply#9 - Fri Mar 16, 2012 9:45 AM EDT

                                          Legally, once you've succeeded in bleeding your customers dry while allowing them to die whenever it benefits your bottom line, for over seven years, you have the right to continue to do so in perpetuity. All this anti corporate master talk is downright un-American. Treason and sedition! You're all going to wind up in FEMA camps. You'll be providing slave labor for Obama's newly legislated munitions factories and never blog again. Good riddance to you.

                                            #9.1 - Wed Mar 21, 2012 8:20 PM EDT
                                            Reply

                                            There is no way this plan will cost less to the taxpayer ..anybody who beleives that ....is an idiot.

                                            Doctors are leaving govt plans like the flu. Americans will have Obamacare but no doctors.

                                            • 4 votes
                                            Reply#10 - Fri Mar 16, 2012 9:45 AM EDT

                                            Thank you for the FOX talking points.

                                            Have you any facts to add?

                                            • 16 votes
                                            #10.1 - Fri Mar 16, 2012 10:04 AM EDT

                                            Have you any facts to add?

                                            President Obama’s national health care law will cost $1.76 trillion over a decade, according to a new projection released today by the Congressional Budget Office, rather than the $940 billion forecast when it was signed into law.

                                            • 5 votes
                                            #10.2 - Fri Mar 16, 2012 10:14 AM EDT

                                            Source, Please!

                                            • 6 votes
                                            #10.3 - Fri Mar 16, 2012 10:28 AM EDT

                                            Source please? That would be the Congressional Budget Office. And yes, they just published their findings yesterday. Obamacare will cost us 1.76 Trillion which we do not have. Look it up.

                                            • 4 votes
                                            #10.4 - Fri Mar 16, 2012 10:37 AM EDT

                                            Actually you are wrong Steven but then again most people who use Right Wing News Sources are wrong.

                                            "The CBO, in an update to its budget outlook, now estimates that the overall coverage cost of Obama's Affordable Care Act will drop slightly, to $1.083 trillion over the next decade. "

                                            This came out on the 15th of this month. Now when you factor in the cost to the American Tax Payer for uninsured people going to the Emergency room not being as high you will find the cost of the ACA is LESS than paying for emergency room visits for 10 years by uninsured people. Guess who pays for every uninsured person? You do as hospitals raise prices to cover those people and insurance companies raise prices to cover the raised prices from the hospitals.

                                            The ACA will actually save money but that is not something the Indoctrinated Right Wing wants to hear. It doesn't fit their unsubstantiated beliefs.

                                            • 12 votes
                                            #10.5 - Fri Mar 16, 2012 10:54 AM EDT

                                            I'll take Obama care anyday. For the first time in 3 years my son got insurance coverage. Prior to that, it was denied due to "pre-existing conditions". He was disabled through no fault of his own in a car crash. Couldn't get insurance until President Obama changed the law. How grateful this family was and still is every day that he is covered.

                                            • 1 vote
                                            #10.6 - Fri Mar 16, 2012 4:49 PM EDT
                                            Reply

                                            The healthcare reforms are a move in the right direction.

                                            Hopefully the next effort will be to get the costs under control. I believe the cost of healthcare could be cut in half by getting the courts, lawyers and liability insurers out of medicine.

                                            • 6 votes
                                            Reply#11 - Fri Mar 16, 2012 9:48 AM EDT

                                            Sounds like health care will extend to more Americans, which is what it should be. 150 years after the start of science-based medicine, it is high time for the US to see health care as a right of citizenship, not just a privilege. That is the case for all other industrialized nations and it is high time for the US to be a part of that community.

                                            Resist strenuously the intent of the Republican party to prevent this needed change from taking place.

                                            • 18 votes
                                            Reply#12 - Fri Mar 16, 2012 9:52 AM EDT

                                            Other than the lies Republicans have spun about the Affordable Care Act, What controversy?

                                            • 15 votes
                                            Reply#13 - Fri Mar 16, 2012 10:02 AM EDT

                                            Ooooh! A BLOG!

                                            That MUST be a credible source of information!

                                            • 18 votes
                                            #13.2 - Fri Mar 16, 2012 10:20 AM EDT

                                            Ooooh! A BLOG!

                                            http://news.yahoo.com/cbo-obamacare-price-tag-shifts-940-billion-1-163500655.html

                                            What are you going to say now? "Oooh! Yahoo News"?

                                              #13.3 - Fri Mar 16, 2012 10:27 AM EDT

                                              Wow, what a even handed account of the Affordable Care Act!

                                              I must have missed the part about what we are getting for that money...

                                              • 9 votes
                                              #13.4 - Fri Mar 16, 2012 10:30 AM EDT

                                              I'm sorry Steven B but that link is to a "conservative" columnist don't you have any independent source to go by? I'm sorry but this guy is a little bias and doesn't give an accurate accounting of the new law. I wish the people on this post ranting about the new health care law had some kind of facts to back up their claims so far all the links lead to conservative commentators who twist the facts and don't give accurate accounting as does the CBO and other institutions who have studied the new health care law.

                                              • 11 votes
                                              #13.5 - Fri Mar 16, 2012 10:31 AM EDT

                                              #13.5

                                              See:

                                              #13.3

                                                #13.6 - Fri Mar 16, 2012 10:33 AM EDT

                                                You can get the information right from the CBO web site and it proves that Steven is lying through his teeth. And if he would read the text from the CBO he would find most of the costs are from Medicaid and CHIP which have been in the system for years.

                                                • 8 votes
                                                #13.7 - Fri Mar 16, 2012 10:58 AM EDT

                                                Steve didn't even read the article. He obviously only chooses to read material that already supports his biased view. Telling him to actually go to a website and get facts that disprove his position? Not likely. He's part of the "Flat Earth" society that suckles on the teat of Rush Limbaugh and Fox News pundits.

                                                • 9 votes
                                                #13.8 - Fri Mar 16, 2012 11:14 AM EDT
                                                Reply

                                                A single payer system like Canada's that eliminates the insurance companies altogether is the only one that makes sense...the present one is simply patch work until that can be accomplished (which it will down the road). Americans have to be deprogrammed away from their decades of quasi-religious anti-socialist propaganda before any rational approach to health care can be approached.

                                                • 21 votes
                                                Reply#14 - Fri Mar 16, 2012 10:03 AM EDT

                                                Agreed, but at least this is a step in the right direction!

                                                • 10 votes
                                                #14.1 - Fri Mar 16, 2012 10:10 AM EDT

                                                True.

                                                • 7 votes
                                                #14.2 - Fri Mar 16, 2012 10:36 AM EDT
                                                Reply

                                                health care would be less expensive if all people would pay the bills that are due after insurance has paid. Cost of care is at the level it is because they have to compensate for those folks that just let the balance get charged off and dont care to pay. personal responsibility in this country is all but lost.

                                                • 1 vote
                                                Reply#15 - Fri Mar 16, 2012 10:04 AM EDT

                                                What an outrage! It is the right and duty of insurance companies to screw over the sick American! God makes people sick so that these companies can maximize profits! Also, poor and old people are just supposed to suffer and not get the treatment and prescriptions they need because that's the American way! Just because it works for most civilized countries doesn't mean we need to "socialize" the business of our health!!

                                                • 12 votes
                                                Reply#16 - Fri Mar 16, 2012 10:07 AM EDT

                                                Yes, it is being implemented. Goose stepping its way into telling us how to live. If it was about health care costs, there might be a rational justification for it, but it's clearly designed to advance a political and economic agenda of increased governmental involvement in every aspect of life rather than actually directly addressing health care and its costs. You may support it, but be honest about its ultimate goals.

                                                • 3 votes
                                                Reply#17 - Fri Mar 16, 2012 10:08 AM EDT

                                                The Obama toadies at MSNBC overlooked the fact that Obamacare is going to cost twice as much.

                                                Damned spending liberal/Socialists!

                                                Obamacare is going to cost a LOT more and cover fewer people.

                                                • 1 vote
                                                Reply#18 - Fri Mar 16, 2012 10:10 AM EDT

                                                Hey Steven, could you post a link to back up your claim I would love to read it. Hopefully it's from an independent source. From everything I've read it will do exactly the opposite even the CBO states that it will lower costs in the long run including the deficit.

                                                • 10 votes
                                                #18.1 - Fri Mar 16, 2012 10:20 AM EDT

                                                Any link with "Obamacare" in it MUST be a credible source for information on the Affordable Care Act!

                                                Ha!

                                                • 13 votes
                                                #18.3 - Fri Mar 16, 2012 10:32 AM EDT

                                                #18.3

                                                Yes, of course you can cover your ears and shout "la la la" to avoid the hard realities of the facts.

                                                We can't afford this mess, and there's no discussion at all with the doctors, nurses and other medical providers as to whether or not they will want to go along with Socialized Medicine.

                                                • 1 vote
                                                #18.4 - Fri Mar 16, 2012 10:36 AM EDT

                                                Steven stop lying and get your facts from the CBO itself and not right wing extremist web sites and blogs. Use some UPDATED information for once. I know it flies in the face of how republicans do things but get some real facts for once.

                                                • 7 votes
                                                #18.6 - Fri Mar 16, 2012 11:01 AM EDT

                                                You wouldn't know a "fact" if you were slapped in the face with it... You are ate up with rightwing propaganda...Its pretty obvious... might as well ignore you, you don't have anything to add as we've allready heard all that BS...

                                                • 5 votes
                                                #18.7 - Fri Mar 16, 2012 11:11 AM EDT
                                                Reply

                                                Except for the big give-a-ways to insurance companies I still see no problem with this overhaul. It sounds good to me so far and the CBO seems to think it will lower the deficit and bring medical costs down as well.

                                                • 4 votes
                                                Reply#19 - Fri Mar 16, 2012 10:17 AM EDT

                                                So many liberals simply assume that the medical professionals are just going to accept whatever Big Brother tells them.

                                                In fact, physicians and others will simply not go along with Obamacare. They will open up private practices that cater to the wealthy.

                                                • 2 votes
                                                Reply#20 - Fri Mar 16, 2012 10:26 AM EDT

                                                Yeah that makes a lot of sense! So every doctor in the nation is only going to accept rich people with their own private plans as patients! Keep you mind closed and your tv dialed to foxnews buddy!

                                                • 11 votes
                                                #20.1 - Fri Mar 16, 2012 10:29 AM EDT

                                                It does make sense; the idea of forcing people to work for Government wages, with the attendant hassles will drive the better professionals into 'boutique' practices.

                                                The lesser-skilled medical providers will gladly jump on board.

                                                Ever been to a VA hospital? That's the future of healthcare, under the Socialists.

                                                • 1 vote
                                                #20.2 - Fri Mar 16, 2012 10:39 AM EDT

                                                So where do these lesser skilled providers work now? Your post is complete nonsense!

                                                Steveo - if it looks like a duck...

                                                • 6 votes
                                                #20.3 - Fri Mar 16, 2012 10:54 AM EDT

                                                "Forcing people to work for government wages?" Was that another of your famous "rectum-derived" statements, Steven?

                                                • 3 votes
                                                #20.4 - Fri Mar 16, 2012 12:54 PM EDT
                                                Reply

                                                It seems to be working in Massachusett. Go figure the gop would be against it when they used to be for it. WAKEUPAMERICA.

                                                • 10 votes
                                                Reply#21 - Fri Mar 16, 2012 10:31 AM EDT

                                                That is exactly what they are afraid of. They don't want it to work because it's less money for the big business execs and for themselves!

                                                • 9 votes
                                                #21.1 - Fri Mar 16, 2012 10:33 AM EDT

                                                Speaking as a provider in MA it is not working as well as advertised.

                                                Costs have risen dramatically and the cost containment measures will cause a lot of problems and are not what people would want. The state and insurance industry is pushing a return to the failed systems of the 90s capitation and managed care. They are also pushing tiered health insurance, setting up 2 tier health care.

                                                The mandate isn't working as expected. It was hoped that is people had health insurance they would seek care from a primary care MD rather than ins an expensive areas like the ER. That hasn't happened. The Commonwealth Connector is also approving plans with such high deductibles and co-pays that the low wage earners these plans are designed for will not be able to use them. The meet the requirements of the mandate but will not be able to obtain health care.

                                                Waits to see providers is up but the number of providers have only increased slightly and haven't met the demand. What has increased dramatically is the number of administrative personnel (28%). This means that money is being shifted from patient care to insurance company care. This doesn't include the cost of the bureaucracy in the Commonwealth Connector.

                                                Why don't you here this stuff nationally? RomneyCare is important to both parties. Romney because it bears his name and Obama (Our Governor is co-chair of the Obama reelection campaign). If you want to see an example of a universal healthcare system I would take a look at what VT is doing, not MA.

                                                • 3 votes
                                                #21.2 - Fri Mar 16, 2012 10:55 AM EDT

                                                Looks like the liberals believe their own press (or at least Obama's). You believe it is working in Massachusetts? Take a look at their deficit and the quality of the care they receive and you will think twice.

                                                Once he is out of the Whitehouse next January, hopefully we can get back to the government our founders designed.

                                                How can anyone be so blind as to think that putting us further in debt (15 trillion and counting) is going to help us sustain the welfare state we have become. Oh yeah, raise the taxes on the only group of people capable of creating jobs since they obviously have more money then they want or need.

                                                Yeah, let's not think of ways to become less dependent on foriegn oil by actually supplying our own in addition to developing alternative sources. I'm all for paying $4-5 dollars a gallon while someone is inventing that 'source'. Heck lets just chip in an extra $1-2 dollars a gallon.

                                                I would suggest that those who think Obama is on the right track, go to a country that is already on a 'socialist' agenda and live there for a year, then come back and tell us how great that is. Maybe you can then run for office and give us the 'change' we so richly (oh wait) poorly deserve.

                                                I've seen the comments about how Canada and Australia have such great health care systems, but I am wondering that if that is so true, why do their people come to the US to get treated?

                                                Since it was voted in, I have not only heard, but have experienced the rise in premiums as much as 20%. I just can't wait to get my taxes raised so I can help pay for someone that is and has been on unemployment for the last three years, health care.

                                                Okay so lets all agree, everyone making over $200K a year should take everything over that amount, send in a check to Obama and let him decide how to split it up. Fair and balanced approach, right? Glad I am not in that group. I would rather pay the 28% of my income to fund the ones who don't pay anything (which is anyone making less than $30K a year).

                                                Oh well, just some fodder for all the librals to comment on.

                                                • 2 votes
                                                #21.3 - Fri Mar 16, 2012 11:29 AM EDT

                                                Too much fox news for you. I quit listening to the critics of the healthcare bill after watching all the hate and bigotry in their protest and the lies. If they were correct in their critizing they would have had to resort to lies. Have the deathpanels come to get your granny yet?

                                                Most of the debt Obama inherited was because of very bad policies; 2 useless wars and the theft by wallstreet etc. A lot of the new debt has gone to and is going to investments in our country and our people. I believe our future is worth investing in. When our economy is booming again the debt will be easier to deal with. Maybe then we will have politicians that can get their heads together and do what is good for the citizen.

                                                As you probably know healthcare cost will be a serious threat to our financial stability in another generation the AHA is attempt to address that problem. Have a great day.

                                                • 2 votes
                                                #21.4 - Fri Mar 16, 2012 2:34 PM EDT

                                                I just want to throw my 2 cents into this discussion. I live in Mn. & Blue Cross Blue Shield is being investigated for having 2 billion in cash in the Bank when they take matching funds from the Federal Gov't for MnCare (medicaid) for the working poor. Our Govenor " D" Mark Dayton is calling for an investigation and I just read that the Justice Dept. is also starting an inquiry into this. Our govenor wants to know why they have so much money left over when that money should have been spent on health care. He's looking into the care they provided. If all the waste were out of the system that surely help the deficit. How about the billions of waste in Medicare. I am on Medicare and have Diabetis and I cannot tell you how many people call me to have my supplies delivered to my home. The 1st question they ask is; are you on Medicare? If I say yes they won't leave me alone. Must be a great funding source for them.

                                                  #21.5 - Fri Mar 16, 2012 10:26 PM EDT
                                                  Reply

                                                  This is the world capital of silliness on this topic...as the only major country in the world without universal health care, we not only waste more money on it, we waste an incredible amount of time too. I work with CEOs in my consulting job, and am always amazed at how much time they need to invest every year thinking about their health care plans for their businesses. While the American Chamber of Commerce would prefer that nobody hears this, most small and medium businesses would LOVE to have this taken out of their hands and just managed by someone else. It is a huge piece of overhead that puts us at a competitive disadvantage with other countries. Why anyone wants to debate if it is "socialist" or not is completely stupid - are you saying the entire world is socialist except the US? I guess that makes our senior citizens socialists too (after all, what do you think Medicare is)?

                                                  One thing the US does excel at: every time there is a chance to improve the country with something new, we are able to produce more fools and idiots who know nothing about it to speak nonsense on it than anywhere on earth! If only we could export that, we might reduce our trade deficit too...

                                                  • 11 votes
                                                  Reply#22 - Fri Mar 16, 2012 10:43 AM EDT

                                                  DD - Ha! Yeah, it always gets me when the old fogarties ramble over their cup of Geritol and Depends tea that we're all going to Commie hell if we go to universal, single-payer healthcare. Meanwhile, they march in lockstep with Lenin regarding Medicare themselves. If I had a penny for every time I saw the twisted logic of folks who say, "It's OK when I do it, but we shouldn't go overboard and make it OK for everybody!"

                                                  To be clear, though, I whole-heartedly support universal, single-payer healthcare.

                                                  • 3 votes
                                                  #22.1 - Fri Mar 16, 2012 12:15 PM EDT

                                                  zupercram---careful when you lump people into a group! I am an old fogey on Medicare but I worked for and promoted a single payer system and universal healthcare for over 30 years now!

                                                  I also know the difference between communism and socialism, which most of those that are ranting and railing against don't have a clue about. Thats the trouble with labels, the only label we should think about is the one that calls us Americans.

                                                  We need to look for solutions to the problems instead of making it a "sporting event" with a "us vs. then" mentality. We are all in this together.

                                                  I totally agree with DD, good stuff!

                                                    #22.2 - Fri Mar 16, 2012 3:05 PM EDT

                                                    gemini - I hear ya. The "cup of Geritol and Depends tea" portion wasn't entirely necessary, I suppose. My crusade is against hypocrisy, faulty logic, and false facts, not the elderly. I'm quite certain there are folks in my demographic that are hypocrites, as well. Thank you for your work on socialized medicine.

                                                    I'd be lying if I said I didn't enjoy making a sport of this, though.

                                                      #22.3 - Fri Mar 16, 2012 4:58 PM EDT
                                                      Reply

                                                      Who are these 50 million who don't have insurance? Why should us "Middle Class" pay for them to have medical insurance? Obama is wrong! I have seen my medical cost skyrocket ever since the goverment got involved. All of you people think this is great and I think we should Impeach Obama or for sure he needs to go at election time! If you have made healthcare a priority during your life and cared about having insurance, you probably would have some type of insurance now. I believe a good percentage of these 50 mil. never spent a dime on healthcare in their life and now us work asses are suppose to carry them. WRONG.

                                                      • 2 votes
                                                      #23 - Fri Mar 16, 2012 10:43 AM EDT

                                                      Yep, love that Christian sentiment there. Let the sick and poor die! Why should we, The Christian Right (Republican Party) help them? Jesus was wrong in telling people to help the poor and sick. That is the new mantra of the Republican Party. It's money before people, greed before compassion for the GOP. It's down right disgusting. THIS is the ROT in our country that needs to be excised. And every empire or country has fallen in the past because of the ROT inside, the ROT caused by the people and their leaders. The GOP is that ROT.

                                                      • 5 votes
                                                      #23.1 - Fri Mar 16, 2012 11:07 AM EDT

                                                      Sandy, Missouri-

                                                      I am wondering what kind of 'Christian' you may be. It was never God's will to have the governments of the world take care of the people. It was His will that the church reach out (as they most always do) to those that are less fortunate.

                                                      A lot of the trouble our country is in right now is because 'the church' has people beleiving the way you appear to and trying to pass that responsibility on instead of stepping up to the plate.

                                                      • 1 vote
                                                      #23.2 - Fri Mar 16, 2012 11:38 AM EDT

                                                      Yes, Bob, because anybody who works for an employer that doesn't offer health insurance--and can't afford to pay 15 thousand a year for an individual family policy--is just...what? A loser? Wake up! Lots of folks work for small employers who offer NO health insurance. We earn far too much to qualify for medicaid or state plans, but we can't possibly afford individual policies or pay for major health care out of pocket. Taking the kids for a few well visits isn't the problem. Having somebody who needs an emergency room or cancer treatment is. One event like that can easily bankrupt a working family.

                                                      You must live a very insulated life not to know anybody in a situation like this. Many working people have a great deal of trouble affording health care and health insurance and that's just not right. Something has to change.

                                                      • 10 votes
                                                      #23.3 - Fri Mar 16, 2012 12:08 PM EDT

                                                      Yeah, you're so right Sandy. How can those who go to work everyday not help those sitting on thier butts complaining how unfair everything is. Those with money should be forced to give some to those who don't have any. How can one call himself a Christian and not give away all that he works for. For Jesus himself said, when you do unto others you do unto me. The idea that one keeps what he works for is sure to doom our civilization.

                                                      • 1 vote
                                                      #23.4 - Fri Mar 16, 2012 12:16 PM EDT

                                                      When the Biblical God rhetorically asked Cain where his brother was and Cain, being all defensive, answered back with the question: "Am I my brothers keeper?" ...do you suppose Cain might have known the jig was up and that God was likely to answer "Why yes, Cain, you are." ?

                                                      The people who whine about having cover for the folks who can't afford health care because they prefer to see them as just lazy and irresponsible have just maybe got a whole lot in common with their brother Cain.

                                                      Whenever you get the urge to say something like "Hey, step up to the plate!" it would probably be a good idea to practice saying it to the mirror before yelling it out the window.

                                                      • 6 votes
                                                      #23.5 - Fri Mar 16, 2012 12:24 PM EDT

                                                      Cul: I agree. The cost of healthcare is draining me financially. Maybe I should cancel my coverage and then expect the government to provide it for me.

                                                        #23.6 - Fri Mar 16, 2012 12:50 PM EDT

                                                        People like Ronkonkoma Chet are ignorant BS Artists who wouldn't know what it was like to be living below the poverty line. There aren't jobs for everyone to make a good living and you are too ignorant to realize that and here are some things from Jesus all of the bible thumpers ignore in their quest for money and greed.

                                                        Matthew 19:20 The young man said to him, "All these I have observed; what do I still lack?"
                                                        21 Jesus said to him, "If you would be perfect, go, sell what you possess and give to the poor, and you will have treasure in heaven; and come, follow me." 22 When the young man heard this he went away sorrowful; for he had great possessions. 23 And Jesus said to his disciples, "Truly, I say to you, it will be hard for a rich man to enter the kingdom of heaven.24 Again I tell you, it is easier for a camel to go through the eye of a needle than for a rich man to enter the kingdom of God."

                                                        Luke 14:13 But when you give a feast, invite the poor, the maimed, the lame, the blind,
                                                        14 and you will be blessed, because they cannot repay you. You will be repaid at the resurrection of the just."

                                                        Matthew 25:34-36 Then the king will say to those at his right hand, "Come, you that are blessed by my Father, inherit the kingdom prepared for you from the foundation of the world; for I was hungry and you gave me food, I was thirsty and you gave me something to drink, I was a stranger and you welcomed me, I was naked and you gave me clothing, I was sick and you took care of me, I was in prison and you visited me."

                                                        Luke 12:16-21 Then he told them a parable: "The land of a rich man produced abundantly. And he thought to himself, 'What should I do, for I have no place to store my crops?' Then he said, 'I will do this: I will pull down my barns and build larger ones, and there I will store all my grain and my goods. And I will say to my soul, 'Soul, you have ample goods laid up for many years; relax, eat, drink, be merry.' But God said to him, 'You fool! This very night your life is being demanded of you. And the things you have prepared, whose will they be?' So it is with those who store up treasures for themselves but are not rich toward God."

                                                        And there are many more but most so called Christians do not heed them. They think the poor are all lazy slackers trying to get their money like Ronkonkoma Chet. This is the face of the Republican Party, GREED at the expense of everyone else all wrapped in god and country. It's sad and sickening.

                                                        • 6 votes
                                                        #23.7 - Fri Mar 16, 2012 1:17 PM EDT

                                                        I guess Jesus was a commie.

                                                        • 1 vote
                                                        #23.8 - Fri Mar 16, 2012 1:20 PM EDT

                                                        Of course Jesus was a commie...or a socialist at least, so is anyone who has seen the light and understand stheir inconnectedness with all others on the planet...but more toyour advantage Ronkonkoma Chet might be this
                                                        p>

                                                        The Canadian example of single-payer, universal health care health care does not mean it is "free" from the government. It means that it is paid for through taxes (which in Canada are slightly higher than in the US) but there is no charge (nor co-pays)for any medical service at time of use...ie, seeing a doctor, being admitted to a hospital or surgeries, etc. A few of the 10 provinces have modest extra monthly premiums based on income (the highest being around $180 for the very well-to-do).

                                                        You can find more information of all sorts here: http://en.wikipedia.org/wiki/Health_care_in_Canada

                                                        or http://www.hc-sc.gc.ca/hcs-sss/index-eng.php

                                                        • 2 votes
                                                        #23.9 - Fri Mar 16, 2012 1:25 PM EDT

                                                        If Jesus were to come back today the Republicans and Christian Conservatives would be calling him a commie and socialist because THAT IS WHAT HE PROPOSED IN THE BIBLE.

                                                        It's funny how Republicans and Religious Conservatives so CONVENIENTLY ignore those passages of the bible when it comes to money and helping your fellow man. Well if they are rich they are all for helping them out but if poor then f%&k-em.

                                                        • 4 votes
                                                        #23.10 - Fri Mar 16, 2012 1:29 PM EDT

                                                        Ron Chet - Lee above (post# 23.3) refuted your argument before you even posted it. Please read it. You seem to have fallen into the Randist mindset of "poor people are poor because they're lazy!" It's a toxic mindset that blames the victims of cirumstance and rationalizes the unwillingness to help those in need. In order to sleep at night, people (like you) need to believe that people in need are in such a situation due to their own choices. As much as you want it to be that way, that's not the case.

                                                        The cost of healthcare is draining me financially. Maybe I should cancel my coverage and then expect the government to provide it for me.

                                                        I'm not going to hide the fact that yes, you should. Nobody should have to make the choice between room & board and medical coverage. If you live in Ronkonkoma, however, I would bet your choice is more like between a hot tub and medical coverage--not the same.

                                                        • 3 votes
                                                        #23.11 - Fri Mar 16, 2012 1:35 PM EDT

                                                        Sandy, sweetheart, you paint a picture of me which is of total ignorance. I have been very successful over the years and have helped numerous people in my family, friends, and in my church. I have always helped those in need. Over the past two years however, my business had not made a dime. Had I given away everything as you would expect one like me to do, I'd be homeless and on the public dole for housing, food and healthcare. And I'm not saying everyone who is hurting is lazy; but there are a great amount of people who are and live off the public dole. And it is also known that God helps those who help themselves. I have been working for a startup company for the past five months. I get up at 6:00 AM and get home at 5:00PM. My compensation for doing this: zero. I have not been paid a dime. I do this because if it works out, I will be making decent money again. It's a gamble I am willing to take. How many others would be willing to do this? How many people who were making 100K/yr won't take a job at 60K because it's just not worth it? And since you seem to be such a great preacher, have you given away all your money and have nothing to your name; or is everyone else supossed to do that?

                                                        • 1 vote
                                                        #23.12 - Fri Mar 16, 2012 1:53 PM EDT

                                                        I am not painting anything. You are painting that very bad image of yourself all by yourself. You are just trying to transfer blame off yourself like most republicans do.

                                                        • 2 votes
                                                        #23.13 - Fri Mar 16, 2012 2:09 PM EDT

                                                        I don't understand, what blame? I came from a poor family, went to college at night(paid for with student loans which took ten years) while working a full time job; became successful and shared my good fortune with many who needed assistance. Business then went sour and I've been trying to find another avenue to create income. All the while, I have not asked anyone, government or otherwise for a dime of money. I keep plugging away while keeping the faith. If you interpret this as a bad image, I'll gladly be called a terrible person. And you still haven't answered my question; have you given away all your money aside from what was necessary to live on, or do you just expect others to do so?

                                                        • 1 vote
                                                        #23.14 - Fri Mar 16, 2012 5:45 PM EDT

                                                        @Sandy, Missouri

                                                        . "Matthew 19:... 24 Again I tell you, it is easier for a camel to go through the eye of a needle
                                                        than for a rich man to enter the kingdom of God."

                                                        FYI, modern (as in post-James I) translations have clarified this passage.

                                                        In the Jerusalem wall, there was a small gate known as "the needle's eye" because of its size. Though difficult, a "good" camel (i.e. one that could "crouch"), or a "good" camel master could get through that small gate...

                                                        Meaning: not impossible, but difficult.

                                                          #23.15 - Sun Mar 18, 2012 3:52 AM EDT
                                                          Reply

                                                          The congress passed a law allowing federal government agencies to make up its content as they go along. The cost control act will not control costs, obviously. The CBO report is only the first of many bad news statements of what's to come. With the senate in republican hands, the law can be defunded and allowed to die and even if this president is reelected, he will be able to do nothing about it.

                                                          This law is exactly why both houses of congress and the white house should never, ever be in the hands of one party. When it happens, the party begins and the country suffers.

                                                          • 1 vote
                                                          Reply#24 - Fri Mar 16, 2012 10:45 AM EDT

                                                          Government by the lawyers, for the lawyers and of the lawyers - this is what we have come to. Insurance companies, doctors and pharmaceuticals have the right to make a REASONABLE profit. If they don't we get fewer and fewer providers. BUT they have to pay so much to "cover their rears" caused by constant threat of litigation.

                                                          Some of the health care provisions are good, the problem is the part that takes away the individuals' and employers' right to choose and therein lies the erosion of our basic freedoms. With freedom comes the responsibility to look out for yourself and not always look for the other guy or the government to pay when you goof.

                                                          • 1 vote
                                                          Reply#25 - Fri Mar 16, 2012 10:46 AM EDT

                                                          If the government takes over the malpractice lawyers will take a hit.

                                                          • 1 vote
                                                          #25.1 - Fri Mar 16, 2012 3:31 PM EDT

                                                          Oh no they won't , there is no tort reform in the Health Care bill ! Tort lawyers are the largest campaign donors to the Dem party !

                                                          Try using a few facts !

                                                            #25.2 - Fri Mar 16, 2012 9:32 PM EDT
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