Take A Number - Obamacare


While lots of people are focused on Sotomayor confirmation hearings (or not ZZxzzz

Tags
- obamacare
- item 12235
- item 12267
- $1 trillion
Comments
It shows that of the $1.04 trillion, only 8 billion is in the first three years and only 77 billion in the first four years. That means that more than 90 percent of the cost is over the last six years.
So, the average cost of the second five years is about 172 billion annually. Put another way, 85 percent of the costs are in the second five years of the bill (2015-2019)
Even if costs miraculously remained flat from 2019 and beyond (rather than rising as they do from 2014-2019), the second ten years of this bill would cost more than $2 trillion.
Even if costs miraculously remained flat from 2019 and beyond (rather than rising as they do from 2014-2019), the second ten years of this bill would cost more than $2 trillion.
So…they’ve backloaded the costs and the consequences until after the next presidential election. They’ve also lowered their per-year cost by not implementing the bill until four years into their budget window.
The legislation calls for a 5.4 percent tax increase on individuals making more than $1 million a year, with a gradual tax beginning at $280,000 for individuals. Employers who don't provide coverage would be hit with a penalty equal to 8 percent of workers' wages, with an exemption for small businesses. Individuals who decline an offer of affordable coverage would pay 2.5 percent of their incomes as a penalty, up to the average cost of a health insurance plan.
The liberal-leaning plan lacked figures on total costs, but a House Democratic aide said the total bill would add up to about $1.5 trillion over 10 years. The aide spoke on condition of anonymity to discuss the private calculations.


What we need is a hyperfast way to analyze the bills before Congress votes. If you type in the words health care into govtrack.us you get 1833 bills that mention health care. Which one is the one that the current House of Representatives is considering?

The idea that everything is a crisis spawns con games, shell games & confidence rackets. An even cursory examination of Congress in collusion with the president can't dispell this idea. The only thing we can do to protect ourselves is to become hypervigilant & publish & flush the government or force changes when the time comes. Will it take a total meltdown or can it be averted? Who knows? A government so big that it doesn't move when punched is a problem. A government moving so fast that it appears to be a steam-roller is also a problem.

To make quality, affordable health care available to all Americans,
reduce costs, improve health care quality, enhance
disease prevention, and strengthen the health care workforce.









Forcing everyone to have health insurance & then taxing those that do & the employers that provide or penalizing those who don't while taxing anyone left who has money is indeed - SICK!!!
That having been said, reasonable medical insurance is not affordable in this country for the average man. Even now, since i get social security, if i was seriously sick or injured, after medicare pays its part, i would be totally broke. Sure i can get supplemental insurance for about $100/month and that would cover most of my expenses. Now bear in mind that is a government program ... and it does work ... and it does make it affordable for me. Now go back several years before i got social security. There is no way that i could have, even back then, afforded private medical insurance with comperable coverage. The consequence being that if i had been seriously sick or injured and needed an operation and hospitalization, i would have had to go to the county hospital. The government would have had to pay for my care anyway ... and i probabably would not have gotten very good care. Point is that medical insurance in this country is broken ... and leaft alone it will only get worse. It will continue to drag down the economy. We need to fix it.
I actually want to talk with you about this, but i only want to deal with the issues and not with the static.

Fast-forward to the future where health-care has no connection to the economy or politics or the law. Here's what I see:
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An abundance of doctors & paramedical professionals who have mastered both preventive medicine & holistic medicine as well as anything that can help including traditional allopathic (AMA) through acupuncture etc.
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An abundance of hospitals & clinics that can handle both psychological & medical needs of communities.
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A healthier populace who has been trained since conscious to take positive control over their own health through proper nutrition, exercise & mental health.
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A grass roots, community level guild of healers & healing organizations that run the process of maintaining 1-3 above by being directly in touch with the consumers of health care themselves.
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A capital & economic system that provides for, but does not control #4 in a way that medical innovations & needs are provided as the population needs them. A dynamically balanced external economy will be able to do this out of the excess of it's success. (I'm specifically not talking about the present day mentality of tax the rich).
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The quality of doctors & para-medical personnel will improve as schools show up in abundance & the economic incentives of getting rich dissipate into history. Old World dynasties of families of doctors may or not tend to be things of the past.
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Correcting mistakes, lacking the incentives of a get rich fast lottery for lawyers notwithstanding, will be a matter of applying the required change at all levels of the community not just more legalese written into paperwork for patients to sign away.
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Life & Death will be treated with dignity in all cases - no longer a matter of money.
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The Hippocratic Oath will be observed & affirmed by all who are in the profession.

Btw, i asked you to please deescalate your personal ad hominem insults to me. The primary reason is that they do not read well to anyone else reading our blogs - nor even to us when we read back in history. Nor do they help us get to the issues. They are worse than the trivial partisan carping in that they are not even remotely about the issues being raised. No they are about me ... well not even about me ... they are in fact about you. I ask you again please do decist. Again please direct any bs response to this to dev/null. If you delete this, don't worry it will appear on my own blog later for all to see.
This is the last time I will tell you this. If you do want to continue this dialogue, please give me the respect that i deserve.


I'm game ... are you?

Btw, i asked you to please deescalate your personal ad hominem insults to me. The primary reason is that they do not read well to anyone else reading our blogs - nor even to us when we read back in history. Nor do they help us get to the issues. They are worse than the trivial partisan carping in that they are not even remotely about the issues being raised. No they are about me ... well not even about me ... they are in fact about you. I ask you again please do decist. Again please direct any bs response to this to dev/null. If you delete this, don't worry it will appear on my own blog later for all to see.
This is the last time I will tell you this. If you do want to continue this dialogue, please give me the respect that i deserve.




Other factors is that hospitals & doctors have to protect themselves from multi-million$$ malpractice awards which are effectively a $$$-lottery for lawyers.
It gets only worse with Medicare & finally with compulsive medical insurance the coup de grace will have been given to the whole system.





I'll have more to say about the control of expenses & taxation when i have more time to study the particulars of the bills going through congress.
In 2000, the United States spent more on health care than any other country in the world: an average of $ 4,500 per person.
...
Cuba ranks 28th in the world, just behind the US [in life expectancy]. However, its spending per person on health care is one of the lowest in the world, at $186, or about 1/25 the spending of the United States.
In 2000, the United States spent more on health care than any other country in the world: an average of $ 4,500 per person.
...
Cuba ranks 28th in the world, just behind the US [in life expectancy]. However, its spending per person on health care is one of the lowest in the world, at $186, or about 1/25 the spending of the United States.
Fast-forward to the future where health-care has no connection to the economy or politics or the law. Here's what I see: [see 9 points in 2009-07-17 12:11:22 above]
- Invest in prevention and wellness
- Improve patient safety and quality of care

In my mind reproductive care is essential care. It is basic care, and so it is at the center, the heart of the plan that I propose. … we’re going to set up a public plan that all persons and all women can access if they don’t have health insurance. It’ll be a plan that will provide all essential services, including reproductive services... We also will subsidize those who prefer to stay in the private insurance market except the insurers are going to have to abide by the same rules in terms of providing comprehensive care, including reproductive care.
Under the House bill, for example, most insurers would have to provide an “essential benefits package” specified by the health and human services secretary, who would receive recommendations from a federal advisory committee. Opponents of abortion want Congress to prohibit inclusion of abortion in that benefits package, while advocates of abortion rights say the package should be left to medical professionals to determine.
In an analysis of the House bill, the National Right to Life Committee said that ordinary principles of administrative law could allow the Obama administration to determine what would be included in the benefits package. “There is no doubt,” the group said, “that coverage of abortion will be mandated, unless Congress explicitly excludes abortion from the scope of federal authority to define ‘essential benefits.

A group of 20 House Democrats signed a letter sent last Friday to House Democratic leaders stating they "cannot support any health care reform proposal unless it explicitly excludes abortion from the scope of any government-defined or subsidized health insurance plan."
....
Both private plans and a public-health insurance plan would be available to individuals seeking health coverage through a health-insurance "exchange" created by the bill. The Department of Health and Human Services would make the final determination on what those plans would be required to cover.
The department would seek proposals on what to cover from a health benefits advisory council created by the bill. The anti-abortion Democrats state in the letter they want to ensure that the council "cannot recommend abortion services be included under covered benefits or as part of a benefits package."


At the same time comes word from Rep. John Carter, R-Tex., that the same franking commission that is causing problems for Brady's chart won't let Carter use the words "government-run heath care plan" in a recording to be used to start a telephone town hall meeting. "What we proposed as language was as follows, 'House Democrats unveiled a government-run health care plan,'" Carter told a conservative publication. "Our response from Franking was, 'You cannot use that language. You must use, 'The House majority unveiled a public option health care plan,' which is Pelosi-speak or 'just last week the House majority unveiled a health care plan which I believe will cost taxpayers...'"


I think it is time to debunk this myth that Obamacare cost $1 trillion ...
By now, you've probably also heard that health reform will cost taxpayers at least a trillion dollars. Another lie.
First of all, that's not a trillion every year, as most people assume -- it's a trillion over 10 years, which is the silly way that people in Washington talk about federal budgets. On an annual basis, that translates to about $140 billion, when things are up and running.
Even that, however, grossly overstates the net cost to the government of providing universal coverage. Other parts of the reform plan would result in offsetting savings for Medicare: reductions in unnecessary subsidies to private insurers, in annual increases in payments rates for doctors and in payments to hospitals for providing free care to the uninsured. The net increase in government spending for health care would likely be about $100 billion a year, a one-time increase equal to less than 1 percent of a national income that grows at an average rate of 2.5 percent every year.


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