Page 4 of 6 FirstFirst ... 23456 LastLast
Results 31 to 40 of 54

Thread: Can the states by themselves now unravel ObamaCare?

  1. #31
    Sage

    Join Date
    May 2011
    Last Seen
    Today @ 01:17 PM
    Gender
    Lean
    Centrist
    Posts
    8,180

    Re: Can the states by themselves now unravel ObamaCare?

    Quote Originally Posted by AdamT View Post
    Never underestimate the partisan stupidity of a tea party governor, my friend. My governor (Scott of Florida) has ALREADY turned down several billion dollars to build a high speed rail line that was going to require virtually no money from the state. I fully expect him to follow through on his promise to opt out of Medicaid expansion, despite the fact that he is a former hospital corp. executive and knows full well that it would save hospitals billions and billions of dollars. I reckon that by the time he's voted out of office he will have pissed away more federal funding than any governor in history.
    I get the impression that the way you think it should work is that states should clamor, elbow and vacuum up as much federal funding as they possibly can.

    What's so wrong about states trying to stop contributing the problem of an increasingly bloated federal government?

  2. #32
    Banned
    Join Date
    Oct 2011
    Last Seen
    07-24-12 @ 08:17 PM
    Gender
    Lean
    Slightly Conservative
    Posts
    271

    Re: Can the states by themselves now unravel ObamaCare?

    Quote Originally Posted by ttwtt78640 View Post

    You just do not get it do you? They are NOT now on medicaid, so unless they have a life threatening emergency they CAN BE and ARE denied any free ER care. You don't get free ER care unless you can convince them that you NEED IT NOW, after you get on medicaid MONEY comes with that care so all the care that the poor ask for is then given FOR FEDERAL TAX MONEY. I imagine, yet can not prove, that a doctor is happy to give a placebo pill or fake X-ray to get some free federal medicare money for "treating" some poor moron that simply likes seeing doctors.

    So, the state gets NOTHING except longer lines at all care facilities that these new medicaid patients choose to visit. Even RomneyCare did not reduce ER use, as all claimed that it would.
    You are correct, ttwtt.

    A report from CNN has recently and correctly revealed just 5% of Americans accounted for half of our nation's health care costs in 2009. This is perhaps the crucial statistic to understand about America's health care problem.

    Obamacare will indeed make this problem worse by creating longer lines at all care facilities that these new medicaid patients choose to visit. Jeffey Brenner, used medical billing records to find that just 1% of patients accounted for 30% of health care costs in Camden. And that's not all he discovered in the city's three hospitals. He says: "We learned that someone went 113 times in one year. Someone went 324 times in five years. In similar workup in Trenton, they found someone who went 450 times in one year." These were people with complicated medical histories and chronic illnesses. One patient alone racked up $3.5 million in medical bills over a five year period.

    As Brenner says,"They're the difficult patients to treat, and no one is being paid and incentivized to pay attention to them." Obamacare will only make the high cost and the problem worse by a thousand fold!

    The world of the U.S. health care issue – Global Public Square - CNN.com Blogs
    Last edited by James Cessna; 07-04-12 at 06:38 PM.

  3. #33
    Sage
    AdamT's Avatar
    Join Date
    Jul 2011
    Last Seen
    02-13-13 @ 04:09 PM
    Gender
    Lean
    Undisclosed
    Posts
    17,773

    Re: Can the states by themselves now unravel ObamaCare?

    Quote Originally Posted by James Cessna View Post
    You are correct, ttwtt.

    A report from CNN has recently and correctly revealed just 5% of Americans accounted for half of our nation's health care costs in 2009. This is perhaps the crucial statistic to understand about America's health care problem.
    Is this some kind of revelation to you? That most health care dollars are spent on people who are sick?

    Just imagine how much we could cut out of health care spending if we just stopped treating those sick people!!
    "The necessaries of life occasion the great expense of the poor. They find it difficult to get food, and the greater part of their little revenue is spent in getting it. The luxuries and vanities of life occasion the principal expense of the rich, and a magnificent house embellishes and sets off to the best advantage all the other luxuries and vanities which they possess. ... It is not very unreasonable that the rich should contribute to the public expense, not only in proportion to their revenue, but something more than in that proportion."

    -- Adam Smith

  4. #34
    Sage

    Join Date
    May 2011
    Last Seen
    Today @ 01:17 PM
    Gender
    Lean
    Centrist
    Posts
    8,180

    Re: Can the states by themselves now unravel ObamaCare?

    Quote Originally Posted by AdamT View Post
    Is this some kind of revelation to you? That most health care dollars are spent on people who are sick?

    Just imagine how much we could cut out of health care spending if we just stopped treating those sick people!!
    I think we could cut out some health care spending by discontinuing surgeries performed in people's last year of life. Addictive prescription drugs lead to a lot of overutilization too, I reckon.

  5. #35
    Sage
    Karl's Avatar
    Join Date
    Sep 2010
    Last Seen
    12-18-14 @ 09:35 AM
    Lean
    Progressive
    Posts
    5,561

    Re: Can the states by themselves now unravel ObamaCare?

    Quote Originally Posted by James Cessna View Post
    You are correct, ttwtt.

    A report from CNN has recently and correctly revealed just 5% of Americans accounted for half of our nation's health care costs in 2009. This is perhaps the crucial statistic to understand about America's health care problem. [...]
    More fun facts:

    Studies have shown that the 5% of Medicare patients who die each year account for 30% of Medicare's costs, with 78% of last-year-of-life expenses occurring in the month before death.

    End-of-life care provision stirs angst in health reform debate - amednews.com

  6. #36
    Sage
    AdamT's Avatar
    Join Date
    Jul 2011
    Last Seen
    02-13-13 @ 04:09 PM
    Gender
    Lean
    Undisclosed
    Posts
    17,773

    Re: Can the states by themselves now unravel ObamaCare?

    Quote Originally Posted by Neomalthusian View Post
    I think we could cut out some health care spending by discontinuing surgeries performed in people's last year of life. Addictive prescription drugs lead to a lot of overutilization too, I reckon.
    This is what your Republicans would call death panels, but I agree.

    Here are some really astonishing figures:

    The federal government estimates that 70 percent of health-care expenditures are spent on the elderly, 80 percent of that in the last month of life -- and often for aggressive, life-sustaining care that is futile.


    Mercury News editorial: Health care spending on end-of-life treatment is irrational - San Jose Mercury News
    In other words, over half of all health care spending is spent to treat people who aren't going to live more than a month anyway.
    Last edited by AdamT; 07-04-12 at 06:57 PM.
    "The necessaries of life occasion the great expense of the poor. They find it difficult to get food, and the greater part of their little revenue is spent in getting it. The luxuries and vanities of life occasion the principal expense of the rich, and a magnificent house embellishes and sets off to the best advantage all the other luxuries and vanities which they possess. ... It is not very unreasonable that the rich should contribute to the public expense, not only in proportion to their revenue, but something more than in that proportion."

    -- Adam Smith

  7. #37
    Sage

    Join Date
    May 2009
    Location
    USA
    Last Seen
    Today @ 10:04 AM
    Gender
    Lean
    Conservative
    Posts
    9,812

    Re: Can the states by themselves now unravel ObamaCare?

    Quote Originally Posted by AdamT View Post
    States can opt out of the Medicare expansion, though they would be idiotic to do so (because it costs them nothing for three years and only 10% after that). But they cannot avoid exchanges. If they fail to set up their own then state residents will be able to take advantage of a federal exchange.
    I had head it was 10% in the 4th year and becomes progressively higher the longer it goes. Do you have the ramp up schedule, or have I heard wrong?

  8. #38
    Sage

    Join Date
    May 2011
    Last Seen
    Today @ 01:17 PM
    Gender
    Lean
    Centrist
    Posts
    8,180

    Re: Can the states by themselves now unravel ObamaCare?

    Quote Originally Posted by AdamT View Post
    This is what your Republicans would call death panels, but I agree.

    Here are some really astonishing figures:

    The federal government estimates that 70 percent of health-care expenditures are spent on the elderly, 80 percent of that in the last month of life -- and often for aggressive, life-sustaining care that is futile.
    In other words, over half of all health care spending is spent to treat people who aren't going to live more than a month anyway.
    So then WTF is up with you mocking James Cessna in your post (#33)?

  9. #39
    Sage
    AdamT's Avatar
    Join Date
    Jul 2011
    Last Seen
    02-13-13 @ 04:09 PM
    Gender
    Lean
    Undisclosed
    Posts
    17,773

    Re: Can the states by themselves now unravel ObamaCare?

    Quote Originally Posted by Neomalthusian View Post
    So then WTF is up with you mocking James Cessna in your post (#33)?
    He was making a different point. Overlapping, but different. And I have no idea why he keeps bringing up the statistic.
    "The necessaries of life occasion the great expense of the poor. They find it difficult to get food, and the greater part of their little revenue is spent in getting it. The luxuries and vanities of life occasion the principal expense of the rich, and a magnificent house embellishes and sets off to the best advantage all the other luxuries and vanities which they possess. ... It is not very unreasonable that the rich should contribute to the public expense, not only in proportion to their revenue, but something more than in that proportion."

    -- Adam Smith

  10. #40
    Enemy Combatant
    Kandahar's Avatar
    Join Date
    Jul 2005
    Location
    Washington, DC
    Last Seen
    10-15-13 @ 08:47 PM
    Gender
    Lean
    Liberal
    Posts
    20,688

    Re: Can the states by themselves now unravel ObamaCare?

    Quote Originally Posted by AdamT View Post
    Never underestimate the partisan stupidity of a tea party governor, my friend. My governor (Scott of Florida) has ALREADY turned down several billion dollars to build a high speed rail line that was going to require virtually no money from the state. I fully expect him to follow through on his promise to opt out of Medicaid expansion, despite the fact that he is a former hospital corp. executive and knows full well that it would save hospitals billions and billions of dollars. I reckon that by the time he's voted out of office he will have pissed away more federal funding than any governor in history.
    Possibly so, but it still won't last for long. Even if Rick Scott holds out for a few years, the next governor almost certainly won't. And even if politics would push him in the direction of opting out, the money will be pushing him the opposite way. The health care providers love the Medicaid expansion, and I think they'll be strongly lobbying any governor even contemplating resistance.
    Are you coming to bed?
    I can't. This is important.
    What?
    Someone is WRONG on the internet! -XKCD

Page 4 of 6 FirstFirst ... 23456 LastLast

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •