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Thread: Florida Blue cutting 300K policies

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    Re: Florida Blue cutting 300K policies

    Quote Originally Posted by finebead View Post
    The Supreme Court has reviewed the law and deemed in constitutional.
    That's good, at least you posted the correct section. Now, can you define what a pre amble is?

    It does indeed say promote the general welfare, however, you do understand that they laid out specifically how in article 1 section 8 right?

    The point that you cite the SCOTUS only shows me that the court has strayed from its own charter.
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    Re: Florida Blue cutting 300K policies

    Quote Originally Posted by ItAin'tFree View Post
    That study from Oregon has been posted in this forum many times. You can look it up, it's common public knowledge. But if you do, you still won't believe it because it does not provide justification for the heavy hand of government to ruin the healthcare in America.
    I have found the results of the Oregon study on their website, and they look good for the effectiveness of medicaid in Oregon, even if the study is limited looking only at blood pressure, cholesterol, depression and diabetes.

    Oregon Health Study Findings

    A 2013 article in the New England Journal of Medicine evaluates the effect of Medicaid on the care that patients receive and on patient health. These results are important because they interpret objective clinical health data, rather than data that was provided by the participant in a survey.

    The data used for these results was collected two years after the lottery.
    Some highlights:
    Physical Health

    Medicaid significantly increased the probability of being diagnosed with diabetes after the lottery, and the probability of using diabetes medication.

    Medicaid had no statistically significant effect on measured blood pressure or cholesterol.

    Mental Health

    Medicaid reduced observed rates of depression by 30 percent.

    Medicaid increased the probability of being diagnosed with depression after the lottery.

    Medicaid increased self-reported health.


    Financial Hardship

    Medicaid virtually eliminated out-of-pocket catastrophic medical expenditures.

    Medicaid reduced other measures of financial strain, such as reducing the probability of having to borrow money or skip paying other bills because of medical expenses by more than 50 percent.

    Utilization and Access

    Medicaid increased use of physician services, prescription drugs, and hospitalizations. This increased use represents about $1200 in medical costs annually, or an increase of about 35 percent.

    Medicaid increased the probability of having a usual place of care by 50 percent.

    Medicaid increased the use of preventive services and screening, such as increasing the probability of having a cholesterol check by more than 50 percent and doubling the probability that women over 50 had a mammogram.
    Oregon Health Study Findings « Oregon Health Study

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    Re: Florida Blue cutting 300K policies

    Quote Originally Posted by j-mac View Post
    That's good, at least you posted the correct section. Now, can you define what a pre amble is?

    It does indeed say promote the general welfare, however, you do understand that they laid out specifically how in article 1 section 8 right?

    The point that you cite the SCOTUS only shows me that the court has strayed from its own charter.
    Here is Article 1, section 8 and the power seems broad and that it includes the power to make laws to provide for the general welfare of the nation. I'll skip those that are not pertinent.

    Section. 8.

    The Congress shall have Power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States;

    And

    To make all Laws which shall be necessary and proper for carrying into Execution the foregoing Powers, and all other Powers vested by this Constitution in the Government of the United States, or in any Department or Officer thereof.
    So, congress has the power to make all laws necessary and proper to carry into execution the provision for the general welfare of the country. That's what they did and the Supreme Court found no problem with it.

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    Re: Florida Blue cutting 300K policies

    Quote Originally Posted by finebead View Post
    You haven't inflated anything, you have dropped words out of my statements and mischaracterized them, and now you are afraid to provide exact quotes because you know you have mischaracterized them and I can show you that what I said is NOT what you said I said. I have no reason to look up what I said, I know what I said, and you have shortened and created an incorrect distortion of what I said. I have called you on it, and the burden is on you to show you are correct. So, show my exact statement and your characterization and I will show you your error.
    BS. There is no burden on me and I am correct. You speak in circles.
    "“If we don’t deepen our ports all along the Gulf — places like Charleston, South Carolina; or Savannah, Georgia; or Jacksonville, Florida…” -Obama

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    Re: Florida Blue cutting 300K policies

    Quote Originally Posted by ItAin'tFree View Post
    BS. There is no burden on me and I am correct. You speak in circles.
    You won't attempt an answer because you know I am right.

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    Re: Florida Blue cutting 300K policies

    Quote Originally Posted by finebead View Post
    I have found the results of the Oregon study on their website, and they look good for the effectiveness of medicaid in Oregon, even if the study is limited looking only at blood pressure, cholesterol, depression and diabetes.

    LOL. Man oh man am I glad you are not my doctor.


    Background

    Despite the imminent expansion of Medicaid coverage for low-income adults, the effects of expanding coverage are unclear. The 2008 Medicaid expansion in Oregon based on lottery drawings from a waiting list provided an opportunity to evaluate these effects.


    Methods

    Approximately 2 years after the lottery, we obtained data from 6387 adults who were randomly selected to be able to apply for Medicaid coverage and 5842 adults who were not selected. Measures included blood-pressure, cholesterol, and glycated hemoglobin levels; screening for depression; medication inventories; and self-reported diagnoses, health status, health care utilization, and out-of-pocket spending for such services. We used the random assignment in the lottery to calculate the effect of Medicaid coverage.


    Results

    We found no significant effect of Medicaid coverage on the prevalence or diagnosis of hypertension or high cholesterol levels or on the use of medication for these conditions. Medicaid coverage significantly increased the probability of a diagnosis of diabetes and the use of diabetes medication, but we observed no significant effect on average glycated hemoglobin levels or on the percentage of participants with levels of 6.5% or higher. Medicaid coverage decreased the probability of a positive screening for depression (−9.15 percentage points; 95% confidence interval, −16.70 to −1.60; P=0.02), increased the use of many preventive services, and nearly eliminated catastrophic out-of-pocket medical expenditures.


    Conclusions

    This randomized, controlled study showed that Medicaid coverage generated no significant improvements in measured physical health outcomes in the first 2 years, but it did increase use of health care services, raise rates of diabetes detection and management, lower rates of depression, and reduce financial strain.
    MMS: Error


    Note: The link works. It's from the NEJM.
    Last edited by ItAin'tFree; 10-31-13 at 12:20 PM.
    "“If we don’t deepen our ports all along the Gulf — places like Charleston, South Carolina; or Savannah, Georgia; or Jacksonville, Florida…” -Obama

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    Re: Florida Blue cutting 300K policies

    Quote Originally Posted by finebead View Post
    You won't attempt an answer because you know I am right.
    LOL. Seriously, reread everything you have posted. You make points 180 degrees different on the same subject.

    So, no you are not right. Oh the other hand, you type out so much you are never more than half wrong.
    "“If we don’t deepen our ports all along the Gulf — places like Charleston, South Carolina; or Savannah, Georgia; or Jacksonville, Florida…” -Obama

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    Re: Florida Blue cutting 300K policies

    Quote Originally Posted by ItAin'tFree View Post
    LOL. Man oh man am I glad you are not my doctor.



    Methods

    Approximately 2 years after the lottery, we obtained data from 6387 adults who were randomly selected to be able to apply for Medicaid coverage and 5842 adults who were not selected. Measures included blood-pressure, cholesterol, and glycated hemoglobin levels; screening for depression; medication inventories; and self-reported diagnoses, health status, health care utilization, and out-of-pocket spending for such services. We used the random assignment in the lottery to calculate the effect of Medicaid coverage.

    Results

    We found no significant effect of Medicaid coverage on the prevalence or diagnosis of hypertension or high cholesterol levels or on the use of medication for these conditions. Medicaid coverage significantly increased the probability of a diagnosis of diabetes and the use of diabetes medication, but we observed no significant effect on average glycated hemoglobin levels or on the percentage of participants with levels of 6.5% or higher. Medicaid coverage decreased the probability of a positive screening for depression (−9.15 percentage points; 95% confidence interval, −16.70 to −1.60; P=0.02), increased the use of many preventive services, and nearly eliminated catastrophic out-of-pocket medical expenditures.

    Conclusions

    This randomized, controlled study showed that Medicaid coverage generated no significant improvements in measured physical health outcomes in the first 2 years, but it did increase use of health care services, raise rates of diabetes detection and management, lower rates of depression, and reduce financial strain.
    MMS: Error


    Note: The link works.
    Regarding your study analysis:

    The findings and conclusions expressed in this article are solely those of the authors and do not necessarily represent the views of the funders.
    There is disagreement over the results of the study. However, this one study was posted in response to my post about the Harvard study that found 45,000 die prematurely each year due to lack of health insurance, which has not been refuted, and was not limited to Medicaid only. The Harvard study agrees with nearly 100 other studies, and ALL OF THEM CONCLUDED THAT HAVING HEALTH INSURANCE IMPROVES YOUR OPPORTUNITY TO STAY ALIVE LONGER. This one study and the disagreement over its result, does not trump my 100 studies. Health insurance is good for people.

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    Re: Florida Blue cutting 300K policies

    Quote Originally Posted by ItAin'tFree View Post
    LOL. Seriously, reread everything you have posted. You make points 180 degrees different on the same subject.

    So, no you are not right. Oh the other hand, you type out so much you are never more than half wrong.

    I am on the record and you won't attempt to demonstrate your point. I am fine with the readers of this thread drawing their own conclusion about your imprecision and distortion of my statements.

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    Re: Florida Blue cutting 300K policies

    Quote Originally Posted by finebead View Post
    One of the problems folks don't touch on is how sub-standard the care is in the public / county hospitals that our system provided for the poor who could not afford insurance. When I grew up in the south in the 50's and 60's, the schools were segregated on color lines, black and white, and the law provided for "separate but equal". The reality was they were separate but UNEQUAL and the supreme court eventually ordered the practice to be ended. If you didn't get a good education there was no way you could meaningfully participate at first class corporations like IBM, American Express, Aetna, etc.

    Somehow today we have separate heathcare facilities and again they are UNEQUAL. People die as a result of this, and the right keeps trying to ignore this reality, like the white racists in the old south didn't care about substandard education under the old separate but unequal system from the 50's (see Brown vs. Board of Education).

    Video Shows Woman Dying on NY Hospital Floor - YouTube
    And this will not change. The best doctors will pull out of the system altogether and offer group patient plans for families that can afford it.

    Everybody else will be able to go to "the free clinic."

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