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Thread: U.S. companies hoard record amount of cash

  1. #381
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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by Helix View Post
    an overnight stay would cost me more than i'm willing to pay unless i absolutely have to. my max out of pocket for the year is something like $7,500, and that is still pretty damned low for someone of my generation. but that would be really hard to float, and i'm paying almost three hundred a month already.

    Once again, the private healthcare system worked in an affordable and efficient manner in the past. I lived through it. It was ill guided government tinkering and our ambulance chasing attorney lobby that has made it expensive. The private system can be fixed with market based solutions and tort reform. As for not worrying about getting sick from a financial standpoint in other first world nations, I supposed ones views depends on what one believes in. Europeans have been generally born and raised in a nanny state government system where all of their needs are allegedly guaranteed, from cradle to grave. Americans value their independence and ability to make it on their own. And as others on DP have pointed out, the single payer system does have some major pitfalls. I could post some single payer experiances people in those other first world nations have dealth with that are much worse then your cut thumb experience....not so much in regards to finances, but availability of care. As for medicare, I can tell you about it's weaknesses even before I sign up for it. It is a pile of %^&*. Consider the fact that I have paid into the medicare system all of my working life, yet when I become eligible to sign up for it, it will be limited. That is why recipients are pushed into adding supplemental insurance to fill into the coverage holes that are big enough to fly the space shuttle through. On top of that Barack "Hussein" Obama has robbed the medicare system to help finance Obamacare. The government is now reim




    my folks only had a hard time financially until i was about six or seven. i didn't have it rough, so i don't want to give you that impression. however, i see people in other first world countries who don't worry as much about getting sick or old from a financial standpoint, and they don't worry that they might not be able to leave their kids whatever they managed to save up. i just don't see a private, for profit system fixing that. what are you going to do, not get treatment? it's not a situation in which the free market works very well. i don't oppose people making money providing health care to others. i just think that all basic care should be covered publicly like we do for the poor and for older people. i suppose in a few years when you are on medicare you can tell me a little bit more about the strengths and weaknesses of that system. my parents are on medicare now, and they are fairly happy with it so far.
    I really don't expect that much will be left in the Medicare system by the time Barack "Hussein" Obama leaves office. He has robbed half a trillion from medicare already to help finance obamacare. The government is now re-imbursing doctors who treat medicare patients at a rate less then what it costs to treat them. Inotherwords, the doctor pays out of his own pocket for the privilege ot treating a medicare patient. It is already causing many doctors to leave the medicare system. I expect a serious doctor shortage by the time I sign up.

  2. #382
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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by ObamacareFail View Post
    I really don't expect that much will be left in the Medicare system by the time Barack "Hussein" Obama leaves office. He has robbed half a trillion from medicare already to help finance obamacare. The government is now re-imbursing doctors who treat medicare patients at a rate less then what it costs to treat them. Inotherwords, the doctor pays out of his own pocket for the privilege ot treating a medicare patient. It is already causing many doctors to leave the medicare system. I expect a serious doctor shortage by the time I sign up.
    you might want to edit this. there's a bunch of stuff in the quote attributed to me that i didn't post.

  3. #383
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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by ObamacareFail View Post
    I really don't expect that much will be left in the Medicare system by the time Barack "Hussein" Obama leaves office. He has robbed half a trillion from medicare already to help finance obamacare. The government is now re-imbursing doctors who treat medicare patients at a rate less then what it costs to treat them. Inotherwords, the doctor pays out of his own pocket for the privilege ot treating a medicare patient. It is already causing many doctors to leave the medicare system. I expect a serious doctor shortage by the time I sign up.
    The irony of a guy who names himself after a healthcare system he barely understands is incredible as evidenced by this post.
    Many Trump supporters have lots of problems, and those deplorables are bringing those problems to us. They’re racists. They’re misogynists. They’re islamophobic. They're xenophobes and homophobes. And some, I assume, are good people.

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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by Threegoofs View Post
    The irony of a guy who names himself after a healthcare system he barely understands is incredible as evidenced by this post.
    Whats to understand ? Obama and the Democrats pulled the largest " Bait and Switch " scam in History on the American people by passing a law that mandates the purchase of a product that was created by the Government.

    A law that was sold under false pretenses. ( lower premiums by 2500 dollars a year and keep your Dr and Insurance )

    Ironically if a private insurance company had used deceptive advertising to sell me a policy prior to ObamaCare I could appeal to the Federal Trade Commission for deceptive trade practices.

    If the FTC refused to do anything about it I could always go to their competitors. Such are the many advantages of the Free market

    Something that Obamacare and its. Policies completely undermine.

    There was recourse for the consumer before ObamaCare. Now, theres none.

    Now Consumers are mandated to purchase a product that can't be objectively valued because no matter how bad or expensive those policies become their value will always be based on how bad or good they make the Democrat party look.

    Glad you support underhanded deceitful machinations and stupid laws passed by stupid people thaf hurt the American consumer and the economy.

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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by Fenton View Post
    Whats to understand ? Obama and the Democrats pulled the largest " Bait and Switch " scam in History on the American people by passing a law that mandates the purchase of a product that was created by the Government.

    A law that was sold under false pretenses. ( lower premiums by 2500 dollars a year and keep your Dr and Insurance )

    Ironically if a private insurance company had used deceptive advertising to sell me a policy prior to ObamaCare I could appeal to the Federal Trade Commission for deceptive trade practices.

    If the FTC refused to do anything about it I could always go to their competitors. Such are the many advantages of the Free market

    Something that Obamacare and its. Policies completely undermine.

    There was recourse for the consumer before ObamaCare. Now, theres none.

    Now Consumers are mandated to purchase a product that can't be objectively valued because no matter how bad or expensive those policies become their value will always be based on how bad or good they make the Democrat party look.

    Glad you support underhanded deceitful machinations and stupid laws passed by stupid people thaf hurt the American consumer and the economy.
    This is why we can't have nice things.
    Many Trump supporters have lots of problems, and those deplorables are bringing those problems to us. They’re racists. They’re misogynists. They’re islamophobic. They're xenophobes and homophobes. And some, I assume, are good people.

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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by Helix View Post
    you might want to edit this. there's a bunch of stuff in the quote attributed to me that i didn't post.
    My apologies....did not see that request until just now. It is far too late me to edit it. That middle paragraph is my own. I somehow goofed it in with the quote utility.

  7. #387
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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by Threegoofs View Post
    The irony of a guy who names himself after a healthcare system he barely understands is incredible as evidenced by this post.
    Using your own logic you barely understand the healthcare system that you are wasting so much time defending. That much is evidenced by your posts. You obviously do not have a clue how obamacare is affecting employers. I suspect that you do not want to know. And to be clear, I am not naming myself after obamacare. I am making a statement with my user name. Though, I suspect that you have worked that out.

  8. #388
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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by ObamacareFail View Post
    My apologies....did not see that request until just now. It is far too late me to edit it. That middle paragraph is my own. I somehow goofed it in with the quote utility.
    eh, well, it happens.

  9. #389
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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by ObamacareFail View Post
    I really don't expect that much will be left in the Medicare system by the time Barack "Hussein" Obama leaves office. He has robbed half a trillion from medicare already to help finance obamacare. The government is now re-imbursing doctors who treat medicare patients at a rate less then what it costs to treat them. Inotherwords, the doctor pays out of his own pocket for the privilege ot treating a medicare patient. It is already causing many doctors to leave the medicare system. I expect a serious doctor shortage by the time I sign up.
    He didn't rob anything, he will demand that hospitals become more efficient and stop "ripping off" the taxpayer by abusing the medicare system. Do you think Medicare is administered in the most efficient way? Of course not, doctors and hospitals order tests so they can keep their test facilities utilization up, despite its impact on our national debt. Some of them are nothing more than thieves. They are enriching themselves while sinking the nation, I have seen it with my own parents care, and many others have their own stories of waste in medicare. This must be eradicated.

    Obamacare envisions the move from "fee for service" which allows the rip offs, to outcome based or "value based" payments. You will get a set amount of money to treat a condition. You can run all the tests you think you need, but you are whittling down your own profits. Do you think testing will go down? You bet.

    Cleveland Clinic has been working on this for years now and they are recognized for their innovation and effectiveness in treating patients at a low cost level. It CAN be done. The hospitals need to innovate, and they won't without the financial incentive.

    Dr. Cosgrove runs Cleveland Clinic:
    Value-Based Health Care Is Inevitable and That’s Good
    Toby Cosgrove
    SEPTEMBER 24, 2013

    Vaccines. Anesthesia. Penicillin. Bypass surgery. Decoding the human genome. Unquestionably, all are life-saving medical breakthroughs. But one breakthrough that will change the face of medicine is being slowed by criticism, misunderstanding, and a reluctance to do things differently.

    That breakthrough is value-based care, the goal of which is to lower health care costs and improve quality and outcomes. It will eventually affect every patient across the United States. Not everyone, however, is onboard yet, because part of the value-based equation is that hospitals will be paid less to deliver better care. That’s quite a challenge, but one that Cleveland Clinic is embracing as an opportunity to do better. Others must, too.

    How the Health Care World Will Change

    We all know that U.S. health care is too expensive, too inefficient, and the quality is too varied. The goal of value-based care is to fix that.

    A major component of the Affordable Care Act is to change the way hospitals are paid, moving away from a reimbursement model that rewards procedures to one that rewards quality and outcomes. No longer will health care be about how many patients you can see, how many tests and procedures you can order, or how much you can charge for these things. Instead, it will be about costs and patient outcomes: quicker recoveries, fewer readmissions, lower infection rates, and fewer medical errors, to name a few. In other words, it will be about value. And that is good.

    https://hbr.org/2013/09/value-based-...nd-thats-good/
    Last edited by finebead; 04-02-15 at 11:10 PM.

  10. #390
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    Re: U.S. companies hoard record amount of cash

    If we know that medicare if left unchanged will break the nation, then we MUST change it. If not this, how would you propose to do that?

    And here is the bi-partisan bill passed by the House that will phase in value based reimbursement, which is, as they say, the biggest entitlement reform in decades, courtesy of Obamacare. It has to happen or we go broke, we must save money. What was your other plan?


    March 26, 2015

    But in a stunningly decisive 392-37 vote, Republicans and Democrats came together behind a deal negotiated personally by GOP House Speaker John Boehner and Democratic Leader Nancy Pelosi – one that paves the way toward fixing an overwhelmingly disliked provision that still sparked disagreement over just how to replace it.

    Government to Overhaul Medicare Payments

    The Sustainable Growth Rate is the formula the government uses for reimbursing doctors who treat Medicare patients; it ties payments to how fast the economy is growing. But Medicare spending started to grow faster than the rest of the economy in 2002, and Congress has passed short-term patches 17 times since 2003 to prevent cuts in payments to doctors that would have limited their ability to provide services to Medicare patients.

    This time, Boehner and Pelosi agreed to put forward a permanent solution, foregoing the safety net of a short-term fix and getting closer to a deal than anyone has been able to in years. The new $200 billion measure provides more stable funding through 2025 and includes $70 billion in spending cuts.

    We will deliver for the American people the first real entitlement reform in nearly two decades,” Boehner said ahead of the vote. “Normally, we’re here to admit that we’ve just kicked the can down the road. Today, because of what we’re doing here, we will save money 20, 30 and 40 years down the road.

    <snip>

    Health care providers are among those targeted by the spending cuts. Reimbursement rates for hospice care, home health care and nursing homes will grow more slowly, while hospitals will face small reimbursement cuts. The bill also will create incentives for doctors to shift to a payment system based on the value of care a patient receives instead of one that rewards volume.

    Americans' pocketbooks also will see a change as costs shift in their direction. Under the deal, premiums would increase for seniors who earn more than $133,000.

    Still, industry members praised the bill's passage.

    “A permanent solution will help millions of patients, residents and their families continue receiving the care they depend on to heal and return to their communities," Mark Parkinson, president and CEO of the American Health Care Association, said in a statement. "Bipartisan votes like the one which occurred today on challenging yet vital issues such as the future of Medicare are encouraging. Not only do they signal the potential for future successes as in the area of payment reform, but also the promise that we can come together to address big problems with even bigger ideas on how to solve them."

    Dr. Robert Wah, president of the American Medical Association, said in a statement that the new policy supports innovative new delivery and payment models that will help improve care quality and health outcomes, and lower costs.

    Bipartisan Medicare 'Doc Fix' Bill Passes in the House - US News
    We will spend less than if we stay on the current trajectory. We must spend less than the current trajectory, or medical expenses will break the nation. We don't simply want to decrease care. We want to provide high quality care at lower cost. With innovation we can improve in that area. Let's go. This gives hospitals the financial incentive to become more innovative and efficient.

    Dr. Cosgrove is showing that it can be done, as they are doing at Cleveland Clinic, if people are willing to change and innovate.
    Last edited by finebead; 04-02-15 at 11:04 PM.

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