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.
So we understand this meme about average hourly compensation. Have you ever actually thought about it for a second. Do you know a teacher, firefighter, union electrician, accountant working at the same job for 20 years to get no raises for 20 years.
The truth of the matter the reality is that people who have had stable careers in just about anything fared much better than the above chart suggests.
Then you have many displaced workers. Thanks to American greed we traded cheaper shirts and higher corporate profits for manufacturing jobs here.
So we have an economy where most people are not effected by the above, while many are faring materially worse and wish they would have done as the chart suggests.
Similarly, was a test or procedure that was done "necessary" or just padding the bill? Is it fraud or just simple waste? Try to prove that in a court of law.
Medicare spending, left unchecked and growing much faster than the general rate of inflation for decades, will break the nation. What is your other plan to bring spending in line with what the nation can afford?
If the provider cannot treat the patient for the amount provided by medicare, maybe the problem is that the provider is inefficient and needs to change their process, like Cleveland Clinic has already done.
http://www.infor.com/content/whitepa...sed-world.pdf/While these retail clinics are generally working to successfully solve
the value equation by providing cost-effective care for common conditions,
some traditional, trailblazing provider organizations are working
the other end of the spectrum. They are contracting with payers and
employers to treat complex conditions for entire populations, sometimes
without regard to the geographic location of patients.
For example, the Cleveland Clinic has entered into a deal with
Lowe’s® to treat all of its complex heart patients. By bundling all
costs for the surgery under one negotiated price and offering expertise
that lowers the odds of complications, Cleveland Clinic is able
to deliver on the value-based promise: Better care at reduced costs.
In fact, the provider is able to deliver a level of savings that makes it
possible to cost-effectively fly patients, as well as family members,
into Cleveland from locations across the country—instead of allowing
a less experienced, and therefore less cost effective, local specialist
to treat them.
“It’s a win-win-win for patients, employers and the hospital,” said
Michael McMillan, Cleveland Clinic’s executive director of market and
network services. “The patient has no out-of-pocket responsibility, employers
have a better long-term financial result, and we get patients.”8
Similarly, Wal-Mart® instituted a program that flies patients and family
members to six premier providers, including the Cleveland Clinic,
Virginia Mason Medical Center in Seattle, and Scott & White Memorial
Hospital in Temple, Texas, for heart, spine, and transplant surgery.
It is not stealing. It is about incenting providers to change the way they operate, to lower cost and still deliver high quality care. Why do you think we should spend a half trillion dollars more than we need to in order to obtain quality health care when there is clearly a better way, shown by Cleveland Clinic, who apparently is taking business away from many local hospitals by being smarter, more aggressive in cutting cost, and by monitoring quality.
I'm focused, and I'm the only one posting supporting documentation that demonstrates my position. You are merely stating personal opinions while wanting to hold onto the old system that will break the nation.
Everyone says we need to cut govt. spending, why not do it where you can cut spending without cutting services, by becoming more efficient (and by the way, a huge bipartisan majority in the house has already voted to phase in value based pricing for medicare)?
Or don't you agree that unchecked medicare growth will break the nation if costs are not brought under control?
Last edited by finebead; 04-04-15 at 08:50 AM.
Bipartisan Medicare 'Doc Fix' Bill Passes in the House - US NewsThe current “doc fix” patch, approved last March, expires at the end of the month. Without finalized congressional action, doctors will see a 21 percent drop in payments for Medicare patients beginning April 1.
And they are making the doc fix permanent.
Obamacare does NOT STEAL money from medicare, it just slows its rate of growth, it is still projected to spend almost twice as much in 2020 as it did in 2009.
Did President Barack Obama "steal" $500 billion from Medicare? | PolitiFactThe bill doesn't take money out of the current Medicare budget but, rather, it attempts to slow the program's future growth, curtailing just over $500 billion in anticipated spending increases over the next 10 years. Medicare spending will still increase, however. The nonpartisan Congressional Budget Office projects Medicare spending will reach $929 billion in 2020, up from $499 billion in actual spending in 2009.
But I guess that's not good enough for you, you'd prefer we spend even more in 2020, and increase the deficit even more. You're really making a pathetic conservative, just for the sake of trying to take a shot at Obama. I suppose hate has no limits for some...
Last edited by finebead; 04-04-15 at 09:11 AM.
Here's the American Hospital Association explaining how this change in payment approach demands a new, better approach to caring for patients:
Just last week the LA Times took at look at the construction of one of the newest hospitals, asking "how do you build a hospital for the era of Obamacare?"Myriad factors are driving hospitals and care systems to address the nonmedical determinants of population health. Most notably, the Affordable Care Act implicitly and explicitly promotes a population health management approach to care delivery. Not only does this legislation expand health insurance to a majority of the United States population, it compels hospitals to address the socioeconomic, behavioral and environmental factors that affect people before hospital admission and after discharge. The ACA is accelerating the shift of reimbursement models from fee-for-service to value-based, a structure that promotes better health outcomes, improved quality of care, illness prevention and coordination across the continuum of care. Care systems are now being held accountable for the health of their patient population and are responsible for implementing health improvement strategies to address community health needs. Adopting a population-based approach to care that encompasses the spectrum of determinants of health is essential for care systems to thrive in the ACA era.
The Affordable Care Act, passed in 2010, embraces the idea of reducing costly hospital visits by keeping people healthy, with checkups and inexpensive preventive treatments. Hospitals, according to this approach, should not be the centerpiece of a medical system, but rather the solution of last resort.The health system is becoming a system. And, surprise, it turns out getting people care in the most appropriate and cost-effective setting is both better for them and saves money.Under changes outlined by the Affordable Care Act, hospitals and doctors' payments are based more on keeping patients healthy. For instance, providers are paid a lump sum to take care of a patient over a period of time, so they profit when they prevent patients from getting sick, avoiding expensive care.
In a sign of the growing shift away from the traditional fee-for-service model, federal officials announced in January that Medicare, the government's biggest health insurance program, would handle half its payments based on quality of care by 2018.
Ghaly views the MLK campus as a set of concentric circles, with the hospital in the center. The facilities around the hospital are buffers sparing people the experience of spending a night amid blood-filled tubes and beeping monitors.
If you end up hospitalized, he says, "you have to be too sick for outpatient services, too sick for the preventative services, too sick for the community-based services."
"We want the hospital to be ... high-quality, safe and patient-centered," he says. "But, truly, we want no one to go."