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Thread: CBO deals new blow to health plan

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    Re: CBO deals new blow to health plan

    Quote Originally Posted by RightinNYC View Post
    TaxProf Blog: Red States Feed at Federal Trough, Blue States Supply the Feed



    By your logic, we should level this out to $1 per state across the board. I'm 100% in favor of that.



    No worries.




    I find this equally ridiculous, because the payments are based on an eminently rational factor - how much doctors will need to be paid in order to keep them in the system. If they cut reimbursement rates in NYC, tons of doctors will stop serving these patients.

    You are correct, there are contributor states, and taking states, no question. However, those payments reflect all kinds of federal expenditures in states, including federal employees, projects, programs, military bases, etc. That is as much need, as it is politics.

    Medicare is simply one kind of payment. It's not a matter of one state having a military base and another not. Every state has Medicare payments, but some states get paid less per recipient than others. It just reinforces the bloat.

    Again, if NYC costs so much more, NYC should charge so much more.

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    Re: CBO deals new blow to health plan

    Quote Originally Posted by jackalope View Post
    You are correct, there are contributor states, and taking states, no question.
    And New York should pay for Maine's Medicare bills because....????

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    Re: CBO deals new blow to health plan

    Quote Originally Posted by WI Crippler View Post
    I'm sure there will likely emerge a condition that doctors will not be able to refuse service, and they will just have to take the reimbursement rate and like it, even if its at a level lower than the cost of medical care provided. But its ok, if the government lowballs a doctor, because thats part of "efficiency". When an insurance company does it, its "greed".

    Always a reason to worry about the negative, that's why it hasn't been fixed yet.

    "This is about a health care system that is breaking America's families. ... We can't afford the politics of delay and defeat when it comes to health care -- not this time, not now." - Pres Obama

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    Re: CBO deals new blow to health plan

    Quote Originally Posted by WI Crippler View Post
    I'm sure there will likely emerge a condition that doctors will not be able to refuse service, and they will just have to take the reimbursement rate and like it, even if its at a level lower than the cost of medical care provided. But its ok, if the government lowballs a doctor, because thats part of "efficiency". When an insurance company does it, its "greed".
    Quote Originally Posted by jackalope View Post
    Always a reason to worry about the negative, that's why it hasn't been fixed yet.
    Only you're not addressing what WI Crippler said. Why is it ok for government to refuse to pay doctors and hospitals but it is not ok for insurance companies to do the same thing?

    Why is one "cost control" while the other is "greed"?

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    Re: CBO deals new blow to health plan

    Quote Originally Posted by jackalope View Post
    You are correct, there are contributor states, and taking states, no question. However, those payments reflect all kinds of federal expenditures in states, including federal employees, projects, programs, military bases, etc. That is as much need, as it is politics.

    Medicare is simply one kind of payment. It's not a matter of one state having a military base and another not. Every state has Medicare payments, but some states get paid less per recipient than others. It just reinforces the bloat.
    I'm sorry, but I don't see a difference. These numbers encompass all federal dollars taken in and given out. My state pays far more than its fair share.

    Again, if NYC costs so much more, NYC should charge so much more.
    We don't charge a higher rate, but we certainly pay more into the system due to the fact that we have many more people maxing out on their medicare payments.
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    Re: CBO deals new blow to health plan

    Quote Originally Posted by celticlord View Post
    Only you're not addressing what WI Crippler said. Why is it ok for government to refuse to pay doctors and hospitals but it is not ok for insurance companies to do the same thing?

    Why is one "cost control" while the other is "greed"?


    mmmmm, sorry, I did address it.

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    Re: CBO deals new blow to health plan

    Quote Originally Posted by RightinNYC View Post
    I'm sorry, but I don't see a difference. These numbers encompass all federal dollars taken in and given out. My state pays far more than its fair share.



    We don't charge a higher rate, but we certainly pay more into the system due to the fact that we have many more people maxing out on their medicare payments.

    Well, I do see a difference. But, there are many with your POV, however. Somehow, those who share my POV were successful in this deal. I'm kind of surprised that the smaller states were able to prevail. I think it was primarily because of Betty McCollum, from MN.

    I'm not sure what you mean, that you pay more into the system? Wait, I understand. Higher salaries, a higher percentage hit the cap? That may be true.

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    Re: CBO deals new blow to health plan

    Quote Originally Posted by jackalope View Post
    Well, I do see a difference. But, there are many with your POV, however. Somehow, those who share my POV were successful in this deal. I'm kind of surprised that the smaller states were able to prevail. I think it was primarily because of Betty McCollum, from MN.

    I'm not sure what you mean, that you pay more into the system? Wait, I understand. Higher salaries, a higher percentage hit the cap? That may be true.
    A higher COL requires that companies pay their employees more so that they can live in these places.

    I can promise you that the average earnings in NYC and LA are higher than most other places in the U.S.
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    Re: CBO deals new blow to health plan

    Quote Originally Posted by jackalope View Post
    Always a reason to worry about the negative, that's why it hasn't been fixed yet.

    "This is about a health care system that is breaking America's families. ... We can't afford the politics of delay and defeat when it comes to health care -- not this time, not now." - Pres Obama
    Its not about healthcare, its about the health insurance industry.
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    Re: CBO deals new blow to health plan

    Quote Originally Posted by WI Crippler View Post
    I'm sure there will likely emerge a condition that doctors will not be able to refuse service, and they will just have to take the reimbursement rate and like it, even if its at a level lower than the cost of medical care provided. But its ok, if the government lowballs a doctor, because thats part of "efficiency". When an insurance company does it, its "greed".
    Quote Originally Posted by jackalope View Post
    Always a reason to worry about the negative, that's why it hasn't been fixed yet.

    "This is about a health care system that is breaking America's families. ... We can't afford the politics of delay and defeat when it comes to health care -- not this time, not now." - Pres Obama
    Quote Originally Posted by celticlord View Post
    Only you're not addressing what WI Crippler said. Why is it ok for government to refuse to pay doctors and hospitals but it is not ok for insurance companies to do the same thing?

    Why is one "cost control" while the other is "greed"?
    Quote Originally Posted by jackalope View Post
    mmmmm, sorry, I did address it.
    Where in this sequence of posts did you do that? Calling WI Crippler "negative" is not addressing his point.

    Why is it ok for government to refuse to pay doctors and hospitals but it is not ok for insurance companies to do the same thing?

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