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Thread: House passes huge GOP budget cuts

  1. #321
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    Re: House passes huge GOP budget cuts

    Quote Originally Posted by Harry Guerrilla View Post
    Where did it say that?
    It said that they would freeze payments this year and reduce them gradually over time.

    So will those reduced payments to the Advantage insurers result in an increase or decrease in benefits?

    Just so we are clear, I'm quoting directly from the story.
    " Medicare Advantage payment rates will be frozen in 2011 and then gradually reduced giving companies time to adjust to the changes."

    Q+A: How does healthcare overhaul affect Medicare? | Reuters
    "WILL THE LEGISLATION CUT MEDICARE BENEFITS?

    There are no cuts to the traditional Medicare benefit. The lion's share of spending cuts are in Medicare Advantage -- a program that uses private firms such as Humana and UnitedHealth Group to deliver Medicare benefits. Many of these providers offer extra coverage and some of those extras could be dropped as Medicare Advantage subsidies are bought more in line with the cost of traditional Medicare benefits. Medicare Advantage payment rates will be frozen in 2011 and then gradually reduced giving companies time to adjust to the changes.

    ARE THERE ANY MEDICARE BENEFIT CHANGES IN THE BILL?

    Yes. Medicare will begin paying for annual wellness visits and increase reimbursements for primary care physicians. Currently Medicare only pays for a general checkup when someone first enters the program and many health analysts believe regular check ups would help improve the overall health of elderly people and provide for better coordination of care.

    Also the bill provides for an improvement in the Medicare prescription drug program. The current program includes a significant coverage gap that the legislation will eventually close. Currently people fall into this so-called doughnut hole falls after a total $2,700 is spent on drugs. Coverage begins again after $6,154 is spent.

    In 2010, people who fall into the doughnut hole will get a $250 rebate. In 2011, they will get a 50 percent discount on brand-name drugs. By 2020, the doughnut hole will have been closed and 75 percent of drug costs will be covered.

    HOW DOES MEDICARE ACHIEVE OTHER SAVINGS?

    The legislation aims to capture productivity savings in the health system to save Medicare money.

    Studies have shown huge cost variations in different parts of the country with little difference in health outcomes. The legislation provides for Medicare to test payment systems that are thought to promote better coordination and efficiency of care while maintaining or improving the quality of care.

    Lawmakers hope the program will save billions of dollars by avoiding duplication of services and by providing better coordination of care for people with chronic conditions. The main aim of these delivery system reforms is to reward a quality of care rather than a quantity of services."

    Frankly, I don't see the downside.
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  2. #322
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    Re: House passes huge GOP budget cuts

    Quote Originally Posted by Amazed View Post
    That's because they are looking ahead...under Obamacare there will no "Private" companies within a decade
    You mean we will finally become a first world nation as far as health care for all its citizens? Better late than never I suppose.
    Treat the earth well: it was not given to you by your parents, it was loaned to you by your children. We do not inherit the Earth from our Ancestors, we borrow it from our Children. ~ Ancient American Indian Proverb

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    Re: House passes huge GOP budget cuts

    Quote Originally Posted by The Prof View Post
    "On March 20, 2010, CBO released its final cost estimate for the reconciliation act, which encompassed the effects of both pieces of legislation. Table 1 (on page 5) provides a broad summary and Table 2 offers a detailed breakdown of the budgetary effects of the two pieces of legislation. CBO and the staff of the Joint Committee on Taxation (JCT) estimate that enacting both pieces of legislation will produce a net reduction in federal deficits of $143 billion over the 2010-2019 period. About $124 billion of that savings stems from provisions dealing with health care and federal revenues; the other $19 billion results from the education provisions. Those figures do not include potential costs that would be funded through future appropriations (those are discussed on pages 10-11 of the cost estimate).

    CBO and JCT estimate that by 2019, the two pieces of legislation combined will reduce the number of nonelderly people who are uninsured by about 32 million, leaving about 23 million nonelderly residents uninsured."Congressional Budget Office - Health Care
    Treat the earth well: it was not given to you by your parents, it was loaned to you by your children. We do not inherit the Earth from our Ancestors, we borrow it from our Children. ~ Ancient American Indian Proverb

  4. #324
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    Re: House passes huge GOP budget cuts

    Quote Originally Posted by iamitter View Post
    I've heard a lot about a fair share from you Catawba - what in your opinion is the wealthy's "fair share"?
    ten times the resources the consume from the government? twenty times?
    What would be fair and what would be realistic are two different things. To be fair everyone should pay the the same percentage of their total wealth in taxes. That was the progressive tax system that for 80 years created the strongest middle class in our history. What is realistic are the tax rates under Clinton, and closing the loopholes that allow some to avoid their taxes.
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  5. #325
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    Re: House passes huge GOP budget cuts

    Quote Originally Posted by Catawba View Post
    What would be fair and what would be realistic are two different things. To be fair everyone should pay the the same percentage of their total wealth in taxes. That was the progressive tax system that for 80 years created the strongest middle class in our history. What is realistic are the tax rates under Clinton, and closing the loopholes that allow some to avoid their taxes.
    So if a flat tax is fair, call it their realistic share, not their fair share.

    If a wealthy man's fair share is 50% of his income, so is a poor man's.
    Give a man a fish, or he will destroy the only existing vial of antidote.

  6. #326
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    Re: House passes huge GOP budget cuts

    Quote Originally Posted by iamitter View Post
    A special break implies they are getting something FROM THE GOVERNMENT everyone else is not. They are getting a little more of what they earned. They are not getting government handouts and are still paying both a higher % and a higher # of taxes than everyone under them.

    If the wealthy have a tax break now, everyone else has even MORE of a tax break because they are paying even less than they are.
    No the super wealthy pay less a percentage of their income that their receptionists.

    "The Internal Revenue Service tracks the tax returns with the 400 highest adjusted gross incomes each year. The average income on those returns in 2007, the latest year for IRS data, was nearly $345 million. Their average federal income tax rate was 17 percent, down from 26 percent in 1992."
    Treat the earth well: it was not given to you by your parents, it was loaned to you by your children. We do not inherit the Earth from our Ancestors, we borrow it from our Children. ~ Ancient American Indian Proverb

  7. #327
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    Re: House passes huge GOP budget cuts

    Quote Originally Posted by GPS_Flex View Post
    I think you are nave if you think draconian cuts in government spending aren’t absolutely essential right now.
    Look at the pretty chart.



    The fear mongering may work on you but it doesn't work on me. Are things great? No. But they are by no means bad or even close to as bad as they have been in the past. People are not starving and dying in the streets. The tax rate right now is as low as it has ever been. Maybe some people need to take their heads out of their asses and actually research how bad the economic conditions actually are instead of listening to pundits screaming on radio and television shows how bad things are.
    Last edited by CriticalThought; 04-18-11 at 02:06 AM.

  8. #328
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    Re: House passes huge GOP budget cuts

    Quote Originally Posted by Catawba View Post
    No the super wealthy pay less a percentage of their income that their receptionists.

    "The Internal Revenue Service tracks the tax returns with the 400 highest adjusted gross incomes each year. The average income on those returns in 2007, the latest year for IRS data, was nearly $345 million. Their average federal income tax rate was 17 percent, down from 26 percent in 1992."
    Argue for a higher capital gains tax then.
    Most of the people in the top tax bracket are not the people with the 400 highest incomes and do NOT make the majority of their income through capital gains.
    You referenced the super wealthy. I didn't.
    Give a man a fish, or he will destroy the only existing vial of antidote.

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    Re: House passes huge GOP budget cuts

    Quote Originally Posted by iamitter View Post
    Those tax breaks still make them pay more than everybody else.

    If you want to claim the tax breaks were unjustified, first show that the outrageous and disparate initial tax rates were justified.
    Of course, I was talking about percentage. The rich have always paid more because it was discovered that you cannot get blood from a turnip.

    The fact that our middle class and our GDP to debt ration was strongest during our 80 years of progressive taxes is how they were justified.
    Treat the earth well: it was not given to you by your parents, it was loaned to you by your children. We do not inherit the Earth from our Ancestors, we borrow it from our Children. ~ Ancient American Indian Proverb

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    Re: House passes huge GOP budget cuts

    Quote Originally Posted by Catawba View Post
    Of course, I was talking about percentage. The rich have always paid more because it was discovered that you cannot get blood from a turnip.

    The fact that our middle class and our GDP to debt ration was strongest during our 80 years of progressive taxes is how they were justified.
    Sticking a gun to someone's head is never justified. Pointing to someone else and saying, see, they're doing well with your money! while still sticking a gun to their heads doesn't justify it, either.
    Give a man a fish, or he will destroy the only existing vial of antidote.

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