GOP pushes charade to 'protect' seniors' health

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Theme : 6 Main Lies Have Nothing To Do With This Promising Reform.

1. The contents of savings (below) in this reform 'have nothing to do with' limit to medical access, rationing, tax raise, and deficit etc.

Rather, without wiping out these wastes and roots of bankruptcy for middle class, all fronts are sure to face larger financial ruin than this recession, which leads to more limit to medical access, more rationing, more tax raise, and more deficit etc than today.

$1.042trillion (cost of reform) + $245bn (cost to reflect annual pay raise of docs) = $1.287bn (actual cost of reform).

$583bn (the revenue package) + $80bn (so-called doughnut hole) + $155bn (savings from hospitals) + $167bn (ending the unnecessary subsidies for insurers) + 129bn(mandate-related fine based on shared responsibility) + $277bn (ending medical fraud, a minimum of 3% , the combined Medicare and Medicaid cost of $923.5bn per year, as of July,) = $1.391trillion + the reduced cost of ER visits (Medicare covers some 40% of the total) + the tax code on the wealthiest more reduced than originally proposed = why not ? (except for a magic pill, an outcome-based payment reform & IT effects and so forth).

Unlike high fuel price and mortgage rate in recent years as the roots of great recession and bankruptcy of middle class, the severity in the high cost of health premiums has come to light lately. Similarly, in an attempt to hide these deficit-driven corruptions and wastes, the greed allies struggle to turn the savings via removing these wastes into limit to medical access, rationing, tax raise, and deficit etc.

In contrast, not to mention a wide range of consumer protection, options across state lines, this promising reform takes initiatives in more primary care docs and improved long-term care. Unnecessarily, hope should not be replaced with all forms of malign lies, fear, just like people don't have to fear quitting drug.

2. Greedy insurers with no competitors by consolidation have nothing to do with the law of price, demand & supply.

Under the free market theory and the premise that the public health is also one of commodity like a house, if the demand decreases on a large scale, accordingly the price tends to reflect it, as in the case of house price, and it never happens for the price to spiral up. One step forward, in case the price is spiraling up, to be sure, the remaining clients should withdraw the contract or choose the other options. In practice, runaway premiums with no competitors by consolidation drive the enrollees out, and 4C + 2R (canceling, capping, cherry-picking, cash for special lobby, rationing, rapid premium hike) guarantee multiple times as much profit. Sadly, no way-out other than the prohibitive ER is allowed in America. Therefore, the victims today and tomorrow deserve long overdue protection from non-profit Government.

3. The plans to stem inflation in the House have nothing to do with crowd-out.
With the heartbreaking tears in mind (Nearly 11 Million Cancer Patients Without Health Insurance), private market also needs changes and should join together to complete this reform , as promised, otherwise, the runaway premium only has itself to blame while new firms are filling the void with competitive deals.
And It can be said that fair competition starts with a fair, sustainable market value.

However, the plan in the House is designed to keep people in an employer-based health insurance system, and the public option would be offered to those for whom employer-provided insurance is not available. And job-based coverage (indirect payment), some mandate code, ample capital, the reduced exorbitant ER costs, IT base to streamline the administrative processes and trim the costs might be favorable to the private market. Over time, supposedly, the public plan will concentrate more on basic, primary cares, and the private insurers will provide their clients with differentiated services. Focus should be on the uninsured, the underinsured.

In an attempt to avert innovation, moderation, and social responsibility, accusing essential affordability, citing take-over, will be a dirty play.

-- Except For The Underinsured, The Uninsured Alone Outnumber The Entire Population In Canada --

4. Profit-driven markets have nothing to do with affordable, sustainable public health.

When the public health is also one of commodity like a house, we come to a tragic and unthinkable conclusion : As to for-profit business, the more and longer ill patients get, the more profits they make, and it will debilitate the overall economy involving education for the future (roughly 40% of the uninsured, around 20million of young adults).

Under the most wasteful structure on the planet like no coordinated preventive care program waiting until people get ill, about 50% of idle world's best practices, a pay for each and every service reimbursement and frequent readmissions, no e-medical record and deaths, crushing litigations and the more profits via the unnecessary, risk-carrying procedures, and the most inefficient paper billing systems imaginable, overpriced pharmaceuticals, bloated insurance companies, incredible medial fraud, exorbitant costs by the tragic ER visits etc, it might be no wonder with the comprehensive, systematic reform in the pipeline, just one attitude of patient-oriented value in 10 regions has attained 16% of savings in Medicare while their quality scores are well above average.

Aside from the already allocated $583 billion and the savings of this reform package, 16% of $923.5bn (the combined Medicare and Medicaid cost per year, as of July) is around $147.76bn per year and 1.4776trillion over the next decade, and this patient-oriented value alone could be enough to meet the goal.

Please be 'sure' to visit http://www.nytimes.com/2009/08/13/opinion/13gawande.html?hp for credible evidences !

Today, another innovative, fundamental change in payment system, or patient's outcome based payment reform that is able to turn the profit-oriented malpractices and volume into the patient-oriented value and quality is waiting for a final decision.

5. Inflation-driven greedy allies backed by the insurers have nothing to do with deficit-neutral.

When some part of our body is ailing seriously, we are going to lose competitiveness, equally, when some part of a nation is ailing servery, it is going to loose competitiveness, too. In case somebody in the house gets ill, health will be put over house, in practice.

6. The analyses of CBO have nothing to do with common sense and practice.

Costs of Preventable Chronic Disease account for more than 75% of the nation’s $2.4 trillion medical care costs. U.S. health care spending is also expected to double in the next 10 years. and they are largely preventable -- 80 percent of the risk factors are behavior-related.

Unlike the analyses of CBO, world-wide outstanding public programs put heavier emphasis on preventive program equally, and preventable swine flu pandemic is expected to cost about $2trillion dollars world-wide for the lack of prepared vaccines. (Genes included in the new swine flu have been circulating undetected in pigs for at least a decade, according to a team led by Rebecca Garten of the federal Centers for Disease Control and Prevention who have sequenced the genomes of more than 50 samples of the virus).

If CBO asks the profit-driven interests about why they have hindered the budget request for preventive program in Medicare and Medicaid, they will say, " just look at the health Catrina special lobbying has made, we are professional, and we are now obstructing this reform, too " .

7. Conclusion : The public health is a fundamental human right.

As I said previously, patient-oriented value alone could be enough to meet the goal, and another innovative, fundamental change in payment system, or patient's outcome based payment reform that is able to turn the profit-oriented malpractices and volume into the patient-oriented value and quality is waiting for a final decision.

If At least, some media pay attention to this flower of reform, people will feel empty as the past and current discussion has been time-consuming for sure.

Thank You !

Besides the fact that the Seniors’ Health Care Bill Of Rights is a GOP bill, what exactly do you take issue with about it?

According to your article the Seniors’ Health Care Bill Of Rights does not conflict with health care reform, so why be against it.

It sounds as much that your article is using the issue to attack the GOP rather then point out that the Democrats and Republicans apparently agree on this.

The Seniors’ Health Care Bill Of Rights sounds like a great idea, that both parties agree on. Then support it.

P.S.S.
The country is getting mighty polarized between:

LEFT:
1) educated and professional people,
2) people without money who want what others have, and
3) people with money who tend to care about people other than themselves.

RIGHT:
1) people with blue collar jobs and little education, and
2) people with money who tend NOT to care about people other than themselves.

The Right likes to blame a lot of our country's problems on the group, "people without money who want what others have." However, this makes no sense because, in this day and age, this is a small group that tends not to vote much.

The Left likes to blame many things on 'people with money who tend NOT to care about people other than themselves' for causing every problem in the world, but this makes no sense because this is also a very small group of people without much individual voting power.

Therefore, what we really have in this country is a very weird battle amongst groups of people who seem to each be fighting against their own self interest.

On the Left, you have educated professionals that tend to support social programs they themselves don't need that are funded with money that, for the most part, is coming out of their own pockets (because they pay the most in taxes).

On the Right, you have uneducated blue-collar workers that fight against: 1) social programs that they would probably be able to take advantage of, 2) protectionist policies led by union-supported politicians (all Democrats) that might keep some decent paying blue collar jobs in the U.S. and 3) tax increases that affect only people considerably wealthier than themselves.

My theory on how is this accomplished on the Right. The group, "people with money who tend NOT to care about people other than themselves," uses religious and social "wedge" issues. The strategists and politicians on the Right (most of whom work for the group, "people with money who tend NOT to care about people other than themselves") merely associate their opponents with everything an uneducated, unsophisticated person would find offensive (gays, atheism, socialism, gun control, etcetera).

It's not difficult to surmise the long term fallout of the "wedge" issue strategy for the GOP: 1) eventually, they'll run out of groups of people that are "acceptable" to vilify and 2) as a result of losing the support of the members of the groups they target, their numbers will dwindle. This is why the GOP is becoming increasingly racist (minorities are one the last groups left to attack) and will keep losing more and more elections for the foreseeable future.

I sure want our healthcare system to model the VA....

http://www.breitbart.com/article.php?id=D9A9D8SG0&show_article=1

Then you can get the psychiatric help you so desperately need!

Have any liberals considered the possibility that bad as our health care system is, it is the best of many worse options? Analysis of countries where the health care system has a public option reveals many problems with the health care system. That, in essence is why the public and Republicans are opposing this reform. The question is whether the problems with socialized medicine out way the problems with our current system. The fact remains that socialized medicine is more expensive than our current system, at least from a budgetary standpoint. So why now? We have already have record deficits, why make a bad problem worse? Check out this debate blog: http://www.healthcaredebateblog.com/

How many times do you have to hear it/read it to understand:
.
There will not be real competition with the government plan, since the government can tax/borrow to oblivion. Insurance companies cannot do that, which is why they will either, 1) go bankrupt or 2) jump out of the business, and in either case, that will leave only one option - you guessed it!

Someone asked where are the Republicans? Here they are....

Frank Luntz, Republican anti-health reform strategist: "You're not going to get what you want, but you can kill what they're trying to do."

Rush Limbaugh, titular leader of the Republican party: "There's one thing we gotta stop is health care. I'm serious, now. If they get that, then that's the tipping point."

Sen. Jim Inhofe (R-OK): defeating Obama's health care agenda is "going to be a huge gain for those of us who want to turn this thing over in the 2010 election." "We are plotting the demise on a week by week basis of where Bill Clinton was in 1993 and where Obama is today and his demise ratio is greater than Clinton's was in 1993."

Sen. Jim DeMint (R-SC), speaking on a conference with "tea party" activists: "If we're able to stop Obama on this, it will be his Waterloo. It will break him"

Corinne Williams, American Liberty Alliance: “The movement’s goal is to prevent the current compromise bill from becoming a reality, because it represents Obamacare”

August 7th Republican strategy conference call with organizers of right-wing activists, anti-tax groups, anti-health care organizations, the American Liberty Alliance, the “Tea Party Patriots”, RecessRally.com: “The goal is not compromise, and ANY bill coming out this year would be a failure for us… because the Democrats will turn even a weak bill from the Senate Finance Committee into Canadian-style single-payer through underhanded implementation.”

Surprise, surprise! August 17th, Senator Grassley (R-Iowa) “informed Baucus that he cannot sign onto a bill if it is supported by only one other Republican”..even if he negotiated it!!

Dick Armey, Freedomworks leader: "You’ve heard about the battle that’s raging at the federal level over President Obama’s proposed hostile takeover of America’s health care system....We don’t have much time to waste..Help us build opposition to the takeover of our health care system...Take Premptive Action Against Obamacare...Join the Battle Against Socialized Medecine..Download the August Recess Action Kit, use the talking points, the policy documents...

Okay GOP'ers. Most people would think we have a problem in this country when:
1) We pay $7,500 per year per person for health care when the second highest paying country only pays about $5,000 per person per year - notwithstanding that we enjoy an otherwise low cost of living compared to other industrialized countries;
2) By most accountings, the quality of U.S. health care is good, but not as good as many western nations; and
3) The #1 cause in the U.S. for personal bankruptcy, runaway credit card debt and general financial ruination is medical costs - especially for older people.
The GOP has no plan to fix these problems for the simple reason that it does not see them as problems.
So, GOP'ers, be honest for once and admit you believe no health care crisis exists in this country and that you don't want to change anything. Otherwise, let's hear YOUR plan - so we can write it off with inapplicable superlatives, like "racist" or "fascist," similar to what you've done to the Dem's plan.

P.S. The next GOP'er that stands on alleged principle against 'socialism' had better start railing against our VA hospitals (one of the largest socialized medical programs in the world) or else they're: 1) hypocritical and/or 2) ignorant of what 'socialism' actually is.

These people think they want the status quo, to pay two or three times what they should be paying to get crappy care from overworked, underpaid physicians. They've been led to think this is "freedom" and that they're fighting socialist facism (Obamacare), but they're really only defending the rights of insurers to continue profiting by rationing care to the sick at overinflated prices.

The whole point of the public option in HR 3200, which I have read (to the screaming moron), is to provide people an ALTERNATIVE OPTION, not a single option. If you like what you have, keep it. The public option will be modeled after existing public health care (medicare, VA care). People keep mouthing this tired claim that government-run programs are by necessity less efficient and more expensive, but the evidence in healthcare proves the opposite -- and the reason's obvious: we have to pay the businesses who recklessly "manage" and dole out our healthcare. The private healthcare system in the US is one of the worst in the world in terms of cost efficiency.

I commend your attempt to reason with this demographic, Yael. Reasoning with the dining room table, etc.

How about a health care bill of rights for those with pre-existing conditions, or those who are self-employed?

Yael, the only one whose despicable. We may be older but believe me we're plenty smart. You may think we're not informed, your slanted views are expected. We read and digest information, and know all the pro's and con's. Liberal's like yourself, Yael, must defend the Obama, Pelosi, Reid, Waxman, Kennedy, and Boxer bill. We're facing the firing squad and we're mad as hell. How about the new report on social security? This is the begining of the punishment coming down the pike. Obamacare benefits the young and illegals, not us who are considered over the hill. Frankly, it's liberal suicide.

The GOP does not have to provide ANY alternate plan. The Dems have the votes in the House and the Senate to pass what they want and Obama will sign it.

What is the problem with that scenario?

All this "party of no" junk is simply a way to distract from the lack of leadership and spine of the Dem Party.

Obama has been quite detailed in his proposals for $313,000,000,000 in Medicare cuts.

I guess Yael just can't be troubled to read the newspapers.

Los Angeles Times-Washington Post
Published: June 14, 2009, 23:02

Washington: Under pressure to pay for his ambitious reshaping of the nation's healthcare system, President Barack Obama on Saturday outlined $313 billion in medicare and medicaid spending cuts over the next decade to help cover the cost of expanding coverage to tens of millions of America's uninsured.

Did anyone on the Editorial Board of the Star read HR 3200? Maybe even a few pages? Maybe an intern, or a typesetter, or a delivery person? Anybody?????

It's obvious to anyone who's paying attention that Obama's claims that he's going to "improve" health care, expand coverage, and reduce costs does not square with basic math. Also, any kind of government option will have the unfair advantage of coerced taxpayer funding and tend to drive private providers out. The main problem with costs in the current system, which is that health care consumers are often spending "other people's money," will be exacerbated severely, not alleviated.

The bottom line is that under Obamacare we WILL end up with rationed health care, just as in other countries with predominantly socialized medicine. Suggesting that seniors' care will particularly subject to rationing under such a system is no "scare tactic," but is entirely rational.

Yael continues to attack the GOP, but has yet to defend ObamaCare. Again, if ObamaCare has merits, why isn't Yael defending them?

Yael do you remember how the Democrats tried to scare the elderly when the very much needed Social Security reform was being discussed?

Spare us the hypocrisy already!!! Seriously!

And other liberal news outlets are the ones who are despicable. You lie and lie and lie. There is no accountability.

I still haven't gotten an answer to this:
Did any member of the Star Editorial Board, or even so much as an unpaid intern at the Star, actually READ HR 3200? DID YOU?

A lot of us did. We KNOW what it says, and we know the Star is LYING.

Obama, Pelosi, and Reid have made NO ATTEMPT WHATSOEVER to even look at ammendments, bills, and other alternatives offered by Republicans, or even by more conservative Democrats.

NO GOP operative was necessary for me to be mad as hell over this bill. All I had to do was read it and see the truth. The truth is that this is an attempt to shove Socialized Medicine down the throats of American Citizens against their will. WE DON'T WANT WHAT OBAMA IS SELLING.

The Obama administration, Pelosi, and Reid have not answered legitimate questions from their constituients.

1. You keep repeating 'if you like your insurance you can keep it'. LIE. HR 3200 DOES NOT PERMIT IT past FIVE YEARS. Who the hell do you think you are to tell ME, the person paying for the insurance, what kind of policy I have to have? YOU ARE NOT G_D.

2. NO answer whatsover about how you actually expect to pay for this monstrosity.

3. You SAY you plan to 'save' billions from Medicare. The only realistic way that can happen is by rationing care, most likely at the end of people's lives. The only way that can occur is by encouraging people to refuse treatment, even if they have a good chance of recovery, or living a good quality life for several more years.

4. Explain how a 27 member panel of White House appointed bureaucrats with only ONE person with medical training is in any way qualified to determine what care I can and cannot have, when the DR. that I CHOSE recommends other treatments? As someone who is outright allergic to many medications and who does not respond in the typical manner to many other medications this is critical to me remaining alive, active, and able to live a full life. MY doctor works with ME to find what works for ME.

5. Explain how, a consultation, not at the request of the paitient on 'end of life' matters, where the paitient is not specifically allowed to have a family member or other paitient advocate present, and financially awards physicians who initiate these 'consultations', is voluntary? The way this is written, it is open to horrible abuses, where paitients with serious illnesses or even in the recovery room after a biopsy, could be cooerced by a physician accompanied by a government bureaucrat, with no advocate present into giving up their RIGHTS to obtain treatement AGAINST THEIR WILL.

There are THOUSANDS of other very legitimate questions out there being asked by the hardworking taxpaying citizens of this country. It is a disgrace that the Obama administration, some members of congress, and the Star are completely dismissing them.

The Star is a total disgrace. And I'm still waiting DID ANYBODY THERE READ THE BILL?

Theme : The public health is a fundamental human right.

1. When the public health is also one of commodity like a house, we come to a tragic and unthinkable conclusion : As to for-profit business, the more ill patients get, the more profits they make.

Under the most wasteful structure on the planet like no coordinated preventive care program waiting until people get ill, a pay for each and every service reimbursement and frequent readmissions, no e-medical record and deaths, crushing litigations and the more profits via the unnecessary procedures, and the most inefficient paper billing systems imaginable, overpriced pharmaceuticals, bloated insurance companies, medial fraud, exorbitant costs by the tragic ER visits etc, it might be no wonder with the expansive, systematic reform in the pipeline, just one attitude of patient-oriented value in 10 regions has attained 16% of savings in Medicare while their quality scores are well above average.

Aside from the already allocated $583 billion and the savings of this reform package, 16% of $923.5bn (the combined Medicare and Medicaid cost per year, as of July) is around $147.76bn per year and 1.4776trillion over the next decade, and this patient-oriented value alone could be enough to meet the goal.

Please be 'sure' to visit http://www.nytimes.com/2009/08/13/opinion/13gawande.html?hp for credible evidences !

Today, another innovative, fundamental change in payment system, or patient's outcome based payment reform that is able to turn the profit-oriented malpractices and volume into the patient-oriented value and quality is waiting for a final decision.

2. The savings via removing wastes turn into limit to medical access, rationing, tax raise, and deficit etc via the irresponsible lies.

Unlike high fuel price and mortgage rate in recent years as the roots of great recession and bankruptcy of middle class, the severity in the high cost of health premiums has come to light lately. Similarly, in an attempt to hide these painful corruptions & wastes, the greed allies struggle to turn the savings via removing these wastes into limit to medical access, rationing, tax raise, and deficit etc.

In contrast, not to mention a wide range of consumer protection, this promising reform takes initiatives in more primary care docs and improved long-term care. Unnecessarily, hope should not be replaced with fear, just like people don't have to fear quitting drug.

3. Equation (By decade) & the flower of this reform !

$1.042trillion (cost of reform) + $245bn (cost to reflect annual pay raise of docs) = $1.287bn (actual cost of reform).

$583bn (the revenue package) + $80bn (so-called doughnut hole) + $155bn (savings from hospitals) + $167bn (ending the unnecessary subsidies for insurers) + 129bn(mandate-related fine) + $277bn (ending medical fraud, a minimum of 3% , the combined Medicare and Medicaid cost of $923.5bn per year, as of July,) = $1.391trillion + the reduced cost of ER visits (Medicare covers some 40% of the total) + the tax code on the wealthiest more reduced than originally proposed = why not ? (except for a magic pill, an outcome-based payment reform & IT effects and so forth).

Additionally, the last thing to expect, no e-medial record(under a fee for each and every service payment, hospitals are resistant to introduce IT system) , is happening now in the sector requiring the best accuracy in terms of dealing with human lives, which leads to a shocking portion of risk-carrying duplicate tests, fatal errors and deaths, as a consequence, these cause a vicious circle, about $100bn worth of litigations and even more profits via unnecessary procedures for hospitals .

Clearly, the American style innovation, outcome-based payment reform, could speed up the adoption of IT system, under this package, docs' pay is dependant upon patient's outcome, no intervention, wastes, frequent readmissions, low-quality are allowed later on.

It is firmly believed with the preventive care program in operation, this innovation could make a big difference just like GM has surprised the world with the adoption of EV-conversion technology from pioneers and outpaced the excellent hybrid cars (the release of BYD's earlier appearance in America and the ambitious plan of Germany for 1million of EVs by 2020 etc might support it).

The Dems have the votes in both houses of Congress and the WH--what is the holdup on getting their plan signed and delivered?