The new health care law, how's it working??

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Originally posted by: pjstroh
So practice what you preach and show me the individual line items of the bill that you object to. Many people truly do object to the bill in its entirety becasue Republicans and the Insurance comapnies spent a year telling people about the ficticious death panels and socilaized medicine that are in it.


The death panels, or end-of-life requirements were removed from the final bill. They weren't fictitious. They were real and desired by those who wrote the original plan. Public outcry resulted in the removal of those provisions. That didn't stop this administration from trying to implement them anyway. They tried to circumvent the deletion by adding them to this year's Medicare regulations. That is status quo for this administration. If you can't get a law passed in Congress, add it to something else and hope no one notices.

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Originally posted by: chefantwon
PJ, I do know the bill was rather long in the tooth and most folks never read the entire thing. The purpose of the "death panel" (as it's better known by) is to review medical procedures for "effectiveness" or in real words, what procedures to use on what folks.

There IS going to be rationing of health care, and if you don't believe that, your sadly mistaken as its been in effect for quite awhile. The "death panel's" main job is will be to figure out what the cut off is for specific aid and to make up some excuse as to why a specific procedure isn't feasable.


While there is certainly a lot of room for misuse, there needs to be some sort of control over healthcare. Case in point, my wife's friend's father is going for an MRI next week to get a status on his cancer. He was diagnosed with cancer a year ago, told no treatment available for the cancer, just palliative care and given 6-12 months to live. He's on Medicare. You are and I are paying for it.

They don't need to make up an excuse when the answer is, that procedure is very expensive and it won't help you.
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Originally posted by: snidely333
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Originally posted by: chefantwon
PJ, I do know the bill was rather long in the tooth and most folks never read the entire thing. The purpose of the "death panel" (as it's better known by) is to review medical procedures for "effectiveness" or in real words, what procedures to use on what folks.

There IS going to be rationing of health care, and if you don't believe that, your sadly mistaken as its been in effect for quite awhile. The "death panel's" main job is will be to figure out what the cut off is for specific aid and to make up some excuse as to why a specific procedure isn't feasable.


While there is certainly a lot of room for misuse, there needs to be some sort of control over healthcare. Case in point, my wife's friend's father is going for an MRI next week to get a status on his cancer. He was diagnosed with cancer a year ago, told no treatment available for the cancer, just palliative care and given 6-12 months to live. He's on Medicare. You are and I are paying for it.

They don't need to make up an excuse when the answer is, that procedure is very expensive and it won't help you.


The problem here is where does one draw the line? Who makes the choice? Who pays for it?

As our lifespan increases, these decisions become increasingly important and raise massive moral questions. At what age is one considered dead or not worth saving? Using the last life insurance information I have access to, one is considered dirt nap material at the age of 65. (this information is dated and is not up to date) So what do we do? Give everyone over the age of 65 a shot that kills them (albeit without causing any pain)? Do we let folks make up their own minds as to when to die? These questions need to be answered and dealt with long before any comprensive policy comes into effect. However, who decides the final verdict/outcome?

I don't have the answers here, just a boatload of questions...

Quote

Originally posted by: pjstroh
And show me the math that refutes the bi-partisan CBO's financial assessment of the new healthcare law over the system that came before it. The only people who say the old system was better for the deficit are the same ones who said the Iraq War would be paid for with oil revenues...and they admitedly have not scored the bill independantly (in other words - they are making it up)
Well, . . . allow DonDiego to address the accuracy of the CBO estimate first:

item i_ Not very long after the CBO report was issued the accuracy of its predictions was challenged by opponents of ObamaCare on the basis that many of the assumptions leading to those predictions were likely to be incorrect. The CBO response was that they operate at the pleasure of the Congress; they can only assess a program based upon what Congress tells them to base the assessment upon. i.e. The CBO did as it was told. If he chooses, the reader can look this up as an exercise.

Item ii__So, . . . in fact, on May 11 2010 “the CBO . . . released a new estimate of how much additional discretionary spending — on implementation costs, further subsidies for new and existing programs, etc. — health care reform is likely to generate over the first 10 years. The total comes to $115 billion above and beyond the official price tag, a sum that would almost wipe out the bill’s projected deficit savings in the first decade.”
Ref: NYTimes


item iii__But allow poor old DonDiego to get a bit further into the math, or at least some more numbers. One of the assumptions upon which the CBO did base their analysis was that the “Doc Fix” would be implemented in 2011. For those unfamiliar with the “Doc Fix”, it is, . . . or was, . . . the plan to reduce Medicare reimbursement to physicians by 21% or 25% - depending where one reads it - in June of 2011. (For the record, this exact “fix” was one of the assumptions referred to in item i above as unlikely to pan out as presented to the CBO for analysis.) On 9 December the NY Times and other newspapers reported that low and behold ! ! ! “The House [of Representatives] gave final approval on Thursday to a bill that would avert a 25% cut in Medicare payments to doctors by freezing reimbursement rates at current levels until the end of next year [2011].”
Ref: NYTimes
OK! Here’s the math: Assuming the “Doc Fix” reductions are not implemented, the additional cost to the Government will be between $250-billion and $400-billion over a decade, thereby wiping out all projected ObamaCare savings.

item iv__Hey, there’s more ! One of the provisions of ObamaCare fines employers who drop employee health care plans. Well, many companies are figuring out it’d be a lot cheaper for them to drop the health care plans and pay the fine, and let their employees join the Government health care exchanges. Now lots of liberals sorta like this, . . . it’s a step toward the total government plan they’d’ve preferred in the first place. But pjstroh asked for math:
“What does it mean for health care reform if the employer-sponsored regime collapses? By Fortune’s reckoning, each person who’s dropped would cost the government an average of around $2,100 after deducting the extra taxes collected on their additional pay. So if 50% of people covered by company plans get dumped, federal health care costs will rise by $160 billion a year in 2016, in addition to the $93 billion in subsidies already forecast by the CBO.”
Ref: NYTimes


Oh, about pjstroh’s assertion: “The only people who say the old system was better for the deficit are the same ones who said the Iraq War would be paid for with oil revenues.” , . . . well, DonDiego says the old system would cost the government less, i.e. lower the deficit, and has never said the Iraq War would be paid for with oil revenues. pjstroh is proven wrong. QED

I humbly points to the new analysis by the CBO that shows the cost of repealing. And I would ask Don, chefantwon and shlomo why did the Republicans specifically exempt the cost of repealing healthcare from their new rule requiring that any spending increases be accompanied by offsetting reductions so that the net effect on the deficit is nul? Now I know you guys are smart enough to figure it out, but I’ll provide the answer anyway and that is because it will cost a lot of money to repeal. The Republican leadership was smart enough to figure that out, and that is why they exempted it. So right out of the gate the Republicans want to add 230 billion to the deficit. CBO Cost of Republican Repeal
Quote

Originally posted by: chefantwon
Quote

Originally posted by: snidely333
Quote

Originally posted by: chefantwon
PJ, I do know the bill was rather long in the tooth and most folks never read the entire thing. The purpose of the "death panel" (as it's better known by) is to review medical procedures for "effectiveness" or in real words, what procedures to use on what folks.

There IS going to be rationing of health care, and if you don't believe that, your sadly mistaken as its been in effect for quite awhile. The "death panel's" main job is will be to figure out what the cut off is for specific aid and to make up some excuse as to why a specific procedure isn't feasable.


While there is certainly a lot of room for misuse, there needs to be some sort of control over healthcare. Case in point, my wife's friend's father is going for an MRI next week to get a status on his cancer. He was diagnosed with cancer a year ago, told no treatment available for the cancer, just palliative care and given 6-12 months to live. He's on Medicare. You are and I are paying for it.

They don't need to make up an excuse when the answer is, that procedure is very expensive and it won't help you.


The problem here is where does one draw the line? Who makes the choice? Who pays for it?

As our lifespan increases, these decisions become increasingly important and raise massive moral questions. At what age is one considered dead or not worth saving? Using the last life insurance information I have access to, one is considered dirt nap material at the age of 65. (this information is dated and is not up to date) So what do we do? Give everyone over the age of 65 a shot that kills them (albeit without causing any pain)? Do we let folks make up their own minds as to when to die? These questions need to be answered and dealt with long before any comprensive policy comes into effect. However, who decides the final verdict/outcome?

I don't have the answers here, just a boatload of questions...


You raise very valid points. Who indeed does decide? The patients family, who, if they are not paying, might not have concern as to cost to cost or interpret their religion as requiring every possible means to keep someone alive. Or, is it the health care provider who makes a profit with every procedure? Or, some faceless person at insurance company or is being pressured by their management to cut costs and say "no".

The whole thing sucks.
Ok Mail, according to the article, the cost would run $145 bil by 2019 and $230 bil by 2021. Both assuming that everything is status quo meaning nothing changes between now and then. Your spouting figures that are currently meaningless because we are talking about nothing changing between now and 8 years in the future. Which means nothing as Congress will figure out some program that will spend far greater than a measly $230 billion.

Since we have 8 years of flux and nothing is set in stone, who knows what will end being the true cost in the future. It's kinda like the Bush tax cuts you guys have had your panties in a wad since 2000. What was the total cost of those cuts compared to the estimates????
Quote

Originally posted by: snidely333
Quote

Originally posted by: chefantwon
Quote

Originally posted by: snidely333
Quote

Originally posted by: chefantwon
PJ, I do know the bill was rather long in the tooth and most folks never read the entire thing. The purpose of the "death panel" (as it's better known by) is to review medical procedures for "effectiveness" or in real words, what procedures to use on what folks.

There IS going to be rationing of health care, and if you don't believe that, your sadly mistaken as its been in effect for quite awhile. The "death panel's" main job is will be to figure out what the cut off is for specific aid and to make up some excuse as to why a specific procedure isn't feasable.


While there is certainly a lot of room for misuse, there needs to be some sort of control over healthcare. Case in point, my wife's friend's father is going for an MRI next week to get a status on his cancer. He was diagnosed with cancer a year ago, told no treatment available for the cancer, just palliative care and given 6-12 months to live. He's on Medicare. You are and I are paying for it.

They don't need to make up an excuse when the answer is, that procedure is very expensive and it won't help you.


The problem here is where does one draw the line? Who makes the choice? Who pays for it?

As our lifespan increases, these decisions become increasingly important and raise massive moral questions. At what age is one considered dead or not worth saving? Using the last life insurance information I have access to, one is considered dirt nap material at the age of 65. (this information is dated and is not up to date) So what do we do? Give everyone over the age of 65 a shot that kills them (albeit without causing any pain)? Do we let folks make up their own minds as to when to die? These questions need to be answered and dealt with long before any comprensive policy comes into effect. However, who decides the final verdict/outcome?

I don't have the answers here, just a boatload of questions...


You raise very valid points. Who indeed does decide? The patients family, who, if they are not paying, might not have concern as to cost to cost or interpret their religion as requiring every possible means to keep someone alive. Or, is it the health care provider who makes a profit with every procedure? Or, some faceless person at insurance company or is being pressured by their management to cut costs and say "no".

The whole thing sucks.


Yep, I agree.

One thing I will say is that the feds if they get involved, will be opening the largest can of worms they have ever opened. A no win situation and one by law, they can't do anything about. Talk about one hell of a catch-22.
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Originally posted by: DonDiego
Quote

Originally posted by: pjstroh
And show me the math that refutes the bi-partisan CBO's financial assessment of the new healthcare law over the system that came before it. The only people who say the old system was better for the deficit are the same ones who said the Iraq War would be paid for with oil revenues...and they admitedly have not scored the bill independantly (in other words - they are making it up)
Well, . . . allow DonDiego to address the accuracy of the CBO estimate first:

item i_ Not very long after the CBO report was issued the accuracy of its predictions was challenged by opponents of ObamaCare on the basis that many of the assumptions leading to those predictions were likely to be incorrect. The CBO response was that they operate at the pleasure of the Congress; they can only assess a program based upon what Congress tells them to base the assessment upon. i.e. The CBO did as it was told. If he chooses, the reader can look this up as an exercise.

Item ii__So, . . . in fact, on May 11 2010 “the CBO . . . released a new estimate of how much additional discretionary spending — on implementation costs, further subsidies for new and existing programs, etc. — health care reform is likely to generate over the first 10 years. The total comes to $115 billion above and beyond the official price tag, a sum that would almost wipe out the bill’s projected deficit savings in the first decade.”
Ref: NYTimes


item iii__But allow poor old DonDiego to get a bit further into the math, or at least some more numbers. One of the assumptions upon which the CBO did base their analysis was that the “Doc Fix” would be implemented in 2011. For those unfamiliar with the “Doc Fix”, it is, . . . or was, . . . the plan to reduce Medicare reimbursement to physicians by 21% or 25% - depending where one reads it - in June of 2011. (For the record, this exact “fix” was one of the assumptions referred to in item i above as unlikely to pan out as presented to the CBO for analysis.) On 9 December the NY Times and other newspapers reported that low and behold ! ! ! “The House [of Representatives] gave final approval on Thursday to a bill that would avert a 25% cut in Medicare payments to doctors by freezing reimbursement rates at current levels until the end of next year [2011].”
Ref: NYTimes
OK! Here’s the math: Assuming the “Doc Fix” reductions are not implemented, the additional cost to the Government will be between $250-billion and $400-billion over a decade, thereby wiping out all projected ObamaCare savings.

item iv__Hey, there’s more ! One of the provisions of ObamaCare fines employers who drop employee health care plans. Well, many companies are figuring out it’d be a lot cheaper for them to drop the health care plans and pay the fine, and let their employees join the Government health care exchanges. Now lots of liberals sorta like this, . . . it’s a step toward the total government plan they’d’ve preferred in the first place. But pjstroh asked for math:
“What does it mean for health care reform if the employer-sponsored regime collapses? By Fortune’s reckoning, each person who’s dropped would cost the government an average of around $2,100 after deducting the extra taxes collected on their additional pay. So if 50% of people covered by company plans get dumped, federal health care costs will rise by $160 billion a year in 2016, in addition to the $93 billion in subsidies already forecast by the CBO.”
Ref: NYTimes


Oh, about pjstroh’s assertion: “The only people who say the old system was better for the deficit are the same ones who said the Iraq War would be paid for with oil revenues.” , . . . well, DonDiego says the old system would cost the government less, i.e. lower the deficit, and has never said the Iraq War would be paid for with oil revenues. pjstroh is proven wrong. QED


item i: Noone has said the CBO is 100% accurate in its measurements but it is the non-partisan agency used by both parties to score the future cost of ANY legislation. Perhaps Don DIego can give us another non-partisan agency that has scored the bill in its entirety...or just continue to say it costs more because Don Diego says so.

item ii: Don Diego says the CBO is not credible in item i...but then cites them as his source for item ii & iv. Um...yeah. But lets give the citation its due ..the new estimate still makes the plan budget neutral in the first 10 years and deficit-reducing in the following decade to the tune of a trillion dollars....Does DOn Diego remember the budget predictions of healthcare expenses on the government prior to this new law? Hold that thought....

item iii: the very article Don Diego provides tells of a 15 billion dollar increase because of the "Doc Fix" issue and it is entirely offset by other provisions in the bill...so Don Diego's outrageous 250-400 Billion dollar estimate is only off by about 250-400 billion dollars. I hope Don Diego doesn't make arithmetic mistakes like that when he does his taxes.

item iv: OMG - where to begin. THere is no penalty for Companies to drop insurance today...so it would be cheaper for them to get rid of the insurance today and PAY NO FINE ! Wonder why they dont do that then? Hmmmm. But suddenly companies will drop insurance when the penalty is implemented? Even as they are given tax incentives to offer insurance? Don Diego and Fortune's 160 Billion dollar estimate is only off by about 160 billion.... Oh, and those government exchanges that are right on the brink of a single payer system? Those are a collection of private insurance companies the compete in a free market exchange for customer's business. In case you haven't heard there was no public health insurance of any kind offered up in this new law. If that's your definition of a slippery slope towards a government-run-single-payer system..well...to each his own.

Conclusion: The previous system had many unfunded or underfunded elements to it but I only need to cite one:
the 100% UNFUNDED Bush Prescription Drug program which projected costs at over 500 Billion in its first 10 years alone. Perhaps Don Diego can chuck the numbers of the system his fiscal responsible leadership implemented (and is trying to revert to) and compare them to the new plan. The CBO already determined the new plan wins by a total of 250 billion dollars in the near term...but Don Diego has informed us the CBO is not credible in their projections ... except in the cases when they are.

Source WIKI - Medicare Prescription Drug, Improvement, and Modernization Act
PJ, your quoting that Noone guy as a source in your first paragraph and then totally discount it. Please do explain which one are you going with as I am getting confused.

As was explaind before, most of the "costs" don't even come into play until 2019. This of course assumes that all of the current bill (law) will go off with out a hitch and no other extra spending (er, cost savings) included.

Also the "costs" are not a true figure at this point as it's all a projection based upon what we think will happen in the future. 8 years is an eternity for Congress. They will have spent tens of trillions of dollars before then IF they continue down their current road.
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