Re: Union Fears Destructive Consequences From Obamacare
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Re: Union Fears Destructive Consequences From Obamacare
Concierge medicine started LONG before Obama got involved. It was created (IMO) by the reimbursement system, which encourages "churning" of as many patients as possible through in one day, rather than dealing with multiple (possibly interconnected) complaints in a single visit, which would be more satisfactory for the patient and lead to better care. The reimbursement system was designed back in the days when people only went to the doctor when they had an acute complaint of some sort. Today, high-quality medical care requires MUCH more than that, and is much more complex. Using the old reimbursement system, there is not sufficient added reimbursement for doing all that extra stuff to cover the time required to do it right.
In addition, office overheads for primary care have gone through the roof, and this (IMO) has largely been due to the administrative overhead of dealing with numerous insurance plans, each of which has its own forms and sets of rules, which also change at least annually. This requires much work that is not reimbursed, since it does not occur during a face-to-face visit with the patient and increases staffing needs. By refusing to accept insurance, an office can greatly lower its overhead.
Let me give a specific example. A patient has been on a particular medication for years and it is working well with no adverse effects. Then the insurance plan decides it doesn't like that medication anymore, and sends notification to (maybe) the patient and (maybe) the patient's primary care office. But the letter does not provide any info re which medication the plan would prefer. It is a guessing game. The office must have a person who specializes in dealing with these things and is able to stay on "hold" for protracted periods while trying to do the right thing for the patient.
In addition, if the "preferred" medication is somehow discovered, and the patient is switched to that medication, that may trigger the need for additional expense and inconvenience for the patient. For example, some blood pressure medications can cause alterations to kidney function or potassium levels. Thus a medication switch now morphs into the need for extra labs after the patient has been on the medication for awhile, and an extra office visit to make sure the blood pressure is OK. BUT - the pharmacy insurance company doesn't care about that, because the cost of those things is from a different bucket and it isn't THEIR bucket.
Offices are being encouraged financially to implement electronic health records (at great expense) but there are numerous vendors and none of the systems can communicate with each other, which limits the value of such systems. If a patient is seen in more than one location, it is still necessary in many cases to rely on old-fashioned mail and fax communication, which introduces delays and makes cataloging patient data in consistent ways much more difficult.
The whole thing is so fouled up I despair of it being unsnarled in my lifetime. I believe a single payer system is the only possible solution, but there are too many influential entities that want to preserve the status quo. I have worked for the VA and Indian Health Service systems and the office overhead was much lower. These are the closest thing to "single payer" that we have in the USA. Office overheads for Canadian primary care offices are 25% of those in the USA. That's a big contributor to our higher health care costs.
By the way - I am an IBM retiree who retooled and became an internist, and about 85% of my patients are Medicare. I happen to LIKE taking care of that age group. I think concierge medicine is unethical (I can remember that oath I took on graduation from medical school, one of the high points of my life) but I can understand why it happens. --------------------------------------------
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On Tue, 7/23/13, icarlosdanger <no_reply@...> wrote:
Subject: [ibmpensionissues] Re: Union Fears Destructive Consequences From Obamacare To: ibmpensionissues@... Date: Tuesday, July 23, 2013, 10:37 PM
?
I really feel we are headed toward a two-tier system, so well-explained here:
To find a concierge doctor or locate a direct primary care medical practice in your area, see and .
I think Obamacare played some part in the emergence of concierge medicine. I usually think of a concierge as a hotel grunt who assists guests by arranging tours, etc. In the medical field, patients get special treatment from concierge doctors.
Those who can afford to pay the annual fees are flipping to concierge medicine for their health care. Annual fees range from $200 a year to $1,500 or more. Concierge doctors limit their patient loads to
400-600 people, give them better service like same-day and longer face time and 24/7 access!
--- In ibmpensionissues@..., dan finn <dfinn1@...> wrote:
>
> But if everyone were covered under a single payer, then practices go out of business if they refuse to accept payment from single payers, correct? Or, the prices would be so low that they cannot continue to pay for their liabilities such as homes, cars and expenses. This is the part where very good doctors with lower financial expectations from places like the Philippines and India set up shop in the usa...ACA (regrettably not single payer) will probably necessitate this anyway due to high demand. They would be here now except for the arbitrarily protective visa limitations that could be liberalized, probably by executive order.
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Re: Union Fears Destructive Consequences From Obamacare
I really feel we are headed toward a two-tier system, so well-explained here:
To find a concierge doctor or locate a direct primary care medical practice in your area, see and .
I think Obamacare played some part in the emergence of concierge medicine. I usually think of a concierge as a hotel grunt who assists guests by arranging tours, etc. In the medical field, patients get special treatment from concierge doctors.
Those who can afford to pay the annual fees are flipping to concierge medicine for their health care. Annual fees range from $200 a year to $1,500 or more. Concierge doctors limit their patient loads to 400-600 people, give them better service like same-day and longer face time and 24/7 access!
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--- In ibmpensionissues@..., dan finn <dfinn1@...> wrote: But if everyone were covered under a single payer, then practices go out of business if they refuse to accept payment from single payers, correct? Or, the prices would be so low that they cannot continue to pay for their liabilities such as homes, cars and expenses. This is the part where very good doctors with lower financial expectations from places like the Philippines and India set up shop in the usa...ACA (regrettably not single payer) will probably necessitate this anyway due to high demand. They would be here now except for the arbitrarily protective visa limitations that could be liberalized, probably by executive order.
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Re: Union Fears Destructive Consequences From Obamacare
But if everyone were covered under a single payer, then practices go out of business if they refuse to accept payment from single payers, correct? Or, the prices would be so low that they cannot continue to pay for their liabilities such as homes, cars and expenses. This is the part where very good doctors with lower financial expectations from places like the Philippines and India set up shop in the usa...ACA (regrettably not single payer) will probably necessitate this anyway due to high demand. They would be here now except for the arbitrarily protective visa limitations that could be liberalized, probably by executive order.
KenSP@... wrote:
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ColleaguesI think you are dreaming if you think that ACA or a single payer will be the answer to the healthcare. The first thing is Medicare and Medicaid is a single payer for many of us who have retired.? It is reasonably price. The issue is not the cost, but finding a doctor who accepts Medicare / Medicaid Patients. The law cannot force a doctor to work at a specified price. Otherwise it is slavery. So he can legally refuse to accept patients as long as he does not discriminate. A doctor determines what he is willing to accept in payment for his service. There are not enough doctors to treat everyone.Today, a doctor now asks "Do you have insurance and with whom?" before he is willing to even accept you as a patient. Some will advise you upfront that they expect payment when services are render and they post such a sign in their office. There are many who will pay upfront to be treated by the doctor of their choice and who has an excellent reputation.Many doctors, in the New York City and Westchester County are not accepting Medicare / Medicaid patients.? The reason is that the government reimbursement is to low. If a doctor accepts a Medicare patient, he must also take Medicaid patients.? A medicaid patient pays nothing, not even the 20% a Medicare patient pays. A doctor receives about 65% of the reimbursement he gets for treating Medicare patients - so he refuses to treat either. The reimbursement the doctor receives from the government does not cover his costs especially his malpractice insurance so why accept Medicare or Medicaid patients.In Westchester, a nearby hospital closed because a majority of their patients where under Medicaid and they went bankrupt. There also have been some hospital closing in New York City and the wait in emergency room has increase in the other hospitals.Even if you have private or company insurance, like my daughter who has a healthcare insurance policy from her company listed on the New York Stock Exchange, was told by her doctor, he does not accept any insurance.? She had to pay his fees with a credit card and when the doctor received payment from the insurance company (three months later), he gave her the amount he received. Her out of pocket costs was 40% of the fee.? This is not the case with the Hospital but with the doctors.As you can see, it does not matter what insurance you have, if no doctor, other than a hospital, is willing to accept it, what good is insurance. So dream on about ACA and a single payer. You may have the reasonably priced insurance you want but it won't by you medical services if a doctor does not accept it.From a retiree who is under Medicare----- Original Message -----From: Danny Baptista Date: Tuesday, July 23, 2013 12:40 pmSubject: Re: [ibmpensionissues] Re: Union Fears Destructive Consequences From ObamacareTo: ibmpensionissues@...
?
Rick, thank you. I've also been fed up with the misinformed reactionary rhetoric from this site that I find in my inbox often these days. An FYI to you all: I'm looking forward to increased access to health care that is not quite as expensive and not quite as much a rip-off, and I welcome the ACA as an incremental and progressive step towards single payer. ? Sorry. Not me. However, you did prove my point. --- In ibmpensionissues@..., buckwildbeemer <no_reply@...> wrote: > > OK, now tell us what ya did at IBM! > > > > --- In ibmpensionissues@..., "Rick b Cool" <rickboehme@> wrote: > > > > Perhaps this thread can get back on topic without the radical reactionary rhetoric firmly grounded in delusions. > > > > --- In ibmpensionissues@..., "Rick b Cool" <rickboehme@> wrote: > > > > > > WOW. > > > > > > This forum has turned into just another radical reactionary shithole. Completely off topic. Yet another internet place for delusions, distortions, and lies. > > > > > > Fact: The full text of the ACA was available almost the whole time. Obviously less the changes currently being proposed and discussed. > > > > > > Fact: The people who do this kind of whining are exclusively completely self centered anti-social morons who don't consider all the benefits they receive at others expense, or the great benefits of have a great society that supports all the people, grows the economy, and increases the standard of living. They simply dream of how good it would be if they retained everything they have and get and somehow didn't have to pay for any of it. All the advances of society and technology, the vast bulk of which they had nothing to do with. I am quite sure they use words like socialist and communist and have no idea what either term actually means. They certainly have no idea what the term capitalist actually means now what Adam Smith was trying to achieve. > > > > > > All they do is whine and hope that someone will give them everything they desire while not giving to others they feel are undeserving. All while deceiving themselves that they are independent individuals supporting themselves outside all that exists and all that has gone before. > > > > > > Back to the good old days when only white male protestants who own landed estates have any rights or benefits of the wealth society and all the people create. > > > > > > --- In ibmpensionissues@..., pawnedmyrolex <no_reply@> wrote: > > > > > > > > Reminds me of the new Lib movie remake: "Dependence Day" > > > > > > > > --- In ibmpensionissues@..., "zimowski@" <zimowski@> wrote: > > > > > > > > > > Those who re-elected Obama now need to eat his dog food. > > > > > > > > > > --- In ibmpensionissues@..., spitzerisnoweiner <no_reply@> wrote: > > > > > > > > > > > > > > > > > > > > > > > > Soooo glad I never joined a union... > > > > > > > > > > > > This is a bad re-distribution of wealth for sure. > > > > > > > > > > > > > > > > > > > > >
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Re: Union Fears Destructive Consequences From Obamacare
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Re: Union Fears Destructive Consequences From Obamacare
Any way you look at it, our present Health Care System is a Train Wreck just waiting to happen. The simple fact that we pay twice as much as most other developed nations, yet are ranked way down the list in terms of quality of care, etc., should be telling us something. We used to have a Medical Profession...but now they are finally telling us the truth when they call themselves the Health Care Industry. The FIRST objective of Any industry is to make money...and they have certainly succeeded in that regard.
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--- In ibmpensionissues@..., pvsutera <no_reply@...> wrote: There was something in the news today about a Senate hearing on drug prices. How generic manufacturers are forbidden to use cheaper formulations and that in the USA, we pay the difference to the tune of many billions of dollars in extra medical expenses. One thing that is also true is that many of the generic manufacturers are also offshore so the drug companies increased their profits through the elimination of American jobs already. That not being nearly enough, they force generic manufacturers to stick to more expensive formulations. American corporations robbing the middle-class of their jobs while sticking them with higher medical costs.
--- In ibmpensionissues@..., "Rick b Cool" <rickb_cool@> wrote:
Very good. Thanks for the analysis. However, none of what you said has anything at all to do with ACA. Yes, some doctors refuse Medicare. Some refuse all insurance. They have done so for an extremely long time. Some demand cash payment in advance and them reimburse when insurance pays them. They have done so for a very long time.
No ACA is far, far from a perfect plan. It is something which was never wanted by those who believe in universal health care. It was a proposal that was proposed by conservative Republicans and only abandoned as a political maneuver against a President they wanted to fail at any cost to the people of the United States. The one strategy which the modern Republican leadership has carries out extremely consistently at great cost to the American people.
Also, from a purely social perspective. It clearly looks as if you said that we need to have access to good health care severely limited to more wealthy individuals because their is a shortage of doctors. People do reveal their self centered nature while entirely ignoring the fact that most doctors are educated at the expense of the people of the United States through grants, subsidies, and delayed low interest loans. No one pays the full free market capitalist price of their healthcare. Though, one must admit that in some arenas, such a patent drugs, they do pay monopolistic prices.
Healthcare in this country is a highly complex system with many interdependencies. The idiotic perspective is that some of us deserve good healthcare more than others of us.
Now as I said previously. The real issue on this forum is getting back on topic. We don't need the political bullshit of the loud mouthed Obama haters who will say anything true or false or irrelevant.
--- In ibmpensionissues@..., KenSP@ wrote:
ColleaguesI think you are dreaming if you think that ACA or a single payer will be the answer to the healthcare. The first thing is Medicare and Medicaid is a single payer for many of us who have retired.? It is reasonably price. The issue is not the cost, but finding a doctor who accepts Medicare / Medicaid Patients. The law cannot force a doctor to work at a specified price. Otherwise it is slavery. So he can legally refuse to accept patients as long as he does not discriminate. A doctor determines what he is willing to accept in payment for his service. There are not enough doctors to treat everyone.Today, a doctor now asks "Do you have insurance and with whom?" before he is willing to even accept you as a patient. Some will advise you upfront that they expect payment when services are render and they post such a sign in their office. There are many who will pay upfront to be treated by the doctor of their choice and who has an excellent reputation.Many doctors, in the New York City and Westchester County are not accepting Medicare / Medicaid patients.? The reason is that the government reimbursement is to low. If a doctor accepts a Medicare patient, he must also take Medicaid patients.? A medicaid patient pays nothing, not even the 20% a Medicare patient pays. A doctor receives about 65% of the reimbursement he gets for treating Medicare patients - so he refuses to treat either. The reimbursement the doctor receives from the government does not cover his costs especially his malpractice insurance so why accept Medicare or Medicaid patients.In Westchester, a nearby hospital closed because a majority of their patients where under Medicaid and they went bankrupt. There also have been some hospital closing in New York City and the wait in emergency room has increase in the other hospitals.Even if you have private or company insurance, like my daughter who has a healthcare insurance policy from her company listed on the New York Stock Exchange, was told by her doctor, he does not accept any insurance.? She had to pay his fees with a credit card and when the doctor received payment from the insurance company (three months later), he gave her the amount he received. Her out of pocket costs was 40% of the fee.? This is not the case with the Hospital but with the doctors.As you can see, it does not matter what insurance you have, if no doctor, other than a hospital, is willing to accept it, what good is insurance. So dream on about ACA and a single payer. You may have the reasonably priced insurance you want but it won't by you medical services if a doctor does not accept it.From a retiree who is under Medicare----- Original Message -----From: Danny Baptista Date: Tuesday, July 23, 2013 12:40 pmSubject: Re: [ibmpensionissues] Re: Union Fears Destructive Consequences From ObamacareTo: ibmpensionissues@...
?
Rick, thank you. I've also been fed up with the misinformed reactionary rhetoric from this site that I find in my inbox often these days. An FYI to you all: I'm looking forward to increased access to health care that is not quite as expensive and not quite as much a rip-off, and I welcome the ACA as an incremental and progressive step towards single payer.
?
Sorry. Not me.
However, you did prove my point.
--- In ibmpensionissues@..., buckwildbeemer <no_reply@> wrote: > > OK, now tell us what ya did at IBM! > > > > --- In ibmpensionissues@..., "Rick b Cool" <rickboehme@> wrote: > > > > Perhaps this thread can get back on topic without the radical reactionary rhetoric firmly grounded in delusions. > > > > --- In ibmpensionissues@..., "Rick b Cool" <rickboehme@> wrote: > > > > > > WOW. > > > > > > This forum has turned into just another radical reactionary shithole. Completely off topic. Yet another internet place for delusions, distortions, and lies. > > > > > > Fact: The full text of the ACA was available almost the whole time. Obviously less the changes currently being proposed and discussed. > > > > > > Fact: The people who do this kind of whining are exclusively completely self centered anti-social morons who don't consider all the benefits they receive at others expense, or the great benefits of have a great society that supports all the people, grows the economy, and increases the standard of living. They simply dream of how good it would be if they retained everything they have and get and somehow didn't have to pay for any of it. All the advances of society and technology, the vast bulk of which they had nothing to do with. I am quite sure they use words like socialist and communist and have no idea what either term actually means. They certainly have no idea what the term capitalist actually means now what Adam Smith was trying to achieve. > > > > > > All they do is whine and hope that someone will give them everything they desire while not giving to others they feel are undeserving. All while deceiving themselves that they are independent individuals supporting themselves outside all that exists and all that has gone before. > > > > > > Back to the good old days when only white male protestants who own landed estates have any rights or benefits of the wealth society and all the people create. > > > > > > --- In ibmpensionissues@..., pawnedmyrolex <no_reply@> wrote: > > > > > > > > Reminds me of the new Lib movie remake: "Dependence Day" > > > > > > > > --- In ibmpensionissues@..., "zimowski@" <zimowski@> wrote: > > > > > > > > > > Those who re-elected Obama now need to eat his dog food. > > > > > > > > > > --- In ibmpensionissues@..., spitzerisnoweiner <no_reply@> wrote: > > > > > > > > > > > > > > > > > > > > > > > > Soooo glad I never joined a union... > > > > > > > > > > > > This is a bad re-distribution of wealth for sure. > > > > > > > > > > > > > > > > > > > > >
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Re: Union Fears Destructive Consequences From Obamacare
There was something in the news today about a Senate hearing on drug prices. How generic manufacturers are forbidden to use cheaper formulations and that in the USA, we pay the difference to the tune of many billions of dollars in extra medical expenses. One thing that is also true is that many of the generic manufacturers are also offshore so the drug companies increased their profits through the elimination of American jobs already. That not being nearly enough, they force generic manufacturers to stick to more expensive formulations. American corporations robbing the middle-class of their jobs while sticking them with higher medical costs.
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--- In ibmpensionissues@..., "Rick b Cool" <rickb_cool@...> wrote: Very good. Thanks for the analysis. However, none of what you said has anything at all to do with ACA. Yes, some doctors refuse Medicare. Some refuse all insurance. They have done so for an extremely long time. Some demand cash payment in advance and them reimburse when insurance pays them. They have done so for a very long time.
No ACA is far, far from a perfect plan. It is something which was never wanted by those who believe in universal health care. It was a proposal that was proposed by conservative Republicans and only abandoned as a political maneuver against a President they wanted to fail at any cost to the people of the United States. The one strategy which the modern Republican leadership has carries out extremely consistently at great cost to the American people.
Also, from a purely social perspective. It clearly looks as if you said that we need to have access to good health care severely limited to more wealthy individuals because their is a shortage of doctors. People do reveal their self centered nature while entirely ignoring the fact that most doctors are educated at the expense of the people of the United States through grants, subsidies, and delayed low interest loans. No one pays the full free market capitalist price of their healthcare. Though, one must admit that in some arenas, such a patent drugs, they do pay monopolistic prices.
Healthcare in this country is a highly complex system with many interdependencies. The idiotic perspective is that some of us deserve good healthcare more than others of us.
Now as I said previously. The real issue on this forum is getting back on topic. We don't need the political bullshit of the loud mouthed Obama haters who will say anything true or false or irrelevant.
--- In ibmpensionissues@..., KenSP@ wrote:
ColleaguesI think you are dreaming if you think that ACA or a single payer will be the answer to the healthcare. The first thing is Medicare and Medicaid is a single payer for many of us who have retired.? It is reasonably price. The issue is not the cost, but finding a doctor who accepts Medicare / Medicaid Patients. The law cannot force a doctor to work at a specified price. Otherwise it is slavery. So he can legally refuse to accept patients as long as he does not discriminate. A doctor determines what he is willing to accept in payment for his service. There are not enough doctors to treat everyone.Today, a doctor now asks "Do you have insurance and with whom?" before he is willing to even accept you as a patient. Some will advise you upfront that they expect payment when services are render and they post such a sign in their office. There are many who will pay upfront to be treated by the doctor of their choice and who has an excellent reputation.Many doctors, in the New York City and Westchester County are not accepting Medicare / Medicaid patients.? The reason is that the government reimbursement is to low. If a doctor accepts a Medicare patient, he must also take Medicaid patients.? A medicaid patient pays nothing, not even the 20% a Medicare patient pays. A doctor receives about 65% of the reimbursement he gets for treating Medicare patients - so he refuses to treat either. The reimbursement the doctor receives from the government does not cover his costs especially his malpractice insurance so why accept Medicare or Medicaid patients.In Westchester, a nearby hospital closed because a majority of their patients where under Medicaid and they went bankrupt. There also have been some hospital closing in New York City and the wait in emergency room has increase in the other hospitals.Even if you have private or company insurance, like my daughter who has a healthcare insurance policy from her company listed on the New York Stock Exchange, was told by her doctor, he does not accept any insurance.? She had to pay his fees with a credit card and when the doctor received payment from the insurance company (three months later), he gave her the amount he received. Her out of pocket costs was 40% of the fee.? This is not the case with the Hospital but with the doctors.As you can see, it does not matter what insurance you have, if no doctor, other than a hospital, is willing to accept it, what good is insurance. So dream on about ACA and a single payer. You may have the reasonably priced insurance you want but it won't by you medical services if a doctor does not accept it.From a retiree who is under Medicare----- Original Message -----From: Danny Baptista Date: Tuesday, July 23, 2013 12:40 pmSubject: Re: [ibmpensionissues] Re: Union Fears Destructive Consequences From ObamacareTo: ibmpensionissues@...
?
Rick, thank you. I've also been fed up with the misinformed reactionary rhetoric from this site that I find in my inbox often these days. An FYI to you all: I'm looking forward to increased access to health care that is not quite as expensive and not quite as much a rip-off, and I welcome the ACA as an incremental and progressive step towards single payer.
?
Sorry. Not me.
However, you did prove my point.
--- In ibmpensionissues@..., buckwildbeemer <no_reply@> wrote: > > OK, now tell us what ya did at IBM! > > > > --- In ibmpensionissues@..., "Rick b Cool" <rickboehme@> wrote: > > > > Perhaps this thread can get back on topic without the radical reactionary rhetoric firmly grounded in delusions. > > > > --- In ibmpensionissues@..., "Rick b Cool" <rickboehme@> wrote: > > > > > > WOW. > > > > > > This forum has turned into just another radical reactionary shithole. Completely off topic. Yet another internet place for delusions, distortions, and lies. > > > > > > Fact: The full text of the ACA was available almost the whole time. Obviously less the changes currently being proposed and discussed. > > > > > > Fact: The people who do this kind of whining are exclusively completely self centered anti-social morons who don't consider all the benefits they receive at others expense, or the great benefits of have a great society that supports all the people, grows the economy, and increases the standard of living. They simply dream of how good it would be if they retained everything they have and get and somehow didn't have to pay for any of it. All the advances of society and technology, the vast bulk of which they had nothing to do with. I am quite sure they use words like socialist and communist and have no idea what either term actually means. They certainly have no idea what the term capitalist actually means now what Adam Smith was trying to achieve. > > > > > > All they do is whine and hope that someone will give them everything they desire while not giving to others they feel are undeserving. All while deceiving themselves that they are independent individuals supporting themselves outside all that exists and all that has gone before. > > > > > > Back to the good old days when only white male protestants who own landed estates have any rights or benefits of the wealth society and all the people create. > > > > > > --- In ibmpensionissues@..., pawnedmyrolex <no_reply@> wrote: > > > > > > > > Reminds me of the new Lib movie remake: "Dependence Day" > > > > > > > > --- In ibmpensionissues@..., "zimowski@" <zimowski@> wrote: > > > > > > > > > > Those who re-elected Obama now need to eat his dog food. > > > > > > > > > > --- In ibmpensionissues@..., spitzerisnoweiner <no_reply@> wrote: > > > > > > > > > > > > > > > > > > > > > > > > Soooo glad I never joined a union... > > > > > > > > > > > > This is a bad re-distribution of wealth for sure. > > > > > > > > > > > > > > > > > > > > >
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Re: Union Fears Destructive Consequences From Obamacare
Very good. Thanks for the analysis. However, none of what you said has anything at all to do with ACA. Yes, some doctors refuse Medicare. Some refuse all insurance. They have done so for an extremely long time. Some demand cash payment in advance and them reimburse when insurance pays them. They have done so for a very long time.
No ACA is far, far from a perfect plan. It is something which was never wanted by those who believe in universal health care. It was a proposal that was proposed by conservative Republicans and only abandoned as a political maneuver against a President they wanted to fail at any cost to the people of the United States. The one strategy which the modern Republican leadership has carries out extremely consistently at great cost to the American people.
Also, from a purely social perspective. It clearly looks as if you said that we need to have access to good health care severely limited to more wealthy individuals because their is a shortage of doctors. People do reveal their self centered nature while entirely ignoring the fact that most doctors are educated at the expense of the people of the United States through grants, subsidies, and delayed low interest loans. No one pays the full free market capitalist price of their healthcare. Though, one must admit that in some arenas, such a patent drugs, they do pay monopolistic prices.
Healthcare in this country is a highly complex system with many interdependencies. The idiotic perspective is that some of us deserve good healthcare more than others of us.
Now as I said previously. The real issue on this forum is getting back on topic. We don't need the political bullshit of the loud mouthed Obama haters who will say anything true or false or irrelevant.
toggle quoted message
Show quoted text
--- In ibmpensionissues@..., KenSP@... wrote: ColleaguesI think you are dreaming if you think that ACA or a single payer will be the answer to the healthcare. The first thing is Medicare and Medicaid is a single payer for many of us who have retired.? It is reasonably price. The issue is not the cost, but finding a doctor who accepts Medicare / Medicaid Patients. The law cannot force a doctor to work at a specified price. Otherwise it is slavery. So he can legally refuse to accept patients as long as he does not discriminate. A doctor determines what he is willing to accept in payment for his service. There are not enough doctors to treat everyone.Today, a doctor now asks "Do you have insurance and with whom?" before he is willing to even accept you as a patient. Some will advise you upfront that they expect payment when services are render and they post such a sign in their office. There are many who will pay upfront to be treated by the doctor of their choice and who has an excellent reputation.Many doctors, in the New York City and Westchester County are not accepting Medicare / Medicaid patients.? The reason is that the government reimbursement is to low. If a doctor accepts a Medicare patient, he must also take Medicaid patients.? A medicaid patient pays nothing, not even the 20% a Medicare patient pays. A doctor receives about 65% of the reimbursement he gets for treating Medicare patients - so he refuses to treat either. The reimbursement the doctor receives from the government does not cover his costs especially his malpractice insurance so why accept Medicare or Medicaid patients.In Westchester, a nearby hospital closed because a majority of their patients where under Medicaid and they went bankrupt. There also have been some hospital closing in New York City and the wait in emergency room has increase in the other hospitals.Even if you have private or company insurance, like my daughter who has a healthcare insurance policy from her company listed on the New York Stock Exchange, was told by her doctor, he does not accept any insurance.? She had to pay his fees with a credit card and when the doctor received payment from the insurance company (three months later), he gave her the amount he received. Her out of pocket costs was 40% of the fee.? This is not the case with the Hospital but with the doctors.As you can see, it does not matter what insurance you have, if no doctor, other than a hospital, is willing to accept it, what good is insurance. So dream on about ACA and a single payer. You may have the reasonably priced insurance you want but it won't by you medical services if a doctor does not accept it.From a retiree who is under Medicare----- Original Message -----From: Danny Baptista Date: Tuesday, July 23, 2013 12:40 pmSubject: Re: [ibmpensionissues] Re: Union Fears Destructive Consequences From ObamacareTo: ibmpensionissues@...
?
Rick, thank you. I've also been fed up with the misinformed reactionary rhetoric from this site that I find in my inbox often these days. An FYI to you all: I'm looking forward to increased access to health care that is not quite as expensive and not quite as much a rip-off, and I welcome the ACA as an incremental and progressive step towards single payer.
?
Sorry. Not me.
However, you did prove my point.
--- In ibmpensionissues@..., buckwildbeemer <no_reply@> wrote: > > OK, now tell us what ya did at IBM! > > > > --- In ibmpensionissues@..., "Rick b Cool" <rickboehme@> wrote: > > > > Perhaps this thread can get back on topic without the radical reactionary rhetoric firmly grounded in delusions. > > > > --- In ibmpensionissues@..., "Rick b Cool" <rickboehme@> wrote: > > > > > > WOW. > > > > > > This forum has turned into just another radical reactionary shithole. Completely off topic. Yet another internet place for delusions, distortions, and lies. > > > > > > Fact: The full text of the ACA was available almost the whole time. Obviously less the changes currently being proposed and discussed. > > > > > > Fact: The people who do this kind of whining are exclusively completely self centered anti-social morons who don't consider all the benefits they receive at others expense, or the great benefits of have a great society that supports all the people, grows the economy, and increases the standard of living. They simply dream of how good it would be if they retained everything they have and get and somehow didn't have to pay for any of it. All the advances of society and technology, the vast bulk of which they had nothing to do with. I am quite sure they use words like socialist and communist and have no idea what either term actually means. They certainly have no idea what the term capitalist actually means now what Adam Smith was trying to achieve. > > > > > > All they do is whine and hope that someone will give them everything they desire while not giving to others they feel are undeserving. All while deceiving themselves that they are independent individuals supporting themselves outside all that exists and all that has gone before. > > > > > > Back to the good old days when only white male protestants who own landed estates have any rights or benefits of the wealth society and all the people create. > > > > > > --- In ibmpensionissues@..., pawnedmyrolex <no_reply@> wrote: > > > > > > > > Reminds me of the new Lib movie remake: "Dependence Day" > > > > > > > > --- In ibmpensionissues@..., "zimowski@" <zimowski@> wrote: > > > > > > > > > > Those who re-elected Obama now need to eat his dog food. > > > > > > > > > > --- In ibmpensionissues@..., spitzerisnoweiner <no_reply@> wrote: > > > > > > > > > > > > > > > > > > > > > > > > Soooo glad I never joined a union... > > > > > > > > > > > > This is a bad re-distribution of wealth for sure. > > > > > > > > > > > > > > > > > > > > >
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Re: Union Fears Destructive Consequences From Obamacare
|
Re: it's that time of the month?
Don't compare yourself to others. They are more screwed up than you think.
ACA may not be for all; maybe, Medicare is:
Still, I suspect there will be obese people wondering if their little blue pills will still be free.
toggle quoted message
Show quoted text
--- In ibmpensionissues@..., lowinfoneocon <no_reply@...> wrote: Once again, IBMpension is in a cycle of meta-discussion about individuals and not the pension program.
|
Re: Union Fears Destructive Consequences From Obamacare
Rick, thank you. I've also been fed up
with the misinformed reactionary rhetoric from this site that I
find in my inbox often these days. An FYI to you all: I'm looking
forward to increased access to health care that is not quite as
expensive and not quite as much a rip-off, and I welcome the ACA
as an incremental and progressive step towards single payer.
toggle quoted message
Show quoted text
?
Sorry. Not me.
However, you did prove my point.
--- In ibmpensionissues@...,
buckwildbeemer wrote:
>
> OK, now tell us what ya did at IBM!
>
>
>
> --- In ibmpensionissues@...,
"Rick b Cool" wrote:
> >
> > Perhaps this thread can get back on topic
without the radical reactionary rhetoric firmly grounded
in delusions.
> >
> > --- In ibmpensionissues@...,
"Rick b Cool" wrote:
> > >
> > > WOW.
> > >
> > > This forum has turned into just another
radical reactionary shithole. Completely off topic. Yet
another internet place for delusions, distortions, and
lies.
> > >
> > > Fact: The full text of the ACA was
available almost the whole time. Obviously less the
changes currently being proposed and discussed.
> > >
> > > Fact: The people who do this kind of
whining are exclusively completely self centered
anti-social morons who don't consider all the benefits
they receive at others expense, or the great benefits of
have a great society that supports all the people, grows
the economy, and increases the standard of living. They
simply dream of how good it would be if they retained
everything they have and get and somehow didn't have to
pay for any of it. All the advances of society and
technology, the vast bulk of which they had nothing to do
with. I am quite sure they use words like socialist and
communist and have no idea what either term actually
means. They certainly have no idea what the term
capitalist actually means now what Adam Smith was trying
to achieve.
> > >
> > > All they do is whine and hope that someone
will give them everything they desire while not giving to
others they feel are undeserving. All while deceiving
themselves that they are independent individuals
supporting themselves outside all that exists and all that
has gone before.
> > >
> > > Back to the good old days when only white
male protestants who own landed estates have any rights or
benefits of the wealth society and all the people create.
> > >
> > > --- In ibmpensionissues@...,
pawnedmyrolex wrote:
> > > >
> > > > Reminds me of the new Lib movie
remake: "Dependence Day"
> > > >
> > > > --- In ibmpensionissues@...,
"zimowski@" wrote:
> > > > >
> > > > > Those who re-elected Obama now
need to eat his dog food.
> > > > >
> > > > > --- In ibmpensionissues@...,
spitzerisnoweiner wrote:
> > > > > >
> > > > > >
> > > > > >
> > > > > > Soooo glad I never joined a
union...
> > > > > >
> > > > > > This is a bad
re-distribution of wealth for sure.
> > > > > >
> > > > >
> > > >
> > >
> >
>
|
Re: Union Fears Destructive Consequences From Obamacare
Sorry. Not me.
However, you did prove my point.
toggle quoted message
Show quoted text
--- In ibmpensionissues@..., buckwildbeemer <no_reply@...> wrote: OK, now tell us what ya did at IBM!
--- In ibmpensionissues@..., "Rick b Cool" <rickboehme@> wrote:
Perhaps this thread can get back on topic without the radical reactionary rhetoric firmly grounded in delusions.
--- In ibmpensionissues@..., "Rick b Cool" <rickboehme@> wrote:
WOW.
This forum has turned into just another radical reactionary shithole. Completely off topic. Yet another internet place for delusions, distortions, and lies.
Fact: The full text of the ACA was available almost the whole time. Obviously less the changes currently being proposed and discussed.
Fact: The people who do this kind of whining are exclusively completely self centered anti-social morons who don't consider all the benefits they receive at others expense, or the great benefits of have a great society that supports all the people, grows the economy, and increases the standard of living. They simply dream of how good it would be if they retained everything they have and get and somehow didn't have to pay for any of it. All the advances of society and technology, the vast bulk of which they had nothing to do with. I am quite sure they use words like socialist and communist and have no idea what either term actually means. They certainly have no idea what the term capitalist actually means now what Adam Smith was trying to achieve.
All they do is whine and hope that someone will give them everything they desire while not giving to others they feel are undeserving. All while deceiving themselves that they are independent individuals supporting themselves outside all that exists and all that has gone before.
Back to the good old days when only white male protestants who own landed estates have any rights or benefits of the wealth society and all the people create.
--- In ibmpensionissues@..., pawnedmyrolex <no_reply@> wrote:
Reminds me of the new Lib movie remake: "Dependence Day"
--- In ibmpensionissues@..., "zimowski@" <zimowski@> wrote:
Those who re-elected Obama now need to eat his dog food.
--- In ibmpensionissues@..., spitzerisnoweiner <no_reply@> wrote:
Soooo glad I never joined a union...
This is a bad re-distribution of wealth for sure.
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Re: Union Fears Destructive Consequences From Obamacare
Personally I don't see much difference between the two parties that rule our politics. There was a South Park episode where Kenny I think refused to vote and messed up the entire system. It was because he felt he only had a choice between a douche bag and a stinking turd. All either side cares about is remaining in power. Each side caters to a specific set of groups and design legislation to appeal to those voters. Face it most voters are pretty much single issue voters. One thing rises above all else and that is what sways them. Now on the Health Care topic. I do agree something that big had a lot of lobbyist but I imagine a lot of it came from the original Hillary debacle where she tried to create a health care package in secret and it blew up in her face. Personally I am not opposed to a universal health care package funded by the people for the people. But the way it was done was doomed to failure. The way it tries to cover things and the way the people look at it as a "right" will push the country over the bankruptcy line faster than we are traveling now. Interesting enough I heard part of an article last night about obesity and how much of the nations health care costs are caused by it. Add to it things like smoking, alcohol and drug use, poor diet and suddenly you find that if people were simply sensible and logical about their health, exercise and good diet we could drastically cut the costs of health care in this country and most likely afford to provide the needed coverage. But we want our right to be lazy and obese in ever growing numbers and we want to support the right to have sugar as the second ingredient in every can of beans on the grocery shelf.
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--- In ibmpensionissues@..., Don Mininger <don_m64015@...> wrote: This Health Care Bill....like most pieces of Legislation...was written by the Health Care Industry Lobbyists in Washington. ??Very few bills are Ever written by the Congressmen, themselves....instead they are written by representatives of the Special Interests, and the Politicians just "Sponsor" them. ??As such, you can be sure that hidden in the bowels of this Bill, there are ample provisions to protect those who are getting quite wealthy off the misfortune and illnesses of the general population. ??WE are merely Pawns in the Global Chess Game taking place among the ultra wealthy as they try to "Out Billionaire" each other. ??If you want to Really Know who runs this country, just go to Opensecrets.org, and see where these politicians get their campaign money....then go to VoteSmart.org, and study their voting record. ??It quickly becomes apparent as to who the Masters really are. ??We truly have the best government that Big Money can buy. ??
________________________________ From: Tom <logan70389@...> To: ibmpensionissues@... Sent: Monday, July 22, 2013 8:27 AM Subject: [ibmpensionissues] Re: Union Fears Destructive Consequences From Obamacare
?? I would like to know where this health care bill actually came from. Obama, Reid, and Pelosi are just puppets in this scam. They are politicians - there is no way they crafted about 20k pages of legislation in a couple months. This health care bill had to be on the shelf already. With the press today - we will probably never know.
--- In ibmpensionissues@..., "Kevin W" <nowwicked@> wrote:
Many of us pointed out the potential pitfalls of this path several years ago. We were shouted down as haters, fear mongers even called racist simply because we didn't believe in the hype of the program. Those supporting the program didn't bat an eye when they were told "we must pass this bill so we can see what is in it." All they saw were the vapor promises.
--- In ibmpensionissues@..., spitzerisnoweiner <no_reply@> wrote:
Soooo glad I never joined a union...
This is a bad re-distribution of wealth for sure.
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Re: Union Fears Destructive Consequences From Obamacare
OK, now tell us what ya did at IBM!
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--- In ibmpensionissues@..., "Rick b Cool" <rickboehme@...> wrote: Perhaps this thread can get back on topic without the radical reactionary rhetoric firmly grounded in delusions.
--- In ibmpensionissues@..., "Rick b Cool" <rickboehme@> wrote:
WOW.
This forum has turned into just another radical reactionary shithole. Completely off topic. Yet another internet place for delusions, distortions, and lies.
Fact: The full text of the ACA was available almost the whole time. Obviously less the changes currently being proposed and discussed.
Fact: The people who do this kind of whining are exclusively completely self centered anti-social morons who don't consider all the benefits they receive at others expense, or the great benefits of have a great society that supports all the people, grows the economy, and increases the standard of living. They simply dream of how good it would be if they retained everything they have and get and somehow didn't have to pay for any of it. All the advances of society and technology, the vast bulk of which they had nothing to do with. I am quite sure they use words like socialist and communist and have no idea what either term actually means. They certainly have no idea what the term capitalist actually means now what Adam Smith was trying to achieve.
All they do is whine and hope that someone will give them everything they desire while not giving to others they feel are undeserving. All while deceiving themselves that they are independent individuals supporting themselves outside all that exists and all that has gone before.
Back to the good old days when only white male protestants who own landed estates have any rights or benefits of the wealth society and all the people create.
--- In ibmpensionissues@..., pawnedmyrolex <no_reply@> wrote:
Reminds me of the new Lib movie remake: "Dependence Day"
--- In ibmpensionissues@..., "zimowski@" <zimowski@> wrote:
Those who re-elected Obama now need to eat his dog food.
--- In ibmpensionissues@..., spitzerisnoweiner <no_reply@> wrote:
Soooo glad I never joined a union...
This is a bad re-distribution of wealth for sure.
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Re: Union Fears Destructive Consequences From Obamacare
Reminds me of the new Lib movie remake: "Dependence Day"
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--- In ibmpensionissues@..., "zimowski@..." <zimowski@...> wrote: Those who re-elected Obama now need to eat his dog food.
--- In ibmpensionissues@..., spitzerisnoweiner <no_reply@> wrote:
Soooo glad I never joined a union...
This is a bad re-distribution of wealth for sure.
|
Re: Union Fears Destructive Consequences From Obamacare
I suggest you contact your local person(s) that represent you in DC, rather than wait on any media to help you.
Some saw it coming:
While we await another Detroit bailout:
And, regarding authorship of Obamacare, look at the facts on Liz Fowler via your favorite news search engine.
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--- In ibmpensionissues@..., "Tom" <logan70389@...> wrote: I would like to know where this health care bill actually came from. Obama, Reid, and Pelosi are just puppets in this scam. They are politicians - there is no way they crafted about 20k pages of legislation in a couple months. This health care bill had to be on the shelf already. With the press today - we will probably never know.
|
Re: Union Fears Destructive Consequences From Obamacare
This Health Care Bill....like most pieces of Legislation...was written by the Health Care Industry Lobbyists in Washington. ?Very few bills are Ever written by the Congressmen, themselves....instead they are written by representatives of the Special Interests, and the Politicians just "Sponsor" them. ?As such, you can be sure that hidden in the bowels of this Bill, there are ample provisions to protect those who are getting quite wealthy off the misfortune and illnesses of the general population. ?WE are merely Pawns in the Global Chess Game taking place among the ultra wealthy as they try to "Out Billionaire" each other. ?If you want to Really Know who runs this country, just go to Opensecrets.org, and see where these politicians get their campaign money....then go to VoteSmart.org, and study their
voting record. ?It quickly becomes apparent as to who the Masters really are. ?We truly have the best government that Big Money can buy. ?
toggle quoted message
Show quoted text
From: Tom To: ibmpensionissues@... Sent: Monday, July 22, 2013 8:27 AM Subject: [ibmpensionissues] Re: Union Fears Destructive Consequences From Obamacare
?
I would like to know where this health care bill actually came from. Obama, Reid, and Pelosi are just puppets in this scam. They are politicians - there is no way they crafted about 20k pages of legislation in a couple months. This health care bill had to be on the shelf already. With the press today - we will probably never know.
--- In ibmpensionissues@..., "Kevin W" wrote:
>
> Many of us pointed out the potential pitfalls of this path several years ago. We were shouted down as haters, fear mongers even called racist simply because we didn't believe in the hype of the program.
> Those supporting the program didn't bat an eye when they were told "we must pass this bill so we can see what is in it." All they saw were the vapor promises.
>
> --- In ibmpensionissues@..., spitzerisnoweiner wrote:
> >
> >
> >
> > Soooo glad I never joined a union...
> >
> > This is a bad re-distribution of wealth for sure.
> >
>
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Re: Union Fears Destructive Consequences From Obamacare
I would like to know where this health care bill actually came from. Obama, Reid, and Pelosi are just puppets in this scam. They are politicians - there is no way they crafted about 20k pages of legislation in a couple months. This health care bill had to be on the shelf already. With the press today - we will probably never know.
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Show quoted text
--- In ibmpensionissues@..., "Kevin W" <nowwicked@...> wrote: Many of us pointed out the potential pitfalls of this path several years ago. We were shouted down as haters, fear mongers even called racist simply because we didn't believe in the hype of the program. Those supporting the program didn't bat an eye when they were told "we must pass this bill so we can see what is in it." All they saw were the vapor promises.
--- In ibmpensionissues@..., spitzerisnoweiner <no_reply@> wrote:
Soooo glad I never joined a union...
This is a bad re-distribution of wealth for sure.
|
Re: Union Fears Destructive Consequences From Obamacare
Many of us pointed out the potential pitfalls of this path several years ago. We were shouted down as haters, fear mongers even called racist simply because we didn't believe in the hype of the program. Those supporting the program didn't bat an eye when they were told "we must pass this bill so we can see what is in it." All they saw were the vapor promises.
toggle quoted message
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--- In ibmpensionissues@..., spitzerisnoweiner <no_reply@...> wrote:
Soooo glad I never joined a union...
This is a bad re-distribution of wealth for sure.
|
Re: Union Fears Destructive Consequences From Obamacare
more upset folks (with shingles):
The United Union of Roofers, Waterproofers and Allied Workers is reportedly the first union to officially call for repeal of the Affordable Care Act, aka Obamacare. The health care law is prompting some serious buyer's remorse in Big Labor, which worked hard on behalf of the administration to pass it...
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--- In ibmpensionissues@..., "zimowski@..." <zimowski@...> wrote: I think it's becoming increasingly clear that ACA is NOT the answer. Obama == BS
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