Posts Tagged ‘fines’

Death To America, ObamaCare-Style: ObamaCare Already A Nightmare For Doctors, Soon To Be A Nightmare For Poor, Sick Patients

April 4, 2015

Remember how Barack Hussein Obama said over and over and over again that if you like your doctor, his ObamaCare would allow you to keep your doctor, and if you like your health plan, his ObamaCare would allow you to keep your health plan?

He lied.  And in the minimum of 37 times he lied on that issue alone, Barack Obama became the most documented liar in all of human history as he looked more than 300 million Americans in the eye and lied like the hell that he is again and again and again.  It was “the lie of the year,” and you’ve got to be a world-class demon-possessed liar to emerge out of all the lies that we are told in this country today.

But that was hardly this demon-possessed liar’s only lie about ObamaCare.  Obama promised his ObamaCare would help doctors, that it would help poor, sick patients, that it would bend the cost curve for healthcare down.

All lies.

Here’s an article from Saturday’s USA Today that exposes these lies (it appeared in my print edition under the title, “Maddened by metrics”):

Quality payment incentives: What’s the point?
Jordan Rau, Kaiser Health News 6 a.m. EDT April 4, 2015

Dr. Michael Kitchell initially welcomed the federal government’s new quality incentives for doctors. His medical group in Iowa has always scored better than most in the quality reports that Medicare has provided doctors in recent years, he said.

But when the government launched a new payment system that will soon apply to all physicians who accept Medicare, Kitchell’s McFarland Clinic in Ames didn’t win a bonus. In fact, there are few winners: Out of 1,010 large physician groups that the government evaluated, just 14 are getting payment increases this year, according to Medicare. Losers also are scarce. Only 11 groups will be getting reductions for low quality or high spending.

“We performed well, but not enough for the bonus,” said Kitchell, a neurologist. “My sense of disappointment here is really significant. Why even bother?”

Within three years, the Obama administration wants quality of care to be considered in allocating $9 of every $10 Medicare pays directly to providers to treat the elderly and disabled. One part of that effort is well underway: revising hospital payments based on excess readmissions, patient satisfaction and other quality measures. Expanding this approach to physicians is touchier, as many are suspicious of the government judging them and reluctant to share performance metrics that Medicare requests.

“Without having any indication that this is improving patient care, they just keep piling on additional requirements,” said Mark Donnell, an anesthesiologist in Silver City, N.M. Donnell said he only reports a third of the quality measures he is expected to. “So much of what’s done in medicine is only done to meet the requirements,” he said.

The new financial incentive for doctors, called a physician value-based payment modifier, allows the federal government to boost or lower the amount it reimburses doctors based on how they score on quality measures and how much their patients cost Medicare. How doctors rate this year will determine payments for more than 900,000 physicians by 2017.

Medicare is easing doctors into the program, applying it this year only to medical groups with at least 100 health professionals, including doctors, nurses, speech-language pathologists and occupational therapists. Next year, the program expands Medicare to groups of 10 or more health professionals. In 2017, all remaining doctors who take Medicare — along with about 360,000 other health professionals — will be included. By early in the next decade, 9% of the payments Medicare makes to doctors and other professionals would be at risk under a bill that the House of Representatives passed in March.

The quality metrics used to judge doctors vary by specialty. One test looks at how consistently doctors keep an accurate list of all the drugs patients were taking. Others track the rate of complications after cataract surgery, say, or whether patients received recommended treatments for particular cancers.

There are more than 250 quality measures. Groups and doctors must report a selection — generally nine, which they choose — or else be automatically penalized. This year, 319 large medical groups are having their reimbursements reduced by 1% because they did not meet Medicare’s reporting standards.

Physicians who do report their quality data fear the measures are sometimes misguided, usually a hassle, and may encourage doctors to avoid poorer and sicker patients, who tend to have more trouble controlling asthma or staying on antidepressants, for instance.

Leanne Chrisman-Khawam, a primary care doctor in Cleveland, said many of her patients have difficulty just getting to follow-up appointments, since they must take two or three buses. She said those battling obesity or diabetes are less likely to reform their diets to emphasize fresh foods, which are expensive and less available in poor neighborhoods. “You’re going to link that physician’s payment to that life?” she asked.

Hamilton Lempert, an emergency room doctor in Cincinnati, criticized one measure that requires him to track how often he follows up with patients with high blood pressure.

“Most everyone’s blood pressure is elevated in the emergency department because they’re anxious,” Lempert said. Another metric encourages testing the heart’s electrical impulses in patients with non-traumatic chest pain, which Lempert said has led emergency rooms to give priority to these cases over more serious ones.

“It’s just very frustrating, the things we have to do to jump through the hoops,” he said.

In the first year doctors are affected by the program, they can choose to forgo bonuses or penalties based on their performances. After that, the program is mandatory. This year, 564 groups opted out, but even if all of them had been included, only 3% would have gotten increases and 38% would have seen lower payments, mostly for not satisfactorily reporting quality measures, Medicare data show.

Smaller groups and solo practitioners are even less likely to report quality to the government. “The participation rates, even though it’s mandated, are just really low,” said Dr. Alyna Chien, an assistant professor at Harvard Medical School. It’s “a level of analytics that just is not typically built into a doctor’s office.”

Dr. Lisa Bielamowicz, chief medical officer of The Advisory Board, a consulting group, predicted more doctors will start reporting their quality scores when the prospect of fines is greater. “They are not going to motivate until it is absolutely necessary,” she said. “If you look at these small practices, a lot of them just run on a shoestring.”

This year’s assessments of big groups were based on patients seen in 2013. A total of $11 million of the $1.2 billion Medicare pays doctors is being given out as bonuses, which translates to a 5% payment increase for those 14 groups getting payment increases this year. That money came from low performers and those that did not report quality measures to Medicare’s satisfaction; they are losing up to 1%.

The exact amount any of these groups lose will depend on the number and nature of the services they provide over the year. This year, 268 medical groups were exempted because at least one of their doctors was participating in one of the government’s experiments in providing care differently.

Officials at the Centers for Medicare & Medicaid Services declined to be interviewed about the program, but said in a prepared statement that they have been providing all doctors with reports showing their quality and costs. “We hope that this information will provide meaningful and actionable information to physicians so that they may improve the coordination and integration of the health care provided to beneficiaries,” the statement said.

Kaiser Health News is an editorially independent program of the Kaiser Family Foundation.

How the hell do you think fining doctors – who are already operating on a shoestring – for not doing something that massively increases their costs because making those reports is very obviously not something they are equipped to do, is going to lower the cost of healthcare?  Are you really that stupid that you believe it will???

Doctors are frustrated and getting more and more frustrated.  We’ve already seen them retiring at the highest rate since Hippocrates was working on his oath millennia ago.  It’s been going on since the damn evil law passed and it’s going to pick up speed.  We’re seeing fewer and fewer doctors left to service larger and larger networks of patients.  Now they are increasingly dropping out of ObamaCare and its reporting requirements as fast as they can.  How in the hell is that supposed to improve patient care?  Are you really that stupid that you believe it will???

You’ve got to love this prophetic title from CBS News that heralds future doom:

Obamacare 2015: Higher costs, higher penalties

With the Affordable Care Act to start enrollment for its second year on Nov. 15, some unpleasant surprises may be in store for some.

That’s because a number of low-priced Obamacare plans will raise their rates in 2015, making those options less affordable. On top of that, penalties for failing to secure a health-insurance plan will rise steeply next year, which could take a big bite out of some families’ pocketbooks.

“The penalty is meant to incentivize people to get coverage,” said senior analyst Laura Adams of InsuranceQuotes.com. “This year, I think a lot of people are going to be in for a shock.”

Oops.  Sorry, poor people.  It sort of looks like Obama and his demonic minions didn’t actually give a DAMN about you, after all.

But the real lie – the lie that makes “Democrat” truly stand for “DEMOn-possessed bureauCRAT” – is the one about helping the poor and the sick get better access to medical care.  Let me replay the lines from the article:

Physicians who do report their quality data fear the measures are sometimes misguided, usually a hassle, and may encourage doctors to avoid poorer and sicker patients, who tend to have more trouble controlling asthma or staying on antidepressants, for instance.

Leanne Chrisman-Khawam, a primary care doctor in Cleveland, said many of her patients have difficulty just getting to follow-up appointments, since they must take two or three buses. She said those battling obesity or diabetes are less likely to reform their diets to emphasize fresh foods, which are expensive and less available in poor neighborhoods. “You’re going to link that physician’s payment to that life?” she asked.

Barack Obama – in his wickedness – has designed a system that pits doctors against the poorest, sickest patients.  The doctor can treat them, sure, but only if he or she is willing to pay severely for it and be punished for it by an evil system that promised to do the very opposite of what it is in fact doing.

Barack Obama looks down on that doctor from his satanic Mt. Olympus and he sees a doctor whose stats aren’t up to muster because that doctor is treating sick patients who will tend to get sicker even with the very best of care.  And Obama decrees, “That doctor must be punished!”  And the fines and the penalties start kicking in.  Better to just leave that poor, sick patient on the side of the road, modern-day Good Samaritan physician.  Because Obama will come after you with all the power of totalitarian government arbitrariness if you try to help that patient.

Here’s another demonic DEMOnic bureauCRAT lie for you: Obama promised fewer people would use emergency rooms; when the very OPPOSITE is happening BECAUSE OF HIS DEMONIC LAW as USA TODAY documents:

More patients flocking to ERs under Obamacare

LOUISVILLE, Ky. — It wasn’t supposed to work this way, but since the Affordable Care Act took effect in January, Norton Hospital has seen its packed emergency room become even more crowded, with about 100 more patients a month.

That 12 percent spike in the number of patients — many of whom aren’t actually facing true emergencies — is spurring the Louisville hospital to convert a waiting room into more exam rooms.

“We’re seeing patients who probably should be seen at our (immediate-care centers),” said Lewis Perkins, the hospital’s vice president of patient care and chief nursing officer. “And we’re seeing this across the system.”

That’s just the opposite of what many people expected under Obamacare, particularly because one of the goals of health reform was to reduce pressure on emergency rooms by expanding Medicaid and giving poor people better access to primary care.

Instead, many hospitals in Kentucky and across the nation are seeing a surge of those newly insured Medicaid patients walking into emergency rooms.

Nationally, nearly half of ER doctors responding to a recent poll by the American College of Emergency Physicians said they’ve seen more visits since Jan. 1, and nearly nine in 10 expect those visits to rise in the next three years. Mike Rust, president of the Kentucky Hospital Association, said members statewide describe the same trend.

Experts cite many reasons: A long-standing shortage of primary-care doctors leaves too few to handle all the newly insured patients. Some doctors won’t accept Medicaid. And poor people often can’t take time from work when most primary care offices are open, while ERs operate round-the-clock and by law must at least stabilize patients. […]

The same “experts” who didn’t see what we conservatives were predicting EVER SINCE THIS DEMONIC LAW THREATENED AMERICA TO BEGIN WITH are refusing the see the REAL cause: the law was based entirely on lies because the Democrats who shoved this evil monstrosity down our collectivist throats are demon-possessed liars.

Not one month ago, I wrote up my own experience with the Veterans Administration as to how this very arbitrary bureaucratic mindset is just taking over the entire system.  Within the span of one week, I suffered that arbitrariness of penalizing decent people because of the behavior of others TWICE.  First, I was contacted and ORDERED to take a urine test.  Why?  I wanted to know; I’d just taken one and that test had nothing to do with my healthcare.  Rather, it had been a drug test because I’m on oxycodone for the pain created by my service-connected medical condition.

Well, less than three months after the last test – which proved I was completely clean of anything but what I was supposed to be taking – I was being commanded to take it again.  And apparently under Obama I will have to be treated like a drug criminal at least four times a year from now on.

Why?  Because other veterans somewhere else are abusing their prescription drugs.  So the obvious thing to do – as obvious as it is to treat a 103-year-old Catholic nun in a walker like a young Middle Eastern terrorist male – is to treat EVERYONE like a criminal or an addict.

I have been receiving physical therapy for a major shoulder surgery.  I was given a month-and-a-half worth of appointments and I kept every single one of them.  In fact, I have NEVER missed an appointment with the VA.  But because somebody somewhere had missed appointments, the “system” decided to treat EVERYONE like a no-shower.

So I know firsthand exactly what these doctors are saying: it doesn’t matter if I do right or not; the system will punish me anyway.  And it will do so by protecting the very worst people (who of course vote Democrat, don’t they?) by redistributing the pain for the cost of their godawful behavior onto everyone else.  That’s what the welfare system is based on, baby: “Oh, you don’t have a job because you refuse to get off your fat, pimply ass and look for one and it’s easier to pump out ten kids and collect increased payments for each one?  Don’t worry, dearie, here’s the money somebody else earned by working his butt off.  Please don’t forget to vote for Messiah Obama unless you want mean Republicans to force you to produce something with your life besides flatulence!”

I’ve talked to several veterans who are as livid as I am.  And they are saying they’re just going to start buying the marijuana that the same damn DEMOnic bureauCRATS who are forcing them to take the piss tests for drugs are opening up for everybody else so they can be happier welfare recipients.  And why bother busting your ass to show up for appointments when you’re going to be treated like dirt whether you show up or not???

And so they are producing the very opposite thing to what they are stupidly claiming they are producing.

What Obama is producing is the same thing the ayatollahs Obama is appeasing and negotiating with are calling for: “Death to America!”

The fact of the matter is that ObamaCare was sold and marketed entirely on the basis of lies.  That is just a documented fact.

But the even sadder fact of the matter is that unless the Supreme Court finally steps in and does the right thing and overturns this fascist takeover of the American healthcare system, ObamaCare will destroy America because nothing will be able to prevent it from doing so.  It was crafted as a metastasizing cancer that will keep becoming larger and making the patient America sicker until that patient collapses and dies.

 

The Terrible Disaster Of ObamaCare Is Now Beginning To Be Realized

October 16, 2010

On top of the disgrace that has already been done to the Constitution, we now see certain companies and unions getting a pass.   Certain groups are getting a pass, but the government health care bill relies on those who don’t want it and don’t need it being forced to pay for it.  On top of the 30 who have already received waiver deals (with McDonalds being the primary example), more than a hundred companies and unions (totaling 144 thus far) are petitioning to be opted-out of something that we were promised would be wonderful for them.

The American people now now that they have been led by the nose and duped by lies.

From Rasmussen, October 12:

Nearly three-out-of-four voters (73%) believe it is at least somewhat likely that the new health care law will cause some companies to drop health insurance coverage for their employees, including 47% who say it is Very Likely. A new Rasmussen Reports national telephone survey of Likely U.S. Voters finds that just 19% think that’s unlikely.

While 84% of Mainstream voters it is at least somewhat likely that some companies will drop health insurance coverage for their employees, most Political Class voters (52%) say that is not likely to occur (see more on the Political Class-Mainstream divide).

To address the reality of some companies threatening to drop coverage, the Obama administration announced last week that 30 companies and organizations – including McDonalds and the union for New York City teachers – have been granted one-year waivers from certain requirements of the new national health care law.

But voters don’t think such waivers are the way to go. Only 21% believe it is better for the government to grant business exemptions to the health care law on a case-by-case basis. Sixty-four percent (64%) disagree and say the better course is for the law to be revised so that it can apply to all businesses.

If ObamaCare forcing people to purchase insurance from private insurance companies that the government designates wasn’t already unconstitutional enough, now we’ve got the government saying that some don’t have to follow the unconstitutional law, while saying others do have to follow the unconstitutional law.  Hey, Obama, can some of us get waivers from laws against murder and rape, too?

But ObamaCare isn’t just unconstitutional; it is also a massively expensive  boondoggle.  We’ve already seen 9% premium increases related to ObamaCare just for next year.  We’ve seen dozens of multi-billion dollar write downs from many companies from Verizon to Caterpillar.  We’ve discovered that small businesses will be forced to follow a rule to file 1099s on any expenses over $600 (the 1099 requirement on expenses for businesses).  And that is just one example out of many how ObamaCare is going to put businesses out of business.

Unions and businesses now basically agree: ObamaCare represents the future destruction of both medicine and business.  It is massively expensive.  It will ultimately bankrupt whoever it touches.

That’s right; even the UNIONS who supported this vile monstrosity are now pleading to be exempted from it.  Almost 400,000 teachers from the United Federation of teachers – one of the biggest supporters of ObamaCare who gave a lot of money to help lobby FOR the bill – are now trying to avoid being under it.

The support this bill had is now totally gone.  Incredibly, not only are NO Democrats touting their votes for ObamaCare, but many Democrats are running ads saying they voted AGAINST it.  That’s how damn evil this law Democrats passed is.  But the Obama regime and the Democrat Party leadership continue to try to shove it down our throats.

And as bad as it is, most Americans haven’t begun their share of the suffering that ObamaCare will bring, yet.  Barack Obama looked at the American people and lied without conscience or shame.  He said that the health care mandates would not be a tax.  But now the administration is saying that, yes, the mandates will amount to trillions of dollars in new taxes shoved down the throats of the American people.

A lot of people will be shocked to find out that they were so profoundly lied to.  And then they will be outraged as 16,500 new IRS agents start coming after them with stiff fines for failing to comply with the boondoggle law.
This is just the tip of the iceberg.  As in the iceberg that sunk the Titanic.  Democrats lied to us when they said that ObamaCare would reduce costs.  They lied to us when they said it would bend the curve.  They lied to us when they said you could keep your doctor, or your plan.  They lied to us when they said it would be good for jobs and the economy.  The fact is that ObamaCare will ultimately cause the United States to implode if it is fully enacted.  It will be the anvil that broke the camel’s back.

Unless we elect enough Republicans to repeal a terrible law that they always said would hurt the American people.

ObamaCare Increases Health Cost By $311 Billion While Threatening Access To Care

April 23, 2010

Just in case you didn’t catch it, it’s official: ObamaCare was packaged and sold entirely based on lies.

CMS Study Shows Health Care Law Increases Costs–$311 Billion in 10 Years
By Tom White, on April 23rd, 2010, at 11:43 am

US Senate Morning Briefing

Last night, the chief actuary at the Centers for Medicare & Medicaid Services (CMS) released his long-awaited report on the Democrats’ health care spending bill. The report states, “[W]e estimate that overall national health expenditures under the health reform act would increase by a total of $311 billion during calendar years 2010-2019. . . .” This was an assessment that was requested by Senate Republican Leader Mitch McConnell prior to the final votes on health care in the House, but CMS told Republicans that they couldn’t complete an analysis in time for the vote. Given the report’s findings, it’s easy to see why Democrats decided to rush ahead with a vote before the report could be completed.Reporting on the CMS analysis last night, the AP wrote, “President Barack Obama’s health care overhaul law will increase the nation’s health care tab instead of bringing costs down, government economic forecasters concluded Thursday in a sobering assessment of the sweeping legislation. A report by economic experts at the Health and Human Services Department said the health care remake will achieve Obama’s aim of expanding health insurance — adding 34 million Americans to the coverage rolls. But the analysis also found that the law falls short of the president’s twin goal of controlling runaway costs. It also warned that Medicare cuts may be unrealistic and unsustainable, driving about 15 percent of hospitals into the red and ‘possibly jeopardizing access’ to care for seniors.”

But in the run-up to the vote, indeed throughout the year-long debate on health care, Democrats and President Obama repeatedly insisted that their unpopular legislation would control costs and save the government money. In December, President Obama announced, “We agree on reforms that will finally reduce the costs of health care. Families will save on their premiums. Businesses that will see their costs rise if we do nothing will save money now and in the future.” Sen. Max Baucus (D-MT) insisted at the beginning of debate in the Senate, “The Republican Leader just a few moments ago says that this bill raises costs. With all due respect to my good friend from Kentucky, that statement is false.” And Democrats repeatedly cited a CBO report saying that if all the Medicare cuts are implemented, the bill could save $130 billion over the next decade. This was pointed to by everyone from Health and Human Services Secretary Kathleen Sebelius to rank-and-file House Democrats like Ohio Rep. John Boccieri.

But as the AP story explains, “The [CMS] report acknowledged that some of the cost-control measures in the bill — Medicare cuts, a tax on high-cost insurance and a commission to seek ongoing Medicare savings — could help reduce the rate of cost increases beyond 2020. But it held out little hope for progress in the first decade. ‘During 2010-2019, however, these effects would be outweighed by the increased costs associated with the expansions of health insurance coverage,’ wrote Richard S. Foster, Medicare’s chief actuary. ‘Also, the longer-term viability of the Medicare … reductions is doubtful.’”

As Sen. McConnell said when President Obama signed the health care bill, “Most Americans out there aren’t celebrating today. . . . People oppose this bill not because they don’t know what’s in it, but because they know exactly what’s in it. . . . They know you don’t have to slash Medicare by half a trillion dollars to get lower premiums. . . . People know you won’t save money on health care by spending another $2.6 trillion on health care. . . . They know you don’t reduce the deficit by creating a massive new government program that even Democrats have described as a Ponzi scheme. They know you can go a long ways towards doing all these things without creating a brand new entitlement at a time when we can’t even cover the cost of the entitlements we have.”

Once again, studies by neutral observers have shown that Democrats’ claims about their health care bill just do not match reality. This was a flawed bill rushed through because Democrats wanted to “make history.” But Americans know better. At a time of record deficits and debt, this irresponsible health spending bill should be repealed and replaced with legislation that actually addresses health care costs.

All one has to do is look at Obama’s plunging polls in the aftermath of the passage of ObamaCare to verify that the American people did not want and do not want this “boondogglization” of the American health care system.  Polls across the board show Obama’s approval plunging dramatically since health care “reform” was shoved down the nation’s throat: Quinnipiac has Obama’s approval at a lowest-ever-measured 44% – with a majority disapproving of him; top-pollster Rasmussen has Obama at only 47% – with a whopping 52% disapproving of him; and the RCP average has Obama WELL below a 50% approval.  Barack Obama is no longer in any way speaking for or representing the American people.

It turns out this is the same guy who is on tape at least eight times saying all the health care negotiations would all be on C-SPAN – and then he went to closed-door meeting after closed door meeting that resulted in a health care bill that NOBODY knows anything about.  It turns out that this is the same guy who promised he would unite the country in a bipartisan manner – and instead broke that promise and became the most polarizing and divisive president in history.   This is the same guy who said he would NEVER allow health care to pass by the awful partisan reconciliation tactic – and then he did exactly what he promised he wouldn’t do.  This is the guy who repeatedly promised that he wouldn’t tax anyone making less than $250,000 a year – and now everyone knows he’ll break that central, fundamental promise.  This is the same guy who demonized Republican Senate Minority Leader Mitch McConnell for doing what his own chief of staff had just done only the day before.

I can go on.  For example, I can talk about how his administration promised up and down that the $787 billion (subsequently massively upwardly revised to $862 billion) stimulus – which will actually cost $3.27 TRILLION – would keep unemployment under 8%.  Obama sold a massive lie to sell a massive porkulus.  And now we’re paying for a fat pile of lies.

Now we find out that this fundamental liar told yet another massive, fundamental lie.

Now we find out that Barack Obama personally and repeatedly lied to the American people about the cost of his precious boondoggle ObamaCare:

“I pledged that I will not sign health insurance reform — as badly as I think it’s necessary, I won’t sign it if that reform adds even one dime to our deficit over the next decade — and I mean what I say.”

You loathsome, vile LIAR.

You said whatever you thought you needed to say to get the American people to jump into bed with you.  Then you raped them.  And then moved on to the next lie and rape.  And the next lie and rape after that.

Now, you think this is terrible news about the terrible ObamaCare power-grab?  You aint seen NOTHING yet.  Have a gander at this:

Not one of its major programs has gotten started, and already the wheels are starting to come off of Obamacare. The administration’s own actuary reported on Thursday that millions of people could lose their health insurance, that health-care costs will rise faster than they would have if the law hadn’t passed, and that the overhaul will mean that people will have a harder and harder time finding physicians to see them.

The White House is trying to spin the new report from Medicare’s chief actuary Richard Foster as only half bad because it concludes that, while costs will increase, only 23 million people will remain uninsured (instead of 24 million previously estimated).

But looking at the details of Foster’s report shows the many, many danger signs for Obamacare and how many of its promises will be broken:

1. People losing coverage: About 14 million people will lose their employer coverage by 2019, as smaller employers terminate their plans and workers who currently have employer coverage enroll in Medicaid. Half of all seniors on Medicare Advantage could lose their coverage and the extra benefits the plans offer.

2. Huge fines for companies: Businesses will pay $87 billion in penalties in the first five years after the fines trigger in 2014, partly because they can’t afford to offer expensive, government-mandated coverage and partly because some of their employees will apply for taxpayer-subsidized insurance.

3. Higher costs for consumers: Tens of billions of dollars in new fees and excise taxes will be “passed through to health consumers in the form of higher drug and devices prices and higher premiums,” according to Foster. A separate report shows small businesses will be hit hardest.

4. A program created to fail: The new “CLASS Act” long-term-care insurance program will face “a significant risk of failure,” according to Foster. Indeed, he finds, “there is a very serious risk that the problem of adverse selection will make the CLASS program unsustainable.”

5. Spending increases: Under the new law, national health spending will increase by $311 billion over the coming decade. And instead of bending the federal spending curve down, it will move it upward “by a net total of $251 billion” over the next decade.

6. “Free-riders”: An estimated 23 million people will remain uninsured in 2019, roughly 5 million of whom would be undocumented aliens; the remainder would be the 18 million who decline to get coverage and who will pay the penalty.

7. Spending reductions are fiction
: Estimated reductions in the growth rate of health spending “may not be fully achievable” because “Medicare productivity adjustments could become unsustainable even within the next ten years, and over time the reductions in the scope of employer-sponsored health insurance could also become an issue.”

8. You can’t keep your doctor
: Fifteen percent of all hospitals, nursing homes, and other providers treating Medicare patients could be operating at a loss by 2019, which will “possibly jeopardize access to care for beneficiaries.” Doctors are threatening to drop out of Medicare because cuts in Medicare reimbursement rates mean they can’t even cover their costs.

9. Coverage but no care: A significant portion of those newly eligible for Medicaid will have trouble finding physicians who will see them, and the increased demand for Medicaid services could be difficult to meet.

This is an objective report by administration actuaries that shows this sweeping legislation has serious, serious problems.

And there’s more: Joint Economic Committee Republicans explain in a new report the impact of a rarely mentioned $14.3 billion per year tax on health insurance, effective in 2014. They find this tax will be mostly passed through to consumers in the form of higher premiums for private coverage. It will cost the typical family of four with job-based coverage an additional $1,000 a year in higher premiums and will fall largely, and inequitably, on small businesses and their employees.

States are fighting back. The Florida legislature voted Thursday to place a state constitutional amendment on the ballot that would ban any laws that compel someone to “participate in any health care system.” It requires a 60 percent vote to succeed. The legislation is modeled after the American Legislative Exchange Council’s Freedom of Choice in Health Care Act, which has been introduced or announced in 42 states.

It just makes you want to cry.  Fifteen percent of hospitals are going to close, tens of thousands of doctors will leave medicine, and yet millions of people are going to start swamping the healthcare rolls.  If I wanted to destroy our healthcare system, that’s how I’d do it.

On top of that – something that will crash the system even sooner – is the fact that more and more healthier people will increasingly pay the fines and opt out of ObamaCare, will more and more sick people enter the system.  The result will be a social catastrophe.  Our very worst enemy couldn’t have engineered our downfall better.

Business after business have been and will continue to be writing down billions and billions of dollars in profits to cover the huge costs of ObamaCare.  These are businesses that would have hired workers, only now the skyrocketing costs of paying for ObamaCare for their employees will keep that hiring to an absolute minimum.

Barack Obama proudly and arrogantly said, “You Can Measure America’s Bottom Line By Looking At Caterpillar’s’” – and then he torpedoed Caterpillar’s bottom line.

Unemployment is going to be soaringly high for years – as even the Obama White House acknowledges.  Now you know why.

What’s the result of the Democrats’ idiotic policies?  Ask Treasury Secretary Timothy Geithner, who just told us that sky-high “unemployment is likely to remain unacceptably high for a long time.”

The unemployment rate “is still terribly high and is going to stay unacceptably high for a very long time,” Geithner said.

Of course, if unemployment is going to stay “unacceptably high” for “a very long time,” you’re pretty much accepting it, aren’t you?

Meanwhile, there will be trillions of dollars in additional spending that Obama and the Democrats refused to allow the CBO to count: such as the SIX TRILLION DOLLARS it will cost Americans to buy ObamaCare policies or face fines.

The Titanic wasn’t as big of a disaster as ObamaCare.  If we can’t repeal and replace it, it will bankrupt the country.

“… So We’re Going To Let You Die.” Vote Deathocrat, Vote Death Panels

October 17, 2009

Verum Serum sets up the hypocrisy of the Democrats:

Robert Reich, the former Secretary of Labor under Clinton and more recently an Obama economic adviser, has been all over the media lately shilling for ObamaCare. The public option is no more dangerous than a box of puppies according to this professionally produced video featuring Reich. (I won’t embed it but it’s worth a quick watch.) The real injustice, according to Reich, is that political operatives like us are trying to “confuse and scare” people about change.

So perhaps he can explain for us his comments in the video below. Reich is speaking at a Colloquium on Political Science at UC Berkeley on Sept. 26, 2007. No other set-up is necessary – watch:

Listen to the words of Robert Reich:

[Youtube link]

Here’s a transcript of the most relevant remarks of Robert “Third” Reich:

I’ll actually give you a speech made up entirely, almost on the spur of the moment, of what a candidate for president would say if that candidate did not care about becoming president. In other words, this is what the truth is and a candidate will never say, but what a candidate should say if we were in the kind of democracy where citizens were honored in terms of their practice of citizenship and they were educated in terms of what the issues were and they could separate myth from reality in terms of what candidates would tell them:

“Thank you so much for coming this afternoon. I’m so glad to see you and I would like to be president. Let me tell you a few things on health care. Look, we have the only health care system in the world that is designed to avoid sick people. And that’s true and what I’m going to do is that I am going try to reorganize it to be more amenable to treating sick people but that means you,  particularly you young people, particularly you young healthy people…you’re going to have to pay more.

“Thank you.  And by the way, we’re going to have to, if you’re very old, we’re not going to give you all that technology and all those drugs for the last couple of years of your life to keep you maybe going for another couple of months. It’s too expensive…so we’re going to let you die.”

Pay more, old people die.  Check, and check.  Sounds like exactly what any big government fascist would want.

“Third” Reich isn’t the only one pointing out this actually quite obvious central tenet of the Democrats’ health plan.  Obama has appointed at least two other “experts” to advise him on medical issues.  Here’s White House Chief of Staff Rahm Emanuel’s brother, Ezekiel Emanuel, whom Obama appointed as OMB health policy adviser in addition to being picked to serve on the Federal Council on Comparative Effectiveness Research:

“When implemented, the Complete Lives system produces a priority curve on which individuals aged between roughly 15 and 40 years get the most substantial chance, whereas the youngest and oldest people get chances that are attenuatedThe Complete Lives system justifies preference to younger people because of priority to the worst-off rather than instrumental value.”

“Attenuated” means, “to make thin; to weaken or reduce in force, intensity, effect, quantity, or value.”  Attenuated care would be reduced or lessened care.  Dare I say it, in this context it clearly means, “rationed care.”

Dr. Ezekiel Emanuel included a chart with his work (available here), which shows how he wants to allocate medical resources under a government plan:

When you’re very young, or when you start reaching your 50s and 60s, you start receiving less and less priority.

Then there’s Cass Sunstein, Barack Obama’s Regulatory Czar, who wrote in the Columbia Law Review in January 2004:

“I urge that the government should indeed focus on life-years rather than lives. A program that saves young people produces more welfare than one that saves old people.”

Barack Obama’s Regulatory Czar explains:

“If a program would prevent fifty deaths of people who are twenty, should it be treated the same way as a program that would prevent fifty deaths of people who are seventy? Other things being equal, a program that protects young people seems far better than one that protects old people, because it delivers greater benefits.”

There’s a great deal more about Obama’s own advisers’ plans here.

Which very much jives with what Obama himself told a woman concerning her mother:

“At least we can let doctors know — and your mom know — that you know what, maybe this isn’t going to help. Maybe you’re better off, uhh, not having the surgery, but, uhh, taking the painkiller.”

We can sum it up quite nicely with the words of Obama’s former senior economic adviser: “So we’re going to let you die.”

Sarah Palin just cut right to the chase back when she wrote:

The Democrats promise that a government health care system will reduce the cost of health care, but as the economist Thomas Sowell has pointed out, government health care will not reduce the cost; it will simply refuse to pay the cost. And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s “death panel” so his bureaucrats can decide, based on a subjective judgment of their “level of productivity in society,” whether they are worthy of health care. Such a system is downright evil.

And for all the hell that the servants of hell have unleashed on her for her comment, she was 100% correct.

The entire plan is evil:

Health-Care_Democrats-plan-Charted

And, yeah, there really are things that can very legitimately be called “death panels.”  Take “The Death Book for Veterans” – which George Bush banned and Barack Obama demanded be reinstated – that required veterans to consider life and death from a bleak perspective and consider euthanasia to avoid being a burden.  My article on that discovered some dishonest federal government shenanigans when that story was exposed as the VA sought to cover up the role of the Hemlock Society.

We’re seeing the genesis of a genuine holocaust beginning to emerge.  The Democrats’ plan will force health insurers to cover everyone regardless of whether they have a pre-existing condition, regardless of whether they honestly represented themselves when they obtained their insurance, and regardless of whether they can even pay for their coverage.  And the system the Democrats are creating completely depends on young, healthy people who have historically not bought medical coverage.  You can’t add massively to the costs of providing care if you don’t have at least an equally massive inflow of dollars coming in.  If young people who have never bought medical coverage before don’t buy coverage in huge numbers, we will very quickly face critical shortages, and massive rationing of care – particularly to the elderly who have less value under the Democrats’ plan – will ensue.

And I don’t mean just pay the “individual mandate” fines – which have been watered down significantly to make the Democrats’ plan more palatable – because they don’t create enough revenue.  I mean if they don’t purchase health care in huge numbers, we will see serious shortages, rationing, and death by medical neglect.

Harry Reid made a staggering admission while trying to prevent Democrat-special-interest anathema tort reform.  He said:

HARRY REID: “He talked about CBO saying that there would be $54 billion saved each year if we put caps on medical malpractice and put some restrictions — tort reform — $54 billion. Sounds like a lot of money, doesnt it, Mr. President? The answer is yes. But remember, were talking about $2 trillion, $54 billion compared to $2 trillion. You can do the math. We can all do the math. Its a very small percent.”

[Youtube]

The Democrats’ health plan will be FAR more costly than any estimates yet offered.  The government ALWAYS underestimates its cost for its programs.  Medicare cost nine times more than was estimated, for example.

And let me point out that figures such as Robert Reich, Ezekiel Emanuel, and Cass Sunstein are proponents of the Democrats’ system and believe it will go well – AND THEY ARE STILL TELLING US THAT A CENTRAL PART OF THE SYSTEM WILL BE TO ALLOW ELDERLY PEOPLE TO DIE.

Democrat Rep. Alan Grayson “warned” Americans that “Republicans want you to die quickly” during a floor speech in the House of Representatives.  But he is a liar.  It is not Republicans who are literally out talking about letting people die, but Democrats.

Please come to your senses and start denouncing the Deathocrats’ Death Panel bill.


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