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UK ObamaCare--HAha

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bowery4 Veteran

bowery4

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We drafted Obama? Or Obamacare is the new team health plan? I don't get this. BTW Pondslider you dropped your bowl of brain, might be better to eat at a table, when watching the draft.

Edited by bowery4
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OCinBuffalo All Pro

OCinBuffalo

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In.....

 

 

before moved to PPP.

 

What a shocker: the solution the Brits arrived at? More GP "trainees". More supply. In fact, specifically create more supply to stay ahead of "population growth".

 

What does Obamacare do however? Drive doctors, especially GPs, out of the business, provide 0 support for educating new doctors, and make it such that very few existing doctors can make their private practice work based on Obamacare-level reimbursement. (So, they are selling their practices to big providers. However, the big providers are going to find out the hard way that they can't make it work either, especially when the Feds pull the support for Medicaid...in 2 years.) In fact, it is quite literally designed to operate this way.

 

Obamacare supporters can talk all they want. When they get done? The above will remain: fact.

 

This was never about opinion/politics for those of us with the intelligence/education/experience/knowledge to understand Obamacare. This has always been about us knowing that the thing won't work, because it was designed either by children, or, via a childish mentality hell bent on "punishing"...while having 0 understanding of how health care, health insurance, big systems, IT, BPM, business, and basic economcis: works.

 

It's as I've said from 2009-present: this is about bad system design, largely because this system was designed by people who don't know how to do big system design, and even less how to manage it's execution.

 

It's as I've said: Obamacare is Cargo Cult Health Insurance.

 

Instead of real airplanes delivering real care. We have fake airplanes, designed by people who have seen the real ones, but have no idea how they work. Instead of knowing where quality care comes from, and how to deliver it, we have people who have simply made something up, and called it quality assurance, while having either been completely unaware of, or ingorning, the tenets of what makes a QA system function and produce proper results. They have completely confused QA with Cost Accounting/Reduction, because they don't understand either, or how to implement either. :wallbash: This is just one of many examples: Obamacare doesn't deliver real cargo.

 

It delivers something nobody cared about or wanted: more control of health care by government minus any tangible improvement.

Edited by OCinBuffalo
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Garion Rookie

Garion

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For what it's worth I am a "GP" (internist) and the health care reform bill includes significant increases to payments to primary care providers from Medicaid and Medicare as part of the law. That's a major financial support for those of us taking those insurances. The reason that many of us don't is because the pay scales are much worse with those insurances than those with other insurances.

 

The incentives for quality and IT use in healthcare were originally actually part of laws signed during the bush administration. This was expanded during the Obama administration.

 

For what it's worth here the first article on mortality rates post Massachusetts health care reform "Romneycare" that was the basis for the ACA "Obamacare"

http://annals.org/article.aspx?articleid=1867050

 

I don't think the ACA is remotely close to perfect, but the problem is most of us fail to realize what a mess health care in the US is and remains under our health care system (and by that I mean purely from the insured's standpoint)

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OCinBuffalo All Pro

OCinBuffalo

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For what it's worth I am a "GP" (internist) and the health care reform bill includes significant increases to payments to primary care providers from Medicaid and Medicare as part of the law. That's a major financial support for those of us taking those insurances. The reason that many of us don't is because the pay scales are much worse with those insurances than those with other insurances.

 

The incentives for quality and IT use in healthcare were originally actually part of laws signed during the bush administration. This was expanded during the Obama administration.

 

For what it's worth here the first article on mortality rates post Massachusetts health care reform "Romneycare" that was the basis for the ACA "Obamacare"

http://annals.org/ar...ticleid=1867050

 

I don't think the ACA is remotely close to perfect, but the problem is most of us fail to realize what a mess health care in the US is and remains under our health care system (and by that I mean purely from the insured's standpoint)

And what happens when those financial supports are removed, as, they will be, specifically when the progam-specific Fed funding for Medicaid(not Medicare, at least not in the way you've presented it = the same as Medicaid) is removed, as per the design of this thing?

 

Somebody will have to make up the difference. The states that bought into this scam are going to have to replace that funding somehow. In all cases, the notion that Obamacare is "deficit neutral" is a hilarious lie: they simply stop paying for it...at the Federal level, and move that burden to the states.

 

Thus the states were set up to face a no-win choice:

either they cancel/cut their programmed subsidy/financial support for Obamacare policies,

or

they are forced to raise taxes to replace the Federal funding.

 

This is precislely WHY the "Red states didn't sign up for the Medicaid extension". They took the 3rd choice that Democrats assumed they wouldn't. Hence the big tears from the leftist media...because this "breaks" Obamacare. In fact, they are trying to claim this is all about politics, and trying to screw with Obama, and those "poor people in those red states" :rolleyes: blah, blah, blah. However, these people are the opposite of sincere: all these "Red states" are doing is refusing to walk into a trap.

 

The Democrat's hope for this trap was: their "cure-all", raising taxes/increased spending, would be locked in. Rather than winning elections, they impose their "solution" by default. The states that refused to extend Medicaid are confounding this.....and that is the REAL reason why Ds are crying about it.

 

Democrats assumed that no state would dare not extend Medicaid, and confound them, because, that would give the Democrats an easily angle of attack: "How dare you withhold health care from people who need it"? They assumed that no one would call their bluff, and, even if they did, that would give them so much political ammunition, that they could win election after election, and get their way regardless.

 

They assumed wrong. Once again they overestimated their ability, and their support. Typical. But really? The worst assumption Democrats made was that everybody else is like them: craven and unprincipled. A craven and unprincipled person falls into the trap, and behaves as designed, because he has no other choice: he is who he is.

 

The opposite of that person refuses to walk into the trap, and is just fine with being attacked by....obviously craven and unprincipled people.

 

Anyone who observes Obamacare to be anything other than a lame set of poorly designed political traps, and tries to call it a "solution"?

 

Either they are ingorant of these realities, which is fine, because now you know they are ignorant.

Or, they are being purposefully ignorant, in which case, now they are busted. :lol:

 

EDIT: However messed up the health care system was prior to Obamacare? That's no jusfication for Obamacare. It messes things up worse than they were, and, in fact(this has now moved from "what I predicted in 2009" to "undeniable in 2014"), creates a lot more problems than it solves.

Edited by OCinBuffalo
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TakeYouToTasker Hall of Famer

TakeYouToTasker

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Still was a sick goal. Was sort of hoping chara would have been in the way of the shot. We'd have one less giant among us.

There are no magic beans in Canada.

 

And, yes, Subban will make a great Bruin some day.

Edited by TakeYouToTasker
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meazza All Pro

meazza

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There's no magic beans in Canada.

 

 

 

There are no magic beans in Canada.

 

And, yes, Subban will make a great Bruin some day.

 

Yes his brother should be good. PK is staying in montreal.

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