We ain't seen nothin yet... - Page 4 - TigerDroppings.com

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lsu_tiger_az
LSU Fan
AZ/LA
Member since Mar 2004
30394 posts

re: We ain't seen nothin yet...


quote:


The Corps with the bucks are still driving the bus. That shows we need Universal Healthcare or people who continue to take it in the wazoo.



So corporations should not be able to do what is in their best interest? Is that your contention?







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Elcid96
LSU Fan
Member since May 2010
5297 posts
 Online 

re: We ain't seen nothin yet...


quote:

Just proves the assertion that the people who need healthcare be damned because Poppa Johns, Pizza Hut et al don't give a damn about them.



Why don't they give a dam about themselves?







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Wolfhound45
LSU Fan
Member since Nov 2009
15375 posts

re: We ain't seen nothin yet...


quote:

We are not arguing the merits of Obamacare.


If it is so great, then why is the Obama administration granting waivers to select organizations and individuals?






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MDcajuntiger
LSU Fan
Denonvilliers' and parts outlying
Member since Sep 2007
998 posts

re: We ain't seen nothin yet...


quote:

Better care- In my opinion no. You will see a decline in quality of care and more importantly in access to care. It will not be immedidate. It will happen over a period of 10-15 years.

Cheaper health care costs- Yes and no. With more and more people being directed into government payor benefit packages, the government will have the ability to set lower fees and dictate practice parameters to reduce costs. The other side of that (which I am already seeing in areas with strong industry and private or cash payors) is that the doc's are opting out of the federal programs.

Private payors reimburse SO much better than government payors, plus, the regulations and liability are exponentially less. This law puts physicians in a very difficult position.


My group is no longer accepting Medicaid (as are all of the other MDs in my speciality in the city I live in).

These patient have bogged my practice down, utilized office resources as my nurse and staff have to attempt to reason with someone who typically has no ability to process information (hence call the MD incessantly or go to the ER for anything they do not understand). This ties up a tremendous amount of time and resources that could be better suited to helping other patients. We collectively made a decision to not have to deal with this headache on an elective basis in our office (we will maintain our longstanding commitment to local hospitals to managing all EMERGENCY cases irrespective of paying status).

Most providers are going to jump ship, leaving the bulk of these people to bottleneck into a few MDs. The majority of these people will end up in the ER for their trivial problems anyways (no life or critical thinking skills, instant gratification society...)

Care will be worse as the few MDs who choose to accept all comers will be overwhelmed by the "baggage" provided by both patient's social issues and the government's paperwork logjam.

The lower tier will get worse care and access to clinics of varying specialties.

The upper tier will likely have to pay a premium to see practitioners who are distancing themselves from the stigma of the rest (see concierge medicine).

We ain't seen nothin yet...






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Wolfhound45
LSU Fan
Member since Nov 2009
15375 posts

re: We ain't seen nothin yet...


quote:

We ain't seen nothin yet...


I work in military healthcare in an administrative role. You are right. We ain't seen nothin yet.






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lsusaintsfan4life
LSU Fan
Member since Mar 2008
880 posts

re: We ain't seen nothin yet...


My group stopped seeing Medicaid 2 years ago after providing the service for 25 years. We found that we were losing money because of poor reimbursements. I echo that this group of patients are often more difficult, time-consuming, and frustrating to care for. Unfortunately, I lost some of my favorite patients due to this. I had to console several of them over the phone as they were tearful and scared as they could no longer see me.

Ultimately I see a single payor government program that dictates what I can and can't do for my patients. I also see those that can afford it pay cash like dentists, orthodontics, etc... do. If we have enough that can pay cash we won't be available to see the government insurance. Access to care is going to suffer. Costs will go down because people won't be seeing doctors.






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EZE Tiger Fan
Member since Jul 2004
23902 posts

re: We ain't seen nothin yet...


quote:

Yes, paying the penalty is an option. Her franchise owner chose to NOT pay the penalty by reducing all the employees' hours to just below the threshold. If she can't find another job to make up the lost hours, she will go on food stamps and other government assistance.


Wow, in this one sentence alone I see two Democrat/Progressive wet dreams. When this happens, your girlfriend will be hooked!

Huge win for the left in the scenario above.






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VOR
New Orleans Pelicans Fan
New Orleans
Member since Apr 2009
41061 posts

re: We ain't seen nothin yet...


Government option on the way.





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Elcid96
LSU Fan
Member since May 2010
5297 posts
 Online 

re: We ain't seen nothin yet...


quote:

Government option on the way.


Guess you can't stop stupid, you can only hope to contain it!!!!

Funny how every other time this happens it fails!!!

Forward.






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NC_Tigah
LSU Fan
Member since Sep 2003
51371 posts

re: We ain't seen nothin yet...


quote:

The lower tier will get worse care and access to clinics of varying specialties.
Sad truth.






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CITWTT
LSU Fan
baton rouge
Member since Sep 2005
31765 posts

re: We ain't seen nothin yet...


64K per year for a family of three.





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Alltheway Tigers!
LSU Fan
Baton Rouge
Member since Jan 2004
3085 posts

re: We ain't seen nothin yet...


quote:

Who the frick couldn't see this coming? What bizarro world did anyone who supported aca grow up in where causes do not have effects? Or was getting the majority of people on govt hc the desired effect. Lying, socialist frickers. You know there are countries which have socialism you can move to, you don't have to steal ours.
If you supported Obama and the aca you are a stupid myopic frickhead and your parents are frickheads too because they raised you.


The stupid politicians never saw it coming because they live in a vacuum. Probably few have any real world experience.

OF COURSE business would read the law and figure ways around it. The free enterprise system not only encourages efficiencies, it demands a business to adapt.






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Alltheway Tigers!
LSU Fan
Baton Rouge
Member since Jan 2004
3085 posts

re: We ain't seen nothin yet...




Then again, maybe this is EXACTLY they wanted.

Crash the system so only a single pay system remains. Takes care of insuring those left out by Obama Care.






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BFIV
Member since Apr 2012
1178 posts

re: We ain't seen nothin yet...


quote:

If it is so great, then why is the Obama administration granting waivers to select organizations and individuals?


I've asked myself this question, too, and I still don't have an answer.






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BFIV
Member since Apr 2012
1178 posts

re: We ain't seen nothin yet...


quote:

The lower tier will get worse care and access to clinics of varying specialties.

The upper tier will likely have to pay a premium to see practitioners who are distancing themselves from the stigma of the rest (see concierge medicine).

We ain't seen nothin yet...


I'm glad to see actual MD's weigh in on this issue and discussion. I bet there are a lot of people out here who are curious to get the actual medical community's take on what's going to happen. Some posters have already suggested that Congress, in their infinite wisdom, will pass some kind of regulation to eliminate the 30 hour work limit threshhold. What does the professional medical community believe will or will not happen to maintain or prevent two or more different standards of care for citizens who have premium insurance or the government plan?






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los angeles tiger
LSU Fan
1,601 miles from Tiger Stadium
Member since Oct 2003
55976 posts

re: We ain't seen nothin yet...


quote:

Government option on the way


Only a foolish lawyer thinks this is a good idea just like all the foolish lawyers in the dem party that gave us Obamafrickindon'tcare.






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lsusaintsfan4life
LSU Fan
Member since Mar 2008
880 posts

re: We ain't seen nothin yet...


In my opinion, our problem is the cost of medical care. With bureaucracy comes waste. The health care dollar gets diluted as more "middle men" are between patient and actual care. My problem with Obamacare is not that everyone have health care, its that it does nothing to decrease cost. It simply forces people into an already broken system further stressing it. I wish we lived in a Utopian society in which everyone had riches, but this is not reality.

The ultimate goal is to crush the system so that the only "saviour" will be Government. Once the Government pays for everyone, I will no longer be able to do what is right by the "individual" patient. My only options are what the Government allows me to do. I went to medical school to become a clinician, not follow an algorithm. You don't need my knowledge, experience, or talent to follow that model. My patients deserve the best care.

My hopes are that the system become more streamlined to cut costs. Give physicians more protection (Tort reform) to protect them to do what is best in their medical opinion. There is a tremendous waste on "defensive medicine" and I see it daily. Costs would go down over time.

If the single payer system is similar to Medicaid, we will not accept it outside the hospital. This in turn increases cost. We will turn into a cash based outpatient clinical practice which cuts out the Governmental influence. The Government can not force me to see their insured. You may call it greed, I call it my choice.








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Wolfhound45
LSU Fan
Member since Nov 2009
15375 posts

re: We ain't seen nothin yet...


quote:

lsusaintsfan4life


Exceptionally well put sir.







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BamaScoop
Alabama Fan
Panama City, Florida
Member since May 2007
33262 posts

re: We ain't seen nothin yet...


She needs to just go get on assistance that is what I told my mother to do. frick working and having pride just go get a fricking handout if you qualify for it.





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NHTIGER
LSU Fan
Central New Hampshire
Member since Nov 2003
9384 posts

re: We ain't seen nothin yet...


quote:

Second you have this "penalty" to employers of over 49 employees. If you read the fine print, the $2k penalty doesn't apply to all of your employees. If I recall correctly, you are only penalized on the number of employees above the threshold. Therefore, if you have 80 employees, you can choose to pay a 2k penalty on 80 - 49= 31 employees for a total of $62k, or you can pay the employer portion of a plan which on the low end is going to be $225/month and can be as much as $1200/month. $225/month x 80 employees x 12 months =$216,000



You are mistaken about the penalty applying only to the number of employees over 49.

It applies to the number of employees over 30.

" Penalties For Failure To Insure

For firms which do not offer insurance any insurance, have more than 50 employees, and have at least one employee receiving insurance subsidies, they must pay a tax of $2000 per subsidized employee. The tax is applied to all of a firm’s employees (after excluding the first 30), not just those that are subsidized. For example a firm with 51 employees would pay $42,000 in new annual taxes, and an additional $2,000 tax for every new hire."

LINK


"Penalty for Companies Not Providing Insurance to Employees

If a company with 50 or more employees provides no insurance to its employees or the insurance provided is substandard or too costly, there is an additional penalty to the company. The penalty is stiff: $2,000 times the number of employees, with a 30-employee offset. This penalty will apply if even one employee goes outside of the company-offered plan to an insurance exchange for coverage."

LINK /






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