Do you know what is in Obama/Pelosi care reforms proposals?

Question by Purge DC!: Do you know what is in Obama/Pelosi care reforms proposals?
How do you like this?

Be careful what you wish for and I encourage you to resist-and-purge!!

Will you join me in resist-and-purge?

What the government will require you to do:

• Sec. 202 (p. 91-92) of the bill requires you to enroll in a “qualified plot.” If you make your insurance at work, your employer will have a “grace period” to switch you to a “qualified plot,” meaning a plot designed by the Secretary of Shape and Human Services. If you buy your own insurance, there’s no grace period. You’ll have to enroll in a qualified plot as soon as any term in your narrow changes, such as the co-pay, deductible or subsidy.

• Sec. 224 (p. 118) provides that 18 months after the bill becomes law, the Secretary of Shape and Human Services will choose what a “qualified plot” covers and how much you’ll be legally required to pay for it. That’s like a banker telling you to sign the loan agreement now, then filling in the interest rate and repayment terms 18 months later.

View Full Image
McCaughey2
Associated Press

Protestors wave cryptogram in front of the Capitol on Thursday.
McCaughey2
McCaughey2

On Nov. 2, the Congressional Budget Office estimated what the plans will likely cost. An individual earning $ 44,000 before taxes who buys his own insurance will have to pay a $ 5,300 premium and an estimated $ 2,000 in out-of-pocket expenses, for a total of $ 7,300 a year, which is 17% of his pre-tariff income. A family tree earning $ 102,100 a year before taxes will have to pay a $ 15,000 premium positive an estimated $ 5,300 out-of-pocket, for a $ 20,300 total, or 20% of its pre-tariff income. Individuals and families earning less than these amounts will be eligible for subsidies paid directly to their insurer.

• Sec. 303 (pp. 167-168) makes it clear that, although the “qualified plot” is not so far designed, it will be of the “one size fits all” variety. The bill claims to offer choice—valuable, enhanced and premium levels—but the benefits are the same. Only the co-pays and deductibles differ. You will have to enroll in the same plot, whether the government is paying for it or you and your employer are foothold the bill.

• Sec. 59b (pp. 297-299) says that when you file your taxes, you must include proof that you are in a qualified plot. If not, you will be fined thousands of dollars. Illegal immigrants are exempt from this requirement.

• Sec. 412 (p. 272) says that employers must provide a “qualified plot” for their employees and pay 72.5% of the cost, and a smaller share of family tree coverage, or incur an 8% payroll tariff. Small businesses, with payrolls from $ 500,000 to $ 750,000, are fined less.

Eviscerating Medicare:

In addition to reducing future Medicare funding by an estimated $ 500 billion, the bill fundamentally changes how Medicare pays doctors and hospitals, permitting the government to dictate treatment decisions.

• Sec. 1302 (pp. 672-692) moves Medicare from a fee-for-service payment system, in which patients choose which doctors to see and doctors are paid for each service they provide, toward what’s called a “medical home.”

The medical home is this decade’s version of HMO-restrictions on care. A primary-care provider manages access to costly specialists and diagnostic tests for a flat monthly fee. The bill specifies that patients may have to settle for a nurse practitioner rather than a physician as the primary-care provider. Medical homes start with demonstration projects, but the HHS secretary is authorized to “disseminate this approach rapidly on a inhabitant basis.”

A December 2008 Congressional Budget Office report noted that “medical homes” were likely to resemble the unpopular gatekeepers of 20 years ago if cost control was a priority.

• Sec. 1114 (pp. 391-393) replaces physicians with physician assistants in overseeing care for hospice patients.

• Secs. 1158-1160 (pp. 499-520) initiates programs to reduce payments for patient care to what it costs in the lowest cost regions of the country. This will reduce payments for care (and by implication the standard of care) for hospital patients in higher cost areas such as New York and Florida.

• Sec. 1161 (pp. 520-545) cuts payments to Medicare Advantage plans (used by 20% of seniors). Advantage plans have warned this will upshot in reductions in optional benefits such as vision and dental care.

• Sec. 1402 (p. 756) says that the results of comparative effectiveness investigate conducted by the government will be delivered to doctors electronically to guide their use of “medical items and services.”

Questionable Priorities:

While the bill will slash Medicare funding, it will also direct billions of dollars to numerous inner-city social work and diversity programs with vague standards of accountability.

• Sec. 399V (p. 1422) provides for grants to community “entities” with no required qualifications apart from having “documented community activity and experience with community healthcare workers” to “educate, guide, and provi

Preeminent answer:

Answer by ash
blah blah blah Be more succinct

But in the meantime, for the last 30 years confidential sector has trashed our shape care accessibiity, it is time for us to kick their butts out and do a touch else. We can fix it up as we go along, I simply do not believe those who say they will “improve” it because they have done diddly-squat so far.

Remember, the comparative effectiveness, the standard of care will be better under this plot than it is now for those who have been ousted from the system by price or preexisting conditions. Many of these folks would be pleased to see a nurse practitioner instead of no one at all. Hospice does not need a physician, it is palliative care. And you have the actual nerve to grip that illegal immigrants are excluded from the requirement of paying a fine for not being in a qualified plot (the ones that don’t file income and can’t be in a plot anyway?)

Please try for a ounce of judgment in your repudiation of the plot; and picking it apart point by point, of the 1900 or so pages, still does not change the detail that our system is broken and needs changing and many of us no longer believe that the confidential sector can do that for us.

What do you reckon? Answer below!

Popularity: 1% [?]

Filed Under: Budgeting

Tags:

About the Author:

RSSComments (2)

Leave a Reply | Trackback URL

  1. Pelosi's Water Boy says:

    Vote them OUT in 2010 and in 2012 !!

  2. Steve says:

    A plot will be “qualified” if it meets at smallest amount certain smallest requirements. The plot will be able to cover more than the the smallest. It just can’t cover less.

Leave a Reply

Bad Behavior has blocked 1405 access attempts in the last 7 days.