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Sublime Peach





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  posted on 11/23/2013 at 08:08 AM


[Edited on 9/24/2014 by jerryphilbob]

 

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Zen Peach



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  posted on 11/23/2013 at 10:53 AM
Well, all of your predcitions have come true so far.................

 

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Maximum Peach



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  posted on 11/23/2013 at 11:17 AM
My Doctor has a thriving practice. You are saying she is going to stop now and what? Become a greeter at Walmart?

Hahahahah. You made my day!

 

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Ultimate Peach



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  posted on 11/23/2013 at 01:11 PM
How could you say such a thing when every one of us can make an appointment with our doctor right now without any issue?
 

Maximum Peach



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  posted on 11/23/2013 at 01:25 PM
I still have the same insurance, and the very same doctor for the past 10 years.

 

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Ultimate Peach



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  posted on 11/23/2013 at 02:26 PM
quote:
I still have the same insurance, and the very same doctor for the past 10 years.


My insurance has changed several times in the last 15 years as my employer changes plans frequently with the premiums skyrocketing during this period (with my copayments going up each time), but I've never had to change doctors. I don't see anything in the ACA that will change that. I still have private insurance that still has contracts with the same medical groups and the same hospitals. Nothing there has changed. If you don't have insurance through your employer and are buying your own insurance, then make sure you pick one that your doctor accepts. If you don't, then it's your own fault.

 

Peach Extraordinaire



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  posted on 11/23/2013 at 09:53 PM
Sorry Jerry wrong again just like, gold, silver, plat, the stock market, housing market.

 

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Sublime Peach



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  posted on 11/24/2013 at 10:20 PM
Well, I would say wait for it. The only thing keeping this sinking ship afloat is the fed printing money. Eventually, something is going to have to give. Wait for it, it's coming. That is for sure.

Obumacare has not even been implemented yet. I would say, give it 5 years. Long enough for students to figure out they are not going to make the money they once thought they would, and it won't even take doctors that long to figure out how much their paychecks are going to be cut. The smart ones will be retiring or going into a "cash" practice for the rich. They won't be accepting any insurance.

The citizens will be left with second rate doctors and long lines (see Canada & Europe).

This is just another nail in the coffin. After all the lies, I guess I am surprised that people still believe anything that any of these politician have to say?

America gets what she deserves if she can't wake up and smell the fascism.





[Edited on 11/25/2013 by jerryphilbob]

 

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World Class Peach



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  posted on 11/24/2013 at 11:47 PM
quote:
quote:
I still have the same insurance, and the very same doctor for the past 10 years.


My insurance has changed several times in the last 15 years as my employer changes plans frequently with the premiums skyrocketing during this period (with my copayments going up each time), but I've never had to change doctors. I don't see anything in the ACA that will change that. I still have private insurance that still has contracts with the same medical groups and the same hospitals. Nothing there has changed. If you don't have insurance through your employer and are buying your own insurance, then make sure you pick one that your doctor accepts. If you don't, then it's your own fault.


There is currently little choice re: Obamacare insurance. I was on the website; the insurances offered are lousy - it is also almost impossible to get provider lists.

Also heard on the TV today that Sloan Kettering Cancer center is not participating with any of the Obamacare plans

 

Maximum Peach



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  posted on 11/25/2013 at 12:27 AM
quote:
Also heard on the TV today that Sloan Kettering Cancer center is not participating with any of the Obamacare plans


Obamacare plans??? The exchanges are made up of insurance companies already in existence. As far as government insurance products you have medicare and medicaid. I don't know for certain, but I'll bet Sloan Kettering has a least one client on medicare.

quote:
The citizens will be left with second rate doctors and long lines (see Canada & Europe).


Now you are drinking the kool-aide. Even Mitt Romney was treated by European Socialized medicine when he was in the car wreck in France.

For a non-partisian, apocalypse prepper you really spew a lot of Republican talking points.

 

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Zen Peach



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  posted on 11/25/2013 at 12:48 AM
quote:
Even Mitt Romney was treated by European Socialized medicine when he was in the car wreck in France.


France is part of Europe.

As a steadfast Obamacare believer, I bet you're long-passed ready for them to stop lying about it, delaying it, and hiding information about it. Are they trying to make it look bad for no reason?

 

World Class Peach



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  posted on 11/25/2013 at 08:19 AM
That was from the mouth of the president of Mt. Sinai; probably just talking about the plans offered directly


quote:
quote:
Also heard on the TV today that Sloan Kettering Cancer center is not participating with any of the Obamacare plans


Obamacare plans??? The exchanges are made up of insurance companies already in existence. As far as government insurance products you have medicare and medicaid. I don't know for certain, but I'll bet Sloan Kettering has a least one client on medicare.

quote:
The citizens will be left with second rate doctors and long lines (see Canada & Europe).


Now you are drinking the kool-aide. Even Mitt Romney was treated by European Socialized medicine when he was in the car wreck in France.

For a non-partisian, apocalypse prepper you really spew a lot of Republican talking points.

 

Maximum Peach



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  posted on 11/25/2013 at 08:38 AM
quote:
France is part of Europe.


Really? No way.

 

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Extreme Peach



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  posted on 11/25/2013 at 01:57 PM
quote:
kiss him goodbye.

They are not going to stay in practice once they find out how much they are going to get paid from now on. On top of that, the brightest will no longer be going to school to be doctors, they will be going to school to be something else, like lawyers.


Cool, thanks for speaking with my doctor for me!

 

Zen Peach



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  posted on 11/25/2013 at 03:05 PM
Guess my niece just wasted 8 years of her life getting that MD/PHD............

 

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Sublime Peach



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  posted on 11/25/2013 at 08:32 PM
Maybe you can loan her a dime, she is going to need it to pay off those medical school loans, unless of course she was lucky to have parents that could afford to pay for her college without her going into massive debt to become a doctor.

Oh, the law of intended consequences. Keep drinking Sang, it must taste sweet!


Doctors Will Have To Take A Pay Cut Under Obamacare
By Scott Gottlieb, M.D.

For Obamacare to succeed, American doctors need to earn less money.

Last week, Washington took a step in that direction. One of Medicare’s influential advisory boards recommended that payment rates to providers be sanded down.

At present issue are the rates paid to doctors working as part of hospital-owned clinics versus physicians working in their own, independent offices.

Right now, when a doctor works as part of hospital owned practice, and bills Medicare, she’s paid more money than what she’d receive for providing the same services in her own independent medical office. That’s because of an arbitrage between Medicare’s inpatient (Part A) and outpatient (Part B) billing schemes.

In part to take advantage of these differentials, hospitals have gone on a buying binge in recent years, purchasing doctor practices. One of their aims was to bring the physicians’ services (and the procedures that doctors perform) under the “Part A” reimbursement scheme, where they can bill at higher rates for the same services. In fact, for hospitals, outpatient services are among their highest profit centers (typically, along with neonatal intensive care units and spine surgery).

For doctors, coming under the “Part A” billing scheme was a way to offset their declining incomes, and lock in long-term employment agreements with hospitals. It was also a way to foist the rising cost of running their outpatient medical practices onto the hospitals (and stem reductions in their real income as they saw their reimbursement levels held flat, or slightly decline, while their practice costs rose.)

But last week, the Medicare Payment Advisory Commission (MedPAC) said that reimbursement rates should “immediately” be made “site neutral”. In other words, the price arbitrage between Medicare’s outpatient and inpatient billing schemes should be ended.

MedPAC said the fees that Medicare pays under its hospital-based, Part A scheme should be cut to match the lower outpatient, Part B fee schedule. “f the same service can be safely provided in different settings, a prudent purchaser should not pay more for that service in one setting than in another,” the MedPAC report stated. “Medicare should base payment rates on the resources needed to treat patients in the most efficient setting, adjusting for differences in patient severity, to the extent that severity differences affect costs.”

The proposal went well beyond past attempts by the Medicare Commission to try and bring outpatient fees more closely in line with the rates paid to hospitals for the same services. Citing an “increased urgency,” the Commission said that the “current payment disparities had created incentives for hospitals to buy physician practices, driving up costs for the Medicare program and for beneficiaries.”

This reckoning was inevitable. Physician reimbursement needs to come down to accommodate Obamacare.

The plans that are going to be sold in the new exchanges that Obamacare creates will largely be lowbrow products. Under the new rules, insurers need to keep the value of their health plans matched to relatively low financial (actuarial) targets. At the same time, the law mandates that health plans cover a broad range of services.

To accommodate these costly mandates, and still keep the health plans cheap, insurers need to control what providers do, and limit what they’re paid.

For the government, to help make this math work, the Medicare billing rates are an obvious target. Much of the private market is priced off these schedules. But physician pay is likely to be in the crosshairs for a long time.

Last year, the Medicare Payment Advisory Commission proposed to cut what Medicare pays specialists and then freezing these lower rates for years. Under that plan, everyone except primary-care docs would see payments for their services cut by 5.9 percent a year for three years (totaling a 16.7 percent cut in income), followed by a seven-year freeze at the reduced levels. Primary-care providers would have their reimbursement rates frozen at today’s pay levels for the whole decade.

While these are just proposals, they have to be taken seriously. The Medicare Commission’s recommendations are typically a harbinger of future policy decisions.

http://www.forbes.com/sites/scottgottlieb/2013/06/28/doctors-will-have-to-t ake-a-pay-cut-under-obamacare/

 

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"If everyone demanded peace instead of another television set, then there'd be peace."



- John Lennon

 

Zen Peach



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  posted on 11/25/2013 at 08:48 PM
This issue is beyond incredibly complicated. To think that oneself is an expert on the issue by cut and paste articles along with smug insults is, in and of itself, incredibly idiotic.

 

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Ultimate Peach



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  posted on 11/25/2013 at 08:58 PM
How terrible for the government to try to cut costs somewhere! Didn't the government get the memo that they are suppose to overpay for everything? Next thing you know they will try to cut some money out of defense spending and some CEO will have to sell one of his yachts. Then all of those on the right will be asking for more government spending (without raising taxes of course).
 

Sublime Peach



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  posted on 11/25/2013 at 09:01 PM
Everything isn't rocket science and I never claimed to be an expert. It is obvious at this point, everything they have told us is a lie. It doesn't take a phd to figure that out.

I guess us simple citizens are too dumb to understand all them complex issues like how we is being screwed by this here Obamacare.

Give me a break. If you want to defend Obamacare go ahead, good luck with that one.

Everything has a cost. It is not rocket science. Everyone knows the way you drive prices down and quality up is thru competition. Where is the competition in Obamacare? Where is the "marketplace"? This is pure fascism and if want to defend it, go for it.

quote:
How terrible for the government to try to cut costs somewhere! Didn't the government get the memo that they are suppose to overpay for everything?

When has the government ever cut cost on anything? I guess if you hold a gun to someones head you call that cutting cost? Whatever. How about the military, they probably have never over paid for anything that has to do with war? What a laughable statement. The government should not be in the business of running businesses, that is called fascism. They need to let the real market, thru competition, drive prices down. Allow insurance to compete across state lines. Then and only then will prices fall and quality increase.



[Edited on 11/26/2013 by jerryphilbob]

 

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"If everyone demanded peace instead of another television set, then there'd be peace."



- John Lennon

 

Zen Peach



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  posted on 11/25/2013 at 09:13 PM
Well, Mr Expert, it actually is now a marketplace.............for insurance..........

Stop calling things fascist when you don't know what it means.

As I have said before, come drive around my town and the ones around us - almost all new buildings are immediate care facilities or new medical complexes.... somebody had figured out that more patients means more money......and we still have an aging population who will need more healthcare.....


But keep drinking that kool-aid that you drink that makes you paranoid about everything.......



[Edited on 11/26/2013 by Sang]

 

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Sublime Peach



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  posted on 11/25/2013 at 09:44 PM
Sorry, but there is no competition. It is simply buy it, or pay the fine (tax). Who is competing and when will prices be going down and choices going up? Why are most peoples premiums going up and why have millions lost their plans? Is that part of the marketplace you speak of.

90% being forced to pay for 10% is not a marketplace.

Just because you can't smell the fascism when it is right under your nose doesn't mean that it isn't fascism. This is fascism, weather you like the word or understand what it means or not.

Obumacare is going to change everything and what you have now is not what you are going to have in five years. Good luck to your niece, she is going to need it.

I think that "they" have underestimated the American people when it comes to this. We will see.

 

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"If everyone demanded peace instead of another television set, then there'd be peace."



- John Lennon

 

Zen Peach



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  posted on 11/25/2013 at 10:16 PM
quote:
Everything isn't rocket science and I never claimed to be an expert. It is obvious at this point, everything they have told us is a lie. It doesn't take a phd to figure that out.

I guess us simple citizens are too dumb to understand all them complex issues like how we is being screwed by this here Obamacare.

Give me a break. If you want to defend Obamacare go ahead, good luck with that one.




When did I mention Obamacare?

 

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Zen Peach



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  posted on 11/25/2013 at 10:26 PM
quote:
Just because you can't smell the fascism when it is right under your nose doesn't mean that it isn't fascism. This is fascism, weather you like the word or understand what it means or not.


If this is fascism, where is the militarization? Where is the totalitarianism? Where is the vilolence being used to acheive political goals?

Fascism is anti-everything. Where is the removal of liberal and conservative thought from the public realm?

I'll give you crony capitalism, we can even consider this as another example of a growing corporatocracy. But to compare the Obamacare legislation or any other legislation passed by any American political party as something akin to Mussolini or Hitler is just silly.

 

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Zen Peach



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  posted on 11/25/2013 at 11:12 PM
quote:
Who is competing and when will prices be going down and choices going up?



Well, in Illinois, your favorite state, they have one of the more competitive ones out there - with many different insurance companies competing for business - But Illinois took the medicaid dollars and set up their own exchange...... some states decided not to do that.....

Funny that you seem to be one of these states rights guys, but now want competition across state lines.... wish you would make up your mind.....

 

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Ultimate Peach



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  posted on 11/25/2013 at 11:26 PM
quote:
quote:
Just because you can't smell the fascism when it is right under your nose doesn't mean that it isn't fascism. This is fascism, weather you like the word or understand what it means or not.


If this is fascism, where is the militarization? Where is the totalitarianism? Where is the vilolence being used to acheive political goals?

Fascism is anti-everything. Where is the removal of liberal and conservative thought from the public realm?

I'll give you crony capitalism, we can even consider this as another example of a growing corporatocracy. But to compare the Obamacare legislation or any other legislation passed by any American political party as something akin to Mussolini or Hitler is just silly.


I think it may be time to stop trying to get Jerry to understand what facism means and just let him have his own personal definition that only he understands. It's obvious that he doesn't understand what it is, nor does he want to understand what it is. Time to give up. He must be having a hard month anyway from his silver portfolio, so maybe we should let him have this one.

 
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