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Poll: Share Your Thoughts on Supreme Court Obamacare Ruling

Tell us what you think about the court's decision that the 'individual mandate,' centerpiece of Affordable Health Care Act, does not violate the Constitution.

 

 

Since the U.S. Supreme Court upheld the constitutionality of the "individual mandate," the centerpiece of the Affordable Health Care Act that President Obama signed into law last year, Patch readers have weighed in by the hundreds to share their opinions.

Though the ruling happened more than a week ago, our readers continue to debate the proposal, so we're re-featuring the poll that led to this debate. Because the argument hasn't died down, we figure some of you who missed the original story may have new opinions to offer.

To review, five of the nine justices agreed that the key to the act—the requirement that people either buy health insurance or pay a tax penalty—is allowed under Congress' ability to impose using its taxing power.

Local Reaction:

Because that mandate survived, the Court did not need to decide which other parts of the statute were constitutional, except for a provision that required states to comply with new eligibility requirements for Medicaid or risk losing their funding.

On that question, the Court held that the provision is constitutional as long as states would only lose new funds if they didn't comply with the new requirements, rather than all of their funding.

Other details of the high court's ruling on what is often referred to as "Obamacare" are still being examined. 

The controversial law has been the subject of recent TV commercials, political speeches and protests.

Since everyone else is weighing in, we want to know what you think.

Answer our poll question and tell us in the comments how you feel about the court's decision. 

  • Supreme Court Ruling: Right or Wrong?

    (Voting has been closed for this question)
    • The court was correct in upholding Obamacare
        836 (52%)
    • The court overlooked significant Constitutional issues with the Affordable Care Act.
        767 (47%)
    Total votes: 1603
  • Your vote will only count once. This is not a scientific poll. View Results Vote!
Related Topics: Affordable Care Act, Obamacare decision, SCOTUS, Supreme Court, obamacare, and supreme court decision

Corey Butler Jr.

9:36 am on Thursday, June 28, 2012

On the Northfield Patch Facebook page ( https://www.facebook.com/NorthfieldPatch ), Mitch Groder says: Excellent. Reform is needed in this country and companies shouldnt profit off of denying care to the people.

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TB

10:26 am on Thursday, June 28, 2012

You couldn't be more wrong, Corey. Guess who wins in this deal, the insurance companies. People who had a CHOICE to purchase or not purchase insurance are now forced TO purchase. This is a sad day for our country.

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Christopher Bates

11:56 am on Thursday, June 28, 2012

You don't have to purchase anything just pay a tax if you don't have health care insurance.

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STMA Parent

3:11 pm on Thursday, June 28, 2012

Christopher Bates:

Right you dont have to purchase anything, just pay a hefty tax, that's all.

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Shakopee Mom

8:46 am on Friday, June 29, 2012

Thanks, now I am being taxed further, and my families healthcare cost have gone up approx. $5000 this year. My company, a small firm of 3 can't afford to provide a healthcare package and if they did it would cost me $500 out of pocket. I don't want it because of the cost now I will be taxed for not taking it. And they are thinking of closing the doors because it is too expensive to provide it. Thanks....I am going to lose my job.

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Joyce Denn

9:23 am on Friday, June 29, 2012

"Shakopee Mom" the cost of your health insurance has not gone up because of the ACA - insurance costs have been going up exponentially for years, since before Obama was even elected. Moreover, most of the provisions of the law have not even taken effect yet.
As for your boss, perhaps he or she does not realize that the law provides for subsidies and tax breaks for small businesses that offer insurance coverage to their employees.

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Kelly

10:34 am on Friday, June 29, 2012

Shakopee Mom, echoing Joyce's comments, either your boss or you need to become more informed. The effect on small businesses has been misrepresented by the media and those who oppose the law. The health care exchanges alone will benefit small businesses such as yours. Mandates for businesses apply only to those whose payroll is more than $750k.

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Orono

2:40 pm on Saturday, June 30, 2012

Kelly -- I think you are just as uninformed. Everyone is wrong except you? Hardly.

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rob_h78

7:07 pm on Friday, July 6, 2012

Shakopee Mom - if your firm only has 3 people than you will not be impacted by ObamaCare.

Only firms with 50 or more people will be subject to the fine if they don't offer some type of health care for their employees.

http://www.healthcare.gov/news/factsheets/2011/08/small-business.html

In fact - under the ACA - and having such a small company if you choose to offer health care guess what - you get a break from the government.

Starting in 2014, the small business tax credit goes up to 50% (up to 35% for non-profits) for qualifying businesses. This will make the cost of providing insurance even lower.

So if you lose your job it more likely will be due to the fact that your families health care costs have gone up $5000 in one year - it won't be the ACA.

Now if you are close to going out of business and losing your job - then what you really need to do is get after Congress to figure out a way to hold down your $5000 a year premium increases for health care because it will only keep going up under our current system.

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Donald Lee

10:50 pm on Friday, July 6, 2012

rob_h78 needs to check his facts.

Sure, SOME of the provisions of the PPACA do not apply to small firms, but that's only the sanctions and subsidies. Every other part of the PPACA - the taxes on providers, the taxes on manufacturers, the regulations on insurers, the mandates, the limitations and changes to electronic medical records, etc, etc, etc - almost all of which will drive up costs - will apply to absolutely everyone. For instance, The PPACA drives doctors out of private practice through a variety of policy changes. Surveys of doctors suggest that many doctors nearing retirement are set to retire early specifically because they don't like the changes in law. So, fewer doctors will be practicing. Is there anyone who will be unaffected by this?

I have been accused of being "disingenuous" because I use "biased" sources.

http://www.healthcare.gov - ??? Are you joking? This is little more than the propaganda arm of the white house health care political team.

I don't have to remind anyone of the promises: "If you like your health care, you can keep it". Sure - if they are still in business!

You can claim that the PPACA is necessary, or dither over its cost to the taxpayer, but don't insult my intelligence by claiming that this massive pile of burdens on every part of the health care industry won't drive health care costs! If you recall, that was the point.

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DJR

11:58 pm on Monday, July 9, 2012

@Joyce: you are correct that health care costs have risen, however, since the ACA was passed many, many people are seeing triple the cost in their health care. I see the defense that ACA isn't all up and running yet, foolish way to defend a bad policy, businesses and insurance companies see what's happening, their a step ahead so their not getting stuck with any of the bill, thus, passing it on. I have yet to see a post saying their saving money.

Peter

9:57 am on Thursday, June 28, 2012

Great news. Glad that Chief Justice Roberts and the Supreme Court upheld the law!

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Roxanne Muchko

10:00 am on Thursday, June 28, 2012

Obama health sucks it will put the United States on the level of health care like Europe. People will be standing in line waiting for the healthcare they need and literally die waiting. This is a major issue that is going to take the US into socialism faster than you will be able to believe. But that is the GOAL of the Obama administration SOCIALISM for all.

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Hudsoner

10:10 am on Thursday, June 28, 2012

Do you know anything at all about the European health care systems? Every country has its own , different from the other countries . The only thing they have in common is the requirement that every person has health care insurance!
Who told you the story that people are dying waiting for health care? The last time I checked, all European countries have a capitalistic society, If you would educate yourself just a little bit, you would not make those dumb statements!

I worked in a very big international company in the health care area, and had the chance to work with most health care systems in the free world. And i can tell you, the medical part of the US system is great, but the distribution of health care is absolute lousy in the US, even the poorest European country takes better care of their people than the US does!

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Mike Hindin

10:17 am on Thursday, June 28, 2012

Define socialism! Providing insurance for all is cheaper and more humane than taxpayers paying for more expensive emergency room treatment. Because of the preexisting conditions excuse the insurance company weaseled out of a 25 year olds relative's required suregery. We the people i.e. taxpayers paid for it anyway. The canadians and Europeans do quite well at lower cost. Ask a Canadian.

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Mike Hindin

10:25 am on Thursday, June 28, 2012

Oh! I forgot most of these ideas indluding the insurance mandate were proposed by Republicans in the past. Kind of looks like Romneycare in Massachusetts.

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Josh D. Ondich

11:46 am on Thursday, June 28, 2012

There is so many times Republicans can use the term" Socialism" to criticize everything they disagree with before their argument loses credibility. President Nixon in the early 70's had a very similar plan to the Affordable Care Act, but never got off the ground due to the Watergate Scandal. In the 1990's, The Heritage Foundation, A Conservative Policy group proposed a very similar individual mandate to congress. We all know Mitt Romney took the first step as Governor of Massachusetts by implementing his own version of the Affordable Care Act. It is kind of lack of crebility for Republicans to call The Affordable Care Act "Socialist", when Republicans throughout the years proposed similar measures and nominated a Presidential candidate who as governor enacted a similar policy.

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Chadwick

1:21 pm on Thursday, June 28, 2012

You guys are all arguing about the individual mandate. Who gives a sh$$. The problem with Obamacare is the costs and amount of govt employees and regulations it will put into effect. The reason to go for the individual mandate was because if they ruled it unconstitutional then we could abolish the whole law at once because they screwed up the language in it. When this goes into effect it will not only be a huge burden on all taxpayers, businesses and personal, but will also have a huge negative effect on our economy and our deficit.

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MrsPeel

2:26 pm on Thursday, June 28, 2012

@Roxanne... please post some photos or videos or links to same which show these dying and suffering Europeans littering the streets.

As usual, the bugaboo of "socialism" is raised. You display your lack of facts and your toal lack of understanding of what a socialist government is and how it operates.

The post by Hudsoner might help you understand the "real world" as it exists rather than the "unreal world" that you have concocted based, most likely, on the "factoids" promulgated by FAUX, Beck, Limbaugh and others of that ilk.b

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Lonnie Dufty

2:28 pm on Thursday, June 28, 2012

Hudsoner is right. There is no single pattern of national health insurance coverage so to speak as if they are all the same is to miss the truth. I lived in Japan for 22 years as a self-employed individual and was enrolled in the public health care system. That system is administered by cities, not the central government! Participants are billed ten times a year with charges based upon income, marital status and children. Visits to doctors and hospital trips are not free - there are copayments for services obtained. However there is no deductable and there is a by American standards at least, a cap on what the patient must pay for major medical expenses. Is the system at risk? I would say it is "challenged" by the large number of senior citizens who are likely to need care. However I am confident that the Japanese can meet that challenge as they have every other challenge since WW II. All in all, I would say the Japanese system is vastly superior to what similarily poor and middle income people in the US can expect to receive without going bankrupt as a result of becomming sick.

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mainstreet

9:44 pm on Thursday, June 28, 2012

We never had to worry about treating every Tom, Dick, and Harry that walked into an emergency room before about 1980 I believe. Before that it was no insurance, no payment, no service. What a concept! There was no skyrocketing health care because the people who used it paid for it! Gov't care = socialism. Simple definition. When I grew up, part of being responsible, getting good grades and graduating was so that you could get a good job and get health insurance. Now we just gave it to every POS that breathes!

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Rick

9:01 am on Friday, June 29, 2012

Roxanne is right on the money. Health care in Great Britain is attrocious. And yes, it's selective. Canada's is just as bad. And I know for a fact. I was Canadian prior to becoming a naturalized citizen here. Were there issues here? Yes. But what pi$$es me off is the republicans offered their version. Obama threw it in the trash. Same as the Ryan budget. Obama chastised Ryan and the repubs for doing their job. And for those carping about name calling in the genre of socialism. It is what it is. This health care bill isn't about health care in the first place. It's about giving one group rights and taking another groups away. You liberals chomping at the bit loving this thing... You have no idea what kind of trap, yes trap, what you've stepped into.

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James

9:51 am on Friday, June 29, 2012

Roxanne: My father lived in Norway where they have socialized medical care. He spent his last year in a nursing home where the care was excellent, and we didn't have to worry about going bankrupt because of the cost of care. Don't forget, the Mandate is a Republican idea developed by the Conservative Heritage Foundation and supported by the likes of Sen. Grassely of Iowa, and many others UNTIL Obama adopted it to gain bi-partisan support--and none of the Republicans who a few years ago thought it was a great idea, voted for it. I wish we had real socialized medical care, it would be a lot cheaper, and no one would have to go bankrupt because they got sick.

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Libby Evoloved

10:43 am on Monday, October 8, 2012

TB, there is no doubt that insurance companies benefit, but as long as more lives are saved and costs go down, that's largely irrelevant. If people who gambled with their lives by choosing not to purchase health care, actually paid for that choice, I might agree with you. But the fact is they get sick and we pay to help them. Now I have ZERO problem helping someone who can NOT afford health care, but I do not want to pay for people who are cheap and greedy. Just as I don't mind paying for government and food assistance for the poor, but don't want to pay for oil subsidies and welfare for corporations who pay no taxes or romney-ians to hide their money overseas to avoid their patriotic duty of paying their share.

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Donald Lee

12:56 pm on Monday, October 8, 2012

If the desire is to choose who you support and withhold support from those things you oppose, there are lots of vehicles for your charity, and I salute your involvement and contributions.

Government, however, is a terrible vehicle for what you want, because by nature *everyone* pays for it, whether you like it or not, and *everyone* gets the same thing out of it - be it wars, postal services, or health care.

Milton Friedman said it best. He told us that in the marketplace, if 60 people want red ties, and 40 people want green ties, 60 people get red and 40 people buy green, because in the market, each one gets to choose. In government (democracy), those same 100 people vote, and if 60 of them want red, then 100 people get red ties, because that is the result of the vote. The red-tie people "win" and the green tie people "lose".

This is why government generates conflict, because in the market, there are no winners or losers, only those who choose. Government pits people against one another.

Whenever possible, choices should be left to individuals.

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Colin Lee

1:49 pm on Monday, October 8, 2012

Donald, this is a bizarre comment. Government is not incapable of accommodating choices. Take Minnesota's Public Employee Insurance Program. Every employee gets to choose from one's own choice of insurance plans and providers. Obamacare works exactly the same way.

What about if 100 neighbors need their trash hauled away? 10 choose red, 30 choose blue, 50 choose green. All one hundred neighbors pay too much, have too much traffic, and need to pay street assessments to fix their roads years earlier than normal because heavy trucks cause hundreds or thousands of times more damage.

Imagine if every single neighbor had to hire a street repair company or snow plow for their small section of the street. You would never get to work.

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Donald Lee

2:05 pm on Monday, October 8, 2012

No, I think the idea that because sometimes collective action is more efficient, government should do EVERYTHING is bizarre.

Look at the controversy in Maplewood. Trash hauling is a good case where the pros and cons are close enough for a good argument, and recently the city council forced all residents to go through a specified hauler. Predictably, those who don't like that hauler - for various reasons - are unhappy. Those who favored the reduced traffic, etc, are happy. Longer term, bet on the newly created monopoly raising prices, and being accused of corruption. Bet on it.

The bottom line, though, is that the people getting their trash hauled all got "red ties".

The truly bizarre comment is that government "accommodates choices .... like Obamacare". This reminds me of the parent who wants a child to choose a food. Knowing that the child would choose candy, the parent presents a choice - peas or carrots. In the same way government "accommodates choice". First it takes choice away, and then presents a very narrow choice of "approved" choices. This is exactly what Obamacare does, and is not "choice".

The point is not that government cannot present choices, or that it should do nothing. The point is that whenever possible, it should not intervene, because wherever it chooses for us, we lose our power to choose. That's not bizarre, it's simple logic.

David F

10:00 am on Thursday, June 28, 2012

There is a falacy about the right not to have insurance. When the uninsured need care it is covered by the taxpayers one way or another usually through Medicaid or Medicare. The plan is not perfect but we need to acknowledge that everybody needs healthcare insurance.

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Smokin' Joe

12:54 pm on Thursday, June 28, 2012

How about if we agree that everybody needs health care and let the insurance companies fend for themselves. What an incredible sales job has been done when health care equates to health insurance.

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mainstreet

9:45 pm on Thursday, June 28, 2012

Life does not equate to the need for healthcare.

Candace Oathout

10:00 am on Thursday, June 28, 2012

I agree that reform is needed but cannot and will not come through ACA (Obamacare). The piling on of more and more regulation to medical business will fail and America's citizens will be the losers. America is truly no longer a free country,

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Mike Hindin

10:23 am on Thursday, June 28, 2012

Our imperfect democracy beats the hell out of the places my grandparents and parents came from! I don't reccomend it but you are free to try other countries. Requiring the insurance companies to cover pre existing conditions, end yearly coverage limits, return 80% of premium in health care coverage, (medicare is about 97%) cancel polices when people get sick, etc are terrible regulations?

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Candace Oathout

6:59 pm on Thursday, June 28, 2012

Mike H
First we were not established a democracy. Our system of government was established as a representative republic with checks and balances to keep the balance of power in the hands of the people who had and should have now oversite and control of government. I, personally want government and insurance companies to get out of healthcare. I'm old enough to remember being able to meet with my chosen doctor, discuss symptoms and decide a course of treatment and a method of payment. Something that is sadly lacking today. I am and always have been an informed patient perfectly capable of making health care decisions in conjunction with my doctor. The way the system is structured now the patient is at the mercy of insurance companies regarding which medication they may be prescribed, what course of treatment will be followed and even which doctor or practice they can go to. There is no need to pay insurance companies for the restrictions you stated. You can step out of the system and take personal responsibility for your health care. It will be cheaper, by at least 25%, probably more when doctors don't need to employ several workers just to service insurance claims and have control of their own billing. Just my two cents

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Lee Swanson

5:56 am on Friday, June 29, 2012

Candace, I like your comments. It is amazing to me that so many take no thought to the fact that when they get something from the government, they are taking their neighbor's money without their consent. Every liberal loves their neighbor's money and they have no sense of shame for taking it.

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Edward

7:54 am on Friday, June 29, 2012

"when they get something from the government, they are taking their neighbor's money without their consent"

Then I guess I took my neighbor's money "without their consent" when I sent my kids to public school, and when I drive on state highways every day. Oh, and when I take water from the tap in my kitchen, and when I call the police when someone bangs my car in the parking lot, and when I walk in a public park.

How about you? How many times each day do you use your neighbor's money without their consent. By your definition I do it 20-30 times a day.

Crazy . . . this socialism thing is WAAAAAY out of hand. To end it we need to turn off the water and sewer systems for starters . . .

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Cheryl Theisen

7:36 am on Wednesday, July 11, 2012

I completely agree with Edward's comment. I couldn't have said it better myself!!! Same goes for the Fire Dept.!

Corey Butler Jr.

10:07 am on Thursday, June 28, 2012

On the Northfield Patch Facebook page (https://www.facebook.com/NorthfieldPatch),
Jennifer Gilligan Edwards says: No one is denied care. Go to any ER and you would see that. Our country is on a downward spiral continually writing checks we cannot afford.

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Hudsoner

10:28 am on Thursday, June 28, 2012

Good o'l Jenifer has no clue. ER's will only stablemen a persons condition, but will not take care of follow up treatments! We, the taxpayers will have to pay for the treatments of the uninsured! Jenifer should invest some of her time to educate her self about the US health care system!

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country boy

2:01 pm on Tuesday, July 3, 2012

Good o'l Hudsoner, injecting his 'knowledge' into the conversation. Your statement about the taxpayers picking up the tab is partially correct. I recently got a bill from my local ER from a late night visit. I paid an exorbitant amount for the few minutes I was under their care. The reason I was given was " the cost of providing the uninsured" care in the ER was being born by all insured users of the ER facility. So.. if you want to speculate...have some factual info before making your claim.

Colin Lee

10:07 am on Thursday, June 28, 2012

From the decision:
Recall that one of Congress’ goals in enacting the Affordable Care Act was to eliminate the insurance industry’s practice of charging higher prices or denying coverage to individuals with preexisting medical conditions. The commerce power allows Congress to ban this practice, a point no one disputes.

Congress knew, however, that simply barring insurance companies from relying on an applicant’s medical history would not work in practice. Without the individual mandate, Congress learned, guaranteed-issue and community rating requirements would trigger an adverse-selection death-spiral in the health-insurance market: Insurance premiums would skyrocket, the number of uninsured would increase, and insurance companies would exit the market. When complemented by an insurance mandate, on the other hand, guaranteed issue and community rating would work as intended, increasing access to insurance and reducing uncompensated care. The minimum coverage provision is thus an “essential part of a larger regulation of economic activity”; without the provision, “the regulatory scheme would be undercut.”

The entire ruling saved the insurance industry.

I'm sure some of us would like to see profit from denying care end as well, but we may have to fight battle state-by-state. Sen. Franken at least won a provision to mandate 80% of premiums be spent on actual health care.

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Deb Waddell

10:11 am on Thursday, June 28, 2012

I have friends in Canada (both professionals in their fields) and love how this similar program works in Canada. They have repeatedly commented that they may never move back to the U.S. because of how great the healthcare is in Canada.
Having survived cancer three times now and watch what people go through I am thrilled about Obama Care. Kinks will always need to be worked out but this will make our country healthier in so many ways and aspects.

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Mike McLean

10:25 am on Thursday, June 28, 2012

I have a friend who lives in Canda and just passed away from colon cancer. At the beginning, he was complaining about the time lag it took to get an MRI.

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Paul

10:55 am on Thursday, June 28, 2012

I have friends in Canada who cannot stand the healthcare plan in Canada. They fear that the same system will be set up in the US.

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George P. Burdell

12:03 pm on Thursday, June 28, 2012

I have several co-workers in Canada, one had to bring his wife to the USA for knee cartlidge surgery, as it would be 3 years before the "free" Canadian care would be able to perform the surgery... Another co workers father was "not eligible" for Bone marrow transplant for leukemia because of his age.. He could of had it done in the US .

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Colin Lee

12:33 pm on Thursday, June 28, 2012

When you can't find facts about foreign health care systems, rumor works great. It allows you to place real doubt in everyone's minds without requiring any proof whatsoever. Three years is fiction. The actual wait time in most Canadian provinces today is about the same as in the United States. 83% of all non-emergency surgeries had a wait time of under three months, including 65% of joint replacments.

http://www.cbc.ca/news/canada/nova-scotia/story/2011/02/10/ns-hip-knee-wait-times.html
http://www5.statcan.gc.ca/cansim/pick-choisir?lang=eng&p2=33&id=1053003
http://www5.statcan.gc.ca/cansim/a26?lang=eng&retrLang=eng&id=1053038&tabMode=dataTable&srchLan=-1&p1=-1&p2=9

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Joyce Denn

3:33 pm on Thursday, June 28, 2012

I have a friend whose in-laws live in Canada - the in-laws won't come to visit my friend because they are afraid of American health care.

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Christine

11:32 pm on Thursday, June 28, 2012

We are Canadian and emigrated 6 years ago from Vancouver, and before that lived in Toronto. We are fortunate that my husband's company has excellent health care here, far far superior to what we could ever get our hands on in Canada. 6-9 hour waits in emergency rooms, 6 months for MRIs, 2-3 years for hip or knee replacements. Whatever comes our way with this plan, I hope and pray that it does not resemble that.

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Colin Lee

12:32 am on Friday, June 29, 2012

Christine, we share a lot in common with Canadians. I personally spent eight hours waiting in a Florida emergency room some years ago. The national average is four hours seven minutes. Even Senate Minority Leader Mitch McConnell only claims knee replacements take one year in Canada in his wildest rhetorical flourishes. Wait times are a real problem in Canada, but I fear you're overstating them.

http://www.upi.com/Health_News/2010/07/26/Average-US-ER-wait-time-4-plus-hours/UPI-76891280122494/

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Christine

10:43 am on Friday, June 29, 2012

Colin...."I fear you're overstating them" (re wait times for care and services) is a pathetic guise for calling me a liar. Go there. Live it. Then get back to me.

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Hudsoner

2:13 pm on Saturday, June 30, 2012

Christine, why do you try to pull polemic into the discussion? Great that you have an employer, who provides you with good health insurance. However, over 40 million Americans have none (how many Canadians don't have health insurance?). many more millions can only afford to have very basic insurance with very high out of pocket payments! Only because your employer paid insurance is better than the Canadian the Canadian system is bad?

On the other hand ACA has no similarity with the Canadian or British system, it is much closer in line with the system in Switzerland. In this, only you and the doctor decide when a certain procedure will be done!
Please leave any comparison with the Canadian system out of the discussion, because it is a different animal!

Mike McLean

10:22 am on Thursday, June 28, 2012

The SCOTUS justified it by saying that the mandate was a tax. Even though Obama's argument to get it passed was that the mandate was not a tax.
It will be interesting to see what people say when all of the tax increases hit that will be needed to support this pig.
It will also be interesting to see what other products our Federal government will force us to buy.
Standby......

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Hudsoner

10:32 am on Thursday, June 28, 2012

You should educate yourself about the provisions of the ACA! The government has no interests in forcing you to buy something, they just want you to have some kind of HC insurance. If you don;t have this kind of insurance, you will become a burden to the society who has to pay for your ER visits. Unless you want us to leave you laying dying in the streets?

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Candace Oathout

9:31 pm on Thursday, June 28, 2012

Joe,
I don't have to educate myself to the flaws of ACA. I've lived through the changes that have taken place in the health care field. When consumers are divorced from the true cost of the services they receive cost controls disappear and regulations increase by orders of magnitude. In 1988 it cost $50 to see a physician and a busy practice had about a 40% return on investment, Today physicians in private practice can bill whatever amount they like. They will get paid whatever the insurance company decides and the average return on investment is 18%. The idea tha every person without insurance will become a burden on society and run up ER bills is a democrat chanting point. It is a fact that private pay patients will pay less for the same service especially if they can pay up front. It is wrong to expect the government to take control over health care.

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mainstreet

9:49 pm on Thursday, June 28, 2012

If you are left dying in the streets it should be by your decision and poor judgement. It is not the government's place to take care of you.

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Hudsoner

2:21 pm on Saturday, June 30, 2012

Mainstreet, don't you think that this is a very cynical and misanthropic remark?

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mainstreet

4:09 pm on Saturday, June 30, 2012

Hardly. I am not my neighbors keeper, that's all. If you are able bodied you should pull your own weight. If you won't, it shouldn't be someone elses (or governments) issue if you haven't planned accordingly.

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MD

11:20 am on Wednesday, July 4, 2012

Candace,
I am a physician, and a subspecialized physician practicing at hospitals on both sides of the metro. The bill for our procedures is not $50, but rather $50,000. We collect only a percentage of this, and a majority of what's collected goes to the hospital, anesthesia, medical devices, etc. Yet for those who need them these procedures are lifesavers, or at least allow people to still be productive members of society as opposed to draining public funds on a ventilator in a nursing home. For the liberals: yes, we have been hurt by profit-taking and red tape from private insurance companies that are essentially middle men. The lack of a single payor option in ACA was an unfortunate compromise (in the past, Medicare was run at around 3% administrative overhead, Blue Cross at around 50% - how's that for government vs. private industry...) Recently, however, the burden of the uninsured and uncollected bills has become enormous. It's not just a 9% insured rate in MN, it's uninsured from the Dakotas and WI who are transferred here for subspecialized care. It's the uninsured who are often times less well off, have had little or no preventative care, and eventually get sicker than people with insurance. And yes, there ARE wealthy patients without insurance who refuse to pay, even in the face of lawsuits. For "conservatives": everyone with insurance is paying for those who don't have it. The uninsured ARE already hurting healthcare. ACA isn't perfect, but it's a start.

Elvis Weichel

10:25 am on Thursday, June 28, 2012

Plain and simple...the government is screwed up! Every year it seems like they bring up a new law that takes away freedom as Americans. While health care is good there is always the fine print of things that still screw you over! Freedom isn't Free anymore!

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Hudsoner

10:36 am on Thursday, June 28, 2012

Whose health care is good? The health care of the more than 40 Million uninsured? The health care of those that are denied insurance because of pre-existing conditions, the health care coverage of a cancer patient who had his coverage terminated because the life time max was reached?

Just tell me, who it is with the good health care?

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Joe

10:50 am on Thursday, June 28, 2012

Comments like this and Candace's are usually bereft of any specifics, choosing only to rant about the "loss of freedom." These people parrot media and extremist sound bites without educating themselves about true facts. It is quite simple to claim that the government is screwed up while remaining blissfully ignorant.

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Mike Hindin

10:51 am on Thursday, June 28, 2012

Freedom NEVER was Free. Even early woodsman helped each other out. It is called community and common good. Ask military personal, veterans and families what the cost of our freedom is. If you want to be truely self centered ask what's the cost of vaccine versus a unvaccinated kid carrying measles, flu, chicken pox, sitting next to your relative that has immunity issues. What's the cost of a child being permantly disabled by diseases like polio, which are eradicated or close to being eradicated by vaccines developed and paid for with governmen funding. Unless you subscribe to the recent tea party cheer "let them die" prevention and early intervention are cheaper than paying for full blown diseases.

Terrance Brandon

10:26 am on Thursday, June 28, 2012

If all the outrage I am hearing over this ruling translates into voters who actually show up and actually vote, then President Obama and his administration had better enjoy his victory while it lasts...

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Edward

10:35 am on Thursday, June 28, 2012

Romney won't touch this legislation. He wrote the blueprint for it (Romneycare) in Massachusetts. You can vote him in, but he won't go near repealing this.

He knows it is good legislation; it's what he did himself, as Governor, in Massachusetts.

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Orono

11:57 am on Thursday, June 28, 2012

Wanna bet Edward? Those silly little Tea Party folks didnt have very much effect in the 2010 elections did they?

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Edward

2:05 pm on Thursday, June 28, 2012

Where has the TEA party gone since 2010? Their caucus chair, Michele Bachmann, is nowhere to be seen these days -- after Iowa Republicans dumped her (soundly).

Graycrab

10:26 am on Thursday, June 28, 2012

Whoopee! I can eventually do away with that terrible "PART D" that has cost me so much!

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Mike McLean

10:33 am on Thursday, June 28, 2012

Kagan should have recused herself as she helped form Obamacare

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Heidi

10:42 am on Thursday, June 28, 2012

But Clarence and Ginni Thomas didn't have a conflict of interest...? (to the tune of $250 million)

Bernard P. Friel

10:33 am on Thursday, June 28, 2012

Of course its not perfect, but it is a stain on this country that we are so far behind in providing this level of health care for our citizens. Better to be standing in line than not to have a line to stand in, and it really is tiresome to listen to complaints about Socialism from our citizens who apparently don't understand the extent of Socialism that is already a part of our Democracy from which they benefit every day...public schools, Medicare, Social Security, dams, roads, bridges, the interstate system, parks, playgrounds, public transportation, public hospitals, public universities, the Centers for Disease Control, most stadiums and ballparks, hockey arenas, convention centers, airports, public golf courses, sewer and water systems, storm water systems, storm warning systems (hurricanes, earthquakes, tsunami), etc., etc. etc...

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MrsPeel

2:41 pm on Thursday, June 28, 2012

@Bernard.... please stop confusing the complainers with those nasty facts. The Wing-nuts don't use parks, highways, public schools, stadiums, dams, bridges or roads. They are all selfmade creatures who were born pulling up their own bootstraps (yes, they were born with boots on their feet). They travel only on streets and roads that were built and paid for by the followers of Ayn Rand with the help of Libertarians who volunteered the material and labor to construct these roads.

Haven't we all seen the volunteers from the "self made" tribe that constructed the Hoover Dam in their spare time and on weekends?

These people are so devoid of facts and information they have plenty of room in their minds to store the faily tales of "freedom from everything", the fears of "evil socialism" take up more of the mental space, and what space remains is devoted to the "wit and wisdom of the Great Limbaugh".

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Tim Genck

2:48 pm on Thursday, June 28, 2012

@ MrsPeel - brilliant. Thank you.

Mary Pozziini

10:36 am on Thursday, June 28, 2012

I have been under the Italian health care system for the last 5 years. I've used emergency services twice without having to pay a cent. Medicine costs are very reasonable. The benefits of universal health care far outweigh any negative aspects. If that is "socialism", I'll take it. I'm very happy that "Obamacare" as it's called will succeed, insuring affordable health care coverage for more Americans. Not as good as universal health care, but the next best thing.

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Orono

12:00 pm on Thursday, June 28, 2012

Wow, this might be the silliest comment I have ever read. Your country is completely broke. But, I guess as long as you are getting your free handout, who cares.

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Hudsoner

9:00 pm on Thursday, June 28, 2012

Orono
And the US is not? The difference is, Italy has a well functioning healthcare system, affordable for all its residents, the US does not!

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mainstreet

9:53 pm on Thursday, June 28, 2012

Yeah!!! We all implode together! Just wait til that happens and we'll see what Obamacare does for you then.

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Orono

5:39 pm on Friday, June 29, 2012

Hudsoner -- the US isn't Italy...yet. But, you've echoed my point. Italy will have to change things, including healthcare if it wants to fiscally survive. Weare already broke and now adding it. It just doesn't make a lot of sense.

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Hudsoner

2:30 pm on Saturday, June 30, 2012

Orono, we agree, Italy will have to change! But I bet they will not even touch their health insurance system. Italy's survival will depend on the willingness of the German taxpayers to fund the bill (so will have the survival of Greece, Spain, Portugal and Ireland), and can't find any request from those German taxpayers that want Italy or any of those countries reducing their national health insurance systems!

And why is that? Because the Germans have a very similar system and like it very much (yes, all the fancy Porsches, BMWs, Audis, etc. are build by people who are insured through a national health care plan, and even the CEO's of those companies are insured this way. Guess what, they all like it very much!)

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Orono

2:44 pm on Saturday, June 30, 2012

Good point. Ultimately it comes down to whether you can trust the US govt. to run this. Being congress isn't bothering to adopt the same program, I won't hold my breath.

je.

10:49 am on Thursday, June 28, 2012

How can you be upset by a ruling that will create a healthier country? Looking beyond the fact that when folks don't have insurance and seek medical care those of us who have jobs and insurance end up paying for it, you must also look at the people who don't seek care when they are sick. Do you really want someone walking around untreated carrying potentially dangerous disease and germs?

My neighbor resisted going to the ER a couple of weeks ago while he was suffering from a heart attack - because he didn't have insurance and knew it would be expensive. This shouldn't be a choice anyone has to make. In other countries people have health insurance or affordable healthcare - it may not be perfect but it certainly does prevent the sort of choices we require our citizens to make.

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Orono

12:04 pm on Thursday, June 28, 2012

You couldnt be more wrong. This doesnt make anyone healthier. Do you honestly believe that fat smokers who drink like fish are going to suddenly quit? The unhealthy will still remain unhealthy.

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Susan

5:15 pm on Thursday, June 28, 2012

But the free screenings each year will detect many cancers in the early stages, when they are easier and less expensive to treat.

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Orono

5:41 pm on Friday, June 29, 2012

Many clinics already offer free screenings. It is still incumbent upon the person to remove emself from the couch and make an appointment.

Dr. Jacob Conway, DC

10:51 am on Thursday, June 28, 2012

This reform will not be as effective as being responsible for our own health. That means that we should be active in our healthcare by trying to avoid becoming sick. That means that we should avoid things like high blood pressure and diabetes through our actions (eating healthy and exercising), and not just allow us to keep doing bad things to our bodies. We can mask our bad health with prescriptions and surgery (don't get me wrong these save lives), but we should try to avoid having to use them with a healthy lifestyle. If we don't address this aspect of health we will NEVER save money on healthcare. No matter what legislation gets passed by the government. I am going to individually mandate myself to a healthier lifestyle today! This is the most cost effective mandate that we can do for ourselves.

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Brenda M.

3:30 pm on Thursday, June 28, 2012

Excellent point! Sadly, many people prefer to take meds than change their lifestyle.

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Craig

2:54 pm on Wednesday, July 4, 2012

The best way to keep people healthy is to have doctors wash their hands THOROUGHLY before they see the next patient. If anybody saw the germs doctors carry on their hands, they would refuse to be seen by them.

Josh D. Ondich

10:56 am on Thursday, June 28, 2012

This a great day for not only for our president, but for millions of Americans that are ill or have pre-existing conditions. When people look back on the Obama administration years from now, The Affordable Care Act is one of his greatest policy achievements.

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Orono

12:06 pm on Thursday, June 28, 2012

I think it will be remembered as the largest tax ever.

Peggy Smith

10:56 am on Thursday, June 28, 2012

We should all be very happy that because of this ruling by the Supreme Court, millions of Americans who have been denied access to health care in the United States because of pre-existing conditions, will now be able to get health insurance coverage and care. In the long run, this will improve health care outcomes, as more Americans get health care for conditions that previously prevented them from getting care, or getting in more costly emergency rooms.

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Orono

12:07 pm on Thursday, June 28, 2012

So the fat and lazy that previously didnt give a crap about their health can now sleep soundly because someone else will cover them?

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Joyce Denn

3:17 pm on Thursday, June 28, 2012

Orono, ill health can strike anyone, even people who exercise regularly and eat healthfully, and everyone is just one accident away from needing health care.
As for "someone else" covering people, that is what is happening right now, under our old "system" of health coverage - who do you think pays for health care for people who have no insurance and cannot afford to pay for medical bills?

Sandra Andersen

10:57 am on Thursday, June 28, 2012

It's a great day for America and all those whom the insurance companies have previously rejected or could be rejected for pre-existing conditions, and those with chronic illness who have had a cap put on their insurance.

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Mike Hindin

10:59 am on Thursday, June 28, 2012

Pres. George Bush and pharma friends created prescription drug coverage with no funding and no allowed price negotiation (The Veterans Admin has been negotiating drug prices for years! ). Imagine that! An unfunded Republican mandate to harvest senior votes and sweatheart deals for big pharma without a corresponding budget source (tax) thereby creating big deficits. Now they are deficit hawks!

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MrsPeel

2:46 pm on Thursday, June 28, 2012

@Mike Hindin. You are correct that those who set up Medicare Part D and making it illegal to bargain for lower prices are not deficit hawks.

They are consistent about one thing and that is they were, are and always will be Hypocrites.

Simon D

11:04 am on Thursday, June 28, 2012

Woefully inadequate first step. Better to eliminate health insurance entirely and just pay for all healthcare through taxes. Why do we need these greedy middlemen profitting off of what should be a basic human right? And before you ask if we really should trust the government to make our medical decisions, let me just say that yes, I trust them more than I do some anonymous insurance underwriter whose job is to make sure their company makes a profit. Government is going to defer medical judgement to the doctors themselves, and I would rather have my medical treatment determined by a doctor than by an insurance company whose best interest is to deny payment of claims.

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Orono

12:08 pm on Thursday, June 28, 2012

Show me where it states that healthcare is a right.

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Joe

12:34 pm on Thursday, June 28, 2012

So far, Orono, all you have contributed in this discussion are out-of-context, spiteful snipes and attacks upon isolated comments of others that you don't like. Please participate in a meaningful manner.

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Simon D

1:13 pm on Thursday, June 28, 2012

Orono, get some help reading what I wrote. I stated what should be a basic human right. I did not state that is was an existing right. As of right now, healthcare is not a right, but a privilege to those who can afford it.

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Hudsoner

9:04 pm on Thursday, June 28, 2012

This would be the system in place in the UK and Canada.

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Orono

2:45 pm on Saturday, June 30, 2012

Thank you Joe for the hat tip. I didn't think anyone noticed.

Joe Sixpack

11:12 am on Thursday, June 28, 2012

The destruction of America is Coming to a head. My employer will drop our health coverage and we will be forced to take govt vaccines, drugs, and nutrition and alternative medicine will be outlawed. Then it will be a crime if you don't allow Them to "eurhenize" you to save the planet... Our freedoms are gone, keep your laws off my body!

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Dennis33

1:14 pm on Thursday, June 28, 2012

Listen to objective reviews of the law and you will discover that not a word you said is true.

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Hudsoner

9:07 pm on Thursday, June 28, 2012

Joe Sixpack. You should stop drinking that much beer, It seems your brain is clouded up!

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Chadwick

11:28 am on Friday, June 29, 2012

The only one who should stop drinking something is you Hudsoner. Your diatribes are uneducated at best and smacking of a liberal self righteousness with no basis in reality. Do you actually have any idea what the entirety of the bill does? You list off a couple of good aspects (allowing pre-existing conditions to obtain coverage and getting rid of lifetime caps) and extend that to meaning the bill as a whole is good. You obviously have no grasp of the bill because the bill as a whole is terrible. There are some good parts but if you actually look at the economic impact, increased taxes, increased deficit projections, increased govt employees and bureaucracies it is a hindrance to our entire country. By the way; they just did a survey and if Obamacare does go into effect 20% of companies who now supply employee healthcare will be dropping it. So get off the Kool Aid and get some real knowledge before you start badgering other people.

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Hudsoner

2:36 pm on Saturday, June 30, 2012

And you Chad should try to find other sources than Limbaugh and Faux News for your information sources. Once you gained real information and knowledge about the ACA, you can come back and talk again.

Mike Hindin

11:38 am on Thursday, June 28, 2012

Like Michele Bachmann and Sara Palin turning a physician appointment to discuss treatment options into a "death panel?" You have been listening to tea party propaganda too long. Patients including you always have the right to refuse treatment. That is in law and several constitutional provisions like right to privacy prevent forced medical treatment. Your employer can drop your health converage at any time or impose restrictions on care he doesn't approve of. Governor Pawlenty vetoed 2 attempts by school systems to form an insurance pool with increased bargaining power. Do you even know how employer based health care came about?

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Shona Miller

11:48 am on Thursday, June 28, 2012

I have a question. When did men in this country become such weak little trolls? I can see why a woman might be liberal, I get that - but a liberal man? It is so sad that so many men in this country are so weak and need to be taken care of. Common boys, grow your testicles back and get with the program. You people do realize that people that can afford insurance will never need to pay the govt impossed fine. How about the poor? Oh, I guess it will be another big welfare program.

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rob_h78

11:59 am on Thursday, June 28, 2012

How many "real men" who don't have insurance and get seriously injured refuse emergency room care when they know that they can't pay for it?

You do know that when people show up at the emergency room that the ER is REQUIRED under Federal Law to treat that person even if the person cannot pay for it and has no insurance.

Who do you think pays for it then? You do along with everyone else who pays taxes and has health insurance.

I guess if you are ok with Health Care Freeloaders that's your call - but buck up - be a man and tel those Health Care Freeloaders - ENOUGH - get your own Health Insurance or lay down and die like a man if you get injured, need an ER, and can't pay for it.

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Tim Genck

2:13 pm on Thursday, June 28, 2012

Shouldn't you be in the kitchen keeping your mouth shut? I mean, if we are going to revert back to horrible stereotypes of a bygone era.

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Joe

2:41 pm on Thursday, June 28, 2012

One mustn't need to be amoral in order to be masculine. True men throughout history have demonstrated compassion for the weak, from Christ to Marcus Aurelius to Henry V. Should I, a retired Marine Corps infantry officer imbued with a lifelong commitment to defending and showing compassion for the weak, grow larger testicles and join your program? I'd just as well join Assad's criminal government.

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mike savick

7:13 am on Friday, June 29, 2012

Since King George was the conservative who owned the transnational East India Company whose tax exempt priveleges the local tea merchants were protesting, the Tea Party protestors and the entire list of founding fathers and the Continental Army were liberal "weak litle trolls?"

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Orono

5:48 pm on Friday, June 29, 2012

Wow, a lot of over sensative men on here. I found her comment funny. Lighten up guys. Thou dost protest too much...

Derrick Williams

11:50 am on Thursday, June 28, 2012

Local reaction from a couple Dakota County residents I found funny:

"This is an outrage," one man said to nobody in particular.

"I'm moving to Canada," the other replied.

"You can't. They have government-run health care, too," the first man said.

"Well what the heck?" the second said as both laughed.

See the story: http://patch.com/A-v9VQ

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rob_h78

11:57 am on Thursday, June 28, 2012

My Conservative side is happy that the Mandate was upheld so that we will no longer have Health Care Freeloaders who show up at the emergency room, can't pay, get treated and expect me to help pay their health care costs.

My Liberal side is upset because the Mandate is a huge giveaway to private insurance companies - and the Mandate will keep Universal Health Care from being started for likely a long time.

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Orono

6:04 pm on Friday, June 29, 2012

Come on Rob, you dont have a conservative side. Less liberal? Sure.

Removing the compassion from the equation (Conservatives are really good at that) the program is a loser. The Gov can't manage itself and now they get to run healthcare. However, the insurance companies did zero to prove they should continue to run anything. Republicans want it repealed but have NOTHING to offer as a fix. The rich will feel no effect. The middle will pay the price. Good doctors will go private leaving fewer to tend to the middle. The union sheet metal worker ( for example) making $45 K a year with free medical now will be sharing their services with the poor who will move from the ERs to the family practices. Waiting times will definitely increase. Unemployment might also spike. If small businesses are forced to insure people they previously didn't, they will likely layoff enough workers so they don't have to cover them. What's the answer?

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Chris Steller

12:21 pm on Thursday, June 28, 2012

Here's what some Fridley individuals and institutions are saying: http://patch.com/A-v9Y8

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Mike McLean

12:54 pm on Thursday, June 28, 2012

This is just nothing but a further shredding of our Constitution.......

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Tim Genck

2:05 pm on Thursday, June 28, 2012

Explain yourself. The Constitution could not have been written, as brilliant as it is, to foresee every issue facing the nation almost 300 years later. Is 50 different mandates for 50 states a logical use of everyone's time and tax dollars? How does making health care for Americans a right and not a privilege fly in the face of the constitution?

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Mike McLean

2:10 pm on Thursday, June 28, 2012

When Obama was running for election, he addressed the SEIU and said that h is goal was to do away with employer insurance. At the time, I thought that was very arrogant. But as I think about it now, it is a good idea. Make available across state lines just like car insurance. Do not tie it to a job. People always said that the government can force you to buy car insurance, so why not health insurance. So treat them both the same.
Even Judge Roberts said that the mandate was unconstitutional. But he OK';d it as a tax.

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Tim Genck

2:19 pm on Thursday, June 28, 2012

Hardly a shredding of the constitution. If republicans had all these great ideas they had ample opportunity to speak up, but decided to pout on the sidelines. People need car insurance not just to protect themselves but to protect others. Same goes with health insurance now.

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MrsPeel

2:54 pm on Thursday, June 28, 2012

That is such a laugher, Mike. It seems that the SCOTUS used the Constitution as the basis of their ruling. Or do you mean the "shredding of your opinion" of what the Constitution means>

Every Justice on the SCOTUS has a law degree, including the human cipher Clarence Thomas, so what do they know about the Consitution?

What are your legal credentials Mike? Your membership card in the NRA? Your tri-cornered hat with the tea bag tassels? Or is it your Gadsen flag?

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Mike McLean

3:12 pm on Thursday, June 28, 2012

MrsPee! - My extended legal credentials are as follows:
One year of Architectural Eng
Two years Of brown College (Electronics / Programming)
But we are currently still allowed to voice our opinions, I think.....

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Orono

2:51 pm on Saturday, June 30, 2012

Mrs Pee- you can't tear apart Thomas without adding Ginsburg and Sotomeyer to the worthless list who believe the constitution evolves.

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Joyce Denn

8:01 pm on Saturday, June 30, 2012

Orono, the people who wrote the Constitution and the first Justices who interpreted it, notably Chief Justice John Marshall, believed the Constitution evolved:
'The Founding Fathers had wisely worded that document in rather general terms leaving it open to future elaboration to meet changing conditions. As Chief Justice Marshall noted in McCulloch v. Maryland, a constitution that attempted to detail every aspect of its own application "would partake of the prolixity of a legal code, and could scarcely be embraced by the human mind. . . . Its nature, therefore, requires that only its great outlines should be marked, its important objects designated, and the minor ingredients which compose those objects be deduced from the nature of the objects themselves."'
http://www.supremecourt.gov/about/constitutional.aspx

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Orono

11:04 am on Sunday, July 1, 2012

Joyce, Sorry, but John Marshall and the Framers are as related as you are with reality.

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Joyce Denn

11:25 am on Sunday, July 1, 2012

"Joyce, Sorry, but John Marshall and the Framers are as related as you are with reality" - the post in which Orono claims the framers of the Constitution and the Chief Justice of the Supreme Court who actually knew and spoke with the framers themselves had no clue as to the meaning of the Constitution. Interesting.

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Orono

1:04 pm on Monday, July 2, 2012

Joyce - Thomas Jefferson and John Marshall were opposites. That means they were NOT like each other. Marshall was a Federalist and wanted more and bigger government. Jefferson did not. Seriously, try reading a book or two before pretending you know anything.

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Joyce Denn

1:49 pm on Monday, July 2, 2012

Orono, Thomas Jefferson was not one of the framers of the Constitution, nor was he one of the signers - Jefferson was in France when the Constitution was written and signed. John Marshall was the foremost interpreter of the Constitution.

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Orono

2:24 pm on Monday, July 2, 2012

Oh my god. You seriously are going to continue to try and argue this? John Adams, Benjamin Franklin, Alexander Hamilton, John Jay, James Madison, George Washington and Thomas Jefferson, were the original 7 that started the ball rolling. I think the fine print states that these 7 were originally going to simply give in to England but John Marshall called them all together to state their independence and then begin the process for creating the constitution.

Barbara J. Miller

12:56 pm on Thursday, June 28, 2012

Oh, dear. Here we go. Again. Already. Still.

A suggestion. Before you/I/anyone else goes off half-cocked with half-baked blather, perhaps we could agree to do the following:

(1) Read and inwardly digest the Affordable Health Care Act.
(2) Read and inwardly digest the 129-page (yes, all of it!) opinion by SCOTUS Chief Justice Roberts, and those of the other SCOTUS justices (both proponents and dissenters).
(3) Gather information from reliable, at least relatively non-partisan, thoughtful sources (which eliminates Fox News, HuffingtonPost, Rush Limbaugh, and Bill Maher among others). Generally speaking, sources with .org after their web site address tend to be more trustworthy. Operative words: tend to be.
(4) Conversein our indoor voices with people who share our point of view and also with those who do not. We will never, ever understand each other nor solve one single problem in this country until we can all act like grownups.
(5) Re the above, perhaps we can model adult behavior for Congress. Grassroots manners and negotiation 101.

That's all.

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AmberG

2:02 pm on Thursday, June 28, 2012

Barbara, you are my hero. Could we make numbers 4 and 5 a prerequisite for all posts of any kind on all blogs?

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Tim Genck

2:10 pm on Thursday, June 28, 2012

Agreed. We all should remember we still live in the greatest nation on Earth despite our disagreements and as Americans we should respect everyone's right to free speech.

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Smokin' Joe

3:26 pm on Thursday, June 28, 2012

Barbara, this is truly a wonderful sentiment and should be a great goal to aim for, although there is one major problem. Even if one were to read and inwardly digest the Affordable Health Care Act the fact is that the majority of the everday details of what is to come have yet to be decided and won't be decided for some time. When those decisions are made they will likely be done so by unelected and fairly faceless bureaucrats who are operating at the advice of the industries they are making decisions about. I guess Pelosi was a bit optimistic when she said we'd have to pass it to find out what's in it.

Joe

12:56 pm on Thursday, June 28, 2012

There has been discussion about health care freeloaders. So... a person who cannot afford health insurance is injured, or has an injured child, but should choose not to seek medical assistance? Why? Because they don't have enough money? Few purist Americans would agree, especially those who claim to belong to what some refer to as a traditionally Christian state. Such logic reduces humans to a quantitative entity, a philosophy held by every ruthless and undemocratic dictator known to humankind, Hitler, Stalin, and today, Hussein and Assad, to name a couple.

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Eric Gray

1:16 pm on Thursday, June 28, 2012

Remember people, this reformed health INSURANCE, not health CARE. the quality and cost of health care needs to be addressed. If the care itself was improved, no one, including myself would have an issue. But reforming insurance with a mandate subject to a tax for refusal can lead to a slippery slope of future mandates and taxes.

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Joyce Denn

3:22 pm on Thursday, June 28, 2012

There are many provisions in the ACA that address the cost and quality of health care, including funding for pilot projects like community health centers in under-served areas and additional research into effective treatments.

Molly McCarren

9:11 am on Monday, September 10, 2012

POMPOUSASS gets victory from SCOTUS.

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Edward

2:27 pm on Thursday, June 28, 2012

Molly, you have such a beautiful name. It's a shame that your words are so ugly and hateful. What ever happened to civil discourse?

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MrsPeel

3:01 pm on Thursday, June 28, 2012

@Chris... the only comprehensive and clear thought that came through your rant is that you don't like, nor agree with Representative Keith Ellison.

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Orono

6:09 pm on Friday, June 29, 2012

Funny, I can't think of one reason to like Ellison. Ellison screams racism while defending the likes of Charlie Rangel and Maxine Waters.

Tim Genck

2:50 pm on Thursday, June 28, 2012

This should also serve as a reminder that Romney has no chance in November because the only good thing he did as governor of Massachusetts (I know because I lived through it) was pass this exact bill. Now it's the worst thing in American history according to Romney. Just sayin.

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Orono

2:56 pm on Saturday, June 30, 2012

Mitt doesn't seem to be the ideal messenger on this topic.

Edward

3:39 pm on Thursday, June 28, 2012

From another board:

"I just left class and went into the hallway and cried because my crohn's disease gets to stay in remission."

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Edward

3:40 pm on Thursday, June 28, 2012

And the reply to that comment was:

"Ulcerlative Colitis sufferer here. 500$ a month for Asacol HD to keep it in remission. I did the exact same thing."

mike savick

4:06 pm on Thursday, June 28, 2012

Because the health insurance company weaseled out of paying by using the preexisting conditions golden parachute, the community i.e. taxpayers paid for a 25 year old man's surgery to repair a complication of a previous chrohn's disease surgery. Obamacares provisions prevent insurance companies from skipping their obligations and creating medical indigency claims. The indvidual had health insurance but the employer chose a poor quality policy.

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Freedom

4:09 pm on Thursday, June 28, 2012

This ruling will activate the Tea Party and kick Obama and Michbutt out

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Edward

4:34 pm on Thursday, June 28, 2012

Mitch McConnell? Yeah, I agree with you on that one.

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FinalWord

5:49 pm on Thursday, June 28, 2012

I think it's Muchelle off the taxpayers Obama

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Edward

6:02 pm on Thursday, June 28, 2012

Mooch off the taxpayers Michelle? Oh, I know her, and I'm with you there. 6th District needs to retire Michelle Bachmann. EVERY job she's ever held was taxpayer funded, and she gets welfare farm subsidy payments, not to mention hubby gets Medicaid dollars for his "pray away the gay" therapy clinic. Talk about mooching off the taxpayers . . .

If you're speaking of Michelle Obama then you don't understand how the system works. She doesn't hold an elected office so, sadly for you, her name won't be on the ballot in November. You can't directly vote for or against her. Sorry to disappoint you! But the good news is that Bachmann's name will be on my ballot, and we get a chance to give her the boot through direct vote!

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Susan

6:26 pm on Thursday, June 28, 2012

I seriously hope Freedom is not referring to Michelle Obama. If so, it's crude and not the least bit clever or funny....grow up.

Cathy

5:18 pm on Thursday, June 28, 2012

So happy I can finally get the healthcare I need. A little clip for the Romney supporters who disagree with the mandate part of this ruling. http://thecaucus.blogs.nytimes.com/2012/06/28/in-2006-video-romney-calls-health-care-mandate-essential/

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mainstreet

10:04 pm on Thursday, June 28, 2012

You can always get the healthcare you need. Just pay for it!

Mark Mickelson

5:36 pm on Thursday, June 28, 2012

If anybody wants to see how a town that is run by liberals turns into a dump take a drive down to Northfield. The streets look like they were bombed, their city hall is a dump, the hockey arena looks like something out of the 1920's, safety center is........well you just have to see it. Then there are the fire trucks, the library looks like a storage unit, and then these people cannot even figure out where to put a liquor store (its been in the works for six years) and they are number one per capita in mobile homes in the United States. I challenge anyone to drive around the older parts of town and find just one block that has at least three houses in a row that look like they are in good shape. Yep, this probably will get deleted, but you cannot delete the fact that Northfield is a low rent dump.

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Edward

5:44 pm on Thursday, June 28, 2012

What does the administration of city of Northfield have to do with today's Supreme Court ruling?

I came here to read opinion on the SC ruling on ACA, not to see somebody's rant about the perceived shortcomings of Northfield, Minnesota.

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Orono

3:03 pm on Saturday, June 30, 2012

I'm surprised Eddie, reading your other responses on here, you apparently know everything. Yet, you can't figure out Mark's comment?

FinalWord

5:42 pm on Thursday, June 28, 2012

Let's not forget that they elected a guy to their city council, that if I remember correctly, lived out of his van or in a truck. A freaking homeless dude on their city council, and they were taken for several million dollars by investing money with a shell of a financial institution.

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Smokin' Joe

6:21 pm on Thursday, June 28, 2012

What gets left out of the discussion is that everything that gets taken from me is that much less that I am able to give to those charities and individuals that I find to be deserving. It still all comes down to power and influence.

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Edward

6:37 pm on Thursday, June 28, 2012

Well, if you are on employer-sponsored health insurance then nothing more gets taken from you than what you are paying right now. If you are like me, you actually saved about $5,000 this year on out-of-pocket health care costs. That give me MORE to give to charities, and other deserving causes. In fact, after this discussion on this board, and realizing I was saving so much money, I gave $1,000 to one of my favorite causes this evening. And, after talking it over with my spouse we decided we should give more in the coming months . . .

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Nicole ThatsMe

6:54 pm on Thursday, June 28, 2012

Hooray for Eddy - he has to come on Northfield patch and announce to the world that he is giving to charities - why don't be a man and just give and not expect to be congratulated for being a good little boy. But if you insist, here is your smiley face :-) to put on your paper.

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Edward

7:17 pm on Thursday, June 28, 2012

Nicole,

So sweet of you to give me a star, but I didn't come here for praise. I was making a point about how the new healthcare law actually SAVED me money, and I was able to use some of it to give to a cause of my choosing (responding to Smokin' Joe's comment).

No need to be snarky . . . BTW, I'm posting this from the Stillwater Patch.

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Nicole ThatsMe

7:41 pm on Thursday, June 28, 2012

Eddy, this healthcare law doesn't even take effect until 2013 so you are lying. You could not have saved one dime yet. So got anymore stories for us, and BTW i am posting from Eden Prairie since we are all sharing now.

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Edward

7:50 pm on Thursday, June 28, 2012

Nicole, I am not lying. The mandate to provide health insurance for dependents to age 26 went into effect, and I'm saving over $400 a month because I have two kids under 26 (and past college). Because they are still covered (due to Obamacare law), I am saving over $400 a month in health insurance payments for them (COBRA).

There are many, many families just like mine, and over 6 million young adults have healthcare coverage, without incurring additional cost of insurance, today due to this part of Obamacare.

Don't call me a liar. I never lie about anything.

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Nicole ThatsMe

7:59 pm on Thursday, June 28, 2012

So you have no job, and your kids are still are on your insurance. Wow, glad my 21 and 23 year old are successful and not dependent on me. Now I must go, I don't feel like having this discussion with a feminist - ED!!!!

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Edward

10:07 pm on Thursday, June 28, 2012

Nicole, you have a strange tendency to jump to unsubstantiated conclusions. I was speaking of the kids when I mentioned COBRA (NOT me, I am insured through an employer). I don't know what makes you think I'm a feminist (??). I'm talking about healthcare here, and that's not a feminist issue -- it's a family issue. One kid is in advanced program that doesn't provide health insurance, and the other has employer that does not give health insurance. They are extremely competent and hardworking people, like so many others who don't have access to health insurance these days. This is not unusual, and it's the reason that dependent coverage was extended to age 26 -- there are millions of kids just like mine out there.

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Orono

3:14 pm on Saturday, June 30, 2012

Edward -- Nicole has a huge point. Why the pathetic need to share your giving? And the feminist comment is right on.

sandra baro

6:40 pm on Thursday, June 28, 2012

It's interesting to note that people that complain most about "Obama Care" are those that already have health insurance. Just saying.

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mainstreet

10:08 pm on Thursday, June 28, 2012

Yes we have it because we worked long and hard for it and took it upon ourselves to get a good job (probably far from home in some cases) with insurance. Because you won't do that gets no sympathy from me.

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Angeleen Rohda

10:57 am on Thursday, July 12, 2012

Mainstreet - Do you think you could have 'worked long and hard' for your health insurance if you had a disease the didn't allow you keep working? And then you'd lose your health care too?
Just because you were able to work hard and long and receive rewards for it doesn't mean everyone else who doesn't receive rewards didn't work long and hard or are somehow undeserving to receiving anything.

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Donald Lee

1:14 pm on Thursday, July 12, 2012

The PPACA does two things. The first part is popular, but the second part is not. Unfortunately, you can't have one without the other.

First it promises "benefits" through taxation and control of medicine and the insurance industry - "insurance coverage" for all, "no pre-existing conditions", etc. This is the stuff that gets all the attention. People like getting benefits.

The second part is the costs. The taxes are only a small part of it. The Big Deal is that to control costs, the government must effectively seize control of the entire healthcare industry through regulation, prohibition, and cost control.

That control means that people like "mainstreet" will not be ALLOWED to provide for themselves. When health care is a "right", then the means to provide it is a "national resource", and "not for sale".

Goodbye markets. Goodbye choice. Goodbye freedom. (and goodbye innovation, good service, and progress)

This is inescapable because once you start giving things away according to someone's idea of "deserving", someone has to decide both who is deserving, and what is to be produced to care for the deserving. Since we have ruled out markets, these decisions get made politically.

Guess what - there is never enough of what you are giving away, and political decisions tend not to be "wise" or "fair". Think about Congress in charge. That's the reality.

Freedom

6:45 pm on Thursday, June 28, 2012

Yes, Freedom was talking about Queen Michelle Obama. I love Michelle Bachman.
Also, Smokin' Joe how right you are. With each extra dollar the public sector sucks up we have much less freedom to give to charities of our choice. I made that point last fall to all the big supporters of 'Yes' for Kids in our schools. The money never really goes to the kids, it goes for high salaries of top school administration. In the end, I have less money to send to build schools in Haiti.

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DenialPhD

6:55 pm on Thursday, June 28, 2012

Wow, I've been reading the comments and I really don't know where to begin.

Let's start with taxes. Although the Supreme Court ruled this constitutional under the federal government's ability to tax, I must reiterate that in actuality the "penalty tax" will likely only impact 2% of American's (at most). The vast majority will still be receiving health benefits from their employer, those who choose to have private health insurance can actually continue their current policies, and all will be in compliance with the law. Yes you will have to pay a penalty if you choose not to carry insurance, and you can choose to pay that penalty and be in compliance with the law. The idea that this is a massive tax that is being waged against everyone is a completely false statement.

Second, like it or not, everyone will benefit as it will reduce healthcare costs across the board in two very meaningful ways. First, health insurance companies will often negotiate lower fees with providers. If you have $1,000 ER bill, you pay your $100 copay, and if the insurer argues that bill should only be $700, that's what is paid. You usually won't have to pick up the difference. Why is this? Because, secondly, the uninsured who use that ER often cannot afford to pay their bill, so hospitals try to recoup those costs by inflating bills of other patients. Ultimately, this law is good for everyone, by lowering the cost of healthcare overall. What is so terribly wrong with that?

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Edward

7:31 pm on Thursday, June 28, 2012

Nothing. It's great. Clearly a lot of clueless people here haven't read the legislation that was passed.

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Smokin' Joe

9:23 pm on Thursday, June 28, 2012

There is nothing in this that will reduce costs. Like it or not, if you add benefits that are touted as "free" people will use them. Those of us who pay our own insurance and carry high deductible plans won't be able to continue our current policies. There have already been changes to the high-deductible/HSA policies, or do you actually believe that that $200 of preventative care coverage is really free?
If you're only paying a $100 copay I'd love to work for your boss, a policy like that probably runs 16+K for that typical family of four. I'm my own boss and my deductible is $11500 per person, per year. That's my benefit package for working my tail off and keeping 4 people off the unemployment line. It's also my choice, at least for the moment, because personally I'd rather have the money and make my own decisions about my health.
The first thing that has to happen in order to have a meaningfull discussion about this is that the ludicrous idea that anything is free has to be eliminated. There is no way, absolutely nooo way that 30 million people can be added to the insurance pool without raising costs. Your preventative care is not free, and every $300 that has to get written off that $1000 ER visit is the reason why they bill it at a grand in the first place. They are going to use their coverage. I would too. As a matter of fact, as soon as I'm required to drop the high deductible I'll be taking a vacation and getting my knees replaced. I hear it's free.

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mainstreet

10:11 pm on Thursday, June 28, 2012

Any borderline employer who offers health insurance now, will not in the future because it will be more profitable for them dump their employees on the government. system and pay the fine. Simple math.

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Joyce Denn

7:59 pm on Thursday, June 28, 2012

Really? Where do you see socialism in this country? If you are referring to health care, the only place you'll find socialist style health care is at the VA and in the military hospitals.

Freedom

7:19 pm on Thursday, June 28, 2012

Nicole, I complain against Obama Care and my husband and I have sacrificed to buy our own darn insurance and we don't go crying to Big Daddy Obama to provide it for us. We have a $10,000 deductible per person and do not run to the doctor every time we have a sniffle. Twenty percent of our own personal health care cost are a direct result of Medicare. The government reimburses what rate they decide they should to clinics and hospitals and the good old private sector insurance has to pay the difference. I'm constantly amazed with how stupid and uneducated a typical liberal is. Before you go spouting off your uneducated mouth - study where the real cost are. Also, in ER are the welfare people that go in for a broken toe nail because it's 'free' for them and they don't care. People like me, who pay wait until the doctor is in over normal hours.

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Edward

7:29 pm on Thursday, June 28, 2012

Freedom, how can you be free from government intervention in your healthcare when you are on Medicare? You do know that is a government run, single payor, socialist system, don't you?

How can it be "freedom" when you aren't using the free market healthcare system? Medicare is NOT free market. It is the evil, socialist government system, the same as if you were in Canada or Great Britain. It is government-run healthcare.

This is too funny.

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Susan

7:37 pm on Thursday, June 28, 2012

Freedom, I am constantly amazed at how ignorant and lowbrow some on the right can be! Before you go "spouting" ridiculous examples and generalizations, how about you actually read the ACA and see what it might do to improve your situation?

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Tim Genck

8:00 pm on Thursday, June 28, 2012

Susan- its amazing that the people who could benefit from democratic leadership most routinely vote against them for various fear, religion, and hate related reasons.

Freedom

8:04 pm on Thursday, June 28, 2012

Dear Edward, I NEVER said I was on Medicare. Again, my husband and I are self-employed and we buy with our after tax dollars our own health insurance. To buy a policy that pays for every doctor visit, would be way to expensive. Instead, we purchase a high deductible policy that is more affordable. If we have to go to the doctor we pay for it with our own money, and do not whine to Big Daddy Obama. We value our freedom and are not stupid like Susan.

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Susan

8:10 pm on Thursday, June 28, 2012

Hahaha...actually made me laugh out loud! The simplicity of your statements say more about you than any words you could write, or rant. Have a good evening Freedom, you have been entertaining.

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Hudsoner

9:36 pm on Thursday, June 28, 2012

Dear Freedom, I feel sorry for you, because you seem to be absolutely clueless!

I just wonder, how anybody with so little knowledge in economy and business can be self employed. Is it, because no reputable employer will hire you?

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Danielle Cabot

10:50 pm on Thursday, June 28, 2012

Please refrain from personal attacks. This goes for everyone.

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Orono

3:28 pm on Saturday, June 30, 2012

Susan, if you were even half as smart as you think you are.....

Carolyn Engeldinger

9:00 pm on Thursday, June 28, 2012

I am delighted that the Affordable Healthcare Act will stand! Though I and my family have always had access to healthcare, I know that there are many others that are not so fortunate. Healthcare is a human right!

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Freedom

9:18 pm on Thursday, June 28, 2012

Health care or health insurance is a human right?

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TB

7:23 am on Friday, June 29, 2012

Please explain what makes Health Care or Health Insurance a "right".

Julie Kovacic

9:10 pm on Thursday, June 28, 2012

Here is the quote from HealthCareAndYou.org "In 2014, most Americans will be required to purchase health coverage that covers essential health benefits. Those who have trouble paying for insurance may receive financial help to offset the cost. Those who choose not to purchase health insurance will be required to pay a fee. Depending on how much you make, the fee will range from $695 to $2,085. Some people with low-incomes (those who would have to pay more than 8 percent of their monthly income to buy health insurance) will not be required to purchase health insurance."

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Candace Oathout

9:56 pm on Thursday, June 28, 2012

"Where does the financial help to offset the cost" come from? Oh, that would be from the taxpayers, right?

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Joyce Denn

9:12 am on Friday, June 29, 2012

Candace, are you aware that the government is already subsidizing the cost of insurance for every single person who gets insured through an employer? Premiums are deducted from income BEFORE taxes, meaning people with employer health coverage are getting big tax subsidies from the government; in fact, the higher your income, the higher your tax rate, the more of a subsidy you get.

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Orono

4:34 pm on Tuesday, July 3, 2012

Joyce - WRONG - not every employer does that. It actually costs employers money to set it up for their employees. I would have to pay someone to manage the pre tax health care accounts. For smaller employers like me, it is a price not worth paying. Also, some accounts are capped by a specific dollar amount. This would make it fair for everyone.

Julie Kovacic

9:16 pm on Thursday, June 28, 2012

Sooo, we make people who can't afford insurance buy insurance with money they don't have, and if they don't buy the insurance, we charge them more money...sounds a little like the effectiveness of debtors' prison. The last statement about those whose insurance costs would take up more than 8% of their monthly income sounds to me like a vicious cycle. You have to keep your income below a certain level to avoid a penalty that if you could just keep your money, maybe you could make some headway, stay healthier, improve your living situation, and hence work toward being able to someday get healthcare...

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Freedom

9:58 pm on Thursday, June 28, 2012

Dear Hudsoner, We work, we pay taxes, and we buy our own health insurance. I guess that's not honorable. Maybe I should instead work in the public sector and provide 'service' ?

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Hudsoner

11:04 pm on Thursday, June 28, 2012

That would be one way to get you a decent health coverage, However, you could do like I and work for one of the biggest companies around and still get a very good health coverage.

But again, with 10 K deductible I would call it not really a health insurance but rather a catastrophic coverage. But thanks to Obamacare you will have a better and cheaper insurance in the future!

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Susan

7:44 am on Friday, June 29, 2012

Freedom, Hudsoner is right! I think you will be pleasantly surprised to see that you may now be able to afford better insurance under the ACA...but I suppose you ignore what might be better, so you can stand by your principles and boycott anything this President has done that might make your life just a little bit better?

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Joyce Denn

9:10 am on Friday, June 29, 2012

"Freedom", are you referring to public sector workers line the fire fighters who are currently trying to control the massive wild fire in Colorado? Perhaps you mean the policemen on the beat, or the EMTs performing CPR on the guy with the heart attack or the soldiers protecting your freedom.
As for buying your own health insurance, that's fine if you can afford it, but what should people with lower incomes or with preexisting conditions do? I have a history of both heart disease and cancer - do you think any insurance company would be willing to cover me? Fortunately I get insurance through my employer - employer based insurance companies are required - by the government, no less - to cover preexisting conditions in exchange for tax breaks.
And, speaking of employer based coverage, perhaps you are not aware that the premiums are deducted from income BEFORE taxes, meaning people with employer health coverage are getting big tax subsidies from the government; in fact, the higher your income, the higher your tax rate, the more of a subsidy you get.

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Orono

3:39 pm on Saturday, June 30, 2012

I agree that a ton of misinformation is being spewed here and, well, every where. However, hudsoner, Susie, Joyce and Edward are spewing the same ill informed crap just from the liberal perspective. The CBO has been revising the cost of this program for 2 years. What started as a $900 million cost, has grown to nearly 3 trillion. Someone is paying for it. To pretend that all of this is going to magically happen with out effecting your pocketbook is simply stupid. I know liberals don't have common sense and republicans make up facts but surely logic should at least tell you there's is no free lunch, someone is paying for it and we are all likely in trouble if it is the government that is running this show. So, Susie and Hudson how about you also shut up.

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Orono

11:10 am on Sunday, July 1, 2012

Joyce - I know I am correct. So, answer this then. How is it NOT going to effect your pocket book? Remove your nausiating, holier than thou, liberal spin from your rhetoric and tell me.

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Joyce Denn

11:23 am on Sunday, July 1, 2012

Orono asks how will the ACA affect my pocket book? (I'll ignore Orono's ad hominem comments.) I currently get health insurance through my employer, and in about 5 years I'll be eligible for Medicare, so the main effect will be this: my premiums will no longer be increased to cover care for people who lack insurance and lack the means to pay for care.

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Orono

10:28 pm on Sunday, July 1, 2012

Joyce, because everyone will be covered, including everyone who will get it free, your premiums will not raise. It is actually cute how naive you are.

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Joyce Denn

7:28 am on Monday, July 2, 2012

Orono, try looking up "risk pool" - when you expand the risk pool to include people less likely to need hospitalization or medications, you lower the cost for those who will need it. That is how insurance works.

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Markus

9:44 am on Monday, July 2, 2012

"Orono, try looking up "risk pool" - when you expand the risk pool to include people less likely to need hospitalization or medications, you lower the cost for those who will need it. That is how insurance works."

Actually Joyce, your statement here is correct. What you're not factoring in is by forcing insurance companies to cover preexisting conditions the risk pool is more likely to need services requiring an actuarial adjustment which will raise premiums. There is simply no way around this. To think otherwise is Utopian and unrealistic.

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Orono

12:10 pm on Monday, July 2, 2012

Joyce - expanding the risk pool means also accepting those that were previously uninsurable. Those with preexisting conditions and those that were being taken care of by the government. Instead of running up even more debt by paying for the uninsured, the government will be charging you. Clearly you have never run a business or even a budget center. If the insurance company finds itself having to pay more to cover more, they will charge more. Your premiums will go up - sorry. On the bright side, you can now start telling fat people to stop feeding there face. Their gluttony is your money.

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Joyce Denn

12:40 pm on Monday, July 2, 2012

Orono, you seem to be unaware that anyone who has health insurance is already paying for the uninsured through higher premiums; by requiring everyone to have insurance, the ACA will make sure that we don't have to pay for "deadbeats" - I thought Republicans and Libertarians wanted everyone to pay his or her fair share.
The whole point of justifying the mandate under the commerce clause is this: someone who chooses not to have health insurance will, of necessity, use the health care system at some point, and that person's decision not to have insurance will cost everyone who does have insurance.

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Orono

1:28 pm on Monday, July 2, 2012

Joyce - You can spin around this until your dizzy it still doesn’t make you correct. Insurance COMPANIES are not paying a dime for those that are uninsured. Hence the term UNINSURED. The government is paying for them. The taxes you pay went to pay the interest on the debt owed to China, who we borrowed from to pay the hospitals who provided the care. Your premium you pay at work didnt cover those previously uninsured now it will. Hello, higher premiums. Your Park Nicollet doctor that previously never handled those patients without insurance because they went to the ER now will have to also try to fit the uninsured into their already booked practice schedule. Hello longer waiting. Instead of repeatedly telling us how nothing will change, maybe just argue that now people who don’t have coverage will. You can’t refute that.

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Colin Lee

1:39 pm on Monday, July 2, 2012

Orono - that is false. The Minnesota Hospital Association says exactly the opposite. Minnesota hospitals currently pay hundreds of millions of dollars to cover uncompensated care. This cost is covered by increasing the prices of medical services. Currently, 11.6% of operating expenses at MN hospitals goes to subsidizing free and reduced price services. Everyone who buys insurance pays part of this cost whether they pay taxes or not.

http://www.startribune.com/business/137453503.html

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Orono

2:43 pm on Monday, July 2, 2012

Collin - It simply isn’t true. The insurance company anticipates the fees based on their pool of patients already taking into count the mark up from the hospital. That is why your premiums continue to rise. The money that the government used to cover for the uninsured patient is now the responsibility of the insurance company. Adding expensive new patients to the pool will only increase their out of pocket cost which increases your premium. I don’t care if you believe me or not.

MrsPeel

11:06 pm on Thursday, June 28, 2012

For those right-wingers out there in Patch Land, it's time to pick the description of President Obama's program. Because none of you seem to know what the hell any of these terms actually mean, here are their definitions:

Communism: Revolutionary movement to create a classless, moneyless, and stateless social order structured upon common ownership of the means of prod...uction, as well as a social, political and economic ideology that aims at the establishment of this social order.

Socialism: A system of social organization that advocates the vesting of the ownership and control of the means of production and distribution, of capital, land, etc., in the community as a whole.

Fascism: A radical authoritarian nationalist political ideology. Fascists seek rejuvenation of their nation based on commitment to an organic national community where its individuals are united together as one people in national identity by suprapersonal connections of ancestry, culture, and blood through a totalitarian single-party state that seeks the mass mobilization of a nation through discipline and indoctrination. Fascism seeks to purify the nation of foreign influences that are deemed to be causing degeneration of the nation or of not fitting into the national culture.

So please if you insist on being misinformed, living with your head in the "Rightwing Echo Chamber", at least KNOW what each of these mean before screaming out...Obama is a socialist, communist, or fascist!

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Orono

12:20 pm on Monday, July 2, 2012

However, if you like being misinformed, love to throw the word racism out two or three times a week, wanna believe there truly is a “war on women”, think there is nothing wrong with calling the tea party something derogatory, that capitalism is evil, that rich people suck, that republicans hate everyone, and still believe blaming Bush is the answer, Mrs Peel will be accepting applications through out the week.

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Edward

12:41 pm on Monday, July 2, 2012

@ Orono: I know you aren't an official operative for the Republican party because you keep repeating the left's sound bites, thereby reinforcing their agenda. It's funny how the tables have turned so quickly, and how the left now controls the dialogue.. The left used to repeat the right's sound bites and semantics, thereby reinforcing the right's talking points, but somehow they got smart to that and learned from the right and started creating their own political semantics which are now very effective. What goes around comes around, I guess.

Blaming Bush? I haven't yet seen anyone answer the question about Medicare Part D. Bush implemented that program, which is adding trillions to the deficit going forward, with NO funding mechanism for it. There's a lot of outrage about the Affordable Care Act (ACA), but ACA actually has some funding mechanisms (the mandate and penalty for those who don't participate, for example, and larger pools to spread the risk and costs) included in the bill. Why wasn't the right outraged about Medicare Part D, created by and passed by conservatives/Bush admin?

I love the TEA party, especially Michele Bachmann, the face of that group. The more extreme right she is, the better, in my opinion, because she helps to divide the Republican party. Divide and conquer is always a good strategy (in this case it works for the Dems).

BTW, rich people don't suck, unless they are the Wall Street crooks or Ponzi schemers. Jim Graves is great!

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Orono

1:50 pm on Monday, July 2, 2012

Come on Edward. Please stop trying to prove yourself on here. You've already given us way more information than we want or need about your personal life. You brought your kids into this discussion yet when someone questions you on it, you get all defensive. No one truly cares that your kids are on your plan still. Why you felt the need to disclose that, is 100% on you. If you can’t have a discussion without taking everything literally and seriously, stop posting.

That said, if you haven’t been aware that the liberals control the message and always have, you simply haven’t been paying attention. To be a liberal used to mean you were tolerant of all people and ideas. Now, if you happen to disagree with a liberal you are labeled a hater. You disagree with the president and you are a racist. Instead of repeating the silly rhetoric your party produced, you should ask yourself if you truly believe it. Is it possible to actually not like the president simply because you disagree with him? You hate Bush. If you are black, does that then make you a racist too? Obviously not.

Bush sucked. I would never stick up for him. Rip him all you want. But, your inability to move on from him tells me a lot. Pointing out Bachmann is like me pointing out Maxine Waters, or Nancy Pelosi or Harry Reid. Bush is the past. You still blaming Bush today makes as much sense as me blaming Clinton for not taking out Bin Laden and then ultimately causing 9/11?

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Orono

2:02 pm on Monday, July 2, 2012

Seriously Edward, you need to get your agenda right. Highlighting some immoral wall street crooks and hating all of wall street because of it or calling out one or two crooked CEOs as proof that capitalism is bad is so juvenile. Most of those crooks you despise were democrats. Check your party roster. Rich people are typically democrats. Bill Gates, Warren Buffet, Mark Dayton, Mattoff, Petters... all liberals.

But, since Graves is a liberal and rich, you will like him. Wow, that is some strong convictions there. Your kids would be proud. Let me guess, John Edwards was just misunderstood?

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Joyce Denn

1:30 pm on Tuesday, July 3, 2012

Scott, the wealth of any legislator is not the issue; what matters is whether that legislator stands up for the non-wealthy 99% of us, or whether that legislator screws the middle class and the poor for the benefit of the wealthy.

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Orono

5:25 pm on Tuesday, July 3, 2012

“what matters is whether that legislator stands up for the non-wealthy 99% of us, or whether that legislator screws the middle class and the poor for the benefit of the wealthy”

Joyce, For someone as informed on everything as you pretend to be, I am really surprised to hear your utopian and extremely naïve response. If you believe politicians care about anything other than getting re-elected, then you haven’t been paying attention. Obama gives amnesty to illegals right before an election because he truly, all of a sudden, feels badly for them? Obama doesn’t believe in gay marriage but now suddenly does right before an election? Mark Dayton truly feels that daycare providers should be unionized and it has nothing to do with unions being his largest supporter? Everyone has their own agenda. You clearly love hand outs and have an issue with those more successful than you. You only support candidates who do the same.

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Orono

5:26 pm on Tuesday, July 3, 2012

Joyce - what is your definition of wealthy?

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Joyce Denn

6:44 pm on Tuesday, July 3, 2012

Orono, my definition of "wealthy" is being in the top 1%.
As for your other comment, yes, some politicians do, in fact, stand up for the poor and the middle class even in the face of strong opposition and even when it will cost them votes; when LBJ signed the Civil Rights Acts of 1964 he knew he was losing the south for the Democratic party for generations, yet it signed those acts anyway, because he knew it was the right thing to do.
Obama NEVER gave amnesty to any undocumented immigrants; in his role as head of the executive branch of government he made a decision not to prosecute undocumented immigrants who were brought here before the age of 16 and who had completed school and committed no crimes - that is completely different from amnesty, it is, rather, prosecutorial discretion, something which is practiced all the time.
As for Obama and same sex marriage, he stated why is opinion changed - it is because he has come to know same sex couples. That, too, was a politically risky position to take, one that probably lost him more votes than he might have gained; the less risky position would have been to make that statement after the election.
Do you really think a daycare provider union would have lots of money to donate to the Dayton campaign? Seriously?
Honestly, hard as it may be for you to believe, some people do the right thing for the right reasons.

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Orono

2:16 pm on Wednesday, July 4, 2012

Joyce, seriously, clearly I have no idea who you are, but your desire to be specific and correct everything must drive your spouse/ex-spouse absolutely batty. You want to argue the term amnesty? I will call it TEMPORARY amnesty. If your side wants to spin it differently, go for it but if the shoe fits... The fact that Obama chose to do this now, is simply a coincidence, right? Both sides play it. Issa and his contempt charge – partly just a game. Pelosi and the other liberals who walked out of the contempt vote – definitely playing a game. The fact you could only come up with LBJ proves my point (but, I’m sure you’ll argue that).

By the way, I think Wellstone was the last principled congressman.

Smokin' Joe

12:02 am on Friday, June 29, 2012

Everyone has their own definitions, and state control of the health insurance industry certainly goes a long way towards meeting most definitions of Socialism.
Also from wikipedia:
"Socialists hold that capitalism is an illegitimate economic system, since it largely serves the interests of the owners of capital and involves the exploitation of other economic classes.[citation needed] As such, they wish to replace it completely or at least make substantial modifications to it, in order to create a more just society that would guarantee a certain basic standard of living"

That quote sounds like the basis of the entire 1% campaign by Obama and the fair share stuff tossed out by Dayton. I'm not really sure why being called socialist gets such a reaction from the Obama crowd, seems like a simple descriptive term of his belief that big government holds the answers to our problems.

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Joyce Denn

9:06 am on Friday, June 29, 2012

The ACA does not involve any "state control of the health insurance industry", merely regulation of the industry. Perhaps you would prefer no regulation - pay your premiums every month, then get kicked off the rolls when you are diagnosed with an expensive illness, for example.

Kevin O'Donovan

2:29 am on Friday, June 29, 2012

MrsPeel, Would you feel more comfortable if we called Obama a Pseudo-Intellectual Totalitarian Elitist, or would you prefer we call him the Deceiver in Chief, or by his corporate name Lazy Boy?

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Joyce Denn

11:19 am on Sunday, July 1, 2012

Try calling him the President of the United States; that, after all, is what he is.

mike savick

7:02 am on Friday, June 29, 2012

Calling the President "Lazy Boy" or "Boy" at all is a racist slur. Now we see why you hate him. An intelligent black man in a positon of power deeply offends you. You don't know your own history. There was a time in this country when people with an "O" in front fo their name and many others were also not welcome to apply for jobs.

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Susan

7:38 am on Friday, June 29, 2012

Well said, mike. I believe that you have accurately described why some on the right (NOT ALL) find this president so objectionable. I don't see any name that Kevin listed as anything more than an attempt to slander President Obama....it seems to be a pattern here with those who might call themselves Conservatives. Why can't they argue specific points about the ACA? Why do they choose to attach others here or the President with silly, slanderous words? Why is it that they can not argue their position without taking immature shots?

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Orono

3:57 pm on Saturday, June 30, 2012

Mike, I believe you are the real racist here. Your description of the President as an "intelligent" black man is pathetic. Believe it or not but there are educated blacks everywhere. Some racists hate blacks simply because they are black. Others, are actually impressed when one of them gets themselves an education.

Donna Schmitt

7:43 am on Friday, June 29, 2012

It did pass, but with a vote of 5 to 4 the court obviously was divided on whether this was constitutionally valid. There will still be more discussion on this, it is not final.
Since they didn't read it before they voted on it, who knows what will come of it?

Interesting to note that they just announced on the news that as a result of this vote, Romney received an addition $3 million on the same day that the Supreme Court ruled in favor of this. Kind of shows how many people really don't want this.

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Edward

7:59 am on Friday, June 29, 2012

"There will still be more discussion on this, it is not final."

Wishful thinking. SCOTUS is the highest court in the land. That's as final as it gets.

"Romney received an addition $3 million on the same day that the Supreme Court ruled in favor of this. Kind of shows how many people really don't want this."

How much did Obama raise yesterday? Just sayin'. Some people really DID want this.

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Edward

8:00 am on Friday, June 29, 2012

Poll: Half of All Americans Believe That Republicans Are Deliberately Stalling Efforts to Better the Economy in Order to Bolster Their Chances of Defeating President Barack Obama.

http://freakoutnation.com/2012/06/12/poll-concludes-that-voters-arent-stupid-almost-half-know-republicans-are-sabotaging-the-economy/

Republicans need to change their strategy. Supporting Health Care Reform Act would be a start . . .

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Joyce Denn

9:04 am on Friday, June 29, 2012

Actually, Donna, they did "read it before they voted on it"; I assume you are referring to that snippet of a quotation from Nancy Pelosi, taken out of context. If you read the transcript of her remarks you would realize that she was referring to the people protesting the bill, the ones carrying signs about "death panels" - Pelosi was stating that, once the law was passed and those protesters found out how it would actually affect their lives, they would like it.

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MrsPeel

3:19 pm on Friday, June 29, 2012

@Donna... apparently you don't think that a vote of 5-4 by the SCOTUS not good enough?

You might recall that the SCOTUS voted 5-4 to seat the person who received the lower number of votes as President in 2000? Perhaps that was an illegitimate decision?

Cathy

7:46 am on Friday, June 29, 2012

Let's not forget who really made this happen, the Bush appointed conservative Chief Justice Roberts. That just tickled me pink. Thank you Mrs Peel for the definitions. It is hard to listen to people when they have no idea of their history or the meanings of the words they speak. I do not consider Wikipedia or news reporters a reliable source of information. It's not where I go for my history lesson. I am always interest to hear what resources people use to get their information.

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Simon D

7:52 am on Friday, June 29, 2012

Unfortunately, this legislation does not go as far as qualifying as "socialist" healthcare. I wish it did. I assume everyone posting on here that is so afraid of socialist programs did not attend nor will send their children to public schools. Nor call the fire department when their house is on fire. Nor accept Medicare assistance in retirement. I assume you choose to navigate without the use of public roads and bridges, preferring instead to use tollways if possible. Probably have never taken your kids to the library. You would probably prefer that murderers, rapists and thieves remain free and unpunished. I assume you don't drink, bathe or clean from the water out of the tap. All of these evil, social programs are the difference between living in a great, advanced society and a third world country. We lag behind the rest of the civilized world because healthcare is currently a privilege for those who can afford it rather than a socialized rite of being an American. How sad for us.

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Edward

8:03 am on Friday, June 29, 2012

This is correct. These people are ranting about what is essentially a recycled Republican healthcare plan . . . go figure. It doesn't come close to socialist as it puts all the power (and money) into private sector insurance companies.

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Candace Oathout

9:16 am on Friday, June 29, 2012

News flash, when a person reaches 65 years old enrollment in Medicare is mandatory. Additionally if you try to delay your enrollment you are penalized with increased premium prices when you do. It is also mandatory that you pay for Medicare part B. this is whether you are working or not. Additionally, you find it hard to impossible to keep your private insurance. Bottom line you have lost your ability to manage your own health care by force of government.

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Hudsoner

9:50 am on Friday, June 29, 2012

Candace, News Falsh, you can defer enrollment in Medicare, no matter how old you are, if you can prove that you have health insurance through a third party, you DO NOT have to pay for Part B. You can continue your normal insurance if you wish. Once you cancel this insurance, you have a short time to join Medicare without having to pay a penalty!
Don't tell me that this is not true, because I am in this position for more than 4 years now!

As always, it would be great if your right wingers would educate yourself properly prior to making big but false statements!

Carolyn Kaehr

8:27 am on Friday, June 29, 2012

Dr. Conway's message (written yesterday morning) makes SO much SENSE.
Everyone benefits when they decide to live a healthy lifestyle.... hard, yes, but impossible, no.

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Shayna C

9:01 am on Friday, June 29, 2012

If people focused more on their health, rather than government handouts- our country as a whole would be much better off. Get off your asses and hit up a gym or a holistic/natural health store. Don't eat out 4x a week... Etc! Its simple, if people took care of themselves they wouldn't be in a clinic or er for every little issue. Like a common cold or flu or fever. Etc! Our bodies are made to fight of infections. And if they can't, so be it. Survival of the fittest. I have my own health insurance. I don't go in to the clinic for every possible thing that might be wrong with me. I deal with it as it comes. But should I need to go in to a clinic- I pay for it. I don't expect someone else to. Health insurance is a privilege not a right. Anyone can afford health insurance. If you can't- you are probably living off of the government already, popping out kids left and right just to stay in the system. This ”Act” is just setting a precedent for the government mandating the things that citizens need to have. Its actually really sad to see it passed.

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Edward

9:08 am on Friday, June 29, 2012

"setting a precedent for the government mandating the things that citizens need to have"

It doesn't set any precedents. Social security and Medicare is the "government mandating the things citizens need to have" too. Are you against those as well?

Should we kick all the old people off of government funded and run healthcare (Medicare)? Do you think they can go out and buy affordable insurance (never mind that most insurance companies would never take them due to pre-existing conditions?)

Be careful when you speak in sweeping statements and generalities.

"Our bodies are made to fight infections."

Yes, but often they fail to do it well. Before penicillin and other antibiotic drugs, millions died from infections. There's a reason we have medical science and healthcare: It works to heal bodies, and even the fittest ones are prone to illness and severe injury.

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Simon D

9:54 am on Friday, June 29, 2012

Shay, most people don't run to the doctor for colds, flu, fever, etc, even when all healthcare costs are covered by insurance. Yes, going to the gym certainly improves your health, but it certainly doesn't change your DNA. Fit people still have heart conditions, nervous system problems, brain impairments, premature bone density issues, loss of hearing and sight, and so on. Believe it or not, they also get into car accidents, fall down stairs, get mugged, and have children who can get themselves into all kinds of trouble. People who face these unfortunate circumstances and are not financially secure deserve quality healthcare just as much those with money. Healthcare is the #1 cause of bankruptcy in this country, and everyone who is not a multimillionaire is in danger of that fate, financial ruin because of tragedy or any number of health issues after you are deemed too expensive by your insurance company. Gym membership not going to help in most situations.

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Hudsoner

9:56 am on Friday, June 29, 2012

ShayC, you write: Our bodies are made to fight of infections.
Wow, you must be a medical expert to know this secret! How come that we, who made our income with research on this (I did that for most of my working life, Working in Infection Control and Prevention Research) did not discover this? If we would have only known, we could have used our time for other things!

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mike savick

10:54 am on Friday, June 29, 2012

Please sign and have notorized a health care directive refusing all care unless you are conscious and able to afford it.

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Dennis33

12:48 pm on Friday, June 29, 2012

The problem is that too many people do not go into the clinic for every little thing and then allow the little thing to grow into a major health issue that becomes very expensive to deal with. Lower cost innsurance plans with high deductibles and high co-pays add to this problem. Those without insurance use the ER as their health provider, a very costly source, that substantially adds to the overall health costs, tens of $Billions a year, which everyone else has to pay for in higher insurance premiums. The ACA will subsantially reduce this cost by eventually eliminating all the free-loaders that use the ER.

Shayna C

9:24 am on Friday, June 29, 2012

There are other ways of fighting infection rather than pharmaceuticals. People did survive before hospitals and clinics and pharmacies were on every corner/store. And I'm sorry, but 40 years ago- hell even 20 years ago we didn't have the health issues that we do today. Its because people are lazy! That and someone always has to have something wrong with them- people crave sympathy. And they crave a cake walk through life. How many people are treated for plantar fascitius (however its spelled)? Its not even a real condition! Its just something to blame ” pain” on! Yet people are being seen and treated as if its some major issue! healthy people aren't prone illness. If they are exposed to it, possibly or if some unfortunate circumstance occurs-maybe. However, they are normally not running to the er for a cold or a headache or lightheadedness, etc! Things I see everyday!

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Joyce Denn

9:35 am on Friday, June 29, 2012

Wow, do you ever need to learn some history, especially the history of medicine! Before the era of antibiotics and immunizations people died of infectious diseases in large numbers, especially children. A simple scratch or cut on the arm, if it got infected, could require amputation because there was no other way to prevent septicemia. Complications of pregnancy and childbirth were major causes of death among women. Before we had early detection of high blood pressure and medications to treat the condition (much of which is congenital - my Dad was an athlete and he had high blood pressure) people with high blood pressure died of strokes and congestive heart failure. Seriously.

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Edward

10:07 am on Friday, June 29, 2012

"And I'm sorry, but 40 years ago- hell even 20 years ago we didn't have the health issues that we do today. Its because people are lazy! "

It's mostly because people are living longer -- a lot longer. Life expectancy for a man in the US was 47.9 years in 1900. It is now somewhere north of 77 years. You can thank medicine for most of that (not healthier lifestyle). Antibiotics, vaccines (huge -- you are probably here today because of these), treatments for cancer and heart disease, and better nutrition all count for why we routinely live past age 50 these days. Most people used to die before they needed treatment for major chronic diseases.

In the 1800's and early 1900's if you got sick you just took to your bed and died if that was "God's will." Childbirth was very risky -- many women died. Infant mortality was much, much higher (no neonatal intensive care units back then). Nowdays we have options that can keep us going, productively, for much longer. Is it in the best interest of society to ration those options based solely on ability to pay?

That's the dilemma we face. Do we withhold medical care from the child because the family is poor? And who pays for it, and how, if we decide to give treatment to those who refuse to buy insurance (even though they can afford it)?

This act attempts to resolve those issues. It's not perfect, but it should result in lower costs for all of us, and earlier intervention to improve health outcomes.

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Chadwick

10:55 am on Friday, June 29, 2012

Edward, where did you come up with the "this act should result in lower costs for all of us" Every article I have read states that overall taxes will go up, premiums will go up and there are small minorities that will be rewarded by some increased competition between states. These new laws require insurance companies to increase their benefits. This is obviously going to increase their costs and thus our costs.

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Joyce Denn

12:48 pm on Friday, June 29, 2012

Chad, you clearly do not understand how insurance works. Prices will go up only if insurers are required to cover people with preexisting conditions without the mandate - the mandate prevents people from gaming the system by waiting until they get sick or injured to buy insurance. One way the ACA saves money is by increasing the risk pool to include everyone, the healthy as well as the sick, the young, who are less likely to need care, and the elderly, who need the most expensive care (which, by the way, is one of the reasons Medicare spends so much - it covers ONLY the elderly). Increase the risk pool so everyone is paying into the system and you spread the cost among more people. That isn't socialism, by the way, that is how the free market insurance companies stay profitable.

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Chadwick

2:46 pm on Friday, June 29, 2012

Joyce, thanks for pointing our the obvious. I'm not sure I should take the time to respond because from a quick glance I can tell your just a liberal troll who doesn't fully comprehend the depth of this bill and is neck deep in the lala land. I will try to spell it out for you real quick;
Yes, individual mandate will create revenue and will help to offset some costs.
Here are some things that will increase costs, govt regulation, govt employees, increased benefit requirement, uncapped insurance plans requirement. Please take your silly little arguments and actually read some article not on liberal blog and find some real knowledge. Here is a quick fact from the CBO:

CBO found that premiums in the individual market will rise by 10% to 13% more than before ObamaCare. Family policies under the status quo are projected to cost $13,100 on average, but under ObamaCare will jump to $15,200.

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Orono

10:36 pm on Sunday, July 1, 2012

Come on Chad, if you aren't aware that Joyce knows everything which makes you automatically wrong, then you haven't been paying attention.

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Joyce Denn

12:37 pm on Monday, July 2, 2012

'The CBO found health-care reform would reduce premiums. The issue gets confused because it also found that access to subsidies would encourage people to buy more comprehensive insurance, which would mean that the value of their insurance would be higher after reform than before it. But that's not the same as insurance becoming more expensive: The fact that I could buy a nicer car after getting a better job suggests that cars are becoming pricier. The bottom line is that if you're comparing two plans that are exactly the same, costs go down after reform.'
http://voices.washingtonpost.com/ezra-klein/2010/02/did_the_congressional_budget_o_1.html
http://www.csmonitor.com/Business/new-economy/2010/0318/CBO-score-says-healthcare-will-cost-940-billion.-What-will-it-cost-you
http://www.consumerwatchdog.org/newsrelease/facts-about-cbo-report-health-insurance-premiums-under-us-senate-health-reform-bill-hr-3

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Orono

5:30 pm on Tuesday, July 3, 2012

Joyce, your sources you listed are all out dated.

Candace Oathout

9:25 am on Friday, June 29, 2012

Social security is a tax taken by force of government which will be taxed again when received by the payer as a monthly annuity. It was sold to the public as a way to have a safety net for your retirement. The retirement age of 65 was chosen because the average death age was 63. Read the history of Social Security. It is all there in black and white.

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mike savick

10:37 am on Friday, June 29, 2012

Sign the pledge not to take medicare or social security payments if they are so offensive to you.

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Chadwick

10:53 am on Friday, June 29, 2012

Savick, that is honestly the dumbest thing I have ever heard. Medicare and Social Security are paid for by the user. The only problem with both plans is the govt not having the balls to limit them to what the system is capable of handling. This is why Social Security should become partially a private account that each person has. You would then be able to pass on left over funds to whoever you choose. Benefit levels would be determined by what you paid in. We could have a small safety net but really it is unnecessary with all of the other programs available for low income people. For Medicare the retirement age needs to be raised and Medicare needs to be completely dismantled in terms of payments. Did you know there was 68 Billion in Medicare fraud in 2010? (Not positive on the year but I believe it was 2010)

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Joyce Denn

12:45 pm on Friday, June 29, 2012

You want to increase the retirement age, Chad? That might work for people with desk jobs, but how about construction workers, road workers, nurses - I'm just picturing a 70-year-old nurse racing down the hall to an emergency with her walker; maybe nurses should have wheels on their walkers!
As for privatizing social security - yeah, that'll work, especially when the economy tanks and the stock market plummets leaving the elderly with no income. But, on the plus side, the wall street execs would make a bundle.

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Orono

10:44 pm on Sunday, July 1, 2012

News flash Joyce, if the economy tanks like you state, your government pension which invests in that evil stock market, will crumble right along with it.

Shayna C

9:32 am on Friday, June 29, 2012

Plain and simple,.Edward: its not my job to pay for your healthcare. Nor is it your job to pay for mine. So this act is a joke. And very unconstitutional.

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Hudsoner

10:01 am on Friday, June 29, 2012

Don't you carry any health insurance? If yes, i am of those who pay for your doctor visits, etc. Insurance is based on the solidarity of the insured ! On the other hand, you pay for mine! (that is kind of an socialist idea, isn't it?).

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Liberals=Handout

10:10 am on Friday, June 29, 2012

According to Ed we are already paying for his unsuccessful adult childrens healthcare.

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B. Martin

10:21 am on Friday, June 29, 2012

The issue is broader than the payer of health care. In a society, all can be impacted by the health of others, such as in the transfer of a communicable disease. If too many citizens do not have sufficient health care, then the broader community can be negatively impacted. It is very much a role of government to address the stability of its citizenry, and that does include the health of the community.

It is not simply a matter of paying for health care; it is a matter of working to improve the health of the broader community.

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Edward

10:27 am on Friday, June 29, 2012

If you knew my kids you wouldn't call them "unsuccessful". Both have already received more accolades than most people receive in a lifetime . . .

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Edward

10:29 am on Friday, June 29, 2012

Another thing: You aren't paying for my kid's healthcare. They are covered by private insurance.

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Susan

10:33 am on Friday, June 29, 2012

According to "Libby" (Liberals=Handout and Edward Henry), we must shorten each others name in an immature attempt to somehow minimize the validity of other's arguments.

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mike savick

10:34 am on Friday, June 29, 2012

Conservative Supreme court Justice Roberts said it was constitutional. You are better informed than he is?

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rob_h78

11:40 am on Friday, June 29, 2012

Hi Shay - I hate to break this to you but you already pay for health care of everyone who shows up at the ER, must be treated by law and then can't pay :)

Of course you are choosing to use the very most expensive method of providing health care possible which is a horrible decision from a Fiscal Conservative point of view.

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Markus

8:19 pm on Friday, June 29, 2012

"Insurance is based on the solidarity of the insured !"

Not exactly.

Insurance is based on a pool of insured and the risk is assessed by an actuary whereby the insurers can determine how to price the premium. If a large number of people in the pool are already sick (pre-existing conditions) what do you think will happen to premiums?

The false notion that government can wave a magic wand and require insurance companies to insure the essentially un-insurable without raising prices is a canard.

Market principles apply whether you like it or not. Premiums WILL go up or quality of care WILL be compromised or worse. Rationing is a distinct possibility. You can't have your cake and eat it too.

Granny might be told she's too old to get that knee replacement.

The interesting thing about the individual mandate being upheld is the majority viewed it as a tax. Exactly the opposite of what Obama sold it to the people as. This sets a scary precedent allowing the federal government to tax at will. What will they tax next? Be careful what you wish for.

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Markus

8:21 pm on Friday, June 29, 2012

Renee, did you change your name to Edward?

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MrsPeel

10:53 pm on Friday, June 29, 2012

@ShayC... perhaps you missed the pronouncement from the SCOTUS. The opiinion said that, with a couple of changes, the ACA was Constitutional. Perhaps you, with your little pocked copy of the Constitution smarter than the nine (9) Supreme Court Justices?

You are indeed entitled to both your opinion and the freedom to spew your ignorant comments. But you, as Sen. Daniel Patrick Moynahan said, "are not entitled to your own facts. Saying that something is "unconstitutional" does not make it so.

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jeff kocur

7:56 am on Saturday, June 30, 2012

Shay, Is it also not my job to pay for freeways in the North Metro because I never use them. Should my state tax and gasoline tax dollars be used to pay for a highway in southern MN because I never use it? Should you pay for rebuilding the 169/494 interchange if you never plan on using it? I don't use the fire department, so it's not my job to pay for them to put out my neighbor's house fire? What kind of world do you want to live in?

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Edward

11:53 am on Sunday, July 1, 2012

"Renee, did you change your name to Edward?"

I got tired of posting on wife's computer under her name after posters called me honey, sweetheart, etc. Gave me an appreciation for how others degrade women. Apparently sexism is alive and well on the internet. When I switched my name I was treated with more respect while expressing the same ideas.

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Orono

10:45 pm on Sunday, July 1, 2012

Eddie-- you already shared that they are on your plan

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Markus

9:27 am on Monday, July 2, 2012

MrsPeel wrote: @ShayC... perhaps you missed the pronouncement from the SCOTUS. The opiinion said that, with a couple of changes, the ACA was Constitutional. Perhaps you, with your little pocked copy of the Constitution smarter than the nine (9) Supreme Court Justices?

I would agree with you. ShayC is only smarter than 5 of the Justices.

Susan

9:39 am on Friday, June 29, 2012

ShayC, this is where the right goes wrong...you are already paying for those without insurance in the form of higher insurance premiums, and higher hospital Billings!

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Edward

10:11 am on Friday, June 29, 2012

"And Susan this is were the left is wrong because they don't take care of themselves because they are so selfish!"

A sweeping generalization. I know a ton of "the left" who exercise daily. Some are vegetarians. Very healthy people. Careful about painting a whole group with a broad brush. I know a lot of fat Republicans (Tony Sutton comes to mind, and that guy in New Jersey. Christie?).

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Orono

12:29 pm on Monday, July 2, 2012

Actually Susan, I would argue that we haven’t paid for them YET. If you recall, we have a huge deficit. I think China picked up the cost of those folks.

Shayna C

9:45 am on Friday, June 29, 2012

Do you honestly believe that you will get better health care. under this act? you won't. The quality of the care is going to drop tremendously. And I highly doubt that my premiums are going to go down. They will stay the same at best.

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Hudsoner

11:08 am on Friday, June 29, 2012

And why shall that be? Will it cause our doctors loose their knowledge? Our hospitals to crumble, or is it because I am retired now? (if you ever had surgery, it is very likely that one of my products helped to prevent a wound infection).

Or do you feel that insurance companies reduce the allowed treatment quality? if yes, this would be profiteering by private industries, but the ACA has some provisions against this!

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rob_h78

11:41 am on Friday, June 29, 2012

Well - we can look at other countries who have Universal Health Care - they have better outcomes, spend less per person, cover everyone and live longer, have lower infant mortality rates, the list goes on and on.

Susan

10:02 am on Friday, June 29, 2012

Shay, you are making a lot of sweeping statements that are simply not true...you are just reiterating talking points that hold no merit. Some will get better health care, as they currently have none, or are denied for having preexisting conditions. Your standard of care will not drop...ask your doctor....if he says yes, then you should find a different doctor, as he doesn't have your best interest in mind.

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Freedom

10:04 am on Friday, June 29, 2012

Dearest Joyce, My family was very low income (and could of qualified for 'free health insurance') when we originally bought our policy. Yes, we didn't go on trips or smoke cigarettes (like the Obamas) and instead were responsible. A real leader would tell people to get out and work!
There is health insurance for low income and disabled people which I have no problem with if it is truly needed.

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mike savick

11:41 am on Friday, June 29, 2012

A 25 year old man was denied insurance coverage for a necesssary surgery because the insurance company used the preexisting conditons ruse. He was denied Minnesota Care because his former employer checked that he had insurance. ( He was at the end of the contract and using paid leave.) The surgery was necessary to correct a condition he had no fault in creating and was necessary to reduce a disability that interfered with working in the next job. He became medically indigent and the community i.e. us taxpayers payed for the surgery. He had insurance and he couldn't buy any other insurance. The insurance company socialized the risk. Obamacares will prohibit that.

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Joyce Denn

12:37 pm on Friday, June 29, 2012

"Dearest Freedom" - one of my adult children, a woman with a Master's Degree, works two part time jobs with no benefits and she cannot get health insurance because of a preexisting condition; if she lived in Minnesota, she could get MNCare, but she lives in another state. Most states do not have anything equivalent to MNCare, so for most Americans right now, unless you get insurance through an employer or you are poor enough to qualify for Medicaid, old enough to qualify for Medicare or rich enough to pay for your own health insurance or health care, you are out of luck if you get sick or injured. My daughter, by the way, has never smoked, and she runs, cycles and works out in a gym daily.
"Get out and work"? Seriously? There are 4 people for every available job, and many of those jobs are part time and do not offer benefits.

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Markus

8:24 pm on Friday, June 29, 2012

"There are 4 people for every available job"

Don't worry. Obama will create some more government jobs as soon as he's re-elected.

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Hudsoner

9:39 pm on Friday, June 29, 2012

Markus, you write:"Don't worry. Obama will create some more government jobs as soon as he's re-elected."

Those jobs may be bitterly needed to create an adult education system to provide poorly educated people like yourself some decent education, to enable you to read and understand the ACA.

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Markus

6:09 pm on Saturday, June 30, 2012

Hudsoner,

First of all, I am well educated, fairly articulate and understand the ACA pretty well. I took Joyce's little test and got 10 out of 10 for whatever that's worth. I think she thought us dumb right wingers wouldn't be able to pass it.

I don't play politics and I don't trade insults. I'm happy to have an intelligent rapport with those willing to.

Why don't you reply to the above post about the "solidarity of the insured" rather than delete your original post I called you out on? Please quote your original post when replying.

Liberals=Handout

10:28 am on Friday, June 29, 2012

I think there should have been a provision that provided a $1000.00 bonus and free abortions for liberals

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Susan

10:36 am on Friday, June 29, 2012

Patch, I apologize in advance, and I am sure I will get deleted, but I can not believe how ignorant and stupid this last comment is!

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mike savick

10:43 am on Friday, June 29, 2012

Republican are are always borrowing and spending. Major deficts were result of Reagan & Bush borrowing. Clinton's budget had a surplus. Bush borrowed to pay for two wars off budget and prescripotion drug converage. Borrowing that you don't intend to pay back is either a "handout" or theft. Pawlenty borrowed from schools to avild paying for his budget. Borrow and spend is a tax in the end. Now htey are deficit hawks?

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Edward

10:43 am on Friday, June 29, 2012

Selectively pro-life?

Wow, that's a new one from the right.

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rob_h78

11:42 am on Friday, June 29, 2012

You must be a Harvard grad with logic like that...

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Danielle Cabot

11:47 am on Friday, June 29, 2012

Being critical of someone's statement is fine. Name-calling of the person themselves (and their children ... ahem) is what will swiftly kill any constructive conversation. And while I'm not even totally sure I understand "Liberals=Handout"'s comment, it would be safe to say that if you see someone making an outrageous statement just to raise hackles, please consider ignoring it.

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Susan

12:04 pm on Friday, June 29, 2012

Danielle, you are right, thanks for the reminder.

Edward

10:47 am on Friday, June 29, 2012

And this reinforces the right's real agenda: Partisan-based cleansing. Voter ID is part of that effort, but this idea just takes it further. Heck, Hitler had ethnic cleansing, and this is just a spin off on that strategy. Would you extend this offer to Hispanics, Muslims, and African Americans too? You might as well add in pregnant Lesbians. What the heck. Any "undesirables" or independent thinkers could be given this benefit . . .

You guys take the cake. Seriously.

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Candace Oathout

10:49 am on Friday, June 29, 2012

To Mike Savick,
Both Medicare and Social Security are mandated. You can not opt not to take them. Social Security is confiscated from your wages throughout your working life. It's called FICA and is deducted from every paycheck. Medicare is mandated at age 65. If you try to postpone joining the program you are penalized by increased premiums for the rest of your life. Neither program is free or optional. I have done the homework. Additionally once you reach 65 and go into the system most private insurance companies will not sell you insurance so if you need coverage you are in the system whether you like it or not.

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Edward

10:57 am on Friday, June 29, 2012

Candace, are you saying you are in favor of dismantling the Social Security and Medicare systems to end the payroll contributions for those?

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Hudsoner

11:14 am on Friday, June 29, 2012

Candace, do you really believe that repeating a false statement every hour makes it to be finally true? An hour ago I answered your identical statement:

Candace, News Falsh, you can defer enrollment in Medicare, no matter how old you are, if you can prove that you have health insurance through a third party, you DO NOT have to pay for Part B. You can continue your normal insurance if you wish. Once you cancel this insurance, you have a short time to join Medicare without having to pay a penalty!
Don't tell me that this is not true, because I am in this position for more than 4 years now!

As always, it would be great if your right wingers would educate yourself properly prior to making big but false statements!

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Candace Oathout

12:42 pm on Friday, June 29, 2012

Hudsoner, Direct quote from Welcome to Medicare handbook, "Warning: If you don't keep Part B when you are first eligible, you may have to wait until the General Enrollment Period (January1-March 31 each year) to sign up, and your coverage would start July 1 of that year. You may also have to pay a Part B enrollment penalty. If you have insurance you may be able delay joining Part B. Contact your employer or union benefits administrator to find out how your insurance works with Medicare. You May be required to join Part B. If you sign up for Part B later, you will pay 10% more for each full 12 month period you could have had Part B but didn't take it. You may have to pay this late enrollment penalty as long as you have Part B." Good for you that you have been able to take advantage of the third party insurance loop hole in the enrollment penalty rules. Not everyone can. Divorced, widowed people for example. Often these same people have a very hard time surviving on their Social Security benefits of say $760 a month before taxes and having the current payment for Part B deducted. How many people do you think can manage to live $700 a month? Real numbers real case.

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Hudsoner

9:47 pm on Friday, June 29, 2012

Candace, and how would these people pay for health insurance is Medicare would not be existing? All people eligible for Medicare are 65 and older or have such disabilities that they cannot work anymore! Would you recommend that those people live without health insurance? Those people could not even dream about getting an individual private insurance,

Can you tell me, which point you are trying to make?

We could, of course try to establish a system like the European countries have, in which retired people that live solely on Social Security need not to pay for their health insurance, the society picks up their cost!

Joshua

11:46 am on Friday, June 29, 2012

How sad it is to read all these comments. It's one thing to see all the rhetoric on CNN.com or FOXnews.com, but here in my backyard in Burnsville?

You people make me want to endorse IQ testing with a minimum score in order to be eligible to vote in this country.

Having a personal opinion doesn't mean that it's a good opinion. You have a right to hold that opinion, but that doesn't mean that it's correct. So, please... try to keep the conversation civilized and halfway intelligent. Please don't embarrass yourselves by regurgitating the same old FUD coming from both sides of the political spectrum. You know better than that. If you honestly believe in all of this extremist ranting, then why are you still living in this country?

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rob_h78

6:49 pm on Friday, June 29, 2012

I know that the Far Right is freaking out over non-existent voter fraud (I am waiting to hear their outrage for how many votes always get changed on a recount - doesn't that mean that all of those changed votes were improperly counted for a candidate?) but yes, I agree rather than the care factor for Voter ID, I think we would be better served by asking people to provide a brief statement of the difference between Fiscal vs. Monetary Policy, or What are the Three Branches of Government, or a few other questions that show that they actually have a clue about even the most basic aspects of our government and what these politicians are actually talking about when they speak.

And - I want every one who runs for office to have to pass a basic economics course, course on history and course on government.

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Orono

5:34 pm on Tuesday, July 3, 2012

"And - I want every one who runs for office to have to pass a basic economics course, course on history and course on government."

And to have held a real job in the private sector first!

SAM

12:08 pm on Friday, June 29, 2012

Corporations used to (50 years ago) provide pensions, health benefits--even for retirees--(should I mention that there was even a union in this private very large corporation) to help remind the administrators that such things were needed. Today, same big corporation outsources and offshores (yes, I know the difference--they do both). For the outsourcing, they contract employees and provide no benefits. Nice, huh? This is why we need something different in place. Are we OK with that retiree pension and healthcare? Yes. Is our Stage IV cancer survivor son? No. This is not rocket science. For the Republicans who now talk about what they will do--where were you when you could have? Seems like empty promises or it would have happened five years ago!!!

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John Owens

12:55 pm on Friday, June 29, 2012

It is but an accident of history that health insurance became a perk of permanent employment. Because of that history, literally millions of people have been locked into jobs they feel miserable in, but can't leave because of the need for insuring their families for expensive health care. Eventually, we may all have affordable health insurance (I am a firm believer in a single-payer system, such as an expansion of MediCare). That will unlock the potential of millions of people who are wage slaves to go out and start a business, work for a non-profit, or other employment that is meaningful to them, but does not provide health care benefits. Then you will see our economy grow, and our fear level go down.

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Smokin' Joe

2:21 pm on Friday, June 29, 2012

Thanks John, it's interesting to note that this mess got a huge boost through a government intrusion into the private market. As much as it kills my libertarian soul to say this, it seems like single payer may be the only way to resolve this fiasco. If the government is going to run this, then they should run it, period. They've corrupted the process so far through loopholes, credits, disallows, and deductions that nobody knows what anything costs anymore. Ever try to be an informed consumer and try to find out what a procedure is really going to cost? Another Pelosi moment in the making as you pretty much have to have it done and wait for the bill. At the very least portability and the elimination of disallows would add some transparency. Let the taxpayers cover the costs as we are used to doing already and let the insurance companies die the death they deserve.

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rob_h78

2:44 pm on Friday, June 29, 2012

Actually IMHO the Insurance Industry is the Real Free Market at its best. The Real Free Market is very different than the Free Market because in the Real Free Market we have lobbyists from industry who spend a huge amount of money and time each year to get government to enact laws, rules, regulations, etc... to essentially remove those industries from having to really be in a Free Market (which of course no company really wants because the Free Market is brutal - its much better to get government to put in barriers that allows you to make money, limit competition, limit disclosure, etc..).

Danielle Cabot

1:56 pm on Friday, June 29, 2012

A comment was deleted due to a violation of our terms of service. Please refrain from personal attacks and vulgarity.

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Sarah Harding

1:59 pm on Friday, June 29, 2012

Honey, you have have some serious masculine features going there - how did you do that?

Nancy

2:45 pm on Friday, June 29, 2012

I read the obamacare bill was unconstituional in its mandating people to purchase something, but allowed to pass because the legislature has the authority to tax. I think most people will be shocked at everything they are NOT getting with this bill, and how LARGE the TAXES will be. Start trimming your costs immediately. I think the SC was pc, and nothing else.

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rob_h78

4:55 pm on Friday, June 29, 2012

So, what is your comment on the Medicare Part D program that was passed under Republican Majorities and a Republican White House?

That is Massive Spending which is completely unfunded.

I have yet to hear any Repeal Outrage over Medicare Part D.

Again, it spends hundreds of billions of taxpayer dollars with no funding source at all.

The only explanation I can see is that Conservatives don't really care about spending (because if they did they would Repeal Medicare Part D).

But, rather, while massive spending is fine, they just don't want to pay the bill.

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Hudsoner

9:57 pm on Friday, June 29, 2012

If you would have read the judgement explanation, you would not write comments like this. The tax mentioned in the judgement deals with the fee (called therein a tax) for those who refuse to join an insurance program.

Educate yourself properly prior to partaking in a serious debate!

rob_h78

2:50 pm on Friday, June 29, 2012

Yesterday I watched Romney give a speech where he outlined that under his plan:

1) Insurance Companies would be unable to deny coverage due to Pre-Existing Conditions.
2) Parents can keep older children on their plans.
3) Ins Companies cannot drop people.
3) Ban on lifetime caps.
4) etc...

In other words Romney's plan contains all of the parts of the Obama plan that people like but Romney will do away with the mandate.

Of course Romney refuses to tell us how he would pay for it.

Now, if we look back at the last time Conservatives did something on health care what did we get?

Medicare Part D
--------------------------
Hundreds of billions of dollars being spent with no funding source
It prohibits the government from negotiating prices with drug companies
And is one of the Largest Socialized Medicine Programs enacted in our history
And yet, where is all the Conservative hand wringing?

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Orono

12:41 pm on Monday, July 2, 2012

I hate it when you are right.

I hate that this passed. I hate everything about this bill. But I also hate the republican congress talking about how they want to only repeal the law with nothing better to offer. How does that campaign promise from the republicans go? “Vote for me, I will repeal the ACA and bring us back to the screwed up crap we had originally." The liberals passed this crap, behind closed doors, in secret, in about 10 minutes. Surely the republicans, or anyone could come up with something better. Until they do, they should shut up. I won’t hold my breath.

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Joyce Denn

1:40 pm on Monday, July 2, 2012

The Republicans did come up with a plan, back in the '90s - it is virtually identical to the ACA.

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Orono

2:51 pm on Monday, July 2, 2012

Joyce - Do you not get the attention and love you desire at home? Why the need to insert your two cents into every single point on here?

Since you love to be exactly correct, it was the Heritage Foundation that devised a plan because they were tired of having their tax dollars spent on other people’s health issues. Yes, the same ultra conservative group that is screaming about it today.

Edward

3:11 pm on Friday, June 29, 2012

A good profile of the uninsured in the US, and the results of the ACA on trimming the pool of uninsured:

http://www.kff.org/uninsured/upload/7451-06.pdf

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Malaske

10:32 pm on Friday, June 29, 2012

Hello, I'm going weigh in on this from my point of view as a student.

This is notably the largest thing to happen during Obama's reign but the fact that this happened during the election year is even greater. His healthcare bill dub'd "Obamacare" will be the biggest sell point for the other candidates running against him. Viewing the results from the poll, other media, and a personal poll its fair to say that people are split on this. As a working student (without benefits) I like it. This allows me to stay under my parents plan, insured, until I;m 26. Thats great. It will insure millions of other people in the same situation.

However, nothing is all good. The plan in undoubtedly raise taxes, stir the GOP, and provoke unprecedented amounts of attacks against him as a president. The biggest issues with this whole thing stems from the requirement to purchase healthcare. Another issue is the estimated cost to the country. It is estimated to cost the government $940Bn over the next 10 years. We are supposed to be cutting spending, not increasing it. However it is necessary for us to spend some to gain more.

I personally think that the bill is the step in the right direction.

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MrsPeel

11:36 pm on Friday, June 29, 2012

The Defense Industry (The Military Industrial Complex) will piss away $940 Billion over the next 10 years and not a whimper will come from the TEAPublicans.

President G. W. Bush pissed away more than than on he great adventure of invading Iraq based on a series of lies. Do we hear the TEAPublican/Randians/Libertarians whining about that?

These are the people whose "Demi-god Ronald Reagan" tripled the National Debt on his watch. Did they squeal and whine? Nope, they put it on the credit card.

These are the people whose President Bush the Lesser was selected by the SCOTUS doubled the National Debt on his watch. Did they piss and moan? Nope, the Debt Limit was raised 8 times without a problem.

The feigned indignation of these factually deprived individuals is so incredibly misplaced as to be bordering on the ludicrous.

I have yet to read from one of the "bootstrapper" that they will no longer use a public library, drive on a public street, road, or highway, that they will not call the police or fire department if they need assistance, that they will not use a public boat launch, nor have a picnic in a public park. Nor have I heard any of them say that they would not hunt deer on public land where the herd is managed by the DNR. Nor have I heard any of them say that they would not fish in lakes that have stocked by the DNR. I haven't heard any of them say that they don't want their streets and highways plowed when the snows come.

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Joyce Denn

9:07 am on Saturday, June 30, 2012

Drake, you are looking only at the costs of running the program, not the savings - according to the non-partisan CBO, the ACA will save the government quite a lot of money and will reduce, not increase the deficit.

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Orono

12:54 pm on Monday, July 2, 2012

Actually Mrs Peel, I hear it all the time. The difference between you and those with common sense is that we all understand how bad Bush was and we don’t need to keep blaming him for everything still today.

Obama inherited Bush. Reagan inherited Carter. The difference is that Reagan and his debt improved the country. Obama and his debt has hurt the country.

Who is arguing that we don’t need government at all? LESS government, not NO government.

Finally, I know how good you are giving advice... Do you even know what a libertarian is? Obviously, no.

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Markus

3:37 pm on Monday, July 2, 2012

"Do we hear the TEAPublican/Randians/Libertarians whining about that?"

Yes actually you do. At least the Libertarians and Anarcho-Capitalists are.

matt lehman

11:58 pm on Friday, June 29, 2012

I have read this health care act twice now, I dare anybody to read it and explain it. There is no way average joe, lawyers, judges or the medical providers will be able to make consistant rulings legal or policy. The only way to make any sense out of the act would be to print each title section, lay all sections out seperately, then look up the question by relevent title. You will find each title has subsections that lead to other titles which highlights requirements, penalties, chain of commands, restrictions and all the other stuff. But, each time you are directed to a different section, that section directs you to another section and so on and so on, really, check it out. If I read it correctly, people able to afford health care are required to purchase it or else. Currently taxpayers are paying 50-100% of healthcare cost of most government employees at all levels of government. Many of these government positions pay higher wages then the wages of the taxpayers who currently pay for their own and government employee health care at the same time. if unions, military, native americans, illegals, government, and others are exempt, we seem to have a real problem brewing on many fronts.

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Joyce Denn

9:03 am on Saturday, June 30, 2012

Ah, the myth of the overpaid public employee rears its ugly head; in fact, when variables such as level of education and experience are accounted for, public employees earn LESS than they private sector counterparts. One of the reasons public sector workers are paid less is because they traded lower pay for better benefits.

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Orono

11:02 pm on Sunday, July 1, 2012

Joyce, do you ever get tired from all the pretending you're doing? Show me your facts. In similar jobs, the public employee makes more than the private sector employee. Your benefits are counted as part of your compensation package. Please try to keep up.

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Joyce Denn

7:21 am on Monday, July 2, 2012

Here you go, Orono:
'Benefits make up a slightly larger share of compensation for the state and local sector. But even after accounting for the value of retirement, healthcare, and other benefits, state and local employees earn less than private sector counterparts. On average, total compensation is 6.8% lower for state employees and 7.4% lower for local employees than for comparable private sector employees.'
http://www.nirsonline.org/index.php?option=com_content&task=view&id=395&Itemid=48
And:
http://money.cnn.com/2010/04/28/news/economy/public_workers_earn_less/index.htm

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Orono

5:37 pm on Tuesday, July 3, 2012

Joyce - Did your internet stop working in 2010? What is with all the really old reference points?

matt lehman

12:05 am on Saturday, June 30, 2012

In one section the act states, 133%-150% of federal poverty level will be required to have a $500 or less out of pocket/deductible where a 350% of fpl can have a $20k deductible. makes sense right? the $500 deductible or no deductible 100% coverage is the most expensive policy currently. Where is the money to pay for this coverage coming from? certainly the low income folks wont be able to pay for this. I am all for improving healthcare and some of the items in this act make sense but, this act is a train wreck now moving down the tracks. either rewrite is in short form, or start over and be realistic on scope both financially, length/layout of bill, make it realistic to understand from all perspectives, and most importantly, make it something the country could unite and benefit from.

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Edward

6:02 am on Saturday, June 30, 2012

@matt: you have to look at the facts about who is uninsured in this country. The poor and the rich are covered. It's like going to college -- the poor don't pay (they get the financial aid, grants, etc) and the rich don't flinch at paying the price because it is very little to them.

Likewise, the healthcare realm Medicaid takes care of the poor (in Minnesota that's a great program called Minncare), and the rich can easily afford whatever they need.

The profile of the uninsured in this country is an interesting read. The typical uninsured person is white, an American citizen, works full time in a job that doesn't offer benefits, and is between the ages of 19 and 35. I think the law is targeted at that group, since they are the bulk of the uninsured.

This profile also debunks the myth that these are illegals, black or hispanic, and lazy. They simply aren't. Most are white people who work.

See the profile in this report:

http://www.kff.org/uninsured/upload/7451-06.pdf

The demographics of this problem are what drives the law. It's why healthcare under a parent's policy is now extended to age 26. This part of the law alone is capturing millions of uninsured people. It's a good law if you read about the inputs that went into crafting this legislation; it seeks to solve a real problem in our society in an efficient and cost effective way.

Mike Hindin

8:43 am on Saturday, June 30, 2012

Wisconsin Governor Walker was bought and paid for by the Koch Brothers, the same KOCH Refineries (Flint Hills) that control 70% of the gasoline refining in Minnesota. While they are selling you all of thei populist Michele Bachmann tea party propaganda they are picking your pockets at the gas pump. Neither the Koch brothers nor Walker would let you use ther servents bathroom! Follow the money. The wealth sponsors of he tea party harvest your votes so they can loot and pollute. Cut your neighbors union wages and benifits and see what happens to your own over time.

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Markus

8:28 pm on Sunday, July 1, 2012

So who was Barrett bought and paid for by?

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Orono

2:53 pm on Monday, July 2, 2012

And Mark Dayton was paid by the unions. So what?

Smokin' Joe

9:35 am on Saturday, June 30, 2012

It's interesting that allowing kids up to 26 to be covered under a parents policy was ever an issue. From the insurance companies viewpoint it's really just another client that they can charge for. At least on my policy there's really no difference for the kids between being on my policy or having their own with the exception of where the bill goes

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Edward

12:12 pm on Saturday, June 30, 2012

Big difference for me, personally. The bill now goes to my employer, not me. This law is saving our family $419 a month (almost $5,000 a year) in out-of-pocket premiums. That was a huge tax on us and now it's gone.

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Markus

6:12 pm on Saturday, June 30, 2012

Edward,

So who is picking up the difference?

Hudsoner

10:15 am on Saturday, June 30, 2012

It is a very big difference, if your kid has what they call "a preexisting condition". Our sun has a food allergy against artificial colors (the yellow # 5's, red #.... stuff that is totally outlawed in Norway, and should not be in our food either!). On our insurance we pay just the normal amount (the food allergy developed during the last few years), if he would be on his own, this allergy would be excluded. It seems that more and more of this horrible stuff finds it way into our food (similar to the hidden sugars).
It is sometimes not possible for him to find out about the colors because they are not always clearly disclosed (specifically if he eats out), and he needs to use his Eppi Pen immediately to safe his life because his throat swells shut in a few minutes. After this shot he needs to rush to the ER to get an anti dose administered (some how, the law says that this needs to be done in an ER). Without health insurance covering this, he would be in the poor house already, but with him on our insurance it is covered.

Otherwise he is a very healthy young man, 6'2' and athletic, a rock climber and scuba diver. The US Navy is interested in him to become a Navy Seal.

With other words, a person who did not do anything wrong and still has a preexisting condition that prevents him to get decent health insurance coverage. Starting 2013, the ACA will change this!

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Smokin' Joe

11:56 am on Saturday, June 30, 2012

I know nothing of your personal circumstances but from what you've said it sounds like he's handling the situation well. It also seems like a terrible business model for the insurance companies to exclude a food allergy from coverage for an otherwise healthy young man, The very nature of their business is pooling risk, and, while the situation is certainly not trivial to you, the costs involved in an occasional ER visit are nothing compared to what most old people cost in coverage every month. If they need a prod to do the right thing I'm all for it.
You do raise a very interesting and under discussed issue though, if he/you can handle the problem on your own or with a bit of medical help, why is that ER visit required? I have a prescription that in order to get refilled I am required to see a doctor every 6 months. This little visit costs me $224 and a morning, just to have him ask me if I'm okay. 3 minutes of his time, tops. In my case it's not the insurance company that requires it but the doctors' office. I know they need to make a buck and I'm a captive market unless I want to drive to Mexico, but maybe dropping silliness like this would allow them to spend a little more on those who actually need the help.

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Edward

12:09 pm on Saturday, June 30, 2012

This describes one of my kids. Extremely fit, but with a non-healthstyle related pre-existing condition. There are millions like them out there. The righties would have you think that everyone with a pre-exist is fat, lazy, smokes, or does drugs. Insurance companies don't care about whether or not your condition is caused by your own selfish habits . . . they kick anyone off regardless. That's why we need the ACA as law, to protect people like your son and mine so that they can always get affordable insurance. As Christians, we don't kick people like this to the curb. They have a tremendous amount to contribute to their country, and they deserve better.

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Edward

12:20 pm on Saturday, June 30, 2012

"the costs involved in an occasional ER visit are nothing compared to what most old people cost in coverage every month"

And that's why the insurance companies don't cover old people, at least not at a reasonable rate. That's why the government had to step in (many years ago) for that age group and create Medicare (government coverage). If people over 65 actually tried to get complete coverage from an insurance company they'd be turned down or the coverage would be extremely expensive. My brother, age 60, has to pay over $3,000 a month for private health insurance. Fortunately he's wealthy, but how many people that age can afford to pay that much?

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Orono

5:39 pm on Tuesday, July 3, 2012

Edward - STOP TALKING ABOUT YOUR KIDS. Stop giving ammunition to the idiots who will use it.

Joyce Denn

11:44 am on Saturday, June 30, 2012

For all those who think they know what is in the law, take this quiz by the Kaiser Family Foundation; it is brief, only 10 questions. 99% of people who have taken the quiz have gotten at least one answer wrong:
http://healthreform.kff.org/quizzes/health-reform-quiz.aspx

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Susan

11:51 am on Saturday, June 30, 2012

Excellent, thanks Joyce! I got 10 out of 10 correct, so I guess it pays to do your research. I haven't read the bill, but I have read information online, watched some cable news (avoided Fox), are read opinions from those in the field.

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Hudsoner

2:00 pm on Saturday, June 30, 2012

Good, simple test! Got 10 out of 10!

Candace Oathout

3:57 pm on Saturday, June 30, 2012

Hmm.. Got 10 out 10 correct also and Hudsoner, just hurls insults when confronted with the facts he requested. Things that make you go huh?

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MrsPeel

1:37 am on Sunday, July 1, 2012

@Candace... I also got 10 of 10. Actually I believe that one of the questions is incorrect based on the decision by the SCOTUS, but it makes little difference.

Where is Hudsoner incorrect in factual matters? I have followed this discussion very carefully and I have not seen any factual mis-representation by Hudsoner.

Where has Hudsoner been incorrect?

Susan

4:00 pm on Saturday, June 30, 2012

Oh Orono, changing your name and dropping in all your little stink bomb comments, and then deleting them is not fooling anyone. It's childish (like the abbreviated names you call us), and no one in their right mind would take you seriously. Move on, no one wants to play with you here.

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Orono

2:57 pm on Monday, July 2, 2012

Susie - me proving you wrong doesn’t make my comment a stick bomb to anyone but you. Although I am confused how I changed my name or deleted a comment....

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Susan

6:03 pm on Tuesday, July 3, 2012

Oreo, I don't believe you have "proven" much of anything...other than your propensity for dropping in snide comments where you find individual's opinions not to your liking.

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Orono

2:29 pm on Wednesday, July 4, 2012

Oh cute, did you come up with Oreo all by yourself? If you want to call my corrections to idiotic comments snide, have at it.

jeff kocur

4:31 pm on Saturday, June 30, 2012

10/10, but the results nationwide were quite sobering: "So, how did people do? A quarter scored an impressive grade of 7 to 10 right answers, but less than one
percent responded to all 10 questions correctly. On the other end of the spectrum, roughly a third scored0 to 4, with 2 percent failing to get a single question right. Overall, two‐thirds of Americans (65 percent) got five or more answers correct. Most people hovered around the middle, correctly answering 4 to 6 questions.

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Candace Oathout

4:48 pm on Saturday, June 30, 2012

Not too surprising. Most people are not paying attention. The reality is that the average citizen is too busy working and raising a family to focus on all the political machinations that are out there. It's the major reason that government has gotten so far out of control.

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matt lehman

5:14 pm on Saturday, June 30, 2012

To Joyce, my point is very simple, someone making $130k a year regardless of unionized or not is certainly able to afford healthcare. The middle incomes making $50k are paying their own and the top tier government workers regardless of unionization or not, just does not seem equitable.

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Edward

6:04 pm on Saturday, June 30, 2012

The vast majority of people making $130K a year are working for an employer that provides health insurance, so the point is mute. Those making $50K are likely to also have employer-paid insurance. Top tier government workers have the same skills and education as those in private sector who receive health insurance from their employers as part of their compensation packages. Why is it that government workers should be cut off of health insurance ? How can those jobs be competitive with private sector if they no longer offer health insurance (or other benefits -- would you also take away vacation and sick days, life insurance, and retirement savings plans)?

Understand that most government employees are paid somewhat less than their counterparts in the private sector for similar skill/educational requirements. Most traded pay for better benefits (health insurance, for example). If health insurance is removed from their compensation package then the salary must increase to be competitive with private sector jobs.

Are you suggesting we eliminate health insurance from all employer compensation packages? If you remove it from all government jobs then it will soon disappear from ALL employment packages. In fact, that's what might happen anyway, as employers might find it more cost effective to do away with health insurance and give employees a lump sum to get insurance through the new exchanges. That would be fair, wouldn't it?

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Joyce Denn

8:15 pm on Saturday, June 30, 2012

Matt, cancer treatment can easily cost upwards of $1 million - are you certain someone making $130/year can afford that? A friend with MS would have to pay more than $30,000/year for her medications if she did not have insurance. Heart disease can cost millions. Seriously, how many people have that kind of money put aside?

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Hudsoner

10:01 pm on Saturday, June 30, 2012

Edward, you write:"The vast majority of people making $130K a year are working for an employer that provides health insurance, so the point is mute. Those making $50K are likely to also have employer-paid insurance. Top tier government workers have the same skills and education as those in private sector who receive health insurance from their employers as part of their compensation packages. "

Well, we are such a typical family. Before I retired, I used to be an employee in the private sector with a salary similar to the stated one, and I received top quality health insurance for a rather low cost (to me), it was part of my total compensation package (which also included 6 weeks paid vacation, sick leave, family emergency leave, etc. ,very similar to the fringe benefits public employees get).

My wife used to be a public sector employee and received about half the salary what I received, the only difference between my wife and I is that she has a way higher level education than I have, and she was the highest level she could be in her job section.

And surprise, she still had to pay some contributions from her own salary for her fringe benefits!
I just wonder how that fairy tale was established that public sector workers get free fringe benefits and a higher salary than private sector workers!

Our family is the living truth that this is nothing but a fairy tale!

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Markus

10:17 pm on Saturday, June 30, 2012

Hudsoner wrote: "I just wonder how that fairy tale was established that public sector workers get free fringe benefits and a higher salary than private sector workers! Our family is the living truth that this is nothing but a fairy tale!"

Edward wrote: "Understand that most government employees are paid somewhat less than their counterparts in the private sector"

The Congressional Budget Office would disagree. At least for federal employees.
http://www.heritage.org/research/reports/2012/02/federal-pay-is-out-of-line-with-private-sector-pay-cbo-supports-heritage-aei-conclusions

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Hudsoner

7:43 am on Sunday, July 1, 2012

Well matt, I don't know what federal employees earn, but I know that most Wisconsin state employees earn way less than similar educated private section workers!

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Markus

8:16 pm on Sunday, July 1, 2012

Hudsoner,

You wrote this: "Well matt, I don't know what federal employees earn,"

More than the private sector according to the CBO which you would know if you would have read my post above.

You also wrote this: "but I know that most Wisconsin state employees earn way less than similar educated private section workers!"

Not according to this article. USA Today is hardly a bastion of right wing conservatism either.

http://www.usatoday.com/news/nation/2011-03-01-1Apublicworkers01_ST_N.htm

Who is telling the fairy tales here? You seemingly don't want to respond to facts when presented with them.

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Joyce Denn

7:18 am on Monday, July 2, 2012

Markus, you cannot compare the average wages of the public and private sectors; averages give a skewed picture since, on the whole, public sector jobs require more education and experience than private sector jobs. Once you correct for those variables, and compare only wages for jobs with similar requirements for eduction and experience, public sector workers earn less, even when benefits are counted:
'Benefits make up a slightly larger share of compensation for the state and local sector. But even after accounting for the value of retirement, healthcare, and other benefits, state and local employees earn less than private sector counterparts. On average, total compensation is 6.8% lower for state employees and 7.4% lower for local employees than for comparable private sector employees.'
http://www.nirsonline.org/index.php?option=com_content&task=view&id=395&Itemid=48

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Markus

9:18 am on Monday, July 2, 2012

Joyce,

It is not at all surprising that there are "studies" that support whatever position you are in favor of. I was pointing to CBO numbers. Not that they're necessarily credible either but since most of those here that like the ACA love big government I thought it apropos.

What these studies don't take into consideration because their is no way to gauge it is output and/or productivity. How can you compare government employees to the private sector in that regard? Teachers simply have to get more education and they get a pay raise. That doesn't happen in the private sector with maybe the exception of the health care industry. But that as we are now seeing is run pretty much like government anyway. So the amount of education factored into whatever statistics these "studies" are using to bolster their skewed ideas doesn't really mean much. In government education=higher pay. In the private sector performance=higher pay.

A person with a Ph.D might be "valuable" in a university setting. Put that same person in a private sector job the degree has no value unless he can perform. A sheepskin in many cases simply means you spent a lot of time in school. What is your daughter's Master's degree doing for her right now?

Using pure numbers government workers particularly in the unskilled labor sectors make much more and have way better benefits according to the CBO.

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Joyce Denn

10:20 am on Monday, July 2, 2012

LOL, Markus - have you never heard of the Peter Principle?
http://en.wikipedia.org/wiki/Peter_Principle
The managers at the Wall Street investment firms did a truly bang up job, didn't they? Do you remember JP Morgan's loss of $ billions? They still don't know where all the money went.
As for my daughter, her MA got her a job as a college reference librarian and instructor; unfortunately, the college offered only half-time jobs to avoid having to provide benefits. My daughter is being interviewed today and later this week for full time jobs at other colleges.

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Markus

12:37 pm on Monday, July 2, 2012

"The managers at the Wall Street investment firms did a truly bang up job, didn't they? Do you remember JP Morgan's loss of $ billions?"

Wall St. investment firms are crony pseudo-private sector companies. They are in bed with government and lobby for the regulations to allow self-serving instruments like credit default swaps and derivatives to bilk investors, savers and taxpayers while encouraging the Federal Reserve to lend them printed money at 0% interest. All the while referring to it as "Stimulus" or "Quantitative Easing".

Let's not confuse Wall St. with real private sector companies that actually produce something of value.

I hope your daughter gets the job she's applying for. But her situation illustrates why people shouldn't depend on employers for benefits. In a true market based economy without government intervention, employees would negotiate for pay commensurate to their skill, experience, etc. Health insurance, and retirement would be left to the individual to purchase at their own expense. The whole benefit thing would become a non-issue.

We can trace health insurance and benefits back to when there were wage and price controls. (Government intervention again). Benefits were a way for employers to get around the wage controls to attract employees. Now everyone has been trained to expect those thing from their employers. Another instance of government intervention gone awry.

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Edward

8:44 pm on Saturday, June 30, 2012

Explain how. This isn't at all like the system in any European country, and not one expert has made this comparison (because it isn't remotely close to truth).

Get the facts before spouting irrational tripe.

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Hudsoner

9:53 pm on Saturday, June 30, 2012

Edward, it is somewhat similar to the Swiss system, but not all to close. It is absolutely different to the systems in the rest of Europe. Only the UK has a similar system as Canada has, a single payer system funded through tax deductions.

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MrsPeel

1:50 am on Sunday, July 1, 2012

@Terry... we should all be so lucky.

In the US the costs for healthcare are nearly double that of any country in Europe or Canada, or Australia, or Japan. The rankings of outcome for the US are about 17th.

The Healthcare Insurance folks have CEOs who are earning (oops..paid) around $35,000 (That's Thirty-five Thousand and 00/100) dollars per day. Look it up. These individuals do not apply a single band-aid.

These are the vultures who take your healthcare insurance dollars that you pay, or your employer pays and they do absolutely nothing to provide a single service to a human being.

So, Terry defend your comment, which is obviosly based on little knowledge or real experience.

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Joyce Denn

6:54 am on Sunday, July 1, 2012

Actually, Hudsoner, Britain is the only western nation with true socialized health care - the hospitals and clinics are owned and operated by the government, and the physicians and other health care professionals and ancillary workers are all government employees in Britain. Canada has nothing like that; the provincial health care systems in Canada are single payer, much like our own Medicare - the government provides the insurance but care is given by private practitioners in private hospitals and clinics. Other western nations have variations on that theme; Germany and Switzerland have systems that are closest to our own ACA.

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Hudsoner

7:40 am on Sunday, July 1, 2012

Joyce, the German system is quite different than the US ACA, because Germany has an insurance provider (AOK) who is similar to the alternative insurance that was originally planned. it is a nonprofit organization which catches all residents who have no other insurance. The AOK is the one providing health insurance to the, unemployed and disabled. The AOK provides mostly basic insurance. There are other non profit insurance companies in German (i.e. Barmer Ersatzkasse, Techniker Kasse, etc.), which charge higher fees, but provide better coverage. Every employer (no matter on the size of the company) has to pay 50% of the insurance fee of each employee,

Candace Oathout

9:41 pm on Saturday, June 30, 2012

Before the development of HMOs and PPOs insurance companies didn't meddle in health care therefore they weren't skimming millions from doctors and drug companies to pay adjusters and CEOs. They also didn't benefit from government intervention in the patient-doctor relationship. Doctors were able to set their own prices and most worked on a sliding scale and accepted term payments when necessary. The growth of Health Maintenance organizations and Preferred Provider Organizations and contracted services through insurance companies led to more and more regulation of fees and services. Insurance companies have grown to be an ever growing middleman in the doctor patient relationship setting price guides, defining covered services, creating pharmaceutical formularys that doctors must follow based on the insurance companies guidelines and profit margins. Doctors had to increase staff to process insurance claims and billing that often takes months of follow up to receive. Is it any wonder that cancer treatment and special therapies to treat diseases like MS have skyrocketed? My mother was on 14 medications a day in later life due to chronic conditions. Her private practice doctor who did not take insurance worked with her to prescribe generics whenever possible and provide her with samples given him by Pharmaceutical companies to improve their sales to him. Most doctors in my home town in central California considered it their privilege to provide Pro Bono care when needed.

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MrsPeel

1:58 am on Sunday, July 1, 2012

@Candice... and your point is? Did you ever learn about breaking up rants with white space so it can be read?

Your rant made no sense anyway.

The very problems that you state are related to the vulture Insurance companies demanding all kinds of verification before payment. Also Providers have to be able to deal with a myriad of private insurance companies, who each wants information in a different format which drives up the costs. Medicare (a single payor system) is consistent across the board.

Don't try and bullshit me as I have worked extensively in medical claims processing.

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Hudsoner

7:29 am on Sunday, July 1, 2012

Candace, you write:"and provide her with samples given him by Pharmaceutical companies to improve their sales to him."

And you feel that is a positive thing? Sales reps who try to influence a doctor what medication to prescribe? And the doctor giving out free samples as much as possible to get the patient hooked on this specific medication and believing it is the best available?

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Hudsoner

7:30 am on Sunday, July 1, 2012

Candace, It is clear to me that you have no idea how medical marketing works! Did I mentioned before that I made my living in medical research? Well, from an "insider" I can tell you that those samples do not need to be the best medication for a given condition because they are the ones that provide the highest profit margin to the manufacturer and the highest sales omission to the sales rep! One of the reasons that your mother might have been on 14 medications because of the fact that she did not get the most efficient medication for her problems, and an array of mediocre medications was needed to achieve some positive outcome.

And those doctors in your Californian hometown had to take off a day because they needed the time to polish their hallows which they got because they loved the privilege so much to be allowed to treat their patients Pro Bono!

I don't understand how you can promote such a system in which a patient has to depend on questionable handouts from their doctor instead of a system in which the patient can get the best possible treatment because of an affordable health insurance system?

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Susan

5:52 pm on Monday, July 2, 2012

I hope the $3 billion dollar fine charged to GlaxoSmithKline will help with some of the problems with the drug industry and their promotional techniques, but I have to say that this hope is small.
http://www.usatoday.com/money/industries/health/drugs/story/2012-07-02/glaxosmithkline-pleads-guilty-3B-fine-illicit-promotion-prescription-drugs/55979616/1

Candace Oathout

8:30 am on Sunday, July 1, 2012

Gotta love it when liberals just make personal attacks while they jump to false conclusions and assume they know best. My point is that there was an effective organized system of medical care in this country before healthcare insurance companies got so heavily involved. It was affordable and effective. Families took responsibility to manage healthcare and planned for emergency situations. Very few people had insurance. They made private contracts with doctors for medical care.

You may think that Obama's plan will lead to utopia but no matter how much you believe that it won't. Looking to health care in other countries whose economies are
collapsing for solutions does not make practical sense. Cities and states here in the
US are collapsing under the weight of pensions and benefits package for employees. There is an old adage about the first rule of business is that there is no free lunch. That applies to healthcare also. What happens when the government can't collect enough in taxes to pay for all these promised benefits? There are two world views in play here that are never going to agree especially in the face of snarky personal attacks.

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Exterminate Liberalism

9:53 am on Sunday, July 1, 2012

I truly believe and had my suspicions verified at a seminar at the University of Minnesota last semester - here is what I am talking about. The consensus amongst recovering liberals is that there is so much anger on the left because deep down they know that liberalism is a path to failure, but they don't see an out. All their friends, colleagues, and acquaintances are liberal and so they feel trapped. Want proof - listen to most any conservative talk radio show and you will hear liberals calling in time and time again. Why are they so obsessed over conservative talk when conservatives what nothing to do with liberal speak? It's because we are confident in our thoughts, ideas and path in life - I don't need to listen to competing ideas to know I am "right."

Now here is where things get very interesting, and in the interests of full disclosure I love the study of sociology. but don't practice as a profession. When I do listen to talk radio, I am noticing a growing trend - when the caller is female, she tends to be optimistic, hopeful, full of zest and intelligent. When it is a male caller, he is generally angry, combative, full of hate, has very little factual information, and generally supporting programs that offer something for free.

However, I don't want anybody to just take my word, go and find out for yourself - do the work and discover the facts.

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Edward

10:48 am on Sunday, July 1, 2012

'I don't need to listen to competing ideas to know I am "right."'

Why are you on this board? To participate in this discussion (properly) you'll be forced to read competing ideas. You should stay in the right wing echo chambers, yet you are here. Your actions don't line up with your words here.

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Hudsoner

11:09 am on Sunday, July 1, 2012

And what has that to do with the ACA?

Anyway, what are you trying o say? Is it that you don't need to hear anything else but the hateful gibberish of Limbaug and his kin? is what they say enough for you to make any of your decisions?
If your answer is yes, I pity you!

Exterminate Liberalism

10:00 am on Sunday, July 1, 2012

Let me clarify - love competing ideas, I am confident that liberalism is a disorder and do not suffer from such a disorder, so I don't need to hear your ideas. If liberalism was based on a solid foundation of principles, there would be successful liberal talk radio, the main stream media would be flourishing, liberal news publications would not be in bankruptcy and you would have more than 22 percent of the population on your side.

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Edward

11:00 am on Sunday, July 1, 2012

" love competing ideas . . . I don't need to hear your ideas."

So you love competing ideas but don't want to hear any . . . and you don't suffer from the liberalism "disorder" . . . but it appears you have another "disorder".

Please get help, or the cognitive dissonance you exhibit might explode your brain.

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Hudsoner

11:22 am on Sunday, July 1, 2012

Have you ever checked who owns most of the talk radio stations? Does Murdock or Clear Channel mean anything to you?
And no, you do not suffer from the liberalism disorder (me neither), But your disorder seems to be really bad, I hope your brain will survive!

I have seen similar brain lapses with people who had the Kreuzfeld Jacob disease. You should run to your doc and be checked for this, I hope your health insurance will cover this!

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Orono

2:31 pm on Wednesday, July 4, 2012

Scott - that is the definition of liberalism. Read anything Mrs Peel has said. If she isnt telling someone how stupid their point is, she is accusing them of racism.

Candace Oathout

10:58 am on Sunday, July 1, 2012

Thank you Edward. You just proved Exterminate Liberalism's point. Hint we on the other side have facts and principle on our side. Hudsoner, I too worked in the medical profession. My doctors often received samples that were not the most expensive and they would carefully discern whether they would work for a particular patient or not. Your arguments are based in many false premises. Demeaning doctors and insulting the intelligence of people with opposing views doesn't advance your arguments well at all.

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Hudsoner

11:17 am on Sunday, July 1, 2012

Candace, you try to make a joke, aren't you? Saying that the samples given for free are not the ones being pushed by the manufacturer! Our sales reps would not have survived very long if the would not have pushed the most profitable product (not always the most expensive, but most profitable) to the docs. There was a reason that we took key docs on cruses to the Bahamas or Jamaica, these docs were opinion leaders in their field and were to push our products,

If you worked in a docs office, you would never have known! I don't want to elaborate on the pharmaceutical education of family docs, but there is a reason that they use the Merck Index like their bible!

Susan

11:19 am on Sunday, July 1, 2012

I find it interesting when clicking on an individual's name to see how many other comments they have submitted here on Patch. If you look at those who write antagonistic conservative comments here on this thread, you will see that most (not all) have set up their profile name just to post some quick "shots" at liberals, and then they most often move on to another name. I would suggest that those posting with hostile names (I find the word "exterminate", when referencing human beings, very hostile) and/or an extreme view, who get so frustrated they feel the need to use derogatory adjectives, not worthy of a response.

I do find it interesting to read sincere and educated comments on both sides of an issue. It will often lead me to search out more information, and I appreciate these exchanges. However, when the antagonists drop in their comments designed only to piss people off, I am finding it easier and easier to laugh it off, and see them for what they are...

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Orono

2:34 pm on Wednesday, July 4, 2012

Try practicing what you claim to admire. While reading the comments on here, please include your own.

Candace Oathout

11:30 am on Sunday, July 1, 2012

I appreciate your points Susan. No matter what folks like Hudsoner choose to believe I have consistently stated personal experience and carefully researched points when posting. His attacks on the medical profession are unprofessional and irrational. I wonder why?

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Susan

11:35 am on Sunday, July 1, 2012

And even though you and I are on opposite sides of this issue, I appreciate your input. Maybe we can all (me too) try to drop those snide comments, and try to "help" each other understand our different views? I promise, I will get off my soap box now.

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Joyce Denn

11:39 am on Sunday, July 1, 2012

Candace, experiences differ across the country; where I currently work (I am a Registered Nurse) drug reps are not allowed in the hospital. Where I worked previously, in a different state, drug reps came weekly with lavish meals for the physicians, expensive gifts (fully loaded doctor's bags, for example) and offers of free vacations. I personally heard a drug rep asking an attending physician how he and his family enjoyed the Caribbean vacation the drug company sent them on, and where would they like to go next.
Drug companies keep track of how many scripts a physician writes for a particular medication, and they will reward physicians for writing a large number of scripts for a more profitable drug; not every physician is part of this corrupt process, but enough are.

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Hudsoner

12:20 pm on Sunday, July 1, 2012

Candace, I do not attack the medical profession, I am part of it! But I just put some facts into the right light. Corporations are there to make money for the share holders or the owners, and their employees (sales reps are employees of corps) are part of the system to make this money. If sales reps would push unprofitable products, they would not meet their sales quota and would soon be terminated.

Docs are also in the business to make money (if it is only to pay back their loans), because they have to pay their employees and their facilities. Most of the time they also have to bring money in to support their family. There are enough docs who have a social responsibility and do some work free of charge, but this cannot be a lot because they need to make money! And our health care system cannot rely on those free "handouts".

You can wonder why (and I say again, why should I attack my professional group?), because there is no why, I am just realistic and try to tell the facts!

Candace Oathout

11:38 am on Sunday, July 1, 2012

Thank you Susan. I'm done with snarky comments and I apologize for letting myself slip into that behavior. I too appreciate the sincere and educated comments. We all can learn from them.

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Karine Ravetto

9:12 am on Monday, July 2, 2012

What happened to our angry little Eddy?

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Markus

11:46 am on Monday, July 2, 2012

The implications of the law itself have been discussed her ad nauseum. What hasn't been discussed is the majority's opinion regarding the individual mandate as a tax versus being justified by the commerce clause.

Obama sold this to the people by saying it was not a tax but justified it as enforceable because it somehow fell under interstate commerce. Now how is the administration going to spin it when the court upholds the mandate as a tax but not as interstate commerce?

The court has now set a dangerous precedent essentially allowing the federal government to tax at will. What will stop them from taxing us for any reason? Will we be taxed for not driving a Prius or not buying healthy food? This has potential for far reaching implications no one can probably even fathom at this point.

For all intents and purposes the Constitution could read like this:

The Congress shall have Power To lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States and to make all Laws which shall be necessary and proper.

Why even list enumerated powers? The court has not considered them for 100 years? This ruling is an abomination and would have the founders turning in their graves. By revising the constitution to the paragraph above at least the majority in this case could be intellectually honest in rendering their opinions.

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Joyce Denn

12:24 pm on Monday, July 2, 2012

Markus, in point of fact it was only Roberts who deemed the mandate constitutional under the powers of taxation by considering the fine a tax; the four liberal justices deemed the mandate constitutional under the commerce clause and the four conservative justices deemed it unconstitutional under the commerce clause.
As for the ability of congress to levy taxes, here it is in the US Constitution, Section 8. Clause 1: 'The Congress shall have Power to lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States; but all Duties, Imposts and Excises shall be uniform throughout the United States.'

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Markus

3:25 pm on Monday, July 2, 2012

Joyce,

It's apparent that you are a proponent of a "living, breathing" Constitution. You've said as much. However most of the framers did not see it that way. You're taking that clause completely out of the context of the Constitution as a whole.

“For what purpose could the enumeration of particular powers be inserted, if these and all others were meant to be included in the preceding general power?”

“With respect to the words general welfare, I have always regarded them as qualified by the detail of powers (enumerated in the Constitution) connected with them. To take them in a literal and unlimited sense would be a metamorphosis of the Constitution into a character which there is a host of proofs was not contemplated by its creators.”

— James Madison, in Federalist No. 41

Refer to my above post about revising the constitution to one paragraph.

In your opinion wouldn't this be a much cleaner document and allow the Federal government to do whatever it darn well pleases? Which it already does anyway. Why not simply eliminate the rest of the text including the listed enumerated powers if they mean nothing? Heck, we could simply revert to two branches of government. Or maybe only one. The last couple of presidents have acted as if the executive branch were the only branch.

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Donald Lee

3:52 pm on Monday, July 2, 2012

I encourage everyone to read the opinin here: http://www.supremecourt.gov/opinions/11pdf/11-393c3a2.pdf

It was not just Roberts who found the PPACA constitutional. It was 5 justices who agreed. Justice Ginsburg wrote a dissent where she said she would have ALSO found it constitutional via the commerce clause, but Roberts would not sign up for that, so the "5" in the 5-4 decision was Roberts plus the 4 who agreed with Ginsburg.

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Donald Lee

3:53 pm on Monday, July 2, 2012

sorry.... Roberts found it constitutional *as a tax*....

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Markus

9:29 pm on Monday, July 2, 2012

Very wise insight from the dissenting opinion:

"Here, however, Congress has impressed into service third parties, healthy individuals who could be but are not customers of the relevant industry, to offset the undesirable consequences of the regulation. Congress’ desire to force these individuals to purchase insurance is motivated by the fact that they are further removed from the market than unhealthy individuals with pre-existing conditions, because they are less likely to need extensive care in the near future. If Congress can reach out and command even those furthest removed from an interstate market to participate in the market, then the Commerce Clause becomes a font of unlimited power, or in Hamilton’s words, “the hideous monster whose devouring jaws . . . spare neither sex nor age, nor high nor low, nor sacred nor profane.” The Federalist No. 33"

"Against the mountain of evidence that the minimum coverage requirement is what the statute calls it—a requirement—and that the penalty for its violation is what the statute calls it—a penalty—the Government brings forward the flimsiest of indications to the contrary."

"For all these reasons, to say that the Individual Mandate merely imposes a tax is not to interpret the statute but to rewrite it. Judicial tax-writing is particularly troubling."

Mike McLean

11:48 am on Monday, July 2, 2012

And has anyone discussed the 3.8% real estate sale tax that was in Obamacare?
Some may wonder why a real estate sales tax would appear in the health bill. Many more should,

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Jim

1:04 pm on Monday, July 2, 2012

Nothing like a conservative to spread lies and innuedos. You should be a proud Mike. I hope you go to confession and repent this sin.

Jim

1:00 pm on Monday, July 2, 2012

I'm in favor of ObamaCare because now my child with Cystic Fibrosis will not be denied coverage because of her pre-existing condition. In addition, the lifetime caps have been lifted which means she will be able to receive health care, without going broke, until the day she dies. This bill proves that Obama truly does Care about you and me.

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Donald Lee

9:01 am on Tuesday, July 3, 2012

"The Law" will not care for the child. People will. The law can say what is required or prohibited, but it does not provide care. The doctors and medicines do not spring forth from the pages of legislation.

There is evidence that the combination of higher costs, regulatory harrassment, and lower incomes are causing poorer job satisfaction on the part of health professionals. This is driving our best and brightest *away* from medicine. This legislation is making this problem worse.

When the doctors quit, the drug companies go out of business, and the hospitals close, who will care for the child?

Karine Ravetto

1:03 pm on Monday, July 2, 2012

Public opinion of the Supreme Court has grown more negative since the highly publicized ruling on the president’s health care law was released. A growing number now believe that the high court is too liberal and that justices pursue their own agenda rather than acting impartially.

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Hudsoner

1:40 pm on Monday, July 2, 2012

Karine, do you have any links to reputable sites that confirm your statement?
After all, most of the judges on the court were installed by conservative presidents.

Did the judges act impartially when they declared G. W. Bush to be president of the US, even though he had lost the election? Or were they to conservative at that time, and they just changed their ideology?

Karine Ravetto

1:06 pm on Monday, July 2, 2012

The U.S. Supreme Court's decision that President Obama's health care law is constitutional keeps it alive for now. But it's important to remember that the law has already lost in the court of public opinion. The Supreme Court ruling is a temporary reprieve more than anything else.

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Hudsoner

1:41 pm on Monday, July 2, 2012

Again Karine, do you have any links to reputable sites that confirm your statement?

Kevin O'Donovan

1:52 pm on Monday, July 2, 2012

Obamacare is a tax and is deemed to be constitutional only under the governments authority to impose a tax. The Catholic Church is a tax exempt entity as are many organizations and groups. Are they all exempt from Obamacare?

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rob_h78

6:17 pm on Monday, July 2, 2012

The only people who will pay the tax is people who do not have health insurance - if you have health insurance you will not pay a tax.

In reality what it truly is, is an "Anti-Health Care Free-Loader Penalty and Tax".

Now, if you want to get Conservatives to change the requirement that ER's treat people then I would be all for a person signing a legal document stating that if require treatment at an ER for any reason and cannot pay for it upfront or if they do have not health insurance that they understand that they will *not* be treated, with no exceptions - except at the charity of a hospital (and that hospital is forbidden to pass on the cost of that treatment to its other customers or to taxpayers).

Now if you can get that done and if someone wants to sign the document then they don't have to pay the Penalty - otherwise sorry but while you may support people freeloading on the health care system I don't.

No More Health Care Freeloaders!!!

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Hudsoner

6:34 pm on Monday, July 2, 2012

Rob, I feel we should promote your idea. I found a nice sample for an appropriate wallet card that could be used by those who dislike Obamacare!

https://sphotos.xx.fbcdn.net/hphotos-ash4/394572_438965766137774_210987047_n.jpg

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Susan

6:52 pm on Monday, July 2, 2012

Great link, Hudsoner. I was, only twenty minutes ago, suggesting this to a neighbor.

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Edward

6:55 pm on Monday, July 2, 2012

Now that's personal responsibility! Healthcare system freeloaders could also have vanity license plates ("don't treat me") and wear special medalert wrist bands ("I don't pay -- so "give me liberty AND give me death!").

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Hudsoner

7:23 pm on Monday, July 2, 2012

Since this is a free market society, we might be able to make some money printing those cards, making car stickers, etc. I wonder, if we could get rich, selling them. if most of the population dislikes Obamacare, at least Karine Ravetto said so, we should be able to sell a lot of them! Are you guys with me in in this business venture?

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Edward

5:12 am on Tuesday, July 3, 2012

A poster on another site stated it concisely:

"We already have socialized medicine. In our socialist system, we allow people to get sick enough that they need emergency attention, and then we let them show up at the emergency room to have problems that should have been caught early treated at massive expense in their later, more severe stages. If the patient has no insurance and cannot pay, the hospital just eats it, or the government pays.

Are we really going to sh*t our collective pants over a new tax to properly fund and reform this stupid system?"

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rob_h78

1:57 pm on Tuesday, July 3, 2012

Hudsoner - WOW - that is awesome!!!

I am calling my Republican Representative right now and asking if Republicans will do that because clearly they have no other ideas except to whine.

ABSG

7:59 am on Tuesday, July 3, 2012

Hudsoner - you just might be Obama's biggest poster child! He has you so bro-whipped it's pathetic! I bet you would fall for anything he states hook-line-&-sinker!

Wake Up America - Obama is a MASTER at deceit. He has everyone believing this is the greatest thing since sliced bread with "Buzz Topics": (pre-existing conditions, not being turned away, no max on treatments, insurance for all etc etc etc)

WHO IS GOING TO PAY FOR ALL OF THIS??????? You CAN NOT rob Peter to pay Paul folks...it will not work!

If people couldn't afford insurance before they certainly won't be able to afford it now (you are all fools to believe costs will be reduced) and they certainly won't be able to afford any treatment costs. We will see Insurance companies and/or Hospitals going into bankruptcy within the next 5 years if this program actually takes off. Mark My Words!

And of course the Supreme Court ruled on their own personal viewpoint and not based on the majority! Even many members of our own city council and school board members vote based strictly on their own personal views not the Majority. They don't care about the majority once elected!

Obama is a CANCER to America!

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Susan

8:28 am on Tuesday, July 3, 2012

Wow, "CANCER to America", that's a new one! ABSG, I wonder if you have any reputable sources to back up all your above claims, or if Limbaugh and Hannity are your only reputable and unbiased sources?

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rob_h78

1:30 pm on Tuesday, July 3, 2012

Why do you support Health Care Freedloaders?

Why don't you support individual responsibility?

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MrsPeel

1:50 pm on Tuesday, July 3, 2012

@ABSG...Please define your term "bro-whipped" in a manner that is not a racial slur or the language of bigotry.

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Orono

5:47 pm on Tuesday, July 3, 2012

Rob, why do you support the government telling you what you need to do? Clearly you are an educated person. I am not arguing the morality of it, simply the need of the government to tell me what to do. Everyone has health insurance now. Great. However, for the guy who for whatever reason doesnt want it, why should he have to have it? For that matter, why should I have to wear my seatbelt if I dont want to? Conservatives dont like freeloaders but they also dont like the government dictating what we have to buy.

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ABSG

6:09 pm on Tuesday, July 3, 2012

I Do Not support Freeloaders! I DO support individual responsibilty - absolutely! But I Do Not need the Government telling anyone what they HAVE TO buy! That is utter BS.

@ MrsPeel - Seriously? White people can call themselves Bro's FYI. That's funny and just a stupid reply.

Joe

8:08 am on Tuesday, July 3, 2012

A conservative supreme court justice is the swing vote for a law previously proffered by Republicans. No surprise there.

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Markus

8:58 am on Tuesday, July 3, 2012

As with virtually every entitlement program, bureaucracy, mandate, or regulation the government has come up with, this too will be a failure on a massive scale.

The bureaucracy that will administer this abomination will grow to epic proportions constantly crowing about how underfunded it is all the while working feverishly to add new members to its ranks.

Health care will be rationed. We've seen it in other countries with socialized/government controlled medicine. The government will continue to call it "insurance", when it is really really subsidized pre-paid medical care paid for by taxpayers and healthy people. Ultimately it will be a single payer program.

When it takes force to accomplish a so-called good, how good can it really be? If this was such a great program as with most government programs, why does it have to be administered at the point of a gun? It's no wonder the Anarcho-Capitalist and libertarian movements are growing by leaps and bounds. People, particularly young people, are not willing to tolerate even more government intrusion into their lives funded by debt that will be on their shoulders. This will fuel the revolution that is already underway.

The government has a dismal record of doing anything efficiently. Poster's here have pointed to statistics and charts which "prove" that this legislation will work and that against every market principle it will save money. This has NEVER happened with a government program.

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Hudsoner

12:07 pm on Tuesday, July 3, 2012

really Markus, have you ever compared the efficiency of medicare with that of the private insurance industry? Or the one of Tricare (the military insurance) of that with the private insurance industry?

If you do, you will be amazed how efficient government programs can be!

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Joyce Denn

1:25 pm on Tuesday, July 3, 2012

Markus, we currently have rationed health care - right now, it is rationed on the ability to pay.

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rob_h78

1:39 pm on Tuesday, July 3, 2012

I see that you have your Foxnews Talking Points down.

1) We already ration health care based on ability to pay.

2) We allow people to use the ER's at no cost to them - which means it is essentially socialized because we all end up paying for their treatment through higher costs - and hospitals are being left with the rest that are killing their bottom lines.

3) Do you consider other government programs such as: Social Security, the US Military, Medicare, the interstate highway system, etc..."failures on a massive scale". All of our brave servicemen and women who are fighting for your liberty receive a government paycheck, government healthcare, etc.. and yet you consider them a massive failure - that is really sad.

4) Are you ready to push Republican's to eliminate the requirement that people who showup to the ER must be treated? And if that means they die on the street we let them? If not then what is your solution other than the insane method of treating people at the very highest cost place possible?

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Markus

2:12 pm on Tuesday, July 3, 2012

Hudsoner,

Medicare is not an efficient system. It rations the delivery of services and imposes price controls on providers. It is also the largest unfunded liability we are facing. $75,000,000,000,000.00 was the last number projected by the Comptroller General.

I have a friend who works for the VA as a bean counter. Hardly an efficient system. The stories he can tell!

If the insurance industry were left to operate under market controls rather than government dictate, and be able to sell policies based on the requirements and demands of a competitive marketplace, it would have to be efficient or fail.

Joyce,

Using your rationale, everything is then rationed. Gasoline, food, aspirin, toilet paper are all rationed on the ability to pay. Maybe we should have a program to provide those things to those who can't afford it. Oh wait, we already do.

On a similar note, shall we also fine (penalize, tax whatever the supreme court decides) people for not buying those things? People who don't buy toilet paper (they're using public restrooms) aren't contributing to the TP pool thereby resulting in those who do use it having a larger out of pocket expense than the non-TP users. It would only be fair.

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Markus

2:37 pm on Tuesday, July 3, 2012

rob_h78,

I don't watch Fox News.

1) See my comments to Joyce.

2) That should not be mandated by government, it should be left up to the hospitals to decide. We used to have charity hospitals until the government drove them out of business.

3) "Do you consider other government programs such as: Social Security, the US Military, Medicare, the interstate highway system, etc..."failures on a massive scale". " SS, yes. US Military, no. It is one of the only things allowed for in a strict constructionist reading of the constitution. Medicare , yes. See my comments to Hudsoner. Interstate Hwy system, good idea maybe, constitutional purview was lacking.

4) There is no easy answer to this question, but before government decided to get involved people were not bleeding to death outside the ER door. Doctors used to provide pro-Bono services routinely for those who couldn't afford it. Refer to my comments about the lack of Charity Hospitals. The marketplace is not perfect, but allowed to function works much better than government fiat.

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Candace Oathout

9:20 pm on Tuesday, July 3, 2012

I can speak to the efficiency of Tricare having lived with it for 2over 15 years. I have sat with my husband who broke his collar bone for 3 hours while all all staff was busy tending all the children with runny noses whose parents decided that the runny nose that started midweek that their child had to be seen after hours on Friday night. I have waited from 10:30 pm until 6:30 am for an xray to confirm that her broken wrist was properly set after her cast was in place. I have paid co-pays, deductibles and out of pocket percentages of the bill for emergency care for a potentially life threatening head injury. This after my husband was promised free healthcare for himself and his family for serving in the Viet Nam War and also completing 20 years of active duty service. I could go on and on but suffice it to say if you like cattle call OB appointments, ill prepared doctors and lab techs Tricare is for you. There is absolutely no reason to believe that PPACA will be any better. Hudsoner, before you ask these are personal experiences with the medical records to prove it.

C

8:58 am on Tuesday, July 3, 2012

Since we are unwilling, I think, to allow people who refuse to buy health insurance to bleed at the emergency room door until their check clears the bank, we need mandatory health insurance (or national healthcare). People who can afford health insurance, but don't buy it still expect to be treated even if they can't pay their hospital bills. That's the problem the "tax" is meant to address.

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rob_h78

1:49 pm on Tuesday, July 3, 2012

Yeah - its funny how all of these Conservatives suddenly believe in paying for Free Loaders who show up and can't pay...

I remember when Conservatives used to believe in the concept of being responsible for yourself.

In fact the whole concept of the Mandate (or Tax) was created by Conservatives such as the Heritage Foundation as a response to the Clinton Health Plan and the requirement for people to have insurance (so that others did not have to pay for their health care) was pushed by many high profile Republican's and this was pushed for a long time - right up until Obama said he supported it - then within weeks they all ran away from what they used to support and started this new narrative.

Of course I would love to hear where is this Conservative Outrage over Medicare Part D - a massive government giveaway to old folks that is completely unfunded - and yet Republicans pushed so hard to get - and not one peep on that - I wonder why...

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ABSG

1:59 pm on Tuesday, July 3, 2012

@ rob_h78: "And if that means they die on the street we let them?" .... but your idea is that everyone should pick up that tab for them right, have open arms for everyone and sing kumbaya together? Spreading The Wealth Rhetoric?

Again, robbing Peter to pay Paul does not work because Peter (in this case Obama) will come looking for more and he believes there is an endless supply!

How about if this country does a better job at creating jobs and "mandating" people actually get a job!! Why not tax people for not having a job and tax them for not being responsbile for themselves?

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Donald Lee

2:44 pm on Tuesday, July 3, 2012

It is insulting and absurd to suggest that the human beings who work at hospitals would deny lifesaving care without immediate payment. This has never been the case, and is unlikely ever to be the case as long as practitioners are not required to do otherwise.

The difference we are talking about is not between getting and not getting care. It's between how those practitioners get paid, and whether the person walking into the ER is a human being asking for help, or a freeloader demanding his rights.

The vast majority of ER visits are NOT for lifesaving care. As various mandates have arisen, the incentive to use the ER for primary care has grown. Ordinary people have figured out that the ER is easy, it's available, and it's effectively free.

Why not????

More mandates and more laws do not make this better. Obamacare makes it much worse. We will never have a rational market in health care as long as we have patients (and doctors!) with no interest in what things cost, and the payers (gov and insurance) guaranteed profits by being state sponsored monopolies.

Again, Obamacare makes this worse, not better.

The essence of the PPACA (Obamacare) is exactly the same as the planned economies of eastern Europe. It's been tried. It does not work.

It would be different if those on the left who wanted this disaster could choose it only for themselves, but it is not so. They choose it for me, too, and I most assuredly do not want it.

Jim

1:37 pm on Tuesday, July 3, 2012

This so-called "tax" is nothing more than a Freeloaders Fee. If you want to freeload, then pay a fee.

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ABSG

2:15 pm on Tuesday, July 3, 2012

@ rob_h78 - I do agree with this comment you made: No More Health Care Freeloaders!!!

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ABSG

2:57 pm on Tuesday, July 3, 2012

I agree with your larger post Donald.

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Susan

4:29 pm on Tuesday, July 3, 2012

Thanks for the link Donald, but I think the logic is flawed. I don't get two mammograms a year just because I have insurance that pays for it. I don't get a pap smear any more often than my doctor recommends, just because I have insurance that pays for it. I do know a couple woman who have been diagnosed with the very early stages of cervical cancer and breast cancer because they had these screenings. Their prognosis, and cost of care was much less than it could have been because their cancers were detected very early.

How many people do you know that would donate to a charity for people with pre-existing conditions? Yes, it is a guess, but my guess would be that that charitable giving would never keep up with the need.

Also the mandate totally negates the argument that people would buy health insurance only after finding out they need it.

Just as your video says, "just because someone says it, doesn't make it true"...which is how I feel about the video....and do you really believe that none of the following have read the ACA?: The President, Congress, or the Supreme Court?

rob_h78

3:03 pm on Tuesday, July 3, 2012

Let's cut to the chase.

What Conservatives need to do is work to overturn this:

http://en.wikipedia.org/wiki/Emergency_Medical_Treatment_and_Active_Labor_Act

It was put in place in 1986 under Ronald Reagan with a Republican Senate and a Democratic House.

This is the law that requires that ER's treat people regardless of ability to pay and is one of the reasons why our hospitals are suffering financially (because of course there is no provision to actually ensure costs are covered) and is the whole reason for the Mandate \ Penalty \ Tax - to avoid people Free Loading off of the system.

Further this was the entire reason we have the concept of a Mandate (both under Romney when he was Gov AND why the Heritage Foundation and other Conservatives pushed the concept of a Mandate for decades).

So...

1) Unless Conservatives want to bring this up for a vote to over turn it and as "Hudsoner" noted issue this card:

https://sphotos.xx.fbcdn.net/hphotos-ash4/394572_438965766137774_210987047_n.jpg

2) Or, tell us specifically their plans to get Free Loaders off of the system.

They really are without any talking points, other than to be against whatever Obama is for and are showing themselves to be devoid of any solution to the problem that we are trying to solve.

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Susan

4:12 pm on Tuesday, July 3, 2012

Last week, while watching CNN I saw a clip with Dr. Sanjay Gupta. He spoke of the outrageous costs in a surgery suite...$3000/hour for the suite, $1200 for a surgical stapler, $281 for an IV bag. He stated that the costs were so high for several reasons, (HMO contract pricing, Medicare, etc), but the biggest reason was because a hospital will (on average) only receive 4 cents on every dollar it bills. The biggest reason for this...the uninsured, and those unable to pay using the ER for health care. The ACA may not be perfect, but the mandate will help with this problem.

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Donald Lee

4:33 pm on Tuesday, July 3, 2012

"The problem" is the disconnect between care and cost. That disconnect is fostered and even demanded by numerous laws - state and federal. More laws demanding more disconnect does not make it better.

Yes, repealing that mandate might be good policy. In no other area do we demand that those who have MUST give to those who have not. We could make the same argument for grocery stores. (If a hungry person shows up, the grocer MUST provide food at no cost....) Yes, that's absurd.

Like it or not, "The Solution" is tangled in politics, and politics is dominated by discussions like this one - full of emotional nonsense and misinformation. If I suggest repealing the 1986 act, I would be instantly painted as calling for the death of every accident victim. That does not win elections.

This is why putting medical decision making into the political sphere - as the PPACA does - is a terrible idea.

A combination of markets and charity can and should meet our needs. Consumers should care how much a vaccine or a tonsilectomy costs. Doctors can and should expect their _customers_ to shop and to care about cost. Any solution that goes farther down the road to "free" care will find that it is not free, and will ultimately not even be "care".

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Susan

4:42 pm on Tuesday, July 3, 2012

Donald, please see my above reply to the video.

Does charity currently keep up with need? How do you propose we make this happen?

I agree, politics (and all that goes with it) is a terrible way for this country to take care of it's sick and poor, but charity doesn't do it either. Asking people to be responsible for themselves is great, but if they refuse, what do we do? As you stated above, we can't refuse health service to the unisured...what do we do when a poor person without insurance shows up at an emergency room with a compound fracture of the femur?

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Donald Lee

6:03 pm on Tuesday, July 3, 2012

I do not have the right to take your money to give to some poor person for charity medical service because *I* think it's required. Only you have the ability, and the right to use your money for charity. If I take it from you, it's not charity any more. (i.e. by force through the tax man)

In the end, any way you slice it, anything we don't pay for ourselves depends on charity. That's much more common than we think.

The fallacy of "government charity" has two ugly aspects. First, and most importantly, it pushes the lie that it is "government" that is doing the good works, when it is not. Taxpayers pay the bills, and politicians claim credit. Second, it boils down to my taking from you to soothe my conscience. Not only is it immoral, it doesn't work, because when I bankrupt you, there is nothing left to distribute. That is what will happen to us.

The question of a truly emergency medical situation in a hospital is a red herring. I know of no self-respecting doctor who would not treat such a person and deal with whatever bureaucratic consequences later. The REAL tragedy is the crush of people getting "free care" in that ER that make it much more difficult for that doctor to deliver that care. This is typical of utopian schemes that ignore reality. The theory is pretty nice. The reality is that economics and human behavior dominate, and your "free care" is horribly expensive.

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Susan

6:09 pm on Tuesday, July 3, 2012

So what is the alternative, Donald? How do we get everyone to be personally responsible for their own health care costs? How does that uninsured low income person, with a bone sticking out of his leg, pay the $20,000 bill that he is going to receive?

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Markus

7:06 pm on Tuesday, July 3, 2012

"Not only is it immoral, it doesn't work, because when I bankrupt you, there is nothing left to distribute. That is what will happen to us."

Donald, nicely put.

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Craig

2:42 pm on Wednesday, July 4, 2012

Donald; how do I comparitively shop for rates when I am having a heart attack, stroke, and/or in a serious car accident. The conservatives have spent years trying to cram medical care into a market-based system but they have failed. Health care will never be market-driven because not everyone has the information they need to make rational decisions. You go into the doctor and the doctor recommends a procedure. Any rational person with average intelligence and education doesn't have the knowledge and/or expertise to determine whether that procedure is necessary. We can do research but we are without the requisite experience to make the decision. Without that knowledge, expertise,and experience, people will never be able to make a rational decision. And by not being able to make a rational decision with all of the information necessary, market-driven systems break down. Market solutions will never resolve our macro health care problems. Therefore, government needs to step in and create an environment where everyone receives adequate and affordable care. The Affordable Care Act is an attempt at doing that with the least amount of interruption to the current system.

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Donald Lee

5:54 pm on Wednesday, July 4, 2012

Utter nonsense. I don't know how to build a car either. That's why I pay someone else to do it. The difference is that when I buy a car, I ask the price.

No one talks money in the middle of a heart attack. You DO talk money when buying insurance, picking your hospital, and other services. This is called "preparation" and "responsibility". It is actually widely practiced.

Market systems break down when third parties (governments) interfere. Note that dentistry and cosmetic surgery are both doing fine, largely because people pay their own bills. When both customer and provider care, they ask, and make choices that are rational.

The idea that the market has been "tried" is a canard. Markets in health care have been under attack since the late 40's, when tax policy fostered the illusion that insurance should be bought by "someone else". Medicare did a lot of damage in the 60s, and both federal and state governments have been trying to "fix" it ever since by adding layer upon layer of regulations and mandates, all of which drive prices up, and customer service down.

Markets work. Moreover, markets are INESCAPABLE. We may hope that a "planned economy" in health care can work, but we have plentiful evidence throughout history that it does not.

ABSG

6:19 pm on Tuesday, July 3, 2012

@ Susan - "Asking people to be responsible for themselves is great, but if they refuse, what do we do?" ........... send the bill to you apparently!

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Susan

6:30 pm on Tuesday, July 3, 2012

Haha, excellent point, and come back. But seriously, so many here are saying that we must demand personal responsibility when it comes to health care and the associated costs, but how do we force people to do that?

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Wayne

7:37 pm on Tuesday, July 3, 2012

Susan, if the person NOT being responsible has any income, then tax the person more. Hence a chronic smoker or one who may drink too much will likley be a high cost to society and will need to pay higher tax. This tax should be in the range of $1000's considering the liability that it places on other members of society. This will either work towards discouraging the poor behavior or it will actually be resource utilized to bolster the health care system.

If the person has no income to afford such higher taxation, then a challenge will arise and force society to face the possible choices. One is to allow people to pursue an irresponsible behavior and encourage that by society paying for the untoward consequences - cancer, liver failure etc. Alternatively, society can take a stand to not support such activities. Since we all should be allowed a mistake or two, it will only be fair for society to offer a member a remedial measure such as paying for a smoking cessasion program or to treat the initial episode of alcohol related liver irritation. However if the irresponsible behavior persists, then society will need to agree that the person with the cancer (tobacco) or the liver failure (alcohol) will need to be made comfortable (morphine) but no more resources will be invested towards heroic measures.

To avoid disparity in care and "rights", the refusal to heroic measures may also be appropriately applied to those with income.

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Markus

9:19 pm on Tuesday, July 3, 2012

Susan,

It was not that long ago that people were simply expected to do the right thing. If they didn't there were consequences for their actions and most people understood that.

If you want to race motorcycles for example, you would accept the responsibility if you had a compound fracture and pay the bill. If you want to smoke three packs of Winston's a day and you get lung cancer or emphysema, you accept that responsibility. If you don't have the money for a lung transplant, we'll, you should have know better, you're gonna die. If you chug a 5th of Jack Daniel's every day and your liver turns into a rock, you're SOL.

If you decide to live your life without catastrophic medical insurance and you get cancer, oh well, you shoulda bought it when you had the chance. Too bad but that's life.

We have somehow adopted the philosophy that we can make bad decisions and there should be a safety net provided by someone else. It's a nice thought, but it's not practical nor is it wise. There are all kinds of moral hazards that arise when you take care of people from the cradle to the grave and give them a cushion against every possible contingency. Flood insurance is a classic example. Free ER visits are another. Government involvement virtually always leads to moral hazard.

I left you a note on your board by the way, but it keeps saying "Pending Approval"

Read "Pillars of Prosperity". http://www.amazon.com/Pillars-Prosperity-Markets-Private-Property/dp/1933550244

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Susan

8:07 am on Wednesday, July 4, 2012

Thank you Markus, Wyane, and Donald. I find it interesting that so many others that have railed against ObamaCare here, have yet to offer an alternative. I have read that eating healthier is THE alternative, which I think is ludicrous...yes, it will keep some ailments away, but this is not the answer for all the problems in our health care system.

Wayne, if I understand you correctly, you are saying that we should require people to buy insurance, and those with bad habits (which negatively affect one's health) should pay more, and possibly not receive life extending treatments?

Markus, are you saying we should refuse ER care to those that have not been responsible enough to buy insurance, and can not pay for health care? Or should we make them pay, by say, having the hospital sue them and garnish their wages?

Donald, you are against denying care, but I'm not sure your following statement offers a clear or concise alternative: "A combination of markets and charity can and should meet our needs. Consumers should care how much a vaccine or a tonsilectomy costs. Doctors can and should expect their _customers_ to shop and to care about cost."

I am not arguing with any of these responses, I am just curious about the opposition's alternatives for ObamaCare. We have a problem, how else would you fix it?

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Susan

8:10 am on Wednesday, July 4, 2012

Thanks Markus, I will download it later today. Since it is written by Dr Paul, does that mean I am contributing to his campaign? :)

Yeah, when I posted that comment to your board it took a few days to get "approved".

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Markus

9:27 am on Wednesday, July 4, 2012

Susan,

"I am just curious about the opposition's alternatives for ObamaCare"

The free market is the alternative. We haven't had a free market in health care for decades. Allowed to function properly, costs would come down. Allowing physicians and patients to contract could eliminate much of malpractice insurance costs, and put a stop to the CYA medicine that is commonly practiced today.

Government is the single largest purchaser of healthcare in this country. For all intents and purposes we already have a single payer system for 50% plus of all healthcare purchased. Add to that insurance that pays first dollar for healthcare, we now have most health care purchased by single payer or third party payer systems. These as we know are rife for abuse. We need to look no further than medicare billing abuses for that.

Government intervention typically causes malinvestment to occur and subsidies bring about moral hazard. Why do healthcare cost go up at a much higher rate than consumer goods? It is similar to housing and education. When it's free or artificially cheap demand goes up. When demand goes up, prices follow.

I went to Walmart to get an eye exam a few years ago. $50. The optometrist recommended I have a glaucoma screening. He referred me to a local eye clinic. Since I was paying cash I asked how much. The first question to come out of the lady's mouth was, "don't you have insurance? She was surprised and didn't know how to answer my question.

Continued...

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Wayne

9:35 am on Wednesday, July 4, 2012

Susan, that is correct. Having irresponsible people pay more upfront will encourage more responsible behavior or provide society with the resources to deal with the consequences of the untoward behavior down the line.

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Markus

9:36 am on Wednesday, July 4, 2012

After my exam (almost $400 but of course a discount for cash) they directed me to the eyeglass counter. I picked out some frames and we talked about lenses. When I asked how much, she said, "we can bill them to your insurance". I said I was paying cash and she reluctantly had to get a price book and tell me they would be $700. I thanked her and left, drove to Vision World and got a pair of nice stylish (my wife picked them out) frames with no-line bifocals plus a pair of prescription sunglasses for $130.

This is not an isolated example. It is typical. When the consumer is left out of the transaction, the payer gets gouged. This is what currently happens, it will only be exacerbated by adding more bureaucracy and mandates.

The free market works!

C

7:30 pm on Tuesday, July 3, 2012

Our society considers basic health care to be a right. The biggest problem with ObamaCare is that it involves the private sector at all. The VA hospitals, clinics, and nursing homes should be the model for all U.S. healthcare. If someone wants more than that, then they can pay out of pocket or purchase private health insurance - just like some people send their kids to private schools. ObamaCare is better than no action at all, but it's basically a reverse voucher system. I think we should expand the VA medical system to provide basic services to all Americans. They have a proven track record of providing healthcare at a much lower cost than the private sector. Yes, this is socialism. But so is public education, public parks, public roads, etc. It's the only realistic long-term answer.

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Donald Lee

10:41 pm on Tuesday, July 3, 2012

Let's be clear about something: The "private sector" is the only part of the economy that produces medical care. Each and every doctor is a private actor who goes to work in the morning subject to the "profit motive". It is not possible or desirable to excise the "private sector".

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Wayne

9:50 am on Wednesday, July 4, 2012

Donald,

The VA system employs a very large pool of health care providers and produces excellent medical care. These providers have no incentive to keep a patient in a hospital for more or less time. No incentive to order more or less test. Their simple task is just to provide the best care to a patient. I don't see the "profit motive" you mention.

I think Chirs has a point in that the VA care model may provide some answer to the rest. Clearly some redundant choices may need to be excluded and some may not like the idea of NOT getting their knee surgery the first day they had pain. Yet it will be a model that is more practical and affordable.

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Donald Lee

11:30 am on Wednesday, July 4, 2012

You miss my point about "private sector". Each doctor is motivated by the "profit motive" when he or she enters the medical profession. When that doctor continues to be a doctor, it is a statement that doing so has more benefits to the doctor than the costs, and that his/her talents are not better used elsewhere. That doctor can leave and get employment elsewhere at any time. The point is that the essential part of the "care" is not government. It is the caregiver, who is just an individual trying to make a living, and subject to market forces and discipline - and the taxpayer footing the bill.

Second, it is important to remember that the VA is not universally recognized to be wonderful. Those who tout their statistics, seem to think them great. Veterans who get the care tend to complain more. The reasons are obvious. The doctors at the VA don't work for the patients. They work for the VA bureaucracy. Those who pay the bills get the "care". If that's the VA, and their stats, then the effort is expended to make the stats look good. That's not to say that the doctors are not human, and don't want to be good caregivers. They do. However, the incentives inside the VA are structured to ensure that the management gets what it needs to continue its funding. The best interest of patients from the viewpoint of the PATIENT is going to get less attention than the best interest of patients according to the bureaucrats at the VA.

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Craig

2:47 pm on Wednesday, July 4, 2012

The "profit motive" is part of the problem. Currently, doctors get paid more when they order more tests and/or see a patient more often. We need to take the "profit motive" out of health care and return health care back to what it once was - "patient care".

Markus

8:57 pm on Tuesday, July 3, 2012

If health care is a right, then that means someone must be compelled by force to provide it. Many-including you obviously-would like it to be a right. But simply wanting it to be a right or saying it is doesn't make it so.

Rights are inherent, God-given if you will. I have a right to be free. I have a right to my property. I have a right to pursue life, liberty and happiness. I have a right to be treated fairly. I have a right to travel, defend myself and my family, and worship my God. I also have the right to be left alone. None of these rights infringe on another persons rights however.

If you're going to call health care, education, food, a job or a home a right then those rights infringe on someone else's rights. They are not rights. They may be goods or wants, but they are not rights.

Considering health care a right-I'll paraphrase Donald here-is really immoral at its core. Socialism is immoral at its core.

The last time I checked the it cost the VA somewhere around $5k annually per veteran. I can buy insurance (and do) on the open market for much less than that and get better care besides. If we minded our own business overseas and kept our soldiers here guarding our own borders rather than someone else's our VA costs would go way down. But that's a discussion for another day.

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Colin Lee

9:48 pm on Tuesday, July 3, 2012

Markus, our Founding Fathers believed you had a right to counsel when accused of crimes. That's a right that comes with a value in dollars. They also passed the Militia Act, mandating that every able-bodied American male buy a gun and powder. They passed An Act for the Relief of Sick and Disabled Seamen, which mandated that every privately-employed sailor pay into a hospital fund from their paychecks. If the idea of requiring everyone pay into a hospital fund so the truly needy aren't dying in the streets from cheaply-treatable causes is immoral at its core, then our Founding Fathers were immoral at their core. I disagree with that.

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Donald Lee

10:39 pm on Tuesday, July 3, 2012

A little history is in order - Our founders did *not* believe that we had a "right to counsel" in the sense that we believe it today. That was something that was conjured by our courts in the last century. The military pension and benefit acts mentioned here were controversial in their times. Take careful note of the debate over the "pensions" This is an example: http://query.nytimes.com/mem/archive-free/pdf?res=F00A14F93D5E1A738DDDA90A94DE405B8484F0D3

The demand to buy gun and powder was hardly a demand on an 18th century population that was mostly subsistence farmers who hunted their own meat.

The "mandate" on health insurance has almost no relevance to the dead or dying. It is not earmarked for medical care, and in any case is not nearly enough money to make a dent in rapidly rising medical costs. At best, the "freeloader tax" is enough to make the proponents of this misguided experiment feel better about burdening those "evil freeloaders" with a token penalty.

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Markus

9:52 am on Wednesday, July 4, 2012

Colin,

Congress strayed from the tenets of the constitution right out of the gate. Just because they enacted those laws didn't necessarily make them right. Chief Justice Marshall set the tone for the court and unfortunately we have slowly made our way away from the document that has been considered virtually perfect in its original form.

Confiscating my property to give it to someone else is immoral. You don't have a right to the fruits of my labor, nor I yours.

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Susan

12:09 pm on Wednesday, July 4, 2012

Markus, I have to agree that I am having trouble with the use of the word "immoral", as well. I pay taxes which help provides our city with a fire department. I have never had to call, or use a fire department in my life, but I am grateful that they have saved lives and homes of others in my community.

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Markus

11:44 pm on Wednesday, July 4, 2012

Susan,

We have disabuse ourselves of the notion that we need government to supply us with our every need. You used the example of the fire department. Not a bad idea, but what if I have no need for the fire department? What if I have no need for the public school? Yet I'm forced to pay for it regardless of whether I use it or not. I have to pay for the city to put chemicals in my water because the federal government requires them to (fluoride), then I in turn have to buy a filter to take it out and pay even more to remove the poison before I let my family consume it. It all seems kind of ridiculous when you really think about it.

I would voluntarily pay for a private fire department to put out my house fire if and when I needed it. Don't you think if there were no fire department the market would provide one? I can teach my own children as well.

Government at every level has proven itself to be inefficient and self-serving. Government should be relegated to its primary functions and let the market provide everything else. That may sound radical, it is. But eventually we will have to realize we can't continue to contribute to the largesse of out of control government and reign it in. If we don't it will happen, just not on our terms. Look no further than Greece as an example.

Property tax is probably the most immoral tax because you can never own your property outright. You're just one year's delinquency away from the government confiscating it from you.

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Colin Lee

5:04 am on Thursday, July 5, 2012

Markus, I think I've heard these arguments before somewhere else: http://vimeo.com/7738119

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Susan

8:56 am on Thursday, July 5, 2012

Thanks, Markus. It's been an interesting conversation for the last few days, with some intelligent and insightful ideas. Although Donald seems unwilling to type the words, I think that the only conclusion one can come to, from what he is saying, is that yes, people who choose not to buy insurance would be left to their own devices if they could not afford insurance or payment, and show up at the ER for medical services. Although claiming the opposite, he gives no alternative to the situation, and keeps reiterating personal responsibility.

I will be very honest and say that I find this to be the only alternative to the mandate. If people have not bought insurance, and can not pay, then those providing medical care should not be forced to provide service. This is still a private, for-profit business. I run a private, for-profit (service) business, and if someone can not afford our service, why should I be forced to provide it? This is the problem that I have....the health and well being of people should not be for profit!

It's an interesting concept that everything should be left to the free market, but I don't think that I would like to wait on an individual to invest in all the needed equipment and 24 hour staff for a private fire department, and I think (only a thought, as I don't know the figures) this type of private business, and some others would be so expensive to own and operate that the cost of someone needing this service would be astronomical.

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Markus

10:05 am on Thursday, July 5, 2012

Susan,

If you're looking for perfect solutions, there are none. Those advocating for even more government intervention into our lives truly believe we can achieve the Utopia they so desire if we just keep trying. It has been tried throughout history and has been proven to be a dismal failure. Great writers like George Orwell and Ayn Rand saw the proverbial writing on the wall. Without sounding sacrilegious they were modern day prophets.

The free market can be a messy thing, but it sorts itself out rather quickly. True free market health care delivery would not be perfect but it would be much better than the system being advocated. We live in an imperfect world. There is no Utopia. We make the best of what we have.

The government attempts to provide bread and circuses result in endless boom and bust cycles that create economies like the one we're in now. Then the people demand even more from the government and we get situations like Greece as I pointed out before. Adding more layers of bureaucracy will only exacerbate our already dire circumstances.

My fire department analogy was extreme. I'm trying to make a point about government. Frankly, I like the idea of a community fire department, however I believe it could still be a voluntary fee based system and work well. I'll leave the school discussion for another thread.

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Donald Lee

10:06 am on Thursday, July 5, 2012

Bad things happen to people, and if those bad things happen when no one is there to bail them out, they may die. That's the fact. No amount of "insurance", whether paid for by the victim, or by me, will change that.

People get bailed out by other people, not by "insurance". The doctors in the ER will treat your victim out of humanity, not the compulsion of "the rules".

Writing law that connects these two, compelling the doctor to treat, and the innocent (and prudent) bystander to pay, is misguided to the point of stupid, but the idea is widely accepted because of its emotional appeal.

It is still nonsense.

There are seldom "enough" doctors, EMTs, helicopters, or drugs. Individuals making judgements about risks and costs, and modulating their own behavior according to those judgements drive a functional society. Anything you make "free" is abused and destroyed in short order. Markets react and compensate, but the result is seldom pretty. (see: "tragedy of the commons")

Forcing everyone to pay for everyone else's insurance is a nice theory, but like it or not, destroys incentives that help keep us healthy and prudent. Proponents of the ACA and its cousins keep calling it "insurance", but it's not. It's free universal care.
(Insurance covers risk, aka "major medical", which is _illegal_ under the PPACA)

It's a bad idea.

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Donald Lee

10:07 am on Thursday, July 5, 2012

By the way, "what is the alternative" seems to be a common refrain.

The PPACA is a cancer. If you have a cancer, and remove it, what do you replace it with? What is the alternative?

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Susan

10:27 am on Thursday, July 5, 2012

Markus, you are absolutely right that we will never find "perfect", as everyone's idea of perfect is different. I think we are at the place that you and I always end up...although I find your ideas and the Libertarian views intriguing, I am not sure that we will ever get back to the point of being able to implement them.

I don't think the ACA is anywhere near perfect, but I like the mandate. Without the mandate, I think we need to make people personally responsible, which would mean that for-profit care could be denied if someone does not have insurance or the ability to pay...which would truly be sad, and I can not imagine the internal struggle a doctor would go through when having to turn a patient away.

I believe an even better idea would be that health care (insurance and the care itself) should be non-profit, and based on a sliding fee scale. Although I understand why, I find it totally asinine that someone without insurance, and most likely low income, will pay three times the amount for a procedure, than my insurance would pay for me to have the same procedure...this is just wrong.

Donald, I ask about alternatives because we have big problems with our health care system (some will argue this), and if you feel the ACA is a "cancer", then I wonder what you would do instead to fix the problems. I don't ask as a "talking point", only out of curiosity and in an attempt to learn more about the subject.

C

11:27 am on Wednesday, July 4, 2012

Markus - get real. Your labor has born no fruit that isn't completely dependent upon the sharing of your fruit with others and others having shared their fruit with you. Government's role is to provide a structure in which a person's individual efforts can bear fruit. If tomorrow, everyone who received any government assistance were cut off, we'd have former nursing home residents wandering the streets, starving children, people dying from easily curable and preventable diseases, etc. Now is that moral? Your "every man for himself" philosophy would lead to chaos. In very short order, your job or business would be worthless. Individual effort needs to be sufficiently rewarded - that's true. But the idea that person's wealth is theirs alone is false. Your wealth belongs to everyone. It's only by the consent of the rest of us that you're allowed to keep it.

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Donald Lee

11:50 am on Wednesday, July 4, 2012

Absolutely false.

Read the writings of our founders. They were very clear that the purpose of government is NOT to provide "structure", but to protect private property from usurpation, and to protect the God-given rights of the people. They exerted great effort to ensure that government could never be powerful enough to "care for" us, as the King purported to do. "Charity" was emphatically a voluntary responsibility of every citizen, never a function of government.

The idea that "government" is the only thing preventing the collapse of goodwill and charity in society is insulting nonsense.

People care about their neighbors. To the extent that government shoulders the charitable burden, that charitable urge and duty is HARMED, not enhanced. Shutting down government "charity" would certainly change who would get benefits. It would almost certainly eliminate vast amounts of fraud and waste. There might be cases where some would fall through the cracks. It is not at all clear to me that the situation on net would be any worse at all.

If the concern is for those falling through the cracks, maybe that's where our private, charitable effort should be expended.

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Orono

2:49 pm on Wednesday, July 4, 2012

"Government's role is to provide a structure in which a person's individual efforts can bear fruit." No one is arguing that laws are not necessary. Think less government not MORE government.

However - "But the idea that person's wealth is theirs alone is false. Your wealth belongs to everyone. It's only by the consent of the rest of us that you're allowed to keep it." is completely f'ed up. Sorry pal but my wealth bought me my house. If you would like to try and claim it, you would lose.

Chris, I get it, you are one of those 20 something occupiers. Do yourself a favor and print out your silly responses. Save them until your 30 something with kids. You will want to blow your own brains out.

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Craig

2:50 pm on Wednesday, July 4, 2012

Private charity didn't work in the late 1800's and 1900's which is why after the Great Depression government was asked to shoulder more. In that time period, a select few (Rothschilds, Carnegies, and Rockefellers) did very, very well while most of America was subjected to poverty...............................similar to what we are experiencing today.

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Markus

6:53 pm on Wednesday, July 4, 2012

"Your wealth belongs to everyone. It's only by the consent of the rest of us that you're allowed to keep it." You're obviously a fan of Karl Marx. That could have come right out of the Communist Manifesto.

That is a chilling statement. The fact that you really believe it is actually more chilling.

The government's role is to keep me free and protect me from guys like you. Period.

I gotta give you credit, most people who believe the statement in quotations wouldn't dare repeat it out loud or be associated with it in any way for fear of being called a Marxist or a socialist. But you've admitted previously you're a socialist.

What you advocate is theft. If you came to my house and demanded what you want with a gun, you would be jailed. But you hire politicians to to take my property at the point of a gun for you and I go to jail if I don't pay up. Taking my property by force is the epitome of immorality.

Even though the philosophy you so freely subscribe to has become popular among those on the left, there is a revolution underway that will continue to fight to return this country to the principles which made her great. You wouldn't be able to write in this forum were it not for the brave men who fought against ideas like yours to make this a truly free republic. It's worth saving. Hopefully it's not too late.

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Danielle Cabot

8:12 pm on Wednesday, July 4, 2012

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ABSG

11:44 am on Wednesday, July 4, 2012

@ Chris Mau: "Your wealth belongs to everyone. It's only by the consent of the rest of us that you're allowed to keep it." ..... I honsetly can't believe you just said that....it is an utterly absurd statement! LOL...no wonder this country is in mess we are in - its thoughts like yours that create headaches for normal people to get things done.

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C

12:50 pm on Wednesday, July 4, 2012

LOL if you want. Things are stable here in our little part of the world. People aren't desperate for food, shelter, healthcare. We feel pretty safe. But take your wealth to someplace where the people don't consent to let you keep it, and it will be gone. Before WWII, many Jews and wealthy landowners had money. It was taken by the Nazi's and Soviets. Wealth is repeatedly wiped out by wars, uprisings, and revolution. Don't think you can't go from riches to rags in a heartbeat if the world turns against you. You'll often hear survivors of these events say, "I just couldn't believe it could ever happen here."
Narrow-minded people typically think of themselves as "normal" because they assume everyone who's silent thinks like them. I don't believe that short-sightedness is the norm - it just seems that way to some people.

C

12:14 pm on Wednesday, July 4, 2012

Also Markus, maybe a "right" isn't the correct term for healthcare. In a practical sense though, if 99% of the population believes there should be a legal obligation to provide basic care to a sick or injured person - regardless of whether the person can pay for it, then a good or want aren't correct terms either. Maybe "responsibility"?
I saw a bad accident on Saturday. Nobody would think it's ok to leave those injured people in their car, in the heat, because they couldn't afford to pay for care. An ambulance did pick them up and take them to the hospital. Somebody has to pay for that. If you don't want to pay for it, then you have to say that you're willing to let them lay there until someone pushes them out into the grass and takes their car.
So whatever the solution, everyone needs to accept the premise that we Americans are going to give healthcare to people who can't or won't pay for it. Once we agree to that, then the basic principles of capitalism don't necessarily apply.

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Orono

2:58 pm on Wednesday, July 4, 2012

Chris - we already give free healthcare to every single person who needs it. The goal is to make it affordable. For that, capitalism will work nicely. Clearly you are using a computer. Who paid for it? (Daddy?) Unless you stole it, capitalism bought it.

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Donald Lee

5:11 pm on Wednesday, July 4, 2012

I find some of this terrifying. It reveals either absolute ignorance of how our laws and customs work, or a powerful desire to tear it down and replace it with something else.

When you drive a car, you normally get insurance. This is required by law. The insurance helps pay the medical bills depending on who caused the accident. This is called personal responsibility and preparing for unforseen events.

Note that the EMT generally does not pay much attention to whether the victims have money or insurance. They treat the dead and dying. The paperwork comes later. What would prompt you to insult your countrymen by saying that somehow they would let people die if they could not "guarantee" payment "on the spot". That's absurd.

The responsible citizen, by getting insurance on his car takes responsibility for these events, and picking up the pieces. That is how it is supposed to work. That's how it WORKS today.

Calling any of this a "right" has the net effect of reducing the incentive to carry the insurance - the government will take care of it! This would not be an improvement.

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Joyce Denn

5:55 pm on Wednesday, July 4, 2012

Donald, perhaps you are not aware of how PPACA works - it requires everyone to have health insurance. People who cannot afford health insurance will get assistance to pay for it, but people who can afford it and choose not to purchase it - the dead beats we all have to pay for when they use the emergency services - will either have to buy insurance or be fined, so they can no longer be dead beats. People will be required to take responsibility for themselves.
It is all fine and well to cry "freedom" and say people should not be required to have insurance, that should be a personal choice; if you want that, however, then you either have to deny emergency care to people without insurance and without the funds to pay for it (ERs will have to require payment up front) or you have to expect those with insurance to pay for the dead beats. Which do you favor?

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Joyce Denn

5:56 pm on Wednesday, July 4, 2012

Orono states: "we already give free healthcare to every single person who needs it." No, we do not. ERs do not provide health care, they provide emergency services. Once an ER patient is stabilized, the ER does NOT provide care; if you have cancer, you cannot show up at the ER and expect them to give you free chemo.

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Donald Lee

6:05 pm on Wednesday, July 4, 2012

Don't confuse the marketing flyer for the PPACA with its actual effects. They are wildly different. (and no one knows - yet - what the actual effects will be)

I favor people being free to make their own choices AND shoulder the consequences of their actions. Do you favor something else? ( If my choices are not my own, who will decide what I may do? )

Ultimately there is no other way. This is physics, not politics. Legislation like the PPACA try to make it otherwise, and it does not work. Over, and over, and over.....

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Orono

10:25 am on Thursday, July 5, 2012

Joyce - there you go again - you claim youre a nurse but apparently not in the ER. People use the ER for runny noses, head aches, and skinned knees. If you want to call it "emergency services" feel free, but again if the shoe still fits....

Kevin O'Donovan

4:06 pm on Wednesday, July 4, 2012

Health Care, which includes preventive care and routine personal responsibilities or options, needs to be maintained as a very different issue from Medical Insurance. Health Care and Preventive Care needlessly add costs and unnecessary burdens on the insurance industry and taxpayers.The costs associated with Preventive Care are estimated to be nine times greater than medical treatments for an illness. I believe that the Federal Government should have a very limited role in medicine. The authority rests primarily with the individual state governments, and the ultimate authority should be the individual citizen by voting and exercising personal responsibility and liberty. The Federal Government can collect data and share it with the States to help them in their decision making process. Product Safety of Pharmaceuticals, and Medical Devices, along with the CDC, and research are reasonable federal roles, but should not be their's exclusively. This information should be available to all residents. Government Mandates on coverage will inevitably drive the costs higher. Fifty States with different regulations provide citizens a greater choice. Citizens should retain the freedom to buy what they want, and where they choose to buy it. Free Markets lower prices through competition for consumer dollars.

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Craig

6:31 pm on Wednesday, July 4, 2012

"Free markets lower prices through competition for consumer dollars."

How many times do I need to tell you that health care does not follow the typical market-based solutions? We need to get away from the failed market-based "profit motive" and move back toward a doctor-based "patient care" model.

From a Kaiser report on health insurance. “Competitive” does not necessarily mean, however, that medical insurance premiums in the state are low cost and affordable. Although New York, for example, has a very competitive individual medical insurance market (five 5 insurers with more than a five percent market share with no one carrier having more than 34% market penetration), it is one of the least affordable states for medical insurance. Why? Medical insurance premiums are based on the cost of healthcare. If the cost of medical services and supplies are expensive, then so will the cost of insurance.

North Dakota is considered one of the least competitive states but has one of the lowest cost for health insurance because health care is cheaper in North Dakota.

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Donald Lee

8:10 pm on Wednesday, July 4, 2012

Repetition does not make a statement true.

Unfortunately, many organizations doing "health care studies" have a serious axe to grind, being effective monopolies seeking to maintain that monopoly.

If you know two doctors providing roughly equivalent services, and one charges 100 times as much, which one do you go to? If the "insurance company" will pay the bill, will you bother to check?

If you are a doctor, and you know you can charge 5 times as much if insurance pays the bill, will you do it? (Yes! I have personal stories about this)

We don't need studies. We need logic and common sense. Health care is not immune from basic economics.

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Craig

9:35 am on Thursday, July 5, 2012

Donald; if you go see the doctor for a sore throat and they tell you that you need a tonsillectomy, do you question their judgmentl? Or if you go see your doctor for extreme pain in your side and the doctor recommends an MRI, do you question that decision? 99.9% of the people wouldn't question because they lack the education, expertise, and experience necessary to make the decision. These are the types of transactions which don't fit into the market-based solutions approach. Some transactions do fit but conservatives keep trying to cram the entire health care sector into markets and it just doesn't fit. It's like trying to put a square peg into a round hole.

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Orono

10:50 am on Thursday, July 5, 2012

"if you go see the doctor for a sore throat and they tell you that you need a tonsillectomy, do you question their judgmentl?"
YES.
Craig, it is called a second opinion.

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Orono

11:13 am on Thursday, July 5, 2012

Craig - I own a business. This business is located in 3 different states. Each state requires its own healthcare plan. I am buying 3 plans for 100 employees each versus 1 plan for 300 employees. I cover 50% of the cost and employees pay the other half. Which would be cheaper for my employees? However, the life insurance I provide is provided by one company. The volume discount price I get is so cheap, I dont charge my employees anything. (Yes, life insurance is much cheaper) Simply allowing insurance providers to compete across states would immediately make coverage much more affordable for me and my employees. Unlike Obamacare, I am not taking on the uninsured or pre-existing people.

You cant see how the free market could help here?

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Markus

11:35 am on Thursday, July 5, 2012

"the doctor recommends an MRI, do you question that decision"

Of course I do. I question everything!

Case in point. I took my son in for knee pain to the sports medicine doctor. The doctor say's his ACL is torn and needs and MRI. I asked why the MRI. He responds, "to confirm my diagnosis". I asked how sure he was the ACL was torn. He replied 99%. Then why the MRI? CYA is what he told me.

$1400 for a 20 minute MRI essentially to make sure his butt was covered in case of a lawsuit!That is the medicine being practiced today and we wonder why it is so expensive.

He had the surgery. It took 45 minutes. The surgery center billed the insurance company $12k for the surgery room on top of all of the other expenses and the doctor's fee. ($20k total)

My wife had an elective surgery at the very same surgery center a couple of years later. It was not covered by insurance. The surgery took 1.75 hours. The surgery center billed us in 15 minute increments @$250 for a total of $1750.

Using their own billing rates my son's surgery had we paid cash would have been $750 for the room. They billed the insurance $12k! 16 times as much! You think they wouldn't bill the government the same amount?

Question everything. Negotiate everything. Cash is king! Now tell me free market delivery of medicine doesn't work.

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John

2:57 pm on Friday, July 6, 2012

Orono - Okay, so you've gone to the second doctor and they have told you your sore throat could be caused by cancer, they want to schedule you for an MRI. Because you are in a HSA, the second opinion has now cost you $320 on top of the $280 for the first opinion. You only have $400 left in your HSA, what are you going to do?

Comparing life Insurance and health Insurance is like comparing apples and oranges. You only die once but you can go to the doctor multiple times in a year. In addition, even though life insurance can be sold across state lines each state has its own regulations for life insurance and the life insurance company passes along those costs to the consumer. The same thing would happen with health insurance even if it was allowed to be sold across state lines. Health insurance companies would charge higher premiums in states with higher health care costs in the same way home insurance companies charge higher premiums in communities with higher costs. Allowing more health insurance companies to compete would do nothing more than make health care more expensive because each medical office would have to hire more people to deal with the increased paperwork due to the greater number of health insurance companies and their billing code systems.

Markus - the surgeon isn't CYA, he has a stake in the MRI company. Orthopedic doctors were seven times more likely to get an MRI if they have a stake in the MRI company. It's called the "profit motive".

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Markus

5:39 pm on Friday, July 6, 2012

John,

"Allowing more health insurance companies to compete would do nothing more than make health care more expensive"

Then why in every other industry including the insurance industry does competition keep prices in check? Why is health insurance somehow above or immune to market principles? Where is the proof to support your claim?

If a person living in MN could buy a policy from a company in NY that had a $10k deductible and covered only catastrophic illnesses, that policy would be very affordable. As it is now in MN you have to pay for a policy that covers substance abuse, mental illness, port wine stain removal and hair loss. Why force people to purchase a policy they don't need or want?

As to your claim about the doctor having a stake in the MRI company, that's pure speculation.

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Donald Lee

6:18 pm on Friday, July 6, 2012

When talking about the "doctor with a stake in the MRI company", you have to remember that the doctor may be starting the MRI business because he thinks his patients are being gouged! That's how competition works. This normally falls apart only when the government confers monopoly status on a vendor. Read here:

http://articles.sun-sentinel.com/1993-04-18/news/9302060631_1_mri-hospital-district-high-field

In fact, in every other industry, we expect practitioners to use their expertise and start businesses that benefit people, like engineers starting internet companies. This is free enterprise, and everyone wins.

Not so with Doctors. Regulations, made much worse by the PPACA, will make this sort of entrepreneurial activity almost impossible. If you want to start a business, DON'T become a doctor.

Read here: http://www.gather.com/viewArticle.action?articleId=281474981245942
and here: http://www.physicianspractice.com/blog/content/article/1462168/2037181

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Susan

6:21 pm on Friday, July 6, 2012

Markus, I'm not arguing, but I am curious...since health insurance currently is a competing business, why have prices continued to go up so quickly? And do you really think competition always keep prices down? Oil companies come to mind...

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Donald Lee

6:45 pm on Friday, July 6, 2012

The state of Minn has made it policy to limit the number of insurers in MN, and forces them to "cover" a long list of things many people have no interest in, including some cosmetic items, substance abuse, psychiatry, and some "preventive care".

It's much like the state saying: "If you want to sell cars in Minn, you can't sell anything but Honda and Cadillac, and all cars must have ALL safety options, and you can't charge for any service - for the life of the car.

Do you suppose a car sold under those terms would be expensive? (and by the way - you can't buy the car out of state!)

When I graduated from College in 1980, I had an insurance policy with Blue Cross that had excellent coverage for everything we needed - the risk of accident and unexpected illness. It did _not_ cover pregnancy, substance abuse, etc etc. It had a $5000 deductible. We paid all the bills for our first child. (which is a fascinating story)

Cost of that policy: about $20/month.

I wonder what that policy would cost today, .... but it's illegal.

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Susan

6:54 pm on Friday, July 6, 2012

Thanks, Donald. Honestly, I have had the same insurance for so long that I didn't know some of this, as I haven't had a need to go shopping for insurance. Are Minnesota health care insurance premiums (and other states having the same type of system) that much higher than states that don't have these restrictions? And I thought Minnesota health insurance companies were required to be non-profit?

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Markus

7:10 pm on Friday, July 6, 2012

Susan,

Health insurance does not currently operate in a competitive market. States mandate what coverage companies have to provide so very few companies operate in the state of MN. Last I read Minnesota has 64 mandates that insurance companies must provide regardless of what the demand for coverage is.

One of the biggest reasons costs continue to rise is the third party payer syndrome. The government is the single largest purchaser of health care. Refer to the previous experiences I had with insurance vs. paying cash. There is a huge disparity between what providers will accept as a cash payment and what they bill the insurance/government. Also when something is "free" or subsidized there is always an inordinate demand for that product/service thereby increasing prices. As hard as guys like Paul Krugman try to make you think economics is complicated, it's really not. There may be some things like money supply that are complicated (or at least they make it complicated), but basic economics is easy. Regardless of what you read here, healthcare delivery is subject to market forces regardless of how you manipulate the marketplace.

As to the oil company analogy, oil companies do not set the prices. Oil is a commodity traded on the world market and is subject to market principles like supply and demand. If the oil companies could simply set the prices high, why would they not set them at $20 per gallon?

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John

8:59 pm on Friday, July 6, 2012

Donald, your being disingenious with your supporting information. First, two of the links you provided were bogus articles written by someone with an axe to grind and rants against ObamaCare. I checked further into the websites and found that they were operated by right-wing ideologoues, which provides some insight into the ranting.

Next, an orthopedic surgeon who partners with other doctors to buy an MRI isn't providing competition. They don't lower the price of the MRI because they now own one. On the contrary, typically the price for an MRI for that surgeon goes up and the number of referrals goes up because they have to pay back the amount of money they spent on the equipment and employees.

Markus, I suspect that the market doesn't work in health insurance because of the bureaucracy of the health insurance companies. Each medical insurance company has their own policies when it comes to billing and each medical insurance company has their own policies when it come to rejecting claims and each medical insurance company has their own policies when it comes to doctor relations. The more health insurance companies that participate in the market, the more office personnel needed by a doctor to deal with the health insurance company paperwork. This creates inefficiencies in the system which reduces cost benefit.

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Donald Lee

10:36 pm on Friday, July 6, 2012

If you're interested in the extent of state mandates, this document is interesting:
http://www.incubatorinsurance.com/HTMLobj-676/Health_Insurance_Mandates.pdf

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Donald Lee

11:06 pm on Friday, July 6, 2012

Speaking of paying cash, I have to briefly tell the story of the birth of my oldest child.

In 1979, we had a "family" health insurance policy with Blue Cross with a $5000 deductible. We arranged to have the birth done at a local hospital, and the hospital told us it was a "package deal", if nothing went wrong, for $900. We had the money. We had insurance if something went wrong. We were set.

After the birth, I got a bill from the hospital for several thousand dollars. I objected. The hospital at first refused to even talk to me, but I did get an explanation: the hospital planned to milk my insurance first, and then I would only be responsible for what insurance didn't pay, with a max of $900. No skin off my nose, right?

I pointed out that my insurance was to cover MY liability. If I was not liable, then they had no right to bill anyone. This was fraud! (If an auto body shop did this, they would go to jail)

They ignored me.

I then went to Blue Cross. I tried to talk to them to say: Do you realize what this hospital is doing to you?

They wouldn't talk to me.

After an ugly conflict, I ended up reluctantly just paying $900.

At the time, this was a great frustration. I have since learned that this sort of thing is common practice. In Health care, keeping "two sets of books" like this is standard practice.

I still think it's fraud, but I can find very few people who care.

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Markus

1:11 pm on Saturday, July 7, 2012

John,
You wrote this: "Markus, I suspect that the market doesn't work in health insurance because of the bureaucracy of the health insurance companies"

The market does work in health care. As Donald said, you can't escape it. The fact is there are market principles at work here driving the prices higher. Little competition and high demand are two factors.

Insurance policies with high deductibles and defined coverages marketed nationwide without the burden of state mandates would slash premiums overnight.

Health insurance isn't really insurance when you expect it to cover every hang nail and sore throat. Insurance in every other industry or market is meant to cover catastrophic loss. You don't buy insurance on your car to cover oil changes or tire replacement. You don't buy insurance to have your house repainted or the roof replaced unless there is some sort of devastating loss. If health insurance were treated like any other insurance we could buy what we want, not what the government tells us we have to buy.

If patients simply purchased their regular health care, there would be no need for insurance billing except in extreme cases. If health insurance mandates were dropped and health insurance was actually sold as insurance, the logical conclusion is billing costs would decrease.

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Colin Lee

4:08 pm on Saturday, July 7, 2012

The health insurance market works by extracting monopoly rents only. Due to adverse selection (Google it), the insurance company which signs up the youngest and healthiest customers who need no health care is the one that wins and absorbs all other insurance companies. They then drop their new sick customers with pre-existing conditions. This is also why some Medicare Advantage programs have tried dirty tricks like making seniors walk to the second story of a building with no elevator in order to sign up.

Inevitably, any market-oriented approach to health care will drop any potential customer born with bad genes which make them sick. This adverse selection, not regulations, is why there are so few health insurance companies to choose from. Our monopoly rent problem would be greatly exacerbated by offering insurance across state lines without any state regulations. How can the market be working if so many people cannot buy insurance?!

Every nation with Medicare-for-All charges hardly a fraction of our cost per procedure and most of them have better results.

Kevin O'Donovan

4:26 pm on Wednesday, July 4, 2012

Individual States ,like Minnesota, that limit consumer choices and place unnecessary burdensome regulations on everything regarding health care, drive costs skyward. Some people prefer that the government should assume a greater role in their lives. Some, through ignorance, remain oblivious to the fact that Government of and by itself has no wealth. All the wealth in the government coffers comes from citizens. Therefore whatever government pays for something we all pay. Government is not a mythical parent with unlimited resources. It is a taskmaster with an unlimited ability to impose taxes and regulations. WE THE PEOPLE are the only safeguards, through just and fair elections, against excessive taxation, bureaucratic control, and government waste. There will always be those who value their individual sovereignty, and some who will prefer the certainty of plantation life as a slave or indentured servant. The individual states can provide us with both options. We can remain free to choose.

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Kevin O'Donovan

4:35 pm on Wednesday, July 4, 2012

President Lincoln saidthe we "have a right to rise". He did not say we have a right to demand that someone should carry us, or that we have a right to be lifted. We retain the right to stay as we are. We are free to choose wisely or stupidly. We should retain the right to own the consequences of those decisions. We can be Pro-Choice and Pro-Life. That is a Conservative opinion.

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Tim Genck

6:35 pm on Wednesday, July 4, 2012

It cracks me up the conservative point of view here would try to leverage "fast and furious" in this discussion because republicans caring about GUN VIOLENCE against MEXICANS is the biggest laugh I've had this year.

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C

8:20 pm on Wednesday, July 4, 2012

The EMT's come to the accident scene and take the injured people to the emergency room. The injured people have no money and no insurance. DO YOU LET THEM DIE? If not, THEN SOMEBODY HAS TO PAY! At that point, none of your free-market personal-responsibility jargon has any validity whatsoever. If people know that they'll be treated regardless of their ability to pay, then many of them will buy cars and houses first and and then say they can't afford health insurance. I DON'T want to pay for other people's healthcare anymore than the rest of you. But NONE of you ever answer the question. Are you going to pay for the person bleeding at the emergency room door, or are you going to let that person die?

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matt lehman

8:45 pm on Wednesday, July 4, 2012

the EMT'S should save the life while starting a tab for the person they are helping, just as the doctors office does. Bill the person receiving the services and work out a payment plan.
Its kinda ironic that dental is not included in health care yet without teeth its hard to eat and eating is a requirement to life. I would prefer the person bleeding at the emergency room door is treated like I am, they send me a bill and pester me until its paid. my income does not afford me great coverage, surely I cant afford to also pay for eveyone elses healthcare, especially those making more them myself, when I can barely afford my own. This bill does exactly that!

C

9:08 pm on Wednesday, July 4, 2012

Orono, I'm 48 years old, happily married for 25 years with a daughter in college. I have a master's degree, I work very hard at my job, and I'm reasonably successful financially. You assume that ideas different from yours are immature or less developed. Understand that the vast majority of the world's educated people would view your insistance on applying capitalism to healthcare as simplistic, immature thought.

Donald says " I favor people being free to make their own choices AND shoulder the consequences of their actions. Do you favor something else?" I favor exactly what you favor except when it comes to kids and healthcare. Why? Because kids should be fed, clothed, housed, educated, and cared for regardless of their own choices or their parent's choices. Why? Because if some irresponsible fool can afford health insurance but chooses not to buy it or can't afford it at all, I'm not prepared to let the person die as a consequence of his bad choices. Because of my (our) unwillingness to allow for the natural consequence, an assumption of capitalism has been removed and it's no longer valid. I honestly don't understand your disagreement with that, unless you are willing to let the person die. If so, please come out and say it.

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Orono

11:26 am on Thursday, July 5, 2012

Actually Chris, you made an outragous statement - I simply followed that lead.
Donald Lee says it perfectly. Your question is irrelavent. The neglected kid dying from some illness will be discovered, the media will tell the childs story, people will give lots of money, the neglectful parent will be depicted as evil. It sadly happens too often. Do you recall the MN teenager that was suffering from Hodgkins and his parents refused to treat him and instead prayed about it... Even with out Obamacare, the kid got his treatment. Its human nature.

Donald Lee

12:24 am on Thursday, July 5, 2012

So, you claim that I have the right, through my vote, to force you to pay for my neighbor's healthcare, because my neighbor cannot be trusted to take care of it himself, and I don't want to feel guilty when my neighbor suffers for his bad choices?

My neighbor makes lots of bad choices. He may be horribly fat from overeating. Do I have the right to force you to pay for those consequences, too? My neighbor is also financially irresponsible. I can't let him get evicted. It's cold outside. Do I have the right to force you to pay for that, too?

What happens when my neighbor makes bad choices while camping, beyond the reach of the EMT? Can I force you to buy a helicopter so my neighbor won't suffer from his bad choices in the BWCA?

My point is that the strawman "bleeding victim" is emotionally satisfying, but he's not really relevant. The vast majority of the problem is day-to-day medical decisions, almost none of which are life-threatening. We're talking about earaches, eczema and athlete's foot. There MAY be a case for our victim, but that's the exception, not the rule. You want to build an entire empire, and trample personal responsibility and medical privacy and freedom for the benefit of a strawman?

No. "Free" medical care is horrifically expensive, and a terrible idea. It is reasonable, natural, and _unavoidable_ that markets are used in health care. Ask any Soviet citizen in the 1980s.

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Hudsoner

8:43 am on Thursday, July 5, 2012

Donald Lee, Soviet citizens in the 80's had a pretty bad lot, but what every one of them had, was outstanding health care (for an East Block country) paid for by the government!

You have to find better examples to push your selfish attitude concerning the well being of your fellow citizens!

Nobody said that you have to pay for your selfish neighbor, the purpose of the ACA is that you AND your neighbor have health insurance, because I don't want to pay neither for you nor for your neighbor!

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Markus

9:30 am on Thursday, July 5, 2012

Let's look at the Soviet system as an example. According to Wikipedia, http://en.wikipedia.org/wiki/Healthcare_in_Russia , Soviet health care pre-1980 was on par with Western medicine. Whether that's accurate or not is debatable.

IF (and a big if) that is true, then the logical conclusion is this: Most people would rather be FREE than have the government take care of them!

If socialism was so great, why did they have to build walls and fences to keep the people IN? Now along with the authority to collect your penalty for not purchasing a product, Congress is now debating on whether to allow the IRS to confiscate your passport to prevent you from traveling outside the US if you are delinquent on your taxes. Sounds eerily familiar.

We are already on the slippery slope to socialism. Which is obviously OK with Chris Mau and Hudsoner. This bill once fully implemented will only add lubrication to our slide toward Soviet style governance. You'll probably want to break out the Vodka and try to forget about it when it happens.

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Craig

9:41 am on Thursday, July 5, 2012

"What happens when my neighbor makes bad choices while camping, beyond the reach of the EMT? Can I force you to buy a helicopter so my neighbor won't suffer from his bad choices in the BWCA?"

Donald, this already happens. Check with your local county and see if they have a Search and Rescue Unit and they see how they are funded. Guarantee you that the people who live in the county pay for the unit. In addition, since the county receives public safety dollars from the state, the people of the state also help to pay for it. You look at it as being forced, I look at it as paying it forward for a time when you might need help. It's like hedging your risk which, as you know, is a market-based solution.

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Donald Lee

9:42 am on Thursday, July 5, 2012

Soviet citizens in the 1980s also understood the vast gulf between the promises of "outstanding universal care", and the reality of corruption, bribes, and the actual care.
See this: http://mises.org/daily/3650 and this: http://www.foxnews.com/story/0,2933,286976,00.html

This sort of thing is not unusual. Those who have something of value normally want something in exchange before giving it to someone else. If "the rules" say they cannot, they often break the rules. The market exists in spite of the rules.

Free markets simply allow people to exchange their services and valuables openly. This is how and why the western world has been so successful.

Those armchair quarterbacks who declare that the outcome is unacceptable, and try to force people to live by their rules always find that the law of unintended consequences ( http://www.econlib.org/library/Enc/UnintendedConsequences.html ) dominates the outcome. The PPACA is one of these schemes.

Markets work. Not only that, but they are inescapable.
Personal responsibility is essential, and also inescapable.

Schemes to separate behavior and cost from consequence and reward are doomed to fail, and in the process cost us all our freedom.

I value my freedom.

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rob_h78

11:34 am on Thursday, July 5, 2012

Trample Person Responsibility?

My friend - the ACA is about Personal Responsibility - the Responsibility for every individual to have their own health insurance to avoid mooching off the system.

That is the reason why for decades the Conservative Heritage Foundation and leaing Conservative Republicans PUSHED the idea of the Mandate - precisely because it is all about Personal Responsibility.

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rob_h78

11:54 am on Thursday, July 5, 2012

Donald - are you and other Conservatives pushing Republicans to repeal the massive spending and yet unfunded Medicare Part D program that Republicans helped to push through?

Because I haven't heard any Republicans either talk about repealing it - or telling us what funding mechanism they will implement for it.

Or is that ok because its "free" in that it gives away goodies but doesn't ask us to pay for it as part of the package?

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Donald Lee

12:22 pm on Thursday, July 5, 2012

The PPACA would not be so bad if it were JUST a tax, which went to pay for uncompensated care. The PPACA is not that. It is 2000+ pages of regulations and bureaucratic control of not only insurance, but health care delivery, medical privacy, medical schools, businesses, drug research, and on and on.

The tax and entitlement leads directly to abuse. We know that, so we add the other 1999 pages of controls to make up for it, but as we've found with so many other attempts to control people, it doesn't work, and is enormously destructive in the process.

The Soviet Union and its cousins are actually a very good case in point. They are a vivid illustration of how this works, and why it is unavoidable. The IDEALS of the socialists/communists in the early 20th century were popular, and laudable, but when you get down to actually forcing people to behave under a planned system, it leads directly to horrible consequences.

Hayek explains this cogently and (fairly) succinctly in "The Road to Serfdom". I encourage everyone here to read it. It was written in the 1940s, as was the classic "1984". (This http://mises.org/books/TRTS/ is not the same, but relevant)

Planned economies don't work. Planned industries don't work. Let's not go down a road where we know what's on the end, and it's ugly, ugly, ugly.

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Markus

12:46 pm on Thursday, July 5, 2012

Donald,

Thank you for your articulate, informed replies. It's refreshing to hear someone else on this forum not simply reciting the left or right talking points, but actually engaging in a substantive debate.

Keep it up!

Hudsoner

10:21 am on Thursday, July 5, 2012

I sit here and shake my head in disbelieve if I read contributions like yours Donald Lee.

Here we are discussing the ACA, and mainly the part which dictates that uninsured have to buy ANY type of health insurance, and if they continue to decide to not insure themselves, they have to pay a penalty. People who do not cray insurance will become a burden for the tax payer when they go to the ER without being able to pay for it!

Nobody wants to take your freedom away, or do you consider it a loss of freedom if you cannot pay for the deadbeats anymore?

Why do we have to discuss freedom or the loss of it while the ACA only wants to penalize those who are freeloading on my back?

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rob_h78

11:38 am on Thursday, July 5, 2012

We are seeing the new found creation of the "Conservative Bleeding Heart".

Going back a couple of decades and right up until about 1 to 2 years ago Conservatives strongly believed in the concept of a Mandate and strongly pushed that idea.

Suddenly Obama says "Good Idea" and they all run from it.

Now we see this rise of "Bleeding Heart Conservatives" who are all about allowing Free Loaders to Mooch off of the American Health Care System and take advantage of the Emergency Room Mandate that Ronald Reagan along with a Republican Senate and Democrat House imposed on the rest of us.

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Orono

11:51 am on Thursday, July 5, 2012

Hudsoner - How is it possible that you can have an answer for everything on here but you cant see how your freedom was taken away?

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Hudsoner

1:31 pm on Thursday, July 5, 2012

Orono, what freedom was taken away from me? The freedom to decide not to have health insurance? Wow, what a wonderful freedom to be allowed to die at some street corner!

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Orono

3:29 pm on Thursday, July 5, 2012

Actually Hudsoner, Yes, that is exactly the freedom you lost. I realize you dont appreciate that freedom but some people, a lot of them on this website, do. How much longer will it be before Obama mandates we all drive a prius or pay a tax? Or, lets put it in a way you would object - what if some republican mandated that we all must own a gun and carry it with us at all times or face a stiff tax. That tax will cover the expense of a gun for those that cant afford it.

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Orono

3:32 pm on Thursday, July 5, 2012

Rob - one could definitely make that argument. Except, I wouldnt call them Republicans or even Conservative. Mostly, I think the rise of the libertarian has produced that feeling.

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Hudsoner

10:17 pm on Friday, July 6, 2012

Orono, yes I love this concealed carry thingy, because i am the holder of a CCP and pack "heat" once in a while!
Don't try to assume everybody who likes the ACA is a bleeding heart liberal!

Some of us just go by common sense, because the ACA is that, common sense!

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Orono

2:29 pm on Monday, July 9, 2012

Hudsoner -- I wasnt assuming that EVERYONE that likes Obamacare is a liberal. You are. You are an entitlement lover. My example was for you.

C

1:45 pm on Thursday, July 5, 2012

Donald, you characterize my bleeding man at the emergency room door example as a "strawman". There are millions of Americans who would die in pretty short order if government did not pay for their treatment or the hospital wasn't required to provide the care.
Excerpt from the Fargo Moorhead Forum:
•On average, families lacking health insurance are able to fully pay for only 12 percent of their hospital stays, according to a study by the U.S. Department of Health and Human Services.
•58 percent of hospital stays result in bills of more than $10,000.
•Mega hospital bills, those greater than $100,000, accounted for 56 percent of the total cost of hospitalizations in 2008 nationally."
These aren't strawman statistics or earache and athlete's foot statistics. Can't you understand that the people who have health insurance or can afford their care are already paying for the poor and the freeloaders? That needs to stop. And please don't cop-out by saying that the charities are going to pay for it all because the costs are too high for that to be realistic.

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Donald Lee

2:20 pm on Thursday, July 5, 2012

Three things:
1. Yes, it is a strawman. The vast majority of medical cost is _not_ life threatening. We ALL die. That is unavoidable. In life threatening situations, practitioners stop the bleeding first, and do the paperwork afterwards. Hospitals are required by law to provide free care to those "unable to pay" (that's part of the problem!)

2. If you read this forum, you will find examples where hospitals charge insurance companies many times what they charge individuals who pay their own bills. Statistics about how much patients could or should pay are highly suspect, esp when written by those running the (quasi-monopoly) hospitals (like Kaiser). Studies are often written by people with an agenda. Don't swallow them whole without knowing the ingredients.

3. The question here is not about a simple tax and benefit program. We are talking about 2000+ pages of regulations, taxes and controls, including the requirement that the IRS get access to your complete medical records because since they are paying the bills, they have to fight fraud!

The cry for proponents is "It hurts, we MUST do it this way". My retort is "Your cure is much worse than the disease".

Given a choice between free medical care and freedom, I'll take the freedom. I'll insist that my children and grandchildren have that choice as well.

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rob_h78

4:50 pm on Thursday, July 5, 2012

Donald,

I pray that your child or grandchild is never severely injured or comes down with something like cancer and you can't afford the massive costs to care for it and your answer to them while they are suffering is "Hey, I don't believe you should be treated since I can't pay for it but at least you have your freedom"...

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Donald Lee

12:09 pm on Friday, July 6, 2012

We all pay a price for our principles. This is as it should be. Nothing of value is free.

It is always a great disappointment to me when debate degenerates to "I hope you suffer for your beliefs". We are better than that.

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rob_h78

7:00 pm on Friday, July 6, 2012

Donald Lee - except in the example you would only be suffering as a third person - the person actually suffering would be the one with the disease that you are saying should suffer to protect your freedom...

C

2:20 pm on Thursday, July 5, 2012

How about an "OPT OUT" clause? Anyone who chooses to not purchase health insurance or pay the ObamaCare tax could send the state a personal balance sheet each year. We'd then put a notice on the back of the person's driver's license - "If the cost of the health care required to keep me alive exceeds X dollars (the person's net worth), please respect my freedom by allowing me to die today." If someone had a pre-approved line of credit from a bank, that amount could be added to their net worth figure. Or if a reputable charity pledged a certain dollar amount towards the person's future healthcare expenses, we could count that too. This would put individual responsibility back into the healthcare free market and end our slide down the slippery slope of healthcare socialism (which is obviously flawed, except that it works in every other developed country in the world).

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Susan

2:57 pm on Thursday, July 5, 2012

Chris, this is an excellent point, and I think, where both sides come to a screeching halt. Those on the right or Libertarian side of this want to stand on personal accountability. The problem is that these institutions are bound by law to see (even if it is not life threatening) those walking into an ER without insurance. Those who are more liberal do not want this law removed - in my opinion, it would be morally wrong to refuse treatment to a patient in need.

So if the only way to fix the problem (refuse care to those who are irresponsible) is a solution that most find morally unacceptable, what do we do? A mandate that probably does violate our Freedom? Or, refusing care to someone who may truly need it?

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Orono

3:45 pm on Thursday, July 5, 2012

Why does it have to be either/or susan? Chris is getting caught up on making a black or white, perfect fix. There is no such thing available. Even with the mandate some will still fall through the cracks. Now you've given up freedom and the system still isnt perfect.

You would be hard pressed to find someone on here that thinks the healthcare industry isnt broken. Millions without coverage, hospitals going out of business, insurance companies making record profits, premiums skyrocketing... I get that republicans wanted to fix this first. but what has been created, in my opinion, isnt the answer. if they really were interested in fixing the problem, they would've started with the insurance companies. Since insurance companies butter the bread of both republicans and democrats, little interest in fixing them exists.

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Susan

3:55 pm on Thursday, July 5, 2012

Orono, you're not going to believe this, but I couldn't agree with you more! I am sickened that the insurance companies can dictate medical treatment and make a profit on that treatment. I have an internal conflict about what those like Markus say, in that the free market will take care of itself and all those who are personally accountable, and the fact that I know personally that sometimes people (through no fault of their own) really do need help. Where I fall out of line with many Democrats is that I don't think this help should be ongoing unless there is some sort of permanent disability. It should be limited by time and circumstance, and those being helped should be required to somehow pay it forward, maybe in the form of community service.

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Donald Lee

4:10 pm on Thursday, July 5, 2012

If your risk becomes my risk, then I have a right to tell you what risks you can take. If I foot the bill if you get hurt on your motorcycle, I have a right to tell you not to ride one. This all boils down to whether we are free citizens, responsible for ourselves and the consequences of our actions, or subjects of some sort, with "the elites" making many of our choices for us.

I value my freedom and yours. I understand how that freedom translates into comity and prosperity. The communist world figured it out, too, and are struggling to build free societies. Europe is figuring out slowly that socialism gradually rots both the economic and moral foundations of their societies.

Health care is only one part, but it is a vital part, both because it is so important, and because it is so personal.

Our founders commented that those who value security over liberty deserve neither, and will lose both. That is the essential question. If we are to maintain our freedom, we have to make the right choices.

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rob_h78

4:43 pm on Thursday, July 5, 2012

I think that that is a very good first step - and one that I think would properly illuminate the topic very directly for everyone - but Republicans would fight it to death because it would force them to provide an option and they turned their backs on the only truly viable option they have had for decades - the Mandate.

Republicans had a great chance to work with Obama and the Democrats on Health Care - Democrats let Republicans tack on hundreds of their ideas to the ACA (even though no Republican voted for it) but Republicans wanted to take their ball and go home.

In reality the sooner our health care system can no longer provide affordable care for enough people (and this day is coming as companies strip down and eliminate health care all together and prices keep sky-rocketing) the sooner we will reach a Critical Mass of people in this country who will demand "something" be done and the only viable long term option left (since we do not want to "mandate" people have insurance and we will not let people die at an ER if they can't pay) will be Universal Care - or Medicare For All.

Marissa Partridge

11:47 pm on Friday, July 6, 2012

In my opinion, this is the right decision. I know that there are some tweaks that need to be made to the Affordable Care Act. It is not perfect. However, the current system is broken and we need an alternative. So let's do what we do best as Americans. Let's be revolutionary. Let's try this and perfect it so that we have the best, most envied and affordable healthcare in the world. Ingenuity, perseverance and compromise is what this country was founded on. Let's meet each other in the middle and continue to make our nation great.

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Donald Lee

11:58 pm on Friday, July 6, 2012

Unfortunately, the innovation that "made us great" was a voluntary affair. Those who took risks and experimented did so with their own resources, and shouldered the consequences of their failures. The PPACA is a revolution designed by elites, risking the resources and futures of millions of people who have no choice but to participate. Many of them - like me - want no part of it.

By all means try something. Innovate. But don't presume to make their choices for them. Let them join your revolution voluntarily, and pay the consequences of their own failures. The PPACA is a mandatory experiment where everyone participates,and win or lose, everyone pays. There is nothing American about it.

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MrsPeel

12:08 pm on Saturday, July 7, 2012

@DL......the innovation that "made us great" was a voluntary affair. Are you referring to the early roads and canals that were built by the government? Or to the railroads which were give millions of acres of land by the government? Were you referring to the Interstate Highway system? Were you referring the the REA which brought electricity to the rural areas? Were you referring to the development of the Internet? Were you referring to the system of great Land Grant Universities such as the U of Wisconsin, the U of Minnesota, the U of Michigan? None of these enterprises were built on a "voluntary" basis and certainly none of them were funded with private investment.

The nonsensical ideas that the greatness of which you write was all done by individuals all acting on their own and using only their own resources is nothing but a "libertarian wet dream".

This is not directed at DL, but commentors in general. Why can't this subject be disscussed without the constant references to "communism" and to "socialism"? Neither of these "isms" has anything whatsoever to do with the delivery of healthcare services nor for providing healcare insurance.

The plain fact is that all other industrialized countries have found it advantageous to provide universal health care; with the United States being the exception. None of these countries tie healcare coverage to employment.
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Donald Lee

12:52 pm on Saturday, July 7, 2012

MrsPeel would make a wonderful politician. Politicians excel at adding some small contribution or subsidy, and then go out and claim that they did it all themselves.

The "internet" is a wonderful example, that I will not belabor. The fact is that government (DARPA et al) helped fund the original TCP/IP spec, a tiny part of "the net". The "net" was built by private, for-profit companies, many of whom went bust "experimenting". Hundreds of billions of dollars (at least!) of risk capital went into "the net" between 1980 and 2010. The investment of DARPA in TCP/IP was in the small millions - maybe. TCP/IP is a tiny - though central - part of the technology necessary to build what we consider "the net". The idea that government "built the internet" is one of the most ridiculous myths I know of - and constantly repeated. (It's as if I invented the spark plug, and now claim I built the auto industry)

Read about it here: http://en.wikipedia.org/wiki/History_of_the_Internet

Other examples - Railroads, REA, etc are also good examples where government may have played a helpful role, but often gets far too much credit.

MrsPeel seems not to be content with government activity playing a helpful role. She seems intent on making the point that if the government was involved, the contributions of the private entrepreneurs is to be considered insignificant.

Totally backward. Totally wrong.

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Colin Lee

1:36 pm on Saturday, July 7, 2012

MrsPeel would indeed make a wonderful politician. That was a wonderfully-written post.

Contrary to Donald Lee's bastardization of Internet history, most of the Internet was developed at universities. As a software engineer and professional web site developer, I am more aware of Internet history than Donald it seems. Web browsers, DNS, web servers, and e-mail all began at publicly-funded universities like the University of California-Berkeley. Even the University of Minnesota had a larger role than many private sector firms in the early development of Internet technologies. The very web site we are writing on today uses an Apache webserver, which originally started on federal NSF research grants at the University of Illinois at Urbana-Champaign. When the original paid graduate students and researchers no longer had enough time, they contributed the software that powers the Internet to the public domain, where most of it remains "open source" software that is developed by thousands of brilliant minds around the world.

Suffice to say, if the early Internet had instead been developed at Microsoft or AT&T as closed source, there would be not one Internet, but at least a dozen separate, proprietary Internets with questionable value. Remember Prodigy or Compuserve? A fully private sector, proprietary Internet would likely still today be a niche product. This is why our institutions of learning and "open source" public domain software are so valuable.

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Donald Lee

11:41 pm on Saturday, July 7, 2012

Colin Lee appears to see only the portion of "the net" where he was involved. He also vastly overstates the role played by "grants" in the development of "the net".

I suggested a wikipedia article. It's not complete, and I believe that it is biased toward the point of view of MrsPeel and Colin Lee, but it is a good summary, and worth reading.

I repeat - government played a small role in the development of "the net". Statements to the contrary are simply wrong. Read the history. Look at the economics. Understand the technology and all the parts of it that had to work together. Don't presume that the small part you saw was the whole picture.

The fact is that the private investment capital poured into the internet absolutely dwarfs the "public" money. Even if it didn't, the conclusion drawn by MrsPeel is wrong. She pushes the idea that what "made us great" was not private enterprise, but government grants, an idea that is laughable, given the relative size of government to the economy up until recently.

Have we really come to the point where we believe that our innovative spirit and can-do attitude is worthless without government help?

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Colin Lee

3:22 am on Sunday, July 8, 2012

Donald, I do not know what "small part of the net" you are referring to, but I have been programming computers for twenty-six years. Wikipedia is written by committee! I followed the Internet closely even back when consumers only saw bulletin board systems linked by 300 baud modems.

Your last post made a better argument for my point than any post I made yet. The private sector dumped trillions of dollars into the Internet. Internet entrepreneurs have had awful little effect per dollar spent. Did you know one billion dollars were invested in WebVan.com, one of the worst dot-bombs? Most software architecture of the Internet may have cost less than that.

Most of the Internet now runs on a Linux operating system and Apache web software developed by graduate students and hobbyists studying at universities for FREE. No supply or demand issues involved. No entrepreneurs needed.

My point is not that government is the solution to problems, but that human beings acting against their own profit motives can be a more powerful incentive to innovate. If you are right about markets and human behavior, then GNU/Linux could not exist, let alone be the top web server operating system.

The same is true of health care. Most people hate being in hospitals. Few would overuse the privilege or shop around when their wellbeing is on the line. Trust is more important than cost. There is no free market in health care, not because of government, but because there is no such thing.

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Markus

9:43 am on Monday, July 9, 2012

Colin,

"Most of the Internet now runs on a Linux operating system and Apache web software developed by graduate students and hobbyists studying at universities for FREE. No supply or demand issues involved. No entrepreneurs needed."

(You forgot to include geeks living in their mom's basements)

Action always requires a motive. Motives are rarely altruistic but self serving. That is not necessarily a bad thing. Your examples of Linux and Apache are a classic example of the free market working its magic. A FREE exchange of ideas. No coercion, no force, no government intervention. There was a demand (and an almost universal hatred of Windows) and voila, the supply was there! Despite the fact that money didn't change hands in the transaction doesn't preclude it from being a free market phenomenon. These people didn't create those things out of the goodness of their hearts, they created them because there was a need. Mostly self serving.

In spite of what you want to believe, there is a free market in health care. I've experienced it numerous times. We've been conditioned to accept the high prices and CYA procedures. However, when paying out of pocket almost without exception you can find a better deal or get a discount.

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Orono

2:33 pm on Monday, July 9, 2012

Well said Markus!

Hey Colin, I thought you people believed that Al Gore invented the internet.

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Colin Lee

4:32 pm on Monday, July 9, 2012

You surpassed my expectations on missing the point. The point is that billions of dollars of capital could not build the Internet in the manner they were trying. The private technology sector was incapable of doing it and that is why we use TCP/IP. Wall Street pushes companies to build myopic, backwards-thinking, monopoly rent-seeking companies like Bain Capital in the mold of other rent-seeking behemoths which model the success they want to see.

Developing anything but doomed-to-fail, niche, walled gardens like Prodigy and Compuserve would have required the private sector to allow any person to access the Internet without paying monopoly rents, without censorship, and with content neutrality. Building a useful Internet required both government research and a small group of software developers acting against their best profit motive. To be successful, the Internet had to be shared infrastructure-- A highway, not a niche tourist trap. Useful content, not an advertising billboard.

Expensive, life-saving health care does not behave as a free market because trust matters too much more than price. Ayn Rand arguments do not change that.

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Donald Lee

5:25 pm on Monday, July 9, 2012

It is very important to get this point right.

The statement here is incredibly misguided. It is ignorant of both economics and workings of technology and innovation:
"....The point is that billions of dollars of capital could not build the Internet in the manner they were trying. The private technology sector was incapable of doing it and that is why we use TCP/IP."

TCP/IP os a tiny part of the technology of "the net". So the point is:

- that the profit motive makes progress impossible?
- that any effort apart from a government grant is doomed to fail?
- that only the academics of this world can innovate and develop technology?
- that no private, for profit company has done anything useful? (i.e. Microsoft)

All these ideas deserve all the scorn they get. "Open Source" partisans are anxious to prove that their "economic model" is somehow "better", and I have had long conversations on that subject. I'll even concede that some things work better apart from the profit motive, but the idea that the billions in risk capital spent developing the net were ALL wasted, or that all USEFUL progress was made apart from that risk capital is absurd.

Those who have spent their lives in front of a terminal writing code do not necessarily understand finance, marketing, or business dynamics. That's why the Steve Jobs and Bill Gates of the world are rare.

I didn't miss the point. You're wrong.

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Donald Lee

5:31 pm on Monday, July 9, 2012

Let me be clear.

People may love to do open source for free, but people have to be paid, or they don't eat. If they don't eat, they don't do open source for long. To get paid, you have to have revenue, and that's where for-profit comes in. You may not like it, but it really needs to exist, or nobody eats.

The same is true in health care. "free" care is nice for the majority who wants it, but not so cool for those giving it away for free. The doctors and nurses and hospitals, etc, need to get paid, and _markets_ exist in free societies to allocate resources. The only alternative is _force_. (See: Soviet Union, Cuba, etc)

We have no right to allocate other people's resources. That applies as much to your money as it does to the doctor's time and energy.

The PPACA is another step down the road to a micromanaged health care monopoly controlled for political purposes by politicians. It's a bad idea, and deserves all the opposition it is getting.

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Colin Lee

5:54 pm on Monday, July 9, 2012

You keep twisting my words. I never said every private sector dollar spent developing the Internet was wasted.

Here's what I said:

The Internet as we know it would never have existed and grown huge without outside intervention due to the anti-competitive, rent-seeking dynamic of the market.

Wall Street was not ready to accept the Internet as infrastructure. Investors wanted a less useful, walled garden application which they could use to extract monopoly rents. Factory-minded Wall Street also made the mistake of using pay-for-performance when software developers and all creative professions worked better when they had more freedom to innovate on their own projects instead.

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Donald Lee

10:49 pm on Monday, July 9, 2012

As much as Open Source activists would like to believe otherwise, the vast majority of "the internet" was built by non-open-source, non-government funded activity. Private investment ruled in a big way.

TCP is one tiny part of a huge mosaic. Tons of HW, routing protocols, and operating systems, HTTP, application protocols, APIs/specs for things like PCI, Ethernet, WiFi, TCP offload, Flash, Quicktime, Java, Javascript, C++, SSL, SMTP, POP3, BGP, and on and on and on - all have to work together. If you were working on products in the 1990s, you would learn quickly that the "standards" were not really the "standards". The REAL standard was the HW in the field. Everyone in the industry learned that cooperation worked a little better than secretive competition, with notable exceptions - some successful.

Colin Lee seems to think that the profit motive is some sort of poison that causes cooperation to be impossible. That is not my experience. My experience is that when serious money is on the table, and customer satisfaction is on the line, people get very serious and very reasonable. No nefarious agendas survive.

Our cultural bias _against_ profit and success is enormously destructive. The Steve Jobs and Bill Gates of the world deserve praise, not condemnation. They are the Thomas Edisons of our age. If we condemn them, we condemn ourselves to a world without them and their creations.

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Colin Lee

8:45 am on Tuesday, July 10, 2012

Donald, how can you run for office when you constantly twist other people's words? That's an awful trait in a politician. I never said a word against Steve Jobs or Bill Gates. I said your perfect-thinking market was not ready for them and was not capable of creating the Internet on its own. In fact, Apple fired Steve Jobs to make Wall Street happy and to focus on their desktop MacOS, but you would have to search Wikipedia again to find that out. The market does not trust innovators until they have already succeeded.

As for standards, no fights have been more bitterly fought than standards. It was not until this decade that many Internet businesses had open APIs. Did you know Microsoft built Windows to intentionally break when run on computers which had a certain competitor's products and had to pay a settlement for this monopoly behavior? What about PPTP/IPSec, AppleTalk/NetBIOS/IPX, MIT Kerberos vs Microsoft Kerberos. The private sector specifically built computers that would not talk to each other for many, many years, but you would not know that merely by searching Wikipedia. It took outside effort and coalitions of concerned consumers to change these practices.

Innovation happened often in spite of the market. Have you heard of the slipstream effect in game theory? When competitors see a young competitor beating everyone with superior technology, they work together to keep that technology out of the market.

Marissa Partridge

1:49 am on Saturday, July 7, 2012

So what is the alternative? Do you have an answer because the current system is not working. Also, as an older person, I'm guessing you enjoy Social Security. If this was such a "bad idea" why not decline? My generation won't even get it, even thou