A Common Sense Approach To Lowering Medical Bills

Common sense approaches work well.

Unfortunately, common sense isn’t so common, anymore.

---

Why Medical Bills Can Be Lower in Maryland

Dr. Elisabeth Rosenthal, MD

October 24, 2021

Guest Essay

Dr. Rosenthal is the Editor in Chief of Kaiser Health News. She was an Emergency Room physician before becoming a journalist.

---

A $1,775 Doctor’s Visit Cost About $350 in Maryland. Here’s Why.

Illustration by Alvaro Dominguez

For the past 18 months, while I was undergoing intensive physical therapy and many neurological tests after a complicated head injury, my friends would point to a silver lining: “Now you’ll be able to write about your own bills.” After all, I’d spent the past decade as a journalist covering the often-bankrupting cost of U.S. medical care.

But my bills were, in fact, mostly totally reasonable.

That’s largely because I live in Washington, D.C., and received the majority of my care in next-door Maryland, the one state in the nation that controls what hospitals can charge for services and has a cap on spending growth.

Players in the health care world — from hospitals to pharmaceutical manufacturers to doctors’ groups — act as if the sky would fall if health care prices were regulated or spending capped. Instead, health care prices are determined by a dysfunctional market in which providers charge whatever they want and insurers or middlemen like pharmacy benefit managers negotiate them down to slightly less stratospheric levels.

But for decades, an independent state commission of health care experts in Maryland, appointed by the governor, has effectively told hospitals what each of them may charge, with a bit of leeway, requiring every insurer to reimburse a hospital at the same rate for a medical intervention in a system called “all-payer rate setting.” In 2014, Maryland also instituted a global cap and budget for each hospital in the state. Rather than being paid per test and procedure, hospitals would get a set amount of money for the entire year for patient care. The per capita hospital cost could rise only a small amount annually, forcing price increases to be circumspect.

If the care in the Baltimore-based Johns Hopkins Medicine system ensured my recovery, Maryland’s financial guardrails for hospitals effectively protected my wallet.

During my months of treatment, I got a second opinion at a similarly prestigious hospital in New York, giving me the opportunity to see how medical centers without such financial constraints bill for similar kinds of services.

Visits at Johns Hopkins with a top neurologist were billed at $350 to $400, which was reasonable, and arguably a bargain. In New York, the same type of appointment was $1,775. My first spinal tap, at Johns Hopkins, was done in an exam room by a neurology fellow and billed as an office visit. The second hospital had spinal taps done in a procedure suite under ultrasound guidance by neuroradiologists. It was billed as “surgery,” for a price of $6,244.38. The physician charge was $3,782.

I got terrific care at both hospitals, and the doctors who provided my care did not set these prices. All of the charges were reduced after insurance negotiations, and I generally owed very little. But since the price charged is often the starting point, hospitals that charge a lot get a lot, adding to America’s sky-high health care costs and our rising insurance premiums to cover them.

It wasn’t easy for Maryland to enact its unique health care system. The state imposed rate setting in the mid-1970s because hospital charges per patient were rising fast, and the system was in financial trouble. Hospitals supported the deal — which required a federal waiver to experiment with the new system — because even though the hospitals could no longer bill high rates for patients with commercial insurance, the state guaranteed they would get a reasonable, consistent rate for all their services, regardless of insurer.

The rate was more generous than Medicare’s usual payment, which (in theory at least) is calculated to allow hospitals to deliver high-quality care. The hospitals also got funds for teaching doctors in training and taking care of the uninsured — services that could previously go uncompensated.

In subsequent decades,

Not To Worry, M4A (Medicare For All) Will Happen Soon.

“Socialism,” Schmocialism…

Will M4A (Medicare for All) happen?

Yes, without a doubt.

Why?

It’s in the BEST INTEREST of the Insurance Companies’ bottom line.

THEY are the ones driving M4A.

Point out JUST ONE example where they have publicly stated that they oppose M4A.

You can’t.

Why not?

Because they don’t.

---

Researchers analyzed annual corporate filings with the federal Securities and Exchange Commission, known as 10–K reports, for the five largest for-profit commercial insurers. Data are for 2010 through 2016, which includes 3 years before the ACA’s major insurance reforms and 3 years following them.

The five largest commercial insurers together enroll 43% of the insured population, and they increasingly rely on their Medicaid and Medicare business for growth and profitability. Federal and state governments could potentially improve access to coverage by requiring insurers that participate in Medicaid or Medicare to also participate in the marketplaces in the same geographic area.

The 5 largest US commercial health insurance companies together enroll 125 million members, or 43% of the country’s insured population.

Over the past decade those insurers have become increasingly dependent for growth and profitability on public programs, according to an analysis of corporate reports.

“Despite reported losses in insurers’ individual-market business, corporate reports reveal healthy profitability and strong revenue growth overall, with other market segments — including Medicare and Medicaid — offsetting losses. The data underscore a growing mutual dependence between public programs and private insurers.”

In 2016 Medicare and Medicaid accounted for nearly 60% of those companies’ health care revenues and 20% of their comprehensive plan membership.

• Medicare and Medicaid business grew faster than other segments between 2010 and 2016, doubling from 12.8 million members to 25.5 million across all five firms. By 2016, the carriers accounted for 52% of the Medicare Advantage market. Medicaid enrollment also doubled (7 million to 15 million).
• Despite experiencing losses in the individual market, 4 of the 5 (with the exception of Humana) reported that pretax profits either held steady or increased from 2013 through 2016, the first three years of the ACA’s individual-market reforms.
• Profit margins had declined between 2010 and 2013 (prior to ACA implementation) before stabilizing between 2014 and 2016 (with the exception of Humana), as individual-market losses were offset by gains in other segments.

In 2016, Medicare and Medicaid accounted for 59% of combined U.S. revenue for the 5 largest insurers, more than doubling since 2010, from $92.5 billion to $213.1 billion.
• Collectively, the 5 insurers’ membership grew by 23 million (23%) from 2010 to 2016, with 4 of the 5 growing by at least 20%. This was more than double the increase from 2005 to 2010, the five years leading up to the ACA’s passage.
• The stock prices for all five insurers cumulatively increased more than 200% from 2011 to 2016.

Medicaid and Medicare have been a key source of membership growth for the five insurers, with plans strategically positioning themselves to enter or expand in these markets. For example, when Anthem purchased Amerigroup in 2012, it more than doubled its Medicaid membership while expanding into 20 new states.

UnitedHealthcare, meanwhile, expanded into Medicare by partnering with AARP to offer Part D prescription coverage and buying regional plans that had Medicare Advantage business.

At the same time, these insurers have exited a number of state ACA marketplaces, citing financial uncertainty. To stabilize insurance markets across all segments and ensure consumer access to plans, the authors say, federal and state law could require any carrier participating in Medicare or in state Medicaid programs to also offer individual-market plans in those geographic areas. Such “tying” requirements would make it more difficult and costly for plans to jump in and out of markets.

Although headlines have focused on

What is socialism?

Socialism is when the government controls the means, and the method, of production.

In essence, socialism is a “government factory.”

But let’s examine some things that could be claimed are “socialist.”

Money.

The coinage and currency in your pocket is made by the United States government upon government-owned machines – stamping mills, and presses, with government-owned metals, government-owned paper, and government-owned inks.

But it’s not socialist.

Why not?

Because

What We Don’t Know About COVID-19 CAN Hurt Us… And Probably Will

If you think healthcare is expensive now, wait until ALL those with COVID-19 start getting sick as they age, after the Banana Republicans trash the “preexisting condition” healthcare provision in the PPACA, and insurance companies return to “cherry picking” and denials.

Won’t that be more fun than a barrelful of monkeys?!

---

COVID-19’s Long-Term Harms: What We Don’t Know Yet Could Hurt Us

Infectious diseases have afflicted humans for hundreds of thousands of years, shaping communities and cultures. The ways pathogens affect human health have been studied extensively for decades. We have learned that any given microorganism can be protean, or capable of changing, in its manifestations — from patients who experience no symptoms at all, to those who become acutely ill yet recover fully, to those who suffer chronic infection and live with the ever-present threat of deteriorating health.

In stark contrast, we have coexisted only one year with severe acute respiratory syndrome coronavirus 2, the virus that causes coronavirus disease 2019 (COVID-19), and are still learning the diverse ways this novel virus affects human health. During the first week of December, the National Institutes of Health convened a two-day workshop involving public health officials, medical researchers, and patients dedicated to discussing the post-acute health consequences of COVID-19. One of the primary goals of the meeting — to provide a definition for the long-term sequelae, or health consequences and symptoms, following acute COVID-19 — proved elusive. Variably termed “chronic COVID,” “long haulers” and “long COVID” by physicians, patients and the media, whatever you call it, the protracted symptom complex following COVID-19, seemingly affecting all organ systems, has emerged as an unanticipated, devastating outcome of the pandemic.

The earliest data out of Europe and the United States painted a concerning picture: The majority of hospitalized patients remained symptomatic weeks or months after their acute illness, the most common symptoms being fatigue and shortness of breath in approximately half of patients studied. Even patients who were never hospitalized had persistent symptoms several weeks later. Over ensuing months, the full gamut of persistent symptoms emerged, ranging from chronic fatigue, sleep disturbance, cognitive impairment, fast heart rates and exercise intolerance. The exact incidence of these symptoms and their time-course

Common Sense: An Endangered Species?

Perhaps it’s been said before – “common sense isn’t so common anymore.”

Maybe even, at one time, or another, you’ve said as much.

Common sense, of course, is a thought process that implies a.) one is thinking, and b.) one is using process of reasoning.

And, without exception, EVERYONE thinks. Not everyone exercises good judgment.

Some take common sense for granted, while others do not.

Common sense may arise from experience, and/or education, and sometimes, experience is a harsh taskmaster – lessons learned aren’t always learned the easiest, or best way. But, it’s education nevertheless.

Point being, is that when we think, we use our highest and best faculties, which separates us and makes us unique in the animal kingdom.

So let’s quickly talk about common sense and politics – an area in which many seem to disagree, some even vehemently, and unfortunately, sometimes violently.

When we fight, we often “lose our mind,” and are motivated and actuated by feelings… which can often betray us. Yet, even in structured fighting, such as war, we employ our faculties of reason to win the victory. War, its strategies and tactics, is studied, and taught. So that very act itself demonstrates that our thinking faculties are a higher order than feeling.

Note that instead of saying “I think,” many people say, “I feel.”

That, I think, is a mistake to say that one “feels” rather than “thinks” when expressing an opinion, for it – the feeling – is something which rationally, one cannot argue against. Feelings may be pleasant, or unpleasant. And if one feels this way, or that way, it is a merely a feeling – and may be, and often is, fleeting, or passing – it is temporal, and lasts only briefly. Consider the feeling of being sad, bloated, or even gassy.

This too, shall pass.

But let’s not delve too deeply into the matter, not to become too philosophical or analytical, per se, and suffice it to say that we want to share some common sensical thoughts – ones that many, if not most, or, even all, could agree upon – in the realm of politics.

It is, after all, political season, and we human beings are political animals.

Welcome to our Incestuous Fiscal Orgy – State Farm Privacy Policy

Take notice of this text of the upper area of the note:
“Why are we sending you a Notice of our Privacy Policy?

“Federal law permits banks, investment companies, and insurance companies to provide all their services under one organization. This same law requires State Farm to share our Notice of Privacy Policy in writing with you each year you are insured with us or maintain an account with us.”

Let me re-emphasize this point:
“Federal law permits banks, investment companies, and insurance companies to provide all their services under one organization.”

This law – the Glass-Steagall Act – since its inception in Great Depression era America in 1933, FORBADE the incestuous fiscal orgy under which this nation now suffers.

The Glass-Steagall Act was the subject of intense lobbying efforts by Banks, Insurance Companies and Stock Brokerage Houses to repeal the law, and especially intensified circa 1960’s, climaxing in the late 1990’s under a Republican-controlled House and Senate.

The 1999 repeal of the Glass-Steagall Act allowed commercial banks, investment banks, securities firms, and insurance companies to consolidate, or commingle, their business.

Previously, it prohibited any of those institutions (banks, insurance companies, and stock brokerage houses) from acting as any combination of an investment bank, a commercial bank, or insurance company.

The Gramm-Leach-Bliley Act, also known as the Financial Services Modernization Act of 1999, (Public Law 106-102, 113 Stat. 1338, enacted November 12, 1999), was signed into law by President Clinton.

WHY IS THIS IMPORTANT TO YOU and ME, AND HOW DOES THIS AFFECT YOU and ME?

The recent financial melt-down in this nation – now being called “The Great Recession” – is due in large part to the elimination of the Glass-Steagall Act, because the banks that made bad loans, the insurance companies that insured the real estate and commercial paper, and the stock brokerage houses that traded the stocks of both, and owned both, were greedy for more gain, and eventually began to invent complex mechanisms and artificial commercial paper which came to be known as “derivatives.”

In essence, those “derivatives” were based upon Credit Default Swaps – another complex and inherently evil type of financial thing/device – which was described by German Chancellor Angela Merkel, in March 2010 as “Credit-default swaps, where you insure your neighbor’s house just to destroy it and make money from it, that’s exactly what we have to curb. We must succeed at putting a stop to the speculators’ game with sovereign states.”

The types of investments that most people tend to be familiar with, such as stocks and bonds, involve betting that a company or government will do well. In stark contrast, a credit default swap (CDS) allows an investor to bet that a certain bond issuer will do poorly, or fail – not be able to meet its obligations. In financial markets, the CDS is sometimes thought of as a form of

Try and stop the rain? How about building infrastructure, instead?

Extensive flooding in Muscle Shoals, AL in the NW corner of the state, in the spring of 2019

The news article which flows from the NASA story (I know… bad pun) appears below.

But either way, as usual, I’m eager to know your thoughts.

https://earthobservatory.nasa.gov/images/145101/record-setting-precipitation-leaves-us-soils-soggy/

Small Towns Fear They Are Unprepared For Future Climate-Driven Flooding

–

https://www.npr.org/744203716

—//—

Tennessee River flooding (bottom) contrasted with normal conditions (top) under O’Neal Bridge which joins Colbert (in the south) and Lauderdale (to the north) counties in the Shoals area of NW AL

Some folks talk about a “Green New Deal” as a prospective course of action to remedy (ameliorate) the effects of Climate Change, and to provide economic impetus.

While there may be some merit to some aspects of that now-nebulous idea, there is a much more immediate and concrete need we have in response to Climate Change.

And that is, to build, expand, and repair our Economic Infrastructure in order to reduce – as much as humanly possible – the costly continual damages that are now occurring, and which will continue to occur, because of Climate Change.

When faced with flooding, a proper response is not to try and stop the rain;

it is to build levees, dams, waterways, sluices, ponds, and other hydrological management resources – including pipelines, and other such mechanisms – to prevent the damage that would otherwise occur without implementation of such measures.

Here’s a very real case in point to illustrate that very matter – the North Sea Flood of 1953.

Buid Zeeland, Netherlands 1953 North Sea Flood
Image made by U.S. Agency for International Development (USAID) from a U.S. Army helicopter of the 1953 North Sea Flood in the Netherlands.

Described as the worst natural disaster in Europe in modern times, the flooding occurred over a two-day period January 31 – February 1, and affected Netherlands, Belgium, England and Scotland, with a total of 2551 lives lost, and 1836 in the Netherlands alone.

Dutch losses were particularly enormous, principally because

Trump: Who Voted For, And Supports Him?

Formerly titled, “With Trump WYSIWYG: Who Voted For, And Supports Him?”

African leopard, Panthera pardus pardus, near Lake Panic, Kruger National Park, South Africa, 31 December 2013
Attribution 2.0 Generic (CC BY 2.0), Derek Keats, https://www.flickr.com/photos/93242958@N00/19448654130M

One either loves, or loathes, Donald Trump.

One does not simply “tolerate” him.

He is a divisive political figure.

He is starkly contrasted to former POTUS George W. Bush, who in a May 6, 1999 interview with David Horowitz of Salon magazine, famously said, “I’m a uniter, not a divider.”

Trump is a divider, not a uniter.

For Trump, e pluribus unum means nothing, even though we are the United States of America.

And for those who voted for him thinking he’d change, that he was merely spouting hollow campaign rhetoric, they might as well have asked a leopard to change it’s spots.

With Trump, WYSIWYG.

Specifically, I mean to refer to him in his executive Presidential capacity.

And yet, strangely enough, he has coalesced support from diverse, divergent sub-groups within, and without the GOP. The importance of that feat cannot, and should not be underestimated, glossed over, or minimized, because understanding it is key to political success, especially for

BIG INSURANCE Companies Fear Single Payer For ONE Reason

A friend had shared the opening paragraph, upon which I remarked.

My response follows.

“At the risk of stating the obvious, I feel compelled to note that insurance companies do not exist to provide health care. They exist to make money. Big money. Big money at your time of greatest vulnerability. This happens by raising income as much as possible and limiting “risk” as much as possible. Now go ponder the implications.”

—/—

And that is the single greatest reason why a

Can We #RepealAndReplace #ObamaCare?

The Patient Protection and Affordable Care Act (PPACA, aka ACA, or more often as “ObamaCare”) might be analogized to an onion, insofar as:
1.) It has many layers, and;
2.) Peeling back the layers may cause tears.

Enacted in 2010, it has been decried primarily by Republicans, none of whom voted for the bill’s passage, either in the House, which approved it 219-212 with 34 Democrats voting “NO” – or in the Senate, which approved it 60-39 along party lines, with 1 Republican (Jim Bunning, KY) “Not Voting.”

The Patient Protection and Affordable Care Act contains nine titles, each addressing an essential component of reform:
1.) Quality, Affordable Health Care For All Americans
2.) The Role Of Public Programs
3.) Improving The Quality And Efficiency Of Health Care

4.) Prevention Of Chronic Disease And Improving Public Health
5.) Health Care Workforce
6.) Transparency And Program Integrity

7.) Improving Access To Innovative Medical Therapies
8.) Community Living Assistance Services And Supports
9.) Revenue Provisions

Immediate improvements through reform included:
• Eliminate lifetime and unreasonable annual limits on benefits
• Prohibit rescissions of health insurance policies
• Provide assistance for those who are uninsured because of a pre-existing condition

• Require coverage of preventive services and immunizations
• Extend dependent coverage up to age 26
• Develop uniform coverage documents so consumers can make apples to apples comparisons when shopping for health insurance

• Cap insurance company non-medical, administrative expenditures
• Ensure consumers have access to an effective appeals process and provide consumers a place to turn for assistance navigating the appeals process and accessing their coverage
• Create a temporary re-insurance program to support coverage for early retirees

• Establish an Internet portal to assist Americans in identifying coverage options
• Facilitate administrative simplification to lower health system costs

While no law is perfect – and the ACA is not perfect – there are provisions within it which many think worthy of keeping, notable among them, provisions for guaranteed coverage, prohibiting cancellation, extending dependent’s coverage, removing annual & lifetime limits,

End ObamaCare’s Health Insurance Monopoly

Fact is, “ObamaCare” – which is properly known as the Patient Protection and Affordable Care Act, or ACA for short – though it’s monikered with POTUS Obama’s name, was largely a Republican brainchild from the über-conservative Heritage Institution.

The cornerstone of the act is predicated upon two items which are the very heart of the act: 1.) Guaranteed Coverage, and; 2.) Community Rating.

In was, in essence

How And Why Insurance Companies Control Your Medical Care

Some have accurately, and justifiably observed that the Affordable Care Act, also colloquially known as “ObamaCare,” is a big fat, sloppy wet kiss to the Big Insurance industry and their for-profit, Wall $treet corporate masters, because their profits have continued to soar since it’s inception. Note that UnitedHealth Group reported a profit of $11 billion (on revenues of more than $157 billion) in 2015, up from $10.3 billion (on revenues of $131 billion) in 2014. Consider also how Anthem’s business changed in just one recent year. At the end of 2014, the majority of Anthem’s revenues still came from its Commercial Health Insurance customers. During 2015, however, revenues from their commercial operations actually declined 4.2%, to $37.6 billion, while revenues from their government operations skyrocketed 21%, to $40.1 billion. A significant reason why, is because of the big investments Insurance Companies continue to make in House and Senate campaigns. As a result, the Insurance Industry’s tentacles will likely only get deeper into both the Medicare and Medicaid programs.

Medical equipment is pictured on the wall of an examination room inside a Kaiser Permanente health clinic located inside a Target retail department store in San Diego, California November 17, 2014. Four clinics are scheduled to open to provide pediatric and adolescent care, well-woman care, family planning, and management of chronic conditions like diabetes and high blood pressure for Kaiser members and non-members. REUTERS/Mike Blake (UNITED STATES – Tags: HEALTH BUSINESS SOCIETY) Fair Use

by Christy Ford Chapin

It’s that time of year again. Insurance companies that participate in the Affordable Care Act’s state health exchanges are signaling that prices will rise dramatically this fall.

And if insurance costs aren’t enough of a crisis, researchers are highlighting deficiencies in health care quality, such as unnecessary tests and procedures that cause patient harm, medical errors bred by disjointed or fragmented care and disparities in service distribution.

While critics emphasize the ACA’s shortcomings, cost and quality issues have long plagued the U.S. health care system. As my research demonstrates, we have these problems because insurance companies are at the center of the system, where they both finance and manage medical care.

If this system is so flawed, how did we get stuck with it in the first place?

Answer: Organized physicians.

As I explain in my book, “Ensuring America’s Health: The Public Creation of the Corporate Health Care System,” from the 1930s through the 1960s, the American Medical Association, the foremost professional organization for physicians, played a leading role in implementing the insurance company model.

What existed before health insurance companies?

Between the 1900s and the 1940s, patients flocked to what were called “prepaid physician groups,” or “prepaid doctor groups.”

Prepaid groups offered inexpensive health care because

Sodomy: A prime example of what’s wrong with #ALpolitics

A dear friend who is a long-time retiree, aged 78 years, entire subsistence is from a meager pension (earned from a lifetime of work in a unionized organization), supplemented with a paltry Social Security check.

She’s lived through breast cancer surgery (mastectomy) & reconstruction, other major surgeries (knee replacements) and procedures, and lives in a trailer which she owns, situated upon a lot which she rents. She has resided there many, many years.

To save money, she recently

Alabama State Legislature Could Undo DOJ-ADOC Tutwiler Agreement & Force Federal Takeover

To The Reader:
If you are not a regular follower of Alabama politics, some, or perhaps most, of the items mentioned herein may very well be alien to you. Yet even if you are – even to a small extent – an adherent of the same, it very well may still be strange to you. It’s strange to most… save for those who wallow in such mire, namely, the Alabama Legislature and politicians in Alabama.

What I write herein this blog, and this entry in particular, contains fact, and opinion. It’s difficult to NOT have opinion when faced with facts… particularly when innocent lives are at stake. And innocent lives ARE at stake in Alabama.

I ask your indulgence.

From Day One of his first term in office (January 17, 2010) Alabama Governor Robert Bentley’s administration has been pockmarked with allegations of corruption, wrong-doing, violations of Federal Law, incompetence, lies, thefts, and deceptions.

I have written and opined about Governor Bentley’s bald-faced lies from his first campaign for governor (Alabama Governor Bentley Broke 20 Promises From 2010 Campaign), and his propensities and predilections toward falsehoods are well-documented in other news media from his campaign for a second term as governor, and after his re-election.

Examples include:
• 23-Felony Ethics Count indicted Rep. Mike Hubbard (R-Auburn) re-elected GOP Speaker of the House
• Rep. Greg Wren (R-Montgomery) plead guilty to misdemeanor Hubbard-related ethics charge and resigned his House seat
• Rep. Barry Moore (R-Enterprise) charged with perjury and false statements related to Lee County grand jury in January in Hubbard case
• Moles in GOP Attorney General Luther Strange’s office attempting to corrupt Hubbard’s prosecution
• Prison rapes & long-term cover-up of criminal wrongdoing at Julia Tutwiler Prison for Women, and Alabama Department Of Corrections (ADOC)
• ADOC purchased on the black market medicines to be misused for execution, which the FDA seized
• ADOC neglected prisoners’ minor healthcare problems, which lead to their death
• Legislature reneged repayment on money “borrowed” from Alabama Trust Fund

Facing an immediate General Fund Budget shortfall of $250 Million, and a projected $750 Million long-term deficit, shortly after re-election to a second term, Governor Bentley reneged on a campaign promise to not raise taxes. The most fearfully pressing of the concerns remains the prospects of a Federal take-over of the Alabama Department of Corrections (ADOC). At 200% capacity, and grossly understaffed, the ADOC is still teetering upon the precipice of a Federal take-over by the Department of Justice. The DOJ took over California’s Prison System with with much less overcrowding, approximately 140%.

The DOJ sent Governor Bentley a 36-page “love letter” dated January 17, 2014 which was entitled Investigation of the Julia Tutwiler Prison for Women and Notice of Expanded Investigation in which they detailed numerous counts of prisoner abuse, sexual abuse of prisoners, criminal activity by guards upon inmates, and other horrific crimes against humanity.

USDOJ Tutwiler ADOC Findings 1-17-14

Only today, Governor Bentley crowed about reaching a 65+ page Settlement Agreement with the DOJ in which ADOC and the State of Alabama promised to “implement all policies and procedures required by the agreement within nine months of the effective date of the Agreement,” and which “will terminate when Defendants have achieved substantial compliance with each provision of the Agreement, and have maintained substantial compliance for three consecutive Court-filed compliance reports.”

ADOC-DOJ-Settlement-Package-05-28-15

While there is a nine month implementation time line, there is a possibility of

McFat Like Me: Wanna’ Soup Or Size That?

McD’s began rationing French Fries Wednesday morning, December 17, at it’s 3100 Japanese locations as an emergency airlift of 1,000 tons of spuds and an extra shipment by sea from the U.S. East Coast set sail.

Industrial Food Manufacturer McDonald’s continues to spread diet-related disease internationally. 
Getty Images

The highly processed frozen spuds are deep-fryer ready, and a leading U.S. export. Folks in the Land of The Rising Sun love their French Fried spuds, and eat more than 300k tons of the imported American tuber annually, according to USDA figures. Of particular note, most of Japan’s locally grown potatoes are eaten fresh.

McD’s continually denies any responsibility, role or contribution to increased obesity, either in America, or abroad where they conduct business. But increased rates of Japanese obesity, diabetes, and metabolic syndrome, suggest not conspiracy, but wanton disregard for, if not flagrant violation of, Japan’s Ministry of Health 2008 ‘Metabo Law’ that requires men to maintain a waist line less than 33.5 inches and women less than 35.4 inches.

A McDonald’s in Japan

The American Fast Food Industry was introduced to Japan in the 1970’s, and since then, consumption of rice in the daily Japanese diet has decreased and been replaced by bread, meat, dairy products, hamburgers, French fries, milkshakes and doughnuts.

Similarly to America, one of the time-honored Family Values of enjoying freshly prepared food at home has declined, and consumption of Industrially Prepared Food, and use of video games has risen.

Even though the Japanese diet still includes much more fish having omega-3 fatty acids, the adoption of a more ‘Western Diet’ is causing health problems. O3FAs are thought to protect against heart disease, and on average, the Japanese eat much less food high in saturated fat than Americans.

The Japanese government has quickly acknowledged the damaging health effects of Industrialized Food Production, which is known as the Standard American Diet, and has moved to disincentivize their citizens from becoming obese like Americans.

Japanese people have historically enjoyed a high life expectancy, very nearly 80 years, although in recent years, their increase in longevity has slowed to 1.2%. The Japanese health care system provides Universal Coverage primarily through local government or employer insurance, and the system is foreseeing dire financial trouble because chronic diseases like diabetes, cardiovascular disease, obesity, high blood pressure, high glucose levels and cholesterol will significantly burden the system.

As the Japanese population ages and their health begins to deteriorate, the workforce will not be large enough to cover those health costs. The government sees an opportunity to cut costs by lowering rising obesity.

cnbc.com/id/102275074

bu.edu/themovement/2011/05/29/the-fats-on-fire

“No, Dr. Bentley, we are in no way prepared for Ebola.”

Pippa Abston, MD, PhD, is considered by many, to be the preeminent, board-certified general pediatric physician in the Tennessee Valley, and is author of the following commentary, written in response to a news item entitled “Ebola hasn’t surfaced in Alabama but state ready, Gov. Bentley says,” published October 08, 2014 at 9:03 AM, updated October 08, 2014 at 12:59 PM at http://www.al.com/news/index.ssf/2014/10/gov_robert_bentley_on_ebola_vi.html.

In his press conference, Governor Bentley said, “In the event that Ebola spreads to Alabama, we are ready and we are prepared to respond.”

Thursday, 9October2014, 6:18am

By Pippa Abston, MD, PhD

Alabama Governor, Dr. Robert Bentley, MD (a retired dermatologist) holds a Press Conference Wednesday, 08 October 2014 purporting to assert state readiness for the Ebola virus.

No, Dr. Bentley, we are in no way prepared.

First and most seriously, people lack insurance or have high co-pays/ deductibles, so they will delay going to the doctor or ER and expose others in the meantime.

Second, our public health infrastructure is underfunded and understaffed.

A couple of years ago I let the local HD (Health Department) know about a new viral syndrome I was seeing, which needed

More Hobby Lobby Store Hypocrisy: Investigation finds close ties to creepy resigned Southern minister sex molester

This just gets creepier and creepier.

In light of these recent revelations, perhaps the SCOTUS might want to vacate their decision.

—

https://www.motherjones.com/politics/2014/07/hobby-lobby-bill-gothard-institute-basic-life-principles/

Hobby Lobby Funded Disgraced Fundamentalist Christian Leader Accused of Harassing Dozens of Women

By David Corn and Molly Redden | Wed Jul. 2, 2014 6:00 AM EDT

---

Social Title:

Hobby Lobby funded disgraced fundamentalist Christian leader accused of harassing dozens of women

For a decade or so, Hobby Lobby and its owners, the Green family, have been generous benefactors of a Christian ministry that until recently was run by Bill Gothard, a controversial religious leader who has long promoted a strict and authoritarian version of Christianity. Gothard, a prominent champion of Christian home-schooling, has decried [1] the evils of dating, rock music, and Cabbage Patch dolls [2]; claimed [3] public education teaches children “how to commit suicide” and undermines spirituality; contended [4] that mental illness is merely “varying degrees of irresponsibility”; and urged wives to “submit to the leadership” [5] of their husbands. Critics of Gothard have associated [6] him [7] with Christian Reconstructionism [8], an ultrafundamentalist movement that yearns for a theocracy, and accused [9] him of running a cultlike organization. In March, he was pressured to resign [1] from his ministry, the Institute in Basic Life Principles, after being accused by more than 30 women of sexual harassment and molestation—a charge Gothard denies.

More MoJo coverage of the Supreme Court’s Hobby Lobby decision.

• Hobby Lobby’s Hypocrisy: The Company’s Retirement Plan Invests in Contraception Manufacturers [10]

• The 8 Best Lines From Ginsburg’s Dissent [11]

• Why the Decision Is the New Bush v. Gore [12]

• How Obama Can Make Sure Hobby Lobby’s Female Employees Are Covered [13]

• Hobby Lobby Funded Disgraced Fundamentalist Christian Leader Accused of Harassing Dozens of Women [14]

The Institute traces it origins to 1964, when Gothard designed a college seminar based on biblical principles to help teenagers. The ministry says [15] it was established “for the purpose of introducing people to the Lord Jesus Christ” and to give individuals, families, businesses, and governments “clear instruction and training on how to find success by following God’s principles found in Scripture.” The group, which operates what it calls “training centers” across the United States and abroad, says more than 2.5 million people have attended its paid events, which have brought in tens of millions of dollars in revenue. Gothard and the Institute have drawn support [16]from conservative politicians, including Mike Huckabee, Sarah Palin, and former Georgia Gov. Sonny Perdue. The Duggar family, the stars of the reality show 19 Kids and Counting, have been high-profile advocates [17] of Gothard’s home-schooling curriculum and seminars. (One of Gothard’s alleged victims has called [18] on the Duggars to break with Gothard and the Institute.) Don Venoit, a conservative evangelical who has long been a critic of Gothard, contends [19] that Gothard’s approach to Christian theology emphasizing obedience to authority creates a “culture of fear.” In 1984, Ronald Allen, now a professor of Bible exposition at Dallas Theological Seminary, observed [20] that Gothard’s teachings were “a parody of patriarchalism” and “the basest form of male chauvinism I have ever heard in a Christian context.” He added, “Gothard has lost the biblical balance of the relationship between women and men as equals in relationship. His view is basically anti-woman.”

According to the 79-year-old Gothard, the Greens and Hobby Lobby—which this week won a landmark Supreme Court case [21] with a decision ruling that the firm does not have to

Why Expand Medicaid in Alabama?

If Alabamians can’t work because they’re sick, and can’t get care because they’re poor, they can’t be productive citizens.

Should we just throw ’em to the wolves?

What will become of Alabama’s present, much less it’s future?

—

Alabama medical students argue for expansion of Medicaid

on May 07, 2014 at 9:39 AM, updated May 07, 2014 at 9:51 AM

By Swaroop Vitta and Davis Bradford

In medical school, our professors often show us maps of the U.S. illustrating where diseases strike hardest and where patient outcomes are the worst. Most of the time, Alabama is red, really red. Red is bad. So bad that over 600,000 Alabamians are uninsured and have limited to no access to health care.

Alabama is our home and this state’s spirit of compassion made us who we are. Every Sunday a small group of us with other medical students and volunteer physicians heads to a homeless shelter across from Regions Field that houses our free clinic. As we open our doors to many men and women that could not otherwise see a physician, we see first-hand what life without health insurance in Alabama is like.

A story:

Ms. C, a hardworking Alabamian, came into clinic with a terrible headache. It turned out that it was due to emergently high blood pressure. Ordinarily, this is easily treatable, but because Ms. C had gone without care for so long, she was now in danger of a stroke. Only the emergency room could provide relief.  But for Ms. C, like so many others in Alabama, that relief was accompanied by a bill she could never pay with the risk of unsurmountable debt. Ms. C has since become our regular patient. While her health has improved, there is only so much a group of well-intentioned medical students can do.

Had Ms. C received medical care during the years before we saw her, her high blood pressure could have been controlled before it left her with permanent injuries. Despite treatment, the chronic issues from those years without care now leave her unable to work. And at 58 years of age, her options are running low.

Even when work was an option, Ms. C’s income was

Perspective – By the Numbers: How has Job Loss under Governor Bentley & the GOP affected Alabama?

It’s easy to talk about “the jobs situation” in Alabama. It’s especially easier to talk about it when it doesn’t affect you… directly. It’s like armchair quarterbacking.

There’s probably much truth to the statement that Alabama’s legislators aren’t directly affected by job loss in the state. They have jobs. As musician Steve Miller sang in his song “Take the Money and Run,” they make their “living off other people’s taxes.” That goes for Republicans AND Democrats. Such an observation, of course, is not to demean those who do “make their living off other people’s taxes,” because our military, public safety and others vital to our local, state and national well-being are among them. It is however, an acknowledgment of, and call to responsibility – not merely accountability – because accountability is the only remnant once responsibility has departed. And that is how the “Blame Game” is played.

In the previous entry entitled “Analysis – Examining the Record: Is Alabama Governor Bentley a “Jobs Creator” or a Drag on the State Economy?,” we looked at facts & figures about job loss & job creation during Governor Bentley’s administration.

In this entry, we examine some details on the extent of the damage done to families & individuals under his administration.

And so, let’s again refer to some previously-mentioned facts & figures, and introduce some new ones so that we can better understand the nature, scope and and extent of the situation, and corresponding problems

It’s all about the money… says Hobby Lobby Store Lawyer Paul D. Clement to SCOTUS.

Here, all along, we’ve been made to believe that Hobby Lobby Stores, Inc. – a privately held firm headquartered in Oklahoma City, Oklahoma, which boasts themselves “as a major private corporation in Forbes and Fortunes list of America‘s largest private companies,” – objects on religious grounds (even though their owners are Protestant) to providing insurance coverage to their employees, which insurance includes coverage for female contraceptives.

Here is their attorney – Paul D. Clement, himself the 43d former Solicitor General of the United States – arguing their case:

Sebelius v. Hobby Lobby Stores, Inc.
Docket Number: 13-354
Date Argued: 03/25/14

Alabama Medicaid Incompetency: State must repay Federal Childrens Health Insurance Program $88,197,498

Did you know? (No, you probably didn’t.)

In a report dated August 2013, the Department of Health and Human Services Office of Inspector General (HHS OIG) conducted a criminal and administrative investigation and found that Alabama claimed, and was paid millions in unallowable performance bonus payments under the Children’s Health Insurance Program Reauthorization Act (CHIRPA).

This FRAUD was because of INCOMPETENCY in Alabama governance.

The HHS OIG found that the Alabama state agency overstated its FYs 2009 and 2010 current enrollment in its requests for bonus payments. The State agency overstated its current enrollments because, rather than

American Entitlement Culture

Recently, I happened across an item which read “When they analyze the demise of western society due to the entitlement epidemic, it’ll trace back to giving kids awards just for showing up.”

Of course, it can sometimes be difficult to discern sarcasm when reading, and I rather suspect there is at least a smidgen of sarcasm in that brief remark.

Sarcasm, of course, can, and is often used to convey a truth, or truths about numerous subjects, and is a teaching tool, as well.

Because I often use dictionaries to aid my understanding, I chose to look up the definition of the word “entitlement.” Here’s what I found:
As a verb, to “entitle” is to give someone a legal right, or a just claim to receive or do something.

For example, in the United States, the First Amendment is an entitlement to

God is punishing Oklahoma with tornadoes.

Recently, Moore, OK was devastated by a mile-wide twister.
Serves ’em right.
God hates fags.
Our government should do nothing.
Everybody knows, this is an act of God.
God is punishing Oklahoma for their wickedness.
This is purely a religious matter, and government should get out of the way.
This has NOTHING to do with climate change.
Insurance companies should cancel & deny coverage.
They have that right.
Tough luck.
Suck it up.
Oh… wait.
It was.

The reader should understand, this is PURE SARCASM.

What is sarcasm?

Simply put, sarcasm is

Official Sources: Huntsville Hospital gets low patient safety rating, patients’ lives at risk

Realistically, what does that mean for you, your loved ones or friends if – God forbid – they’re hospitalized at Huntsville Hospital?

It means that when you, your loved ones’ or friends’ are a patient in the hospital, you or they could get an infection, or some other serious bug or problem while being treated for something else entirely different. And by so doing, it could make your stay more unpleasant, and in fact, could increase the risk of complications of your treatment – up to, and including your death – was well as increase the length of your stay, among other factors.

What does that mean for the Hospital?

Because insurance companies and Medicare/Medicaid have STOPPED paying for the treatment of preventable problems that are a direct result of hospitalization, it means that Huntsville Hospital will be stuck with the bill (the costs of treating their own mistakes upon you while you’re there)… and will try to pass the cost along to you to recoup the cost of the loss, which is a DIRECT result of their own sloppiness.

Huntsville Hospital has essentially become a monopolistic monstrosity of an enterprise, gobbling up numerous hospitals in the North Alabama region, including BOTH hospitals in Decatur, the only hospital in Athens, the only hospital in Red Bay, Helen Keller Hospital in Tuscumbia area of the Shoals, and the only hospital in Lawrence county.

Meanwhile, Huntsville hospital has fought tooth-and-nail to keep other hospitals OUT of competition in the Huntsville market, and spent untold millions of dollars in a protracted legal battle against Crestwood Hospital – and continues to spend millions to prevent Crestwood Hospital from offering services that would benefit the entire city and county.

Such anti-competitive practice has all been accomplished by and through the state of Alabama‘s Certificate Of Need Board.

The commentary of Mr. Burr Ingram – Huntsville Hospital’s official mouthpiece – which is contained in this article is entirely and wholly unwarranted, and weasel-like.

Not only that, but Huntsville Hospital is NOT a Nursing Magnet Hospital.

There are many things Huntsville Hospital is not.

And sadly, quality is one of them.

—

Watchdog Report: Consumer Reports gives both hospitals in Huntsville low safety ratings

Published: Thursday, July 12, 2012, 9:06 AM     Updated: Thursday, July 12, 2012, 9:30 AM

By Challen Stephens, The Huntsville Times

HUNTSVILLE, Alabama — Consumer Reports magazine ranked the two hospitals in Huntsville as the least safe in Alabama. But the magazine’s list of hospitals is far from complete.

“We were kind of perplexed at some of what it reported,” said Burr Ingram, spokesman at Huntsville Hospital. “When you think about it, it’s fashionable for everyone to rate hospitals. And Consumer Reports is the latest to use public data that is available.

“But at times, it’s difficult to know how these ratings come about.”

Huntsville Hospital, The Huntsville Times

The magazine’s August edition lists scores in four safety categories. Both Huntsville Hospital and Crestwood Medical Center received low marks for poor communication with patients and for high rates of infection. Both received mediocre marks for high rates of re-admission and unnecessary scans.

Yet the report ranked

Growing America’s Middle Class and Increasing Profitability

Some time ago, a friend shared an unsolicited comment about “ObamaCare” before all the ruckus over it had reached the SCOTUS. He had observed about a fellow he knew and described as “a snaggle-toothed Tennessee hillbilly,” whom had joined the United States Army. He observed that the fellow had some health needs, among them poor dentition and the need for corrective lenses. Upon his enlistment, he noted that the fellow was given proper healthcare, and all of his needs – food, clothing, housing, and healthcare – was provided by the United States government.

“Now, why did they do that?,” he asked rhetorically.

Answering his own question, he said quite simply, “because they know

Corporate Citizens Discover Bad-Mouthing Policy is Bad for Business

Papa John’s, Applebee’s And Others Pay Huge Price For Anti-Obamacare Politicking

Op/Ed

12/04/2012 @ 5:18PM

by Rick Ungar, Contributor

Writing from the left on politics and policy.

LAS VEGAS, NV – APRIL 01: Papa Johns Pizza Founder John Schnatter arrives at the 47th Annual Academy Of Country Music Awards held at the MGM Grand Garden Arena on April 1, 2012 in Las Vegas, Nevada. (Photo by Jason Merritt/Getty Images)

It turns out that being a good corporate citizen is as important to selling pizzas as the thinness of the crust or the quality of the cheese.

If you don’t believe it, just ask Papa John CEO, John Schnatter.

As covered—and criticized—in this column in great detail, Mr. Schnatter decided to mix his politics with his pepperoni when suggesting that he would be cutting the work hours for Papa John employees in order to bring them below the 30 hour per week threshold that would require Schnatter to provide his employees with healthcare benefits.

It turns out, the pizza eating public did not approve.

Indeed, so serious was the reaction that Schnatter was forced to publish an op-ed piece where he sought to convince us that he never really intended to cut back worker hours but had simply been speculating on what he might do in response to the legislation.

According to YouGov BrandIndex,  a leading marketing survey that measures brand perception in the marketplace (called “Buzz”), Papa John’s had good reason for concern as the pizza chain’s brand identity has plummeted from a high of 32 on election day, to a remarkably low score of 4 among adults who have eaten at causal dining restaurants during the past month.

Ouch.

Papa John is not alone in his anti-Obamacare misery.

Fast food server, Applebee’s, possessed a healthy Buzz score of 35 before Zane Terkel, CEO of one of the company’s largest franchisees, appeared on television to

Alabama Governor Bentley Refuses to Help State’s Citizens

Not only are you, Governor Bentley, an embarrassment to the state and nation, but as a physician, you discredit the healing arts & profession, and contribute to sickness, disease and ill health of the people of the great state of Alabama.
—

Feds allow more time on health insurance exchange decision, but Alabama Gov. Robert Bentley says no thanks

By Kim Chandler | kchandler@al.com
on November 16, 2012 at 12:07 PM, updated November 16, 2012 at 5:35 PM

Alabama Governor Dr. Robert Bentley, MD (R), adamantly refuses to help the state’s citizens by making a list of health insurance carriers, called an “exchange.” – (AP photo)

MONTGOMERY, Alabama — At the request of some GOP governors, the federal government is giving states another month to decide if they want to run a state-based health insurance exchange.

Gov. Robert Bentley is saying no thanks to the extra time, saying his decision stands to not set up a state exchange.

“The extension from HHS did not change the governor’s decision,” Bentley Press Secretary Jennifer Ardis said in an e-mail.

Bentley, as other GOP governors have done, announced Tuesday that he would not set up a state exchange under the Affordable Care Act.

Bentley made the announcement official in a two-sentence letter today to HHS Secretary Kathleen Sebelius.

“This letter serves as official notification that Alabama will not be setting up a state-based health insurance exchange, nor do I intend to pursue a partnership exchange,” Bentley wrote.

Today had been the deadline for states to decide whether they want to set up and run their own state exchange, essentially a marketplace for people and businesses to shop for insurance with some people getting subsidies to offset their costs.

Sebelius sent a letter Thursday to Gov. Bobby Jindal of Louisiana and Gov. Bob McDonnell of Virginia saying that deadline has been extended until Dec. 14.

The governors, on behalf of the Republican Governors Association, had requested more time to make a decision, according to the letter from Sebelius. Both Jindal and McDonnell have said they don’t plan to set up an exchange.

“We are confident Governors will have enough time to

Alabama Governor Robert Bentley Defies Federal Law, Refuses to Establish Healthcare Insurance Exchange for Citizens

Governor Bentley is pulling a George Wallace stand-in-the-schoolhouse-door redux.

What an ignorant ass he is!

It’s exceedingly sad that he – as a physician – ordered Alabama’s 67 Counties Departments of Public Health to STOP giving Tuberculosis tests, thereby jeopardizing the public health of everyone who eats at a public restaurant, works in healthcare, and more – and was done as super-virulent, drug-resistant strains of tuberculosis are emerging. Gee, thanks, Governor Dr. Bentley. NOT!

Thanks for nothing, you jack-legged nincompoop!

By your defiant actions, Governor Bentley, you will FORCE the Federal Government to do something TOTALLY against your opinion – and that is, to establish a Health Insurance Exchange in Alabama.

You, Governor Bentley, are a lazy, sorry, idiotic jerk, in addition to being a liar, thief, incompetent boob, and contemptuous good-for-nothing.

Pejoratives aside, more than anything, this places the solitary onus of responsibility upon the governor and legislature to 1.) Increase education,; 2.) Increase employment; 3.) Increase Corporate Income Tax rates; and 4.) Increase Personal Income Tax rates on the wealthiest Alabamians who already pay a well-documented rate that is significantly lower than the impoverished.

By increasing educational attainment in Alabama, the governor will be demonstrating a high-quality, high-yield investment in the state’s most precious resource – people.

But the governor – bless him – is ignorant, and it is quite painfully obvious that he just doesn’t understand such simple concepts. He should understand them, however, because he has said previously, that he used the G.I. Bill to complete his medical training after his enlistment ended.

In stark contrast, Tennessee’s Republican governor, Bill Haslam said, “I’ve always said from the very beginning that anything we [Tennessee] can run instead of the federal government, we are going to run it better and cheaper,” The simpler thing to do is to say, ‘Here, it’s your idea, you run it,’ but I’m not convinced yet that that’s what’s best for our citizens. There’s going to be an exchange and ultimately, our citizens — through their insurance companies — are going to pay for the costs of running that exchange. So who do we think can run it cheaper: us or the federal government? I’ll bet on us every time. But we have to be convinced that the flexibility they will give us is worth taking the risk of running it ourselves.”

For the benefit of the reader who may be unaware of what an Insurance Exchange is, the exchange is designed to allow uninsured people to compare and buy health insurance plans through a single Internet portal. Those who earn up to four times the federally designated poverty level will receive subsidies to pay for the coverage.

Essentially, it’s an Internet-based non-business (nobody is making any money), that creates a database of health insurance carriers that all adhere to certain guidelines for efficiency and coverage. The law allows states to join together to run multi-state exchanges – essentially, insurance across state lines – or to exclude themselves.

In essence, make a list of companies that sell health insurance in the state, make a comparison of their plans and prices, and provide a link to the company for folks to buy insurance from whatever company they want.

Not too difficult to figure out, eh?

Here’s a link to an informative flyer from the Henry J. Kaiser Family Foundation about what Health Insurance Exchanges are, and what they do.

You may also be interested in reading the informative site http://healthreform.kff.org.

 

—

Gov. Bentley says Alabama won’t set up exchange, expand Medicaid

By Kim Chandler | kchandler@al.com
on November 13, 2012 at 1:38 PM, updated November 13, 2012 at 5:19 PM

Bentley, in a show of continued resistance to the Affordable Care Act,  said this afternoon that he will not set up a state health care exchange and he will not expand Medicaid under the federal healthcare overhaul.

Alabama Governor Robert Bentley speaks at the Birmingham Business Alliance 2012 Governor’s Luncheon in Birmingham, Ala., Tuesday, Nov. 13, 2012. (Tamika Moore | tmoore@al.com) / Tuesday, November 13, 2012 1:17 PM

“I will not set up a state exchange in Alabama,” Bentley said during a speech to the Birmingham Business Alliance.

States have a Friday deadline to inform the  U.S. Department of Health and Human Services  if they plan to set up a state-run exchange, essentially a marketplace for people and businesses to shop for insurance. If states don’t set up their own exchange, either alone or in federal partnership, then the federal government will step in and design it.

Bentley said he has been in communication with other governors  — including peers in Texas, Florida and Louisiana — about the exchange decision.  He expected multiple governors to show a united front of resistance to the Affordable Care Act.

“If we stand together, I do believe Congress is going to have to look at this again,”Bentley said.

Bentley said he expected other governors to announce similar decisions.

“That will

Insurance companies increase profits after ObamaCare passed

Brer Fox leapt out of the bushes and strolled over to Brer Rabbit. “Well, well, what have we here?” he asked, grinning an evil grin.

Brer Rabbit gulped. He was stuck fast. He did some fast thinking while Brer Fox rolled about on the road, laughing himself sick over Brer Rabbit’s dilemma.

“I’ve got you this time, Brer Rabbit,” said Brer Fox, jumping up and shaking off the dust. “You’ve sassed me for the very last time. Now I wonder what I should do with you?”

Brer Rabbit’s eyes got very large. “Oh please Brer Fox, whatever you do, please don’t throw me into the briar patch.”

“Maybe I should roast you over a fire and eat you,” mused Brer Fox. “No, that’s too much trouble. Maybe I’ll hang you instead.”

“Roast me! Hang me! Do whatever you please,” said Brer Rabbit. “Only please, Brer Fox, please don’t throw me into the briar patch.”

“If I’m going to hang you, I’ll need some string,” said Brer Fox. “And I don’t have any string handy. But the stream’s not far away, so maybe I’ll drown you instead.”

“Drown me! Roast me! Hang me! Do whatever you please,” said Brer Rabbit. “Only please, Brer Fox, please don’t throw me into the briar patch.”

“The briar patch, eh?” said Brer Fox. “What a wonderful idea! You’ll be torn into little pieces!”

Grabbing up the tar-covered rabbit, Brer Fox swung him around and around and then flung him head over heels into the briar patch. Brer Rabbit let out such a scream as he fell that all of Brer Fox’s fur stood straight up. Brer Rabbit fell into the briar bushes with a crash and a mighty thump. Then there was silence.

Brer Fox cocked one ear toward the briar patch, listening for whimpers of pain. But he heard nothing. Brer Fox cocked the other ear toward the briar patch, listening for Brer Rabbit’s death rattle. He heard nothing.

Then Brer Fox heard someone calling his name. He turned around and looked up the hill. Brer Rabbit was sitting on a log combing the tar out of his fur with a wood chip and looking smug.

“I was bred and born in the briar patch, Brer Fox,” he called. “Born and bred in the briar patch.”

And Brer Rabbit skipped away as merry as a cricket while Brer Fox ground his teeth in rage and went home.

—

Insurers Profit From Health Law They Fought Against

By Sarah Frier – Jan 5, 2012

Insurance companies spent millions of dollars trying to defeat the U.S. health-care overhaul, saying it would raise costs and disrupt coverage. Instead, profit margins at the companies widened to levels not seen since before the recession, a Bloomberg Government study shows.

Insurers led by WellPoint Inc. (WLP), the biggest by membership, recorded their highest combined quarterly net income of the past decade after the law was signed in 2010, said Peter Gosselin, the study author and senior health-care analyst for Bloomberg Government. The Standard & Poor’s 500 Managed Health-Care Index rose 36 percent in the period, four times more than the S&P 500.

“The industry that was the loudest, most persistent critic of this law, the industry whose analysts and executives predicted it would suffer immensely because of the law, has thrived,” Gosselin said. “There is a shift to government work under way that is going to represent a fundamental change in their business model.”

Health insurers contributed $86.2 million to the U.S. Chamber of Commerce to oppose the law after Obama administration officials criticized the plans for enriching themselves by raising customer premiums.

“We remain very concerned that

The Theory of Everything

I’m elated to learn that there is a “Theory of Everything.”

As I delved further into it, I found that

Research: Health Insurance Costs Grew Less in 2012 since 1997

At the time of publication of this report – September 2011 – the complete data was not in. However, initial results indicated that cost containment was well under way.

The news is good!

ObamaCare is WORKING!

However, much additional work remains to be done.

—

Latest survey finds health benefit cost growth for 2012 likely to be the lowest in 15 years

United States , New York
Publication date: 21 September 2011

Early responses from a Mercer survey still in the field suggest that the average growth in health benefit cost will slow to 5.4% in 2012, the smallest increase since 1997. Still, cost growth remains well above both general inflation and growth in workers’ earnings (see Fig. 1).

 While this increase reflects cost-cutting changes employers will make to their current health benefit programs, such as raising deductibles or moving employees into lower-cost health plans, the preliminary survey findings released today by Mercer suggest that the underlying trend has slowed as well. Asked how much cost would rise if they made no changes to their current plans, employers reported an average increase of 7.1%. Over the past five years, this underlying health benefit cost trend has been running at about 9%.

The slower trend is good news for workers, because an employer’s first line of defense against a high initial renewal rate typically is to change plan provisions so that employees pay more out of pocket for health care. If the underlying trend is lower to begin with, employers will be likely to shift less cost. For the past several years, employers have reduced their initial renewal rate by about 3 percentage points on average; in 2012, they are planning to reduce it by about 2 points (Fig. 2).

These results are based on

Census Bureau: Household Income Inequality Increases

Can anyone say “Banksters”?

—

Highlights From Census Report on Income, Poverty and Health Insurance

September 12, 2012, 11:00 AM, By Ben Casselman

The Census Bureau today released its annual report on income, poverty and health insurance, the most detailed look at Americans’ household income. A few early takeaways:

Real income fell

The lost decade continues. Median household income, adjusted for inflation, fell 1.5% in 2011, to $50,054. That’s 8.1% lower than before the recession and 8.9% lower than in 1999.

Inequality rose. Income inequality, as measured by the Gini index, rose 1.6% in 2011 from 2010, the first annual increase since 1993. Other measures of inequality also increased. The top 5% of earners—those making $186,000 or more—received 22.3% of all income in 2011, up from 21.3% in 2010.

Urban residents took the biggest hit to income. Households in principal cities saw their inflation-adjusted income decline by 3.7% in 2011, versus a 2.2% decline for those living in metropolitan areas (including both cities and suburbs). Incomes for those living outside of metropolitan areas were broadly flat. But

Taxpayers’ $182B TARP bailout of AIG Now Fully Recovered

As the president and others – nonpartisan and partisan alike – have noted, BIG BUSINESS should NOT need a bailout. They should be operated in such a manner as to allow the Free Market to decide how, to what extent, and if they prosper. As part of that process, ironclad and strong regulation to prevent fraud and abuse should be vigorously enforced. And chief executives

Is Obamacare a Government Takeover of Medicine?

The truth speaks for itself.—

Carolyn McClanahan, Contributor

Physician/Financial Planner. I discuss all things money and medicine.

8/28/2012 @ 10:32PM

The purpose of this blog is to educate non-policy wonks on the content of the Affordable Care Act, discuss the practical logistics of how the law will be implemented, and share my perspective on potential “good” and “bad” of the law. The law is far from perfect, but it is the most significant attempt our country has ever made at reforming our costly and inefficient health care system. In case you are a reader who thinks the entire law is “bad,” I implore you to learn about the ten sections of the law in this previous post.

In addition to speaking gigs, I also do “talk radio” about once a month. The questions I’m asked give some indication of where education on the ACA is lacking. One refrain I’ve heard over and over is that Obamacare is a “government takeover” of medicine. This post explores that concept.

“Government takeover” fears seem to take on several different variations.

• Medicine will be a government run entity – doctors will be employed by the government and care will be paid for by the government.

• All of the doctors will be employed by the government, but insurance companies will still exist.

• The government will dictate what doctors can and cannot do.

• The government will make it so onerous to practice medicine that everyone will quit.

• If the government has one iota of involvement in any form, it is a government takeover.

So what really happens with the Affordable Care Act?

Today Mitt Romney spoke out of the _?_ side of his mouth, and said:

“And you know what he did with it? He’s used it to pay for Obamacare, a risky, unproven, federal takeover of health care.” –Mitt Romney

Government estimates say that more than 6,000 jobs statewide and 20 percent of Iowa‘s electricity needs come from wind power, and the state’s senior GOP leaders all support renewing an extension of a wind tax credit that Romney opposes.

Romney’s campaign did not respond to repeated quests for his position on the other portions of the bill, which includes items such as a tax break for developers of NASCAR facilities and purchasers of electric motorcycles.

—
http://www.businessweek.com/ap/2012-08-14/gop-ticket-faces-growing-pains-as-dems-attack
—

FACT: The Congressional Budget Office (CBO) has determined that the Patient Protection and Affordable Care Act is fully paid for,

Research shows new residential constructions burn faster, but states refuse to require sprinkler systems.

Nozzle Team Attacking on Knees – Photo ©2009, by SouthernBreeze, All Rights Reserved

How does one spell stupid?

Stoopid.

Stewpid.

Stupid.

Now, here’s a thought: What if the mortgage agencies REQUIRED sprinklers in all new construction? That way, they’d completely sidestep the obstinately stupid legislators. Besides, it’d be a way they could protect their investment.

Further, legislators’ assertions  are completely opposite the economic claims they make on other issues. That is, that as the availability of a product increases, the price decreases. So rather than being more expensive, the installation of residential sprinklers would be less expensive because there would be more of them, more competition, more private enterprises arising to meet the need, more jobs, etc.

Honestly, it just seems that, as a rule, Republicans just don’t get it.

—

New homes burn faster, but states resist sprinklers

1:01am EDT

By Melanie Hicken

NEW YORK (Reuters) – In Scottsdale, Arizona, any new home must come equipped with fire sprinklers, a decades-old rule lauded by fire safety advocates nationwide. But 12 miles away in Phoenix, city officials are not even allowed to discuss adopting a requirement like Scottsdale’s, because of a state law passed last year.

The same is true in Texas, Alabama, Kansas and Hawaii, where in the past four years state governments have enacted bills forbidding cities and towns from requiring sprinklers in new homes. A dozen have forbidden statewide building code councils from including the requirement in their guidelines.

Advocates — including firefighters, fire safety groups and the sprinkler industry — say

Something Stinks in Denmark: “TOO BIG TO FAIL,” Bank Corruption, LIBOR, and the Federal Reserve

No… no… no…

Banks don’t need to be regulated.

They’re doing quite fine with all the money they’ve stolen from you already.

No, they don’t need regulation.

And no, we don’t need to re-enact the Glass-Steagall Act – the federal law that kept Wall Street Brokerage Houses, Insurance Companies, and Banks separate and out of each other’s business. Right now, as things stand with them, they’re enjoying an incestuous fiscal orgy. And that’s good. We need more incest. We need more orgies. They’re all good. In fact, the more mammon… er, money you have, the more holy you are, the more the Almighty has blessed you – and not someone else (those lazy slobs who don’t deserve anything). {/sarcasm}

But there’s really no reason to worry… the banks will get what’s comin’ to ’em – and the ‘what’ is NOT your money. They have that already.

Come a-courtin’ time (that’d be in the court room), the Banksters be ruled against in a BIG way.

Just wait.

It’s coming.

Next thing you’ll hear in the news are the BIG BANKSTERS wanting legal protection from Congress for the wrongdoing they’ve done.

Just wait.

—

Losing With LIBOR: One Trader’s Story

by David Kestenbaum

Listen to the Story All Things Considered [3 min 18 sec] Download

We’ve been talking a lot lately about what’s been dubbed the “LIBOR rate fixing scandal,” where some of the biggest banks in the world have been accused of manipulating a key global interest rate.

London-based Barclays Bank agreed to pay a $453 million fine over charges it manipulated the London Interbank Offered Rate — LIBOR — a key global interest rate. Oli Scarff/Getty Images

If those words — “manipulation of a key interest rate” — leave you wondering what the big deal is, and who would be harmed, meet Dan Sullivan. He says the manipulation of LIBOR cost him a million dollars, in just 24 hours.

Dan Sullivan used to work

“TOO BIG TO FAIL” is just BIG enough to rob you blind: How Goldman Sachs robbed an American entrepreneur of $580 Million, and screwed over the American economy in the process

Honestly (and some use that word lightly), is there any reason why Banks should NOT be heavily regulated?

Is there any reason why Stock Brokerage Houses should not be similarly heavily regulated?

Is there any legitimate reason why Insurance Companies should not be regulated?

Finally, is there any compelling reason why those BIG THREE financial businesses should be allowed to be in each other’s business?

Why do people NOT see these horrible things?

Where is the disconnect that they’re not able to put 1 + 1 together and come up with 2?

This is FRAUD – FRAUD – FRAUD!!!

And we’re just gonna’ let it slide by?

Please!

—

July 14, 2012

Goldman Sachs and the $580 Million Black Hole

By LOREN FELDMAN

THE business deal from hell began to crumble even before the Champagne corks were popped.

The deal, the $580 million sale of a highflying technology company, Dragon Systems, had just been approved by its board and congratulations were being exchanged. But even then, at that moment of celebration, there was a sense that something was amiss.

The chief executive of Dragon had received a congratulatory bottle from the investment bankers representing the acquiring company, a Belgian competitor called Lernout & Hauspie. But he hadn’t heard from Dragon’s own bankers at Goldman Sachs.

Janet and Jim Baker at home. They are fighting Goldman Sachs over its work in 2000 on the all-stock sale of their business, Dragon Systems, to a company that later collapsed, leaving them shut out. / Photo: Gretchen Ertl for The New York Times

“I still have not received anything from Goldman,” the executive wrote in an e-mail to the other bank. “Do they know something I should know?”

More than a decade later, that question is still reverberating in a brutal legal battle between Goldman and the founders of Dragon Systems — along with a host of other questions that go to the heart of how financial giants like Goldman operate and what exactly they owe their clients.

James and Janet Baker spent nearly two decades building Dragon, a voice technology company, into a successful, multimillion-dollar enterprise. It was, they say, their “third child.” So in late 1999, when offers to buy Dragon began rolling in, the couple made what seemed a smart decision: they turned to Goldman Sachs for advice. And why not? Goldman, after all, was the leading dealmaker on Wall Street. The Bakers wanted the best.

This, of course, was before the scandals of the subprime mortgage era. It was before the bailouts, before Occupy Wall Street, before ordinary Americans began complaining about “banksters” and “muppets” and “the vampire squid.” In short, before Goldman Sachs became, for many, synonymous with Wall Street greed.

And yet, even today what happened next to the Bakers seems remarkable. With Goldman Sachs on the job, the corporate takeover of Dragon Systems in an all-stock deal went terribly wrong. Goldman collected millions of dollars in fees — and the Bakers lost everything when

Americans Love/Hate “ObamaCare”

Does that surprise anyone?

People don’t like being told what to do.

They naturally buck against any system – no matter who or what – that tells them what to do, or how to do it. And yet, we know that civil society abides by rules and regulation which govern every aspect of our lives from the cradle to the grave. We must abide by rules as we grow. In fact, we’re introduced to regulation and rules by our parents who punish us when we disobey them. To hear “NO! Don’t do this, do that this way,” are all common in childhood.

But hopefully, we outgrow childhood and transition through that elongated period of pseudo-adulthood called the “teenage years,” and successfully become responsible adults, and abide by laws, rules, regulations galore… ranging from civic laws, to employer policy, procedure and more. And then, we make more laws, rules, regulations, policy and procedures. It’s a never-ending cycle.

The gist of all, is that by following rules and regulations, we demonstrate personal responsibility, and accountability to others. And rarely is that ever an impediment to progress, or a harm to our neighbor.

So naturally, when we hear or see of someone having a knee-jerk reaction to anything, we can almost immediately discount most – if not all – of what they say, simply because of their radical overreaction. And so it is with the Patient Protection and Affordable Care Act (PPACA), which is often misnomered as “ObamaCare.”

The PPACA actually contains more policy and regulation of Big Health Insurance companies‘ egregious practices than it does anything else.

For example,

• It is now illegal for Health Insurance Companies (HICs) to deny coverage based upon “pre-existing conditions” for children and adults.

• It is now illegal for HICs to charge women more for health insurance than they do men.

• It is now illegal for HICs to refuse payment for services rendered by physicians, hospitals or pharmacies simply because the insured person inadvertently forgot to dot an “i” or cross a “t” on an application.

• It is now illegal for HICs to use the majority of healthcare insurance premiums to pay for overhead expenses including executive compensation, stockholder payout, overhead office expenses, advertising, or any other expense UNRELATED to the delivery of healthcare. Now, they must use 80% of premiums to pay for healthcare.

• It is now illegal to deny family coverage for a child simply once they reached aged 18. HICs are now required to continue coverage to children up to age 26 if they are still enrolled in school.

Page 6 from “Assuring Affordable Healthcare for All Americans,” by Stuart M. Butler, Ph.D., The Heritage Foundation, 1989, ISSN 0272-1155

 

—

Most Americans oppose health law but like provisions

(Reuters) – Most Americans oppose President Barack Obama’s healthcare reform even though they strongly support most of its provisions, a Reuters/Ipsos poll showed on Sunday, with the Supreme Court set to rule within days on whether the law should stand.

Fifty-six percent of people are

Health Insurance Rebates – i.e. overcharges you paid for Health Insurance Premiums – on their way back into your wallet, thanks to “ObamaCare”!

A HUGE aspect of “ObamaCare” deals with regulating Health Insurance companies, and one aspect of that business regulation REQUIRES them to use 80% of the premiums for Health Insurance on… HEALTH! Not overhead expenses, not executive compensation, not stockholder payout, not office expenses, not advertising… but HEALTH!

What a novel idea, eh?

As a result, folks are now discovering just how much they’ve been screwed over by Insurance companies.

Remember… those folks DO NOT LOVE YOU.

They LOVE MONEY, and they want yours.

So, they play to your emotions by showing kitty cats, puppy dogs, babies, children, grandma and happy folks as seen through rose-colored glasses & soft-focus filters.

And then, you fall for their seductive pictures.

Once they have their meat-hooks in your wallet, you’re a goner.

Pure & simple.

—

U.S. health insurers to pay $1.1 billion in rebates: HHS

By David Morgan

WASHINGTON | Thu Jun 21, 2012 3:26pm EDT

(Reuters) – U.S. health insurance companies are due to pay out $1.1 billion in rebates to employers and individuals this summer, under a new industry regulation imposed by President Barack Obama’s health care law, the administration said on Thursday.

But whether the rebates actually reach those recipients depends on if the U.S. Supreme Court strikes down the 2010 Patient Protection and Affordable Care Act in a ruling expected by the end of next week, experts said.

Twenty-six U.S. states have asked the high court to

“Will that be cash, or charge?”: Many hospitals & doctors offer cash discount for care

Regular readers will recall the entry entitled “Q: Why do hospitals charge $75 for aspirin? A: Because they can.,” which was posted Wednesday, May 2, 2012.

In another venue, I had posted the following remark in response to the exorbitant healthcare costs, “It’s a simple concept, really. Anytime anyone gets in between you & who you’re buying from, it costs more. Insurance does that.”

And it’s true.

It’s not trite.

Let’s consider this example: You’re at the grocery store in the check-out line, about to pay for your groceries which have already been bagged and placed in your shopping cart. When the clerk announces the total, you have some strange feeling because the total is about ten times as much as you imagined.

When you double check the price of milk you find the sticker says $2.50/gallon, but your clerk rang up $25. You double check the price of frozen spinach. The sticker price says $1.37, but the clerk rang up $13.70. The chocolate was $4.50, but the clerk rang up $45.00. And the lean ground beef, instead of the posted $2.60/lb, the 5lb chub was… $130.00.

Talk about sticker shock!

You are aghast at the price, and in frustrated terms exclaim that “there is obviously some gross mistake!” – to which the clerk replies, “Let me check with your Food Insurance Agent,” picks up a phone beside the register, presses one button, and whispers into the receiver. 

Suddenly, out of a door leading to an inside office,

THE SKY IS FALLING! THE SKY IS FALLING! Or… maybe not.

Believe it or else, there were opponents to air bags, seat belts and child safety restraints.

Some time, someone will oppose everything… even vanilla ice cream and Mother’s Day.

There are, I suppose, several ways to consider the following.

One could presume the psychotic Chicken Little, paranoid delusional “the-sky-is-falling” approach, or, one could suppose the device is only an extension of someone who cannot tell a lie… or, at least is very difficult to deliberately fabricate falsehood.

And then, there’s something in the middle.

I would imagine that’s where the truth resides.
—

A Black Box in Your Car?

By Sam Favate, April 23, 2012, 1:40 PM

If you thought having EZ Pass in your car would make it too easy for the government to track you, you ain’t seen nothing yet.

The Senate passed a bill in March that calls for “mandatory event data recorders” (or black boxes) to be installed in all new passenger motor vehicles, starting with the 2015 models, and which would record data before, during or after a crash, according to KurzweilAI.net.

The bill, which can be seen here, has a privacy provision but gives the government the authority to access the black box in a number of circumstances, including court order, consent of the owner, an investigation or inspection, or to determine the need for emergency responses.

The same bill would allow the IRS to

Healthcare Insurance policy holders to get rebate in FL

Thanks to “ObamaCare,” which requires health insurance companies to spend 80% of health insurance premiums on actual healthcare, instead of CEO compensation, stockholder payout, advertising, overhead, and other non-healthcare delivery, Floridians will be receiving a rebate from the money they were overcharged.

Thanks, President Obama!

—

Florida health insurers to rebate estimated $113 M

Consumers with individual policies may get $143 to $949 each

April 13, 2012|By Bob LaMendola, Sun Sentinel

Floridians who buy health insurance without the help of an employer can expect estimated rebates of $143 to $949 in August because of the federal health care overhaul.

About 157,000 individuals and families qualify. In addition, an estimated $65 million in health insurance rebates are in line to be split among workers covered at 352,000 small businesses, the Sun Sentinel found by analyzing reports filed this month by 15 of the largest insurers in Florida.

Don’t expect cash back if you get health coverage from an employer of more than 50 workers. Few of their insurers will owe rebates, and many companies are self-insured and not affected by the health law, insurance experts said.

“This is important for consumers,” said Richard Polangin, health care policy coordinator with the advocacy organization Florida Public Interest Research Group. “They already pay extremely high prices for health insurance.”

Individuals don’t need to do a thing to obtain their money. Insurers must notify them by Aug. 1 if they are due a refund and pay that month.

The rebates

SCOTUS, PPACA & American Healthcare: Links from Days 1 & 2

Naysayers, conservative political pundits and Obama “haters” of all stripe – Radical Republicans, TEA Partiers, White Supremacists, Neo Nazis, et al – have vilified and unified against already-enacted federal legislation that foremost, regulates practices by the Health Insurance industry, such as denial of coverage for children born with certain health conditions, denial of coverage for women with breast cancer, cancelling coverage in the midst of medical treatment, exorbitantly raising premium rates without actuarial justification, denying payment for covered services deemed medically necessary and rendered by qualified physicians or others, and more.

Such practices have been rightly demonized and justly described as onerous by almost everyone, even by the most staunch conservatives. So it remains a great mystery why so many are seemingly straining against what they denigrate as “ObamaCare.”

At least two elements of the law – the so-called

Making Health Insurance Obsolete

Make no mistake about it, insurance companies exist to make money.

Regardless of their commercials, they neither care for you, grandma, babies, or puppy dogs… much less love you.

They love money.

In addition to raising premiums, one of the ways they make money is by not paying claims. And I mean to refer to them not paying legitimate claims by weaseling and fenagling out of paying claims such as by denying “pre-existing conditions,” or by making ludicrously asinine assertions, such as “you forgot to fill in line 39,” or something like “we didn’t receive your premium on time,” or something even worse – such as “we don’t insure on Thursdays from noon to 1:30PM.”

If money is a tool which can and ought to be used for the things it can do, then why is it important to maintain a hoard of of it? Tools are utilitarian things, which derive their exclusive value precisely because they are used, not capable of being used. Similarly, money only has value because it is a tool as a medium of exchange.

Insurance, like any other pecuniary enterprise, ought to be regulated precisely because of the risk for fraud is greater than in other businesses. That is, by nature it is more susceptible to deception. Deception in pecuniary enterprise is also known as “theft.”

Nevertheless…

Be certain you read on to learn

How a $1,000 test could destroy the health-insurance industry

Newt Gingrich supported Obamacare before he didn’t support Obamacare

Colloquially, of course, such behavior could be described as either ‘schizophrenic,’ ‘conflicted,’ ‘incompatible,’ or ‘contradictory’.

None of those terms are positive or encouraging. And certainly, none are like the sound of

Ending Obamacare

Among conservatives, there’s little argument that Obamacare should be abolished. ‘It’s time to get government out of our lives,’ they say.

They make many very valid points. Those same folks have expressed concerns that instead,

Rand Paul, Conscription, Slavery, & Health Insurance Reform

Recently, U.S. Senator Rand Paul, a “TEA Party” Republican from Kentucky, and ophthalmologist specializing in cataract and glaucoma surgeries, LASIK procedures, and corneal transplants, was quoted as saying that “a right to healthcare… means you believe in slavery.”

Dr. Paul is the ranking member of the Senate HELP Subcommittee on Primary Health and Aging subcommittee, and made his comments at a Wednesday, May 11, 2011 hearing about emergency room use in American hospitals.

He said that, “With regard to the idea whether or not you have a right to health care you have to realize what that implies. I am a physician. You have a right to

Healthcare Reform Addresses Rising Health Care Costs

“Healthcare reform is going to happen because it has to. We cannot, as a country, continue to absorb cost increases in healthcare.”
– Cullman (AL) Regional Medical Center CEO, Jim Weidner, Thursday, 24 February, 2011 in his “State of the Hospital” address

The CEO’s address was encouraging, not the least reasons of which were that

Congress Passes Socialized Medicine and Mandates Health Insurance

Does history repeat itself?

Before this article was published, I was engaged in conversation with a friend on a subject wholly unrelated to this topic. As I listened to him he remarked, “Heck, when you join the Army, if your teeth need fixing, they’ll fix ’em. If you need glasses, they’ll put glasses on you. If you need any kind of healthcare, they’ll fix you up. The reason the Army provides healthcare is because they understand they’ll get a better quality soldier.”

Interestingly, neither my friend nor his family have a military background.

By extension, I wonder… how much more productive could the American worker be if they didn’t have to be concerned about their and their family’s health and healthcare? And then, if we completely ignore “lifestyle” related health issues. i.e., those associated with smoking or obesity, there are other chronic conditions, including heart disease, hypertension, COPD, etc., that significantly adversely affect the lives of families.

Congress Passes Socialized Medicine and Mandates Health Insurance -In 1798
Jan. 17 2011 – 9:08 pm

Rick Ungar
The Policy Page

http://blogs.forbes.com/rickungar/2011/01/17/congress-passes-socialized-medicine-and-mandates-health-insurance-in-1798/

The ink was barely dry on the PPACA when the first of many lawsuits to block the mandated health insurance provisions of the law was filed in a Florida District Court.

The pleadings, in part, read –

“The Constitution nowhere authorizes the United States to mandate, either directly or under threat of penalty, that all citizens and legal residents have qualifying health care coverage.”

State of Florida, et al. vs. HHS – http://www.scribd.com/doc/39344827/State-of-Florida-v-United-States-Dept-of-HHS –

It turns out, the Founding Fathers would beg to disagree.

In July of 1798, Congress passed – and President John Adams signed