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?!

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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

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,

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

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.

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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

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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?

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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

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

Alabama’s Certificate Of Need Law Harms Patients & Increases Healthcare Costs

Ever wonder why healthcare costs are sky high?

Part of the reason is that in Alabama – as in other states – healthcare providers cannot independently decide to open up a hospital without government approval.

And no… it’s NOT “ObamaCare.”

“It’s expensive to navigate the

Alabama Certificate Of Need process,

but both sides said

it is best for their patients that

they continue this fight.”

http://www.timesdaily.com/news/local/article_0019919e-f285-11e2-b089-10604b9f6eda.html

Yes, it’s EXPENSIVE, but REALLY?
It’s better to FIGHT than HEAL?
You’re scheduled for surgery, and you want your surgical team to “continue this fight” instead of attending to your healthcare needs?

Such a remark… is not worthy of further comment.
However, I will address the matter of Alabama’s Certificate Of Need Law.

Most folks are not aware of the complexities of this matter, much less the hows & whys of

Radical Republicans, TEApublicans and other Governmental Deconstructionists

“Audits, liens, garnishments: the Internal Revenue Service (IRS) goes to amazing lengths to ensure you comply with your taxes but what happens when they turn that energy to making sure you also comply with their political agenda? As recent scandals have shown, that’s exactly what they are doing! Our response: its time we abolished the IRS.

“The IRS has admitted to unfairly targeting conservatives, hassling adoptive parents, throwing lavish conferences, attempting to censor pro-life groups and has leaked confidential tax information for political ends — and this is the agency we are going to trust with enforcing Obamacare?”

Tear it down.

Break it up.

Destroy it.

Kill it.

We hate it.

That’s the message of the modern Republican party.

We hate you.

We love BIG BUSINESS.

We think you ought to believe the way we do, think the way we do, act the way we do.

Be different!

Join the crowd!

Yes, the irony is abundant.

The message quoted above is a direct e-mail message from

How much does Huntsville Hospital charge for procedures? You’d be surprised!

Thanks to a newly introduced aspect of ObamaCare, hospitals are now mandated to publicly show how much they charge for procedures.

Aren’t you glad?

I mean really… who goes to a grocery store or gas station and doesn’t know how much they’ll pay?

Part of market-based competition includes

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

GOP Governors Deny Healthcare to their Poor Citizens

GOP Governors Deny The Poor Health Care In Opposing Obamacare‘s Medicaid Expansion

December 28, 2012

Posted: 12/28/2012 8:44 am EST | Updated: 12/28/2012 12:18 pm EST

Texas Gov. Rick Perry, right, and Louisiana Gov. Bobby Jindal in De Witt, Iowa, Tuesday, Dec. 20, 2011. Both Republican governors — along with those in Oklahoma, Alabama, Mississippi, Georgia, South Carolina, South Dakota and Maine — have rejected an expansion of Medicaid in their states. (AP Photo/Chris Carlson)

RUSTON, La. — With no health insurance and not enough money for a doctor, Laura Johnson is long accustomed to treating her ailments with a self-written prescription: home remedies, prayer and denial.

Over decades, she made her living assisting elderly people in nursing homes in jobs that paid just above minimum wage and included no health benefits. So even as her feet swelled to such an extent that she could no longer stuff them into her shoes, and even as nausea, headaches and dizziness plagued her, she reached for the aspirin bottle or made do with a teaspoon of vinegar. She propped her feet up on pillows and hoped for relief.

“Before I got sick,” she said, “I hadn’t been to the doctor in 20 years.”

After she collapsed last year and landed in in a local emergency room, doctors diagnosed her with congestive heart failure, high blood pressure and hypothyroid. They ordered her not to work. She arranged a Social Security disability benefit, and she enrolled in Medicaid, the government-furnished insurance program for the poor. She used her Medicaid card to secure needed prescription medications. Her ailments stabilized.

But this year, the state determined that the $819 a month she draws in disability payments exceed the allowable limit. By the federal government’s reckoning, her $9,800 annual income made her officially poor. But under the standards set by Louisiana, she was too well off to receive Medicaid.

This is how Johnson, 57, finds herself back amid the roughly 49 million Americans who lack health insurance. This is why she must again reach into her pocket to secure her prescription drugs, a supply that runs about $200 a month. That sum is beyond her, so she has gone more than four months without taking her pills on a regular basis. Once again, her feet are swelling and her chest is filling with fluid. Once again, she is confronted with the realization that a lifetime of labor does not entitle her to see a doctor any more than it enables her to gain crucial medications.

“It just doesn’t seem right to me,” she said. “It just doesn’t seem fair.”

Johnson is precisely the sort of person who is supposed 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.

 

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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

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

Wall Street Journal on @MittRomney policy plan & R’ObamaCare Mitt-Flop

Do tell.

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WSJ chides Romney for too few policy details

By MAGGIE HABERMAN|

9/10/12 10:11 PM EDT

The WSJ editorial page weighs in on Mitt Romney‘s Obamacare response on Meet the Press, and the subsequent clean-up:

When Mitt Romney ventures into health care, political trouble usually follows. So it went this weekend, as the GOP standard-bearer made his own policy sound worse than it is.

On NBC’s “Meet the Press,” the Republican was asked what he would do about people with pre-existing medical conditions who would supposedly “no longer be guaranteed health care” if he repeals the Affordable Care Act. “I say we’re going to replace ObamaCare,” Mr. Romney replied. “And I’m replacing it with my own plan,” without defining the substance of his own agenda.

When pressed, Mr. Romney said that “I’m not getting rid of all of health-care reform. (That would be the liberal euphemism for ObamaCare.) Of course, there are a number of things that I like in health-care reform

Paul Ryan is a lying hypocrite who requested ObamaCare money for his district.

Well, well, well…

Can you smell the hypocrisy cooking?

This is the kind of garbage commonly found in the GOP these days.

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Exclusive: Paul Ryan Quietly Requested Obamacare Cash

Lee Fang, September 5, 2012 – 1:35 PM ET

Investigating the intersection of politics, lobbying and public policy.

Republican vice-presidential candidate Paul Ryan is barnstorming the country, promising to repeal every provision of the Affordable Care Act if the Romney-Ryan ticket is elected. But a letter he wrote to the Obama administration may undermine this message.

On December 10, 2010, Ryan penned a letter to the Department of Health and Human Services to recommend a grant application for the Kenosha Community Health Center, Inc to develop a new facility in Racine, Wisconsin, an area within Ryan’s district. Ryan wrote, “The proposed new facility, the Belle City Neighborhood Health Center, will serve both the preventative and comprehensive primary healthcare needs of thousands of new patients of all ages who are currently without healthcare.”

Paul Ryan’s request for Obamacare funds

The grant Ryan requested was funded directly by the Affordable Care Act, better known simply as healthcare reform or Obamacare.

The letter, among several obtained by The Nation and The Investigative Fund through a Freedom of Information Act request, is a stark reminder that even the most ardent opponents of Obamacare privately acknowledge many of the law’s benefits.

Federally funded health clinics have long provided a broad range of vital medical, dental and mental health services to underprivileged communities across the country, regardless of a persons’ ability to pay. To meet the goal of expanding coverage, the Affordable Care Act provides for a sweeping expansion of such clinics, including $9.5 billion for operating costs to existing community health centers and $1.5 billion for new construction.

In public, Ryan has cultivated a profile as

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?

Paul Ryan Will Save Social Security & Medicare

NOT!

The original title of this entry was “Paul Ryan Contradicts Himself & Pimps his Mother.”

For behold, it’s a case of “The pot calls the kettle ‘black.'”

First, he is a career politician damning “this board of bureaucrats,” of which he is a founding, card-carrying member.

Paul Ryan has never held an honest, private sector job a day in his life (if you count driving the Oscar Meyer Weinermobile during summer in college), and has ONLY had political jobs since he first started working.

He has completely IGNORED the findings of the Congressional Budget Office, the Office of Management and Budget and the Governmental Accountability Office, all who have independently found that the Patient Protection and Affordable Care Act decrease the budget and has NOT taken ANY money from Medicare, Medicaid or the Social Security Trust Fund (SSTF).

You know the saying:

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

Nursing shortage could be compounded by faculty shortage

One of the inevitable consequences of an aging population is the loss of their significant contribution and influence upon society from myriad perspectives.

To account and plan for such inevitabilities is not simply wise, but rather, it is common sense and a hallmark of effective and competent management.

Having been warned of the potential for crisis, we would be wise to double down on solutions.

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Nursing Schools Brace For Faculty Shortage

by Sandy Hausman, WVTF

Listen to the Story Morning Edition; August 3, 2012; [4 min 16 sec] Download; 04:43 am

There have been lots of goodbye parties this year at the University of Virginia School of Nursing. So far, eleven professors have retired. That’s one-fourth of the faculty, and Dean Dorrie Fontaine is in no mood to celebrate.

Nursing students in a simulation lab at the University of Virginia School of Nursing. Photo by: Elizabeth Lee Cantrell/UVA School of Nursing

Over the next few years, the Affordable Care Act will probably boost demand for nurses to take care of the newly-insured, she says, “And I need faculty to teach the practitioners that are going to take care of these uninsured.”

In the last year, more than 76,000 qualified applicants were turned away, in large part because nursing schools didn’t have enough professors. Polly Bednash heads the American Association of Colleges of Nursing. She explains that nurses comprise the oldest workforce in the nation, and many of them kept working during the recession.

“They are going to leave in droves and are already leaving in some places where the economy is getting better,” she says.

Finding professors to

Republican Father of ObamaCare’s Individual Mandate Denies He Ever Created It

Liar.

Weasel.

Republican.

Can you smell the hypocrisy cooking?

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Column: Don’t blame Heritage for ObamaCare mandate

By Stuart Butler

Updated 2/6/2012 10:40 AM

Is the individual mandate at the heart of “ObamaCare” a conservative idea? Is it constitutional? And was it invented at The Heritage Foundation? In a word, no. {ed. note: That’s utter bullshit, which you’ll understand why as you read on.}

Stuart Butler, By Kate Patterson, USA TODAY (The liar looks happy as a lark, doesn’t he? Apparently, there’s no joy in Mudville.)

The U.S. Supreme Court will put the middle issue to rest. The answers to the first and last can come from me. After all, I headed Heritage’s health work for 30 years. And make no mistake: Heritage and I actively oppose the individual mandate, including in an amicus brief filed in the 11th Circuit Court of Appeals to the Supreme Court.

Nevertheless, the myth persists. ObamaCare “adopts the ‘individual mandate’ concept from the conservative Heritage Foundation,” Jonathan Alter wrote recently in The Washington Post. MSNBC’s Chris Matthews makes the same claim, asserting that Republican support of a mandate “has its roots in a proposal by the conservative Heritage Foundation.” Former House speaker Nancy Pelosi and others have made similar claims.

The confusion arises from the fact that 20 years ago, I held the view that

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

 

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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.

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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

MDs abandon Family Care, NPs step up to Care

A long-term trend in medicine in the United States has been that medical school students continue to abandon Family Care and Rural Practice.

The corollary trend among Advance Practice Nurses & Nurse Practitioners – many whom must also pass National Board Certifications in their area of practice – has been to fill the void formed in the delivery of healthcare by physician abandonment. Typically, the argument given for such abandonment is pecuniary. That is, by the time the medical student graduates from medical school & residency to assume full and independent practice, their debt load is not merely burdensome or impractical, but almost wholly impossible to repay.

More recently, however, medical schools and public health authorities have acknowledged the error of allowing that deterioration and abandonment to occur, and have begun to promote Primary & Family Care among medical schools and their students. Such strategies include not merely the promotion of community and the advantages of rural independent practice, but include full-ride scholarships while in medical school.

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Nurse practitioners look to fill gap with expected spike in demand for health services

By Sarah Kliff, Published: May 12

President Obama’s health-care law is expected to expand health insurance to 32 million Americans over the next decade. Health policy experts anticipate that

Soon, the USA will be only 30 years behind in healthcare

Unless one travels in medical or healthcare circles, it’s highly doubtful that ICD-9 codes mean anything.

Why?

ICD stands for International Classification of Diseases, or more accurately, International Statistical Classification of Diseases and Related Health Problems. But it’s known as ICD.

So what’s the “9” for?

It means it’s the 9th revision.

And what good is ICD-9?

It’s a means of tracking disease.

And, to put things in perspective, while the article below would tend to infer that a one year delay might be a bad thing, consider that the work upon ICD-10 has been ongoing since 1983, and was

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!

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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

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,

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

House Republicans move to repeal Obama health insurance reforms

The alternate title to this entry is rather lengthy.

“I’ll take ‘How to re-elect the President for $1000, Alex.'”

“Answer: House Republicans move to repeal Obama healthcare.”

But before we continue, enjoy a little-known presidential history fact:

Renown presidential historian Michael Beschloss appeared on an episode of The Comedy Channel’s “The Daily Show” with Jon Stewart,  shortly after the November 2010 General Election.

There were many Republicans seats gained in the House of Representatives, leading some pundits to question President Obama’s effectiveness after such a loss.

Mr. Beschloss remarked that “The three presidents in recent times who have had midterm loss like this have been Truman, Eisenhower, Bill Clinton. Every single one of them got reelected.”

Let’s examine elements of so-called “ObamaCare” they want to repeal.