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“OBAMA SCARE”, Affordable Care Act or ACA?

 “OBAMA SCARE”, Affordable Care Act or ACA? 

 

I have ordered the book noted at the end of this message and I hope everyone who votes will read the entire book.

C Brewer

Here is how complete implementation will affect the average American taxpayer, those who have not been exempted from it already by the President.  Answer’s are complex and depend on who you are – a college student, senior on Medicare, uninsured, self-employed, has a pre-existing health condition or get insurance through your employer.

One thing is certain: Obama Care will restructure the way healthcare is delivered in significant ways we will all feel. Regardless of your political views – whether you like what the law sets out to do or believe it is the wrong way to go – change is coming your way.

In fact, it’s already begun with many provisions already in place, or soon to roll out, in the following five key ways that will alter healthcare for Americans. Facts are facts

1. Medicare Changes

The presidential campaign has turned Medicare into a political football, with Democrats and Republicans. Each side is accusing the other side of seeking to cut or gut the federal government’s health insurance program for Americans age 65 and older and the disabled.

Under Obamacare, Medicare reductions would add up to $716 billion in 10 years, according to the nonpartisan Congressional Budget Office. (Interestingly, that figure is identical to Paul Ryan’s 2013 budget proposal. Healthcare experts believe those reductions will largely leave Medicare unchanged for Americans 55 and older. But the real changes come in 2022. Predictably perhaps, Republicans and Democrats have different ideas about how to preserve Medicare down the road.)

Those reductions in reimbursement to hospitals, insurers and the Medicare Advantage program (by about $68 less per month, according to the Congressional Budget Office) could lead to cuts in benefits and services for some seniors, even though Obama Care does not specify what they might be.

Medicare changes also close the so-called “donut hole” in drug coverage, giving seniors a break on their out-of-pocket costs for medications. But other changes could occur to Medicare as a result of the new healthcare law that could affect their care and costs.

For instance, higher-income earners — individuals earning $85,000 or higher, couples exceeding $170,000 — will receive reduced subsidies to pay for drugs. Obama Care also raises Medicaid payment rates to primary care doctors to Medicare levels in 2014, which some argue could dilute or compromise the level of care given seniors.

Obama Care also creates a panel of experts, known as the Independent Payment Advisory Board, empowered to force Medicare cuts if costs rise beyond certain levels and Congress fails to act. Although the law explicitly prohibits the board from rationing care, shifting costs to retirees, restricting benefits or increasing the Medicare eligibility age, critics believe the IPAB could recommend changes that could lead to rationing.

The board has yet to be named, and its members would ultimately have to be confirmed by the Senate.

2. Price Controls

Will Obama Care limit soaring health costs for healthcare for most Americans? It’s too early to say for sure. But it seems unlikely, at least in the short run.

Obama Care aims to cover uninsured Americans by expanding Medicaid and the “individual mandate” requiring everyone to have insurance or pay a tax. Those moves could hold down healthcare costs over time because many of the 37 million uninsured Americans seek care through hospital Emergency Rooms for dire problems that are more costly to treat, than prevent or manage (such as heart attacks, infections and complications from chronic conditions).

Costs are now borne by taxpayers and people with insurance.

Obama Care proponents have argued people who have insurance are more likely to work with their doctors to manage chronic conditions – such as diabetes, heart disease and cancer – in ways that are less expensive, up front, than hospital care and may help head off serious problems down the road.

But since the law’s signing in 2010, costs and premiums have been increasing. According to the non-partisan Health Care Cost Institute, U.S. healthcare spending grew at a faster pace last year than in the previous two years, when increases in costs actually slowed.

Health insurers have also projected premiums will continue to rise – at least 2-3 percent per year– and nothing in the law bars insurance companies from passing along those increases to policy holders.

But the true acid test may be found in Massachusetts. Under the Romney Care plan, the template for Obama Care, signed into law in 2006, the number of uninsured residents dropped to the lowest level in the country (3 percent), but insurance premiums have risen to the highest cost of any state in the nation for a family of four, according to the Commonwealth Fund. Ooops! 

3. Doctor Practices

One unanswered question about Obama Care that could affect consumers: Will the law drive changes in doctor practices that could worsen physician shortages?

Polls of doctors suggest the answer may be yes. A survey of 2,400 physicians conducted in 2010 for the Physicians Foundation found 40 percent would “retire, seek a non-clinical job in health care or seek a job unrelated to health care” during the next three years. Investor’s Business Daily predicted as many as 360,000 physicians could leave the profession, based on a 2009 forecast survey of 1,300 doctors.

ACA supporters have argued the survey is not a true measurement of physician sentiment, since it came at the height of national debate over Obama Care.

But the truth is no one can predict how the medical profession may respond to the coming changes. One thing is clear, however: the nation is already experiencing a doctor shortage; with the Associate of American Medical Colleges estimating by 2015 the nation will need 60,000 more doctors than the U.S. is expected to have. Adding another 37 million uninsured Americans to insurance rolls and Medicaid, as Obama Care aims to do, is likely to add to the problems caused by existing doctor shortages.

4. Unwritten Provisions

Some impacts of the new law are unpredictable simply because many provisions have yet to be written and Congress must still authorize funding for some of them.

For instance, federal health officials (Health & Human Services – HHS) have yet to identify “essential health benefits” that insurers will be required to provide. Although experts expect those benefits will be comparable to what is now offered through typical employer-based health plans (that now cover about 150 million Americans), the details have not been determined. It’s also unclear how effectively the states – or federal government – will be in expanding Medicaid and creating new “healthcare exchanges” designed to allow millions to purchase affordable, high-quality individual plans.

As we saw with the controversy over just one early provision of Obama Care — the question of insurance coverage for contraception, which the Catholic Church and others vehemently opposed — many similarly contentious measures may be similarly difficult to resolve and implement.

5. Independent Payment Advisory Board

One controversial aspect of Obama Care involves the creation of a presidential commission called the Independent Payment Advisory Board (IPAB). This board of 15 experts – chosen by the president and approved by the Senate – will be empowered to cut Medicare spending and make other healthcare decisions independently, unless counteracted by a three-fifths “super-majority” vote in Congress.

The driving idea behind the IPAB’s creation is that the board would be able to make tough budgetary decisions that might be politically difficult for Congress or the president to implement (such as additional Medicare reductions).But because the IPAB won’t be elected, critics argue the board could wield enormous powers and increase government control over of the nation’s health care system.

As is true with many aspects of Obama Care, the devil will be in the details of the law’s implementation. And, like the IPAB itself, Obama Care is very much a work in progress.

The true test of the law’s viability will likely come in 2014, when Obama Care’s most significant and costly provisions are implemented – including the individual mandate that all Americans have insurance, the expansion of Medicaid and the creation of the new state “healthcare exchanges” designed to give individuals without insurance through their employers or government programs the ability to choose affordable insurance plans with guaranteed “essential health benefits.”

These facts are presented by Nick Tate who is the author of the Obama Care Survival Guide: The Affordable Care Act and What it Means for You and Your Healthcare,” published by Humanix Books.

Thanks Ron, I hope this awakens enough people to stop this train wreck.    C Brewer

GASOLINE PRICE INCREASES-WHY?

 

 Regardless of how President Obama and his “Progressive” democrats, tree hugging lunatics, GE, Bill O’Reilly and the main stream media misinform you, the major oil companies have never been the reason for increased prices of gasoline. For purposes to identify this misguided group I will refer to them as “Obama’s Weirdo’s”. 

Price controls that this group always threatens to use, will not have any effect to lower what you pay for gasoline. If anything, it could cause the price to go higher.

To explain all of the reasons affecting the price of crude oil would end up being a book. OPEC alone could have a million reasons that would cause wild increases. With lunatics like Chavez, Qaddafi and Ahmadinejad impacting prices, they can shut down production if they wake up with a toothache. In my opinion the manipulators like George Soros and the arbiters who speculate in the futures market are the primary reason for most increases we had seen over time. These are the same people who make sure “Obama’s Weirdo’s” are funded to keep you excited. If you have time to read the millions of pages of events over the past forty years you would agree. Prove me wrong with facts, if you have the time, and I will apologize.  

The tree huggers would outlaw all gasoline using products and use oil to make plastic toilet paper. We would revert back to the horse and buggy for transportation. Airplanes and trains would be eliminated. Can you imagine the piles of horse crap that would pile up on a transcontinental trip?

Progressives have been screaming for 40 years for raising gas prices like they have had in Europe. They want the extra money to spread the wealth with welfare. Recently they are pushing for a Value Added Tax (VAT) like Europe, again to have more money to redistribute the wealth. Every idea they come up with punishes the people they have brain washed with money to not work, the poor.

Only one person on earth can stop the recurring oil price madness. Who can stop it in 24 hours, the President of the United States of America? Bush did it. Will Obama use this power, no he just keep blaming anyone he can. He stood up in front of America last Friday and lied to the people is why I make this statement. He told the American people that American oil reserves are not adequate to reduce our dependence on foreign oil. He stated that we have only two percent of the world’s oil reserves. Both of these statements are outright lies.  He stated that domestic oil production in 2010 was at its highest point in seven years which is misleading. Ten years ago our oil production was ten percent more than in 2010. In 1970 it was double what was produced in 2010. It has steadily decreased over the past forty years because drilling has been regulated and controlled by the “Weirdo’s” under most Presidents since Carter.

In 2009 the non partisan Congressional Research Service (SRS) reported that the U.S. supply of recoverable oil to be 167 billion barrels. This would allow us to have more than 75 years of not buying any oil from foreign sources like OPEC. That does not include the natural gas and coal reserves. SRS reported that when you add these other two resources we have the equivalent of 1.3 trillion barrels of oil.

In addition the U.S. Geological Survey announced that the Arctic areas of Alaska and offshore has about 90 billion barrels of oil. That alone is more than Nigeria, Kazakhstan, and Mexico combined.

If you seek the truth, ever since Obama was elected, there has been a constant pressure to impede more drilling. His success has been to make Americans more dependent on foreign oil and share more of our wealth with OPEC lunatics.

I have visited the Middle East and North Africa in my travels, working in the petroleum industry. Let me warn you about another asset they have a world class quantity of readily available. Should science ever find a way that will demand buying sand for America to survive, we are in real trouble. I can visualize it now, it will be known as the Organization of Sand Exporting Countries, OSEC.

Obama can force the price of oil to drop tomorrow with one simple announcement, “All regulations and barriers on domestic oil drilling have been eliminated effective today”.

For Tadpole and the rest of American’s who care, it’s your time, stand up and demand that the President and Congress act or just get out of the way.

C Brewer   

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    Mar 22, 2011 @ 16:47:31 [Edit]

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    • cbeck75948
      Mar 22, 2011 @ 21:35:12 [Edit]

      I spent 15 years traveling the world in the petroleum inductry. Chaired ANSI/ASME committee on offshore safety valves for a few years. I am nearing 81 and I read at least four hours a day on topics in the news. I do not watch the so called main stream media even give the weather as they can’t even do the weathers without an Al Gore/Michael Moore slant. I love this country and hope it stays togrether for my grandkids. C Brewer

      Reply

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