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Congress Clears Historic Health Care Bill


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Yep, people are so fucking stupid.

 

A: the system is basically the same for most people, you don't go to a government run hospital or clinic like the VA.

B: It's still not free, but employers have to cover their employee's now, and those who can't afford it will get basic medicade coverage.

C: Illegal immigrants are not covered, stop believing that lie posted on your local KKK flyer and Fox News.

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Anyone saying they are still against are either hating on it because Obama is black or they don't give a fuck about the working poor. Bottom line. I have yet to hear a sound argument that doesn't fly off the handle into some BOLSHEVIK REVOLUTION nonsense.

 

And boy oh boy Republicans sure showed their care for people not voting at all for it. Well done!

 

Honestly though, who the fuck thinks creating actual competition between HMOs PPOs is bad? Who thinks giving affordable medical treatment to derpderp illegals is bad when we pay more because they know they can rush to the ER? This point is applicable to all poor

 

Also, yes this shit has some potholes anything this scale would, but you can sit there and tell me this shit is in the wrong direction? To anyone that screams SOCIALISM, what the hell do you think Medicare/Medicaid/SocialSecurity is?

 

Obama you deed it mane

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WITHIN THE FIRST YEAR OF ENACTMENT

 

* Insurance companies will be barred from dropping people from coverage when they get sick. Lifetime coverage limits will be eliminated and annual limits are to be restricted.

* Insurers will be barred from excluding children for coverage because of pre-existing conditions.

* Young adults will be able to stay on their parents' health plans until the age of 26. Many health plans currently drop dependents from coverage when they turn 19 or finish college.

* Uninsured adults with a pre-existing conditions will be able to obtain health coverage through a new program that will expire once new insurance exchanges begin operating in 2014.

* A temporary reinsurance program is created to help companies maintain health coverage for early retirees between the ages of 55 and 64. This also expires in 2014.

* Medicare drug beneficiaries who fall into the "doughnut hole" coverage gap will get a $250 rebate. The bill eventually closes that gap which currently begins after $2,700 is spent on drugs. Coverage starts again after $6,154 is spent.

* A tax credit becomes available for some small businesses to help provide coverage for workers.

* A 10 percent tax on indoor tanning services that use ultraviolet lamps goes into effect on July 1. WHAT HAPPENS IN 2011

* Medicare provides 10 percent bonus payments to primary care physicians and general surgeons.

* Medicare beneficiaries will be able to get a free annual wellness visit and personalized prevention plan service. New health plans will be required to cover preventive services with little or no cost to patients.

* A new program under the Medicaid plan for the poor goes into effect in October that allows states to offer home and community based care for the disabled that might otherwise require institutional care.

* Payments to insurers offering Medicare Advantage services are frozen at 2010 levels. These payments are to be gradually reduced to bring them more in line with traditional Medicare.

* Employers are required to disclose the value of health benefits on employees' W-2 tax forms.

* An annual fee is imposed on pharmaceutical companies according to market share. The fee does not apply to companies with sales of $5 million or less.

 

WHAT HAPPENS IN 2012

 

* Physician payment reforms are implemented in Medicare to enhance primary care services and encourage doctors to form "accountable care organizations" to improve quality and efficiency of care.

* An incentive program is established in Medicare for acute care hospitals to improve quality outcomes.

* The Centers for Medicare and Medicaid Services, which oversees the government programs, begin tracking hospital readmission rates and puts in place financial incentives to reduce preventable readmissions. WHAT HAPPENS IN 2013

* A national pilot program is established for Medicare on payment bundling to encourage doctors, hospitals and other care providers to better coordinate patient care.

* The threshold for claiming medical expenses on itemized tax returns is raised to 10 percent from 7.5 percent of income. The threshold remains at 7.5 percent for the elderly through 2016.

* The Medicare payroll tax is raised to 2.35 percent from 1.45 percent for individuals earning more than $200,000 and married couples with incomes over $250,000. The tax is imposed on some investment income for that income group.

* A 2.9 percent excise tax in imposed on the sale of medical devices. Anything generally purchased at the retail level by the public is excluded from the tax.

 

WHAT HAPPENS IN 2014

 

* State health insurance exchanges for small businesses and individuals open.

* Most people will be required to obtain health insurance coverage or pay a fine if they don't. Healthcare tax credits become available to help people with incomes up to 400 percent of poverty purchase coverage on the exchange.

* Health plans no longer can exclude people from coverage due to pre-existing conditions.

* Employers with 50 or more workers who do not offer coverage face a fine of $2,000 for each employee if any worker receives subsidized insurance on the exchange. The first 30 employees aren't counted for the fine.

* Health insurance companies begin paying a fee based on their market share.

 

WHAT HAPPENS IN 2015

 

* Medicare creates a physician payment program aimed at rewarding quality of care rather than volume of services.

 

WHAT HAPPENS IN 2018

 

* An excise tax on high cost employer-provided plans is imposed. The first $27,500 of a family plan and $10,200 for individual coverage is exempt from the tax. Higher levels are set for plans covering retirees and people in high risk professions.

 

(Reporting by Donna Smith; Editing by David Alexander and Eric Beech)

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Guest Ginger Bread Man

ive been out of tune with this subject but would like a concise source for TRUTH behind the jargon which is this bill.

 

anyone wish to give me the non partisan run down on this bill please?

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it still disgusts me that it's a for-crazy-profits-at-any-cost industry, like everything else in this hellhole.

 

This is the text from the link I posted earlier-

 

"John Ehrlichman: On the—on the health business—

 

President Nixon: Yeah.

 

Ehrlichman: —we have now narrowed down the vice president's problems on this thing to one issue and that is whether we should include these health maintenance organizations like Edgar Kaiser's Permanente thing. The vice president just cannot see it. We tried 15 ways from Friday to explain it to him and then help him to understand it. He finally says, "Well, I don't think they'll work, but if the president thinks it's a good idea, I'll support him a hundred percent."

 

President Nixon: Well, what's—what's the judgment?

 

Ehrlichman: Well, everybody else's judgment very strongly is that we go with it.

 

President Nixon: All right.

 

Ehrlichman: And, uh, uh, he's the one holdout that we have in the whole office.

 

President Nixon: Say that I—I—I'd tell him I have doubts about it, but I think that it's, uh, now let me ask you, now you give me your judgment. You know I'm not to keen on any of these damn medical programs.

 

Ehrlichman: This, uh, let me, let me tell you how I am—

 

President Nixon: [unclear.]

 

Ehrlichman: This—this is a—

 

President Nixon: I don't [unclear]—

 

Ehrlichman: —private enterprise one.

 

President Nixon: Well, that appeals to me.

 

Ehrlichman: Edgar Kaiser is running his Permanente deal for profit. And the reason that he can—the reason he can do it—I had Edgar Kaiser come in—talk to me about this and I went into it in some depth. All the incentives are toward less medical care, because—

 

President Nixon: [unclear.]

 

Ehrlichman: —the less care they give them, the more money they make.

 

President Nixon: Fine. [unclear.]

 

Ehrlichman: [unclear] and the incentives run the right way.

 

President Nixon: Not bad."

 

 

Crazy, huh?

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Canada is known for a high standard of living? Where?

 

All my life all I've heard is people talk shit about/make fun of Canada. The only good thing anyone ever says about it is that they have awesome strip clubs, but RI already has what is widely considered to be the best one on the East Coast, so I'm not in any rush to check their's out

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Canada is known for a high standard of living? Where?

 

All my life all I've heard is people talk shit about/make fun of Canada. The only good thing anyone ever says about it is that they have awesome strip clubs, but RI already has what is widely considered to be the best one on the East Coast, so I'm not in any rush to check their's out

 

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

http://www.mercer.com/referencecontent.htm?idContent=1173105#Top_50_cities:_Quality_of_living

 

You've never even been here have you?

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I never said I had, nor did I express an opinion on Canada at all. I said that Canada isn't known for their high standard of living (except maybe inside Canada itself)

 

And those birds just freaked me the fuck out, for a half second I thought bugs were on my screen

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I never said I had, nor did I express an opinion on Canada at all. I said that Canada isn't known for their high standard of living (except maybe inside Canada itself)

 

Come on now dude, there's a whole WORLD outside of Rhode Island, and they are all fully aware of Canada's reputation as one of, if not the best country to live in. Fact.

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Naw man, not at all. Hate away. I'll just use my government funded Unemployment Insurance to go buy some high alcoholic beer and smoke some weed on the beach hassle free while I watch the sun go down over the mountains, secure in the knowledge that should I happen to fall and break my arm during the course of the night, I won't have to worry about paying a single cent for it, and can have all the free prescription drugs I want. It totally sucks balls up here....

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