The HCRA

[me]

You said (Above) "it is starting to take effect",  but now you are saying ,. . ."It has not been in effect long enough for to realize the full impact of what's happening yet. . ." And I ask again: What exactly is "going on now"?

You are basically saying the same things you said 4 years ago, so what exactly is "going on now"?

Be specific, because generalizations make it appear you don't have even the slightest idea surrounding "what is going on" right now; 4 years after you first said it.

How much time do you need to read the bill? You've had 4 years.

It is just starting to take effect at this point but is not fully in effect as yet.  Some of it just started Jan 1st. 

[Palehorse]

It is just starting to take effect at this point but is not fully in effect as yet.  Some of it just started Jan 1st.

What specifically took effect January 1st? What has you so "concerned"? You are generalizing and stalling, for 4 years now, and you are waiting for some "disaster" to transpire that yu can blame on the HCRA. . . 

[me]

Doesn't do that much reading.

Lets others do that work for her.

Probably why her business failed.

My business did not fail I closed it.  Being peon material rather than management oriented I allowed myself to be taken advantage of to the point employees made more than I did.  I knew what to do to correct the problem but, in my mind, that would have set me above them and I don't like that.  I don't expect others to do anything I wouldn't so I felt better working with them and doing the really hard stuff rather than delegating it to them to do.   If you have to moxie to be management more power to ya and good luck with it I don't.  Maybe one of these days that will sink with you and you'll quit ragging me about it.  I doubt it but one can always hope.

[Palehorse]

So now you have three outstanding questions you have yet to answer:

1>

How exactly is the government giving anyone cradle to grave premium healthcare?   You'd best be careful or this one is going on the TUZ Lie Tracker thread. 

and

2>

Quote from: me on Today at 09:19:12 AM
What's odd is I don't recall saying that either but, like you, I did disagree with Obama care because of exactly what's going on now since it is starting to take effect.


And I ask again: What exactly is "going on now"?

3>

What specifically took effect January 1st? What has you so "concerned"? You are generalizing and stalling, for 4 years now, and you are waiting for some "disaster" to transpire that yu can blame on the HCRA. . . 

[Palehorse]

Ombudsman: The title of this topic should read AHCA (Affordable Health Care Act), where in the HCRA are the individual actions left to the state.

The author sincerely regrets this error in the use of acronyms.

[Palehorse]

Okay me. Since you refuse to be specific then I will be.

Here are the items being phased in in 2013:

• The states have until October 1 of 2013 to set up their Health Exchanges and partner with the Government on providing a wide array of choices in INSURANCE PROVIDERS that will handle healthcare in the traditional manner. The Government has no part in the administration of your healthcare, just the insurers as it has always been.
• Preventative Services - The federal government is sending more money to state Medicaid programs that offer preventative services for free or at little cost. Services include tests for high blood pressure, diabetes, and high cholesterol; many cancer screenings including colonoscopies and mammograms; counseling to help people lose weight, quit smoking or reduce alcohol use; routine vaccinations; flu and pneumonia shots; and others.
• Increased Medicaid Payments- Doctors that take Medicaid patients get a pay raise. Starting January 1, Medicaid payments in every state were brought up to the same level Medicare pays doctors. Primary Care Physicians will see on average a 73% increase in payment. (There goes that argument)
• Pilot Program for Bundling - The law sets up a national pilot program that will encourage medical providers to coordinate patient care. Rather than have each service billed separately under Medicare, a flat rate would be paid for an episode of care.
• Medicare Tax Increase - And before you get all jiggy over this one - The wealthy face a 0.9% tax increase on the income they earn in excess of $200,000 (for couples filing jointly, it will hit those that make in excess of $250,000). This will help boost the Medicare trust fund.
• Medical Device Tax - A new 2.3% tax goes on the price of medical devices. This doesn't include hearing aids or corrective lenses, but does include devices like defibrillators, pacemakers, artificial joints and others.

So now, what is your concern? 

[me]

Did ya'll catch this part of the HCB when you read it?  Notice this is not Fox it's CBS.  http://miami.cbslocal.com/2013/03/11/obamacare-may-bite-you-at-the-vets-office/

https://johnib.wordpress.com/2013/03/13/obamacare-will-probably-put-the-bite-on-you-at-the-vets-office/

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Obamacare Will Probably Put The Bite On You At The Vet's Office


MIAMI (CBSMiami) — Pet owners listen up: You may want to start saving more money for veterinarian care this year. The reason goes all the way back to Washington and an unintended consequence from medical reform.

Dog owner Lori Heiselman was surprised where her veterinarian posted a warning on Facebook.

The notice read: "Because medical equipment and supplies will be going up in cost, that extra expense will have to passed on to the customers."



Dog at vet's office. (Source: CBS4)

So Lori is already tightening her belt to pay for the increase in her dog's care. Though she doesn't like it, she's willing to pay more for her pets.


"They're very important. They're members of the family," said Heiselman.

Why the increase? Its part of a new 2.3-percent federal excise tax on certain medical devices that just went into effect. The tax will help fund the Patient Protection and Affordable Care Act, commonly known as Obamacare, intended for people, not pets. Manufacturers pay the tax, but a recent survey found more than half plan to pass it along.



Some vets say they can't afford it. Dr. Mike Hatcher is one of them. He explained, "I'm extremely concerned how this is going to be a hidden tax to our consumers that is going to be passed on."

How does this work? Medical devices used only on animals are exempt. However, items including IV pumps, sterile scalpels and anesthesia equipment, which are medical devices that have a dual use, meaning they can be used on people and animals, will be taxed. Hatcher said, "Putting off an equipment purchase is something that can terribly affect our clients' ability to have quality care."


Miami

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The American Veterinary Medical Association represents 82,000 vets. At this point, they don't know how much this new tax will indirectly cost them. The organizations members are waiting to hear from more device makers.

Dr. Mark Lutschaunig is the director of the Governmental Relations Division of the American Veterinary Medical Association.

"Congress never intended for this tax to impact veterinarian medicine and unfortunately it has, and I think that's very unfortunate that veterinarian medicine now is subsidizing human health care," said Dr. Lutschaunig.

Congressional sources who worked on the Affordable Care Act said lawmakers tried to exclude vets from being affected by the dual use medical devices tax, but it was too complicated.



Carol Smock knows about complications. She founded a charity that helps struggling pet owners pay for vet care. Smock started Brown Dog Foundation after struggling to pay for her chocolate lab's medical bills while she was unemployed. Her organization is a 501c3 public charity that provides funding to families who find themselves in similar situations: A sick pet that would likely respond to treatment, but due to an unforeseen circumstance, there is not enough money immediately available to make it happen.

Smock is afraid The Brown Dog Foundation is going to be overwhelmed with requests.

"The impact this price increase is going to have on any of those families I think will be pretty devastating."

Lori Heiselman said she worries about other families too, but she'll find the money for her four-legged friends. "We'll just have to cut back somewhere else."

Veterinarians say, if your pet is sick or acting strangely, don't delay care. That could just cause medical problems to get worse.

If you're concerned with the cost of vet care, be sure to talk with your vet about payment plans or other financial options.

[Palehorse]

Did ya'll catch this part of the HCB when you read it?  Notice this is not Fox it's CBS.  . . .

Wait. Weren't you the one claiming 2% is nothing somewhere around here? 

[me]

Wait. Weren't you the one claiming 2% is nothing somewhere around here? 

We're talking money here that hasn't already been allocated.   Those cuts that are being made could be made somewhere else, like laying off WH colligraphers, cutting unnessary office staff, staying in DC and doing those little speeches on TV rather than traveling here and there doing stump speeches, no lavish parties like the one planned for Michelle, and the list goes on.  He is doing the cuts in such a manner as to make the public irrate and get his way and that is just wrong.  This has happened before and the types of cuts he's doing weren't done then.  More and more people are realizing they're being played and someday you may see it too.

[Exterminator]

If you're concerned with the cost of vet care...

...you should look into getting health insurance for your pet.

[me]

...you should look into getting health insurance for your pet.

I don't have a pet.

[Palehorse]

We're talking money here that hasn't already been allocated.   Those cuts that are being made could be made somewhere else, like laying off WH colligraphers, cutting unnessary office staff, staying in DC and doing those little speeches on TV rather than traveling here and there doing stump speeches, no lavish parties like the one planned for Michelle, and the list goes on.  He is doing the cuts in such a manner as to make the public irrate and get his way and that is just wrong.  This has happened before and the types of cuts he's doing weren't done then.  More and more people are realizing they're being played and someday you may see it too.

You are dangerous. 

[me]

Here are a couple more things that could have been cut.   $27 million to the country of Morocco to teach the folks over there how to make pottery and $1.5 million to the Brigham and Women's Hospital in Boston to study why many lesbian Americans are overweight.  Real important stuff there huh?   

[Palehorse]

Here are a couple more things that could have been cut.   $27 million to the country of Morocco to teach the folks over there how to make pottery and $1.5 million to the Brigham and Women's Hospital in Boston to study why many lesbian Americans are overweight.  Real important stuff there huh?   

Funny how I didn't hear you squalling about the exact same bullshite being done by the repugnicans.

[Exterminator]

Funny how I didn't hear you squalling about the exact same bullshite being done by the repugnicans.

White Republicans...hello!