Quote:
Originally Posted by ijusluvit
1) Neither you nor anyone else here has presented factual data that "WE CANNOT AFFORD" ACA. Show me even basic data which includes anticipated costs AND revenues which convinces you we cannot afford ACA. Remember to stack it up against anticipated net costs if we continued with what we have now for another 10-20 years. Failure to provide any data makes your above comment more hearsay. I know it's complicated, but you have to cut through it and present facts, or it's just talk. If you're looking for a good template of comparing costs ACA/no ACA, look above at the excellent outline of US health care cost implications submitted by VK
2) Tort reform is not here yet. It isn't part of ACA. It was a well-documented sacrifice made to achieve ACA. It will be nice to have it some day. It would make ACA even better. Just like eliminating every dollar of Medicare fraud would be nice. One of the reasons I'm tempted to vote for Obama is that he will more likely make those two things a priority than his opponent, especially tort reform.
3) Please. PLEASE, cease the constant reference to Presidential Promises. Statements by candidates or even sitting Presidents about things they want to do, even desperately, are promises only in YOUR mind, not in the reality of our constitutional republic.
4) Prior to the "we will now say anything to attack ACA" days, No one ever suggested 49 more states would even try to institute ACA-like healthcare. I used the EVERYONE word as emphasis that this has never been regarded as feasible. Yeah, there are lots of folks who've said the states SHOULD do it, but I've never read or heard anyone suggest that the states WOULD do it voluntarily.
5) Kindly explain and give some data about how Obama "sold out to the insurance companies".
6) Next time you're talking to your guests, be sure to tell them that the guy you were answering tonight while they were there, is not the one who thinks you're an insensitive rat or a heartless son of a gun. And before you dissolve in despair, I REALLY do want to talk about the issues. How about starting with either #1 or #5 above. (hint: lots of facts).
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1. First of all, I do not believe in looking to show we cannot afford; my preference is that our leaders looked to make sure
that we COULD afford it in the first place. Already, and the law is new, the cost estimate has DOUBLED in cost and is now
2.6 Trillion over 10 years.
Now the fact that the cost of this law has doubled even before it is in affect is troublesome, but recall that those who
voted this law in, did not even read it, thus perhaps we should not be surprised.
Continuing on…..it is not easy to gather all the taxes, etc involved in this. Congress nor the WH talks much about it
But the payment of those costs are so much a varying item it really scares me and others. Here are a few examples
of the "maybes" including in paying for a MASSIVE law unread by those who voted it in.
What is of greatest concern to me is how this will be paid for as so much of what is SUPPOSED to pay for it is all
maybe's and ifs. For example this is what the President says will pay the bills
…..medicaire funding to be reduced by 575 million. The President says that this
is to reduce fraud.
…..The law expects that companies that will not pay for health care any longer will increase the wages
of their employees thus creating more social security taxes to be collected.
YES that money will need to be used for payments to those collecting SS but this is what
they say is one way to raise the money for this law. I am not making this up.
…..Codification of the "economic substance doctrine" (Tax hike of $4.5 billion). This provision allows the IRS to disallow completely--legal tax deductions and
other legal tax-minimizing plans just because the IRS deems that the action lacks "substance" and is merely intended to reduce taxes owed.
.....In 2018 insurance companies will pay a 40% excise tax on any high end insurance policies
.....Medical device manufacturers will pay 2.9% excise tax on the sale of any of any of their products beginning in 2013
.....Excise Tax on Charitable Hospitals if they fail to meet "community health assessment needs," "financial assistance," and "billing and collection" rules set by
HHS
.....Increase in additional tax on distributions from Health Savings Accounts and Archer Medical Savings Accounts not used for qualified medical expenses
These are just some that I can find anyway to inusre the income YET they are used as justification for paying
the bill for this law.
Now then….there are some of the taxes….
..... A 3.9 tax on investment income for individuals over 200M and families over 250 M starting next year.
.....a tax increase on a type of bio-fuel called "black liquor"
.....The special tax deductions in current law for Blue Cross/Blue Shield companies would only be allowed if 85 percent or more of premium revenues are
spent on clinical services (called Blue Cross/Blue Shield tax hike)
.....Increase in additional tax on distributions from Health Savings Accounts and Archer Medical Savings Accounts not used for qualified medical expenses
…..
Then of course…
....Drug manufactures will pay the government 16 Billion in the next 8 years
.....Health insurer will pay 47 Billion in the next 8 years
…..Companies with more than 50 employees would be required to pay a fee of $2,000 per worker if the company does not provide coverage and any of
of that company’s workers receives federal health care subsidies. This now has so many exemptions
allowed by the government they will not even publish how many companies have received exemptions.
I will stop at this point but asking if you see how this many "maybes and ifs" might pay for this bill. I don’t,
but maybe it will, but maybe it wont either and this is one big law to stradle on our kids and grandkids because
this will take over 12 years to pay and only a few of these items even kick in for a few years while we pay
I will stop at this point but asking if you see how this many "maybes and ifs" might pay for this bill. I don’t,
You asked about continuing in the same fashion as we are and everyon agrees we cannot do that, and
that is why I expected a bill that will cut costs. But in actually it appears that this law
will in reality INCREASE COSTS OF INSURANCE.
I will stop on costs as it will make your head spin, but keep in mind that the CBO is required to work
only with numbers supplied to them so they approving the costs are depending on the numbers supplied to
them by Obama, etal.
2. Tort reform and Medicarie fraud
You get upset when I say this but according to our President, TORT refrom and COST reduction were the keys
so I will not say a word but on Medicaire fraud it better get reduced because as you see it is
a big part of his cost justification for this law.
QUESTION….if he knows how to reduce this amount of medicaire fraud, why hasn’t there
been anything done about it ?
3. Your point on promises made is valid. What makes this a bit different is that it was the cornerstone
not only of his victory over Clinton in the primary but the campaign against McCain. This is a big big
deal for me because he made it that way, not me. They were not in my mind and
in fact I left several videos on here where he made this a BIG BIG deal, ie. The cost cutting and torty
reform, all of them in relative to what he was trying to accomplish. I was simply repeating his words
4. Insurance industry sell out
This bill is not for health care. It's for profits for the insurance conglomerates as in forcing all Americans to buy insurance with no limits on costs.
Why do you think they agree to share their profits by contributiing billions for the cost ?
When this bill got down to the wire, instead of calling in the democrats who were opposed and the Republicans
that could have been swayed, he went behind closed doors with the insurance industry and please
feel free to check me on this or anything else I have said. They made out like a bandit
I am going to stop now, but am willing at anytime to continue. This law is going to anchor this country for many years to come financially. The payment of the bill is iffy AT BEST and full of such terrible assumptions.
I have tried to keep with factual and not opinions, but had this President, at any time in his 3 years in office shown any wanting to work with EVEN HIS OWN PARTY, he could have had a great bill. To pass a bill that is so mammoth with such a mammoth cost in this manner (paying off states for votes ...see SC and LA.) which were democrats by the way. If he had just had the open hearings for everyone to participate...but his ego will not allow that. Now, yell if I said anything wrong or what, but would love to continue to discuss.
I apologize for the typing and structure but I am not that smart !
PS...TO CONSIDER PLEASE. When you pass a law that will takeover about 20% of the nations economy and you have NO Republican votes, had to pay off to get some of your own party, used procedural tricks, reconciliation in the Senate and the Slaughter rule in the House, and all polls indicate the american people dont want it, should that not make you pause ?