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Medicare cuts and physician greed -- the real death panels

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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Livewire713 » Wed 25 May 2011, 11:36:53

Republicans were all about Jobs, Jobs, Jobs but now its about ending Medicare to save it. Then at the state level its all about union busting, anti gay legislation and trying to end abortion. Tennessee passing a dont say gay bill. How is this creating jobs?
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Cog » Wed 25 May 2011, 12:38:48

$this->bbcode_second_pass_quote('Livewire713', 'N')ot a good sign for Repubs with the 2012 elections coming up. All that talk from Cog about the 2010 election and how the democrats are dying out. How do you explain this election? This race should have been a walk in the park after a Sunday drive. I see the democrats coming back strong in 2012.
Keep pushing the Paul Ryan plan repubs, better yet, have him run for President! We need to cut medicare so millionaies and billionaires can get another tax cut so they can create all those jobs. :roll:


I would say its one race and stick around until 2012 to see if the last vestiges of far left ideology have any momentum left.

Medicare and social security both need to be eliminated in their present form and people's children should take care of their parents as has been the case for thousands of years. To think otherwise, is to believe in Bernanke's magic printing press instead of fiscal reality.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby AgentR11 » Wed 25 May 2011, 13:31:29

Its simply too soon for it to be any sign, one way or another, about Republican chances in 2012; but it *is* a very significant heads up, and goes as evidence supporting a nagging fear I've had for quite a while.

As far as I can tell, these are the realities:
Medicare can not be sustained in its current form.
Any attempt to change it will be met with fear and dread by a huge percentage of the middle class. (big net 40k - 400k).
Any attempt to pay for it will first destroy whoever passed the additional taxes, and then destroy the country that tries to make the payments.

And the fear is real enough, even I get a sense of dread at what I know would be required to unwind that beast and put something else in place. Its simply not realistic to anticipate success on that matter.

So, I guess we shrug and resign ourselves to just printing the money to pay for it.

From the politicians point of view:
You can't restrict Medicare's cost without losing your job.
You can't pay for Medicare's cost without losing your job.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby AgentR11 » Wed 25 May 2011, 13:38:27

$this->bbcode_second_pass_quote('Cid_Yama', 'M')ost people aren't equipped to handle the disruption of having grandma in the home. Perhaps coming home to die.


You're quite right, though my grandfather died at home; my parents intend to (and have made it almost impossible for any other result to occur) ; and so too, do I.

I'm not sure why Americans are so desperate to die in a hospital or nursing home though... the beds suck, no nekkid girls on the tube, and no beer to be found anywhere. What kinda adios is that.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Cid_Yama » Wed 25 May 2011, 13:45:40

$this->bbcode_second_pass_quote('AgentR11', 'I')ts simply not realistic to anticipate success on that matter.


Nonsense. You just refuse to put the things that will fix it on the table.

End all subsidies to oil, coal, ethanol, and big ag. End all subsidies to multinationals. You want assistance you operate solely in the US.

No more letting corporations have free access to oil in the gulf and natural resources on public lands. Those are our resources and the country gets it's cut.

Corporate minimum tax of 20%. No more corporations paying no taxes.

Bring the troops home. Cut the defense budget in half.

Raise taxes on those making more than 500,000 a year to 50%.

Single payer health care. Based on Canadian system. With everyone now being eligible, There would be an instant need for health care workers. Jobs for everyone!

Look at that, problem solved. Our coffers would be filled to the brim. We could even afford to fix our infrastructure.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Pops » Wed 25 May 2011, 14:04:43

The old pendulum is swinging so far lately it's almost a 360! I've been braying since the election the pubs are goin to pull a Gingrich and I think they are well on the way.

Is there any center in politics anymore? It sure doesn't seem that way, it's the far ends pulling against the middle and nothing gets done because it's all ideological pandering all the time.

What is more "courageous", putting forward an idea with no hope of broad support or actually getting down and hammering out a compromise that gets some of what everyone wants?
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby AgentR11 » Wed 25 May 2011, 14:11:12

$this->bbcode_second_pass_quote('Cid_Yama', '')$this->bbcode_second_pass_quote('AgentR11', 'I')ts simply not realistic to anticipate success on that matter.


Nonsense. You just refuse to put the things that will fix it on the table.
End all subsidies to oil, coal, ethanol, and big ag. End all subsidies to multinationals. You want assistance you operate solely in the US.
No more letting corporations have free access to oil in the gulf and natural resources on public lands. Those are our resources and the country gets it's cut.
Bring the troops home. Cut the defense budget in half.
Raise taxes on those making more than 500,000 a year to 50%.
Look at that, problem solved.


Disagree. I don't think the above is enough.

That said,
I don't think the government should be providing any subsidies, to anyone, period. No exceptions.
I'd be perfectly happy if the leases and public lands production went to highest bidder (with stated minimums or right to reject), as long as the bids are expressed as a percent of value of product shipped. (ie, Gov't prevents production, gov't gets no money.)

Troops home? Not really realistic. Kinda a Tiger by the tail thing going there.
Defense budget cuts? Were you not around in 2009?? If Obama + lefty congress + no new threat couldn't cut that thing; I have no idea how that could happen. If left wing extremists don't want to cut the DoD, who else would. Ike warned us. We didn't listen. Just another nail in the coffin.

I've discussed this "tax only the very wealthy" thing before... There aren't enough of them, and most of them are in absolute control of the number that they write on their income tax forms. They put big numbers there now, because its the most efficient way to gain command of those funds; raise the rate, and those numbers go elsewhere, seeking other, more efficient ways to turn revenue into personally controlled assets. My sense is, if you want to hose the rich, boost the income tax rates on everyone slightly, terminate all tax exempt status for all organizations, and impose a 5% property fee on any person or organization with assets in excess of $250k, including foreign owned OR CONTROLLED assets, failure to report is felony with jail and fine equal to the value of all unreported assets. If you just go after income, they'll laugh at you for your naivete.

I kinda think that would be counterproductive and hurt the economy, but thats a different story. Democrats have declared ownership of Medicare/Medicaid; its the Democrats responsibility to sign their names to the tax bills required to pay for them.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Cid_Yama » Wed 25 May 2011, 14:14:47

Pops,
My ideas above all have broad support, just not among the corporations and their far right lackeys.

It's not time to compromise, it's time to put an end to the corporations ripping us off, and build the kind and just America we were raised to expect.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby AgentR11 » Wed 25 May 2011, 14:16:23

$this->bbcode_second_pass_quote('Pops', 'W')hat is more "courageous", putting forward an idea with no hope of broad support or actually getting down and hammering out a compromise that gets some of what everyone wants?


This presumes such a compromise exists. I can't think of one that the Democrats could tolerate, that the Republicans could tolerate, and that wouldn't simultaneously destroy the future of the country. Passed the point of no return I think.

I'd love to be wrong.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Cid_Yama » Wed 25 May 2011, 14:19:11

$this->bbcode_second_pass_quote('', 'I') don't think the above is enough.


Nonsense the 20% coporate minimum tax and the ending of subsidies would be more than enough on their own.

Ending healthcare as it currently exists and replacing it with the Canadian or British system would bring all healthcare costs down to about a third of what it costs now. Just from the elimination of health insurance companies.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby AgentR11 » Wed 25 May 2011, 14:33:58

$this->bbcode_second_pass_quote('Cid_Yama', 'N')onsense the 20% coporate minimum tax and the ending of subsidies would be more than enough on their own.


Nonsense. The rate growth of healthcare costs exceeds the rate of growth in the economy, by a wide margin. You can't get there from here; any attempt to do so will bury us.

$this->bbcode_second_pass_quote('', 'E')nding healthcare as it currently exists and replacing it with the Canadian or British system would bring all healthcare costs down to about a third of what it costs now.


Pardon me, we just had two years of the most left wing, consolidated government we've had in a long time, and the best they could come up with was a health insurance company bailout bill. Do you think a right wing government should champion a NHS?

I'll tell you why they rejected a National Health Service (which I think would be OK btw, not my preference, but not a big deal either); an NHS will absolutely gut the profession that makes up one of the Dems' core support groups. Trial lawyers. I don't dislike lawyers, but... you can't pay a Physician $100k a year in salary when his insurance costs him $250k a year. Without those premiums, there is a giant whole in the source of revenue for plaintiffs trial lawyers.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Cid_Yama » Wed 25 May 2011, 14:48:25

No. The Progressives did not get what they wanted in terms of healthcare. That wasn't left-wing, that was the mangled product of right-wing fillibuster and taking the nation hostage by it's abuse.

The only thing causing health care costs to rise is collution between healthcare insurers and providers and medical device manufacturers, many of whom are one and the same, in a for-profit system.

Eliminate them all and replace them with goverment run providers and problem solved.

Some things should never be for-profit and this is one of them.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby AgentR11 » Wed 25 May 2011, 15:04:02

Ok. Lets play a game then. Eliminate them all, surgeons and all go on salary comparable to other PhD holding professionals, say $150k. Doctors no longer have the money to pay for malpractice insurance.

The game is then. How do we pay the lawyers?

I'm completely serious. I've got no clue how to get the lawyers paid on a similar level to what they get currently.

Do we give the Doctors a $500k / yr salary so they can buy their own insurance?
Does the government provide free malpractice insurance?
Does the Democratic party take a machete to their best friends?

Really, I can't see any of those happening.

nb.. An NHS, if it were truly important and desirable, could have been passed immune to a fillibuster (reconciliation); but it was apparently neither important, nor desirable to the leadership of the Democratic party. So again, I ask, if the left wing government of 09-10 couldn't pass a NHS, what US government could?
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Lore » Wed 25 May 2011, 15:07:30

There are a great many Western industrialized countries that enjoy better health care services then we do in the US at substantially lower costs to both the individual and the public at large.
The things that will destroy America are prosperity-at-any-price, peace-at-any-price, safety-first instead of duty-first, the love of soft living, and the get-rich-quick theory of life.
... Theodore Roosevelt
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Cid_Yama » Wed 25 May 2011, 15:09:42

You are trying to argue that a system that already exists in several countries and works far better than our system for a whole lot less and covers everyone, can't work.

That's a pretty stupid argument.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby AgentR11 » Wed 25 May 2011, 15:11:10

$this->bbcode_second_pass_quote('Cid_Yama', 'Y')ou are trying to argue that a system that already exists in several countries and works far better than our system for a whole lot less and covers everyone, can't work.

That's a pretty stupid argument.


I'm arguing no such thing.
I'm asking you how do you pay the lawyers.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Pops » Wed 25 May 2011, 15:12:37

$this->bbcode_second_pass_quote('Cid_Yama', 'P')ops,
My ideas above all have broad support, just not among the corporations and their far right lackeys.
Sorry, I wasn't commenting on your list, I agree for the most part.

I could certainly see resetting the income tax system eliminating all the BS, just some progressive rate multiplied by your income. Add on some kind of national base health plan so people don't need to go to the ER for an earache and round it out by seriously thinking about turing in our "World's Cop" badge would make a huge difference.

But I'm sure those things are all more scary than what we have now.
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Pops » Wed 25 May 2011, 15:15:01

$this->bbcode_second_pass_quote('AgentR11', ' ')How do we pay the lawyers?

We don't pay them, they can apply for retraining like the factory workers did though. :lol:
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby AgentR11 » Wed 25 May 2011, 15:26:22

$this->bbcode_second_pass_quote('Pops', '')$this->bbcode_second_pass_quote('AgentR11', ' ')How do we pay the lawyers?

We don't pay them, they can apply for retraining like the factory workers did though. :lol:


I'm sure the House District 666 Democratic nominee is just going to *LOVE* his fund raising calls while explaining that one....

I'm sure Bob the Attorney will be more than happy to fund someone to run against said nominee, and absolutely stuff their campaign war chests to boot. Bob and the 30 partner-wanna-bes under him will find a way. (I wouldn't be suggesting pass-through contributions... nahhh, that'd be illegal, no?)
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Re: Republican attempt to kill Medicare, costs them NY 26th

Unread postby Pops » Wed 25 May 2011, 15:43:09

$this->bbcode_second_pass_quote('AgentR11', 'I')'m sure the House District 666 Democratic nominee is just going to *LOVE* his fund raising calls while explaining that one....

Sure, everyone has a constituency.

Look, I'm a pretty consistent dem and think the courts are an OK way to keep docs in line when the do harm (free market/do wrong/get punished/blah) but I'd trade suits for actual discipline for the docs instead of their carriers. Like points for drivers: a near maiming equals 1 point, sponge left in the belly = 2 points, whatever: 10 points and you get the door permanently. I guess it would need to be a "civilian" review otherwise you have Paulson overseeing Goldman.

Malpractice is just a cost-plus business like all insurance.
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