Obamacare train pulls safely into the station

Billy, you know Greenbeard gets paid to post here, right?
 
They can vote for whatever they want. But when what they want violates the Constitution, they can't have it. The system only works, however, when the Court does its job.


Just because you disagree with the ruling, it isn't fair to say that the court didn't do its job. Congress passed the law and congress has the right to levy taxes. John Roberts was the swing vote and he said it wasn't his place to protect the people from themselves.

It is, in fact, his job to protect the people from themselves. In a democracy, the entire point of a constitution is to 'protect the people from themselves'. Roberts failed to recognize that. have you notice dblack comparison are way out there ...

The relevant question of ACA wasn't whether Congress has the power to levy taxes, it was whether they have the power to use discriminatory taxation to conduct social engineering. Doing so is a blatant violation of the equal protection provisions of the 14th amendment. By signing off on this practice, Roberts has authorized Congress to do dictate virtually any behavior, with only the dwindling protections of the Bill of Rights remaining.

From my own perspective, I prefer that everyone pays for health insurance.

From my perspective, I prefer that everyone stop watching reality TV. But I shouldn't be allowed to force my preferences on the rest of the nation, even if I can get half of Congress to agree.

so now dblack is a constitutional schollor he has decided who has failed at their job at a scotus ... you must have a hard road to hoe here ... dblack who has all this knowledge of the constitution ... why aren't you up for the supreme court next nomination with your vast knowledge of constitutional law you missed your calling here ... really you want to compare reality TV to the SCOTUS ... like we're going take you serious now...
 
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Correct.

No one is ‘mandated’ to have health insurance, citizens are at liberty to go without health insurance coverage if they so desire.

A really stunning display of deliberate delusion. By this tortured "reasoning", no laws are coercive; we're always "free" to defy them and suffer the consequences. You should be ashamed spinning such bullshit.

There is a mandate. Just like there is a mandate to have car insurance. People do not "opt out" of receiving coverage once they get sick. The mandate means that nobody gets to take a free ride. Citizens had the liberty to vote for Romney; he made it clear that he would do away with any mandate. However, the people voted for the guy who said he would get the ACA passed. That is how democracy works. Obama was elected. Congress passed the law. Obama signed it. For the time being it is the law.

oh really, NO ONE gets to take a free ride? then what about the people who are being, subsidized?
Auto insurance is required by a STATE...this fascist OscamCare is the Federal Government FORCING the people to buy something or get fined, which ISNT their job...Our country isn't run on MOB RULES..though some of you would love that
 
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It's not how constitutionally limited government is supposed to work. And Romney offered exactly no credible alternative - he was the Republican least likely to reverse the mandate.

The ACA was a rigged game from the very beginning - crass power grab. Every single idiot supporting it has betrayed the fundamental values of liberal democracy.

so many things to correct so little time... and you want us to believe that Romney offered exactly no credible alternative ??? really you want to go with that stupidity???? how long have we heard from this president saying to the republican party from the get go be fore he was elected ... and not one republican came up with any health care plan... no one of them ... and you want to blame Romney really ... how about blaming the whole republican do nothing party .. for once in your miserable life

I guess you don't even read my posts on here. I DO blame the whole Republican party, dumbass. They're almost as much to blame for ACA as Obama and the Democrats.

give it up you tried to blame romney and not the republicans ... now you're back pedaling ... we get it ... it.s what you republican do when exposed ... now you're trying to point blame ???

PRICELESS ... just ******* PRICELESS ....
 
Billy, you know Greenbeard gets paid to post here, right?


Needs a repeat. :eusa_angel:

if you say so ....I personally am not to familiar with greenbeards post ... I've seen him here, read them, every now and then ... I know Antares is he slipped up in one of his rants one after noon ... I caught him ...whats your source that greenbeard is a paid poster ... I personally don't take paid posters serious ... if he is, then I won't take him serious.. I don't care if they are republican or a Dem paid poster I won't take them serious ... they are doing their job, distort the reality here... I for one won't stand for it...
 
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There is a mandate. Just like there is a mandate to have car insurance. People do not "opt out" of receiving coverage once they get sick. The mandate means that nobody gets to take a free ride. Citizens had the liberty to vote for Romney; he made it clear that he would do away with any mandate. However, the people voted for the guy who said he would get the ACA passed. That is how democracy works. Obama was elected. Congress passed the law. Obama signed it. For the time being it is the law.
There is only two ways to have universal coverage, a government insurance program which covers everyone or private insurance that is mandated. Conservatives should see the mandate as the lesser of two evils. As in the past, most people will continue to get their health insurance and their healthcare from non-government sources.

Conservatives never wanted universal health care.

you caught that too
 
A really stunning display of deliberate delusion. By this tortured "reasoning", no laws are coercive; we're always "free" to defy them and suffer the consequences. You should be ashamed spinning such bullshit.

There is a mandate. Just like there is a mandate to have car insurance. People do not "opt out" of receiving coverage once they get sick. The mandate means that nobody gets to take a free ride. Citizens had the liberty to vote for Romney; he made it clear that he would do away with any mandate. However, the people voted for the guy who said he would get the ACA passed. That is how democracy works. Obama was elected. Congress passed the law. Obama signed it. For the time being it is the law.

oh really, NO ONE gets to take a free ride? then what about the people who are being, subsidized?
Auto insurance is required by a STATE...this fascist OscamCare is the Federal Government FOCING the people to buy something or get fined, which ISNT their job...that is not Democracy in my book

nobody Is being "FOCING" your word not mine ... and nobody is being fined... nobody has to get health care ... but if you want to be part of a civilized society you pay taxes ... are you saying you don't want to be part of a civilize society here stephoney??? is that what you want
 
A harrowing ride but a satisfying conclusion to the journey!

Exchange enrollment has exceeded expectations

Obamacare Tears Down Goalposts: 8 Million Sign-Ups
President Barack Obama announced Thursday that 8 million Americans had enrolled in private health coverage under Obamacare -- the final evidence that the law signed up far more Americans than most would have thought possible during the doldrums of last fall.

The uninsurance rate continues to fall.

Health insurance gains since last fall hit 12 million, survey shows - latimes.com
President Obama’s health law has led to an even greater increase in health coverage than previously estimated, according to new Gallup survey data, which suggest that about 12 million previously uninsured Americans have gained coverage since last fall.

Premiums and ACA costs are lower than anticipated.

Lower premiums (yes, really) drive down Obamacare’s expected costs, CBO says


The CBO and the Society of Actuaries anticipate only modest premium growth next year.

Smaller premium hikes forecast in 2015 for Obamacare - Jennifer Haberkorn and Brett Norman - POLITICO.com


New data signal smaller jump in health care costs


The exchanges are about to get more competitive.

Insurers see brighter Obamacare skies - Kyle Cheney and Brett Norman - POLITICO.com


Health care quality is improving.

National Committee for Quality Assurance -- State of Health Care Qualty


Obamacare Shows Hospital Savings as Patients Make Gains - Bloomberg


More hospitals improve quality of care | Healthcare Finance News


All Pioneer ACOs improved quality; only third lowered costs


Is Obamacare working? Hospitals finally see drop in readmissions
New CMS figures show that the national rate of 30-day readmissions for Medicare patients dropped to 17.8% in November 2012 after spending years stuck at 19%—and White House officials say the Affordable Care Act deserves the credit.

The health care system is re-designing itself to start holding down costs and improving quality in the long-term.

Do Structural Changes Drive the Recent Health Care Spending Slowdown? New Evidence
Value-based purchasing of hospital services has had a significant impact on hospital behavior. Hospitals are highly sensitive to changes in financial incentives. Movement away from a preponderance of fee-for-service payments is also likely to permanently alter hospital behavior. For instance, emphasis on reduced readmissions has reportedly changed how hospital managers think about care delivery, from the care delivered within their four walls towards coordinating care outside their four walls as they track patients as they return to the community or to various post acute care settings.

An observation is that hospitals and other providers are being called to change their care delivery models and business models as payment systems evolve. In a general sense this is leading to a re-engineering of care- slow to start with, but gaining momentum over time. The ACA, with its call for CMMI grants, shows the potential magnitude of private and public sector experiments with alternative organizational forms such as ACOs and medical homes in combination with payment system incentives in the form of payments for value, payment bundling and capitation and prompting the health care industry to reconsider delivery models that reduce incentives for volume of care under fee-for- service. As organizational forms and payment models evolve, augmentation of computing powers and more ready access to “big data” claims files emphasizes an ability to better understand the consequences of change in terms of clinical and economic outcomes.

coming from a liberals/dem here, are you a paid poster ??? you have been accused of being a paid poster ... if you are you should leave we don't need paid poster clouding up the issues ... I realize when people see a person who is intelligent they assume they are paid posters ...

your post seem informative well organized I can see why some might call you a paid poster ... you're hurting the cause more if you are ... let people do their own research to find out what the truth really is ... thats only if you are a paid poster other wise NEVER MIND...
 
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There is only two ways to have universal coverage, a government insurance program which covers everyone or private insurance that is mandated. Conservatives should see the mandate as the lesser of two evils. As in the past, most people will continue to get their health insurance and their healthcare from non-government sources.

Conservatives never wanted universal health care.

you caught that too

Keen observers you two
 
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Billy, you know Greenbeard gets paid to post here, right?


Needs a repeat. :eusa_angel:

if you say so ....I personally am not to familiar with greenbeards post ... I've seen him here, read them, every now and then ... I know Antares is he slipped up in one of his rants one after noon ... I caught him ...whats your source that greenbeard is a paid poster ... I personally don't take paid posters serious ... if he is, then I won't take him serious.. I don't care if they are republican or a Dem paid poster I won't take them serious ... they are doing their job, distort the reality here... I for one won't stand for it...

LOL Billie you are a moron plain and simple.
 
you do realize that nobody takes a paid poster serious don't you ... I've told you this before .... seems you're a little slow in the head catching on ... well that's expected when you're a repub-lie-tard ... what ever you have to say is worthless to me ... paid poster ...

Poor hillbilly, you seem to be quite full of yourself...with no apparent reason to be.

Why would your opinion matter to anyone but you?

Where you fail is that you never post anything BUT your opinion and when asked for sources to back up your claim, you simply shrug and claim you have no need to post ANY sources at all.

You fail kid, but then you are used to that.

translation=antares is pissed because he has been expost as a political hack for the right wing nut jobs of this country... he actually think he has valuer here ... antares nobody like a political liar like you, and that's what you are ... you lie for money ... you get paid to post your pack of lies here from Blue cross Blue shield ...the company you work for... they don't like obama care ...because they can no longer rape the American people of their health care any more ... you are paid to lie here, you paid poster piece of crap ... I've exposed you for what you are and you can't stand that... so you don't need to pity me ... I'm just doing fine with my obama care and my subsidy and pissing your kind off to the max ....

BWA HAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHAHA BWA HAHAHAHAHAHAHAHAHAhAHAHAHAHAHAHAHAHAHAHAHAHAHA

You have a screw loose kid.

The BCBS company I work for is a non-profit company, you understand what that means?

I am seriously beginning to think you are an order of fries short of a Happy Meal.

I have no doubt you are happy with your subsidy, its obvious you've been on some sort of Government Assistance your entire life.
 
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How many per day?

For every day that the ACA does not result in the ruin of the economy and the destruction of our health care delivery system....how many Americans will realize that the GOP has been serving them a pile of shit?
 
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How many per day?

For every day that the ACA does not result in the ruin of the economy and the destruction of our health care delivery system....how many Americans will realize that the GOP has serving them a pile of shit?

And in November when the shit hits the fan and all you have left is Obama, what then?
 
How many per day?

For every day that the ACA does not result in the ruin of the economy and the destruction of our health care delivery system....how many Americans will realize that the GOP has serving them a pile of shit?

And in November when the shit hits the fan and all you have left is Obama, what then?

As if it will make a difference. It is hard to imagine a scenario where things are made more difficult for the Obama administration than they have been for the past 4 years. What is the GOP gonna do? Have negative level of support instead of zero level of support?

You are making predictions here based on wishful thinking. Haven't you learned from the past?
 
15th post
The ObamaCare "Train" is heading towards a fiscal trainwreck. Spending will spin out of control and there won't be enough premiums and tax receipts to cover it.

Hopenchange!


Earlier this month there was tremendous press attention to new data indicating that enrollment in the Affordable Care Act (ACA)Â’s health insurance exchanges had surpassed 7 million. The White House took a victory lap while much of the press, desperate to write something positive after months of reporting on website glitches and insurance plan cancellations, characterized the milestone as good political news for ACA supporters. Our national discussion, however, is missing the truly significant story here; what is unfolding before our eyes is a colossal fiscal disaster, poised to haunt legislators and taxpayers for decades to come.

It is quite possible that the ACA is shaping up as the greatest act of fiscal irresponsibility ever committed by federal legislators. Nothing immediately comes to mind as comparable to it. Certainly no tax legislation is, because tax rates rise and fall frequently, such that one CongressÂ’s tax cut can be (and often is) undone by a later tax increase. The same is true for legislation affecting appropriated spending programs. But the ACA is a commitment to permanently subsidize comprehensive health insurance for millions who could not otherwise afford it, which the federal government has no viable plan to finance. Moreover, experience shows that it is very difficult to scale back such spending once large numbers of Americans have been made dependent on it.

LetÂ’s walk through the salient features of this unfolding fiscal disaster:

An Expansion of Spending Commitments Comparable to Enacting Social Security, Medicare or Medicaid: Our biggest fiscal problems today stem from Medicare, Medicaid and Social Security costs rising well beyond original projections. The ACA was enacted even though these longstanding financing challenges have still not been met, and represents an additional expansion of federal commitments comparable to these other programsÂ’ creations. CBO now estimates that the gross costs of the ACAÂ’s coverage expansion will be $92 billion in FY2015, or about 0.5% of our total GDP of roughly $18 trillion. This far exceeds, even relative to todayÂ’s larger economy, the initial costs associated with the entirety of Social Security and Medicaid, and is comparable to the startup costs for all original parts of Medicare combined. Consider this: just five years after enactment the ACA will absorb more of our total economic output than Social Security did fully sixteen years after it was enacted.

(snip)


EXPERT COMMENTARY
The Unfolding Fiscal Disaster Behind ACA Enrollment Figures
By Charles Blahous |
Apr 17, 2014

Earlier this month there was tremendous press attention to new data indicating that enrollment in the Affordable Care Act (ACA)Â’s health insurance exchanges had surpassed 7 million. The White House took a victory lap while much of the press, desperate to write something positive after months of reporting on website glitches and insurance plan cancellations, characterized the milestone as good political news for ACA supporters. Our national discussion, however, is missing the truly significant story here; what is unfolding before our eyes is a colossal fiscal disaster, poised to haunt legislators and taxpayers for decades to come.

It is quite possible that the ACA is shaping up as the greatest act of fiscal irresponsibility ever committed by federal legislators. Nothing immediately comes to mind as comparable to it. Certainly no tax legislation is, because tax rates rise and fall frequently, such that one CongressÂ’s tax cut can be (and often is) undone by a later tax increase. The same is true for legislation affecting appropriated spending programs. But the ACA is a commitment to permanently subsidize comprehensive health insurance for millions who could not otherwise afford it, which the federal government has no viable plan to finance. Moreover, experience shows that it is very difficult to scale back such spending once large numbers of Americans have been made dependent on it.

LetÂ’s walk through the salient features of this unfolding fiscal disaster:

An Expansion of Spending Commitments Comparable to Enacting Social Security, Medicare or Medicaid: Our biggest fiscal problems today stem from Medicare, Medicaid and Social Security costs rising well beyond original projections. The ACA was enacted even though these longstanding financing challenges have still not been met, and represents an additional expansion of federal commitments comparable to these other programsÂ’ creations. CBO now estimates that the gross costs of the ACAÂ’s coverage expansion will be $92 billion in FY2015, or about 0.5% of our total GDP of roughly $18 trillion. This far exceeds, even relative to todayÂ’s larger economy, the initial costs associated with the entirety of Social Security and Medicaid, and is comparable to the startup costs for all original parts of Medicare combined. Consider this: just five years after enactment the ACA will absorb more of our total economic output than Social Security did fully sixteen years after it was enacted.





Of course, after these initial rollouts, Social Security, Medicare and Medicaid costs grew far faster than originally envisioned, sometimes due to subsequent legislation, sometimes due to unanticipated healthcare cost growth. It wouldnÂ’t be surprising for either factor to affect the ACA, which would be even more problematic for reasons given below.

A Worse Fiscal Environment: The ACA was enacted when legislators knew, or should have known, that they inhabited a fiscal environment in which such extravagance was unaffordable. Deficits (and debt) are far higher today than when the other major entitlement programs were created; millions of baby boomer retirements are swelling expenditures arising from previously-enacted Social Security and Medicare law. Someday historians will puzzle over the thinking that induced legislators to embark on a vast new spending program at the very moment it could least be afforded.





Unraveling Finances: Where will the money come from to finance the ACAÂ’s health exchange subsidies and Medicaid expansion? No one knows. We do know that the ACAÂ’s financing mechanisms are already falling apart. The ACAÂ’s much-reported website glitches and enrollment shortfalls had actually suggested an upside; if enrollment continued to fall short of previous projections, it was possible that some of the fiscal damage could be contained. But if enrollment has picked up as the lawÂ’s financing mechanisms disintegrate, the fiscal damage will be worse than anticipated. Consider the following:

CLASS: The ACA’s “CLASS” long-term care provisions were originally projected to generate $37 billion in net premiums through 2015 ($86 billion over ten years). CLASS was later suspended due to its long-term financial unworkability, meaning these revenues have not materialized and will not.

Employer/individual mandate penalties: These were supposed to have brought in $12 billion through 2015, $101 billion over the first ten years. Because the Obama Administration has repeatedly delayed their enforcement, to date they havenÂ’t brought in much of anything. Some ACA advocates are even beginning to downplay the significance of possibly ditching these mandates altogether, though they were central to the lawÂ’s financing scheme.

Medicare Advantage: The ACA was supposed to be financed in part by cuts to Medicare Advantage (MA) totaling $31 billion through FY2015, $128 billion over the first ten years. The White House recently announced that planned MA cuts will not go into effect after all.

Other controversial provisions: The ACA’s most controversial savings provisions – among them its ambitious Medicare provider payment reductions, the tax on so-called “Cadillac” health plans, and cost-saving decisions of the Independent Payment Advisory Board– have yet to be tested. Given that less-controversial provisions have failed to meet their savings targets, there is little basis for confidence that these more controversial ones will do so.



The Unfolding Fiscal Disaster Behind ACA Enrollment Figures | Mercatus
 
How many per day?

For every day that the ACA does not result in the ruin of the economy and the destruction of our health care delivery system....how many Americans will realize that the GOP has serving them a pile of shit?

And in November when the shit hits the fan and all you have left is Obama, what then?

As if it will make a difference. It is hard to imagine a scenario where things are made more difficult for the Obama administration than they have been for the past 4 years. What is the GOP gonna do? Have negative level of support instead of zero level of support?

You are making predictions here based on wishful thinking. Haven't you learned from the past?


I am making a prediction based on my contact with the public 5 days a week concerning this issue.

You do realize that in 2010 American's VOTED to stop Obama's agenda?

The House is a duly elected body doing what we sent them there to do.
 
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How many per day?

For every day that the ACA does not result in the ruin of the economy and the destruction of our health care delivery system....how many Americans will realize that the GOP has serving them a pile of shit?

And in November when the shit hits the fan and all you have left is Obama, what then?

You're much like the preacher who predicts the end of the world, then when the sun rises he is not one bit shaken in his faith, and claims the world will end in November.

What will doomsayers like you do, if by November the sun rises, more and more citizens flood a now working data base and sign up in droves during the next open enrollment period? Don't answer, you'll demand the President's birth certificate, of course.
 
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