Obama violating rights...STRUCK DOWN!
usamamasan1
Posts: 4,695
It's a good step back to the right direction, peolpes rights.
ATLANTA (AP) — A federal appeals court has struck down the requirement in President Barack Obama's health care overhaul package that virtually all Americans must carry health insurance or face penalties.
A divided three-judge panel of the 11th Circuit Court of Appeals on Friday struck down the so-called individual mandate, siding with 26 states that had sued to block the law.
But the decision didn't go as far as a lower court that had invalidated the entire overhaul as unconstitutional.
The states and other critics say the law violates people's rights. The Justice Department counters that the legislative branch was exercising a "quintessential" power.
An appeals court and three federal judges have upheld the law, and two have invalidated it. Experts say the debate ultimately will be decided by the U.S. Supreme Court.
ATLANTA (AP) — A federal appeals court has struck down the requirement in President Barack Obama's health care overhaul package that virtually all Americans must carry health insurance or face penalties.
A divided three-judge panel of the 11th Circuit Court of Appeals on Friday struck down the so-called individual mandate, siding with 26 states that had sued to block the law.
But the decision didn't go as far as a lower court that had invalidated the entire overhaul as unconstitutional.
The states and other critics say the law violates people's rights. The Justice Department counters that the legislative branch was exercising a "quintessential" power.
An appeals court and three federal judges have upheld the law, and two have invalidated it. Experts say the debate ultimately will be decided by the U.S. Supreme Court.
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"Well, you tell him that I don't talk to suckas."
Yeah, so this way we can wait on line for necessary care and rich bastards can get premium service anyway!
the system as it is is fucked. medicare for all is the way to go.
"Well, you tell him that I don't talk to suckas."
No it is not.
for profit insurance companies do not care about you, or your mommy, or your little kids. they care about your money. they care about profits over patients. they care about getting your premiums, and if you don't pay your premiums, you get dropped.
doctors have to charge more to make a profit because they have to hire additional staff just to fight with the insurance companies who do not want to pay for anything.
do you know how much we charge for a cortisone injecion?
$300 bucks.
do you know how much of that is actually paid to us by united health care or blue cross?
$80
do you know how much time our entire billing department, that we have had to hire the last 3 years, spends on the phone trying to get that claim paid? on average 19 minutes per call per patient. most times they fail to get any more money from the insurance company, so that gets passed on to the patient, and alot of times they don't pay us. so we have to write it off, and we have to see more people, which creates the "long lines" you spoke about...
do you know how much an active ankle ankle brace costs to be billed through your insurance company?
$98
you can buy the thing yourself at a store for $45, and if it goes through your insurance you still have a 10% to 20% co-pay, plus deductable charges which often times comes out to be a little more expensive than if you buy it at the store...the insurance company HAS to make it's money above all else...
and people wonder why health care is so expensive...
a universal system would cut all of these additional costs and red tape....
"Well, you tell him that I don't talk to suckas."
Your beginning premise is wrong. It's a nice sound bite. But, in fact - wrong.
so you believe that the insurance company does care about you?
I don't think. I know. But, even if you don't and you think all they are after is profit - well, for a FACT the easiest way for a insurance company/health plan to make money is for you to be healthy. If you don't have any medical expenses, health insurance is quite a profitable business to be in. So, ergo - they want you to be healthy, they care about you. A better question is - does your doctor care about you?
So, think of it from that stand point rather than what the media and a few bitter providers would lead you to believe.
My personal experience in mental health has been that billing my work through Medicaid has way less red tape, fewer people in the middle, and less ethical concerns/issues about payer dictating treatment when compared to private insurance.
Ah! So you don't like second opinions! You just like the tax payers to pick up the cost of unnecessary treatment. Providers make money by providing services - Not PROPER services in government run health care - but simply services.
So, again I ask - does your doctor care about you?
like a lot of things in life, it depends on the doctor.
some are good and do care, some just want to line their pockets.
I can see your point however i don't agree. the 2 ways that health insurance can make money which we agree is the point is a) make sure your always healthy and maybe you will find a insurance company that will call you to make sure your living a healthy life or b take your money and when you really need them they say sorry. you know that this happens.
So, when you tell your patient to get an ankle brace, do you tell them this?
Hey, your deductible is more than the thing will cost you in the store. Why don't you go get it there rather than getting it from me?
and people wonder why health care is so expensive...
do you know what an annual preparticipation physical costs? $168. and 95% of the time it is not covered by any insurance. not one. they have to have a certain rider in their policy to have well visits covered, and that rider costs more per policy. the vast majority of policies do not contain coverage for well visits.
if your insurance comapany wanted you to he healthy, wouldn't you want them to not only encourage, but actually PAY FOR these physical exams?
i work in the industry, i witness this bullshit happen every single day...
the only things that are guaranteed to pay, albeit at a discounted rate, is medicare and medicaid. those are the only ones that we know will pay us for sure. and they are the only ones that will pay $100% of the time, aside from tricare, which is coincidently enough, government funded insurance...
"Well, you tell him that I don't talk to suckas."
TRUTH: keep speaking it.
no where did he say he didn't want a second opinion. one of the major issues i have read here about uhc is that people don't want the government to tell them what they can do with their bodies but have no problem in insurance companies saying sorry we will not fund this procedure as we don't believe that it is necessary.
we do not bill for the braces, the manufacurer bills the insurance companies. some doctors buy product and bill the patient for it so they make a profit. we don't. we have an arrangement with the manufacturer that if someone can use a brace we give it to them and the manufacturer bills the insurance and is reimbursed. we lose out on a lot of money doing it this way instead of the buy and bill way, but we avoid the headaches and red tape of trying to get paid by insurance companies. let them work for that money themselves.
i am a patient advocate, so if i can save them money out of pocket by sending them elsewhere that is what i do.
"Well, you tell him that I don't talk to suckas."
as a person from a country in which the government does in fact pay the bills for health coverage i can say i nor my doctor has every had an issue.
100%. And I believe there are more good than bad (at least in intentions). Unfortunately, the bad run up such unnecessary (and some times dangerous) costs that everyone gets affected.
Did you know that if you have a doctors visit within 7 days of discharge from hospital your chances of being readmitted go down 60%? And that includes elderly, sick patients. And did you know that most doctors, knowing this, still don't follow up with their patients within 7 days of discharge from the hospital?
So, sometimes it takes more than just good intentions. And, that's what good managed care companies do. Make sure these visits occur. And you know what? They happily pay the "extra" expense of the "extra" visit to the doctor to keep you healthy and out of the worst place to be whether you healthy or sick - the hospital (for lengths of stay greater than 3 days, you're more likely to catch a hospital bourn illness than see any great improvement in condition). Would a government run, single payer system do this?
And, yes, the managed care company makes a profit off this.
Ummm..there are certain thresholds that have to be met to provide different levels of mental health care through Medicaid, all of which I think meet the professional consensus of necessary care and likely the consensus of the general public. Mental health providers do receive reviews, which I would say are more streamlined and expectations are way more clear with Medicaid than private health insurance. Of course, people want to hold on to their myths about how the government runs vs. the private industry.
What are you talking about? Every Managed Care company in the country covers Well visits. Every year? For a 40 year old they do. You are right. For a healthy 25 year old, they don't. So what? What healthy 25 year old goes for an ANNUAL well visit (other than women who actually do have it covered via an OB).
I don't doubt that you do. You seem like the kind of person that would. And, unfortunately for you you are a rarity in the PT business. So, you get the short end when companies are trying to weed out the crooks.
Managed Care companies are regulated. They can only use guideliness that are publicly published. Are they more rigorous than the gov't? Definitely. But, why is that a bad thing? I have never seen a patient with the proper clinical diagnosis be turned down for service. That is the myth - that insurance companies are turning away patients that have meet criteria.
To tell you the truth - doctors ruined it for themselves. They got greedy and started testing and surgery, and churning on every patient they saw with a detriment to outcomes. So, in the '80's Managed Care companies came in and cut out the waste to the best of their abilities. If every doctor acted in their patients' best interest which meant their overall care, Managed Care wouldn't even exist.
That doesn't indict all doctors. But, quite frankly the best performing (clinical outcomes wise) I've run into have 0 problem with the so called red tape.
Yeah - I agree the gov't telling you... is a specious argument. I do believe in the proper setting that Managed Care has a greater concern for your well being than a gov't (any gov't) will.
You do realize that sometimes doctors order unnecessary things that are harmful to you? The biggest mistake patients make is not questioning their doctors. Even (good) doctors say that.
when you are right you are right...most people who think that universal isn't the way to go don't work with ma or medicare. Believe me I understand their apprehension into government run anything and this would be a monumentally huge change to our system as well as our economy(1/6th is healthcare related I believe)...and sure there is abuse and fraud, but there is private insurance fraud as well. Universal health care is better than what we have now for the patient. it is not better for medical research and development, it is not better for pharmaceutical businesses and it isn't better for insurance companies... So ultimately i see our quality of care degrading slightly overtime, but our ability to not have the people burdened with healthcare costs directly will be a much bigger positive.
Excuse me while I go throw up...I hate admitting a need for government run anything
The government needs to get out completely or get all in. Halfway isn't helping anyone
It is terrifying when you are too stupid to know who is dumb
- Joe Rogan
possibly, but if you look at the fee schedule you do realize that you get reimbursed about 60% of what you charge anyway. that is the average at my clinic anyway.
No system is perfect, and if the government isn't going to allow a completely free market to dictate itself I firmly believe they should go all the way.
And yes, volume of reimbursement would be higher
It is terrifying when you are too stupid to know who is dumb
- Joe Rogan
yes i agree with you that doctors will order things that are harmful but that really doesn't have ,much to do with UHC or private insurance. i have had major health issues in the past ( the odds are i would not be approved for insurance if i lived in the states) and i went to many doctors to get advice and i believe that everyone should do that.
personally, i believe in UHC due to a simple reason, i don't believe that people should be deny health coverage.
How is that acceptable? It is deplorable to me that a provider would be ok with this. Maybe, it's easier on providers - but that's not the goal. Our goal should be to provide the highest care possible. We need to improve there. But, removing competition will surely squash it as you - an advocate - readily admits.
If you could see the readmission rates for preventable occurences that are high in managed care, but even higher in indemnity plans (which gov't coverage would effectively be) - you would be appalled. How many CHF patient will the gov't call on a daily basis to make sure they haven't gained an inordinate amount of weight most likely due to the dangerous increase in fluids that, if caught early enough can be taken care of in the home rather than the ER which eventually leads to an unnecessary admission.
Those that talk positively of universal, government run health care are under informed of the realities of what health insurance/managed care companies do.