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The Big Question: Why Isn't the Proposed Healthcare Replacement Ready?
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2017 Jun 24, 10:34pm 12,424 views 45 comments
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41
CBOEtrader
2018 Sep 11, 11:04am
CBOEtrader
2018 Sep 11, 11:04am
bob2356 says
I know nothing about this, but IF true do you find it ironic or expected that our elite western oligopolistic families sold heroine to china during the opium wars for massive profits, whereas today china is doing the same to the US.
Seems like history repeating itself, and frankly I'd bet our financial elite here are extracting their pound of flesh from this suffering.
China has been shipping illegal fentanyl, via mail order and mexico. in large quantities since 2014. Drug overdoses exploded starting in 2014. Hmmm. Let's see 24 hours in a day, 24 beers in a case. Coincidence? I think not.
I know nothing about this, but IF true do you find it ironic or expected that our elite western oligopolistic families sold heroine to china during the opium wars for massive profits, whereas today china is doing the same to the US.
Seems like history repeating itself, and frankly I'd bet our financial elite here are extracting their pound of flesh from this suffering.
42
bob2356
2018 Sep 11, 7:58pm
'
received prescriptions.curious2 says
Nice totally irrelevant point and strawman. True to form I see. Next on the I don't have an argument hit parade will be the usual list personal insults.
You made the assertion the ACA caused the increase in OD deaths since 2014 you prove it. Since you have no numbers on how many OD deaths since 2014 were people who had ever had prescriptions from ACA or expanded medicare what are you basing your assertion on?
So as usual your argument is it's true because I believe it should be true. What a surprise. It's deja vu all over again.
received prescriptions.curious2 says
ob2356 says
Show what percentage of od's were aca and/or medicaid expansion patients
You're the one calling ObamneyCare "the biggest source of help," why don't you show how it reduced opioid deaths, which have tripled to new records since enactment and especially since full implementation? Prove that the tripling of deaths was merely a coincidence, if you're so sure it's the biggest source of help
Nice totally irrelevant point and strawman. True to form I see. Next on the I don't have an argument hit parade will be the usual list personal insults.
You made the assertion the ACA caused the increase in OD deaths since 2014 you prove it. Since you have no numbers on how many OD deaths since 2014 were people who had ever had prescriptions from ACA or expanded medicare what are you basing your assertion on?
So as usual your argument is it's true because I believe it should be true. What a surprise. It's deja vu all over again.
43
curious2
2018 Sep 11, 8:35pm
curious2
2018 Sep 11, 8:35pm
bob2356 says
Have you even read what ObamneyCare does? It does not expand Medicare.
It does however expand Medicaid, and that is one of the ways in which it has increased opioid deaths. You want numbers but are too lazy to look for them yourself? Here are a few:
"For dangerous opioids such as oxycodone, Medicaid co-pays can run as low as $1 for as many as 240 pills—pills that can be sold for up to $4,000 on the street.
***
“We can talk morality all day long, but if you’re drawing five hundred dollars a month and you have a Medicaid card that allows you to get a monthly supply of pills worth several thousand dollars, you’re going to sell your pills.”
***
In courts across the country—overwhelmingly in Medicaid expansion states—prosecutors are identifying Medicaid fraud involving opioids. This report highlights nearly 300 criminal cases involving at least 1,072 defendants in which people have been convicted or charged of abusing Medicaid to obtain or sell opioids... Defendants include nurses, pharmacists, and some of the community’s most trusted members, such as an Indiana doctor who delivered an estimated 4,000 babies. [A] Louisiana doctor convicted of over-prescribing painkillers in a scheme to bilk Medicaid was caught on tape threatening to kill the federal agents investigating him. “They won’t even be able to have an open
casket funeral,” court documents quote him as saying... The cases reflect massive frauds and bizarre twists, from a $1 billion scheme to defraud Medicaid and Medicare involving numerous health care providers, to a New York doctor and oxycodone distributor who blamed her actions on an alternative personality named “Nala.”
***
Drug overdose deaths have risen rapidly, at a much faster pace than before expansion.
***
Perhaps Sam Adolphsen, a former Maine Department of Health and Human Services official, said it best. “As 15 million able-bodied adults were added to Medicaid through
Obamacare, the drug problem only grew worse.... In reality, Medicaid may be fueling the problem and may be largely responsible for starting the epidemic in the first place.”
***
More than 80 percent of the 298 separate Medicaid-opioids cases identified were filed in Medicaid expansion states, led by New York, Michigan, Louisiana, New Jersey, and Ohio. The number of criminal cases increased 55 percent in the first four years after Medicaid expansion, from 2014 to 2017, compared to the four-year period before expansion.
***
Drug overdose deaths per one million people are rising nearly twice as fast in expansion states as non-expansion states while opioid-related hospital stays paid for by
Medicaid massively spiked after expansion.
***
Medicaid spending to treat victims is escalating, especially in expansion states. Spending on a single opioid overdose medication, for example, increased an astonishing 90,205 percent between 2011 and 2016, with costs rising “most notably after 2014.”
Read the whole report, it has more numbers for you. Meanwhile, your latest lie is that the medical insurance legislation signed in 2010 and implemented during 2010-2014 "is the biggest source of help" and had nothing to do with the huge increase in opiate and opioid deaths that followed. The ultimate numbers are these, RIP:
https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates
expanded medicare
Have you even read what ObamneyCare does? It does not expand Medicare.
It does however expand Medicaid, and that is one of the ways in which it has increased opioid deaths. You want numbers but are too lazy to look for them yourself? Here are a few:
"For dangerous opioids such as oxycodone, Medicaid co-pays can run as low as $1 for as many as 240 pills—pills that can be sold for up to $4,000 on the street.
***
“We can talk morality all day long, but if you’re drawing five hundred dollars a month and you have a Medicaid card that allows you to get a monthly supply of pills worth several thousand dollars, you’re going to sell your pills.”
***
In courts across the country—overwhelmingly in Medicaid expansion states—prosecutors are identifying Medicaid fraud involving opioids. This report highlights nearly 300 criminal cases involving at least 1,072 defendants in which people have been convicted or charged of abusing Medicaid to obtain or sell opioids... Defendants include nurses, pharmacists, and some of the community’s most trusted members, such as an Indiana doctor who delivered an estimated 4,000 babies. [A] Louisiana doctor convicted of over-prescribing painkillers in a scheme to bilk Medicaid was caught on tape threatening to kill the federal agents investigating him. “They won’t even be able to have an open
casket funeral,” court documents quote him as saying... The cases reflect massive frauds and bizarre twists, from a $1 billion scheme to defraud Medicaid and Medicare involving numerous health care providers, to a New York doctor and oxycodone distributor who blamed her actions on an alternative personality named “Nala.”
***
Drug overdose deaths have risen rapidly, at a much faster pace than before expansion.
***
Perhaps Sam Adolphsen, a former Maine Department of Health and Human Services official, said it best. “As 15 million able-bodied adults were added to Medicaid through
Obamacare, the drug problem only grew worse.... In reality, Medicaid may be fueling the problem and may be largely responsible for starting the epidemic in the first place.”
***
More than 80 percent of the 298 separate Medicaid-opioids cases identified were filed in Medicaid expansion states, led by New York, Michigan, Louisiana, New Jersey, and Ohio. The number of criminal cases increased 55 percent in the first four years after Medicaid expansion, from 2014 to 2017, compared to the four-year period before expansion.
***
Drug overdose deaths per one million people are rising nearly twice as fast in expansion states as non-expansion states while opioid-related hospital stays paid for by
Medicaid massively spiked after expansion.
***
Medicaid spending to treat victims is escalating, especially in expansion states. Spending on a single opioid overdose medication, for example, increased an astonishing 90,205 percent between 2011 and 2016, with costs rising “most notably after 2014.”
Read the whole report, it has more numbers for you. Meanwhile, your latest lie is that the medical insurance legislation signed in 2010 and implemented during 2010-2014 "is the biggest source of help" and had nothing to do with the huge increase in opiate and opioid deaths that followed. The ultimate numbers are these, RIP:
https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates
44
bob2356
2018 Sep 11, 10:49pm
curious2 says
I did read it, a while ago. Nice bit of political theater. It's a condemnation of some medicaid providers not aca. Many of the cases are in non expansion states or before medicaid expansion. There were increases in the expansion states. DUH, no fucking shit. They expanded the program. There were more people on medicaid. Of course the numbers went up.
I noticed the report has no hard numbers at all on how many OD deaths were from medicaid patients vs private insurance patients. Why is that? So the report :"PROVES" nothing about the aca causing the increase in OD deaths.
Nothing to do? Where did I say that? Now you can apologize for lying. Did ACA fuel the entire or even most of the increase? Show me the numbers of OD deaths for ACA people vs regular medicaid, private insurance, cash payments. Hasn't happened yet.
Did ACA provide a lot of measures to fight opioid abuse. Yes. Is there anyone else providing more? Show who or retract that lie also.
Read the whole report, it has more numbers for you. Meanwhile, your latest lie is that the medical insurance legislation signed in 2010 and implemented during 2010-2014 "is the biggest source of help" and had nothing to do with the huge increase in opiate and opioid deaths that followed. The ultimate numbers are these, RIP
I did read it, a while ago. Nice bit of political theater. It's a condemnation of some medicaid providers not aca. Many of the cases are in non expansion states or before medicaid expansion. There were increases in the expansion states. DUH, no fucking shit. They expanded the program. There were more people on medicaid. Of course the numbers went up.
I noticed the report has no hard numbers at all on how many OD deaths were from medicaid patients vs private insurance patients. Why is that? So the report :"PROVES" nothing about the aca causing the increase in OD deaths.
Nothing to do? Where did I say that? Now you can apologize for lying. Did ACA fuel the entire or even most of the increase? Show me the numbers of OD deaths for ACA people vs regular medicaid, private insurance, cash payments. Hasn't happened yet.
Did ACA provide a lot of measures to fight opioid abuse. Yes. Is there anyone else providing more? Show who or retract that lie also.
45
curious2
2018 Sep 11, 10:54pm
curious2
2018 Sep 11, 10:54pm
bob2356 says
I have done that 3 times in this thread. Compare the numbers from 2009, when there were no Obamneycare people, to 2015. I have also shown (including quoting) specific mechanisms by which Obamneycare caused the increase. Yet, you persist in contending the opposite, that the legislation "is the biggest source of help." Look at the increased spending and you will get a clue what "help" the legislation was designed to deliver.
In fact, this time you appear to have conceded while pretending to argue:
bob2356 says
So, now you're acknowledging the fact, even while pretending to deny it. Now you have to explain how the legislation helped the numbers go down when in fact you've admitted that "of course" they went up.
Show me the numbers of OD deaths for ACA people vs regular medicaid, private insurance, cash payments. Hasn't happened yet
I have done that 3 times in this thread. Compare the numbers from 2009, when there were no Obamneycare people, to 2015. I have also shown (including quoting) specific mechanisms by which Obamneycare caused the increase. Yet, you persist in contending the opposite, that the legislation "is the biggest source of help." Look at the increased spending and you will get a clue what "help" the legislation was designed to deliver.
In fact, this time you appear to have conceded while pretending to argue:
bob2356 says
There were more people on medicaid. Of course the numbers went up.
So, now you're acknowledging the fact, even while pretending to deny it. Now you have to explain how the legislation helped the numbers go down when in fact you've admitted that "of course" they went up.
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Gentle Readers,
Why isn't the healthcare replacement anywhere near viable? It's a disasterous effort that the Republicans assured everyone would be "Wonderful!"
Here is an educated guess about that.
1) W. takes office in 2001. The Republican Party has experience at crafting laws and statutes. More or less a party that is capable of governing.
2) 9/11/2001 attacks happen. In response to this, the Repbulican Government does a number of things: cut taxes on the wealthy, enact the Patriot Law, start a war in Afghanistan, start the global war on terror, and so on.
3) Bin Laudin gets away.
4) Afghanistan assumes a back-burner status while Iraq War propaganda is whipped to a frenzy. Oh, don't forget Freedom Fries and Gitmo.
5) Iraq is a debacle and a real, bad civil war starts there. No WMD found.
6) 2004 elections are ok for W. but the Repbulicans begin the process of getting voted out of Congress and the Senate.
7) 2005 and we have Katrina. W. and the Republicans are wearing out their welcome. "Brownie you're doing a heck of a job!
8) 2006 midterms and all of the Repbulicans who know how things work are gone. We now have a Democratic Congress and Senate.
9) 2008 Presidential Elections are a disaster for the Republicans.
This is what did it. All of the capable Republicans are gone in ten years or so. Don't get me wrong, I'm a liberal Democrat. That said, be you Conservative, Moderate, or Liberal, we need experienced politicians that can write laws and understand how things work. What we have are incompetent replacements who don't know how to run a government. I have an example of "governing by first principles" in Louisiana. Gov. Jindal made a huge mess of State Gov't finances by this garbage. He's out of office by the way.
Politics is the art of the possible.
Regards,
Roidy
P.S. I'll refrain from my usual post-script rant
8)