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	<title>Comments on: AMA Backs House&#8217;s Health Care Bill</title>
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	<link>http://donklephant.com/2009/07/17/ama-backs-houses-health-care-bill/</link>
	<description>Big Teeth. Huge Ass. Surprisingly Reasonable.</description>
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		<title>By: Pepper</title>
		<link>http://donklephant.com/2009/07/17/ama-backs-houses-health-care-bill/comment-page-1/#comment-516428</link>
		<dc:creator>Pepper</dc:creator>
		<pubDate>Sun, 19 Jul 2009 00:38:29 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15679#comment-516428</guid>
		<description>From Obama&#039;s website it states: &quot;President Obama is committed to enacting comprehensive health reform this year that lowers costs&quot;.  How does it lower costs to have no competition?  I heard a doctor the other day say some of the rules of medicare are ingnorant.  Like, the one that won&#039;t allow a Sr. Citizen to receive IV fluids at home under the supervision of a nurse.  They must be in the hospital--which is more costly.  If health care is going to be reformed, start with the basics and lower costs by looking at the wasted monies first.  When I&#039;m trying to lower my personal budget, that&#039;s what I do---look for the waste and how it can be trimmed.</description>
		<content:encoded><![CDATA[<p>From Obama&#8217;s website it states: &#8220;President Obama is committed to enacting comprehensive health reform this year that lowers costs&#8221;.  How does it lower costs to have no competition?  I heard a doctor the other day say some of the rules of medicare are ingnorant.  Like, the one that won&#8217;t allow a Sr. Citizen to receive IV fluids at home under the supervision of a nurse.  They must be in the hospital&#8211;which is more costly.  If health care is going to be reformed, start with the basics and lower costs by looking at the wasted monies first.  When I&#8217;m trying to lower my personal budget, that&#8217;s what I do&#8212;look for the waste and how it can be trimmed.</p>
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		<title>By: ShortWoman&#187; Blog Archive &#187; Shorties Fever</title>
		<link>http://donklephant.com/2009/07/17/ama-backs-houses-health-care-bill/comment-page-1/#comment-516048</link>
		<dc:creator>ShortWoman&#187; Blog Archive &#187; Shorties Fever</dc:creator>
		<pubDate>Sat, 18 Jul 2009 19:07:13 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15679#comment-516048</guid>
		<description>[...] gotten a real raise in over 1o years); Mr. Obama tells Congress to get moving; at least the AMA likes this House proposal; Maha Barbara explains a Cato Institute idea; John Aravosis on health insurance realities you may [...]</description>
		<content:encoded><![CDATA[<p>[...] gotten a real raise in over 1o years); Mr. Obama tells Congress to get moving; at least the AMA likes this House proposal; Maha Barbara explains a Cato Institute idea; John Aravosis on health insurance realities you may [...]</p>
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		<title>By: Tully</title>
		<link>http://donklephant.com/2009/07/17/ama-backs-houses-health-care-bill/comment-page-1/#comment-515998</link>
		<dc:creator>Tully</dc:creator>
		<pubDate>Sat, 18 Jul 2009 17:15:34 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15679#comment-515998</guid>
		<description>Jimmy, sorry to burst that particular bubble, but that clause applies only to grandfathered plans that don&#039;t meet the new-plan-issue criteria. It doesn&#039;t ban all individual private insurance, it bans new-policy enrollment and issuance of plans that do not meet the standards.

That would still kill off those older plans by slow strangulation, so the claim that you could keep your previous plan is pretty damn weak, if said plan is non-conforming. But you would still be free to buy individual conforming plans from private carriers. Of course, THOSE plans would have to compete against the taxpayer-subsidized public plan, which would lead to more slow strangulation of private plans....

The overall claim that the scheme of the current House bill would lead to choking off most private plans and eventually lead to single-payer appears valid to me. The Swiss and Danes have reasonably well-functioning systems that do NOT include a &quot;public plan&quot; but DO include standard base criteria for all plans AND mandatory purchase, with plans competing for customers and low-income subsidization, and they seem to do OK.</description>
		<content:encoded><![CDATA[<p>Jimmy, sorry to burst that particular bubble, but that clause applies only to grandfathered plans that don&#8217;t meet the new-plan-issue criteria. It doesn&#8217;t ban all individual private insurance, it bans new-policy enrollment and issuance of plans that do not meet the standards.</p>
<p>That would still kill off those older plans by slow strangulation, so the claim that you could keep your previous plan is pretty damn weak, if said plan is non-conforming. But you would still be free to buy individual conforming plans from private carriers. Of course, THOSE plans would have to compete against the taxpayer-subsidized public plan, which would lead to more slow strangulation of private plans&#8230;.</p>
<p>The overall claim that the scheme of the current House bill would lead to choking off most private plans and eventually lead to single-payer appears valid to me. The Swiss and Danes have reasonably well-functioning systems that do NOT include a &#8220;public plan&#8221; but DO include standard base criteria for all plans AND mandatory purchase, with plans competing for customers and low-income subsidization, and they seem to do OK.</p>
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		<title>By: Jimmy the Dhimmi</title>
		<link>http://donklephant.com/2009/07/17/ama-backs-houses-health-care-bill/comment-page-1/#comment-514950</link>
		<dc:creator>Jimmy the Dhimmi</dc:creator>
		<pubDate>Sat, 18 Jul 2009 02:50:44 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15679#comment-514950</guid>
		<description>ADDENDUM:

HA!  Its so interesting that you would point out that individual choice for health insurance is important for Americans, because as it turns out, the current House bill &lt;a href=&quot;http://www.ibdeditorials.com/IBDArticles.aspx?id=332548165656854&quot; rel=&quot;nofollow&quot;&gt;bans individual private insurance.&lt;/a&gt;  From Investors Business Daily:
&lt;blockquote&gt;Under the Orwellian header of &quot;Protecting The Choice To Keep Current Coverage,&quot; the &quot;Limitation On New Enrollment&quot; section of the bill clearly states:

&quot;Except as provided in this paragraph, the individual health insurance issuer offering such coverage does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day&quot; of the year the legislation becomes law.

So we can all keep our coverage, just as promised â€” with, of course, exceptions: Those who currently have private individual coverage won&#039;t be able to change it. Nor will those who leave a company to work for themselves be free to buy individual plans from private carriers. &lt;/blockquote&gt;
Lets hope this bill goes down in flames.  The solution to the health care crisis is individual private insurance.  The first thing we need to do is decouple insurance from employment.</description>
		<content:encoded><![CDATA[<p>ADDENDUM:</p>
<p>HA!  Its so interesting that you would point out that individual choice for health insurance is important for Americans, because as it turns out, the current House bill <a href="http://www.ibdeditorials.com/IBDArticles.aspx?id=332548165656854" >bans individual private insurance.</a>  From Investors Business Daily:</p>
<blockquote><p>Under the Orwellian header of &#8220;Protecting The Choice To Keep Current Coverage,&#8221; the &#8220;Limitation On New Enrollment&#8221; section of the bill clearly states:</p>
<p>&#8220;Except as provided in this paragraph, the individual health insurance issuer offering such coverage does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day&#8221; of the year the legislation becomes law.</p>
<p>So we can all keep our coverage, just as promised â€” with, of course, exceptions: Those who currently have private individual coverage won&#8217;t be able to change it. Nor will those who leave a company to work for themselves be free to buy individual plans from private carriers. </p></blockquote>
<p>Lets hope this bill goes down in flames.  The solution to the health care crisis is individual private insurance.  The first thing we need to do is decouple insurance from employment.</p>
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		<title>By: Jimmy the Dhimmi</title>
		<link>http://donklephant.com/2009/07/17/ama-backs-houses-health-care-bill/comment-page-1/#comment-514823</link>
		<dc:creator>Jimmy the Dhimmi</dc:creator>
		<pubDate>Sat, 18 Jul 2009 01:31:02 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15679#comment-514823</guid>
		<description>&lt;blockquote&gt;â€œProvides consumers with a choice of plans through a health insurance exchange.â€ Thatâ€™s a biggie, because while consumers are offered choices, theyâ€™re still picking between private and public.&lt;/blockquote&gt;
They will be picking for a while, until their employer dumps their private plan to cut costs, or until the premiums on private insurance skyrocket as more and more people leave private insurance join the taxpayer-subsidized plan.

Eventually, the only people who will be able to afford to choose between public and private will be the rich, and they of course will always choose the superior private care.  The quality gap between the rich and poor will increase in this country and it will all be the fault of people who support this bill.</description>
		<content:encoded><![CDATA[<blockquote><p>â€œProvides consumers with a choice of plans through a health insurance exchange.â€ Thatâ€™s a biggie, because while consumers are offered choices, theyâ€™re still picking between private and public.</p></blockquote>
<p>They will be picking for a while, until their employer dumps their private plan to cut costs, or until the premiums on private insurance skyrocket as more and more people leave private insurance join the taxpayer-subsidized plan.</p>
<p>Eventually, the only people who will be able to afford to choose between public and private will be the rich, and they of course will always choose the superior private care.  The quality gap between the rich and poor will increase in this country and it will all be the fault of people who support this bill.</p>
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		<title>By: Steve</title>
		<link>http://donklephant.com/2009/07/17/ama-backs-houses-health-care-bill/comment-page-1/#comment-514680</link>
		<dc:creator>Steve</dc:creator>
		<pubDate>Fri, 17 Jul 2009 20:09:36 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15679#comment-514680</guid>
		<description>Don&#039;t you mean 180 instead of 360? As for AMA and insurers and other interest groups &quot;supporting&quot; a bill that affects them, I&#039;m almost always against it since the bill usually ends up watered down, useless or abused (or worst, all 3).  I do understand they&#039;re constituents and considered &quot;experts&quot; by most people, but they&#039;re the problem and hurdle to concise health care coverage.</description>
		<content:encoded><![CDATA[<p>Don&#8217;t you mean 180 instead of 360? As for AMA and insurers and other interest groups &#8220;supporting&#8221; a bill that affects them, I&#8217;m almost always against it since the bill usually ends up watered down, useless or abused (or worst, all 3).  I do understand they&#8217;re constituents and considered &#8220;experts&#8221; by most people, but they&#8217;re the problem and hurdle to concise health care coverage.</p>
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