Just How Screwed Are Patients?

Back after hurricane Katrina my leg was crushed in a fall……and when I was looking at the bill that the EMs sent to me, which was covered under Workers Comp, I noticed a charge that was not kosher……I was charged $50 for a cervical collar and was never given one…..my leg was broken but I had all my faculties….I told the workers comp rep that was handling my case and was told that it was not important enough to challenge……I asked her just how much money does the service make on gouging?  I never got an answer.

And then I saw this story and it answered my question pretty well…..

  Getting Hodgkin’s lymphoma was bad enough. Then Ohio resident Sean Recchi received his hospital bill: $83,900. You can blame his limited health insurance, but Steven Brill at Time looked behind the numbers to see why MD Anderson Cancer Center in Houston charged so much. What Brill found: shocking markups that hiked prices by several hundred percent or more above cost. Queried about the markups, MD Anderson said their billing practices “are complex” and “similar to those of other major hospitals.” Which is exactly what Brill found: “a uniquely American gold rush” of tax-exempt “nonprofit” hospitals across the US that are raking in huge bucks and handing administrators mega-salaries. Among his other findings:

  • Hospitals are forcing Americans to spend nearly 20% of GDP on health care—double the usual for developed countries—and more than the next 10 top-spending nations combined.
  • Each hospital’s internal price list, or chargemaster, is far higher than what Medicare pays for health care. Advocates have started a cottage industry helping people understand and reduce their bills.
  • Brill uncovers huge markups from specific bills, like $4,000 for items like a blanket warmer, marking pen, and surgical gown. Recchi was billed $13,702 for medicine that cost MD Anderson only $3,000 to $3,500.
  • Brill’s first solution: Bring all Americans under the Medicare umbrella, and charge wealthier Americans more for their medical care. At least Medicare forces hospitals to charge the proper rates. Only problem: A massive, single-payer overhaul like that won’t happen anytime soon.
  • Solution No.2: Strengthen anti-trust laws to restrict the power of hospitals; this would give insurance companies more leverage to bargain over prices. Then tax hospital profits at 75%, and tack a surcharge on excessive non-doctor hospital salaries. And ban the chargemaster. Will any of this happen? Probably not, because hospitals are too powerful.
  • Brill’s take on ObamaCare: It’s good for certain things, like curbing some hospital-bill collecting and getting more people insured. But ultimately it’s just bringing more customers into a grossly unfair marketplace.
  • Click for the full article.

We all know that hospitals gouge the patients……and there is little we can do about it…….but crap like this drives all the rising costs of health care……but yet they are seldom held accountable…….why is that?


Medicare Vouchers

Ryan Medicare Vouchers


Medicare Stand!

Ryan Medicare Plan


Another Plan For Seniors

The Good Deed


Can GOP Rescue Itself?

Please take a moment today to thank all those who gave their lives in service to their country……and speaking of dead or dying…….

For about two months now the GOP has been taking lots of grief over their budget proposal that would essentially eliminate Medicare…they are on record ion the House as voting to do so…and soon in the Senate…..they are toeing the party line by supporting it…..but all the rumblings are that they really want to try and distance themselves from the proposal….look for them to try and divert the voters attention with some other manufactured issue to try and do just that…..

Well, first Eric Cantor has said that Paul Ryan should run for the Senate for Wisconsin……since he is being billed as the “Boy Genius” of the GOP, this would be a great idea….it would take him out of the media filter and give him something to focus on other than the Medicare proposal that the entire is trying quietly to run away from before the 2012 election.

Next…..a budget deal……they need to work hard to come up with a deal with Dems without killing Medicare…this is possible because almost ALL Dems are saying that the situation with Medicare needs to be addressed but in a way that protects people’s need for the program……

Lastly……A Candidate……the GOP is desperate for a real candidate…..right now they have mostly wannabes that are in love with personal appearances and light on real solutions to the country’s problems…..they have 3 sorta promising candidates……Romney and T-Paw and the one that is in the weeds…Huntsman….the problem is all 3 have a massive amount of baggage that the base is just not that into……

So, can the GOP rescue itself?  YES, but only if they find a real candidate and the election season draws closer and they still have NOT found the one……,it is looking very likely that the GOP is in trouble….at least for now……


Paul Ryan’s New Approach

With his Medicare proposal going down the toilet rapidly they, meaning him, is trying a new tactic…watch!

http://j.mp/jXBgTQ

Let me explain…..that tactic is #20 on the List of Disinformation tactics used to influence…and 20 reads….

20. False evidence. Whenever possible, introduce new facts or clues designed and manufactured to conflict with opponent presentations as useful tools to neutralize sensitive issues or impede resolution. This works best when the crime was designed with contingencies for the purpose, and the facts cannot be easily separated from the fabrications.

I received the “25 Rules For Disinformation” in a e-mail…I have NO idea who wrote them but ….in my opinion they are a genius…..


And There Is A Balanced Budget

I guess today is Budget Day…where I piss on all things budgetary…oh well….someone has to do it!

The political ballet has been going on now for about 5 months, since the last election and the swearing in of the new Congress….that ballet has been the back and forth of the debate on a balanced budget……2 steps forward…one step back, then one step forward and then 3 steps back…..back and forth…..one side gets points the other side gets hammered and then it is vice versa……what then is the answer?

Good question, class!  The Repubs have come up with a budget that most of the middle class thinks sucks…..and that is the privatization of SS and Medicare….oh, my bad….they are calling it the personalization of SS and Medicare…..it is all in the presentation, huh?  Anyway looks as if they will back off of their proposal for a voucher system for Medicare….if they do how will that play against the balanced budget thingy?

TPM is reporting……

It turns out that if you strike the Medicare plan from the GOP budget — authored by Rep. Paul Ryan (R-WI) — it doesn’t achieve fiscal balance anymore.

“It certainly blows a major hole in his plan,” said Paul Van de Water, a health care and budget expert at the Center on Budget and Policy Priorities, in a phone interview.

If you take Ryan at his word, and assume that the tax-side of his plan is revenue neutral — a big “if” — his plan balances the budget over decades entirely on the spending side of the government’s ledger. Van de Water explains that if you take the Medicare privatization plan out of the equation, the budget sinks — dragged down by higher spending, and then higher interest payments as a result of larger-than-projected deficits.

Well that just SUCKS!  Without the voucher thing…Ryan’s budget proposal floats like a lead toilet…what to do….what to do?  My guess is to start tap dancing like a drunken sailor to try and find a compromise or the Repubs Golden Plan is dead in the flipping water…..Once again….what to do?  What to do?


Cowards!

I know some of my readers get tired of my continuing bitching about the people we elect to govern us….I have accused them of more concern for their re-election than in the future of this country and its people…I do not feel that I had been unnecessarily hard on these people, but I have had some push back against my views (go figure)……but like most people I DO enjoy it when I am proven right….like others my ego needs a shot from time to time……

For weeks now we have heard about the Medicare proposals by the GOP in Paul Ryan’s budget….that the end game of his proposal was the elimination of the program that has benefited so many seniors over the years…..of course, the conserv noise machine had spent a bunch of time and resources trying to push back from the position…and even those GOPers who held town halls were catching total Hell from their constituents…..but they stood by their guns and tried to explain it to their people and unfortunately the narritive was NOT getting through…..so what will they do?

Will the GOP stand by what they believe is a solid answer to some of our debt problems?  Or will they do what I have expected them to do and drop the Medicare thing?

And then yesterday the call went out……this from Talking Points Memo….

A little dust-up happened tonight that likely tells us where the debate over Medicare Phase-Out is going.  Shortly after 9 PM this evening the Washington Post emailed a breaking news alert which read “Medicare dropped from GOP budget proposal.”   That kicked off a furious push back from the office of Majority Leader Eric Cantor (R-VA).   And shortly after 10:30 PM the Post sent out a revised email with a new headline: “Republican leaders seeking compromise in deficit talks.”  In the body of the email there was an editorial note: “The headline on an earlier alert incorrectly described the GOP position in deficit talks.”

It’s not clear to me how much the article itself changed.  My sense is little or none at all.  And the initial headline probably was an aggressive read on just what Republicans are saying.   But my sense is they were likely much more right than wrong.

Come on people!  You know damn well that this is NOT about the budget……rather their fear of NOT being re-elected!  And yes I said cowards!  If this is truly about trying to find answers to our spending problem then to abandon it is COWARDLY!  But NOT unexpected!

Since I began writing this post 2 more GOPers have backed off of the Ryan Budget thingy….

Sen. Lamar Alexander (R-TN) told TPM that while he would vote for the House budget if it comes to the Senate floor to “move the ball down the field,” his own preference on Medicare was a different proposal that would give seniors the option to remain in the traditional government plan.Senator Rob Portman (R-OH), one of the GOP’s most experienced budget hands, having previously served as OMB director under President Bush, told TPM that he and his colleagues — while not ruling out Ryan’s budget — are looking at several alternatives.

Let us be honest….we all knew these people would not stand by their golden boy once the fur began to fly with the seniors…..it is a dead issue…they know it and now YOU know it!


You Are Sh*tting Me!

Every now and then I run across a story in the search for material for this site…….. I run across a story that just makes me shake my head in disbelief……we all know of the raging battle over entitlements being fought in the halls of Washington and on the air….if you are not then perhaps another game of Frogger will help…..but this story is one that I just had to post….

By now most of us know that the entitlement hater Rep. Paul Ryan of Wisconsin is on a crusade to eliminate Social Security, Medicare and Medicaid….regardless of the spin he puts on it….his plan will essentially eliminate the programs if they are passed the way they are written…..

Thanx to website, Politicususa for this report……

When Representative Paul Ryan was 16 years old , tragedy struck his family. His 55 year old father had passed away from a heart attack. Young Paul Ryan found his father’s lifeless body and was burdened by the fact that he had to tell his mother and siblings of this horrible situation.

After his father’s passing, young Paul Ryan started collecting social security benefits until the age of 18 years old. He took this benefit and saved it for his college education. Representative Paul Ryan is one example of the millions of people whose lives have depended on our social contract with the American people. Without this benefit, his mother would have had to make even tougher decisions and Representative Paul Ryan may not have been able to pay for his college education. This social contract lifted him and his entire family out of a tough situation.

The opportunity for Ryan to get back on his feet thanx to a government program will be eliminated by the same person that it helped in years past….so it was fine for him to receive the help he needed but the rest of us are NOT that so entitled…….

You people need to wake up and pay attention!  Your way of life is fleeting and disappearing…..and the sad part is that the voters are the enablers of this demise…..


To Cut The Deficit In Half!

College of Political Knowledge

Federal Budget Deficit 2010

And the beat goes on….the beat is the rhetoric of the Federal budget deficit and who is good and who is bad…..so far the Repubs say they are good and the Dems are bad…..they have their ideas and most of them involve the livelihood of working stiffs….why is that?  Why is the sacrifice of the working people the only answer that the Repubs seem to have?

Let us be honest……the deficit war cries are nothing but political posturing….after all …it is an election year.  So thanks to the election we have just a wealth of BS rolling off the lips of pundits and politicians alike…..one of my favs is that the deficit can be cut in half by 2020…and the GOP plan is such….thanx to the mind of Rep. Paul Ryan….But the figure that they use assumes that nothing will change in the economic sector….that all variables will remain as they are today or whenever they make these types of statements……….the truth is that it is a LIE……the sector is in constant flux!

– Leaves in place the current Social Security and Medicare system for people 55 and over.

– For those currently under 55, it would reform Medicare with vouchers that seniors would use to buy private insurance. The vouchers would grow more slowly than the projected increase in medical costs, but Ryan argues that competition would keep plans affordable. The age for Medicare eligibility would increase over time from 65 to 69.  (this helps NO one but insurance companies and their affiliates)

– Future Social Security benefits would be reduced for many workers now 54 or younger. They would also have the option of putting into investment accounts some money they would pay in Social Security taxes.  (this could set up making the people that retire with SS as the second class citizens by forcing them further into poverty)

– Gradually raises the retirement age to 70.  (here a great plan!  Force working people to work until them die…would save on resources)

– Eliminates taxes on interest, capital gains and dividends.  (Who in the Hell does this help?  Not the people that have low wage jobs their whole life)

– Replaces taxes on corporations with a consumption tax on what businesses buy.  (In otherwords if they buy nothing in a year then they have to pay NO tax…can humans get this deal?)

– Would freeze increases on most spending by the government but would exempt such programs as Social Security, Medicare and Medicaid, as well as defense spending.  (With SS, Medicare and defense exempt….what is real left to cut?)

There you have their plan, the GOP that is….a what a good deal it would be for most Americans who depend on SS for their retirement (that is sarcasm in case you missed it)…..

But the GOP wants to cut the deficit in half….but that would still be a trillion dollars or more left behind and what if there is another national disaster?  Do we ignore the suffering of Americans just to keep the fat cats in their cigars and martinis?

Also keep in mind that the Debt and the Deficit are not necessarily the same thing…………..

The National Debt is the total amount of money owed by the government; the federal budget deficit is the yearly amount by which spending exceeds revenue. Add up all the deficits (and subtract those few budget surpluses we’ve had) for the past 200+ years and you’ll get the current National Debt.

Politicians love to crow “The deficit is down! The deficit is down!” like it’s a great accomplishment. Don’t be fooled. Reducing the deficit just means we’re adding less to the Debt this year than we did last year. Big deal — we’re still adding to the Debt.

So go ahead a cut the the deficit in half, if you can…but remember the DEBT REMAINS!

This is typical supply side rhetoric….you can cut the deficit but what about the national debt?  No, Irene they are NOT the same thing!


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