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	<title>Comments on: Health Care Reform Heads to the I.C.U</title>
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		<title>By: DebCalvert</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-191087</link>
		<dc:creator>DebCalvert</dc:creator>
		<pubDate>Sat, 27 Jun 2009 06:44:45 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-191087</guid>
		<description>Kindred pharmacy affiliate to pay $1.3 million in drug over-billing lawsuit&lt;br&gt;June 18, 2009&lt;br&gt;Kindred Healthcare Inc.&#039;s affiliate PharMerica Corp. will pay $1.3 million in a settlement with the federal government and the state of Tennessee. It allegedly over-charged the state&#039;s Medicaid system for drugs delivered to a Knoxville nursing home, according to recent reports.&lt;br&gt;&lt;br&gt;The lawsuit alleges that the company billed the state&#039;s TennCare program for more drugs than were actually delivered to the company&#039;s skilled nursing facility in Knoxville, resulting in serious overpayments. According to the Tennessee attorney general, this is the largest settlement ever reached by the TennCare Provider Fraud Task Force under the False Claims Act. Both PharMerica and Kindred have denied any wrongdoing, according to the Knoxville News Sentinel. &lt;br&gt;&lt;br&gt;The whistle-blower responsible for bringing the overpayments to light will receive a reward of roughly $220,000, according to the terms of the June 5 settlement. Jeanne Mayes was a billing clerk at the facility, and filed the original suit on Feb 11, 2005, according to the News Sentinel. PharMerica was created from the merger of two institutional pharmacy businesses, PharMerica Long-Term Care and Kindred Pharmacy Services.</description>
		<content:encoded><![CDATA[<p>Kindred pharmacy affiliate to pay $1.3 million in drug over-billing lawsuit<br />June 18, 2009<br />Kindred Healthcare Inc.&#39;s affiliate PharMerica Corp. will pay $1.3 million in a settlement with the federal government and the state of Tennessee. It allegedly over-charged the state&#39;s Medicaid system for drugs delivered to a Knoxville nursing home, according to recent reports.</p>
<p>The lawsuit alleges that the company billed the state&#39;s TennCare program for more drugs than were actually delivered to the company&#39;s skilled nursing facility in Knoxville, resulting in serious overpayments. According to the Tennessee attorney general, this is the largest settlement ever reached by the TennCare Provider Fraud Task Force under the False Claims Act. Both PharMerica and Kindred have denied any wrongdoing, according to the Knoxville News Sentinel. </p>
<p>The whistle-blower responsible for bringing the overpayments to light will receive a reward of roughly $220,000, according to the terms of the June 5 settlement. Jeanne Mayes was a billing clerk at the facility, and filed the original suit on Feb 11, 2005, according to the News Sentinel. PharMerica was created from the merger of two institutional pharmacy businesses, PharMerica Long-Term Care and Kindred Pharmacy Services.</p>
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		<title>By: DebCalvert</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-191086</link>
		<dc:creator>DebCalvert</dc:creator>
		<pubDate>Sat, 27 Jun 2009 06:44:00 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-191086</guid>
		<description>Potentially inappropriate nursing home payments spur increased Medicare Part A, Part D oversight&lt;br&gt;June 08, 2009&lt;br&gt;Tens of millions of dollars were likely inappropriately paid to skilled nursing facilities through the Medicare Part D prescription drug program in 2006, according to a recently released report from the Department of Health and Human Services Office of the Inspector General. &lt;br&gt;According to the OIG report, Part D spent roughly $41 million that year to pay for drugs for nursing home residents who should have been covered under the Medicare Part A benefit. While admitting that a small number of facilities constituted the vast majority of inappropriate payments-30 long-term care pharmacies were responsible for 18% of the payments-investigators say that nearly every SNF and half of all pharmacies have at least one Part A patient inappropriately receiving Part D subsidized prescriptions. &lt;br&gt;In response to the oversight, the OIG made a series of recommendations to the Centers for Medicare &amp; Medicaid Services, which include more oversight and guidance for skilled nursing facilities. Specifically, OIG told CMS to implement retrospective reviews to prevent future inappropriate payments, and to further educate facilities, pharmacies and drug plans about which Medicare plan is responsible for which medication repayment</description>
		<content:encoded><![CDATA[<p>Potentially inappropriate nursing home payments spur increased Medicare Part A, Part D oversight<br />June 08, 2009<br />Tens of millions of dollars were likely inappropriately paid to skilled nursing facilities through the Medicare Part D prescription drug program in 2006, according to a recently released report from the Department of Health and Human Services Office of the Inspector General. <br />According to the OIG report, Part D spent roughly $41 million that year to pay for drugs for nursing home residents who should have been covered under the Medicare Part A benefit. While admitting that a small number of facilities constituted the vast majority of inappropriate payments-30 long-term care pharmacies were responsible for 18% of the payments-investigators say that nearly every SNF and half of all pharmacies have at least one Part A patient inappropriately receiving Part D subsidized prescriptions. <br />In response to the oversight, the OIG made a series of recommendations to the Centers for Medicare &#038; Medicaid Services, which include more oversight and guidance for skilled nursing facilities. Specifically, OIG told CMS to implement retrospective reviews to prevent future inappropriate payments, and to further educate facilities, pharmacies and drug plans about which Medicare plan is responsible for which medication repayment</p>
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		<title>By: GreenDreams</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189714</link>
		<dc:creator>GreenDreams</dc:creator>
		<pubDate>Sat, 20 Jun 2009 17:10:45 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189714</guid>
		<description>I agree,of course, we should have a single-payer system. It works for the rest of the civilized world at much lower cost. Single-payer systems have problems too, and most countries will need to increase what they are paying, though not to the level we&#039;re paying, and in all likelihood all of us will need to reduce what we are willing to cover, especially on end-of-life procedures. Apparently though we are not willing to go to a lower cost universal coverage by intention, and it remains to be seen if we will go there in crisis instead. For example, if the economy does not recover, or worsens, more people will be on Medicaid. And the insurance companies could well fail in this economy.&lt;br&gt;&lt;br&gt;The next question for proponents of the for-profit model, is this: if economic problems drive companies to cut costs by dropping their employee health insurance programs, and as increasing unemployment makes people lose their employer paid health care, are you willing to bail out the insurance companies, who are already losing customers to the economic downturn? How far are you willing to go to support a health-care system mediated by for-profit insurance companies? Obviously, the same influence insurance companies now wield to kill the &quot;public option,&quot; will be used to convince Congress that the insurers are &quot;too big to fail.&quot; Since we won&#039;t have a public option, they will argue that &quot;millions of Americans will be without health insurance if we fail.&quot; How ironic that we could have &quot;single payer&quot; as we pump massive taxpayer bailouts into the insurance companies.&lt;br&gt;&lt;br&gt;Will the same people arguing here to preserve the insurance company profits then argue, as they have with bank and auto company bailouts, that we should &quot;let them fail?&quot; Or perhaps those here will argue that people should be required by law to have health insurance, as they are currently required to have liability insurance. Then the uninsured will get a broken arm set at the hospital, and then be arrested for not having insurance. Of course, we will pay for their health care in prison.</description>
		<content:encoded><![CDATA[<p>I agree,of course, we should have a single-payer system. It works for the rest of the civilized world at much lower cost. Single-payer systems have problems too, and most countries will need to increase what they are paying, though not to the level we&#39;re paying, and in all likelihood all of us will need to reduce what we are willing to cover, especially on end-of-life procedures. Apparently though we are not willing to go to a lower cost universal coverage by intention, and it remains to be seen if we will go there in crisis instead. For example, if the economy does not recover, or worsens, more people will be on Medicaid. And the insurance companies could well fail in this economy.</p>
<p>The next question for proponents of the for-profit model, is this: if economic problems drive companies to cut costs by dropping their employee health insurance programs, and as increasing unemployment makes people lose their employer paid health care, are you willing to bail out the insurance companies, who are already losing customers to the economic downturn? How far are you willing to go to support a health-care system mediated by for-profit insurance companies? Obviously, the same influence insurance companies now wield to kill the &#8220;public option,&#8221; will be used to convince Congress that the insurers are &#8220;too big to fail.&#8221; Since we won&#39;t have a public option, they will argue that &#8220;millions of Americans will be without health insurance if we fail.&#8221; How ironic that we could have &#8220;single payer&#8221; as we pump massive taxpayer bailouts into the insurance companies.</p>
<p>Will the same people arguing here to preserve the insurance company profits then argue, as they have with bank and auto company bailouts, that we should &#8220;let them fail?&#8221; Or perhaps those here will argue that people should be required by law to have health insurance, as they are currently required to have liability insurance. Then the uninsured will get a broken arm set at the hospital, and then be arrested for not having insurance. Of course, we will pay for their health care in prison.</p>
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		<title>By: Sambossa</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189688</link>
		<dc:creator>Sambossa</dc:creator>
		<pubDate>Sat, 20 Jun 2009 14:54:19 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189688</guid>
		<description>I agree that right now it looks like the Republicans and Democrats are steering this thing into the ditch, making sure that the vested Medical-Industrial complex comes out unscathed, if not further enriched. And their resulting answer will undoubtedly increase the collective costs with little (and probably only temporary) benefit to those currently without insurance.&lt;br&gt;There’s a simple solution that everyone knows about – single payer. Contrary to the propaganda, it’s not government run healthcare. We could, in fact (or at least in estimate) cover everyone for the same or less aggregate money than is currently being spent. &lt;br&gt;If our government were truly interested in solving this issue, single payer would be at the top of the list for consideration. The fact that it is commonly referred to as “politically unviable” is actually an argument for public financing of elections.</description>
		<content:encoded><![CDATA[<p>I agree that right now it looks like the Republicans and Democrats are steering this thing into the ditch, making sure that the vested Medical-Industrial complex comes out unscathed, if not further enriched. And their resulting answer will undoubtedly increase the collective costs with little (and probably only temporary) benefit to those currently without insurance.<br />There’s a simple solution that everyone knows about – single payer. Contrary to the propaganda, it’s not government run healthcare. We could, in fact (or at least in estimate) cover everyone for the same or less aggregate money than is currently being spent. <br />If our government were truly interested in solving this issue, single payer would be at the top of the list for consideration. The fact that it is commonly referred to as “politically unviable” is actually an argument for public financing of elections.</p>
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		<title>By: casualobserver</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189664</link>
		<dc:creator>casualobserver</dc:creator>
		<pubDate>Sat, 20 Jun 2009 12:25:12 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189664</guid>
		<description>GreenDreams, you have been here long enough that your conclusion should come as no surprise to you. Mr. Shaw is pointing out, in a bit of a roundabout way, that this country operates most effectively on an incrementalist basis.....and any blog which deigns to call itself &quot;moderate&quot; should be the embodiment of that sentiment. Yet, instead of the authors here recognizing that the status quo is 12 o&#039;clock on the clockface and therefore, the best hope for any change would be focused on finding the easiest way to get to 11 o&#039;clock, Gandelman employs bombthrowers like Stickings and Kattenburg that say we ought to move to 7 o&#039;clock or nothing. Yet, you are now surprised when people who would rather go towards 1 o&#039;clock are digging their heels in.&lt;br&gt;&lt;br&gt;&lt;br&gt;Just as with immigration reform, the moderates here should have seen &quot;the fence&quot; as an easy precursor to buy goodwill for more substantive changes, the pro-expand government helathcare crowd should be playing the let&#039;s do something incremental with the uninsured poor instead of starting withthrowing out the private insurance model as you yourself are advocating.&lt;br&gt;&lt;br&gt;You&#039;re the party in power........you have two easy choices, stop pretending you want bipartisanship and just get &#039;er done or if you do want sign-on from the opposition, give them something their philosophy might allow them to sign-on to.&lt;br&gt;&lt;br&gt;As for this blog, either can Stickings and Kattenburg or hire some lean right authors who are not just simply apologists.</description>
		<content:encoded><![CDATA[<p>GreenDreams, you have been here long enough that your conclusion should come as no surprise to you. Mr. Shaw is pointing out, in a bit of a roundabout way, that this country operates most effectively on an incrementalist basis&#8230;..and any blog which deigns to call itself &#8220;moderate&#8221; should be the embodiment of that sentiment. Yet, instead of the authors here recognizing that the status quo is 12 o&#39;clock on the clockface and therefore, the best hope for any change would be focused on finding the easiest way to get to 11 o&#39;clock, Gandelman employs bombthrowers like Stickings and Kattenburg that say we ought to move to 7 o&#39;clock or nothing. Yet, you are now surprised when people who would rather go towards 1 o&#39;clock are digging their heels in.</p>
<p>Just as with immigration reform, the moderates here should have seen &#8220;the fence&#8221; as an easy precursor to buy goodwill for more substantive changes, the pro-expand government helathcare crowd should be playing the let&#39;s do something incremental with the uninsured poor instead of starting withthrowing out the private insurance model as you yourself are advocating.</p>
<p>You&#39;re the party in power&#8230;&#8230;..you have two easy choices, stop pretending you want bipartisanship and just get &#39;er done or if you do want sign-on from the opposition, give them something their philosophy might allow them to sign-on to.</p>
<p>As for this blog, either can Stickings and Kattenburg or hire some lean right authors who are not just simply apologists.</p>
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		<title>By: GreenDreams</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189632</link>
		<dc:creator>GreenDreams</dc:creator>
		<pubDate>Sat, 20 Jun 2009 04:33:47 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189632</guid>
		<description>whew. hot button issue. we&#039;re so divided, so angry at each other. huge problems all hitting at once, crying out for some kind of pulling together and unified effort to prevail as a nation. but we can&#039;t. we&#039;re too torn up.&lt;br&gt;&lt;br&gt;learning Mandarin...</description>
		<content:encoded><![CDATA[<p>whew. hot button issue. we&#39;re so divided, so angry at each other. huge problems all hitting at once, crying out for some kind of pulling together and unified effort to prevail as a nation. but we can&#39;t. we&#39;re too torn up.</p>
<p>learning Mandarin&#8230;</p>
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		<title>By: Silhouette</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189627</link>
		<dc:creator>Silhouette</dc:creator>
		<pubDate>Sat, 20 Jun 2009 04:18:13 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189627</guid>
		<description>Yep, and Deborah&#039;s story is just the tip of the iceberg.  One of dozens similar I&#039;ve heard of just my little lonesome.&lt;br&gt;&lt;br&gt;Make no mistake about it, anyone blogging here or elsewhere arguing that universal health care is too expensive is on payroll for BigInsurance and BigPharmaceuticals.   Mark my words.&lt;br&gt;&lt;br&gt;Either that or they have stock, investments or other vested $$$ interest in the exploitation of human disease-for-profit..</description>
		<content:encoded><![CDATA[<p>Yep, and Deborah&#39;s story is just the tip of the iceberg.  One of dozens similar I&#39;ve heard of just my little lonesome.</p>
<p>Make no mistake about it, anyone blogging here or elsewhere arguing that universal health care is too expensive is on payroll for BigInsurance and BigPharmaceuticals.   Mark my words.</p>
<p>Either that or they have stock, investments or other vested $$$ interest in the exploitation of human disease-for-profit..</p>
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		<title>By: facebook-579372824</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189597</link>
		<dc:creator>facebook-579372824</dc:creator>
		<pubDate>Sat, 20 Jun 2009 00:49:04 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189597</guid>
		<description>Above post by Deborah Calvert, Newport Beach, California &lt;a href=&quot;mailto:debdeb2080@hotmail.com&quot; rel=&quot;nofollow&quot;&gt;debdeb2080@hotmail.com&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>Above post by Deborah Calvert, Newport Beach, California <a href="mailto:debdeb2080@hotmail.com" rel="nofollow">debdeb2080@hotmail.com</a></p>
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		<title>By: facebook-579372824</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189595</link>
		<dc:creator>facebook-579372824</dc:creator>
		<pubDate>Sat, 20 Jun 2009 00:37:37 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189595</guid>
		<description>When searching for a nursing home beware Sun Healthcare&#039;s facilities where my mother was harmed by known broken equipment they refused to repair while under a California state injunction. Even the Dept of Justice turned a blind eye. My mother suffered a horrific death, when after a stroke they caused she could not swallow for the remainder of her life, nine more months.  She caught MRSA from the facility in the end and it compromised her system, causing a steady decline that lasted months.  Then they cheated me out of compensation.  I brought claims against  my attorney Daniel Leipold for malpractice for neglecting to ask for wrongful death, elder abuse and pain &amp; suffering, then he died 2 weeks later.  I eventually won that malpractice case. SUN cheated California taxpayers out of millions of dollars in fines from the injunction, (Claude Vanderwold, Asst. Attorney General, said this facility was not  subject to the $2.5 Million fines the DOJ fined SUN in Sept 2005) -SUN HEALTHCARE GROUP INC&#039;s board of directors recently refused to discuss with me yet I provided medical records that confirm this manslaughter by their medical director, Dr L Scott Stoney who quit over the lack of response from management, SUN Healthcare CEO Rick Matros and board member Dr Chauncey Hunker</description>
		<content:encoded><![CDATA[<p>When searching for a nursing home beware Sun Healthcare&#39;s facilities where my mother was harmed by known broken equipment they refused to repair while under a California state injunction. Even the Dept of Justice turned a blind eye. My mother suffered a horrific death, when after a stroke they caused she could not swallow for the remainder of her life, nine more months.  She caught MRSA from the facility in the end and it compromised her system, causing a steady decline that lasted months.  Then they cheated me out of compensation.  I brought claims against  my attorney Daniel Leipold for malpractice for neglecting to ask for wrongful death, elder abuse and pain &#038; suffering, then he died 2 weeks later.  I eventually won that malpractice case. SUN cheated California taxpayers out of millions of dollars in fines from the injunction, (Claude Vanderwold, Asst. Attorney General, said this facility was not  subject to the $2.5 Million fines the DOJ fined SUN in Sept 2005) -SUN HEALTHCARE GROUP INC&#39;s board of directors recently refused to discuss with me yet I provided medical records that confirm this manslaughter by their medical director, Dr L Scott Stoney who quit over the lack of response from management, SUN Healthcare CEO Rick Matros and board member Dr Chauncey Hunker</p>
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		<title>By: chilloutyo</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189582</link>
		<dc:creator>chilloutyo</dc:creator>
		<pubDate>Fri, 19 Jun 2009 23:51:17 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189582</guid>
		<description>[quasi-public (&quot;quasi-private&quot;)] I like that...sorta like Fannie and Freddie, but probably not as well run as the F&amp;F Macs were.</description>
		<content:encoded><![CDATA[<p>[quasi-public ("quasi-private")] I like that&#8230;sorta like Fannie and Freddie, but probably not as well run as the F&#038;F Macs were.</p>
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		<title>By: roro80</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189569</link>
		<dc:creator>roro80</dc:creator>
		<pubDate>Fri, 19 Jun 2009 22:36:06 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189569</guid>
		<description>And this (@DLS, again): &quot;* It&#039;s over 600 pages.* It has almost 400 amendments.&quot;&lt;br&gt;&lt;br&gt;This, quite frankly, is no argument whatsoever.  The idea that the length of a document has some bearing on whether or not it will work is absurd.  I guess you never made it through Gone with the Wind.  Or The Bible.&lt;br&gt;&lt;br&gt;@AnnoyMouse.  Do you think it would be better to just let the brown people die off?  Maybe instead of blaming the scary aliens (and the homeless, and pretty much anyone who is poor who has the temerity to get sick), we could treat their colds so they don&#039;t end up in the ER with pneumonia.  Just an example, obviously.</description>
		<content:encoded><![CDATA[<p>And this (@DLS, again): &#8220;* It&#39;s over 600 pages.* It has almost 400 amendments.&#8221;</p>
<p>This, quite frankly, is no argument whatsoever.  The idea that the length of a document has some bearing on whether or not it will work is absurd.  I guess you never made it through Gone with the Wind.  Or The Bible.</p>
<p>@AnnoyMouse.  Do you think it would be better to just let the brown people die off?  Maybe instead of blaming the scary aliens (and the homeless, and pretty much anyone who is poor who has the temerity to get sick), we could treat their colds so they don&#39;t end up in the ER with pneumonia.  Just an example, obviously.</p>
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		<title>By: roro80</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189567</link>
		<dc:creator>roro80</dc:creator>
		<pubDate>Fri, 19 Jun 2009 22:29:29 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189567</guid>
		<description>This is the kind of thing that just kills me: &quot;there is no &quot;crisis&quot; [sic]&quot; (@DLS).  When you have a million people a year going bankrupt due primarily to medical bills, when you have the number of people dying because of lack of insurance, when you have so many people deciding to forgo preventative or minor-seeming care and ending up much sicker in the end, when the point of health care has gone from keeping people healthy to making money for the publicly-traded insurance companies, and (the kicker) when we are spending more per capita and getting less than any other industrialized on the planet -- maybe given all those conditions, one might not want to call it a &quot;crisis&quot;, but it&#039;s clear as crystal that we&#039;re doing something very wrong. &lt;br&gt;&lt;br&gt;Now, I don&#039;t know if the plans being discussed are going to solve the very wrong aspects, but that doesn&#039;t mean there isn&#039;t a solution, and it doesn&#039;t mean everything&#039;s just dandy the way it is.</description>
		<content:encoded><![CDATA[<p>This is the kind of thing that just kills me: &#8220;there is no &#8220;crisis&#8221; [sic]&#8221; (@DLS).  When you have a million people a year going bankrupt due primarily to medical bills, when you have the number of people dying because of lack of insurance, when you have so many people deciding to forgo preventative or minor-seeming care and ending up much sicker in the end, when the point of health care has gone from keeping people healthy to making money for the publicly-traded insurance companies, and (the kicker) when we are spending more per capita and getting less than any other industrialized on the planet &#8212; maybe given all those conditions, one might not want to call it a &#8220;crisis&#8221;, but it&#39;s clear as crystal that we&#39;re doing something very wrong. </p>
<p>Now, I don&#39;t know if the plans being discussed are going to solve the very wrong aspects, but that doesn&#39;t mean there isn&#39;t a solution, and it doesn&#39;t mean everything&#39;s just dandy the way it is.</p>
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		<title>By: AZMD</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189559</link>
		<dc:creator>AZMD</dc:creator>
		<pubDate>Fri, 19 Jun 2009 22:05:00 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189559</guid>
		<description>Please be a bit more melodramatic.  Can I get some background music, please?&lt;br&gt;Please explain how health care law has been carved out to favor a small group of people at the expense and exploitation of the masses.  Last I checked, companies and individuals continue to pay high taxes to support those who don&#039;t. &lt;br&gt;BigInsurance and BigPharmaceuticals (your moronic spelling) are responsible for BigDrugs and LittleDisease.  &lt;br&gt;Health care reform is coming, but it won&#039;t be the type that many wish for.  Universal coverage without some private competition only results in universal crap, and it still costs $$$$.</description>
		<content:encoded><![CDATA[<p>Please be a bit more melodramatic.  Can I get some background music, please?<br />Please explain how health care law has been carved out to favor a small group of people at the expense and exploitation of the masses.  Last I checked, companies and individuals continue to pay high taxes to support those who don&#39;t. <br />BigInsurance and BigPharmaceuticals (your moronic spelling) are responsible for BigDrugs and LittleDisease.  <br />Health care reform is coming, but it won&#39;t be the type that many wish for.  Universal coverage without some private competition only results in universal crap, and it still costs $$$$.</p>
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		<title>By: Zzzzz</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189554</link>
		<dc:creator>Zzzzz</dc:creator>
		<pubDate>Fri, 19 Jun 2009 21:35:20 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189554</guid>
		<description>Just medicaid?  I don&#039;t think so.  Retirees are bankrupting this country.  One third of all state, local, and federal dollars goes to retirees.  Medicare, social security, pensions for government employees, senior centers, transportation programs for the elderly, nursing homes, on and on.  The first people to demand a hand out and the last people to want to pay for it.</description>
		<content:encoded><![CDATA[<p>Just medicaid?  I don&#39;t think so.  Retirees are bankrupting this country.  One third of all state, local, and federal dollars goes to retirees.  Medicare, social security, pensions for government employees, senior centers, transportation programs for the elderly, nursing homes, on and on.  The first people to demand a hand out and the last people to want to pay for it.</p>
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		<title>By: AnnoyMouse</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189544</link>
		<dc:creator>AnnoyMouse</dc:creator>
		<pubDate>Fri, 19 Jun 2009 20:42:52 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189544</guid>
		<description>At least in Phoenix, - based on reports by an ICU worker, if your cleared out the illegal immigrants, the TOTAL cost structure of medical services for the inner city Phoenix hospitals would drop over night by at least 10%.&lt;br&gt;&lt;br&gt;I wonder if San Diego has similar statistics? New York City?</description>
		<content:encoded><![CDATA[<p>At least in Phoenix, &#8211; based on reports by an ICU worker, if your cleared out the illegal immigrants, the TOTAL cost structure of medical services for the inner city Phoenix hospitals would drop over night by at least 10%.</p>
<p>I wonder if San Diego has similar statistics? New York City?</p>
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		<title>By: tsuh</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189543</link>
		<dc:creator>tsuh</dc:creator>
		<pubDate>Fri, 19 Jun 2009 20:42:33 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189543</guid>
		<description>MEDICAID IS BANKRUPTING STATES LIKE NY AND CA DON&#039;T REPEAT THE MISTAKE WITH ANOTHER GOVERNMENT “PUBLIC” CARE FIASCO.&lt;br&gt;&lt;br&gt;So Congress and President Obama wants to put the Nation in more debt by up to 1.6 trillion dollars or more,  cut Medicare and Medicaid reimbursement to hospitals and providers by over 400 billion AND raise another 700 billion in taxes in order to put through a government run “public” health care plan which will destroy our current health care system? All so only a fraction of the 15% of the uninsured population can have free health insurance. Sounds like a really great idea! To heck with the other 85%  Congress has exempted itself from the plan but the rest of us will be forced to fall in line with socialized medicine like the failed Medicaid which is causing States like New York and California to go bankrupt.&lt;br&gt;&lt;br&gt;Meanwhile the government run plan will outbid and thus drive private care out of the market entirely. Then EVERYONE will have coverage but fewer doctors to take care of the millions of additional people being forced into a plan by the government because without any “skin in the game” aka profit, the doctors will just leave the game or bail out due to pure exhaustion. &lt;br&gt;&lt;br&gt;It&quot;ll be so great. Shortages of providers, long long waiting lists, cuts in basic care, denials of basic care, preventative care and medicines.  Life and death decisions on who gets what  health care will be made by government bureaucrats based on political favoritism and who the government deems of &quot;worth&quot; to society. Sounds like hell to me.&lt;br&gt;&lt;br&gt;A few questions Congress and President Obama should be asking before pushing through  another failed government run program that will raise the deficit and taxes all so only a fraction of the uninsured can be covered:&lt;br&gt;&lt;br&gt;The CBO has determined that the government option is going to result in 1 to 3 trillion dollars of extra debt   yet only cover a third of the uninsured.  Is this an acceptable price to pay for so little return?&lt;br&gt;&lt;br&gt;A lot of economists are saying that the higher deficits that this plan represents will cause inflation to rise making the dollar worth half its current value. Is this ok with you?&lt;br&gt;&lt;br&gt;Many are predicting that there will be a shortage of doctors available to meet the rising demands of millions of more people who would be insured under the plan and that some physicians will retire rather than receive the lower compensation this plan calls for to pay for their services. Is this ok with you?&lt;br&gt;&lt;br&gt;Will your plan result in the government rationing of health care for start of life, end of life, and chronic medical conditions?&lt;br&gt;&lt;br&gt;Another government run health care plan, Medicaid, is causing States like New York and California to go broke, how do you plan to prevent another even bigger government health care plan from bankrupting America?</description>
		<content:encoded><![CDATA[<p>MEDICAID IS BANKRUPTING STATES LIKE NY AND CA DON&#39;T REPEAT THE MISTAKE WITH ANOTHER GOVERNMENT “PUBLIC” CARE FIASCO.</p>
<p>So Congress and President Obama wants to put the Nation in more debt by up to 1.6 trillion dollars or more,  cut Medicare and Medicaid reimbursement to hospitals and providers by over 400 billion AND raise another 700 billion in taxes in order to put through a government run “public” health care plan which will destroy our current health care system? All so only a fraction of the 15% of the uninsured population can have free health insurance. Sounds like a really great idea! To heck with the other 85%  Congress has exempted itself from the plan but the rest of us will be forced to fall in line with socialized medicine like the failed Medicaid which is causing States like New York and California to go bankrupt.</p>
<p>Meanwhile the government run plan will outbid and thus drive private care out of the market entirely. Then EVERYONE will have coverage but fewer doctors to take care of the millions of additional people being forced into a plan by the government because without any “skin in the game” aka profit, the doctors will just leave the game or bail out due to pure exhaustion. </p>
<p>It&#8221;ll be so great. Shortages of providers, long long waiting lists, cuts in basic care, denials of basic care, preventative care and medicines.  Life and death decisions on who gets what  health care will be made by government bureaucrats based on political favoritism and who the government deems of &#8220;worth&#8221; to society. Sounds like hell to me.</p>
<p>A few questions Congress and President Obama should be asking before pushing through  another failed government run program that will raise the deficit and taxes all so only a fraction of the uninsured can be covered:</p>
<p>The CBO has determined that the government option is going to result in 1 to 3 trillion dollars of extra debt   yet only cover a third of the uninsured.  Is this an acceptable price to pay for so little return?</p>
<p>A lot of economists are saying that the higher deficits that this plan represents will cause inflation to rise making the dollar worth half its current value. Is this ok with you?</p>
<p>Many are predicting that there will be a shortage of doctors available to meet the rising demands of millions of more people who would be insured under the plan and that some physicians will retire rather than receive the lower compensation this plan calls for to pay for their services. Is this ok with you?</p>
<p>Will your plan result in the government rationing of health care for start of life, end of life, and chronic medical conditions?</p>
<p>Another government run health care plan, Medicaid, is causing States like New York and California to go broke, how do you plan to prevent another even bigger government health care plan from bankrupting America?</p>
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		<title>By: JSpencer</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189528</link>
		<dc:creator>JSpencer</dc:creator>
		<pubDate>Fri, 19 Jun 2009 19:53:50 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189528</guid>
		<description>&lt;i&gt;Do what&#039;s right for the country, for once. ~ Silhouette&lt;/i&gt;&lt;br&gt;&lt;br&gt;Sure would be nice eh Sil? I&#039;m not sure I&#039;d know how to act if it really happened though. If any issue deserves to be dealt with forthrightly, without caving, it&#039;s the state of healthcare in the US.</description>
		<content:encoded><![CDATA[<p><i>Do what&#39;s right for the country, for once. ~ Silhouette</i></p>
<p>Sure would be nice eh Sil? I&#39;m not sure I&#39;d know how to act if it really happened though. If any issue deserves to be dealt with forthrightly, without caving, it&#39;s the state of healthcare in the US.</p>
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		<title>By: DLS</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189505</link>
		<dc:creator>DLS</dc:creator>
		<pubDate>Fri, 19 Jun 2009 18:20:32 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189505</guid>
		<description>The last words on the health care bill --&lt;br&gt;&lt;br&gt;* It was written and hoped to get passed before the economy and federal finances were put in order.&lt;br&gt;&lt;br&gt;* It&#039;s over 600 pages.&lt;br&gt;&lt;br&gt;* It has almost 400 amendments.&lt;br&gt;&lt;br&gt;IT DESERVES TO DIE.</description>
		<content:encoded><![CDATA[<p>The last words on the health care bill &#8211;</p>
<p>* It was written and hoped to get passed before the economy and federal finances were put in order.</p>
<p>* It&#39;s over 600 pages.</p>
<p>* It has almost 400 amendments.</p>
<p>IT DESERVES TO DIE.</p>
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		<title>By: DLS</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189498</link>
		<dc:creator>DLS</dc:creator>
		<pubDate>Fri, 19 Jun 2009 18:01:11 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189498</guid>
		<description>&quot;President Obama’s honeymoon is effectively over now&quot;&lt;br&gt;&lt;br&gt;Among many of us, yes, but not among the faithful, including the media, which will try to extend the honeymoon.</description>
		<content:encoded><![CDATA[<p>&#8220;President Obama’s honeymoon is effectively over now&#8221;</p>
<p>Among many of us, yes, but not among the faithful, including the media, which will try to extend the honeymoon.</p>
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		<title>By: DLS</title>
		<link>http://themoderatevoice.com/36025/health-care-reform-heads-to-the-icu/comment-page-1/#comment-189496</link>
		<dc:creator>DLS</dc:creator>
		<pubDate>Fri, 19 Jun 2009 17:59:40 +0000</pubDate>
		<guid isPermaLink="false">http://themoderatevoice.com/?p=36025#comment-189496</guid>
		<description>&quot; public cooperatives, started with federal seed money and requiring reasonable federal oversight. These should be similar in form to the credit unions, agricultural coops and energy buying commune plans &quot;&lt;br&gt;&lt;br&gt;Yes, Sibelius, to name one example, mentioned this.&lt;br&gt;&lt;br&gt;The issue still is federal control, which is there even aside from strings being attached to federal money.&lt;br&gt;&lt;br&gt;This is a quasi-public (&quot;quasi-private&quot;) scheme, trying to remove the &quot;public&quot; (&quot;government&quot;) moniker and stigma among much of the public while that&#039;s what in effect it&#039;s going to be.  (&quot;AmCare&quot;)</description>
		<content:encoded><![CDATA[<p>&#8221; public cooperatives, started with federal seed money and requiring reasonable federal oversight. These should be similar in form to the credit unions, agricultural coops and energy buying commune plans &#8220;</p>
<p>Yes, Sibelius, to name one example, mentioned this.</p>
<p>The issue still is federal control, which is there even aside from strings being attached to federal money.</p>
<p>This is a quasi-public (&#8220;quasi-private&#8221;) scheme, trying to remove the &#8220;public&#8221; (&#8220;government&#8221;) moniker and stigma among much of the public while that&#39;s what in effect it&#39;s going to be.  (&#8220;AmCare&#8221;)</p>
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