No, when I say a political party took that stated position, that's exactly what I meant ...
Republican Senators Pledge To Block All Legislation Until Tax Cuts Are Extended
It's not a talking point. What you are speaking of is emergency room care. As of 1986 (if I recall correctly), legislation was passed which denies emergency rooms from turning away patients just because they can't afford to pay.
That is not healthcare.
Try getting chemotherapy to help combat cancer in an emergency room.
Try getting an emergency room to provide you with monthly prescriptions for whatever ailment it is which requires them.
Furthermore, tax payers currently flip the bill for folks who rely on emergency room care for their quasi-healthcare but then refuse to pay for it. Now those taxes will be collected via Obama's healthcare plan.
I also do not think it is a good thing. That being said, if America would back up that sentiment with their pocketbooks more things would be built here.
I love how a topic as "Obama to business owners" gets derailed into the "obama care talk". That being said. I do lean to the left of most issues. Now thats out of the way, I have read about 60 posts bashing Obama care and how unfair it is to "tax" people. Well from what I can see, and I have read this "bill" and I do have an understanding of the arguments for and against it, I say this. This "Obama care" act seems ALOT like the Regan plan back in the 80's and also its sure does remind me of the Romney playI hear all the right wingers(I am married to one) talk about"we dont want to pay for food stamps, welfare.....) now it seems to me then right wing people must by that logic LOVE it when people go to emergency rooms and get free health care and then "we" have to pay for it sarcasim there..... not to mention, we are the ONLY developed country to NOT see healthcare a human rite but as a only if you can afford it. so by those right winger standards we should be happy with having a healthcare standard that equals Nigeria SO here it is, can one of you people whimpering about the "tax" please tell me, how this "mandate" is different from the Regan plan, and how its different from the Romney plan, then also tell me, how, HOW do you feel about paying for other peoples health care? Also tell me how you feel about the USA spending the most per person on healthcare and WE ARE 37th ON THE WHO and other lists, and yes I will respond to what ever you say.......
I have also read most of the bill, and I must say, that unless you are a lawyer, I highly doubt you are able to understand most of it. Having said that, let me address a few of your questions. First, it doesn't resemble the Reagan plan all that much really. How it does mimick the Reagan plan is by creating "Co-ops" for PRIVATE insurance companies, or "exchanges" of PRIVATE insurance companies, who compete for the business of the un or under insured. Problem is, the Obamacare plan creates an unfair advantage by punishing (taxing) companies who do not seek health insurance through the government exchanges, or individuals who do not purchase through the government exchanges. This isn't spelled out directly, it's more of an indirect consequence.
Here's how that works. The government exchange will consist of companies who offer GOVERNMENT APPROVED plans, called "qualified plans". Who approves the plans? A regulatory board of politicians primarily, with a few ex-doctors as well. By utilizing tax dollars, and operating at a sure loss, the government will deeply discount the premiums.
So, the unspecified goal is to have private companies ditch their current insurance carriers and opt into the plans only offered through the government exchange. Reagan's plan did not do this. Also, if an individual cancels their private insurance, they are FORCED to buy from the government exchange. After 2014, they will not have the option to choose any other insurance plan OUTSIDE the plans offered through the exchange. That's specifically written into the bill, and Reagan's plan did not do this as well.
Think of it in steps, not an "all-encompassing" swipe. First step the left is wanting to take, is to get as many people into the exchange as possible. They do this through manipulating the price of premiums that are subsidized by tax dollars (unfair advantage). Second step is to ensure that individuals who either lose coverage, or drop coverage, only have ONE place to purchase health insurance, which is through the exchange (eliminates competition and choice along with individual freedom).
Now, it may take a decade, but once virtually ALL of insurance is regulated through the public exchange, it will be regulated by a GOVERNMENT board of politicians. In the meantime, it will put large private insurers out of business, because they will have lost a huge chunk of their clients to the cheaper offers through the government exchange (all of which was created by the unfair advantages of pooling tax dollars for plans offered through the exchange).
Good for you that you have researched it, which is more than most on either side of the question can say. That said ... I think your interpretation is a bit off in some areas.
So, here's the first major error. The participants in the exchanges are private health insurers. The government, through a board of health care professionals, sets a floor for minimum coverage. Other than that, the government has no control over what the insurance companies can charge, EXCEPT that they must spend at least 85% of premium dollars on actual health care, as opposed to advertising and administrative costs. The government does not determine the premiums.
Yes, but there is a very good reason for this; presently, individuals and small companies generally pay much higher rates than large corporations because the rates are determined on the basis of a very small pool: in effect a pool of one to 50, depending on the business size. With state-based exchanges, the premiums will be based on a much larger, state-wide pool, which should result in considerably lower premiums. Obviously this is also beneficial to insurance companies as they will only have to come up with underwriting standards for 50 states, as opposed to, e.g. 500,000 businesses and indivduals.
Again, "the left" can't do this as the premiums are set by the insurers. Further, this is essentially a plan that was developed by "the right."
Nonsense, for the reasons mentioned above. In addition, the insurance industry generally supports ACA. In fact, insurance industry lobbyists wrote most of it. Do you think they're suicidal? They will benefit tremendously from an influx of roughly 30 million new customers.
Let me see if I have time to address the rest of your post later....
It's all under the same umbrella of preserving life.
I don't think AASHTO is in charge of allocating billions of dollars to private contractors so....Also, government DOT reps make the decisions and call the final shots in this particular organization so I think, at best, we can call it a quasi-governmental agency. I don't think it is a particularly good example. But I do not necessarily disagree with your larger point that there may be some government programs that could be best implemented by the private sector. I just have have some serious qualms about most of them because I never like to see a system in which the needs of a private company(profits!, profits and more profits!) can become dyametrically opposed to the needs(service, service, service!) that the citizenry deserves.
Allow me to give you an example that I experienced first hand not all that long ago and, interestingly, it deals with roads.
About 10 years ago I drove down into Mexico to do some surfing in some small communities to the south of the city of Manzanillo, Mexico. There was one of two routes to get to these cities:an old windy mountain road that wound through small towns and took forever, but eventually popped out NEAR the small beach towns and a newer road that the Mexican government permitted a private company to construct that went right across all the flatlands near the beach. But the whole thing was privately managed, which meant that the company put toll booths up along the way. And they were expensive(like 5-8 dollars a pop if I remember correctly), and that was SUPER expensive for the Mexicans(more than many of them make in a day just for ONE of the booths!). So why such super high prices? When you look at the math from the private company's perspective it probably looked like this:
If we charge 2.50$ a car at each station, 2000 people will travel on the road each day, but if we charge $5 at each station only 1000 vehicles will make the journey. So what is the most logical decision for us? Obviously it is to charge the higher amount, make the same amount of money as we would have made at the lower rate, but we'll be way ahead because that will result in half the wear and tear on the roads which will just translate to more profit for us! Perfect business sense, and the company would be foolish not to make this decision.
The problem, of course, is that this business decision by the road company ran completely counter to the interests of the entire economy of that entire stretch of beach because it cost them gobs of money in the decrease of tourist traffic that came their way from the cities. In fact, I would bet my last dime that those higher toll rates(optimized for profit, not traffic) caused much more in economic loss to the communities than it resulted in economic gain for the private road company. It's just a classic example of how the interests of the economy at large can be harmed by the privatization of what, I believe, should be government run.
have Republicans admitted yet that this accusation against Obama, is a fraud?
If you have to spin it after the fact to make it say something it did not, its probably the after the fact spin that is the fraud.
No, but it is interesting that Romney seems to be basing his entire campaign on a fraud. lolhave Republicans admitted yet that this accusation against Obama, is a fraud?
No, but it is interesting that Romney seems to be basing his entire campaign on a fraud. lol
No, but it is interesting that Romney seems to be basing his entire campaign on a fraud. lol
The New Hampshire Union Leader’s John DiStato today reports that in 1999 the business in question, Gilchrist Metal, “received $800,000 in tax-exempt revenue bonds issued by the New Hampshire Business Finance Authority ‘to set up a second manufacturing plant and purchase equipment to produce high definition television broadcasting equipment’…” In addition, in 2011, Gilchrist Metal “received two U.S. Navy sub-contracts totaling about $83,000 and a smaller, $5,600 Coast Guard contract in 2008…”
The businessman, Jack Gilchrist, also acknowledged that in the 1980s the company received a U.S. Small Business Administration loan totaling “somewhere south of” $500,000, and matching funds from the federally-funded New England Trade Adjustment Assistance Center.
“I’m not going to turn a blind eye because the money came from the government,” Gilchrest said. “As far as I’m concerned, I’m getting some of my tax money back. I’m not stupid, I’m not going to say ‘no.’ Shame on me if I didn’t use what’s available.”
First of all, they are not "pricing themselves out of market share" because there is no market share to be had-they already have all the market share in this particular case. They are, in essence, a monopoly and they alone get to set the prices on the road and do not have to compete with any other company in the area. My point here is that they found a price point that maximized there profits, not maximized traffic to help the local economies. Vehicle usage on a road has huge impact on road maintenance itself(unlike the carpet wear in your analogy, which is a corollary minor cost). If a private company has a toll price of $2 and is getting 3000 vehicles each day, but they research the matter and recognize that if they set a price of $6, they will only get 2000 vehicles each day, guess what they will opt for? It's a no-brainer, they would set it at $6, take the extra money, and cut down on road repairs to boot. BUT if they actually owned all of the little towns alongside the road, they would actually set the pricepoint in order to maximize traffic because then they would make serious money on the hotels, souvenir shops etc. that were in the towns. (The stipclub owner doesn't really care about minor wear and tear on his carpet because he knows that waitresses are probably walking across that carpet to deliver very expensive drinks(profit) to the clientel.) So my point is this: THE ECONOMIC INTERESTS OF A PRIVATE COMPANY CAN BE AND ARE, IN SOME CASES, DYAMMETRICALLY OPPOSED THE INTERESTS(ECONOMIC, ENVIRONMENTAL ETC) OF THE CITIZENS THEY ARE "SERVING". This is not up for debate, and I can give you hundreds of examples of this. For this reason, it is sometimes actually better to let government run some of the things which are so critical to our economy.If it weren't for the private toll road you were able to take, there would be no road to where you wanted to go. Mexico is no bastion of free market capitalism, they just don't have the tax base to build the infrastructure seen in developed countries without capital investment. Also, businesses don't work like you described, they don't price themselves out of market share in order to save costs. Your favorite strip club would never double the price of drinks and admissions in order to save wear and tear to the carpet.
I disagree and I do assume that Mexico has the money to build roads. It has more than enough money to build roads. What they don't have is a sound and moral government that protects the interests of its people. I've lived and travelled in Mexico extensively and I can almost guarantee you that they could have built the road themselves, but instead a few corrupt local politicians greased their own palms and gifted the contract to a group of millionaires.Again, this assumes the people of Mexico could afford the increase in users fees needed for a toll free road. Or, assumes investors would trust the Mexican government enough to issue bonds to finance the road's construction. They obviously didn't or couldn't, so your anxiety over the toll price is silly considering you might of had to ride a donkey to your destination if not for the toll road.
Most of what you said is inaccurate. These exchanges are private companies, I said that earlier. But you are wrong about them setting their premiums. What is stated in the bill, is that these private companies, who are part of the exchange, can set their own MINIMUM premiums, but they are capped on the top side. Meaning, the exchange will determine the maximum cost for the premiums, and the exchange will also have sole discretion on any future increases in premiums, and by what percentage. So, if a private company does a cost analysis of premiums vs. claims, and determines they need to raise premiums by 12%, they can't just do it, it has to be approved through the committee.
So, who does the "committee" consist of? Mostly politicians, the director of health and human services (Sebelius), and appointees of the administration. In other words, it's controlled by the government, not the private sector.
The only reason private companies support the ACA is because of the individual mandate. That's it. Nothing else. They are wrong to assume this is good business for them.
Your other point about covering large pools is meaningless too, and only adds to the problem. According to the info I've received, there will be no more than 10 carriers that are offered through the government exchange. With a good possibility that the Department of Health and Human Services develops their own "government plan" to compete with private companies within the exchange (unfair advantage because it will be subsidized with tax money).
First of all, they are not "pricing themselves out of market share" because there is no market share to be had-they already have all the market share in this particular case. They are, in essence, a monopoly and they alone get to set the prices on the road and do not have to compete with any other company in the area. My point here is that they found a price point that maximized there profits, not maximized traffic to help the local economies. Vehicle usage on a road has huge impact on road maintenance itself(unlike the carpet wear in your analogy, which is a corollary minor cost). If a private company has a toll price of $2 and is getting 3000 vehicles each day, but they research the matter and recognize that if they set a price of $6, they will only get 2000 vehicles each day, guess what they will opt for? It's a no-brainer, they would set it at $6, take the extra money, and cut down on road repairs to boot. BUT if they actually owned all of the little towns alongside the road, they would actually set the pricepoint in order to maximize traffic because then they would make serious money on the hotels, souvenir shops etc. that were in the towns. (The stipclub owner doesn't really care about minor wear and tear on his carpet because he knows that waitresses are probably walking across that carpet to deliver very expensive drinks(profit) to the clientel.) So my point is this: THE ECONOMIC INTERESTS OF A PRIVATE COMPANY CAN BE AND ARE, IN SOME CASES, DYAMMETRICALLY OPPOSED THE INTERESTS(ECONOMIC, ENVIRONMENTAL ETC) OF THE CITIZENS THEY ARE "SERVING". This is not up for debate, and I can give you hundreds of examples of this. For this reason, it is sometimes actually better to let government run some of the things which are so critical to our economy.
I disagree and I do assume that Mexico has the money to build roads. It has more than enough money to build roads. What they don't have is a sound and moral government that protects the interests of its people. I've lived and travelled in Mexico extensively and I can almost guarantee you that they could have built the road themselves, but instead a few corrupt local politicians greased their own palms and gifted the contract to a group of millionaires.
Still, President Felipe Calderon is touting toll roads as a solution to Mexico's infrastructure woes. His administration is moving aggressively to award contracts to private companies to finance, build and maintain highways -- and charge motorists to use them.
It's a strategy embraced by cash-strapped governments worldwide.
But it's highly controversial in Mexico, where La Autopista del Sol remains a potholed reminder of the risks of privatization.
"Mexico is the poster child for how to do [highway privatization] wrong," said Robert Poole, a transportation expert at the Los Angeles-based Reason Foundation, a libertarian research organization. "Now they have a chance to redeem themselves."
Mostly, Mexico's motivation boils down to a lack of money in government coffers.
My understanding is that fuel taxes and other fees only cover about 1/3 of the cost of road construction and maintenance, and the amount is diminishing as cars and trucks become more fuel efficient.
Are you talking about Federal highways or are you conflating spending by states and towns that are paid for seperatly.
I'm talking about federal highways.
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