- Joined
- Dec 9, 2009
- Messages
- 134,496
- Reaction score
- 14,621
- Location
- Houston, TX
- Gender
- Male
- Political Leaning
- Conservative
Thanks for confirming you have no clue about what the ACA involved.
And thanks for the Hannity phrases #16., #128 and #34.
Obamacare is not a solution. It's making the problem incredibly worse. That is the real point and fact. Just a side question, while I admire your acts of charity involving the group of 70, how many of them have substance abuse issues?
Well, since it's a long term (6 months - 2 years) residential rehab center (that's the primary function), almost all of them. They come off the streets or from jail/prison mostly. On the VA side (another 80 men or so) we take homeless veterans, for any reason. About 80% of them have a substance abuse issue, most of them related to an underlying mental health problem (about 70% of the addicted have dual mental illness/addiction diagnoses).
And I don't see their addiction issues as mitigating the act of charity, as your phrasing suggests. But beyond that we require non-disabled residents to work as part of the rehab, and they're in jobs that the non-addicted often fill. The point is their lack of insurance is because they are working poor, not that they are addicted.
Yeah, for sure. Pragmatism requires some underlying goals and ideology relies on factual reality as well because that's the medium in which ideologues try to implement their ideology. But the emphasis and focuses are different. Pragmatists generally think the goals are pretty easy and obvious- the most material well being for the most people for example, and that the hard part is figuring out how to make that actually happen. Ideologues generally think the practical details are trivial to figure out and the principles are the hard part.
That never was the intent as it was all about coverage.
I mean, yeah, certainly the individual members of any group are wrong. Even liberals as an entire group can be wrong. But, the liberal position I'm talking about isn't the mix of all the views liberals hold, I mean the established positions that liberals as a whole generally hold. When the general liberal position and the general conservative position differ on a point, the liberal position is almost always more closely aligned with the facts. That isn't because liberals are smarter, more rational or better informed necessarily, it is because liberals as a whole tend to be deciding which side of an issue to take by looking at facts where conservatives tend to pick a side based on ideology. For example, the liberal position on a given tax might be that they support it because it will reduce inequality and inequality is bad because it has effects A, B and C, and because they believe the impact of that tax on growth will be minimal, as found in studies X, Y and Z, and so on, while the conservative position might oppose the same tax for purely ideological reasons that don't depend on factual claims at all. For example, they might think "people should keep what they earn" or that "taxes are theft" or some such ideological stance.
Pragmatism isn't necessarily inherently superior to ideology. But pragmatists are definitely more aligned with the facts, since that is the material pragmatists work with, where ideologues work with ideological principles.
What?
Ideology by its nature ignores reason.
Have you ever even read a political science text?
How, after five and a half years, have you not even accidentally found out anything about this law? This level of cluelessness was inexcusable in 2009; at this point it's just mind-boggling.
Horse ****.
One example:
two years of welfare in the form of "unemployment benefits". "liberals" which you are not, around the world were funding retraining programs...and they came out of the Obama bummer years ahead of your messiah.
There are no liberals in the United States, there are varying degrees of conservatives and a bunch of uneducated socialists willing to sell their vote for personal comforts.
I do not see the addiction issues as mitigating the act of charity either. However it is pertinent information. It is likely the reason that many, if not all of them are poor. Just as many (not all) of the millions who claimed they could not afford health insurance prior to obamacare put themselves in that situation by making poor decisions. And the picture in your link showing numerous people showing up begging to see a doctor was not the fault of a broken healthcare system before or since Obamacare.
Austerity is exactly the wrong response to a recession.
No, it doesn't ignore reason. Or at least it doesn't have to. For example, Kant was a hyper-rational ideologue. He believed that he reasoned out a set of abstract principles that trump pragmatic reality. Same with Hobbes. Etc.
What it ignores, to the extent that it can, is factual, practical, matters. It can't totally ignore those either though, since it ultimately needs to implement its principles in reality.
You've never read a civics text have you?
And nothing ever out of the Obama camp, Clinton either has ever been factual. You lose your argument based on what is real now, today, happening in the white house, noit your imagination.
That just isn't remotely true. As a matter of fact, Obama is beating the other western European countries by the widest margin any president in modern times has:
gdp relative to nato
At this point, it isn't even very controversial how we pulled that off- we went with a liberal response to the recession and Europe went with a conservative response. We stimulated the economy and they rolled out austerity. Austerity is exactly the wrong response to a recession.
Again, I get that conservatives assume liberal policies don't work, but factually, it is clear that they do. That's why the experts, in this case economists, overwhelmingly agree with the liberals.
Which countries used actual austerity?
Oh, now I get it.
a memeist, hyperbole out of the white house basement.
Please enjoy your trolling and disinformation...we've had seven years of it and it's really ****ing boring.
I hate liars and Obama is one making every one of his followers liars as well.
"You can keep your plan..." yeah that proves "liberal" is truth!
That just isn't remotely true. As a matter of fact, Obama is beating the other western European countries by the widest margin any president in modern times has:
gdp relative to nato
At this point, it isn't even very controversial how we pulled that off- we went with a liberal response to the recession and Europe went with a conservative response. We stimulated the economy and they rolled out austerity. Austerity is exactly the wrong response to a recession.
Again, I get that conservatives assume liberal policies don't work, but factually, it is clear that they do. That's why the experts, in this case economists, overwhelmingly agree with the liberals.
Because liberalism is all about intent, intent to better serve people, intent that never leads to solving a problem but rather creating more and bigger problems along with more people dependent.
About 50,000 people are alive today because U.S. hospitals committed 17 percent fewer medical errors in 2013 than in 2010, government health officials said on Tuesday.
The lower rate of fatalities from poor care and mistakes was one of several "historic improvements" in hospital quality and safety measured by the Centers for Medicare and Medicaid Services. They included a 9 percent decline in the rate of hospital-acquired conditions such as infections, bedsores and pneumonia from 2012 to 2013.
The number of hospitals that made the Joint Commission's “Top Performer” list increased again this year, even with the addition of new measures. A total of 1,224 U.S. hospitals made the annual list, which recognizes accredited facilities for outcomes on key quality measures reported the previous year.
Medicare's Accountable Care Organizations (ACOs) improved in both quality and savings in their second year, according to the Centers for Medicare & Medicaid Services. Medicare ACOs improved substantially in nearly every quality and patient experience measure, according to CMS. Moreover, ACOs in the Pioneer model and the Medicare Shared Savings Program (MSSP) saved a total of almost $400 million.
CMS on Thursday announced that more hospitals will get bonuses than penalties under the Value-Based Purchasing (VBP) program in fiscal year (FY) 2015.
FY 2015 is the third year of the VBP program, which affects Medicare inpatient reimbursements based on hospitals' performance on quality and patient experience measures.
The all-cause 30-day readmission rate for Medicare beneficiaries continued its downward trend, dropping to 17.5% through the end of 2013, according to an HHS report released Wednesday. That's down from the most recent numbers, published in December on the CMS' blog, showing a readmission rate hovering just under 18% during the first eight months of 2013. The Medicare all-cause readmission rates had held stubbornly around the 19% mark from 2007 to 2011, before dipping to 18.5% in 2012.
Medical practices have significantly increased the implementation of patient-centered medical home (PCMH) practices over time to try and provide better care for patients with chronic illnesses, according to an article published online January 5 in Health Affairs. . .
Although some incentives existed during the earlier surveys for practices to expand services for chronic care, incentives provided through the Affordable Care Act ... apply to the latest survey.
The survey contained questions on care coordination or integration, quality and safety of care, and enhanced access to care.
Most notably, the Affordable Care Act implicitly and explicitly promotes a population health management approach to care delivery. Not only does this legislation expand health insurance to a majority of the United States population, it compels hospitals to address the socioeconomic, behavioral and environmental factors that affect people before hospital admission and after discharge. The ACA is accelerating the shift of reimbursement models from fee-for-service to value-based, a structure that promotes better health outcomes, improved quality of care, illness prevention and coordination across the continuum of care. Care systems are now being held accountable for the health of their patient population and are responsible for implementing health improvement strategies to address community health needs.
I'm not talking about liberalism or intent. I'm talking about what's actually happening (friendly reminder: this is costing less than promised):
U.S. hospitals make fewer serious errors; 50,000 lives saved
More than 1,200 hospitals named Joint Commission 'Top Performers'
Medicare ACO quality, savings improve in second year
More hospitals will get value-based purchasing bonuses than penalties in 2015
Readmission rate continues to drop for Medicare beneficiaries
Practices Increasing PCMH Capacities for Chronic Patients
Trends in Hospital-based Population Health Infrastructure
Wow, and all this because of ACA, a program passed in 2010 and not fully implemented yet?
What really bothers me is how little you know about GDP and the components of GDP in this country vs. the European economy. Please figure it out and then you will see why the European economy and model that liberals want is so flawed.
Oh, now I get it.
a memeist, hyperbole out of the white house basement.
Please enjoy your trolling and disinformation...we've had seven years of it and it's really ****ing boring.
I hate liars and Obama is one making every one of his followers liars as well.
"You can keep your plan..." yeah that proves "liberal" is truth!
Yes, it is. Those pieces of the ACA launched shortly after the law passed in 2010. They are fully implemented; 4-5 years into implementation in most cases.
Others have pointed this out but this fact really needs to sink in: your ignorance of this law is staggering.
Conservative, these posts you make that basically boil down to "figure out what I know" are impossible. Generally speaking, it turns out that what you think you know is actually all wrong, so there isn't really any way for another person to guess what you're thinking. If you want to have a discussion, you need to lay out what you think is going on so that we can help you.
Look nothing is going to change your mind, if you are right years from now
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?