Supreme Court Rules on Affordable Health Care Act, Affecting Thousands of Iowans
The Supreme Court made a landmark ruling on the Affordable Health Care Act this morning deciding on the legislation that has become known as ObamaCare.
In a landmark ruling, the Supreme Court has upheld the Affordable Health Care Act -- ObamaCare -- giving the president a major political victory and maintaining health care coverage for thousands of Iowans.
Chief Justice John G. Roberts Jr., writing for a 5-4 majority, said that the U.S. Constitution gives Congress the right to impose individual mandates, the center-piece of the legislation, according to The New York Times.
"Holy crap," said Isa O'Hara, owner of the Green Grounds Cafe in Historic Valley Junction, in the minutes following the ruling. "There goes the country. I guess it was already sliding downhill."
The decision did significantly restrict one major portion of the law: the expansion of Medicaid, the government health-insurance program for low-income and sick people, The New York Times reported. The ruling gives states some flexibility not to expand their Medicaid programs, without paying the same financial penalties that the law called for.
The Affordable Care Act, which was signed by President Obama in 2010, puts in place consumer protections and provides additional coverage options.
The reforms were intended to gradually roll out starting in 2014 and through later years.
The Supreme Court was tasked with determining the constitutionality of the law, focusing mostly on the requirement that Americans purchase insurance or face a fine.
O'Hara had multiple questions after the news broke.
"How on earth are we going to pay for it?" She said. "How many trillions is this going to cost us? What's happened to accountability? Is Congress going to be forced to take this on as their own healthcare?"
Affect on Iowans
Since being signed into law, Iowa families have received the following benefits from the Affordable Care Act, according to the U.S. Department of Health and Human Services:
- 42,015 Iowans on Medicare saved an average of $616 on prescription drugs, for a total savings of $25,876,475.
- 18,012 Iowans under the age of 26 gained coverage under the health care law.
- 388,676 people with Medicare in Iowa received free preventive services – such as mammograms and colonoscopies – or a free annual wellness visit with their doctor.
- 1,187,000 Iowans, including 433,000 women and 311,000 children, are free from worrying about lifetime limits on coverage.
- Insurance companies are required to spend 80% of premium dollars on health care instead of overhead.
Greg Hauenstein
10:16 am on Thursday, June 28, 2012
Not to mention the millions of Iowans who have pre-existing conditions who don't have to live in fear of being tossed off their insurance plan at a moment's notice. That's an unconscionable abuse of the free market that insurance companies have been committing for decades.
David Leonard
10:27 am on Thursday, June 28, 2012
All hail the Supremes!
Maria Houser Conzemius
11:24 am on Thursday, June 28, 2012
I'm so grateful. This means that a friend in her fifties who lost her husband, her job, and her health insurance within a six-month period will be covered. I'm particularly grateful to the liberal majority including a singularly conservative, business-friendly Bush appointee, Chief Justice John Roberts.
Lisa Mc
12:28 pm on Thursday, June 28, 2012
I sure wish your article presented facts and stats from both sides instead of just one. How many insurance companies have gone under or just quit selling health insurance because they can't make any money at it due to all the regulations? The result... people like you and me get laid off.
What a tragedy when government can force us to spend our own money on what they determine we "need".
Kurt B.
4:07 pm on Thursday, June 28, 2012
Good comments Lisa. Most of the posts see this as a positive thing. I see a lot of HUGE issues , such as less employment ( companies won't be able to afford it ). And, what happens when one insurance company, with thousands or millions of customers, goes out of business ? I don't think anyone has thought about the reality of this thing. But, as others mentioned, since people who cannot afford insurance now have to buy it, then it will be cheaper for all. I can't wait till the day I have a sore tooth and have to wait 6 weeks for the gov't to process an application for approval for me to go see the dentist.
Erv Server
12:32 pm on Thursday, June 28, 2012
A good decision but this thing far from being settled
Kathy Sanders
1:53 pm on Thursday, June 28, 2012
As someone who has worked in the healthcare field since 1976, I applaud the court's decision. On a par with EMTALA. Kudos to the brave souls who made a conscious decision to do the right thing for the most people.
Jeff Klinzman
3:26 pm on Thursday, June 28, 2012
Is John Roberts destined to become the next Earl Warren? Some of the court's greatest rulings came from the Warren court; when Eisenhower appointed him, many Republicans expected Warren to be a compliant lap dog.
That Roberts ruled with the majority and wrote the decision is significant: he may not be a reliably "conservative" justice, but will instead look to the law, not ideology, unlike Antonin Scalia. My only gripe with the article? Who the heck is Isa O'Hara, and why is her ignorant perspective the only one represented with a quote!?
Kurt B.
3:43 pm on Thursday, June 28, 2012
I guess, as some of the other posts have indicated , if the illegals and people that can't afford this must now purchase health care, maybe that will make it affordable for everyone. It just doesn't seem right to have gov't mandated health care ..... if it ends up like the IRS system..... well, each one of us can visualize where this thing is going.
And..... we also need to determine why Mr Obama said ( on the Today Show ) that neither he, nor his staff , would participate in his own plan because the gov't people are already on a better plan. Not available to the common taxpaying public.
Kathy Sanders
7:32 pm on Thursday, June 28, 2012
Patch needs a 'Like' button. I would instantly click on several comments here, e.g., Jeff Klinzman. I have nothing to add to that intelligent overview, so hey, Patch - can you do an 'Agree' or something similar in your next system upgrade? LOL!
Stephen Schmidt
10:05 pm on Thursday, June 28, 2012
We'll work on that. But, for now, the classic "+1" reply would work.
Maria Houser Conzemius
9:46 am on Friday, June 29, 2012
+1
Jim Zupan
11:27 am on Saturday, June 30, 2012
I'd prefer a disagree button...
Troy Murphy
11:44 pm on Thursday, June 28, 2012
I noticed they listed the Affect on Iowans, as a small business owner one of the things they forgot to mention was that the premiums for my employees jumped over 200 a month this year alone, adding adults between 21 and 25 years of age is not free, neither was requiring insurers to pay for birth control with no copayment, or eliminating the lifetime cap. These all might be really great things but I know when I told my employees that I was going to have to take another 200 a month out of their check all of a sudden the above benefits didn't look so beneficial.
Kurt B.
6:55 am on Friday, June 29, 2012
More comments like this need to be shared with everyone. The media has already said they will spend a lot of time ( and $$$ ) telling people some of the great things this new law will bring. Both sides of the story need to be exposed, however. For many of us on fixed incomes, I anticipate our monthly premiums will go up, as well as our yearly deductible. If the state has any employees not paying anything, this needs to change. Just like taxes, if this thing is going to work, everyone has to pay in. Otherwise, we have a situation like the tax system where 47% of the population pays nothing and the other 53% pays it all. I often wonder who is addressing this in our gov't ?
Jeff Klinzman
7:28 am on Friday, June 29, 2012
Kurt, your comment about 47% of the population paying no taxes is factually wrong: please do not repeat what is, at best, and erroneous statement or, at worst, a lie. Here are the facts: you are referring to the percentage of American HOUSEHOLDS (not taxpayers) which pay no FEDERAL INCOME TAX. You omit an important reason for why those households have no federal tax liability: their incomes are too low to pay federal income taxes. Those household still pay plenty of taxes: local property taxes, state and local sales taxes, various federal excise taxes, gas and energy taxes, state income taxes.
Why are you picking on the poorest people in this country as freeloaders? Are you simply parroting the class warfare and resentment inculcated by the right-wing noise machine which is meant to deflect our attention from the preferential tax treatment investment income is given over income earned through honest labor? You intend to implcitly defend a tax system which relieves the wealthy from paying their fair share, and lets them freeload on the taxes paid by the middle class? What alternative do you propose so our health care system provides access to care for all Americans, regardless of income or having pre-existing health conditions?
Kurt, your class war rhetoric on the poor is NOT appreciated in this coprner...
Kurt B.
8:14 am on Friday, June 29, 2012
@ Jeff Klinzman - believe me, I am not picking on any class of people, especially the poor. The figures I have mentioned have come right off the media ( internet ) and also repeated time and time again on shows like The Today Show ; Good Morning America, even Meet The Press. I think the point all of these people are trying to make is : the tax system is in need of repair. As you can see from some of my other comments, I am not defending the tax system .... instead, I am just saying .... let's fix it.
Maybe you can use your pH D talents to make this happen instead of attacking commenters like me.
Jeff Klinzman
9:11 pm on Wednesday, July 4, 2012
Quit being a crybaby, Kurt. I called you on the factual error of your original statement. Funny how you seem to have stalked me, and put the onus on me to fix the system. Grab the rope and gung ho with the rest of us, instead of whining when you get called out for repeating bad information.
Kurt B.
8:20 am on Friday, June 29, 2012
@ Jeff Klinzman again - I thought I might also mention that I was in the "poor" class for approximately 11 years. This was due to a divorce and child custody situation ( in which I had the custody ) and a legal system that gave me all the bills....... thank you very much. All the while, I never asked for any subsistence and I paid state and federal taxes each year. I even ended up with my wifes student loans. Spent way too many hours and years in court fighting for what I believed in. So careful what you accuse me of.
Jeff Klinzman
9:49 am on Friday, June 29, 2012
It's easy: quit repeating the canard that half the people "don't pay any taxes."
Troy Murphy
9:10 am on Friday, June 29, 2012
Sorry Jeff if you wanted everyone to pay their fair share then we would have a flat percentage tax. The reason investment income is treated better than wage income is because we want people to invest instead of letting their money sit in safe money market accounts. People who risk their money helping others build business is a good thing. Anyone who invests gets that preferential tax treatment not just the wealthy. We live in a global economy and want people investing in American companies.
Jeff Klinzman
9:48 am on Friday, June 29, 2012
No sale, Troy. A flat tax is not fair, only simple. Progressive income taxes reflect reality: lower levels of income are subject to less taxation because more of the income must be spent on essentials like food and shelter. You can easily make the present system more fair by ensuring all kinds of income, including and especially capital gains, are subject to equal taxation.
I also reject your orthodox defense of investment. Investors have the lowest levels of risk and commitment to any business venture: they don't have to know the business or industry, they can sell out and bail at any time, and they are not the ones investing their labor and livelihoods in the business, as the employees are.
Finally, you use "investment" in a Utopian way. As Marx argued in "Capital," as the system ages and rate of profit declines, capitalists will resort to financial speculation to chase profits. Financial derivatives and collateralized debt obligations were "investments" which did little to nothing to spur employment and productive economic growth. Those forms of investment did help wreck the economy and destroy jobs. Kevin Phillips, in his "American Theocracy," was very blunt: the financial industry does NOT produce generalized wealth, it only enriches a tiny percentage of the population.
Jeff Klinzman
10:15 am on Friday, June 29, 2012
Billy, I cannot take the "fair" tax seriously: it's just another right-wing gimmick proposal. Come talk to me once you have a clue about how economics works.
Jeff Klinzman
12:26 pm on Friday, June 29, 2012
"!?!?" to Billy. I can no more criticize the (un)fair tax without being ideological than I can criticize it without running my brain and, in the process, metabolizing oxygen and complex carbohydrates!
Nor did YOU find the proposal attractive outside of your own ideology, so quit pretending that you somehow have access to objective reality which is NOT mediated through the values you have internalized as a member of this society. THAT'S what "ideology" is: a learned set of values through which you construct an interpretation of your lived experience of the world.
Face it: the (un)fair tax, like much of the opposition to the Affordable Care Act and outcry over the Supreme Court decision (so, are YOU going to take up arms in opposition!?), is not based on any kind of "objective" assessment outside of the bounds of ideology. I reject the (un)fair tax because it is a closet consumption tax, it is simplistic and unrealistic, and is not even politically realistic.
Kurt B.
4:06 pm on Friday, June 29, 2012
+1
Jeff Klinzman
5:27 pm on Friday, June 29, 2012
Billy, you expect retailers to act as tax collectors, because your (un)fair tax is basically a value-added tax which is collected at the point of sale. That is one reason the proposal is attractive to so many people: you argue we can get rid of the IRS. As a value-added tax collected at the point of sale, it IS a consumption tax, thus inherently unfair since working people spend a larger percentage of their incomes. Having worked retail and seen what quarterly tax reports for the state of Iowa are like, do you REALLY expect to push through that kind of idea without significant opposition from corporations like Wal-Mart, which you expect to act as tax collectors gratis?
Jack F
6:05 pm on Friday, June 29, 2012
You are all wrong- there should be no tax on INCOME and earning a living. Their should just be a national sales tax. If you want to blow your extra money you pay more taxes. NO Jeff- they can exempt buying "essentials like food and water and shelter" and cable and cell phones..... everyone pays their fair share but are not penalized for getting that second job or good investing.
Troy Murphy
10:17 am on Friday, June 29, 2012
You make my point for me. Fairness has nothing to do with what you use your income for nor does it have anything to do with how you spend it. I could care less if you eat Ramen noodles or Filet Mignon both are food I could also care less if you live in an efficiency apartment or a 100 room mansion both are shelter, who are you to determine what is a fair spending level for my essentials. The only fair tax is a flat percentage tax.
I reject you analysis of business investment, employees can bail out or sell out at any time as well. They have put nothing at risk to grow the business. Investors are the only ones who have any risk in a business venture, they put their money on the line if the business venture fails their money is gone, employees take their experience and skills that were earned at the businesses expense and go elsewhere as well as the 401K plan the business paid into, only the investor is out anything.
As far as Marx, who cares? And as far as exotic financial instruments, I don't invest in them and smart people don't either they invest in real companies and real property. Segey Brin and Larry Page weren't rich at birth neither was Bill Gates etc but without the financial industry they would not be where they are along with all the people who invested in their comapnies.
Jeff Klinzman
11:40 am on Friday, June 29, 2012
Wow, Kiddo! Nice to see how you think an employee, who has to sell his labor-power in order to live, and whose labor is the source of a business's profit, is less important than the investor who has money to burn, but will still eat even if his investment is lost, and who contributes nothing but cash to a business enterprise. Troy, what you have convinced me is that you just won't listen to any ideas or analyses which fail your tests of what is politically correct.
Troy Murphy
12:58 pm on Friday, June 29, 2012
Sorry Jeff I am just realistic, an employee does not have to sell his labor to live, he can start his own business become his own boss and risk his own capital or convice an investor to risk capital on his idea. We live in a global economy and labor is no different than any other raw material.
Troy Murphy
1:06 pm on Friday, June 29, 2012
Plus how do you know that investor will eat if his investment is lost? I know a lot of people who are retired who won't eat if their investment is lost. That cash you denigrate so readily is what a business generates to pay those taxes employees etc. I am not sure what political correctness has to do with the relative values of labor and capital so I guess I am glad I convinced you of something???
Jeff Klinzman
5:21 pm on Friday, June 29, 2012
Troy, you identify with capitalism; I don't. You offer abstract arguments, but no concrete examples; I referenced derivatives and CDOs because those were, and ARE, investment products which I cited as examples of financial speculation. Read Morgenstern and Rosner's "Reckless Endangerment" for an exposition of how sub-prime mortgages and related financial products set the stage for the 2008 recession.
I cite sources for my ideas; you don't. I see work as a cooperative venture where people work together, and do not see being an employee as being subordinate to being self-employed, and I'll also argue it is unrealistic, and Utopian, to breathtlessly argue that everyone can be an entrepreneur.
Our differences are deep, and I'm not a liberal who will simply cave on your ideas in order to appear "reasonable." I think the Suprme Court decision upholding the Affordable Care Act is pivotal, and will help preserve a reform that, imperfect as it is, is also pivotal in ensuring that a basic human need, access to health care, is met; you seem oblivious to how capitalism fails to meet such basic human needs. Where do we go from here?
Troy Murphy
8:27 pm on Friday, June 29, 2012
No you are correct you don't identify with capitalism. You are a liberal who identifies with taking what is mine and redristributing it according to your idea of what is just. It is a failed idea around the world. I think at this point we will just have to agree to disagree and I will continue to keep people from stealing what I have earned and people like you will keep trying to tax me to pay for what you think you are entitled to. You may win and when that happens I will shut my business down, stop employing people turn my wealth into gold where it can't be traced and join the rest of you with my hand out. You think capitalism fails to meet basic human needs, I see just the opposite. The Poor people in the United States are some of the wealthiest in the world. Famine and starvation are basically nonexistent in the US. Homelessness is negligable and medical care was readily available for free or at extremely reduced costs before the (un)Affordable Care Act. I really don't have a dog in this hunt except the cost for health insurance will go up for my employees. So be it. We will have another failed government program like social security, medicare and medicaid.
Jeff Klinzman
10:31 pm on Friday, June 29, 2012
"You are a liberal who identifies with taking what is mine and redristributing it according to your idea of what is just."
If you REALLY believe that, Troy, then you are lving a lie, since you choose to not respect people whose ideas differ from yours.
Be deeply ashamed.
Troy Murphy
11:39 pm on Friday, June 29, 2012
Sorry Jeff but your ideas don't just differ from mine you said at the beginning of this that you believe in a progressive tax. That is just about as unfair as it gets because if I make more not only do you want more actual dollars you also want a larger percentage of what I make. I don't have a problem respecting peoples ideas who are different than mine. I have no respect for those who want to reach into my pocket to make those ideas a reality. People who think it is okay to take from me because I have more are who really ought to be ashamed.
Troy Murphy
2:05 am on Saturday, June 30, 2012
You sound like a college professor who is used to bullying his students and when that doesn't work you accuse people of being closed minded. I really hope you are self-employed so you can enjoy the benefits of the (un)Affordable Care Act that you wish upon my employees. As far as living a lie I guess I am not as edge-u-kated as you are because I have no idea why believing: "You are a liberal who identifies with taking what is mine and redristributing it according to your idea of what is just." means that I choose to not respect people whose ideas differ from mine. Are you telling me you don't want to take more of what is mine and give it to someone else? If that is the case then I apologize for mischaracterizing your argument.
Jeff Klinzman
6:30 pm on Sunday, July 1, 2012
Troy, why do you think I am a college professor? Is that based on anything I've written here, or have you been stalking me? Is you assessment of my teaching based on observing me in the classroom (funny, but I don't remember you!), or is your assessment based on POLITICAL, as opposed to pedagogical or professional criteria?
Troy Murphy
8:23 pm on Sunday, July 1, 2012
I actually didn't think you were a college professor at the time I wrote that, just that you sounded like one based on your choice of words and references. The truly ironic part is that you are a college professor. I never commented on your teaching, at the time I didn't know you were a teacher, I commented on what I thought you would be like as a teacher based on your comment about me living a lie because I disagreed with you.
Troy Murphy
8:57 pm on Sunday, July 1, 2012
I am also not sure how looking at your posts where you state you teach at Kirkwood and then going to Kirkwoods website to read your bio qualifies as stalking but if so then yes I guess I am.
Todd Richissin
10:20 am on Friday, June 29, 2012
Politics in America. Haves vs Have-Nots.
Kathy Sanders
11:05 am on Friday, June 29, 2012
+1
Troy Murphy
11:19 am on Friday, June 29, 2012
Not really more like those who spend vs those who spend more. While they try to get us taxpayers fighting over who gets the bigger handout.
Kurt B.
6:18 pm on Friday, June 29, 2012
@ Jeff Klinzman : this one is from USA Today. It does not say 47% of households..... it says 47% of Americans.
http://www.usatoday.com/news/opinion/editorials/2010-04-16-editorial16_ST_N.htm
Jeff Klinzman
8:10 pm on Friday, June 29, 2012
So what, Kurt? You were still wrong to say "47% of Americans pay no taxes." Look at the wording in the very first paragraph: "Almost half of individuals AND HOUSEHOLDS (emphasis mine) owe no taxes for 2009. Could that be true?"
In this editorial, USAToday continues: "Most still pay Social Security taxes, Medicare taxes, sales taxes and property taxes (if they own any property).
"So they're paying taxes, but the fact that 47% pay no federal income tax is nonetheless disturbing — not for what it says about the non-payers but for what it says about the nation's broken tax system and how hard it will be to fix it.
"The people who pay no income tax aren't freeloaders or evaders; virtually all are simply doing what the law allows. That there are so many of them is the result of decades of deliberate, bipartisan tax policy."
Nice try, but no cigar, Kurt.
Kurt B.
6:10 am on Saturday, June 30, 2012
@ Jeff K - exactly my point - the tax system is broken and needs fixing. I didn't say those that didn't pay Fed taxes aren't paying taxes ..... I was just stating what numerous media outlets have spread all over the web - and now you confirmed it for us. So, you got the point. Now.... let's fix it. Ideas ?
Mary Lewison
3:42 pm on Saturday, June 30, 2012
The bottom line is NO ONE NEEDS MORE THAN THEY NEED...to be a good human being with compassion..helping the poor is awesome. I didn't say freeloaders. I am talking about people who try. They need to somehow curb all the welfare freeloaders and help them if they try...and all the single births are killing our families and our welfare systems. Did it not used to be you got married then had children and raised them as a family.. Now it is acceptable.."who's your daddy?" Birth control is easy to get and cheap. These people are freeloading society. Once they have a kid or two or three it qualifies them to everything free in life. What about people like me whos hubby decides to have mid life crisis after 25 yrs..scammed all the money ahead of time. Left me high and dry and now age 52 working full time at a lower paying job and cant afford health care cause our lovely judicial system left me with a mortgage and debt and him scott free cause he was ahead of the game and an awesome liar. I was told there was no health care for me as I am not old enuf for medicare and not young enuf to have dependents. I am tired and screwed and when I go down to human services to see if I can get some affordable health care it is full of Somalian and Mexicans and single mothers with several kids by several dads. That is what needs to change!!!!
Kurt B.
10:13 am on Sunday, July 1, 2012
+1 . I can definitely relate to Mary's comments though my situation was a little different, yet very similar. I had a wife that left me high and dry, with the mortgage, two kids to raise and the courts even gave me her student loans to pay back. Back on the subject of this "affordable" plan, I think it will take a while to see what this really ends up being. The Supreme Court has ruled this as a tax which means everyones taxes are going up. Lots of things need to change in this country and Mary has pointed out some of the issues.
Maria Houser Conzemius
9:15 am on Sunday, July 1, 2012
Mary Lewison, thanks for bringing us back to the topic, the Affordable Care Act. Your story is heart breaking. I have a friend in her fifties who lost her husband when he was 59 (prostate cancer), lost her job, and lost her health insurance within a six-month period. Her story, yours, and other stories of people without health insurance through no fault of their own is why I could never vote Republican.
Republicans in the Supreme Court ruled that a woman must sue her employer within 180 days of her first discriminatory paycheck even if she doesn't know she's been discriminated against until years later. Lily Ledbetter, who trained younger male supervisors to do what she was doing, didn't find out for years that she was paid much less than they were until she got an anonymous note from payroll telling her so.
There are so many women suffering from Republican decisions and now the overt war on women that it's especially important that we vote in Democrats, however imperfect some of them are, because voting in Republicans is unthinkable.
Troy Murphy
3:36 pm on Sunday, July 1, 2012
What is a discriminatory paycheck. I moved to Alaska and went to work as a chemist in a Fairbanks lab. One of my co-workers and I got to talking and she found out I made 50 cents an hour more than her and we both did basically the same job and had been there the same length. She was furious, but as we talked the reason for the discrepancy became clear. When it came time for raises she took what was offered, I didn't. I argued with my boss I was worth more and gave substantial reasons why. An employers job is to pay the minimal amount to get the job done, an employee is trying to maximize the worth of their labor. I would posit that men are more aggressive as a whole on arguing their worth than women which leads to the appearance of discrimination. Could you tell me what overt war on women, what specifically do Republicans support that you feel is an attack on women? My wife and I are Republican's and we have 4 daughters. For the last 10 years my wife worked she earned 5 times what I did, she worked for Wells-Fargo I worked as a chemist. Now her job is taking care of our children and I am self-employed and the dollars are reversed, she knows that if she decided to get back into the work place after a 10 year hiatus that she will earn significantly less than she did before. We would really like to know how this constitutes a war on women.
Jeff Klinzman
10:56 am on Sunday, July 1, 2012
"What a long, strange trip it's been..."
Let me add some facts to the discussion. The United States spends about twice as much, as a percentage of total health care costs, administering insurance claimsn as any other advanced nation. Many US hospitals, especially those in poorer areas of the cities, are making it difficult to receive care through their emergency rooms. We all pay for the uninsured: they still receive care, and hospitals and other health-care providers pass those costs on to the rest of us and our insurors. That may not be a "tax," but we still pay.
I close with my statement of values. I prefer to see our society as one where we work together, collectively, for the common good, not as an endless contest, bloody in tooth and claw, of each against all. None of us goes it alone, we are all interconnected, like it or not, and we need to heed the better angels of our natures by recognizing our common humanity. Ayn Rand was wrong: selfishness is the worst of all human vices.
Kurt B.
1:27 pm on Sunday, July 1, 2012
this deserves one of those +1's
Jack F
4:11 pm on Sunday, July 1, 2012
Thou shalt not steal. I think this argument was settled with Moses. Tell government to take their 10% and not steal the rest. Simple really.
Jeff Klinzman
6:31 pm on Sunday, July 1, 2012
Moses was a gangster. Shall we talk about his blood purge of Israelites who resisted his despotism?
Troy Murphy
7:15 pm on Sunday, July 1, 2012
So I take it from your comment about Moses that you are in favor of stealing and think you should steal because you believe the person delivering the message was a gangster?
The Shill
12:21 am on Tuesday, July 3, 2012
Romans 13:5-7:
Therefore, it is necessary to submit to the authorities, not only because of possible punishment but also because of conscience. This is also why you pay taxes, for the authorities are God's servants, who give their full time to governing. Give everyone what you owe him: If you owe taxes, pay taxes; if revenue, then revenue; if respect, then respect; if honor, then honor.
Matthew 17:24-27 we learn that Jesus payed taxes:
After Jesus and his disciples arrived in Capernaum, the collectors of the two-drachma tax came to Peter and asked, "Doesn't your teacher pay the temple tax?"
"Yes, he does," he replied.
When Peter came into the house, Jesus was the first to speak. "What do you think, Simon?" he asked. "From whom do the kings of the earth collect duty and taxes—from their own sons or from others?"
"From others," Peter answered.
"Then the sons are exempt," Jesus said to him. "But so that we may not offend them, go to the lake and throw out your line. Take the first fish you catch; open its mouth and you will find a four-drachma coin. Take it and give it to them for my tax and yours."
Troy Murphy
1:22 am on Tuesday, July 3, 2012
And We should care about the comments of somebody who calls itself The Shill?
The definition of a shill really doesn't inspire a lot of confidence.
1. a person who poses as a customer in order to decoy others into participating, as at a gambling house, auction, confidence game, etc.
2. a person who publicizes or praises something or someone for reasons of self-interest, personal profit, or friendship or loyalty.
The Shill
2:03 pm on Wednesday, July 4, 2012
No Troy you should care about the comments of someone who call himself Jesus Christ.
Troy Murphy
5:04 pm on Wednesday, July 4, 2012
Shrillster,
Could you enlighten me as to why the above post has any bearing on this discussion as I don't believe anyone has advocated yet not paying their taxes in protest, just in trying to change the law and why we believe it is bad law. But then again I have never claimed to be a religous scholar and may be misinterpreting your point
Troy Murphy
1:00 pm on Sunday, July 1, 2012
The above may be true, the problem with mandated coverage is a government employee gets to decide what the level of coverage has to be and what you will receive for any given illness. I would rather pay private business, that employs people, than have the government control my health care, I can guarantee that the waste and fraud in government control of health care will more than make up for the administrative costs of private insurers. Some people may not need birth control or can afford to have a higher deductable. The problem with the (un)Affordable care act is that it was shoved down our throat. There were better free market alternatives to solve the problem of uninsured and preexisting conditions than a government takeover of the health industry. I agree with you Ayn Rand was wrong. The selfishness and overall arrogance of taking from one group to give to another is the worst of all human vices. People used to help their neighbors and take care of those around them. No longer, because "government" will do it. When we abdicate our responsibilities to government we are all poorer for it. I'll also argue it is unrealistic, and Utopian, to breathtlessly argue that everyone or even a large percentage can agree on what that common good is.
Kurt B.
1:28 pm on Sunday, July 1, 2012
This one too !! +1
Mary Lewison
4:45 pm on Sunday, July 1, 2012
all I know is that I am almost 52 and never get to go to the doctor. I have had a serious ear infection for over 2 yrs that is eating away my middle ear and possibly go into my brain. I work fulltime and all I ask for is affordable healthcare and my job doesnt fit in that category for me. I am strapped financially. I think it is wrong..but every immigrant including illegals are getting healthcare.WTH!!!!!!!!
Jeff Klinzman
6:35 pm on Sunday, July 1, 2012
Mary, on what evidence do you base your assertion that undocumented immigrants receive healthcare? So what if they do: it makes you feel somehow better or empowered to impose misery and privation on them? Or, is the REAL point that American healthcare needs fundamental reforms so that ALL Americans, including you, have access to it?
How will denying immigrants healthcare, which you seem to imply here, help YOU?
Todd Richissin
7:30 pm on Sunday, July 1, 2012
Thank you, Troy. Spirited discussion on here is fine. Calling names isn't. Please channel your passion toward civility. I've deleted Mary's comment.
Troy Murphy
8:35 pm on Sunday, July 1, 2012
Thank You Todd, I didn't call anyone a name, I agreed with Mary on one point and defended Jeff on the other. Your post implies first that I called someone a name. If you would look at the above post that Mary responded to the name calling started with Jeff's comment "it makes you feel somehow better or empowered to impose misery and privation on them?" The implication of this post is that Mary is petty and wants people to suffer but posited in such a way as to sound like a reasonable question. She responded in a manner that may not of been as educated as Jeff's comments but addressed what she inherently knew was an insult just presented in a manner that would let it slip through.
Todd Richissin
8:52 pm on Sunday, July 1, 2012
Troy is correct. For the record: He didn't call anyone a name. Sorry if my comment made it look that way after the earlier comment was deleted. Keep up the discussion guys. It's a good one.
Troy Murphy
10:08 pm on Sunday, July 1, 2012
To bring the discussion back to the (un)Affordable Care Act I would like to point out that this law was over 2700 pages long. I guarantee that not one of our illustrious representatives have read the thing or understand all of its implications. I have talked to lawyers who have tried to read the actual bill and they state it is incomprehensible. We are arguing over four or five points. The problem with this law is that the implementation and interpretation will be left up to the bureaucrats and will probably have little resembance to what was intended. The major problems in our healthcare system could have been addressed with limited, targeted legislation. This bill was never intended to solve the problems addressing our current system, rather it was designed as the first step to socialized medicine without calling it that. As I stated earlier, there are a lot of mandates in this law that may be good, the question becomes at what cost? Most people agree that we need to cover the uninsured, most would also probably agree with covering preexisting conditions and not limiting lifetimes benefits, but why shouldn't our young people have to buy their own insurance, why mandate coverage by their parents until age 26? Why mandate birth control with no co-pay?
Troy Murphy
10:10 pm on Sunday, July 1, 2012
There are also numerous requirements regarding what the states have to do with medicare/medicaid that were defined as unconstitutional but that still have to be provided. The federal government will now have to pay for this expansion of benefits while struggling with a deficit larger than that of all administrations before this one combined. This will require massive more borrowing to pay for.
Kurt B.
5:49 am on Monday, July 2, 2012
If you want to see something interesting on the deficit ...... assume we were to stop growing the deficit when it reaches $16 trillion ( we are almost there ! ). Then, we begin paying it off at the rate of $1000 a second. Calculate how many years it will take to pay it down to zero ( assuming, of course, no interest is added to the $16 T figure , which is not reality ). The answer will astound you.
Mary Lewison
10:17 pm on Sunday, July 1, 2012
cant discuss anything with people that know everything.."the highly educated"..They are the one's that ruined out country..I would call them out govt officials ..all wealthy and highly educated and have very little compassion for those of us who work hard but cant afford healthcare cause we are not "highly educated" enough. Quit reading into and twisting people's responsed. I am out of this discussion so no need to comment back. You dont know what it is like to be sick and have NO insurance and told that you are at a bad age and there is nothing for you. I am sure all of you that are arguing this are insured and really have no need to input into it..Go figure!!
Kurt B.
5:43 am on Monday, July 2, 2012
You have some excellent comments, Mary and I , for one, hope you don't leave Patch. I am sure some of the city and state officials read the readers input, even tho they may not post a response. So, your input is valuable to all of us and I hope your situation receives the attention it deserves. This health care issue is a real hot button and I think we are just on the verge of having this undergo a major change - which it needs to, as many of the posts have pointed out ( how to pay for this thing is going to be the major challenge ). Yes, there are some of the posters that will pick your input apart, but don't let that stop you from responding. ( I have a nephew that is an absolute einstein ..... I don't get into any heated discussions with him as he has all the data, quotes, references, etc. to tie me up in knots. He is destined to be a politician :-) )
Troy Murphy
7:15 am on Monday, July 2, 2012
+1
Mary Lewison
10:18 pm on Sunday, July 1, 2012
sorry i didnt proof read..so pick apart the typos..you highly educated know it alls
Jeff Klinzman
8:13 am on Monday, July 2, 2012
I'm surprised no one used the standard GOP lines with Mary Lewison to discuss her plight: "Health care is a choice, not a right," or "you can afford care if you make sacrifices in your lifestyle." It's hard to make that kind of cruel point when you hear a real-world example of how American health care is delivered on the basis of ability to pay, not need.
Mary, my objection was to your unfounded, baseless assertion that "immigrants and illegals" (I also object to referring to other human beings as "illegals") somehow get the health care that you don't, and to the companion assumption that, if those folks do indeed receive care, it prevents YOU from getting it. Let's focus on a point an MD friend of mine (oops, another "highly educated know-it-all," darnit!) made years ago: "Our capabilities are the best in the world, but our delivery is all screwed up."
The present system has produced thousands of cases like yours, Mary: people who need care, but have been priced out of it. I just don't see how it's productive to resent those of us who have insurance, since that resentment does nothing to get you the care you need and deserve, and is indeed an impediment to reforming the system. And "highly educated know-it-alls!?" Mary, anti-intellectual bias is very unbecoming...
Jeff Klinzman
10:04 am on Monday, July 2, 2012
Your assertion that UNDOCUMENTED immigrants receive care to the exclusion of citizens is just that, an assertion. Support your assertion, Troy, by providing evidence. I reject your unproven, unsubstianted claim that undocumented immigrants receive health care to the exclusion of people like Mary above. You're scapegoating, and playing the undocumented immigrant card without ofering any realistic proposal of your own.
As for immigrants, so what if some here "illegally?" Wasn't it a GOP president, Ronald Reagan who, in signing the 1986 immigration reform act, who granted the largest amnesty in the nation's history to undocumented immigrants? What is your policy proposal, a mass roundup and forced deportation of an estimated 10-12 million people? Look at Romeny's waffling on immigration: he's trying to please a hardline anti-immigrant base, while simultaneously appealing to a growing segment of the electorate, Hispanics, who take the immigration issue very seriously.
Troy, I am registered as an independent, and am alienated by a GOP which is unwilling to accept the compromises necessary to govern. Face it: Republicans are not infallible, your party needs to soften its hardline stands, and stop playing wedge politics.
Troy, contrary to what you and other Republicans may believe, your sweat smells the same as ours.
Troy Murphy
11:48 am on Monday, July 2, 2012
Reject away, but given A. that there are only so many funds to pay for those who can't pay and B. illegal immigrants qualify to receive those funds then it follows that at some point citizens are not getting benefits that illegals are. I could present a plan to deal with the healthcare problem but I doubt that it would meet with your approval. No, I don't have to do a massed deportation, if we secure our borders the deportation could take place over a period of years as we would have no more illegals entering the country, or at that point we could afford to offer a path to citizenship but first we need to secure those borders. Personally I reject your assumption that the hispanic population who are American citizens don't want the border enforced. I very much support immigration, just legal immigration. I realize that following the rules is harder than not following them which is why illegal immigration is a problem. I never claimed Republicans are infallible and you may not like the hard line stance on some issues but for some of us the principle is important, we have rules and laws for a reason, I may not like the (un)Affordable Care Act but I don't advocate just ignoring it. I advocate repealing it legally. I use deoderant so I am pretty sure my sweat doesn't smell but I will admit that I probably sweat as much as you. I can't speak for everyone else about their sweat like you do.
Jeff Klinzman
11:58 am on Monday, July 2, 2012
Heh, heh, heh, I love quoting Lenin in this context: "Be firm on principles, flexible in tactics."
In all seriousness, Troy, compromise is a sine qua non in a representative democracy like ours. I don't say you lack principles, just that you and the GOP need to be more judicious in accepting compromise to help govern the country. You are still arguing in the abstract about the costs of providing medical care to undocumented immigrants, and your phrase "sealing the borders" is meaningless, especially when an estimated 50% of undocumented immigrants enter the country legally, then overstay their visas. Or, what about the youing people Obama has suspended immigration enforcement, whose parents brought them into the country?
What is key here is how you want to implicitly defend private, for-profit health insurance, when there is much waste, as I have noted before. Or, it is fear-mongering to talk about "government bureaucrats" making your health care decisions: that simply isn't true, since the ACA depends on the existing system of private health insurance. The worst whopper of all was Sarah Palin's blatant lie about "death panels:" the provision which was misrepresented mandated paying for end-of-life counseling. Hardly the "pulling the plug on Grandma" that Grassley denounced.
I do enjoy our exchanges, Troy.
Jeff Klinzman
3:01 pm on Monday, July 2, 2012
Let me get this straight, Billy: the ability of the US economy to grow in order to provide the resources necessary to provide all Americans with access to health care is limited, so rationing of care is inevitable, reform or no? Thus, one basis for rationing care is, say at the point of admission to a hospital or ER, to deny care on the basis of citizenship? "Show me your papers," indeed!
What apologists like you cannot seem to wrap your heads around is that there is much waste inherent to capitalism, and that US healthcare faces inflation in costs driven by the need for private insurors to profit from, basically, paying medical bills; hospitals duplicating services in order to compete with each other; overuse (this has been documented) of expensive diagnostic equipment in order to recover the capital cost, etc.
So Billy, did you mean to imply that people who do not see economics as you do are stupid?
Troy Murphy
9:51 pm on Monday, July 2, 2012
Jeff,
Like the compromise that was the (un)affordable care act? You seem to forget for two years whatever the Democrats wanted they could have. This bill didn't even have the patina of compromise. Of course I am arguing in the abstract, as my father taught me: figures lie and liars figure, besides with the internet we all have infinite sources to back up any argument we want to make therefore making any argument using examples an exercise in futility. You seem to think that stopping 50% of illegals is not worth doing, I feel that if we can stop 50% of the illegals it will free up more resources to deal with the other 50%. As far as the illegals brought here by their parents, send them home with their parents and they can apply the same as anyone else to become citizens.
Of course I want to defend private for profit enterprises. The are more efficient and less wasteful than government. You think private insurance is wasteful, I know government is, just look at the GSA.
By the way it is not fear mongering to not want the Independent Payment Advisory Board deciding what the reimbursement rates for any particular procedure will be. The result of this will be bureaucrats deciding what is allowed by limiting reimbursement on procedures they feel are not warranted. This is also a defacto "death panel" because if you are 70 years old and need bypass surgery they could decide that it would not be in the best interest to have that paid for, ergo no open heart surgery.
Maria Houser Conzemius
10:18 am on Monday, July 2, 2012
Mary is hurting, hurting bad. Mary, I hope you don't vote Republican, Mary. The Republicans in the U.S. Supreme Court voted to rule that Lily Ledbetter didn't deserve back pay and a better retirement as a result because she should have filed her discrimination claim WITHIN 180 DAYS OF HER FIRST DISCRIMINATORY PAYCHECK EVEN IF SHE DIDN'T KNOW SHE WAS GETTING $5,000-6,000 LESS THAN YOUNGER MALE SUPERVISORS SHE HAD TRAINED HERSELF. It was Republicans in the Supreme Court who ruled that the women workers of Walmart couldn't file a class action lawsuit based on lower pay and less opportunities for promotion.
Democrats are often sleazy, but they support more rights for women and more medical benefits for all than Republicans do.
Kurt B.
5:23 pm on Monday, July 2, 2012
Definitely agreed ! Mary's situation needs attention. I wouldn't bet the bank, though, on democrats ( or republicans ) solving these difficult situations. If this country continues to do everything on a Dem or Rep basis...... we are done as a country. Instead, we need to go back to "We, the people".
And, not to stir things up on the pay issues, but I did see some stats quoted very recently that shows that, currently ( 2012 ) females under 30 are out-performing their male counterparts ( also under 30's, for comparison ) in pay.
Todd Richissin
10:21 am on Monday, July 2, 2012
Hey, guys. Just a note to see the new poll on this page about the Supreme Court's ruling.
Tonto
8:43 am on Tuesday, July 3, 2012
http://www.youtube.com/watch?v=7equ_xy5_kg
Maria Houser Conzemius
8:52 am on Tuesday, July 3, 2012
Mary, go see Dr. Marlon Hansen in Head, Neck, and Ear Surgery at University of Iowa Hospitals and Clinics. He is a good man. He did Rush Limbaugh's cochlear implants after Limbaugh destroyed his hearing with his excessive use of the painkiller oxycontin. He also operated on my mother-in-law and did an excellent job. His wife and I used to carpool our kids to school together. If you have an ear infection dissolving your mastoid bone, don't wait.
Maria Houser Conzemius
8:56 am on Tuesday, July 3, 2012
UIHC in Iowa City doesn't demand payment or even partial payment up front. Also, you should STAY in line at the Department of Human Services and see if you are eligible for Iowa Cares, which would be expanded to Medicaid if Republican Gov. Terry Branstad were willing to accept federal money to expand Medicaid under Obama's Affordable Care Act. He says he is not, but IowaCare or Iowa Cares will still cover a single worker without children under a certain income, okay? Don't go away because of who else you see in line. Many of those people may not be eligible for help, and even if they are, that doesn't mean you won't be eligible as well.
Jeff Klinzman
10:34 am on Tuesday, July 3, 2012
Criminey, Troy, if, as happened in the 1990s, you define "political correctness" as an orthodox view which is supported by repetition, not evidence, and upheld as dogma, not logical thought, then your blanket assertion that private business is more efficient than government is a prime example. Let's see, you cite GSA. Did you hear the latest about pharmaceutical giant Glaxo-Smith-Kline? They were actively paying off doctors to prescribe their meds for non-FDA recommended usage. Before the ban on direct marketing to medical doctors, the lavish spreads put out by pharmaceutical companies for medical doctors at professional conventions and conferences were legendary. There's a twofer: wasteful and corrupt.
Let's not forget about such sterling examples of efficiency as Worldcom and Enron, and the 2008 recession was a direct result of the sub-prime mortgage fiasco, where lots of people made lots of money through predatory lending and financial speculation. I suppose you're going to feed me Cavuto's line that, "It was mortgage loans to minorities that caused the recession!"
It is simply inhumane to force a young person who spent his or her entire life in this country, through no fault of his or her own, to return to a strange country just to fulfill your sense of righteousness. Funny, you expect ME to be "tolerant" of your arguments, but you won't give an inch on yours.
Hmmm....
Troy Murphy
5:21 pm on Tuesday, July 3, 2012
I call it good business not wasteful to get doctors to prescribe your drug, as far as off label usage said usage only means it was not FDA approved not that it wasn't effective.
Let's quit beating a dead horse, I can come up with much waste in government as you can in private business, the difference is I can choose who I do business with I can't choose when the government is involved. Sorry but you will have to blame the predatory lending on the government in the form of Fanny and Freddy. They basically eliminated any proof of income requirements and down payment requirements. So people who couldn't afford loans lied to get them because they had nothing to loose as they put no money down on the house in the first place.
You are correct it is the fault of the parent but if that example was set maybe parents in the future would make better choices, the parents didn't think it was inhumane to force them to immigrate to a strange country in the first place I don't think it is inhumane to follow the lead of the parent and force them to return.
Jeff Klinzman
10:26 pm on Tuesday, July 3, 2012
Unbelievable: you prefer the judgement of an organization which will derive profit from its marketing activities over an independent regulatory body which weighs medical and scientific criteria in deciding which uses to recommend for a drug. Troy, if I have a problem with a federal agency, I have two senators and a congressman to scream to: if I get screwed by a profit-driven entity, I have no recourse except the civil courts.
Another user called saw little value in our exchanges. I think you are so committed ideologically that you refuse to see how profit drives bad behavior, and Adam Smith's invisible hand will do nothing to stop it. Don't blame Fannie Mae and Freddie Mac alone: they were abetted by a whole industry which saw a profit opportunity in predatory lending, and neither company had the power to mandate underwriting standards.
Go ahead and cite the old Roman "caveat emptor," but while the Romans did good things (aqueducts and concrete, among others), their ruling class was corrupt and worshipped power over justice. They gave the world crucifixion, as well as that business advice predatory capitalists use to excuse their own greed.
Tonto
8:40 pm on Tuesday, July 3, 2012
http://www.youtube.com/watch?v=MYrPWwJkhdc&feature=g-vrec
Troy Murphy
12:29 am on Wednesday, July 4, 2012
Now that was just funny.
Troy Murphy
12:22 am on Wednesday, July 4, 2012
I have to agree with Billy's comment, I have better luck getting satisfaction from business by complaining on the internet etc than I have ever gotten from any elected official. You forget that said government agencies don't do those tests, they require the private business to do it at its expense and then limit their patent to a term that makes it really hard to recoup the original costs especially considering most drugs fail.
Actually Fanny and Freddy do write the underwriting criteria for most loans. Most loans are not held by the originator they are bought by Fannie and Freddie and if you do not meet their criteria they won't buy the loan. Yes some loans are kept in house but the number is quite small which brings us back to the point that if the underwriting had not been "loosened" by Fannie and Freddie at the behest of Congress the problem would never of happened. I am a capitalist and business owner and do not excuse my own greed, mostly because I have a hard time defining it. As I stated way back at the beginning of this argument who are you to determine what my necessities are. I have a line of credit at my bank the paperwork or note was 1 legal page long, When I signed my mortgage paperwork, which was 1/50th the size of the line of credit the paperwork was over 50 pages. Glad to know government is protecting me from those predatory lenders.
The Shill
10:59 am on Wednesday, July 4, 2012
The system we have now: everybody pays higher premiums to subsidize emergency rooms The system we are going to get: everybody pays into the system that can, eliminating freeloaders This should have bipartisan support. It's flat-out false to say this was rushed, that nobody knows what the bill is, and that we should wait for the "do nothing" Republicans to do something. They had their chance. Obama, at his health-care summit where both parties were invited, looked around at the table and said that he would give them anything… ANYTHING… all they had to do was agree to cover all Americans. Not everyone except for 5 million… EVERYONE. Would they like anything in return to support this? I personally watched him ask this. All the Republicans around the table said nothing. They looked at the president slack-jawed and stupidly. Not a word was spoken. So here we are with a system that reflects competition instead of single-payer (Republican value) that covers every American. The only real problem with this bill is a Democrat president pushed it through. Everyone knows that's the problem. After all, Romney did something just like it in Massachusetts! So all of the whining, all of the misinformation, all of the crying and moaning… just shut your piehole and move on to the next issue. You lost, the people won, we are moving on in spite of you, dragging you kicking and screaming into the 21st century. You're welcome.
Maria Houser Conzemius
11:29 am on Wednesday, July 4, 2012
The Shill, +1! Bravo!
BTW, Pres. Obama gave credit for passage of the Affordable Care Act to then House Speaker Nancy Pelosi for whipping up the troops and probably threatening whomever needed to be threatened into going along with the House vote. She has lots of money to give out or not, and perhaps more persuasive powers than anyone else at the time.
Troy Murphy
11:40 am on Wednesday, July 4, 2012
And We should care about the comments of somebody who calls itself The Shill?
The definition of a shill really doesn't inspire a lot of confidence.
1. a person who poses as a customer in order to decoy others into participating, as at a gambling house, auction, confidence game, etc.
2. a person who publicizes or praises something or someone for reasons of self-interest, personal profit, or friendship or loyalty.
The ironic part is Pelosi had to "whip up the troops" as she had a majority and could pass this without any Republican support which tells you how well it was liked in the Senate.
Shillster, I hate to burst your bubble but a lot of Republicans suuport some of the reforms in this bill, the problem as stated earlier is that it is 2700 pages long with no one knowing exactly what the overall consequences are, but hey it is the law of the land and I will shut my piehole as you so eloquently put it. Be careful of what you wish for because the supreme court just gave it to you.
Troy Murphy
11:55 am on Wednesday, July 4, 2012
Just a quick observation the medicare tax is roughly 3%, this is taken on every man, woman and child who works, including self employed, with no cap on the earnings taxed. This taxed is used to cover health insurance for those over 65, The people over 65 still buy private insurance to cover the gaps in the government insurance and people over 65 pay more for medicare based on their income. Medicare is going broke with 3% of all wages in the US paying for it while only covering 13% of Americans. Draw whatever conclusions from this you choose.
Happy 4th to everyone and I really will shut my piehole in this conversation now.
Kurt B.
12:08 pm on Wednesday, July 4, 2012
Troy has some excellent comments and I wish he were in the Senate to help guide some of the people there. They sure need it ( especially Pelosi, who - if I remember correctly, took two jumbo jets full of people to Denmark for the Nobel award ceremony a couple of years back. )
Now.... I think everyone agrees : there are some good points about the Health Care Act. And there are some bad points, many of which we have no idea what they are yet. One of those is ..... what will this cost everybody ? It's like Santa Claus arriving on Christmas Eve .... love seeing the guy , but hate the thought of what it really costs. This is similar. And, also remember one point made in earlier posts : this Act is so good that none of the elected officials will be participating in it ( according to Mr O himself ). That is because they have an ever better plan that is not available to the taxpaying public. And, if I am correct , their plan costs them ...... wait for it ......... zero . HUH ???? Can that be right ?
Maria Houser Conzemius
1:55 pm on Wednesday, July 4, 2012
Kurt B., Nancy Pelosi has been demonized, probably because she's a woman. I can't say that I care for her a great deal. I thought it was obnoxious when she told all of the freshmen Congressmen in 2006/2007 not to appear on "The Colbert Show," probably because Colbert interrupts his guests, draws attention to himself, and asks Congresspersons to say silly things they don't mean.
HOWEVER, I believe in giving credit where credit is due. Many, including Pres. Obama, gave Nancy Pelosi credit for getting the Affordable Care Act passed. Pres. Obama took a hands-off approach and allowed Congress to craft the bill themselves. Many have criticized Obama for that, but it's also true that the act can be perfected over time. Personally, I think we should go to a single-payer system. It would save a lot of money. It's ridiculous to say that the government gets between you and your doctor because hospitals and insurance companies already get between us and our doctors. Republicans sentimentalize the doctor-patient relationship as if nothing got between us and our doctors now!
Jack F
3:06 pm on Wednesday, July 4, 2012
Maria- did you really just play the "he man women hater society" Card???? Medicare is a bust and until congress, the executive branch, and judicial branch join the same health care system as our retired citizens, we are ALL lost and the burden to pay will be passed onto our kids by Nancy and Obama. I am surprised that they didnt write the bill to subsidize their minority voters better than white male voters.
Jeff Klinzman
3:12 pm on Wednesday, July 4, 2012
Maria, I am not the first person to observe the following: when you had the image of Barack Obama, a black man, as president, Nancy Pelosi, a woman, as Speaker of the House, and Barney Frank, an openly gay man, as chairman of the House Finance Committee, it was too much for some people to stand.
Jack F
6:45 pm on Wednesday, July 4, 2012
Jeff.. I think your statement stands on its own... All you care about is their race, sex, and who they sleep with... All I care about is their hands in my pocketbook taking my money to promote their race, gender, or sexual aptitude. It is time Pelosi, Obama, and Barny listen to what they preach.. Everyone is equal and their is no reason to continue race and class warfare on white, male, upper middle class Christians.
Jeff Klinzman
7:34 pm on Wednesday, July 4, 2012
"no reason to continue race and class warfare on white, male, upper middle class Christians"
Gee, Jack, you guys are so poor and oppressed. Funny how the contribution of folks who foreground their identities as you describe gave us Know Nothingism, The Dred Scott decision, the Confederacy, the Fort Pillow Massacre and Andersenville, lynching, the Klan, D.C. Stephenson, "The Birth of a Nation," a segregated military as well as Jim Crow, Joe McCarthy, J. Edgar Hoover, and just about everything else sick and wrong in this country.
Jack, it's folks like you who have been waging war on the rest of us. You're kvetching (oops, Yiddish, sorry!), becaue we are fighting back, and winning.
Jack F
8:51 pm on Wednesday, July 4, 2012
Jeffery, I wasn't born then and those people are not me. You need to stop punishing those who share the same genesis as your Ancestors. Talk about stereotyping. I guess it is only ok for a minority to stereotype another minority. I am "kvetching" because people like you feel that because an injustice was perpetrated on your ancestors then it is ok to perpetrate the same on others. Hypocrites ...... Btw, I support Israel. This county is great because we did not have thought police like you want, and communism was defeated.
Jeff Klinzman
10:12 pm on Wednesday, July 4, 2012
Jack, it is ridiculous and indefensible to play victim as you have here. You're acting like you've been subjected to oppression because you call yourself a white christian. Just admit that some of your compadres were over the top in how they portrayed Nancy Pelosi. And how the heck can you claim that you have any idea who my "ancestors" were!?
Bottom line is you guys have overplayed your hand in opposing the Affordable Care Act: polling data shows that most Americans want you to shut up so we can move on. More to the point is that healthcare organizations and insurors are now working to meet the mandates of the new law.
The only folks who haven't moved on are those elements of the GOP who have lapsed on their rabies vaccinations. Shall I just call you "Ol' Yeller?"
Jack F
10:28 pm on Wednesday, July 4, 2012
Jeff... You are correct that most Americans want more free handouts. What you refuse to share is that the majority of Americans don't pay the majority of the taxes that hand them what they want. They are cattle at the public trough wanting others to pay "their fair share" as definined by government to keep votes and promote class warfare. If we follow your tard logic of a majority of the mindless masses want it, we would still have "separate but equal.". A majority of the country agreed with it and continue to segregate themselves through multiculturalism and by creating their own segregation by living choices.
Troy Murphy
10:32 pm on Wednesday, July 4, 2012
Sorry Jeff there is no way in ... that we could be over the top in how we portray Nancy Pelosi. She has to be the craziest most delusional person on the whole planet. You have to pass it to see what's in it. Really? Let alone the claim that Holder is being held in contempt because we want to suppress the vote. Here are a couple more gems from her. 1. Bipartisanship is nice, but it cannot be a substitute for action, not having it cannot prevent us from going forward. 2. In our recovery package we put new standards of accountability and transparency, which we hope will now apply.
Jack F
10:42 pm on Wednesday, July 4, 2012
World according to Jeffrey- their ancestors did bad things so now it is ok to do bad things to them. All spawn of the Nazis should be rounded up and placed in concentration camps. All white Christian males who Ancestors created this great country should forfeit all of their wealth to be redistributed to less fortunate because they didn't come by it honestly. The sons and daughters should "pay" for the sins of their forefathers. Fact Jeff- a black male became president before a female... White or black. Racism against minorities is dead... The war is over and good won... Now there is just piling on. My kids went to college with better grades and didn't receive half the hand outs as others because they did not have the correct genetic background. They owe more than some of their good friends because their parents immigrated to America. My kids are starting out with a chain heavier than minority kids because I am the wrong color. If my one sone would have claimed he was gay his financial aid would have been greater. They did nothing to anyone and have many ethnic friends that come over. However, the Dems and Pelosi have targeted them to carry a greater burden than their peers.
Troy Murphy
4:58 pm on Wednesday, July 4, 2012
Nice Jeff,
It really is trite to drag out the racist, sexist, homophobe canard. I am glad to know your true view of Republicans. I hope that whatever students you do have at least the republican ones are smart enough to disguise their political leanings. Their grade probably depends on it.
Kurt B.
5:01 pm on Wednesday, July 4, 2012
Don't forget one of Pelosi's most famous comments on this whole subject : we need to go ahead and adopt the bill so we can see what is in it. !!!! That was astounding and should have given us a pretty good idea that within the 2700 pages of the bill ( I think that is an accurate number ), there are a lot of surprises within . I am afraid a lot of surprises await us all , Dems and Reps and Independents alike.
Jack F
6:47 pm on Wednesday, July 4, 2012
Sooooo true Kurt... Pelosi and the Dems are so used to leading their sheep they forget Republicans actually think and CARE.
Maria Houser Conzemius
6:45 pm on Wednesday, July 4, 2012
Troy, I think Jeff Klinzman is correct to observe that it's too much for some people on the right to have a black man as president, a woman as [former] speaker of the House, and a gay man as a powerful representative in Congress. I think racism, sexism, and homophobia are both overt and covert in both Republican and Democratic statements alike. Read the National Organization for Women's Media Wall of Shame.
Jack F
6:56 pm on Wednesday, July 4, 2012
As long as they continue to attack white males and force political correctness on employers, then the social ware far will continue. Multiculturalism is a failed concept in America. Why do we need Little China or other areas created for minorities to feel American. Just go to New York City. It should be the Melting Pot not "my culture runs this block". Obama and the rest want to make sure we are divided not melted together. It helps them run things down our gullet like sociazed medicine. Keep the population in fear of each other, looking to government for the American dream and they will keep their control and power over those who cannot compete in a free market.
Kurt B.
6:42 am on Thursday, July 5, 2012
@ Jeff Klinzman - your comment posted at 7:34 on the 4th...... this is pretty far-fetched . I don't quite see what you are trying to do. Blaming a confederate prison in Georgia on current people ? Or a Civil War battle in Tennessee - the outcome is our fault ?
How about if we stick to the conversation of the Health Care act and what it means to everyone ( if anyone has any idea , which I think the whole thing is full of surprises for all Americans, Dems Reps and Independents ). 2700 pages - that is a pretty huge document to expect anyone to comprehend.
Jeff Klinzman
7:47 am on Thursday, July 5, 2012
It's pretty simple, Kurt. Jack above is claiming he is a victim of racial discrimination because he considers himself a "white upper middle class christian" (his words). I was just indicating some of the ugly history produced by men who, like Jack, identiifed themselves that way. For what it's worth, there is no such thing as a "white" person. I'm of German-Irish stock, both immigrant groups who were disliked when they first arrived in this country. If you don't like my reminder that history didn't start yesterday, then you needn't read my posts.
Jack's means of identifying himself have been used to divide and oppress people in the past, and they continue to do so today. Jack could have easily identified himself by his profession, as a father, and yes, as a christian. Jack's posts are very relevant here: the GOP has been playing a divide-and-rule game with the American people, stoking fear and resentment, and the ACA has been a particular target. I do contend that many critics of Obama are motivated by resentment which is based on latent racism. You don't have to be obvious, overt, or even conscious of racist motives.
That's why this part of the discussion is germane. Review this thread and tell me how many of the criticisms of the ACA are based on reason and evidence, and how many come from fear? And, why are the criticisms all negative, with no alternative offered to reform American healthcare?
Kurt B.
4:19 pm on Thursday, July 5, 2012
I understand a little better now. And, I think everyone here realizes history did not start yesterday. I just didn't see any connection between the Confederate prison ( spelled Andersonville, b.t.w. ) , or an 1864 battle in Tennessee with a real bad turnout ( not uncommon in war ). Shermans March to the Sea wasn't so glorious either, but it is sure touted as a huge victory for the north in the history lessons.
Back to the subject - this act will be a real burden on an awful lot of people. Call it a tax, a penalty, or whatever. It is going to be a burden.
Troy Murphy
5:48 pm on Thursday, July 5, 2012
Jeff, What would you call our current welfare system except a divide and conquer game started by the Democrats and continued today. Do you realize since the advent of modern welfare the African - American community has a 73% single parent rate compared to 25% nationally. The welfare system has created a permanent underclass in the US, with Barack being elected President you can't even blame the problem on racism. The problem can be traced directly back to the current social welfare state. We pay people to have children and encourage the fathers to leave and be irresponsible because the mothers get more aid when that happens. The social welfare system destroyed the family structure because it is no longer beneficial to get married or to stay married. So tell me who's best interest it is to keep people dependent on government, it sure isn't the GOP's. The Holier than thou attitude expressed by the Democrats while they play the divide and conquer race card, stoking fear and resentment of Republicans by accusing us of wanting to starve the poor and elderly. Such hypocrisy.
Troy Murphy
9:33 pm on Thursday, July 5, 2012
Sorry Jeff you should read who posted before making a comment. No, twist it how you like but I said nothing about being promiscuous, yes irresponsible because of the welfare state because it pays to be irresponsible. You called welfare recipients lazy not me, I said it was easier it does not necessarily follow that they are lazy just smart and yes Democrats keep them dependent it was you who said they were stupid I believe your interpretation of my comment shows the racist and class warfare tendencies of the liberal left. My was just an observation that since the arrival of the modern welfare state it has been black families that have suffered.
Jack F
9:35 pm on Thursday, July 5, 2012
Jeff- remember Hotel Rowanda???
Troy Murphy
9:39 pm on Thursday, July 5, 2012
It sure isn't us Rich white Republicans who benefit by keeping people dependent, since most welfare recipients vote Democrat it is in the Democrats best interest to have more dependent people who will vote for them. Us rich Republicans would like to see more people working so we can lower our tax burden.
Maria Houser Conzemius
4:40 pm on Thursday, July 5, 2012
Kurt B., for those of us who pay for the emergency room visits of uninsured patients who don't or can't pay their medical bills, the Affordable Care Act will be less of a burden. For the uninsured with preexisting health conditions, it will be a way to get the health insurance they desperately need and are willing to pay for. In the past, health insurance companies wouldn't take customers with preexisting conditions (effective 2014 they'll have to; children with preexisting conditions are already covered) and also dumped the insured once they got sick.
Kurt B.
6:04 pm on Thursday, July 5, 2012
+1 for Maria. Yes, I agree ..... there are some parts of this act that we already know about, and are good - such as the ones you have mentioned. The "bad" of this act is probably 99% unknown ( cost ???? ). And, I don't know if anyone knows the answer to this one or not : Is there a "bid" system involved in this "affordable" act ? What this means is ..... let's say you. Maria, need a knee replacement. The operation is put up for bid and let's say the winning bid is $10,000. Not bad you say, but the catch is .... you have to go to Seattle to take advantage of this. Or, overseas perhaps. Then, you start asking , what if I get the operation done locally ( Iowa City, Waterloo, etc. ) but their "bid" is $20,000. Now what ? Who pays the excess over the low bid ? - my guess is the customer pays the difference.
All I am saying is ..... with a 2700 page act, there is alot of wording going on there and I don't think there is anyone alive that understands the thing - tho Pelosi might claim she does.
The last thing for all of us to ask is : why aren't the elected officials on this wonderful plan ? Maybe Grassley or Harkin can enlighten us.
Troy Murphy
9:19 pm on Thursday, July 5, 2012
" Review this thread and tell me how many of the criticisms of the ACA are based on reason and evidence, and how many come from fear? And, why are the criticisms all negative, with no alternative offered to reform American healthcare?" the above is just disingenuous, if this was an article titled how do we improve Obamacare I am sure you would get the posts you were looking for, they are negative because they are criticisms, Duh. If you would like to ask the question what things do you like about Obamacare I am sure this evil, bigoted, racist, sexist and homophobic white upper middle class male Christian Republican would be more than happy to answer ;). Just in case anyone doesn't get the above line it was sarcasm. Yes, they are based on fear, fear that you are going to reach into my pocket and everyone else's. Fear of what this will do to the American economy, fear of the price increases to my and my employees healthcare and fear of how the bureaucrats will interpret 2700 pages that no one has read or understands
Kurt B.
5:41 am on Friday, July 6, 2012
@ Jeff Klinzman - please be very careful about your posts. Your 9:09 p.m. post ( Jul 5th ) says that I said something which I didn't even come close to saying. I was questioning your reference to a Civil War battle in TN and prison in GA and this was in no way even close to what you are saying I said. 100% totally inappropriate and I hope Ashlee Kieler is monitoring this string and cleaning things up. Maybe also reminding those like you of such improper comments. Please remove your comment from the string.
Maria Houser Conzemius
9:10 am on Friday, July 6, 2012
Kurt B., I don't believe that Americans would tolerate having to go out of state or out of country for their knee replacement surgery. Remember when insurance companies tried to enforce "drive-by deliveries," that is, in-and-out deliveries and hospital care for 24 hours max except for complications, for pregnant mothers and newborns? It didn't fly. Sometimes Americans actually stop acting like sheep and rear back on their hind legs and fight back. Those in power call fighting back "class warfare."
BTW, I've already had one hip replacement surgery at University of Iowa Hospitals and Clinics. The cost was $33,000; Wellmark Blue Cross/Blue Shield negotiated down the price to $19,000. If I were uninsured and had to pay out of pocket, I would have paid $33,000.
In India I could have had the same surgery for pennies on the dollar with deluxe, resort-style care afterwards for six weeks. I actually thought about going out of country to have my surgery, but I wasn't sure my insurance would pay for it.
Americans pay twice as much as any other country for health care, yet our outcomes are not as good as those in France. France is rated #1 in health care, not the United States, and care is cheaper there.
Jeff Klinzman
9:37 am on Friday, July 6, 2012
Thanks, Maria! Let me add the following: we DO have healthcare rationing in this country, performed by unaccountable private insurors who, among other tactics, employ doctors who are rewarded financially for finding grounds to reject claims. This country spends twice as much, as a total percentage of care, to administer claims: that is waste, pure and simple, since processing claims paperwork does nothing to provide care to patients.
You won't be able to nationalize GSK, since that company is based in the UK, but the pharmaceutical industry is also wasteful: look at the money spent marketing name-brand drugs to patients. Another example where every dollar spent on advertising contributes nothing to patient care. Let's not forget the GW Bush Medicare prescription fiasco, with its "donut hole" of coverage and prohibition against the federal government negotiating with Big Pharma for reduced prices. Talk about interfering with the function of the "free market!"
These guys will stoke resentment of us, since we have Wellmark insurance. Funny how they'll gripe about how "the gubmint" will prevent us from choosing our care providers: as you know, Wellmark has its network of "preferred providers," and my wife had to go to a different optometrist for her new glasses: our old provider wasn't part of Wellmark's network. But like rationing, that kind of behavior is okay, since its done by a for-profit corporation!
Kurt B.
12:31 pm on Saturday, July 7, 2012
Another +1 for Maria.
But, if going somewhere far away were part of the law ( the health care act ), could Americans actually do anything about it? I see this very similar to putting out bids on a new building , a new parking lot, etc. The low bidder usually gets the business ( if he/she is qualified, of course ). The difference is ...... the bidder ( in the case of a structure ) must go to the site. For health care, the patient would have to go to where the service will be provided. And..... in the case of negotiating a lower price, in your case you were successful. If the whole situation becomes a matter of dollars and cents , and there is little room for negotiating, then what ? ( i.e. what would have happened if Wellmark had negotiated a cost for you of $32,995 ? - take it or leave it . Would you have gone to India ? )
Like I said earlier, the whole act is not very clear yet. Especially in the area of costs.
Does anyone reading these posts know if there is a bidding process as part of the services provided by the Act ?
Troy Murphy
9:30 am on Friday, July 6, 2012
Jeff, Yeah, like your views aren't prejudiced. BTW Kurt never said anything about black welfare recipients I did. I am sure your view is so unbiased, what doesn't bode well for the country is government debt greater than the US GDP. This monstrosity the (un)Affordable Care Act will do nothing to help decrease this number. We don't have a taxing problem in the US we have a spending problem. You could confiscate all the money and wealth from the top 50% of Americans and still not pay off our debt. That is what doesn't bode well for our country
Maria Houser Conzemius
9:30 am on Friday, July 6, 2012
Jeff, I do think the left needs to read the Moynihan Report of 1965 and "American Murder Mystery" by Hanna Rosin in the July/August 2008 Atlantic magazine to understand the many unintended and negative effects of the War on Poverty. Sen. Daniel Patrick Moynihan (Democrat) predicted the deterioration of the African-American family as a result and he was right. Hanna Rosin's findings were equally startling.
As a former social worker, I do believe that the War on Poverty has had some unintended effects on all races and they are alarming. Having said that, I think that with this economy, it's a hell of a time to cut back on food stamps, which is what the U.S. House just voted to do.
Todd Richissin
9:45 am on Friday, July 6, 2012
It's good to discuss important issues of the day. It's also important to have some good fun. For you energetic commenters out there -- who we love -- check this out, and have some fun. http://patch.com/A-vNZ4
Maria Houser Conzemius
11:49 am on Sunday, July 8, 2012
Kurt B., thank you. I'm unaware of a bidding process. There's a lot we don't know yet, but what I do know, I like. My daughter is covered till she's 26. By that time, I'm fairly sure she will have a job with good health insurance of her own.
The costs you are worried about are already astronomical. Americans pay twice as much as other countries for health care and quality of health care varies widely. A young friend of my daughter's went to Mercy Hospital in Iowa City and was not treated appropriately for an infection, probably because he had no health insurance. He didn't get antibiotics for a serious foot infection until his father took him to a doctor and paid out of pocket for the appointment and the medication. I was shocked.
When I was a social worker, I took a client who had had an untreated ear infection since she was a child. She was in her fifties and she desperately needed serious intervention. But she lacked health insurance, so her Mercy-affiliated ear doctor refused to treat her. I was shocked, but I was there, so I know it happened.
Kurt B.
12:54 pm on Sunday, July 8, 2012
I don't know for sure, but I think this act will help with some of the things you mentioned ( one of the summaries I have heard said that fraud is one issue the act would deal with ). However, cost is still a huge question and I cannot help but think that our gov't will institute a bidding process as a way of controlling costs. The other thing that seems to be a hidden issue is : what will companies do to deal with this monster ? I can't imagine every company with more than 50 employees having an A.C.A. ( affordable care act ) expert..... it would take years to learn the ins and outs of this 2700 page thing. Companies with less than 50 employees will really have a problem. ( can't justify one person to do nothing but be an A.C.A. expert )
Maria Houser Conzemius
1:31 pm on Sunday, July 8, 2012
Kurt B., some say that private health insurance may be so costly that the Affordable Care Act will go to a single-payer model like Medicare and Medicaid. Many Democrats wanted a single-payer health insurance system all along. And lest people think that's a bad thing, remember the old woman who cried, "Keep the government out of my Medicare!" She likes her health insurance but didn't know who provides it!