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FaninAma
12/30/2014, 04:48 PM
The real substance of cost control is all about a single thing: telling patients they can’t have something they want. It’s about telling patients, ‘That surgery doesn’t do any good, so if you want it you have to pay the full cost.’”“There’s no reason the American health care system can’t be, ‘You can have whatever you want, you just have to pay for it.’ That’s what we do in other walks of life. We don’t say everyone has to have a large screen TV. If you want a large screen TV, you have to pay for it. Basically the notion would be to move to a level where everyone has a solid basic insurance level of coverage. Above that people pay on their own, without tax-subsidized dollars, to buy a higher level of coverage.”

3 guesses and the last 2 don't count.

Soonerjeepman
12/30/2014, 05:16 PM
obama clinton obama...(pelosi, the dude that helped write it...)

FaninAma
12/30/2014, 05:42 PM
obama clinton obama...(pelosi, the dude that helped write it...)

One of those is correct.

yermom
1/3/2015, 09:59 PM
i guess i'm missing what is so controversial here

FaninAma
1/3/2015, 10:06 PM
i guess i'm missing what is so controversial here
The Democratic apparatchiks understood that Obamacare doesn't control costs. Cost control will only be achieved through rationing made through utilization review and approval by the government.

The real substance of cost control is all about a single thing: telling patients they can’t have something they want.

Sooner8th
1/3/2015, 11:49 PM
The Democratic apparatchiks understood that Obamacare doesn't control costs. Cost control will only be achieved through rationing made through utilization review and approval by the government.Sweet baby jesus....where and/or how do you get that from this? You either ignored or didn't understand the part about - "That surgery doesn’t do any good, so if you want it you have to pay the full cost." Cost control will only be achieved through rationing made through utilization review and approval by the government - government control huh? Isn't doing away with unnecessary procedures the reason given for medical malpractice tort reform? So either way procedures that do not do you any good are eliminated. Not seeing the difference here.

FaninAma
1/3/2015, 11:55 PM
Sooner8th, who decides if the surgery is needed? I guarantee you it will be the same people who decide what procedures, medications and equipment Medicaid will pay for........CMS. The only question is will the government allow those who can afford it to opt out of the government healthcare system?

Sooner8th
1/4/2015, 12:43 AM
Sooner8th, who decides if the surgery is needed? I guarantee you it will be the same people who decide what procedures, medications and equipment Medicaid will pay for........CMS. The only question is will the government allow those who can afford it to opt out of the government healthcare system?You forgot to scream socialism and death panels. The only thing in ACA that would do anything with this is the The Patient Protection and Affordable Care Act, commonly called Obamacare, called for the establishment of a Patient-Centered Outcomes Research Institute.The new institute’s purpose is to carry out “comparative clinical effectiveness research,” which is defined in the law as evaluating and comparing “health outcomes” and “clinical effectiveness, risks and benefits” of two or more medical treatments or services. Stop it already. Read more at http://www.wnd.com/2013/01/more-evidence-of-death-panels-in-obamacare/#OC5VKZkWssSG2Fip.99

FaninAma
1/4/2015, 10:31 AM
The ACA doesn't control costs even Jonathan Gruber admitted that. You cannot have an open-ended enrollment system without having to ration on the back end. Talk to anybody who has children or is themselves covered by Medicaid. And it's about to get worse because reimbursement for medicaid is going down this year.
http://jonathanturley.org/2014/12/31/gruber-in-2009-warned-that-obamacare-was-not-designed-to-reduce-costs-as-opposed-to-guarantee-coverage/

The only way to not have to deal with rationing in a government subsidized healthcare system is to drop out of the system and pay for your own healthcare. Gruber says as much in his quote in the OP.

Sooner8th
1/4/2015, 11:08 AM
The ACA doesn't control costs even Jonathan Gruber admitted that. You cannot have an open-ended enrollment system without having to ration on the back end. Talk to anybody who has children or is themselves covered my Medicaid. And it's about to get worse because reimbursement for medicaid is going down this year.http://jonathanturley.org/2014/12/31/gruber-in-2009-warned-that-obamacare-was-not-designed-to-reduce-costs-as-opposed-to-guarantee-coverage/jesus - where do you get this crap at. Jonathan Gruber never "admitted" to anything like that. You just read stuff and read into it what you want. What he acutally said is of no importance to you. Just like with gore said the north pole ice caps would be gone. Read it again and see what he really said.

FaninAma
1/4/2015, 01:25 PM
“The problem is it starts to go hand in hand with the mandate; you can’t mandate insurance that’s not affordable. This is going to be a major issue . . . So what’s different this time? Why are we closer than we’ve ever been before? Because there are no cost controls in these proposals. Because this bill’s about coverage. Which is good! Why should we hold 48 million uninsured people hostage to the fact that we don’t yet know how to control costs in a politically acceptable way? Let’s get the people covered and then let’s do cost control.”----Jonathan Gruber. No price controls in these proposals. Let's get the people covered and then let's do cost control. If you really don't understand what he means then I assume you are one of the stupid voters Gruber referred to.

Sooner8th
1/4/2015, 01:43 PM
----Jonathan Gruber. No price controls in these proposals. Let's get the people covered and then let's do cost control. If you really don't understand what he means then I assume you are one of the stupid voters Gruber referred to.This is a lemming, you "find" one guy saying something that backs your belief and you run with it. The rights new circle jerk. JONATHAN GRUBER, JONATHAN GRUBER! Many provisions in the ACA aim to curb the rising cost of health care through greater competition among health plans, taxes on high-priced insurance coverage, measures to cut fraud and other approaches. Aren't those the things republicans wanted? http://www.rwjf.org/en/research-publications/find-rwjf-research/2011/07/how-does-the-affordable-care-act-attempt-to-control-health-care-.html

FaninAma
1/5/2015, 09:58 AM
This is a lemming, you "find" one guy saying something that backs your belief and you run with it. The rights new circle jerk. JONATHAN GRUBER, JONATHAN GRUBER! Many provisions in the ACA aim to curb the rising cost of health care through greater competition among health plans, taxes on high-priced insurance coverage, measures to cut fraud and other approaches. Aren't those the things republicans wanted? http://www.rwjf.org/en/research-publications/find-rwjf-research/2011/07/how-does-the-affordable-care-act-attempt-to-control-health-care-.html

That "one guy" is one of the primary architects of the ACA. This really isn't a partisan issue. The same thing will happen with Romneycare. Massachussets has the highest healthcare costs per patient and the highest insurance premiums in the nation. Universal coverage without cost caps(i.e. rationing) is unsustainable.

badger
1/5/2015, 10:08 AM
President Obama's teleprompter :P