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07.09.2009 6:27 pm

The madness of Congress

St. Louis Post-Dispatch
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Associated Press: July 7, 2009: “Planned federal payments to hospitals for their care of uninsured and low-income patients would be trimmed by 10 percent a year after 2014, saving perhaps $40 billion. . .”
Please select the correct ending for this sentence: “It is better that hospitals, rather than the federal government, pay $40 billion to improve America’s health care, because . . .”
A. Hospitals are rich and the federal government is poor.
B. Taxing hospitals $50 billion will improve hospital service.
C. We have too many hospitals and nurses, anyway.
D. This will encourage hospitals to reduce their care of uninsured and low-income patients.
E. Congress doesn’t understand that if you reduce payments to hospitals, we’ll have fewer hospitals and worse service in the ones that survive..

Rodger Malcolm Mitchell
Wilmette, Ill.

26 comments

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Rodger Malcolm Mitchell:

I’m beginning to doubt your unqualified support for Obama and his Socialist rubber stamps. Stay the course, Rodger. He’s only had 6 months to screw up everything and it Jimmy Carter more than a year with his super majority Congress.

— Iconoclastic Sage
7:00 pm July 9th, 2009

Good letter Rodger, I love the government’s predictions. Especially this group of neophytes in charge of the free world. “If you don’t pass the porkulus, we may lose another 1,500,000 jobs.” “If we pass it, unemployment will not get over 8 percent.” (obviously paraphrased) Now, with the evidence there for all to see, almost 3,000,000 additional jobs lost, porkulus money, $16,000,000 spent of Pelosi’s mouse, being pissed away everywhere, the answer? Another stimulus. It will happen, that is nearly $1,800,000,000 for everyone of the 535 thieves in congress. Watch out.

— Doubtingthomas
7:04 pm July 9th, 2009

F. But nothing like this will happen to any of us when they’ve taken over the rest of the healthcare industry this Fall, it’s all good.

— egoist
8:12 pm July 9th, 2009

What solutions does the “No Party” propose then?
Everyone is whining about the decisions being made, but no one is offering an alternative solution.
All you Neocons need to move to Alaska and succeed with the Ice Queen’s husband.

— Bill
10:29 pm July 9th, 2009

Rodger, you’re kidding, right?

The bills under discussion in Congress will drastically reduce the number of uninsured. Wouldn’t it make sense that if there are far fewer uninsured, that payments to hospitals to cover the uninsured could be reduced???

(LINK) AP
Democrats on a key Senate Committee outlined a revised and far less costly health care plan Wednesday night that includes a government-run insurance option and an annual fee on employers who do not offer coverage to their workers.

The plan carries a 10-year price tag of slightly over $600 billion, and would lead toward an estimated 97 percent of all Americans having coverage, according to the Congressional Budget Office…

By contrast, an earlier, incomplete proposal carried a price tag of roughly $1 trillion and would have left millions uninsured, CBO analysts said in mid-June.

— Lisa12
12:20 am July 10th, 2009

Here ya go, Rodger…

(LINK) NPR
The hospital deal, announced by Vice President Biden, will trim payments to hospitals by some $155 billion over the next 10 years if a health overhaul bill gets passed and signed into law…

But are hospitals really giving up all that much? Maybe not.

A significant portion of the funds are currently for payments to help hospitals offset the cost of caring for patients who are uninsured. But in a newly reconfigured system, “there will be fewer uninsured,” says Kirsch, “and it makes perfect sense that as the number of uninsured drop, that hospitals should get less money from the federal government for taking care of those people if they now are paying customers.

— Lisa12
1:15 am July 10th, 2009

Rodger,

What you don’t understand, and probably never will, even if you see in in black and white with a certification that it is true, is that you are already paying hospitals for the care of the uninsured.

Because they are uninsured, they have no choice but to go to the ER, the most expensive healthcare there is, and the hospital just rolls the costs of treating them into the costs of treating you. Have you ever wondered how they can charge you $8.00 for a Sprite and $15.00 for a Tylenol?

I can’t understand how conservatives don’t get this point. Wait, yea, I do understand, sorry, I forgot; THE TRUTH MAKES THEM DUMBER.

— Jellio
2:36 am July 10th, 2009

Rodger,

What you don’t understand, and probably never will, Isn’t that a little bit mean spirited, come on now. Thank you Lisa for the info links. I was wondering how far out of context the statement was. If we have 97% voluntary coverage, it would be simple to set up a fund to cover the others. If you are not going to provide coverage for each and every citizen, then this plan might have a chance at being part of a solution. A better payment method might be a national sales tax there should be nothing exempt that way we all pay our fair share. Far to much of our GNP go towards Profit driven medicine. Why are we as a nation paying more so the world gets new drugs? A $15 Tylenol get real, that is not paying for a few uninsured. That is pure profiteering. Doctors normally overbook, they do not mind if you sit around for hours, and charge you anyway if you leave because they do not meet the set appointment time. No there is far to much business and not nearly enough humanity in our medical system.

— tictac
4:05 am July 10th, 2009

Rodger,

What you don’t understand, and probably never will, Isn’t that a little bit mean spirited, come on now.

Meant that for
— Jellio
2:36 am July 10th, 2009 , sorry. The thing I hate worst about most postings on these boards. Are peoples lack of respect for others opposing views.

— tictac
4:08 am July 10th, 2009

It’s a constant source of amusement for me to see the naivete’ of people who believe that socialized medicine will reduce costs. The Medicare/Medicaid experience clearly shows that when access is expanded, utilization rates go up. In other words, if you tell 40 million more people they now have comprehensive medical coverage, they’re going to use it and it’s going to cost. A lot.

The current system mandates that hospitals must treat “emergency” and obstetric cases whether the patient can pay or not. Politicians crow about their compassion, then turn around and cut payments to physicians and hospitals to fund other pork projects to crow about. Meanwhile, patients who aren’t going to pay under any circumstances have no motivation to apply for Mediciad coverage despite the hospital’s best efforts.

With socialized medicine, even if more are insured, costs will skyrocket as more people take advantage of services. Our federal masters will be unable to sustain the spiraling costs without substantially increasing taxes or rationing services.

As many times as politicians have promised something for nothing, it’s baffling to me that so many people still fall for that tired old lie.

— Merc Man
8:26 am July 10th, 2009

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