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	<title>Comments on: Step One: Can we all agree health care is rationed today?</title>
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	<link>http://blogs.ajc.com/jay-bookman-blog/2009/08/22/step-one-can-we-all-agree-health-care-is-rationed-today/</link>
	<description>An Atlanta blog with a little bit of opinion about a whole lot of things</description>
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		<title>By: mandy</title>
		<link>http://blogs.ajc.com/jay-bookman-blog/2009/08/22/step-one-can-we-all-agree-health-care-is-rationed-today/comment-page-5/#comment-111392</link>
		<dc:creator>mandy</dc:creator>
		<pubDate>Mon, 07 Sep 2009 02:19:21 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.ajc.com/jay-bookman-blog/?p=1807#comment-111392</guid>
		<description>In my opionion, health is the most important for us.
Also, playment is alo important, It can make our lives more colorful.
Go to **__www.meetmilitary. c o m__&quot;, You will find something interesting.</description>
		<content:encoded><![CDATA[<p>In my opionion, health is the most important for us.<br />
Also, playment is alo important, It can make our lives more colorful.<br />
Go to **__www.meetmilitary. c o m__&#8221;, You will find something interesting.</p>
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		<title>By: HealthNazi</title>
		<link>http://blogs.ajc.com/jay-bookman-blog/2009/08/22/step-one-can-we-all-agree-health-care-is-rationed-today/comment-page-5/#comment-106195</link>
		<dc:creator>HealthNazi</dc:creator>
		<pubDate>Mon, 31 Aug 2009 01:59:36 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.ajc.com/jay-bookman-blog/?p=1807#comment-106195</guid>
		<description>Stop the final solution!  Pass health reform so people don&#039;t die from preexisting condtions because insurance sez &quot;nein&quot;!

P.S. the &quot;Obama is a Nazi&quot; nuts are undermining the credibility of all anti-reform debaters. Keep it up mein dummkopfs.</description>
		<content:encoded><![CDATA[<p>Stop the final solution!  Pass health reform so people don&#8217;t die from preexisting condtions because insurance sez &#8220;nein&#8221;!</p>
<p>P.S. the &#8220;Obama is a Nazi&#8221; nuts are undermining the credibility of all anti-reform debaters. Keep it up mein dummkopfs.</p>
]]></content:encoded>
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		<title>By: CLIFF</title>
		<link>http://blogs.ajc.com/jay-bookman-blog/2009/08/22/step-one-can-we-all-agree-health-care-is-rationed-today/comment-page-5/#comment-101912</link>
		<dc:creator>CLIFF</dc:creator>
		<pubDate>Tue, 25 Aug 2009 19:11:19 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.ajc.com/jay-bookman-blog/?p=1807#comment-101912</guid>
		<description>As far as i am concerned none of the country has experienced 
NATIONAL HEALTH and in no position to judge!

I have experienced NATIONAL HEALTH for 47 years and experienced your HEALTH SERVICE for over 4 years, for the money you pay per month you do not get what you pay for!

Everybody cries out why pay addittional tax for someone elses health!
Why do you wish to pay Hundreds of dollars every month for something you are not claiming as you are in good health!
What are you doing?
Paying for someone elses health insurance!

Ok screw your heads on!
You pay addittional tax every month, what is the BIG DEAL!
You can save hundreds of dollars every month not having to pay health insurance when you are in Good health.

You have a NATIONAL HEALTH  run by the government, you do not feel comfortable about it keep a &quot;Cheaper Private Health Insurance&quot;!

Go to your Physician discuss your problem, claim your medication from the Governments NATIONAL HEALTH which you pay addittional extra tax for, no Co pays to part with, then once it comes to health issue that is a little more serious then fall back on your own PRIVATE HEALTH insurance!  

Not everyone is neglected Private health just because of cancer there are many issues and Disabilities that people rely on just for medication required on a daily basis to control their health problems without that medication they are in trouble!

Think of the day when you may have to loose your employment due to ill Health may even loose your Health insurance along with it, then try and get a PRIVATE HEALTH Insurance then you will see what hits you!
Until you experience it no one is in any position to judge
National Health &amp; Private Health, i have experienced both in the united States if i had an option of one or the other 
NATIONAL HEALTH would be my first choice!</description>
		<content:encoded><![CDATA[<p>As far as i am concerned none of the country has experienced<br />
NATIONAL HEALTH and in no position to judge!</p>
<p>I have experienced NATIONAL HEALTH for 47 years and experienced your HEALTH SERVICE for over 4 years, for the money you pay per month you do not get what you pay for!</p>
<p>Everybody cries out why pay addittional tax for someone elses health!<br />
Why do you wish to pay Hundreds of dollars every month for something you are not claiming as you are in good health!<br />
What are you doing?<br />
Paying for someone elses health insurance!</p>
<p>Ok screw your heads on!<br />
You pay addittional tax every month, what is the BIG DEAL!<br />
You can save hundreds of dollars every month not having to pay health insurance when you are in Good health.</p>
<p>You have a NATIONAL HEALTH  run by the government, you do not feel comfortable about it keep a &#8220;Cheaper Private Health Insurance&#8221;!</p>
<p>Go to your Physician discuss your problem, claim your medication from the Governments NATIONAL HEALTH which you pay addittional extra tax for, no Co pays to part with, then once it comes to health issue that is a little more serious then fall back on your own PRIVATE HEALTH insurance!  </p>
<p>Not everyone is neglected Private health just because of cancer there are many issues and Disabilities that people rely on just for medication required on a daily basis to control their health problems without that medication they are in trouble!</p>
<p>Think of the day when you may have to loose your employment due to ill Health may even loose your Health insurance along with it, then try and get a PRIVATE HEALTH Insurance then you will see what hits you!<br />
Until you experience it no one is in any position to judge<br />
National Health &amp; Private Health, i have experienced both in the united States if i had an option of one or the other<br />
NATIONAL HEALTH would be my first choice!</p>
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		<title>By: Demolishun</title>
		<link>http://blogs.ajc.com/jay-bookman-blog/2009/08/22/step-one-can-we-all-agree-health-care-is-rationed-today/comment-page-5/#comment-101098</link>
		<dc:creator>Demolishun</dc:creator>
		<pubDate>Mon, 24 Aug 2009 18:19:33 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.ajc.com/jay-bookman-blog/?p=1807#comment-101098</guid>
		<description>Do you want the people who put this in the bill to really vote on it?

THE ONE WORD TO DESCRIBE OBAMACARE

Written by Dr. Dave Janda 
Thursday, 23 July 2009

As a physician who has authored books on preventative health care, I was given the opportunity to be the keynote speaker at a Congressional Dinner at The Capitol Building in Washington last Friday (7/17). 

The presentation was entitled Health Care Reform, The Power &amp; Profit of Prevention, and I was gratified that it was well received. 

In preparation for the presentation, I read the latest version of &quot;reform&quot; as authored by The Obama Administration and supported by Speaker Pelosi and Senator Reid. Here is the link to the 1,018 page document: 
http://edlabor.house.gov/documents/111/pdf/publications/AAHCA-BillText-071409.pdf 


Let me summarize just a few salient points of the above plan. First, however, it should be clear that the same warning notice must be placed on The ObamaCare Plan as on a pack of cigarettes: Consuming this product will be hazardous to your health. 

The underlying method of cutting costs throughout the plan is based on rationing and denying care. There is no focus on preventing health care need whatever. The plan&#039;s method is the most inhumane and unethical approach to cutting costs I can imagine as a physician. 

The rationing of care is implemented through The National Health Care Board, according to the plan. This illustrious Board &quot;will approve or reject treatment for patients based on the cost per treatment divided by the number of years the patient will benefit from the treatment..&quot; 

Translation.....if you are over 65 or have been recently diagnosed as having an advanced form of cardiac disease or aggressive cancer.....dream on if you think you will get treated.....pick out your coffin. 

Oh, you say this could never happen? Sorry.... this is the same model they use in Britain.

The plan mandates that there will be little or no advanced treatments to be available in the future. It creates The Federal Coordinating Council For Comparative Effectiveness Research, the purpose of which is &quot;to slow the development of new medications and technologies in order to reduce costs.&quot; Yes, this is to be the law. 

The plan also outlines that doctors and hospitals will be overseen and reviewed by The National Coordinator For Health Information and Technology. 

This &quot;coordinator&quot; will &quot;monitor treatments being delivered to make sure doctors and hospitals are strictly following government guidelines that are deemed appropriate.&quot; It goes on to say.....&quot;Doctors and hospitals not adhering to guidelines will face penalties.&quot; 

According to those in Congress, penalties could include large six figure financial fines and possible imprisonment. 

So according to The ObamaCare Plan....if your doctor saves your life you might have to go to the prison to see your doctor for follow-up appointments. I believe this is the same model Stalin used in the former Soviet Union. 

Section 102 has the Orwellian title, &quot;Protecting the Choice to Keep Current Coverage.&quot; What this section really mandates is that it is illegal to keep your private insurance if your status changes - e.g., if you lose or change your job, retire from your job and become a senior, graduate from college and get your first job. Yes, illegal.

When Mr. Obama hosted a conference call with bloggers urging them to pressure Congress to pass his health plan as soon as possible, a blogger from Maine referenced an Investors Business Daily article that claimed Section 102 of the House health legislation would outlaw private insurance. 

He asked: &quot;Is this true? Will people be able to keep their insurance and will insurers be able to write new policies even though H.R. 3200 is passed?&quot; Mr. Obama replied: &quot;You know, I have to say that I am not familiar with the provision you are talking about.&quot; 

Then there is Section 1233 of The ObamaCare Plan, devoted to &quot;Advanced Care Planning.&quot; After each American turns 65 years of age they have to go to a mandated counseling program that is designed to end life sooner. 

This session is to occur every 5 years unless the person has developed a chronic illness then it must be done every year. The topics in this session will include, &quot;how to decline hydration, nutrition and how to initiate hospice care.&quot; It is no wonder The Obama Administration does not like my emphasis on Prevention. For Mr. Obama, prevention is the &quot;enemy&quot; as people would live longer.

I rest my case. The ObamaCare Plan is hazardous to the health of every American! 

After I finished my Capitol Hill presentation, I was asked by a Congressman in the question-answer session: &quot;I&#039;ll be doing a number of network interviews on the Obama Health Care Plan. If I am asked what is the one word to describe the plan what should I answer.&quot; 

The answer is simple, honest, direct, analytical, sad but truthful. I told him that one word is FASCIST.

Then I added, &quot;I hope you&#039;ll have the courage to use that word, Congressman. No other word is more appropriate.&quot;

Dr. Dave Janda, MD, is an orthopedic surgeon, and a world-recognized expert on the prevention of sports injuries, particularly in children. 

Check it out:
http://www.snopes.com/politics/soapbox/janda.asp</description>
		<content:encoded><![CDATA[<p>Do you want the people who put this in the bill to really vote on it?</p>
<p>THE ONE WORD TO DESCRIBE OBAMACARE</p>
<p>Written by Dr. Dave Janda<br />
Thursday, 23 July 2009</p>
<p>As a physician who has authored books on preventative health care, I was given the opportunity to be the keynote speaker at a Congressional Dinner at The Capitol Building in Washington last Friday (7/17). </p>
<p>The presentation was entitled Health Care Reform, The Power &amp; Profit of Prevention, and I was gratified that it was well received. </p>
<p>In preparation for the presentation, I read the latest version of &#8220;reform&#8221; as authored by The Obama Administration and supported by Speaker Pelosi and Senator Reid. Here is the link to the 1,018 page document:<br />
<a href="http://edlabor.house.gov/documents/111/pdf/publications/AAHCA-BillText-071409.pdf" rel="nofollow">http://edlabor.house.gov/documents/111/pdf/publications/AAHCA-BillText-071409.pdf</a> </p>
<p>Let me summarize just a few salient points of the above plan. First, however, it should be clear that the same warning notice must be placed on The ObamaCare Plan as on a pack of cigarettes: Consuming this product will be hazardous to your health. </p>
<p>The underlying method of cutting costs throughout the plan is based on rationing and denying care. There is no focus on preventing health care need whatever. The plan&#8217;s method is the most inhumane and unethical approach to cutting costs I can imagine as a physician. </p>
<p>The rationing of care is implemented through The National Health Care Board, according to the plan. This illustrious Board &#8220;will approve or reject treatment for patients based on the cost per treatment divided by the number of years the patient will benefit from the treatment..&#8221; </p>
<p>Translation&#8230;..if you are over 65 or have been recently diagnosed as having an advanced form of cardiac disease or aggressive cancer&#8230;..dream on if you think you will get treated&#8230;..pick out your coffin. </p>
<p>Oh, you say this could never happen? Sorry&#8230;. this is the same model they use in Britain.</p>
<p>The plan mandates that there will be little or no advanced treatments to be available in the future. It creates The Federal Coordinating Council For Comparative Effectiveness Research, the purpose of which is &#8220;to slow the development of new medications and technologies in order to reduce costs.&#8221; Yes, this is to be the law. </p>
<p>The plan also outlines that doctors and hospitals will be overseen and reviewed by The National Coordinator For Health Information and Technology. </p>
<p>This &#8220;coordinator&#8221; will &#8220;monitor treatments being delivered to make sure doctors and hospitals are strictly following government guidelines that are deemed appropriate.&#8221; It goes on to say&#8230;..&#8221;Doctors and hospitals not adhering to guidelines will face penalties.&#8221; </p>
<p>According to those in Congress, penalties could include large six figure financial fines and possible imprisonment. </p>
<p>So according to The ObamaCare Plan&#8230;.if your doctor saves your life you might have to go to the prison to see your doctor for follow-up appointments. I believe this is the same model Stalin used in the former Soviet Union. </p>
<p>Section 102 has the Orwellian title, &#8220;Protecting the Choice to Keep Current Coverage.&#8221; What this section really mandates is that it is illegal to keep your private insurance if your status changes &#8211; e.g., if you lose or change your job, retire from your job and become a senior, graduate from college and get your first job. Yes, illegal.</p>
<p>When Mr. Obama hosted a conference call with bloggers urging them to pressure Congress to pass his health plan as soon as possible, a blogger from Maine referenced an Investors Business Daily article that claimed Section 102 of the House health legislation would outlaw private insurance. </p>
<p>He asked: &#8220;Is this true? Will people be able to keep their insurance and will insurers be able to write new policies even though H.R. 3200 is passed?&#8221; Mr. Obama replied: &#8220;You know, I have to say that I am not familiar with the provision you are talking about.&#8221; </p>
<p>Then there is Section 1233 of The ObamaCare Plan, devoted to &#8220;Advanced Care Planning.&#8221; After each American turns 65 years of age they have to go to a mandated counseling program that is designed to end life sooner. </p>
<p>This session is to occur every 5 years unless the person has developed a chronic illness then it must be done every year. The topics in this session will include, &#8220;how to decline hydration, nutrition and how to initiate hospice care.&#8221; It is no wonder The Obama Administration does not like my emphasis on Prevention. For Mr. Obama, prevention is the &#8220;enemy&#8221; as people would live longer.</p>
<p>I rest my case. The ObamaCare Plan is hazardous to the health of every American! </p>
<p>After I finished my Capitol Hill presentation, I was asked by a Congressman in the question-answer session: &#8220;I&#8217;ll be doing a number of network interviews on the Obama Health Care Plan. If I am asked what is the one word to describe the plan what should I answer.&#8221; </p>
<p>The answer is simple, honest, direct, analytical, sad but truthful. I told him that one word is FASCIST.</p>
<p>Then I added, &#8220;I hope you&#8217;ll have the courage to use that word, Congressman. No other word is more appropriate.&#8221;</p>
<p>Dr. Dave Janda, MD, is an orthopedic surgeon, and a world-recognized expert on the prevention of sports injuries, particularly in children. </p>
<p>Check it out:<br />
<a href="http://www.snopes.com/politics/soapbox/janda.asp" rel="nofollow">http://www.snopes.com/politics/soapbox/janda.asp</a></p>
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		<title>By: RealityKing</title>
		<link>http://blogs.ajc.com/jay-bookman-blog/2009/08/22/step-one-can-we-all-agree-health-care-is-rationed-today/comment-page-5/#comment-100901</link>
		<dc:creator>RealityKing</dc:creator>
		<pubDate>Mon, 24 Aug 2009 14:29:19 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.ajc.com/jay-bookman-blog/?p=1807#comment-100901</guid>
		<description>Glad to see Jay finally admitting that the government will be forced to ration everyones healthcare, and quality of service, based on it&#039;s total cost, instead of an individual case by case bases.</description>
		<content:encoded><![CDATA[<p>Glad to see Jay finally admitting that the government will be forced to ration everyones healthcare, and quality of service, based on it&#8217;s total cost, instead of an individual case by case bases.</p>
]]></content:encoded>
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		<title>By: HSR0601</title>
		<link>http://blogs.ajc.com/jay-bookman-blog/2009/08/22/step-one-can-we-all-agree-health-care-is-rationed-today/comment-page-5/#comment-100743</link>
		<dc:creator>HSR0601</dc:creator>
		<pubDate>Mon, 24 Aug 2009 12:21:37 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.ajc.com/jay-bookman-blog/?p=1807#comment-100743</guid>
		<description>Theme : The public health is a fundamental human right.
 
1.  When the public health is also one of commodity like a house, we come to a tragic and unthinkable conclusion :  As to for-profit business, the more ill patients get, the more profits they make.  
 
Under the most wasteful structure on the planet like no coordinated preventive care program waiting until people get ill, a pay for each and every service reimbursement and frequent readmissions, no e-medical record and deaths, crushing litigations and the more profits via the unnecessary procedures, and the most inefficient paper billing systems imaginable, overpriced pharmaceuticals, bloated insurance companies, medial fraud, exorbitant costs by the tragic ER visits etc, it might be no wonder with the expansive, systematic reform in the pipeline, just one attitude of patient-oriented value in 10 regions has attained 16% of savings in Medicare while their quality scores are well above average. 
 
Aside from the already allocated $583 billion and the savings of this reform package, 16% of $923.5bn (the combined Medicare and Medicaid cost per year, as of July) is around  $147.76bn per year and 1.4776trillion over the next decade, and this patient-oriented value alone could be enough to meet the goal.  
 
Please be &#039;sure&#039; to visit http://www.nytimes.com/2009/08/13/opinion/13gawande.html?hp  for credible evidences ! 

Today, another innovative, fundamental change in payment system, or patient&#039;s outcome based payment reform that is able to turn the profit-oriented malpractices and volume into the patient-oriented value and quality is waiting for a final decision.
 
2.  The savings via removing wastes turn into limit to medical access, rationing, tax raise, and deficit etc via the irresponsible lies.
 
Unlike high fuel price and mortgage rate in recent years as the roots of great recession and bankruptcy of middle class,  the severity in the high cost of health premiums has come to light lately. Similarly, in an attempt to hide these painful corruptions &amp; wastes, the greed allies struggle to turn the savings via removing these wastes into limit to medical access, rationing, tax raise, and deficit etc. 
 
In contrast, not to mention a wide range of consumer protection, this promising reform takes initiatives in more primary care docs and improved long-term care. Unnecessarily, hope should not be replaced with fear, just like people don&#039;t have to fear quitting drug.
 
 
3.  Under the free market theory and the premise that the public health is also one of commodity like a house, if the demand decreases on a large scale, accordingly the price tends to reflect it, as in the case of house price, and it never happens for the price to spiral up. One step forward, in case the price is spiraling up, to be sure, the remaining clients should withdraw the contract or choose the other options.  Sadly, no way-out other than the prohibitive ER is allowed in America. Therefore, the victims today and tomorrow deserve long overdue protection from non-profit Government.
 
4.  When some part of our body is ailing seriously, we are going to lose competitiveness, equally, when some part of a nation is ailing servery, it is going to loose competitiveness, too.
 
5. Unlike the original financial concern over recovery from Catrina catastrophe, the recovery work is going smooth with no big problem, to my knowledge. The last thing to want would be for this health Catrina to be left untreated. And there is enough room for savings from the unsustainable wastes.
 
6.  Equation (By decade)  &amp;  the flower of this reform !
 
$1.042trillion (cost of reform) + $245bn (cost to reflect annual pay raise of docs) = $1.287bn (actual cost of reform).
 
$583bn (the revenue package) + $80bn (so-called doughnut hole) + $155bn (savings from hospitals) + $167bn (ending the unnecessary subsidies for insurers) + 129bn(mandate-related fine)  + $277bn (ending medical fraud, a minimum of 3% , the combined Medicare and Medicaid cost of $923.5bn per year, as of July,) = $1.391trillion + the reduced cost of  ER visits (Medicare covers some 40% of the total) + the tax code on the wealthiest  more reduced than originally proposed = why not ? (except for a magic pill, an outcome-based payment reform &amp; IT effects and so forth).
 
Additionally, the last thing to expect, no e-medial record(under a fee for each and every service payment, hospitals are resistant to introduce IT system) , is happening now in the sector requiring the best accuracy in terms of dealing with human lives, which leads to a shocking portion of risk-carrying duplicate tests, fatal errors and deaths, as a consequence, these cause a vicious circle, about $100bn worth of litigations and even more profits via unnecessary procedures for hospitals .
 
Clearly, the American style innovation, outcome-based payment reform, could speed up the adoption of IT system, under this package, docs&#039; pay is dependant upon patient&#039;s outcome, no intervention, wastes, frequent readmissions, low-quality are allowed later on.
 
It is firmly believed with the preventive care program in operation, this innovation could make a big difference just like GM has surprised the world with the adoption of EV-conversion technology from pioneers and outpaced the excellent hybrid cars (the release of BYD&#039;s earlier appearance in America and the ambitious plan of Germany for 1million of EVs by 2020 etc  might support it).
 
 
7. Over the duration of time-consuming discussion surrounding this common sense, a fundamental human right, and slow down to shout and disrupt, and lie irresponsibly, America has been loosing market share in a futuristic sustainable energy arena. But just like if a country attempts to steal cash from wall street, America can&#039;t wait and see, so the opposite is the same. Taking the invaluable lives and gigantic war spending into account, it can be cited as one more extended reckless disaster, regardless of the result, as this great recession says.
 
Please note that time does not fix the endless greed, energy depletion, only science and innovation can meet the challenge.
 
 Thank You !</description>
		<content:encoded><![CDATA[<p>Theme : The public health is a fundamental human right.</p>
<p>1.  When the public health is also one of commodity like a house, we come to a tragic and unthinkable conclusion :  As to for-profit business, the more ill patients get, the more profits they make.  </p>
<p>Under the most wasteful structure on the planet like no coordinated preventive care program waiting until people get ill, a pay for each and every service reimbursement and frequent readmissions, no e-medical record and deaths, crushing litigations and the more profits via the unnecessary procedures, and the most inefficient paper billing systems imaginable, overpriced pharmaceuticals, bloated insurance companies, medial fraud, exorbitant costs by the tragic ER visits etc, it might be no wonder with the expansive, systematic reform in the pipeline, just one attitude of patient-oriented value in 10 regions has attained 16% of savings in Medicare while their quality scores are well above average. </p>
<p>Aside from the already allocated $583 billion and the savings of this reform package, 16% of $923.5bn (the combined Medicare and Medicaid cost per year, as of July) is around  $147.76bn per year and 1.4776trillion over the next decade, and this patient-oriented value alone could be enough to meet the goal.  </p>
<p>Please be &#8217;sure&#8217; to visit <a href="http://www.nytimes.com/2009/08/13/opinion/13gawande.html?hp" rel="nofollow">http://www.nytimes.com/2009/08/13/opinion/13gawande.html?hp</a>  for credible evidences ! </p>
<p>Today, another innovative, fundamental change in payment system, or patient&#8217;s outcome based payment reform that is able to turn the profit-oriented malpractices and volume into the patient-oriented value and quality is waiting for a final decision.</p>
<p>2.  The savings via removing wastes turn into limit to medical access, rationing, tax raise, and deficit etc via the irresponsible lies.</p>
<p>Unlike high fuel price and mortgage rate in recent years as the roots of great recession and bankruptcy of middle class,  the severity in the high cost of health premiums has come to light lately. Similarly, in an attempt to hide these painful corruptions &amp; wastes, the greed allies struggle to turn the savings via removing these wastes into limit to medical access, rationing, tax raise, and deficit etc. </p>
<p>In contrast, not to mention a wide range of consumer protection, this promising reform takes initiatives in more primary care docs and improved long-term care. Unnecessarily, hope should not be replaced with fear, just like people don&#8217;t have to fear quitting drug.</p>
<p>3.  Under the free market theory and the premise that the public health is also one of commodity like a house, if the demand decreases on a large scale, accordingly the price tends to reflect it, as in the case of house price, and it never happens for the price to spiral up. One step forward, in case the price is spiraling up, to be sure, the remaining clients should withdraw the contract or choose the other options.  Sadly, no way-out other than the prohibitive ER is allowed in America. Therefore, the victims today and tomorrow deserve long overdue protection from non-profit Government.</p>
<p>4.  When some part of our body is ailing seriously, we are going to lose competitiveness, equally, when some part of a nation is ailing servery, it is going to loose competitiveness, too.</p>
<p>5. Unlike the original financial concern over recovery from Catrina catastrophe, the recovery work is going smooth with no big problem, to my knowledge. The last thing to want would be for this health Catrina to be left untreated. And there is enough room for savings from the unsustainable wastes.</p>
<p>6.  Equation (By decade)  &amp;  the flower of this reform !</p>
<p>$1.042trillion (cost of reform) + $245bn (cost to reflect annual pay raise of docs) = $1.287bn (actual cost of reform).</p>
<p>$583bn (the revenue package) + $80bn (so-called doughnut hole) + $155bn (savings from hospitals) + $167bn (ending the unnecessary subsidies for insurers) + 129bn(mandate-related fine)  + $277bn (ending medical fraud, a minimum of 3% , the combined Medicare and Medicaid cost of $923.5bn per year, as of July,) = $1.391trillion + the reduced cost of  ER visits (Medicare covers some 40% of the total) + the tax code on the wealthiest  more reduced than originally proposed = why not ? (except for a magic pill, an outcome-based payment reform &amp; IT effects and so forth).</p>
<p>Additionally, the last thing to expect, no e-medial record(under a fee for each and every service payment, hospitals are resistant to introduce IT system) , is happening now in the sector requiring the best accuracy in terms of dealing with human lives, which leads to a shocking portion of risk-carrying duplicate tests, fatal errors and deaths, as a consequence, these cause a vicious circle, about $100bn worth of litigations and even more profits via unnecessary procedures for hospitals .</p>
<p>Clearly, the American style innovation, outcome-based payment reform, could speed up the adoption of IT system, under this package, docs&#8217; pay is dependant upon patient&#8217;s outcome, no intervention, wastes, frequent readmissions, low-quality are allowed later on.</p>
<p>It is firmly believed with the preventive care program in operation, this innovation could make a big difference just like GM has surprised the world with the adoption of EV-conversion technology from pioneers and outpaced the excellent hybrid cars (the release of BYD&#8217;s earlier appearance in America and the ambitious plan of Germany for 1million of EVs by 2020 etc  might support it).</p>
<p>7. Over the duration of time-consuming discussion surrounding this common sense, a fundamental human right, and slow down to shout and disrupt, and lie irresponsibly, America has been loosing market share in a futuristic sustainable energy arena. But just like if a country attempts to steal cash from wall street, America can&#8217;t wait and see, so the opposite is the same. Taking the invaluable lives and gigantic war spending into account, it can be cited as one more extended reckless disaster, regardless of the result, as this great recession says.</p>
<p>Please note that time does not fix the endless greed, energy depletion, only science and innovation can meet the challenge.</p>
<p> Thank You !</p>
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		<title>By: Sherry</title>
		<link>http://blogs.ajc.com/jay-bookman-blog/2009/08/22/step-one-can-we-all-agree-health-care-is-rationed-today/comment-page-5/#comment-100595</link>
		<dc:creator>Sherry</dc:creator>
		<pubDate>Mon, 24 Aug 2009 00:37:00 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.ajc.com/jay-bookman-blog/?p=1807#comment-100595</guid>
		<description>I don&#039;t understand why people are not bringing up HIPAA - if you are part of a group plan - you CANNOT be denied coverage - if you change jobs and have had coverage within the last 63 days - you CANNOT be denied coverage. If it has been longer than 63 days - coverage can be delay - not denied. Also, it is illegal to rescind insurance coverage UNLESS you have lied. Most of the items being brought up ONLY impact people that have individual coverage.

According to the CBO – the true impact to persons that require individual coverage (which are the people that actually need reform) is  8% of 21-31 million Americans. We are completely re-writing our health insurance industry and it will benefit 1.6-2.4 million people………………the entire &#039;reform&#039; could be accomplished with an amendment to HIPAA - except the costs - which they are not really addressing anyway.

http://speakmymindblog.com/2009/08/11/obama-is-scaring-and-misleading-the-american-people/</description>
		<content:encoded><![CDATA[<p>I don&#8217;t understand why people are not bringing up HIPAA &#8211; if you are part of a group plan &#8211; you CANNOT be denied coverage &#8211; if you change jobs and have had coverage within the last 63 days &#8211; you CANNOT be denied coverage. If it has been longer than 63 days &#8211; coverage can be delay &#8211; not denied. Also, it is illegal to rescind insurance coverage UNLESS you have lied. Most of the items being brought up ONLY impact people that have individual coverage.</p>
<p>According to the CBO – the true impact to persons that require individual coverage (which are the people that actually need reform) is  8% of 21-31 million Americans. We are completely re-writing our health insurance industry and it will benefit 1.6-2.4 million people………………the entire &#8216;reform&#8217; could be accomplished with an amendment to HIPAA &#8211; except the costs &#8211; which they are not really addressing anyway.</p>
<p><a href="http://speakmymindblog.com/2009/08/11/obama-is-scaring-and-misleading-the-american-people/" rel="nofollow">http://speakmymindblog.com/2009/08/11/obama-is-scaring-and-misleading-the-american-people/</a></p>
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		<title>By: Real Health Reform Will Pass</title>
		<link>http://blogs.ajc.com/jay-bookman-blog/2009/08/22/step-one-can-we-all-agree-health-care-is-rationed-today/comment-page-5/#comment-100397</link>
		<dc:creator>Real Health Reform Will Pass</dc:creator>
		<pubDate>Sun, 23 Aug 2009 16:56:34 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.ajc.com/jay-bookman-blog/?p=1807#comment-100397</guid>
		<description>John F.  I worked as an MD /ER physician for 8 years of my career and I&#039;ve said here many times  Bush and the conservatives&#039; ideas that aonyone can just go to an ER for chronic care is idiocy and that the idea ERs are there for non-emergent care is economic craziness.  That&#039;s why inner city teaching hospitals operate in crisis mode economically and in other ways most of the time.

Given his moronicity, you wouldn&#039;t expect Bush to understand health care.</description>
		<content:encoded><![CDATA[<p>John F.  I worked as an MD /ER physician for 8 years of my career and I&#8217;ve said here many times  Bush and the conservatives&#8217; ideas that aonyone can just go to an ER for chronic care is idiocy and that the idea ERs are there for non-emergent care is economic craziness.  That&#8217;s why inner city teaching hospitals operate in crisis mode economically and in other ways most of the time.</p>
<p>Given his moronicity, you wouldn&#8217;t expect Bush to understand health care.</p>
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		<title>By: Real Health Reform Will Pass</title>
		<link>http://blogs.ajc.com/jay-bookman-blog/2009/08/22/step-one-can-we-all-agree-health-care-is-rationed-today/comment-page-5/#comment-100389</link>
		<dc:creator>Real Health Reform Will Pass</dc:creator>
		<pubDate>Sun, 23 Aug 2009 16:23:24 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.ajc.com/jay-bookman-blog/?p=1807#comment-100389</guid>
		<description>1) You don&#039;t have to agree with Maureen to admire her cleverness.

@Andy aka whatevah:
2) With Palin and her running mate, most of us wouldn&#039;t have had a choice and Obama is far superior to anything your party has, can, or will field in history.  That&#039;s why we win.</description>
		<content:encoded><![CDATA[<p>1) You don&#8217;t have to agree with Maureen to admire her cleverness.</p>
<p>@Andy aka whatevah:<br />
2) With Palin and her running mate, most of us wouldn&#8217;t have had a choice and Obama is far superior to anything your party has, can, or will field in history.  That&#8217;s why we win.</p>
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		<title>By: TnGelding</title>
		<link>http://blogs.ajc.com/jay-bookman-blog/2009/08/22/step-one-can-we-all-agree-health-care-is-rationed-today/comment-page-5/#comment-100355</link>
		<dc:creator>TnGelding</dc:creator>
		<pubDate>Sun, 23 Aug 2009 14:40:55 +0000</pubDate>
		<guid isPermaLink="false">http://blogs.ajc.com/jay-bookman-blog/?p=1807#comment-100355</guid>
		<description>I Report/ Vast White Wing Conspirator (-: You Whine )-: 

August 23rd, 2009
7:30 am

Everyone is entitled to their opinion.</description>
		<content:encoded><![CDATA[<p>I Report/ Vast White Wing Conspirator (-: You Whine )-: </p>
<p>August 23rd, 2009<br />
7:30 am</p>
<p>Everyone is entitled to their opinion.</p>
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