In Louisiana, Jindal slashes aid to the dying

UPDATE: This evening, the Jindal administration announced that it was suspending — through June 30 — its announced plan to cease funding of Medicaid hospice services. As the New Orleans Times-Picayune reports:

“…. on Wednesday, the administration reversed course. The program will be maintained for the rest of the state’s fiscal year, which ends June 30, with the use of “temporary bridge funding,” according to a news release from the Department of Health and Hospitals. The release referred to that money as grant funding but did not specify where it came from or how reallocating it to hospice care would affect other state programs.”

The longer-term fate of the Medicaid hospice program is uncertain.

———–

How do conservatives propose to cut Medicare and Medicaid spending?

Gov. Bobby Jindal, oft-mentioned as a 2016 presidential contender, is going about it in a number of ways, including an executive order that will end Medicaid coverage of hospice services as of February 1. Each year, some 1,700 less affluent residents of Louisiana have benefited from those services.

But no longer.

“In a strongly worded statement released on Thursday, the Louisiana-Mississippi Hospice and Palliative Care Organization’s (LMHPCO) Board of Directors stated that it was “shocked and saddened” by Gov. Jindal’s recent decision to eliminate the Medicaid hospice benefit, effective February 1, 2013.

“While the board strongly disagrees with this decision, the board is even more confused by the administration’s assertion that this action will save the state $10.6 million in FY 2014,” the board stated.

“For 10 years, the Medicaid Hospice Benefit has provided terminally ill patients and their families in Louisiana with the confidence they need to forgo expensive end-of-life hospital admissions. According to the administration, Louisiana Medicaid spent $11,430,414.14 on hospice services for some 5,189 recipients in 2012 — an average of $2,202.81 per patient.

With or without hospice, these terminally ill patients will die. The average length of stay for hospice patients in Louisiana is 72 days, with 50 percent of our patients dying within 26 days of enrollment. Without hospice, as these terminal patients decline, they will typically be transported to the nearest hospital emergency room by ambulance, and will subsequently be moved into the hospital’s intensive care units — costing the state’s Medicaid system at least four times the cost of hospice care.”

Hospice, almost by definition, is not a life-saving intervention. It is a death-management intervention. As the Louisiana hospice officials note, this alleged “savings” will almost certainly result in higher costs to taxpayers, as people who are denied professional hospice care seek medical assistance in more expensive ways.

But beyond that bottom-line analysis, there’s a question of morality and decency. Like millions of Americans, I have witnessed first-hand the value of hospice both for the terminally ill patient and for his or her loved ones. The fact that Jindal is enacting this reduction as a way to help finance the elimination of state corporate and income taxes only compounds the tragic nature of the misjudgment.

– Jay Bookman

574 comments Add your comment

Granny Godzilla

January 23rd, 2013
3:57 pm

Makes me think of Alan Graysons words……

Remember those?

Jm

January 23rd, 2013
4:00 pm

Meh

I agree Jay

Next

Keep Up the Good Fight!

January 23rd, 2013
4:03 pm

$2000+ per patient. Why Deal spends more than that creating new television positions to buy off legislators. Did Jindal name his death panel membership or did he just decide to do it himself with these orders?

harvey

January 23rd, 2013
4:03 pm

When there is no more money, you have to prioritize. I suppose he is simply prioritizing those who still have some hope of living. You can die without the frills hospice offers, like an air bed, and the hand holding, but you can’t live without Medicaid (if you have put yourself in the position to need it).

Skip

January 23rd, 2013
4:05 pm

There are no words.

Jeffrey

January 23rd, 2013
4:07 pm

Ok. I think they have starved the beast, to put it in their terms, locally, states wide and nationally. Now, who on earth is going to sit back while this happens, much less vote for these folks.

And I know this isn’t kyles blog but could someone please explain to him the difference between saving money and reappropriating it with robbing. If Kyle lies about Medicare one more time I will stop reading him. Credibility issues, you see.

East Cobb RINO, Inc (LLC)

January 23rd, 2013
4:07 pm

I think the plan Jindal has is these people should just die without going to the hospital. Gov Jindal….the nations first 1-man death panel. Where is Sarah Palin and her outrage at death panels when you need it?

Jm

January 23rd, 2013
4:08 pm

Jindal already shot himself in the foot for 2016

This is just icing on the cake

getalife

January 23rd, 2013
4:11 pm

He is another con disaster as usual.

Jaynie

January 23rd, 2013
4:12 pm

Harvey, I don’t know what hospice you have experience with, but my experience with my father was certainly not full of “frills”. The hospice folks took good care of my father, but it certainly was pallative care and no frills. That is not what hospice is for. Any handholding is usully done by families. Hospice workers may explain what is happening during this most extreme part of life, but they certainly aren’t frilly about it. Jindal should be ashamed of this action as should we all. To take away the comfort of those who are dying and their famillies who have now where else to go in their most extreme moments is ridiculous. I can guarantee you this will cost Louisiana much more in the long run than the Medicaid costs would have been.

Granny Godzilla

January 23rd, 2013
4:12 pm

harvey

prioritize yo’ mama…..

Jm

January 23rd, 2013
4:12 pm

Would’ve been better to cut dialysis funding

That will make me popular

Liberal Pariah

January 23rd, 2013
4:15 pm

NO Liberal has a moral ground to criticize Jindal on morality or decency as long as they support the killing of babies. Just that simple.
Liberal hypocrisy knows no bounds!!!!

harvey

January 23rd, 2013
4:15 pm

You liberals still won’t face the fact that we are broke. So keep on spending until, whoops, there just isn’t anyone left to tax or borrow from.

Peadawg

January 23rd, 2013
4:17 pm

“Without hospice, as these terminal patients decline, they will typically be transported to the nearest hospital emergency room by ambulance, and will subsequently be moved into the hospital’s intensive care units — costing the state’s Medicaid system at least four times the cost of hospice care.”

Sounds very counter-productive.

weezer

January 23rd, 2013
4:17 pm

This gives a new meaning to the words: compassionate conservative.

Brosephus™

January 23rd, 2013
4:18 pm

So keep on spending until, whoops, there just isn’t anyone left to tax or borrow from.

So, when do you plan on leaving?

Adam

January 23rd, 2013
4:18 pm

I hate this man so much. Every year he cuts education and healthcare, and every year he always says “But I CAN’T cut anywhere else because these are the only two places I am allowed to!”

All the while, his cutting of healthcare causes abortion rates to GO UP.

So much for your theory, Liberal Pariah.

straitroad

January 23rd, 2013
4:18 pm

It’s always interesting when a liberal uses morality or decency to defend a viewpoint.

Granny Godzilla

January 23rd, 2013
4:19 pm

Liberal Pariah

January 23rd, 2013
4:15 pm

NO Liberal has a moral ground to criticize Jindal on morality or decency as long as they support the killing of babies. Just that simple.
Liberal hypocrisy knows no bounds!!!!
.
.
.
.
A great big morally moral guy like you – I assume you have the same standards for torture and capital punishment .

RIght?

.

Liberal Pariah

January 23rd, 2013
4:20 pm

Abortion rates go up when the government gives Planned Parenthood more money. Nice try…thanks for playing.

Peadawg

January 23rd, 2013
4:20 pm

“I think the plan Jindal has is these people should just die without going to the hospital. ”

That’s probably his intention.

Granny Godzilla

January 23rd, 2013
4:21 pm

Peadawg

January 23rd, 2013
4:17 pm

“Without hospice, as these terminal patients decline, they will typically be transported to the nearest hospital emergency room by ambulance, and will subsequently be moved into the hospital’s intensive care units — costing the state’s Medicaid system at least four times the cost of hospice care.”

Sounds very counter-productive.
.
.
.
.
Well said Pea.

Stepping over dollars to pick up dimes.

Penny wise and pound foolish.

Brosephus™

January 23rd, 2013
4:22 pm

Hospice, almost by definition, is not a life-saving intervention. It is a death-management intervention. As the Louisiana hospice officials note, this alleged “savings” will almost certainly result in higher costs to taxpayers, as people who are denied professional hospice care seek medical assistance in more expensive ways.

But beyond that bottom-line analysis, there’s a question of morality and decency.

As harvey says, “You liberals still won’t face the fact that we are broke.” Broke people can’t afford morality and/or decency ’cause it costs money that we don’t have. Funny that some fight like the dickens to get all up in a woman’s womb to try to force her to have a baby but don’t give a sh*t about life after that first breath.

At one time, this country used to have a bit of dignity about it. Now, thank’s to our instant gratification need, it’s every man/woman/child for themselves. Animals and fetuses garner more protection than old folks, and that’s just plain sad.

saywhat?

January 23rd, 2013
4:23 pm

Poor people who are terminally ill deserve to die with as much pain and suffering as possible, because of their poor life choices. They can always pull themselves up by their bootstraps,right? At least die happy knowing that because of their pain and suffering during an unnecessarily terrible lingering death, a CEO somehwere will have a slightly larger bonus from the tax cuts the Medicaid cuts paid for.

pogo

January 23rd, 2013
4:25 pm

If people did the right thing they would donate money to HOSPICE. My wife and I give them a nice check each year and we will continue to do so no matter the tax law. My wife’s mother was under their care when she passed and they (HOSPICE) are golden in our eyes. I would rather my dollars go to them than most of the foodstamp recipients that I see in the grocery stores.

jj

January 23rd, 2013
4:25 pm

And you think Obamacare will cover this????????????

Jm

January 23rd, 2013
4:25 pm

Just goes to show you how dumb McKinsey consultants are

Curtis Rivers

January 23rd, 2013
4:25 pm

One of the most heartless decisions I have seen, and it makes no sense fiscally, as the Hospice industry is right about patients having to spend final days in intensive care, costing more in one day in state funds than the average cost for patients in hospice care for the duration of their time left. Couple that with his plans on taxes which have to do mostly with the rich and corporations, and his lack of caring for people is further magnified.

Liberal Pariah

January 23rd, 2013
4:25 pm

Since we can’t cut any of the programs that Obama’s supporters are benefitting from, what is the Liberal plan for spending cuts? Hmmmm?

Soothsayer

January 23rd, 2013
4:25 pm

And, you’re surprised? Why? In this heartless, Ayn Randian worldview of the Republicans, this kind of thing is de riguere.

In my Mother’s final days, she had at-home hospice care through Medicare. When I think of the hundreds of thousands of dollars my parents have paid in taxes through the years, it makes me sick to think that someone like Jindal would take that away.

We truly have our priorities mixed up in this country. $ trillions for war, but not a penny for the old and feeble. This is a sad for America.

DannyX

January 23rd, 2013
4:26 pm

“It’s always interesting when a liberal uses morality or decency to defend a viewpoint.”

Yes why can’t liberals let Shock and Awe Jesus into their lives? Why can’t liberals be more Christ like and start worshiping the rich and bashing the poor? Jesus hated sick people! Immoral liberals and their hang up on taking care of sick poor people is disgusting!

Granny Godzilla

January 23rd, 2013
4:26 pm

straitroad

January 23rd, 2013
4:18 pm

It’s always interesting when a liberal uses morality or decency to defend a viewpoint.
.
.
.
and fiction when conservatives do it?

retiredds

January 23rd, 2013
4:27 pm

Now we see the Republican equivalent of a “death panel”. Brosephus’ last paragraph @4:22 rings very true.

St Simons - aboriginal Bootakook 2014

January 23rd, 2013
4:28 pm

Whatsoever you do to the least of my brothers, that you do unto Me.
Matthew 25:31-46

as for the way i look at it – Karma is too f-ing slow

Jm

January 23rd, 2013
4:28 pm

“Now, thank’s to our instant gratification need, it’s every man/woman/child for themselves.”

Fine

If that is the problem, ease advocate for banning video games and ending foodstamp funding for sugar loaded products and end social security while you’re at it

rightwingextreme

January 23rd, 2013
4:28 pm

Just so we have the big picture.

http://www.nola.com/politics/index.ssf/2012/12/louisiana_cuts_health_care_med.html

A $165.5 million hole in Louisiana’s budget will be patched with a mix of cuts, savings from hiring freezes and taking funds from state coffers, Gov. Bobby Jindal’s commissioner of administration announced Friday. The package enacted by the governor will strip funding from health programs, including hospice care and psychiatric services for Medicaid patients. It also will cut domestic violence programs and move prisoners from more expensive parish jails to state prisons.

The cuts also mean doctors and hospitals will receive a slight cut in the amount they receive for seeing Medicaid patients, state colleges and universities will have to redirect tuition revenue to offset lower public funding, and the elimination of community-based programs for children with mental health issues.

Gov. Bobby Jindal’s administration announced $165.5 million in cuts to this year’s budget Friday.

David Grunfeld, The Times-Picayune archive The cuts are aimed at rebalancing the state’s budget in light of lower revenue expectations and higher costs. The budget must be balanced by the time the fiscal year ends on June 30.

Mid-year reductions have become an expected part of the political calendar in Baton Rouge in recent years, with Jindal presiding over cuts in each of his five years as governor.

Commissioner of Administration Kristy Nichols, who unveiled the cuts to the Joint Legislative Committee on the Budget on Friday, said the administration had to move quickly, as delaying any reductions would mean that deeper cuts would be necessary later in the year.

The state’s Revenue Estimating Conference on Thursday approved new estimates that lower the amount the state will receive from taxes, fees and other sources by about $129 million. Administration officials revealed Friday that the total deficit the state faces is about $36 million larger than that due to the need to spend more than expected on the Minimum Foundation Program, which helps fund K-12 schools and the TOPS scholarship.

Health care programs cut

Much of Friday’s package focused on health care services. Overall, the Department of Health and Hospitals faces a $21 million cut after money from a lawsuit the state settled with drug companies is redirected into the department.

The elimination of hospice programs for Medicaid patients who are not in nursing homes struck lawmakers on the state’s Joint Legislative Committee on the Budget particularly hard.

“We’re not going to make people suffer in their last days, are we?” Sen. Francis Thompson, D-Delhi, asked.

Nichols noted that about 80 percent of hospice care occurs in nursing homes already and described the cut as a difficult decision.

Secretary of Health and Hospitals Bruce Greenstein argued later in the day that only funding Medicaid hospice care through nursing homes would not reduce the quality of care. He also noted that Medicare hospice programs for the elderly were not being touched and that non-profit and community groups also provide hospice care in other settings.

“For those in their last years or days and weeks of life, nursing homes do a very good job” of providing both spiritual support and pain management, Greenstein said.

The elimination of the hospice program is part of a package of Medicaid cuts that will also eliminate payments for dental care for pregnant women and the Communtiy Hospital Psychiatric Services. Together, the state will save $2.3 million by not paying for those programs.

The Louisiana State University public hospitals that are part of the Shreveport system will see their budget cut by $10 million. Greenstein said at a news conference Friday that those facilities were chosen because they had not been hit as hard during a round of cuts earlier this year following a change in the federal Medicaid reimbursement formula for Louisiana.

The department will also be reducing contracts for community-based services for those who are mentally ill and community-based programs for at-risk children with mental health conditions. Greenstein said people who use those programs and have “intensive needs” will be directed to the state Behavioral Health Partnership, a program that coordinates mental health services across the state.

The cuts also include outpatient programs for welfare eligible women and their children and will eliminate beds from an addictive disorder program.

Payments to Medicaid providers, such as doctors and hospitals, will also be reduced by 1 percent under the plan.

A letter from the Louisiana State Medical Society, Louisiana Hospital Association and Metropolitan Hospital Council of New Orleans decried the cuts to Medicaid providers, warning that the series of cuts enacted over recent years could threaten the program’s viability.

“Hospitals and physicians continue to be cut over and over again, and the trend does not seem to be abating,” according to the letter, which goes on to suggest that providers may have to raise rates on non-Medicaid patients, reduce or eliminate services or lay off workers or shut down facilities as a result of the cuts.

Package of changes also includes savings, redirected revenue

In addition to the cuts, the administration will take about $58.5 million in revenue from a variety of funds in order to plug holes elsewhere in the budget. That includes using $30.5 million from a settlement with pharmaceutical companies over drug prices to reduce cuts at the Department of Health and Hospitals, requiring state colleges and universities use $10 million in increased tuition revenue to supplement state money and taking $13 million in excess fees and revenue from the state’s self-insurance fund.

The state also is using about $19.7 million in savings from previous hiring freezes to plug the budget hole. About $3.4 million in savings will come from the closure of the C. Paul Phelps Correctional Center in DeQuincy earlier this year.

“It just makes sense to use available revenue to protect critical services,” Nichols said.

State funding of higher education reduced, parks maintenance money redirected

Higher education, which does not have a budget protected by state laws and thus is frequently a target for cuts, will have to use about $10 million in unanticipated tuition money instead of state funds that had been included in this year’s budget. That comes on top of about $427 million in reductions Louisiana’s colleges and universities have seen over the past five years.

Administration officials have noted that some of those cuts have been offset by tuition increases.

This round of cuts to higher education amounts to a 2.6 percent reduction in state funding, Commissioner of Higher Education Jim Purcell said. The reduction will be spread across the various colleges and university systems, he said.

“I have spoken to the system leadership and they will work with their campuses to minimize the impact these cuts will have on instruction and student services,” he said.

Lt. Gov. Jay Dardenne said the administration’s decision to take $4 million from a fund dedicated to park maintenance caught him by surprise.

“It seems like the administration has adopted a new policy, don’t ask don’t tell,” Dardenne said. “They didn’t ask us about the wisdom of these cuts.”

Dardenne said he had expected to deal with a $1.2 million cut to his office and had prepared a plan that would spread those out through the various agencies he oversees.

The administration’s plan relies on money that is not currently in the account, which is filled over the course of the year by fees from those using state parks, and taking the full amount will leave the fund empty at the end of the year, Dardenne said.

Dardenne said there are no plans to close parks or dramatically change their hours in light of the cut during this year but said depleting the fund could jeopardize their ability to stay open once the new fiscal year begins. Taking money from the fund will also delay the office’s ability to come up with matching funds FEMA requires for repairs to cabins at Fontainebleau State Park in Mandeville that were damaged by Hurricane Isaac.

When presenting the cuts to lawmakers, Nichols suggested the money would be made up from state capital outlay funds. But Dardenne said that approach would be unwieldy and likely require lengthy approvals for any repairs needed at state parks.

Dardenne, who chaired the Senate Finance Committee when he was in the Legislature, said he wasn’t sure what the state should do about its now-annual mid-year cuts.

“I don’t know what the answer is going to be,” Dardenne said. “I know the manner in which these cuts are being handled is not the way I would handle it.”

curious

January 23rd, 2013
4:30 pm

Where’s Dr Kervokian (?) when we need him?

Jm

January 23rd, 2013
4:30 pm

I’d like to hear Jindal’s logic Jay

If he has disclosed it

East Lake Ira

January 23rd, 2013
4:30 pm

Let’s take Liberal Pariah’s guns and make him gay marry harvey.

Paul

January 23rd, 2013
4:31 pm

I wondered how the cost analysis was done then I read “The fact that Jindal is enacting this reduction as a way to help finance the elimination of state corporate and income taxes only compounds the tragic nature of the misjudgment.”

Figures. These guys have no shame.

Okay, Jay, looks like you’ll have conservatives supporting you on this, ’cause Gov Jindal shows his ARROGANCE by trying to grab POWER by using EXECUTIVE ORDERS instead of going through the LEGISLATURE!!!

Liberal Pariah

January 23rd, 2013
4:31 pm

For the record, I would not have cut the hospice funding either and don’t think much of Jindal doing it. Just odd that the Liberal outrage is so selective when it comes to morality and decency.

Keep Up the Good Fight!

January 23rd, 2013
4:32 pm

Jm must still be figuring out how to use “the google.”

rightwingextreme

January 23rd, 2013
4:32 pm

Curtis Rivers

January 23rd, 2013
4:25 pm
One of the most heartless decisions I have seen, and it makes no sense fiscally, as the Hospice industry is right about patients having to spend final days in intensive care, costing more in one day in state funds than the average cost for patients in hospice care for the duration of their time left. Couple that with his plans on taxes which have to do mostly with the rich and corporations, and his lack of caring for people is further magnified.

Well, maybe we should just do what Obama told Stephanopolus…..grandma just may have to take a pain pill……

Reality is staring to set in. If you think this is bad, just wait until Obamacare really kicks in.

Brosephus™

January 23rd, 2013
4:33 pm

If that is the problem, ease advocate for banning video games and ending foodstamp funding for sugar loaded products and end social security while you’re at it

If that’s the problem, why would I want to make it worse?

Geez dude, that was a dumb statement, even for you. I loathe this instant gratification crap, and I would advocate for the opposite of what you’re suggesting, for the most part.

Keep Up the Good Fight!

January 23rd, 2013
4:34 pm

Paul, so that would be King Jindal or would just the Jindal — Duke of Earl, Louisiana?

Keep Up the Good Fight!

January 23rd, 2013
4:36 pm

Oh I am with RWE, I can’t wait for Obamacare to kick in and I hope more gets added to it. ;) We need to address the healthcare issue properly to address long term budget issues.

Jm

January 23rd, 2013
4:37 pm

Rightwing thanks

Though I don’t think that info gets to the core of the issue

Brosephus™

January 23rd, 2013
4:37 pm

Reality is staring to set in. If you think this is bad, just wait until Obamacare really kicks in.

Funny that you say that…..

WASHINGTON (AP) — Governors who reject health insurance for the poor under the federal health care overhaul could wind up in a politically awkward position on immigration: A quirk in the law means some U.S. citizens would be forced to go without coverage, while legal immigrants residing in the same state could still get it.

It’s an unintended consequence of how last year’s Supreme Court decision changed the Medicaid provisions of President Barack Obama’s health care law. The overhaul expanded the federal-state program for low-income and disabled people. The Supreme Court made the Medicaid expansion optional for states, which complicated things.

Arizona officials called attention to the problem last week, when Republican Gov. Jan Brewer opted to accept the Medicaid expansion.

Brewer had been a leading opponent of the overhaul, and her decision got widespread attention. State budget documents cited the immigration glitch as one of her reasons.

“If Arizona does not expand, for poor Arizonans below (the federal poverty line), only legal immigrants, but not citizens, would be eligible for subsidies,” the documents said.

That’s because the immigrants would be eligible for government-subsidized private insurance, while low-income citizens would not. The Obama administration confirmed Arizona’s interpretation.

http://news.yahoo.com/immigration-fallout-saying-no-obamacare-194737397–politics.html

Liberal Pariah

January 23rd, 2013
4:37 pm

ELI, don’t own a gun and don’t care what you do in YOUR bedroom as long as you don’t shove it down my throat (no pun intended) as normal behavior.

Soothsayer

January 23rd, 2013
4:37 pm

Well, if you ask me, we need to take that hospice care and outsource it to China. Either that or send a boat to China to pick up a couple hundred thousand “caregivers” to work in our hospice program at $0.50/hr. That way, we can reduce the cost of hospice care down to a couple of hundred thousand dollars a year.

Erwin's cat

January 23rd, 2013
4:39 pm

Adam – All the while, his cutting of healthcare causes abortion rates to GO UP

huh?…not saying you’re wrong…but you got any backing for this statement? I’m not sure what one has to do with the other?…are you suggesting people in LA are getting abortions because the healthcare isn’t there?

I see where LA rates when up 2005-2007 but somewhat flat in 2008…but Jindal wasn’t gov until 08

Cosby

January 23rd, 2013
4:39 pm

Some one please point out where in the Constitution does it require or even give authority to the US overnment to provide Health Care to anyone. I am unable to find it!!! And please, do not tell me it in in the commerce clause or the tax language!!

Cheesy Grits is gone but not forgotten

January 23rd, 2013
4:40 pm

Abortion rates go up when the government gives Planned Parenthood more money.

Abortion rates go up when Planned Parenthood is not funded.

Then the conservative ” abstinence ” types take over and the unwanted pregnancies skyrocket.

Paul

January 23rd, 2013
4:40 pm

Keep Up

If he picks “Duke of Earl” he gets to play a neat song.

Jefferson

January 23rd, 2013
4:41 pm

The high cost of hospice is not the cost of the care providers, it is the insane profits and salaries of the corporations contracted. EVERY city has them with their 400k CEOs. Everyone who works pays, follow the money to see who is working and who is getting rich while investing only bribes to get the contracts.

curious

January 23rd, 2013
4:43 pm

Obamacare. Maybe some medical providers will get paid for services rendered and maybe better preventative medicine will drive down the cost of “waiting until it’s a big problem” in lieu of maintenance.

Of course, the downside to many Conservative is people may live longer with a better quality of life.

Marie Antionette; let them eat cake.
Conservative: Let them die.

Liberal Pariah

January 23rd, 2013
4:43 pm

If Liberals really cared about morality and decency as Jay so worries, wouldn’t it bother them/you as to the reason there are so many ‘unwanted pregnancies’? That would probably involve talking about personal responsibility which is not the strong suit of the Liberal worldview. It’s why you don’t like abstinence now isn’t it Cheesy?

Keep Up the Good Fight!

January 23rd, 2013
4:43 pm

Paul, what? You don’t think he’ll go with Seals & Croft? http://www.youtube.com/watch?v=GXCfPbDPVsA

Jay

January 23rd, 2013
4:44 pm

“Some one please point out where in the Constitution does it require or even give authority to the US government to provide Health Care to anyone. I am unable to find it!!! And please, do not tell me it in in the commerce clause or the tax language!!

So file a federal lawsuit insisting on the abolition of Medicare and Medicaid. Go ahead. Apparently, even the most conservative of activist groups don’t agree with you, because they haven’t filed lawsuits challenging the constitutionality of those programs, and if they thought they had any chance of success, they would do so.

Otherwise, what’s your point?

Jm

January 23rd, 2013
4:44 pm

Cosby

It’s not in the constitution

It is in your conscience

Or not

Joe Hussein Mama

January 23rd, 2013
4:44 pm

L. Pariah — “Just odd that the Liberal outrage is so selective when it comes to morality and decency.”

There’s nothing odd or selective about it at all.

It’s simply not contingent or conditioned on *your* moral code.

Paul

January 23rd, 2013
4:47 pm

Cosby

You’re familiar with the term “that horse has already left the barn?”

Don’tcha’ kinda’ think if the Constitution didn’t permit this that the Supreme Court would have said so?

Maybe you could detemine why they said it is, in fact, constitutional?

You can start here:

http://www.theatlantic.com/politics/archive/2012/06/the-supreme-courts-obamacare-decision-full-text/259102/

Or, you can probably find a condensed version with the highlights on Wiki.

Paul

January 23rd, 2013
4:48 pm

Keep Up

Oooohhhh, that was goooood!

Cheesy Grits is gone but not forgotten

January 23rd, 2013
4:48 pm

Some one please point out where in the Constitution does it require or even give authority to the US overnment to provide Health Care to anyone.

It doesn’t.

We the People of the United States, in Order to form a more perfect Union, establish Justice, insure domestic Tranquility, provide for the common defence, promote the general Welfare, and secure the Blessings of Liberty to ourselves and our Posterity, do ordain and establish this Constitution for the United States of America.

It does talk about promoting the general welfare.

Buts a heckuva good idea.

All the countries that have Universal healthcare spend far less than we do and get much better results.

There is nothing in the Constitution about owning a gun that shoots a hundred rounds a minute either.

Soothsayer

January 23rd, 2013
4:49 pm

DebbieDoRight -- Minister Of Propaganda

January 23rd, 2013
4:49 pm

NO Liberal CONNED has a moral ground to criticize Jindal anyone on morality or decency as long as they support the killing of babies the red states NOT applying for Obamacare. Just that simple.
Liberal Conned hypocrisy knows no bounds!!!!

Erwin's cat

January 23rd, 2013
4:50 pm

All the countries that have Universal healthcare spend far less than we do and get much better results.

you sure about that?

Fred ™

January 23rd, 2013
4:50 pm

harvey

January 23rd, 2013
4:03 pm

When there is no more money, you have to prioritize. I suppose he is simply prioritizing those who still have some hope of living. You can die without the frills hospice offers, like an air bed, and the hand holding, but you can’t live without Medicaid (if you have put yourself in the position to need it).
+++++++++++++++++++++

Wow, not even TV writers can create this level of stupid. Hopefully this person just didn’t read the article before they spouted off their ignorance of what hospice is using trite little FOXBOT words………

but if he DID read the article I am simply stunned at the stupid. Since Jay already explained why this post is so stupid in his initial post I see no reason to repeat it.

Just damn.

arnold

January 23rd, 2013
4:50 pm

I have seen the benefits of hospice in my family with my parents and little sister. I will always donate to hospice, but not to Bobby Jindal nor any so called “compassionate conservative”.

Doggone/GA

January 23rd, 2013
4:51 pm

“Some one please point out where in the Constitution does it require or even give authority to the US overnment to provide Health Care to anyone”

Now you’ve said something. Let’s do away with all that wasted money spend on giving members of our Armed Forces medical care. They don’t really need it, now do they? And since you are SUCH an expert on the Constitution…why, I take it as gospel that the US government has NO AUTHORITY to give them medical care. Just think of all the money we’ll save.

It’s all about the money anyway, right?

Cheesy Grits is gone but not forgotten

January 23rd, 2013
4:51 pm

It’s why you don’t like abstinence now isn’t it Cheesy?

No. Its just a really dumb idea that doesn’t work.

I like to live in the real world not some la la land.

Call me a pragmatist but I like to do the things that work and get results.

Not based on some failed ideology that keeps failing.

Cheesy Grits is gone but not forgotten

January 23rd, 2013
4:52 pm

you sure about that?

Yup.

DebbieDoRight -- Minister Of Propaganda

January 23rd, 2013
4:52 pm

It’s why you don’t like abstinence now isn’t it Cheesy?

Not even eunuchs like abstinence. Duh!

Jm

January 23rd, 2013
4:53 pm

Susan Rice was the Obama Colin Powell

JohnnyReb

January 23rd, 2013
4:53 pm

No mention of state assisted services for dying at home. I’m sure it’s there. So dry those bleeding hearts.

Erwin's cat

January 23rd, 2013
4:54 pm

No. Its just a really dumb idea that doesn’t work.

so abstinence leads to pregnancy?….who’d have thought?

Liberal Pariah

January 23rd, 2013
4:55 pm

Abstinence involves personal responsibility and moral restraint. Something very few Libs would understand.

DebbieDoRight -- Minister Of Propaganda

January 23rd, 2013
4:55 pm

Let’s do away with all that wasted money spend on giving members of our Armed Forces medical care.

Or Congress, the Senate, The SC’s, etc., (and their families). They receive healthcare for life. Why not start cutting there FIRST if they’re so hot to save money?

Oh right, it’s okay to cut off someone ELSE’S access to medical care, just not THEIRS! Got it!

JamVet

January 23rd, 2013
4:56 pm

If Liberals really cared about morality and decency as Jay so worries, wouldn’t it bother them/you as to the reason there are so many ‘unwanted pregnancies’?

Apparently this guy thinks there are not countless Republican women in the United States who have unwanted pregnancies and abortions. Probably in the hundreds of thousands every year.

Maybe he can convince them of his “morality” of outlawing abortion and forcing them to have those babies.

And if those Republican women don’t toe your line Mr. Moral? Do you, like the sociopathic td, favor the death penalty for them?

Erwin's cat

January 23rd, 2013
4:56 pm

Yup

would you mind, please define “far less” money and “much better” results.

JohnnyReb

January 23rd, 2013
4:56 pm

BTW Moonbats, Obamacare is starting to collapse and its hardly out of the gate. Read George Will’s column in the AJC hardcopy of, I believe, last weekend.

DebbieDoRight -- Minister Of Propaganda

January 23rd, 2013
4:58 pm

Abstinence involves personal responsibility and moral restraint. Something very few Libs would understand.

Are you abstinent LP? Is that why you’re so blocked up, ornery, hate filled, and evil? Or is that constipation? I could never get those two straight………

JamVet

January 23rd, 2013
5:00 pm

You constitutional rubes!

Promote the general welfare means to take care of those military officers with stars on their epaulets!

It has nothing whatsoever to do with taxing and spending on the health, happiness, prosperity or well-being of American citizens…

Cheesy Grits is gone but not forgotten

January 23rd, 2013
5:01 pm

so abstinence leads to pregnancy?….who’d have thought?

Abstinence programs do. Its well documented that the kids will have sex anyway just unprotected sex. Viola pregnancy.

would you mind, please define “far less” money and “much better” results.

Sure. Countries with Universal healthcare spend less than what we do per person.

Yet their life expectancy is higher, rates of heart disease and diabetes, etc far lower.

Your welcome.

Atlas Shrugging

January 23rd, 2013
5:02 pm

I hear that they ran out of food stamps and welfare checks at the swearing in of the Lord and Savior of the underachievers and had to start giving out Starbuck cards. Having seen the faces of the crowd on CNN I wouldn’t be surprised if that were true.

Jay

January 23rd, 2013
5:02 pm

“No mention of state assisted services for dying at home. I’m sure it’s there. So dry those bleeding hearts.

No. It is not there. That is specifically what is being eliminated, both for those at home and for those in nursing homes as well.

Jm

January 23rd, 2013
5:03 pm

“Are you abstinent LP? Is that why you’re so blocked up, ornery, hate filled, and evil? Or is that constipation? I could never get those two straight………

That explains a lot

Keep Up the Good Fight!

January 23rd, 2013
5:03 pm

Abstinence involves personal responsibility and moral restraint. Something very few Libs would understand — Bristol Palin

Jm

January 23rd, 2013
5:05 pm

Beyonce and Obama are both fakers

Cheesy Grits is gone but not forgotten

January 23rd, 2013
5:06 pm

I hear that they ran out of food stamps and welfare checks at the swearing in of the Lord and Savior of the underachievers and had to start giving out Starbuck cards. Having seen the faces of the crowd on CNN I wouldn’t be surprised if that were true.

They were out when I got there.

Fortunately we get our Obama free stuff box from UPS every week.

Since I voted for Obama. I hardly pay for anything anymore.

Bubba

January 23rd, 2013
5:06 pm

Don’t you realize that in the Republican world view poor people deserve to die in pain without palliative care. It’s their punishment for not being more successful in life.

But consider for just a moment consider Luke 16:19-31:

“19“There was a rich man who was dressed in purple and fine linen and lived in luxury every day. 20At his gate was laid a beggar named Lazarus, covered with sores 21and longing to eat what fell from the rich man’s table. Even the dogs came and licked his sores.

22“The time came when the beggar died and the angels carried him to Abraham’s side. The rich man also died and was buried. 23In hell,c where he was in torment, he looked up and saw Abraham far away, with Lazarus by his side. 24So he called to him, ‘Father Abraham, have pity on me and send Lazarus to dip the tip of his finger in water and cool my tongue, because I am in agony in this fire.’

25“But Abraham replied, ‘Son, remember that in your lifetime you received your good things, while Lazarus received bad things, but now he is comforted here and you are in agony. 26And besides all this, between us and you a great chasm has been fixed, so that those who want to go from here to you cannot, nor can anyone cross over from there to us.’

27“He answered, ‘Then I beg you, father, send Lazarus to my father’s house, 28for I have five brothers. Let him warn them, so that they will not also come to this place of torment.’

29“Abraham replied, ‘They have Moses and the Prophets; let them listen to them.’

30“‘No, father Abraham,’ he said, ‘but if someone from the dead goes to them, they will repent.’

31“He said to him, ‘If they do not listen to Moses and the Prophets, they will not be convinced even if someone rises from the dead.’

JamVet

January 23rd, 2013
5:07 pm

Having seen the faces of the crowd on CNN…

Lemme guess, Klan Shrugging, they weren’t 99% white faces like in Tampa last summer.

Keep Up the Good Fight!

January 23rd, 2013
5:07 pm

Abstinence involves personal responsibility and moral restraint. Something very few Libs would understand — Congressman Scott Desjarlais

Soothsayer

January 23rd, 2013
5:08 pm

Cheesy Grits is gone but not forgotten

January 23rd, 2013
5:09 pm

Abstinence involves personal responsibility and moral restraint. Something very few Libs would understand — Bristol Palin

Exactly.

Final Nail in the Coffin
In the most recent study, researchers compared teens who had taken the virginity pledge to those who had not taken a pledge. The researchers found results similar to the aforementioned studies.

First, the rate of the teens taking part in sex was the same. Those taking the virginity pledge were just as likely to have intercourse. The only positive, statistically small, was that those taking the pledge had 0.1 fewer sex partners over the five year study than did those who did not take such a pledge.

However, two other findings were most damning. First, those taking the virginity pledge were less likely to protect themselves. Pledge takers were found to be less frequent users of condoms and other forms of birth control.

Robert Lee - Cogito ergo zoom

January 23rd, 2013
5:09 pm

Keep – Abstinence involves personal responsibility and moral restraint. Something very few Libs would understand — Bristol Palin

Now that was funny!

Cheesy Grits is gone but not forgotten

January 23rd, 2013
5:10 pm

Second, and most importantly, virginity pledges are one of the measurement tools for determining if the abstinence education program is effective. For these federal funded programs, the government has counted pledges as data that the program is effective.

Rosenbaum summarizes the data succinctly, “Abstinence-only education is required to give inaccurate information. Teens are savvy consumers of information and know what they are getting.”

Common Sense isn't very Common

January 23rd, 2013
5:10 pm

DDR

Are you abstinent LP? Is that why you’re so blocked up, ornery, hate filled, and evil? Or is that constipation? I could never get those two straight………
————————————————————————-

His fallopian tubes are blocked up, he needs a probing :-)

Paul

January 23rd, 2013
5:11 pm

Well, I think we have a pretty good idea of what would’ve happened with a Republican president and a Republican Senate.

Regression.

Related earlier, friend told me he needed a prostate biopsy that his health insurance denied due to pre-existing condition. Thousands of dollars. I asked him ‘didn’t that part of Obamacare kick in? (He cannot stand Pres Obama and was opposed to Obamacare). Heard from him this morning – he changed policies and now it’s covered. I asked him how he likes Obamacare. Said it’s looking better. I gave him a standard line about ideology vs reality.

The Republican reality in Louisiana is great for the ideologues but bad for people living in the real world.