Numbers for Medicaid expansion don’t add up
Obamacare supporters want to talk numbers when it comes to expanding Medicaid in Georgia. OK, let’s talk numbers:
When they returned last month, Georgia’s legislators already faced a $774 million hole for Medicaid through June 2014. That was before any expansion, and even after assuming renewal of the “bed tax” that brings in some $700 million a year for the program.
Medicaid is already the fastest-growing part of Georgia’s budget. Including PeachCare for kids, it will consume $1 of every $7 in state funds in fiscal 2014, up from $1 per $9 a decade ago.
That increased ratio means almost $616 million will go to Medicaid next year instead of transportation, tax cuts, whatever. State lawmakers can do precious little to arrest the trend.
Still, Obamacare supporters want Medicaid to grow faster.
Pressure is mounting on Nathan Deal to follow the path taken by some other Republican governors — Florida’s Rick Scott and New Jersey’s Chris Christie joined the list in the past eight days — and accept the expansion included in Obamacare.
At first, they note, Washington will pick up the tab. Only after three years will the feds begin reducing their share of the expansion, to 90 percent by 2020. How long that rate sticks, I note, will depend on the generosity — or profligacy — of future Congresses.
But today I want to address two other arguments the expansionists are pushing.
Scott made one argument last week when he announced support for expanding in Florida: “[O]ur options are either having Floridians pay to fund this program in other states while denying health care to our citizens,” he said, or taking federal money to expand Medicaid.
The same claim is made here. We’re going to pay for it, so why not benefit from it?
The arrangement might make sense if it were Washington whose budget was balanced and the state whose finances were in shambles, not the other way around.
The notion taxpayers are already funding the Medicaid expansion requires one to ignore the serially large deficits Washington is running — as well as lawmakers’ reluctance to accept the relatively small cuts of sequestration, due to hit Friday.
Spending that rises while huge deficits persist is not “paid for” in any meaningful sense. Scott, Christie and the others are wrong about the responsible course.
And persist deficits will. Just this month, the Congressional Budget Office projected only two years out of the next 11 in which the deficit will be smaller than the very largest deficit (adjusted for inflation) between 1940 and 2008. That’s probably an optimistic take: CBO’s belief the deficit will soon fall to “only” $430 billion in 2015, before rising in each subsequent year, rests on the hope our sluggish economy is about to achieve and maintain a growth rate not seen in a decade and a half.
Speaking of rosy forecasts, another new argument is that expanding Medicaid in Georgia by $4 billion a year over 10 years (the federal share) would create thousands of jobs and boost our economy by more than $8.1 billion a year, a 103 percent return on “investment.”
A review of federal jobs data and state health expenditures makes me skeptical. Using the most recent figures available for both, and adjusting them for inflation, a five-year average for both Georgia and the entire nation showed there was one direct health-care job for roughly every $200,000 spent on health care annually. That $8.1 billion economic boost assumes one direct health-care job would be created for every $110,000 spent.
It’s possible newer jobs would be created more efficiently. But if the earlier average of $200,000 per job held up, and even if we accept the study’s other multipliers, the return on “investment” may be closer to 20 percent — $4 billion in new spending creating $5 billion of activity — than 103 percent. That’s not worth raising state taxes to fund our share of the cost.
The bases for weighing the Medicaid expansion are whether the state can afford its portion, whether we can count on the feds to deliver on their promises, and whether we should expand Medicaid before reforming it. All three answers remain “No.”
– By Kyle Wingfield
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354 comments Add your comment
Bruno
February 28th, 2013
9:39 pm
Shhh BRUNO
Don’t mention that federal money and state money come from the taxpayers pockets!!!
Admittedly, it’s a clever sort of shell game, Dusty, that the Dems are pulling off. The states that don’t go along with their plan are forced to subsidize the ones who do, thereby guaranteeing that everyone will have to join in eventually. For concocting schemes like this, Obama is a hero to these Libs. Yet they can’t figure out why those who have just been strong-armed can’t stand him–or them.
Bruno
February 28th, 2013
9:42 pm
My favorite album growing up:
http://www.youtube.com/watch?v=0SqFPNTBnv8
Dusty
February 28th, 2013
9:51 pm
BRUNO, Since i have been around good doctors most of my life, I do listen to what they tell me. BUT, as md says here frequently, eveyone makes their own choices. I guess you see that too and it must be frustrating when patients come and then don’t listen..
JDW is just a hand holding liberal so healthcare should support him. (After all he has been to EUROPE and every one there is100% healthy!!)
Bruno
February 28th, 2013
10:00 pm
Dusty–For whatever reason, many people just can’t stop pushing their self-destruct buttons. It’s some kind of mental/emotional thing, and no amount of counseling can change it.
For me, taking care of your body is almost a spiritual thing. We’re given this miraculous existence, so the least we can do is honor the gift.
Tiberius - pulling the tail of the left AND right
February 28th, 2013
10:09 pm
As usual, JDW blathers on anything else but the subject at hand.
MarkV
February 28th, 2013
10:12 pm
We have always known that Tiberius is obnoxious and arrogant. Now we also know that he is a pathetic coward who is unable to admit an error.
Politico
February 28th, 2013
10:20 pm
“Politico attacks the posters, but contributes nothing else. And repeats the same things more often than AmVet ever did. Too bad Politico won’t take the same path and self banish himself. “-
Big baby but short in statue just can’t help herself. Another one who insults and call names but cant take the same heat she attempts to turn up
take it up with Kyle little tike
Dusty
February 28th, 2013
10:22 pm
That’s a special thought you gave us there, BRUNO, “We’re given this miraculous existence, so the least we can do is honor the gift.” I also like to honor the Giver with appreciation. Each of us finds their way of doing that.
Today, I noticed spring is almost here. A little wren is busy building a nest under the eaves of my store room. She has found a special spot and is setting up housekeeping. Funny how such a little thing can please but it did.
Now, I say G’nite. Getting late…
Bruno
February 28th, 2013
10:22 pm
http://www.youtube.com/watch?v=DrGuVa-4BVE
md
February 28th, 2013
10:25 pm
” One common assumption liberals seem to make is that people are basically incompetent and incapable of self-control, such that we shouldn’t hold them responsible for any bad habits they may pick up along the way. ”
Just watched a woman interviewed about the Miss Delaware issue and the young ladies choice to resign after the news came out she did a porn video and the woman doctor? said it wasn’t her fault it was the fault of the girls surroundings and society in general.
Perfect example of why we are circling the drain…….
Bruno
February 28th, 2013
10:40 pm
Acoustic version of “Echoes”:
http://www.youtube.com/watch?v=KPXWKO-EBgc
WillyWonka
February 28th, 2013
11:21 pm
Kyle, I am tired of you and other right wing Republicans trying to undermine progress by selectively misrepresenting data and findings of governmental agency reports, for the purpose of fear mongering and spreading your not so “real truth.”
In a new report, the nonpartisan Government Accountability Office (GAO) found that President Obama’s signature law could increase or decrease the deficit over the next 75 years depending on whether its cost-saving provisions survive.
[...]
Assuming the law is enforced as-is, the U.S. deficit will decline 1.5 percent as a share of the economy over the next 75 years, according to the GAO. Auditors attributed 1.2 percent of this improvement to the Affordable Care Act.
Under a different set of assumptions, the law has the opposite effect over time, the GAO said — the deficit will increase by 0.7 percent of gross domestic product (GDP) if the law’s cost-containment measures are phased out.
The report attributed this potential increase in part to the law’s most expensive features — the Medicaid expansion and the provision of insurance subsidies.
The report was requested by Sen. Jeff Sessions (Ala.), the top Republican on the Senate Budget Committee. On Tuesday, he and his office jumped on the figures to say that the healthcare law will increase the deficit by $6.2 trillion over 75 years.
To arrive at this figure, Sessions’s office assumed the second scenario, in which the law’s cost-containment measures end, and added up 75 year’s [sic] worth of deficits using GDP projections from the Centers for Medicare and Medicaid Services. [The Hill, 2/26/13]
td
February 28th, 2013
11:29 pm
Money borrowed from China to pay for the free healthcare for the irresponsible. Progressive logic at its best.
On top of this truth, where is the 10% (close to a billion per year) going to come from? We are stealing the money from our children now (education funding) to pay for the increases in Medicaid already on the books. More progressive logic, our free healthcare is more important then our childrens future.
Lil' Barry Bailout - OBAMAPHONE!!!
February 28th, 2013
11:46 pm
Greedy progs make real Americans sick.
Aesop's Fables and other Lib Economic Theories
March 1st, 2013
6:58 am
“The worst-case scenario for us,” a leading anti-budget-cuts lobbyist told The Post, “is the sequester hits and nothing bad really happens.” – Krauthammer
Notice how what’s bad for obozo is good for the country?
JDW
March 1st, 2013
7:38 am
@Bruno…”As one who has worked in health care for nearly 27 years, I can assure JDW that doctor input has minimal impact on patient’s choices.”
Maybe that depends on the doctor…mine damn sure isn’t shy about making his opinion known. As for this whole choices hoorah, Some people will make bad choices no matter what, however an efficient health care system will offer them the choice of an annual physical, the choice to resolve their issues, the choice for better prenatal care and other similar choices. Ours does not do that for the nearly 50 million people in this country that have no insurance and as such limited access to care.
I guess it comes down to a choice, do you want to live in a society that turns it’s back on 50 million citizens ot not. Might I suggest a visit to South Africa to see how an extreme example of that plays out, they made many decisions along that line for a long time. Now those that have live behind razor wire with private security and close the access roads to town to keep “those people” out.
JDW
March 1st, 2013
7:41 am
@Bruno…”I’m not sure why this shell game of shuffling money around is generating so much excitement here among the Libs. It’s this simple: our health care delivery system is too expensive.”
Yes it is far to expensive, but the only way to eat such an elephant is one bite at a time. There is no universal fix in this political environment. The ACA is a start not an end.
JDW
March 1st, 2013
7:44 am
@Dusty…”(After all he has been to EUROPE and every one there is100% healthy!!)”
Actually I have lived there and recieved care in the dreaded socialized medicine system…pssssstttt it works about the same as it does here except lots cheaper. As for 100% healthy, nope, just more healthy than us.
JDW
March 1st, 2013
7:48 am
@Tiberius…”As usual, JDW blathers on anything else but the subject at hand.”
Please do point out anything of substance in ANY one of your posts in this blog…there isn’t one…not a fact, not a link, not a hypothesis, not an argument. Nothing but insults and proclamations from Tiberiusville…most proving to be wrong as per usual.
Rafe Hollister preparing for an Obamanist America
March 1st, 2013
8:19 am
As Bruno points out the principal problem with lack of healthcare is waste in the system, which inflates what we pay. We all realize that our healthcare system could be better, but as with any problem, the libs always want to turn to the government for help. Waste and government go together like peanut butter and jelly. There is no reason to believe that if people go to the doctor more, their medical problems will disappear. If you are predisposed to a certain illness, more than likely a trip to the doctor is not going to save you. Early detection is good for cancer, but doesn’t help much with Alzheimers. Different people need different amounts of medical intervention. Do we let Gov impose a one size fits all approach, or do we let the doctor and the patient determine what makes sense for that patient.
What we need is more competition, as competition eliminates waste. We need to take the limits off medical school enrollments and do away with the certificate of need for the hospitals. Lets let the natural order of free enterprise work. Lets allow insurance companies to see wherever and whatever they desire. Let hospitals and doctors sell insurance and sell prepaid medical treatment plans. The poor will need to be subsidized in some way to start with, but prices will fall eventually, IMO.
Every patient should be in charge of managing, with his doctor, his own medical treatment. Often, we are better judges of what our money is spent on than a doctor reading from his AMA guidelines. I have thrown many prescriptions away and cancelled many doctors appointments, because I decided to give it a day or so for the condition to reconcile itself, which it did, rather than run to the doctor and drugstore and spend the money for that miracle cream or salve the MD prescribed. If the medicine and care were free, I would not have made the same decision.
Rafe’s solution, available for $0.99, but willing to the meet all competitive prices.
Lil' Barry Bailout - OBAMAPHONE!!!
March 1st, 2013
8:27 am
The President threatens to veto a bill to let him do less harm.
House Republicans are offering to give Mr. Obama even more flexibility, yet the President won’t take yes for an answer.
Mull that one over: The President wants to deny himself and his executive branch the authority to do less harm. Don’t stop me before I kill again.
http://online.wsj.com/article/SB10001424127887324662404578332613534040162.html?mod=WSJ_Opinion_AboveLEFTTop
————————–
Obozo is more interested in causing as much harm as possible with the sequester than in using the flexibility he already has to make smart cuts. Now he says he would veto a bill to give himself even more flexibility.
Obozo: Party over country. Every time. All campaign, no solutions.
Real Athens
March 1st, 2013
8:57 am
Aesop at 6:54 PM last night:
“Any idiot can understand this, er, I mean, “most” idiots. But not our idiot president.”
Then again at 6:58 am this morning:
“Notice how what’s bad for obozo is good for the country?”
I think I see a pattern here.
Politico
March 1st, 2013
9:18 am
Rafe
While there is much waste as you stated, you do realize that some of the restrictions that you speak of are in place due to the direct lobbying efforts of the same companies you think just want to give us lower prices if they could just get past the government hurdles…
Some of these hurdles are pushed by companies and industries to reduce competition..
Insurance companies are not just lobbying government for less regs. When it suits the larger ones, they are lobbying for more regs in their efforts to curtail competition…
There was a time that these companies wanted to compete. It was when they were smaller and working to gain market share. Now they are at or towards the top in market share, some prefer as little competition and price decreases as possible. They don’t always get that and it depends on the industry but insurance in some aspects surely fits the bill.
md
March 1st, 2013
9:20 am
“I guess it comes down to a choice, do you want to live in a society that turns it’s back on 50 million citizens ot not. ”
And there is the way the libs look at the world, it’s always the responsible ones that are the greedy ones for refusing to take care of the ones that make the choices NOT to participate.
I’ll once again point folks like jdw to the education system. Taxpayer dollars (from those greedy people that pay taxes) used to provide an assistance program for ALL, yet .25 – .30 CHOOSE not to participate in said “free” assistance.
And yet to some libs it is the other group that is shirking it’s duty to society………
Tiberius - pulling the tail of the left AND right when needed
March 1st, 2013
9:24 am
“however an efficient health care system will offer them the choice of an annual physical”
Continuing the effort to provide the dumbest posts in the history of Kyle’s blog, JDW provide the one above.
Do you even know how much an annual physical costs when you pay cash, JDW?
I suspect it is like a lot of things with you, in that you don’t know what you’re talking about.
Rush
March 1st, 2013
9:52 am
Why not hang out in Europe then if it was so great, JDW? I hear Greece is in wonderful financial condition and would welcome someone of your superior intellect on such matters. LOL
Cheesy Grits is gone but not forgotten
March 1st, 2013
9:56 am
(After all he has been to EUROPE and every one there is100% healthy!!
Maybe not 100 percent.
But they are sure a lot healthier than we are and spend far less than we do on it.
They all have Universal Healthcare too.
But I guess that is just a coincidence right …..
Cheesy Grits is gone but not forgotten
March 1st, 2013
9:58 am
I see Cheesy Grits did a hard hitting interview Fox News.
He was like ” Dude the election was totally like a roller coaster and we were like totally into it. But then the roller coaster like totally stopped and we were like so bummed”
Drudge
March 1st, 2013
10:02 am
http://www.youtube.com/watch?feature=player_embedded&v=0cJFhGf2ZQs
Remember this? NOT ONE DIME added to the national debt. He was right, not one dime – $6.2 Trillion. This is from the GAO. That’s 62,000,000,000,000 dimes for those of you playing at home.
Finn McCool (The System isn't Broken; It's Fixed)
March 1st, 2013
10:02 am
they are lobbying for more regs in their efforts to curtail competition…
Good luck getting that concept through the thick Con skull.
Finn McCool (The System isn't Broken; It's Fixed)
March 1st, 2013
10:04 am
A man was missing early Friday after a large sinkhole opened under the bedroom of a house near Tampa and his brother says the man screamed for help before he disappeared.
Let’s move to Florida!
Tiberius - pulling the tail of the left AND right when needed
March 1st, 2013
10:07 am
“But I guess that is just a coincidence right …..”
No, they are completely unrelated, Cheesy. Apples and oranges in fact.
Cheesy Grits is gone but not forgotten
March 1st, 2013
10:09 am
No, they are completely unrelated, Cheesy. Apples and oranges in fact.
True ignorance.
In fact they are related.
Dusty
March 1st, 2013
10:09 am
I hope Kyle goes to a new subject soon. This one is SAD. Here are reflections from some of the liberal comments here.
LIberals believe that almost 50% of Americans are incapable of taking care of themselves.
That Obama’s policies may or may not decrease the deficit in SEVENTY FIVE YEARS!!
That American healthcare (the best in the world) is still inferior because it is not yet controlled by government.
That America is controlled by big business, cheaters, the “rich”,( yet it is still the world center for freedom),
That bad decisions on health, climate, finances, are not related to personal decisions but to the surroundings or other people.
There is plenty of money out there to be borrowed if China will no longer loan money to the USA.
Austerity and budgets are for wimps!
Living in other countries is so much better than in America. Their healthcare and manufactured goods are so much better than the stuff manufactured in America by greedy companies and rich managers.
The list goes on. Any appreciation for our country is deemed as silly patriotism and stuffy promotion. Defense is for war mongers! Taxes should come mainly from the rich!
——————
Hurry, Kyle. We definitely need some fresh air here.
Cheesy Grits is gone but not forgotten
March 1st, 2013
10:15 am
Remember this? NOT ONE DIME added to the national debt. He was right, not one dime – $6.2 Trillion. This is from the GAO. That’s 62,000,000,000,000 dimes for those of you playing at home.
Ronald Reagan tripled the national debt in 8 years. Obama wont come close to that.
In fact our debt has spiraled out of control pretty much since Republicans started cutting taxes and adding loopholes for their rich buddies.
Its the revenue stupid
And the wealth in this country is flowing very quickly to the top while we fight for the scraps. We were told it would trickle back down. I’m still waiting.
And they sell that trickle down lemon to you guys and you fall for it every time.
“There’s a sucker born every minute”
- P.T. Barnum
They are called Republicans today P.T.
Tiberius - pulling the tail of the left AND right when needed
March 1st, 2013
10:15 am
“In fact they are related.”
Prove it, Cheesy, instead of giving an uninformed opinion. Your “it costs less because they have universal health care” was debunked yesterday when I brought up doctors salaries here vs. there (a little bit of information you chose to ignore).
So prove that they are related.
Of course, you might want to pay your doctor an hourly wage consistent with a government bureaucrat, but that’s not a doctor I’m willing to go see.
Cheesy Grits is gone but not forgotten
March 1st, 2013
10:17 am
Complete nonsense by Dusty.
Not a fact in there.
I did a whole thing on How a 2 year old loves mommy
Dusty fits right in there nicely.
Cheesy Grits is gone but not forgotten
March 1st, 2013
10:18 am
Your “it costs less because they have universal health care” was debunked yesterday
No it wasn’t. In fact it was clearly proven.
Cheesy Grits is gone but not forgotten
March 1st, 2013
10:21 am
A Strategic Counsel survey found 91% of Canadians prefer their healthcare system instead of a U.S. style system. Plus 70% of Canadians rated their system as working either “well” or “very well”.
I guess Doctors in Canada are terrible and they are all idiots.
And before you start with the well why do they come here for healthcare you are wrong about that too.
More Americans go there instead of staying in the states and going broke.
In fact all along the border there are marriages of convenience for just that reason.
Tiberius - pulling the tail of the left AND right when needed
March 1st, 2013
10:21 am
“Remember this? NOT ONE DIME added to the national debt. He was right, not one dime – $6.2 Trillion. This is from the GAO. That’s 62,000,000,000,000 dimes for those of you playing at home.”
Cheesy’s response: “Ronald Reagan tripled the national debt in 8 years. Obama wont come close to that.”
Ah, the red meat of the liberal – deflection.
In case you missed it (and of course you did), Cheesy, the argument being made as the absurdity of President Incompetent saying his most recent SOTU proposal wouldn’t add in dime to our debt (even though he’s added so much more than that in just his first term of office).
Anybody willing to debate the issue would offer a counter argument to that original argument.
The “but he did it first” deflection argument went out of fashion when you got out of fourth grade (assuming you ever did), Cheesy.
JDW
March 1st, 2013
10:21 am
@Tiberius…”Continuing the effort to provide the dumbest posts in the history of Kyle’s blog, JDW provide the one above. Do you even know how much an annual physical costs when you pay cash, JDW? I suspect it is like a lot of things with you, in that you don’t know what you’re talking about.”
I see our resident self appointed Constitutional expert is taking a break in his exhaustive search for the federal budget requirements set forth in the Constitution…how is it coming find anything yet? Didn’t think so.
O’ well on to educating you today….
How much…well silly it depends on what you include. Just the basics you can get away for around $200 start adding in things like EKG’s, colonoscopies and such and it gets lots more expensive quick….
“According to The Medical Expenditure Panel Survey, a set of large-scale surveys on the use and cost of health services conducted by the Agency for Healthcare Research and Quality, the average price of an office visit for an uninsured patient is $199.”
BTW that quote up above its called supporting evidence normally used by those of us that understand that we don’t know everything…try it sometime it will do wonders for your credibility…now back to the ranch.
However in your rush to poo poo…after all what uninsured below poverty line earner wouldn’t have a couple of hundred laying around for such things…you forget that preventive care…like an annual physical, done properly, is one of the building blocks of keeping costs down and when you don’t have health insurance you are much more likely not to receive that care…running the costs up for everyone.
“Uninsured citizens are three times less likely to receive medical care as insured persons. So it’s no surprise that the uninsured receive less preventive care and have higher mortality rates than those with coverage. By the time they begin to show symptoms and visit a doctor, their condition is often far more difficult (and expensive) to treat.”
http://www.insweb.com/health-insurance/preventive-care-health-insurance.html
Again note the link, supporting evidence…try it…you will look like a fool less often.
indigo
March 1st, 2013
10:22 am
Dusty – 10:09 “liberals believe that almost 50% of Americans are incapable of taking care of themselves”
That kind of hyberbole is why most of us here have concluded the only thing you’re good for is a contemptus laugh.
Tiberius - pulling the tail of the left AND right when needed
March 1st, 2013
10:24 am
“A Strategic Counsel survey found 91% of Canadians prefer their healthcare system instead of a U.S. style system.”
And well they should, as it works for them in their system of government. Of course, they don’t live under a Constitutional Republic which basically prohibits universal health care, so their opinion in this regard really doesn’t matter, does it?
“Plus 70% of Canadians rated their system as working either “well” or “very well”.”
And over 90% of insured in the U.S. rate their health care as well or very well, Cheesy. So why did the government interfere in that system instead of fixing the part that wasn’t so good?
JDW
March 1st, 2013
10:25 am
@Tbierius…”Your “it costs less because they have universal health care” was debunked yesterday when I brought up doctors salaries here vs. there”
You never did explain how our cost problem could be the fault of doctors earnings when if they earned ZERO our costs per capita would still exceed the rest of the world.
JDW
March 1st, 2013
10:33 am
@Tbierius…”And over 90% of insured in the U.S. rate their health care as well or very well”
I see you didn’t catch on to the point about supporting evidence and plan to stick with pulling stuff out your a$$.
Now for the real story…according to Gallup (since it doesn’t involve a presidential race maybe it is more accurate)
“One aspect of the U.S. healthcare system Americans are generally positive about is quality — 62% rate it as excellent or good. That ties as the best rating of U.S. healthcare quality Gallup has measured since it began tracking this item in 2001, though excellent/good ratings of quality have never dropped below 53%.”
http://www.gallup.com/poll/158966/majority-against-gov-healthcare-guarantee.aspx
Tiberius - pulling the tail of the left AND right when needed
March 1st, 2013
10:34 am
“How much…well silly it depends on what you include. Just the basics you can get away for around $200 start adding in things like EKG’s, colonoscopies and such and it gets lots more expensive quick…”
Very good, JDW. You have now LEARNED something (a bit of a stretch for you, but congratulations).
So when did an EKG or colonoscopy become part of a basic physical? Answer: It didn’t, but thanks for adding in those things as yet another deflection from the topic.
So, let’s get down to the basic physical, shall we? You claim that the average poor person wouldn’t have $200 buck lying around, and that likely is true, given that many of them spend their limited dollars on cigarettes and beer instead of what’s important – like health care. But even with your inflated cost of $200 bucks (more like $125 in the Atlanta area and in most non-urban areas across the country), you’re claiming that someone interested in actually getting an annual physical can’t find a way to scrape together $3.84 per week and put it aside for that doctor’s visit which would at least put them on the path towards a healthier lifestyle?
Or maybe, like so many others of your ilk, it’s just better to screw the rest of us into paying for that now $300 insurance-covered physical instead of buying one less pack of smokes or one less six-pack per week and being responsible, isn’t it?
Priorities, JDW.
Responsible people get them done. The irresponsible become Democrats.
Tiberius - pulling the tail of the left AND right when needed
March 1st, 2013
10:36 am
Silly JDW. Can’t even read what I posted. Typical.
I said those that were INSURED, dummy. Not all people.
Pay attention next time, tool.
Tiberius - pulling the tail of the left AND right when needed
March 1st, 2013
10:37 am
“You never did explain how our cost problem could be the fault of doctors earnings when if they earned ZERO our costs per capita would still exceed the rest of the world.”
You never explained how they would, JDW.
md
March 1st, 2013
10:49 am
“Ronald Reagan tripled the national debt in 8 years. Obama wont come close to that.”
Wow, talking about comparing apples to oranges…..and the scary part is some folks actually think it is relevant.
Rafe Hollister preparing for an Obamanist America
March 1st, 2013
10:54 am
Politico
I’m not naive, I agree with you, I know the big guys try to buy up the small ones and discourage competition, but their are FTC laws against that practice in other industries, they could write and enforce those to stimulate competition.. There are ways to encourage SBA to maybe even emphasize new medical small business startups.