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	<title>Comments on: The Puzzling War on the Elderly</title>
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	<description>Health Care Policy and Reform Insights &#124; NCPA</description>
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		<title>By: War on Seniors &#124; John Goodman &#124; NCPA</title>
		<link>http://healthblog.ncpa.org/the-puzzling-war-on-the-elderly/comment-page-1/#comment-61006</link>
		<dc:creator>War on Seniors &#124; John Goodman &#124; NCPA</dc:creator>
		<pubDate>Wed, 21 Apr 2010 18:05:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4816#comment-61006</guid>
		<description>[...] reason to be hopeful. The cuts in Medicare Advantage subsidies, for example, appear to be based on special interest politics alone, not on any lofty [...]</description>
		<content:encoded><![CDATA[<p>[...] reason to be hopeful. The cuts in Medicare Advantage subsidies, for example, appear to be based on special interest politics alone, not on any lofty [...]</p>
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		<title>By: Joe B</title>
		<link>http://healthblog.ncpa.org/the-puzzling-war-on-the-elderly/comment-page-1/#comment-46652</link>
		<dc:creator>Joe B</dc:creator>
		<pubDate>Thu, 01 Oct 2009 15:17:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4816#comment-46652</guid>
		<description>It&#039;s amazing how politicians spin the web of lies. As the article points out &lt;a href=&quot;http://www.mysenioradvisorsgroup.com/Medicare-Advantage-Basics.html&quot; rel=&quot;nofollow&quot;&gt;Medicare Advantage&lt;/a&gt; overfunding is primarily borne in rural markets, where we probably need to spend a little more so that plans will enter those markets. In urban areas such as Philadelphia, &lt;a href=&quot;http://www.mysenioradvisorsgroup.com/Aetna-Medicare.html&quot; rel=&quot;nofollow&quot;&gt;Aetna Medicare &lt;/a&gt;actually provides benefits and services that I understand are on par with the costs Medicare.

It&#039;s a shame what has already been done to MA and of course seniors enrolled in these plans. About 50% or more of these plans have been eliminated in rural areas for 2010. Our government thinks this is good for seniors? Go Figure.</description>
		<content:encoded><![CDATA[<p>It&#8217;s amazing how politicians spin the web of lies. As the article points out <a href="http://www.mysenioradvisorsgroup.com/Medicare-Advantage-Basics.html" rel="nofollow">Medicare Advantage</a> overfunding is primarily borne in rural markets, where we probably need to spend a little more so that plans will enter those markets. In urban areas such as Philadelphia, <a href="http://www.mysenioradvisorsgroup.com/Aetna-Medicare.html" rel="nofollow">Aetna Medicare </a>actually provides benefits and services that I understand are on par with the costs Medicare.</p>
<p>It&#8217;s a shame what has already been done to MA and of course seniors enrolled in these plans. About 50% or more of these plans have been eliminated in rural areas for 2010. Our government thinks this is good for seniors? Go Figure.</p>
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		<title>By: Myth 21. Proposed health care reform would offer more choices. &#171; AAPS News of the Day</title>
		<link>http://healthblog.ncpa.org/the-puzzling-war-on-the-elderly/comment-page-1/#comment-46417</link>
		<dc:creator>Myth 21. Proposed health care reform would offer more choices. &#171; AAPS News of the Day</dc:creator>
		<pubDate>Wed, 23 Sep 2009 00:35:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4816#comment-46417</guid>
		<description>[...] Reformers have targeted these for “savings” to help fund expansions in coverage. At least one in five seniors, most of them with low or moderate income, chose to enroll in such a plan (Karl Rove, Wall St J 8/27/09 ; John Goodman, Health Alert 8/24/09). [...]</description>
		<content:encoded><![CDATA[<p>[...] Reformers have targeted these for “savings” to help fund expansions in coverage. At least one in five seniors, most of them with low or moderate income, chose to enroll in such a plan (Karl Rove, Wall St J 8/27/09 ; John Goodman, Health Alert 8/24/09). [...]</p>
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		<title>By: The Medicare Advantage Plans Obama Wants to Defund: More Evidence on their Performance &#124; John Goodman &#124; NCPA</title>
		<link>http://healthblog.ncpa.org/the-puzzling-war-on-the-elderly/comment-page-1/#comment-46269</link>
		<dc:creator>The Medicare Advantage Plans Obama Wants to Defund: More Evidence on their Performance &#124; John Goodman &#124; NCPA</dc:creator>
		<pubDate>Thu, 17 Sep 2009 19:32:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4816#comment-46269</guid>
		<description>[...] previously reported on the relative performance of eight major MA plans vis-a-vis conventional Medicare. Now there is new data for all MA plans versus all standard Medicare in two states: California and [...]</description>
		<content:encoded><![CDATA[<p>[...] previously reported on the relative performance of eight major MA plans vis-a-vis conventional Medicare. Now there is new data for all MA plans versus all standard Medicare in two states: California and [...]</p>
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		<title>By: How Well Does Managed Care Work for the Medicaid Disabled Patients? Not Well. &#124; John Goodman &#124; NCPA</title>
		<link>http://healthblog.ncpa.org/the-puzzling-war-on-the-elderly/comment-page-1/#comment-46159</link>
		<dc:creator>How Well Does Managed Care Work for the Medicaid Disabled Patients? Not Well. &#124; John Goodman &#124; NCPA</dc:creator>
		<pubDate>Tue, 15 Sep 2009 14:30:39 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4816#comment-46159</guid>
		<description>[...] on the tremendous success of pilot programs in which the Medicaid homebound disabled are able to manage their own health care dollars (think: HSAs for the chronically ill). What about managed care? Here are the study’s principal [...]</description>
		<content:encoded><![CDATA[<p>[...] on the tremendous success of pilot programs in which the Medicaid homebound disabled are able to manage their own health care dollars (think: HSAs for the chronically ill). What about managed care? Here are the study’s principal [...]</p>
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		<title>By: karen h. thompson</title>
		<link>http://healthblog.ncpa.org/the-puzzling-war-on-the-elderly/comment-page-1/#comment-45622</link>
		<dc:creator>karen h. thompson</dc:creator>
		<pubDate>Tue, 01 Sep 2009 21:43:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4816#comment-45622</guid>
		<description>posting from quentin ledford was fascinating to
read and quite clear and to the point.  i agree,
getting any live body in the House or Senate to
even acknowledge such a reasonable alternative
would be a miracle, but we can wish, can&#039;t we!!
my grandchildren will pay for the wasteful lapses
of the last several presidents for most of their
adult lives and will probably never forget the
mess left them by their parents/grandparents.</description>
		<content:encoded><![CDATA[<p>posting from quentin ledford was fascinating to<br />
read and quite clear and to the point.  i agree,<br />
getting any live body in the House or Senate to<br />
even acknowledge such a reasonable alternative<br />
would be a miracle, but we can wish, can&#8217;t we!!<br />
my grandchildren will pay for the wasteful lapses<br />
of the last several presidents for most of their<br />
adult lives and will probably never forget the<br />
mess left them by their parents/grandparents.</p>
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		<title>By: Nancy</title>
		<link>http://healthblog.ncpa.org/the-puzzling-war-on-the-elderly/comment-page-1/#comment-45521</link>
		<dc:creator>Nancy</dc:creator>
		<pubDate>Sat, 29 Aug 2009 22:40:21 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4816#comment-45521</guid>
		<description>Joe, I don&#039;t think Uwe intended for us to take his recommendation seriously. John needs to put the satire alert next to some of his comments.</description>
		<content:encoded><![CDATA[<p>Joe, I don&#8217;t think Uwe intended for us to take his recommendation seriously. John needs to put the satire alert next to some of his comments.</p>
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		<title>By: Joe</title>
		<link>http://healthblog.ncpa.org/the-puzzling-war-on-the-elderly/comment-page-1/#comment-45501</link>
		<dc:creator>Joe</dc:creator>
		<pubDate>Sat, 29 Aug 2009 11:32:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4816#comment-45501</guid>
		<description>To Uwe Reinhart,

I cannot possibly think of anything more selfish than your attitutde that we should simply place the burden for paying for your healthcare today on future generations that don&#039;t even exist yet. Borrowing from the future to pay for today is wrong because it lowers the standard of living for those yet to come. Most of the problems that exist today are the result of us having to pay off the debts incurred by past generations. A huge portion of the budgets of governments at all levels goes toward the servicing of old debt. If this debt were eliminated, our taxes could be used for things we actually need or we could even get a tax cut. Warren Buffett said recently that we must stop all this borrowing and deficit spending before we become a banana republic.</description>
		<content:encoded><![CDATA[<p>To Uwe Reinhart,</p>
<p>I cannot possibly think of anything more selfish than your attitutde that we should simply place the burden for paying for your healthcare today on future generations that don&#8217;t even exist yet. Borrowing from the future to pay for today is wrong because it lowers the standard of living for those yet to come. Most of the problems that exist today are the result of us having to pay off the debts incurred by past generations. A huge portion of the budgets of governments at all levels goes toward the servicing of old debt. If this debt were eliminated, our taxes could be used for things we actually need or we could even get a tax cut. Warren Buffett said recently that we must stop all this borrowing and deficit spending before we become a banana republic.</p>
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		<title>By: Quentin Ledford, Benefits Consultant</title>
		<link>http://healthblog.ncpa.org/the-puzzling-war-on-the-elderly/comment-page-1/#comment-45436</link>
		<dc:creator>Quentin Ledford, Benefits Consultant</dc:creator>
		<pubDate>Thu, 27 Aug 2009 13:40:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4816#comment-45436</guid>
		<description>I have heard the rhetoric that the new plan will be just like Medicare, but for everybody.  In researching this matter, it is inconceivable that this can possibly be feasible in any way.

Anyone that supports a single payer health system does not realize what they are backing.  Anyone who chooses to believes either the news media or the government without researching the actual facts from all sides of the issues is setting themselves up to be proven both a patsies and fools of the powers that be! 

Currently we hear that the administration has been cutting &#039;deals&#039; with Big Pharma, United Healthcare, and the AMA.  In observing these &#039;sell-out&#039; arrangements over the years, the one thing I am sure of is this... 

None of these &#039;deals&#039; are pursued with ANY intent of pursuing the interests of the taxpaying citizenry of the U.S.  It&#039;s all about control and power.     

Medicare is currently 75% subsidized, and most people still need to obtain a Supplement to assure proper protection.  Publicized abuses aside, Medicare does do some things right.

Medicare has forced the insurance industry to provide simple, easy to understand options (at least until several years ago with the recent introduction with the PFFS, so-called &#039;advantage&#039; programs which really is a re-intro of the Medicare HMO plus Choice programs).  As I understand it, although the plans are subsidized through social security deductions and Medicare, any overruns in their claims costs is borne by the commercial insurance carriers. 

I do believe that most people generally hate insurance companies.  Some of us even have reason to loath certain insurance companies.  However, in considering the advantages and the disadvantages, the only system that could possibly be more reprehensible is a government run monopoly.

Under the proposed legislation EVERYONE (Congress exempted of course!) will get the healthcare equivalent of a Yugo. However, for those folks that DO pay taxes, MANY will be forced to pay for the equivalent of a Lamborghini – BUT – they will still only be delivered a Yugo.

(QUESTION:  Was ANYBODY really happy driving a Yugo?) 

The government of these United States was established on the premise that its purpose, first and foremost, was to serve and protect the people.

The primary problem with heath care financing issue is that for too many years, legislators have been intent of playing every party in this debate against one another in the name of their own agendas, campaign financing in particular. Catering to the pressures of lobbyists, of special interest groups, and of partisan demands has compelled most legislators to seek the protection and the power of their party. In the process, the interests and the welfare of the American people have been totally jettisoned. 

It is essential, when considering the issue of healthcare financing that all facets of the system be carefully considered. Each respective problem has its own issues. It would not be wise to &#039;throw the baby out with the bathwater&#039; as the saying goes and simply destroy everything in hopes that something better could actually emerge as a result.

It is imperative to preserve every virtue while diligently working to mitigate every fault. For this purpose, it would be wise to seek out counselors with knowledge, insight, and experience from all sectors of the system to work together for solutions. It is also wise to permit those of other systems to express their experiences and frustrations so as to avoid the problems of others. Often, one finds their own problems are blessings in comparison.

One of the most reprehensible aspects of the abandonment by the government of citizenry interests is in its failure to protect the people. 

IN THE AREA OF HEALTHCARE FINANCING
What Government has done???
1. Government has permitted certain insurance companies to market plans which are deliberately designed to fatten the coffers of the &#039;so-called&#039; insurer and to defraud the unsuspecting public. Such policies limit the liability of the insurers while place UNLIMITED liability on the insured. [Indeed when legislation has been presented that would at the very least force these companies to clearly DISCLOSE that their plans provide only LIMITED COVERAGE, the insurance carriers (most frequently companies like HealthMarkets) actually PAY the legislators NOT to vote on the legislation (as happened recently in California).]

2. Created a complex framework of both Federal and State legislation (of which some is even contradictory) that is frequently designed to cater to special interest groups, lobbies, and political affiliates.

3. Has created a system whereby citizens...
a) Often have no idea what they are buying when they purchase health insurance.
b) Increasingly pay more as they grow older.
c) who, through no fault of their own, are suffering from unfortunate maladies which the insurers deem too costly to cover.

4. Has created a system whereby the greatest beneficiaries are...
a) The Pharmaceutical industry
b) The Mega-Hospital conglomerates and the AMA (both of which are in collusion). For decades the AMA has restricted the number of persons permitted to enter Medical School in order to LIMIT the available SUPPLY of physicians so that service costs will continue to escalate.) In addition, these are colluding to force the private practicing doctor out of business (which is why doctors have seen their pay reduced year after year for the past 20 years) and into a model whereby every physician will become an EMPLOYEE of a mega-hospital conglomerate (talk about restricting a physicians ability to act in behalf of their patient). Just as insurance companies often try not to cover medical services and procedures to keep from paying claims, hospitals frequently try to cut back on staff and services in order to increase profit.)
c) Unscrupulous (but not all) insurance carriers. Over the years I have had and fought through many claims, and I can say UNEQUIVOCABLY that not all insurance carriers are ethical. Although, it appears that most insurance companies will generally honor their contracts, we, the citizens frequently get kicked in their teeth by not knowing, or understanding what rights the law does give us and what rights the insurance contract takes from us.  As an insurance buyer I have to trust my agent to guide me properly has I often have no idea what the insurance company covers, or how they cover it, nor of any limitations inherent in my coverage.

5. Government has frequently enacted legislation that limits BOTH insurance industry competition AND consumer choice.

6. Government has designed a system which ignores the primary premise of insurance, &#039;the law of large numbers&#039;. This mathematical law of risk management basically states that the larger the number of homogenous units the more predictable the incidence of loss. This is why older individuals pay through the nose even to obtain catastrophic coverage. Roughly half of all uninsured persons in this country are under age 35 and ARE insurable, they simply do not see a need to buy and PAY for something they’re not statistically very likely to need. For an equitable system to work, EVERYONE must participate. Under the proposed legislation this law will ALSO be violated and will force private insurance out of business. Since existing private plans will be ‘grandfathered’ and insurance companies will not be permitted to write any new policies, insurance carriers will be forced into a death spiral whereby they are longer collecting enough premiums to cover their plan losses. Rhetoric aside, under the proposed arrangement, the government is deliberately intent on shutting down the health insurance industry. 

What has Government NOT done???
1. Government has not even discussed addressing the factors which ARE really driving up the cost of healthcare.

2. Government has not considered ANYTHING that might make obtaining coverage easier for the consumer. People should be able to purchase their health insurance with the confidence of knowing WHAT they are buying. Insurers are famous for playing ‘shell games’ with their benefits so that people will purchase what they perceive will meet their needs, but in fact, that which is really designed to be most profitable for the insurance company. 

3. Government has not considered ANY mechanisms which would force all insurance companies to play on the same field under the same rules.

Can the problems be addressed? Yes.

Will they? Not likely. 

Unless the majority of the people unite and draft their OWN legislation in accord with common sense, sound reasoning, and devoid of special interests, and actually force their legislators (regardless of party affiliation) to implement it, it can&#039;t possibly happen. The issues will be banned to proposed legislation purgatory along with the &#039;Fair Tax&#039; and any other reasonable concept that would simplify our lives. 

I challenge the legislators to prove me wrong!</description>
		<content:encoded><![CDATA[<p>I have heard the rhetoric that the new plan will be just like Medicare, but for everybody.  In researching this matter, it is inconceivable that this can possibly be feasible in any way.</p>
<p>Anyone that supports a single payer health system does not realize what they are backing.  Anyone who chooses to believes either the news media or the government without researching the actual facts from all sides of the issues is setting themselves up to be proven both a patsies and fools of the powers that be! </p>
<p>Currently we hear that the administration has been cutting &#8216;deals&#8217; with Big Pharma, United Healthcare, and the AMA.  In observing these &#8216;sell-out&#8217; arrangements over the years, the one thing I am sure of is this&#8230; </p>
<p>None of these &#8216;deals&#8217; are pursued with ANY intent of pursuing the interests of the taxpaying citizenry of the U.S.  It&#8217;s all about control and power.     </p>
<p>Medicare is currently 75% subsidized, and most people still need to obtain a Supplement to assure proper protection.  Publicized abuses aside, Medicare does do some things right.</p>
<p>Medicare has forced the insurance industry to provide simple, easy to understand options (at least until several years ago with the recent introduction with the PFFS, so-called &#8216;advantage&#8217; programs which really is a re-intro of the Medicare HMO plus Choice programs).  As I understand it, although the plans are subsidized through social security deductions and Medicare, any overruns in their claims costs is borne by the commercial insurance carriers. </p>
<p>I do believe that most people generally hate insurance companies.  Some of us even have reason to loath certain insurance companies.  However, in considering the advantages and the disadvantages, the only system that could possibly be more reprehensible is a government run monopoly.</p>
<p>Under the proposed legislation EVERYONE (Congress exempted of course!) will get the healthcare equivalent of a Yugo. However, for those folks that DO pay taxes, MANY will be forced to pay for the equivalent of a Lamborghini – BUT – they will still only be delivered a Yugo.</p>
<p>(QUESTION:  Was ANYBODY really happy driving a Yugo?) </p>
<p>The government of these United States was established on the premise that its purpose, first and foremost, was to serve and protect the people.</p>
<p>The primary problem with heath care financing issue is that for too many years, legislators have been intent of playing every party in this debate against one another in the name of their own agendas, campaign financing in particular. Catering to the pressures of lobbyists, of special interest groups, and of partisan demands has compelled most legislators to seek the protection and the power of their party. In the process, the interests and the welfare of the American people have been totally jettisoned. </p>
<p>It is essential, when considering the issue of healthcare financing that all facets of the system be carefully considered. Each respective problem has its own issues. It would not be wise to &#8216;throw the baby out with the bathwater&#8217; as the saying goes and simply destroy everything in hopes that something better could actually emerge as a result.</p>
<p>It is imperative to preserve every virtue while diligently working to mitigate every fault. For this purpose, it would be wise to seek out counselors with knowledge, insight, and experience from all sectors of the system to work together for solutions. It is also wise to permit those of other systems to express their experiences and frustrations so as to avoid the problems of others. Often, one finds their own problems are blessings in comparison.</p>
<p>One of the most reprehensible aspects of the abandonment by the government of citizenry interests is in its failure to protect the people. </p>
<p>IN THE AREA OF HEALTHCARE FINANCING<br />
What Government has done???<br />
1. Government has permitted certain insurance companies to market plans which are deliberately designed to fatten the coffers of the &#8216;so-called&#8217; insurer and to defraud the unsuspecting public. Such policies limit the liability of the insurers while place UNLIMITED liability on the insured. [Indeed when legislation has been presented that would at the very least force these companies to clearly DISCLOSE that their plans provide only LIMITED COVERAGE, the insurance carriers (most frequently companies like HealthMarkets) actually PAY the legislators NOT to vote on the legislation (as happened recently in California).]</p>
<p>2. Created a complex framework of both Federal and State legislation (of which some is even contradictory) that is frequently designed to cater to special interest groups, lobbies, and political affiliates.</p>
<p>3. Has created a system whereby citizens&#8230;<br />
a) Often have no idea what they are buying when they purchase health insurance.<br />
b) Increasingly pay more as they grow older.<br />
c) who, through no fault of their own, are suffering from unfortunate maladies which the insurers deem too costly to cover.</p>
<p>4. Has created a system whereby the greatest beneficiaries are&#8230;<br />
a) The Pharmaceutical industry<br />
b) The Mega-Hospital conglomerates and the AMA (both of which are in collusion). For decades the AMA has restricted the number of persons permitted to enter Medical School in order to LIMIT the available SUPPLY of physicians so that service costs will continue to escalate.) In addition, these are colluding to force the private practicing doctor out of business (which is why doctors have seen their pay reduced year after year for the past 20 years) and into a model whereby every physician will become an EMPLOYEE of a mega-hospital conglomerate (talk about restricting a physicians ability to act in behalf of their patient). Just as insurance companies often try not to cover medical services and procedures to keep from paying claims, hospitals frequently try to cut back on staff and services in order to increase profit.)<br />
c) Unscrupulous (but not all) insurance carriers. Over the years I have had and fought through many claims, and I can say UNEQUIVOCABLY that not all insurance carriers are ethical. Although, it appears that most insurance companies will generally honor their contracts, we, the citizens frequently get kicked in their teeth by not knowing, or understanding what rights the law does give us and what rights the insurance contract takes from us.  As an insurance buyer I have to trust my agent to guide me properly has I often have no idea what the insurance company covers, or how they cover it, nor of any limitations inherent in my coverage.</p>
<p>5. Government has frequently enacted legislation that limits BOTH insurance industry competition AND consumer choice.</p>
<p>6. Government has designed a system which ignores the primary premise of insurance, &#8216;the law of large numbers&#8217;. This mathematical law of risk management basically states that the larger the number of homogenous units the more predictable the incidence of loss. This is why older individuals pay through the nose even to obtain catastrophic coverage. Roughly half of all uninsured persons in this country are under age 35 and ARE insurable, they simply do not see a need to buy and PAY for something they’re not statistically very likely to need. For an equitable system to work, EVERYONE must participate. Under the proposed legislation this law will ALSO be violated and will force private insurance out of business. Since existing private plans will be ‘grandfathered’ and insurance companies will not be permitted to write any new policies, insurance carriers will be forced into a death spiral whereby they are longer collecting enough premiums to cover their plan losses. Rhetoric aside, under the proposed arrangement, the government is deliberately intent on shutting down the health insurance industry. </p>
<p>What has Government NOT done???<br />
1. Government has not even discussed addressing the factors which ARE really driving up the cost of healthcare.</p>
<p>2. Government has not considered ANYTHING that might make obtaining coverage easier for the consumer. People should be able to purchase their health insurance with the confidence of knowing WHAT they are buying. Insurers are famous for playing ‘shell games’ with their benefits so that people will purchase what they perceive will meet their needs, but in fact, that which is really designed to be most profitable for the insurance company. </p>
<p>3. Government has not considered ANY mechanisms which would force all insurance companies to play on the same field under the same rules.</p>
<p>Can the problems be addressed? Yes.</p>
<p>Will they? Not likely. </p>
<p>Unless the majority of the people unite and draft their OWN legislation in accord with common sense, sound reasoning, and devoid of special interests, and actually force their legislators (regardless of party affiliation) to implement it, it can&#8217;t possibly happen. The issues will be banned to proposed legislation purgatory along with the &#8216;Fair Tax&#8217; and any other reasonable concept that would simplify our lives. </p>
<p>I challenge the legislators to prove me wrong!</p>
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		<title>By: John from Tucson</title>
		<link>http://healthblog.ncpa.org/the-puzzling-war-on-the-elderly/comment-page-1/#comment-45432</link>
		<dc:creator>John from Tucson</dc:creator>
		<pubDate>Thu, 27 Aug 2009 11:11:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.john-goodman-blog.com/?p=4816#comment-45432</guid>
		<description>Good post, John, regarding the front on Medicare Advantage.  But there are other fronts in this &#039;war on Medicare&#039; that are reflected in HR 3200.  For example penalizing hospitals that admit Medicare patients at &quot;excessive readmission rates,&quot; eliminating &quot;updates&quot; to Medicare payment rates for home health care, including  Medicare post-acute care among the  squeezed &quot;bundled services,&quot; pilot studies of payment schemes that will discourage referrals to specialists - the list goes on and on.  The CBO has evaluated all of these options in its excellent December, 2008 publication and for each option CBO has listed downsides - possible consequences that could hurt Public Health. The fact is we are doing a vast social experiment to the likely detriment of Medicare patients. It is hard to imagine a Republican President getting away with taking such risks without serious challenge.  It is time we did the same for this Democratic President.

Wake up folks - this is not theory or dogma - it&#039;s flesh and blood.</description>
		<content:encoded><![CDATA[<p>Good post, John, regarding the front on Medicare Advantage.  But there are other fronts in this &#8216;war on Medicare&#8217; that are reflected in HR 3200.  For example penalizing hospitals that admit Medicare patients at &#8220;excessive readmission rates,&#8221; eliminating &#8220;updates&#8221; to Medicare payment rates for home health care, including  Medicare post-acute care among the  squeezed &#8220;bundled services,&#8221; pilot studies of payment schemes that will discourage referrals to specialists &#8211; the list goes on and on.  The CBO has evaluated all of these options in its excellent December, 2008 publication and for each option CBO has listed downsides &#8211; possible consequences that could hurt Public Health. The fact is we are doing a vast social experiment to the likely detriment of Medicare patients. It is hard to imagine a Republican President getting away with taking such risks without serious challenge.  It is time we did the same for this Democratic President.</p>
<p>Wake up folks &#8211; this is not theory or dogma &#8211; it&#8217;s flesh and blood.</p>
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