Obamacare could cost one small business half of its profit (waiver, program)

[lycos679]

Originally Posted by middle-aged mom

Generally speaking, cancer outcomes are better in other nations with national healthcare than the U.S., for people under age 65. At age 65, the outcomes are about the same or slightly better in the U.S., dependent upon type of Cancer and stage, when diagnosed. Of course there's an obvious connection to Medicare, the closest thing the U.S. has to national healthcare.

Do you have a link for that? I can't find too many studies that breakdown the comparison between countries by under/over 65 or by uninsured, under insured, insured.

I did find this.

Principal Findings: Persons with SSDI/Medicare had lower rates of Stages III/IV diagnoses than others for lung (63.3 versus 69.5 percent) and prostate (25.5 versus 30.8 percent) cancers, but not for breast or colorectal cancers. After adjustment, they remained less likely to be diagnosed at later stages for lung and prostate cancers. Nevertheless, persons with SSDI/Medicare experienced higher all-cause mortality for each cancer. Cancer-specific mortality was higher among persons with SSDI/Medicare for breast and colorectal cancer patients.

Conclusions: Disabled Medicare beneficiaries are diagnosed with cancer at similar or earlier stages than others. However, they experience higher rates of cancer-related mortality when diagnosed at the same stage of breast and colorectal cancer.

Cancer Stage at Diagnosis and Survival among Persons with Social Security Disability Insurance on Medicare

[andrea3821]

Originally Posted by middle-aged mom

Generally speaking, restaurants do not hire full time employees because they do not have full time business. Restaurant employees tend to 4-5 hour work shifts, as needed.

I own a restaurant, I know what the shifts are....

[middle-aged mom]

Originally Posted by case44

I also predict that one-third of all hospitals will close within the next five years

The brand name hospitals have been and will continue to either acquire or put the competition out of business to sustain their monopoly. Same thing has been and will continue to happen with private medical practices.

[le roi]

Originally Posted by ringwise

Who's going to pay for it?

Americans are going to pay for it. Who'd you think? Zee Germans?

[middle-aged mom]

Originally Posted by marcopolo

And apart from the death panels, the Affordable Care Act does NOTHING to address these problems.

Other nations call it objective comparative-effectiveness analysis. It's obvious it works given people tend to have the same or better outcomes than their U.S. counterparts. Congress went wild with the "death panel" thing.

Big pharm, medical equipment manufactures and the American Hospital Association own Congress. There are 50 state appointed insurance commissions in the U.S. All directly and indirectly donate to the people and party line most likely to fight for the status quo.

[FinsterRufus]

Originally Posted by andrea3821

Our LLC is the only investment the man has that has another LLC as an owner. All his other interests are owned by individuals. Let's call him Bob just so this doesn't get confusing.

We formed a new LLC (and the other LLC is not the franchisor, it's just another group that owns stores in our immediate area). The other LLC has a 58% share and we have a 20% share. Our LLC is a new company formed in late 2010.

I understand how you are saying our LLC is owned by the other LLC since they have the controlling share. But like I mentioned above, this is not the situation for any of the other companies Bob has a share in, and he does not have controlling interest in any company. And yet the IRS has dictated that since has a share of any size in these companies, all employees are his. I also had mentioned that if just my husband and the other 20% owner of our company fully owned the company, her stores in Florida would count against us. Even if we had 80% and she had 20%, and she only has like a 25% share in the FL stores, all four stores would be counted together b/c she is an owner of them all.

It's hard to explain without naming names and being too specific, but I hope I'm making sense.

No I understand, these things can be complicated in general terms.

Okay, I typed out a long confusing response, because I don't really understand how this is possible. Then I thought:

UNLESS.... did the guy who owns the other LLC use his existing EIN number to identify his LLC as an owner in your business? Are you using his EIN?

Because if you are, then of course his employees are going to count as yours (and vise versa). The fix might be as simply as applying for and using your LLC's own individual EIN when you file this year.

[TrapperJohn]

Originally Posted by FinsterRufus

No I understand, these things can be complicated in general terms.

Okay, I typed out a long confusing response, because I don't really understand how this is possible. Then I thought:

UNLESS.... did the guy who owns the other LLC use his existing EIN number to identify his LLC as an owner in your business? Are you using his EIN?

Because if you are, then of course his employees are going to count as yours (and vise versa). The fix might be as simply as applying for and using your LLC's own individual EIN when you file this year.

You are making it more complicated than it needs to be. It is a simple matter of who has majority control in the LLC .

[Mircea]

Originally Posted by weltschmerz

It's really annoying to read spittle-flecked posts about how everyone and his brother is dropping dead in the streets because our health care is so awful, by people who know nothing about it.

Your annoyance is misdirected.

You need to tell the Canadian Government to stop publishing papers saying that people in Canada are dying while waiting for treatment.

I will tell you the story of a Canadian woman named Diane Gorsuch.

Diane had an heart condition that would cause her to die.

Diane had open-heart surgery scheduled......then cancelled because there were no hospital beds available, nor was there any money to perform the surgery that fiscal year.

Diane had open-heart surgery scheduled....a second time...months later...in the next fiscal year...and that surgery, too, was cancelled for nearly the same reasons.

Diane had open-heart surgery scheduled....for a third time....months later...

...she died while waiting nearly 3 years for surgery she would have gotten in a matter of days in the US.

Manitoba kills cardiac care unit, consolidates services at single site

However, attitudes changed when people on the waiting list started dying — there have been 11 deaths since 1999 — and both the Liberals and Conservatives demanded Chomiak's resignation. The last straw appears to have been the death of Diane Gorsuch, 58, who died in February after spending more than 2 years awaiting surgery. Thirteen days after she died, the review was announced.

Manitoba kills cardiac care unit, consolidates services at single site

You can also direct your annoyance at the British Government....

Delay, Denial and Dilution: The Impact of NHS Rationing on Heart Disease and Cancer
IEA Health and Welfare Unit (London)

12% of kidney specialists in the UK said they had refused to treat patients due to limited resources (same source).

One study showed that patients accepted for dialysis stacked up this way.....

65 patients per million population UK
98 patients per million population in Canada
212 patients per million population in the US

If health care in Canada is cheaper, then why does Canada have to ration kidney dialysis?

Why does the UK have to ration kidney dialysis?

Originally Posted by weltschmerz

Speaking of ignorant....no, Toronto is not in Quebec

I never said it was...I asked if it was.

If and when Canada ever becomes relevant to the world, I'll study the geography of Canada.

Originally Posted by weltschmerz

Mircea, why do you keep insisting that people in a Canadian ER don't immediately get a cardiac cath if they need it? Is that anything like your claim that Toronto is in Quebec?

I never claimed Toronto is in Quebec. I'm quoting the Canadian Government. Do you have an issue reading the material your government publishes?

Originally Posted by weltschmerz

Just out of curiousity, when was the last time you worked in an Canadian ER? Or even saw one on TV?

I don't have to work in a Canadian ER....I can read what your government and your media publishes.

Oct 15, 2010 – Brian Sinclair died in the emergency room of Winnipeg's Health Sciences Centre after waiting for 34 hours without receiving care in Sept. 2008.

Samuel Takyi's Death: Long Emergency Room Wait May Have Played Role In Man's Death, Says Alberta Judge CP | By The Canadian Press Posted: 11/05/2012 3:49 pm EST Updated: 11/05/2012 7:32 pm EST

Doctors & Hospitals
Risk of death with crowded emergency rooms
Jun 3, 2011 10:15 AM



Overcrowding and long waits in emergency rooms lead to more patients dying or needing further hospital treatment, researchers have found. In an analysis of more than 14 million patients in Canada, researchers found that hospital shifts with longer average waiting times were linked to a higher risk of patients dying, or returning to the hospital for more treatment, in the following seven days


Teen's death ignites debate over emergency room closures Karen Howlett
Toronto — From Saturday's Globe and Mail
Published Friday, Jan. 22 2010, 7:16 PM EST
Last updated Thursday, Aug. 23 2012, 1:44 PM EDT




Canadian woman dies after waiting 6 hours in Emergency Room ...

Nov 18, 2010 – Category : Canada and tagged Alberta, Canada, Deaths in ERs, emergency department, emergency medicine, emergency rooms, ER, ..

Emergency department overcrowding as a threat to patient dignity ...

Emergency department overcrowding as a threat to patient dignity | Canadian Journal of Emergency Medicine
2009 - Cited by 2 - Related articles
Emergency department (ED) overcrowding is the subject of intense study to evaluate its .... Other studies have suggested that ED overcrowding can increase the risk of death.33-35 The right to health also ... Canadian Medical Association.


Discharging Patients With Heart Failure From Emergency Room Leads to Early Death Rates: Presented at CCC


EDMONTON, Alberta -- October 29, 2009 -- Patients with heart failure who are discharged from the emergency room (ER) have a substantially increased risk of early death compared with those who are admitted -- even among patients with comparable degrees of heart failure, according to researchers at the 2009 Canadian Cardiovascular Congress (CCC).

Shall I continue?

Because I can do this 24/7 for the rest of my life.....or until Canada gets its act together, which ever comes first.

Look...this is real simple.....you don't have the resources to meet the health care demand in Canada.

There are several reasons why you don't have the resources. One major reason is that your government limits resources by limiting health care spending.

Canada is a teeny-tiny-itty-bitty country with 30 Million people.

You don't exactly have the talent to staff all needed medical positions.

And you know what? It would be a stupid waste of time, money, space and resources to increase the Supply of Health Care workers.

Not only would it be a waste of time, but it would FUBAR your economy.

Anyway......limited resources results in long waiting times in Canada, which in turn increases pressure on Canadian ER rooms, which in turn increases the likelihood that Canadians will die.

Instead of hanging around on the forum, you might be better served spending your time reading what your government, the Canadian Medical Association and the Canadian Media publishes.

You're not exactly well-informed.

Originally Posted by middle-aged mom

Generally speaking, cancer outcomes are better in other nations with national healthcare than the U.S., for people under age 65. At age 65, the outcomes are about the same or slightly better in the U.S., dependent upon type of Cancer and stage, when diagnosed. Of course there's an obvious connection to Medicare, the closest thing the U.S. has to national healthcare.

The US Government and the British Government refute that with the landmark CONCORD study...


Cancer survival in five continents: a worldwide population-based study (CONCORD) : The Lancet Oncology

Yes, that's Lancet --- Britain's version of the prestigious American JAMA.

With respect to intellectual integrity and honesty...

Funding: Centers for Disease Control and Prevention (Atlanta, GA, USA), Department of Health (London, UK), Cancer Research UK (London, UK).

...that's who funded the CONCORD Study.



The US has the best health care.

Originally Posted by le roi

It's hard for me to blame this all on "Obama", when conservatives are being obstructionist and offering no helpful alternatives.

That's absurd.

In the first place, it is not the federal government's responsibility, and in the 2nd place, if no one says "univeral health care" you immediately close your eyes, cover your ears and start screaming, "Lalalalalalalalalalalalala" like a small child.

Originally Posted by natalie469

You can call BS on me all you want but my son got great health care in the UK and didn't have to wait.

Yeah, what did have, Jungle Jock Rot?

Canada and the UK are the same....their health care systems are fantastic....so long as you never really take ill.

If your son had a tumor, there's a 21% chance he would die on the waiting list.

If your son had renal problems....

65 patients per million population UK
98 patients per million population in Canada
212 patients per million population in the US

Your son's problems might have worsened in the UK.

Evidently...

Mircea

[FinsterRufus]

Originally Posted by TrapperJohn

You are making it more complicated than it needs to be. It is a simple matter of who has majority control in the LLC .

Okay, explain it to me then. If I own the majority, as an individual, of two separate entities that have two separate Employer Identification Numbers, and have nothing whatsoever to do with each other, how does the IRS determine that all of my one businesses' employees also works for the other business?

[swagger]

Originally Posted by Weichert

In truth, Obamacare is the crutch propping up these insurance companies today. As I've written before its their lifeline. Without it they'll fold.

I see it as the exact opposite.

Obamacare will cause premiums to skyrocket. Not because insurance companies are taking advantage, but because it's a financial necessity. The gap between what the young and old pay is capped. Lifetime payout restrictions are removed. Pre-existing conditions must be covered. Preventative care must be covered. Every single one of these things increases the cost of providing a policy. Most of them increase it quite substantially.

Premiums are going to go through the roof, people will whine and complain about the "greedy" insurance companies, and the government will swoop in like a knight on a white horse and "save" us all with a single payer system, claiming that the private path isn't sustainable. This was the plan all along. The democrats knew they couldn't get a single payer system through, despite having the supermajority at the time. This is their end-run around playing it straight and being honest about their intentions.

I'd offer to place a wager on which of us is right, but the process could take a decade or two to complete.