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Old 07-06-2014, 01:30 PM
 
139 posts, read 85,564 times
Reputation: 45

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Quote:
Originally Posted by pknopp View Post
I don't recall hearing a thing about it from them. Why would they? They control what will be paid for and what won't be now. Nothing would be changing for them.
The following quote is from the Medscape article, "Obama Administration Pulls End-of-Life Counseling Reimbursement.":

"The Welcome to Medicare visit can include advance care planning as one of its reimbursable components. In final regulations spelling out how it will implement the ACA, the Centers for Medicare and Medicaid Services made advance care planning an optional annual wellness visit component as well.

The regulation drew applause from leaders of organized medicine and physicians involved in end-of-life care, but ACA opponents contended that the Obama administration was sneaking its "death panel" ideology back into the law."


Another quote from The Huffington Post's, "Obama Administration Reverses Decision On End-Of-Life Counseling.":

"However, many doctors and public health advocates believe the government should take a more direct role in encouraging people to plan ahead. They say it would save families the ordeal of having to make agonizing decisions when a loved one is incapacitated."

Also, the JAGS study, "ADVANCE DIRECTIVE DISCUSSIONS DO NOT LEAD TO DEATH," by Drs. Fischer, Min, and Kutner is a pretty good read.

ADVANCE DIRECTIVE DISCUSSIONS DO NOT LEAD TO DEATH - Fischer - 2010 - Journal of the American Geriatrics Society - Wiley Online Library
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Old 07-06-2014, 01:36 PM
 
11,186 posts, read 6,501,248 times
Reputation: 4622
Quote:
Originally Posted by Middling Swordsman View Post
Do you believe the old system was better than the current one? If so, what is your take on the CBO enrollment and projected outlay figures?

Personally, I would rather have incremental positive change than sweeping proposals that will never make it past congress.



My mistake, I misread a portion of your post.



What do you mean? The ACA originally had a provision for end-of-life counseling, not decisions. Either way, this was dropped by the administration in 2011.

I'm not parsing words, I merely don't understand why you think public opinion (some of which is misguided) is the primary determinant for the success or failure of ACA.



Citizens are able to keep their existing policies, but they must meet the minimum standards set by the ACA (which aren't very demanding) by 2017.

More importantly, states were largely given the power to handle this issue. With the high dissatisfaction and turnover of bare-bones policies, I'm at a loss as to why you think this is a bad thing in principle.

The doctor/hospital issue is not the fault of Obama, but of the insurance companies who theorize that the exchange system will be overloaded with the sick.
Obama had the good political sense to postpone the termination of those 'bare-bones, junk' policies. One of the many ways even he knew plenty of the ACA was rotten.
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Old 07-06-2014, 02:03 PM
 
8,391 posts, read 6,293,603 times
Reputation: 2314
This case shows the extremism of conservatives. There will be no defending this ruling politically.

The ideas that conservatives have out forth in this case such as that corporations are people with religious beliefs is both dishonest and radical. It is an utterly indefensible position.


The idea that the ACA shouldn't mandate birth control for employees because it violates the religious beliefs of corporation is again an indefensible position.

The idea that many conservatives are imagining that before the ACA, the government didn't have mandates for health insurance coverage that went against someone's religious beliefs is a proof of their ignorance.

The idea that birth control is in this special category which should be up to the moral judgements of corporations instead of medical care that should be covered on all employees health insurance is an extremely radical, and anti birth control position.

The idea that an employee's own health insurance isn't paid with that employee's own money is a flat out lie.


These are the conservatives arguments in support of this Supreme Court decision and they all make no sense and/or are dishonest.
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Old 07-06-2014, 02:07 PM
 
8,391 posts, read 6,293,603 times
Reputation: 2314
Also conservatives continue to prove their delusions with further discussion about the imminent demise of the ACA. This demise only exists in the insane, hate filled, and confused minds of conservatives.


Look anyone can look at the factual record. conservatives made a huge number of predictions about the ACA.

Not one of their predictions came true not one.


Even their hoped for prediction of huge rate hikes hasn't materialized.

The ACA based on all objective reports is working as advertised. People wanted it because the uninsured rate has plummeted.

It is affordable because over 8million people signed up. A huge percentage of those customers lacked insurance. And that's not even counting the huge Medicaid expansion or all the people who stayed on their parents insurance because of the ACA and all of the businesses who are now offering their employees insurance because of the tax cuts in the law for small businesses.


To this reality conservatives have no response.

Anyone conceding points to conservatives about the ACA has paid no attention to conservatives rank dishonesty about the ACA and their horrible track record at being 100% wrong in all their doom and gloom predictions about the law.
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Old 07-06-2014, 02:33 PM
 
79,913 posts, read 44,161,983 times
Reputation: 17209
[quote=Iamme73;35534664]

Did you see how Middling Swordsman and I were able to have a sane rational discussion even though we don't agree on every thing?

Try and learn from it.
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Old 07-06-2014, 02:46 PM
 
8,391 posts, read 6,293,603 times
Reputation: 2314
[quote=pknopp;35534960]
Quote:
Originally Posted by Iamme73 View Post

Did you see how Middling Swordsman and I were able to have a sane rational discussion even though we don't agree on every thing?

Try and learn from it.
I generally don't read other responses.

In order to have a sane discussion with self identified conservatives about the ACA, one has to agree that a bunch of false things are true.

One has to talk about death panels or 20 million people or what other phony number conservatives imagine losing their policies, or how it's all still doomed because conservatives say so.


I get nothing out of those easily refuted fantasies.



So if one doesn't do that and instead wants to have a reality based discussion about any public policy, but the ACA specifically, then conservatives have nothing to add to a sane ACA discussion.

conservatives don't have anything to add because they don't even concede the law could work.

Heck, conservatives would first have to look at how the law IS working and is helping people.

Do conservatives in their insane imaginations acknowledge that the law has greatly reduced the uninsured population?

Do conservatives concede anything that their predictions about the law being doomed have proven 100% wrong?

How does one have a rational discussion with people who are in fantasyland?
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Old 07-06-2014, 03:40 PM
 
Location: Fort Worth Texas
12,481 posts, read 10,217,844 times
Reputation: 2536
Quote:
Originally Posted by Iamme73 View Post
Also conservatives continue to prove their delusions with further discussion about the imminent demise of the ACA. This demise only exists in the insane, hate filled, and confused minds of conservatives.


Look anyone can look at the factual record. conservatives made a huge number of predictions about the ACA.

Not one of their predictions came true not one.


Even their hoped for prediction of huge rate hikes hasn't materialized.

The ACA based on all objective reports is working as advertised. People wanted it because the uninsured rate has plummeted.

It is affordable because over 8million people signed up. A huge percentage of those customers lacked insurance. And that's not even counting the huge Medicaid expansion or all the people who stayed on their parents insurance because of the ACA and all of the businesses who are now offering their employees insurance because of the tax cuts in the law for small businesses.


To this reality conservatives have no response.

Anyone conceding points to conservatives about the ACA has paid no attention to conservatives rank dishonesty about the ACA and their horrible track record at being 100% wrong in all their doom and gloom predictions about the law.
Wrong
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Old 07-06-2014, 03:44 PM
 
29,939 posts, read 39,447,879 times
Reputation: 4799
Quote:
Originally Posted by Iamme73 View Post
I generally don't read other responses.
Well, do whatever they pay you to do then.
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Old 07-06-2014, 04:14 PM
 
Location: the very edge of the continent
88,962 posts, read 44,771,250 times
Reputation: 13677
Quote:
Originally Posted by jojajn View Post
Actually, abortion is protected by the 14th Amendment of the constitution.
The right to bear arms is protected by the 2nd Amendment. So, I fully expect the government to provide everyone with firearms, and to force anti-gun groups to fund that regardless of their beliefs.
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Old 07-06-2014, 04:42 PM
 
23,654 posts, read 17,499,963 times
Reputation: 7472
Default Dana Loesch mocks the looney left over their reaction to Hobby Lobby ruling…

Dana Loesch mocks the looney left over their reaction to Hobby Lobby ruling… » The Right Scoop -
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