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I've never claimed it was the Republican plan, that's you putting words in my mouth because you have no argument. Of course, I should expect you to be dishonest and not understand context.
You stand there and tell me you didnt say something, and then you go in the very next paragraph and say it..
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Originally Posted by dv1033
ACA drew from conservative ideas, one Republican proposal in the 90s and one actual plan, Romneycare. I am referring to republicans not having a current national plan for the 21st century.
Bi polar?
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Originally Posted by dv1033
I am pointing out how the irony in Republicans having the most vocal opinion, without offering any solutions. Instead of trying to pick apart my argument, which you always lose, worry about coming up with actual solutions instead of being that guy telling people what's wrong....
I dont think anyone even knows what your dam argument is other than "Republicans need to fix the **** Democrats fkd up, and if they dont, they are losers"..
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Originally Posted by dv1033
Well I actually want Republicans to come up with a solution, instead of just talking about it. Again, you are content with rhetoric and finger pointing.
You JUST SAID it was a republican idea, then you Democrats have spent YEARS defending the plan as the solution, now you are back whining that Republicans have no solutions.
Tell you what, when will YOU start holding the people YOU VOTED FOR, accountable for the **** THEY PASS?
I'm curious why you stand here all day long pointing fingers demanding someone else fix the crap that they warned was crap, you supported.
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Originally Posted by dv1033
Healthcare and immigration are two topics that you conservatives have an awfully strong opinion about, yet you let your leaders do nothing.
I've got no problem with kicking out all the illegal immigrants, but Democrats whine like a little crybabies constantly and then stand there demanding Republicans give in, and if they dont just agree to go along with crap, then they have no solutions..
Republicans have no need to do anything but ENFORCE THE GOD DAM LAW ALREADY ON THE BOOKS..
Republicans dont have that authority, maybe you lack comprehension of the seperate branches of government..
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Originally Posted by dv1033
True. There were other reasons why I voted for Obama over McCain, but Palin just represents the worst qualities.
Not worse than Obamas bull ****
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Originally Posted by dv1033
Screw up the nation? Hyperbole much? Your ability to use logic and reason are in question with that statement.
We had to pass ACA to insure 32 million uninsured americans
We now have 41 million, and the employer mandage is just now kicking in.
When did the Democratic talking point of insuring every american, no longer become relevant because the CBO projects that we will never get below 30 million uninusred with ACA, and its only going to cost TRILLIONS..
One problem here. Yet again, a misleading thread title.
In this particular article there is nothing about difficulties at present, as the title states , as well as the op's opening statements, but about projected problems.
Not that it's not possible and/or even very likely, but it's not in this article this thread is based on.
From the article...... " ...to warn that the reductions could make it more difficult for Medicaid patients to obtain care."
I guess folks think that Doctors, Labs and Hospitals are going to take a 43-50% reduction in Payments without that having any effect on Patients. I suppose it could happen that way, but I sure wouldn't count on it. Obamacare is riddled with "Bait & Switch" and Poison Pills ..... it's unsustainable.
1. Doctors won't work for free.
2. State Budgets can't absorb the higher costs.
3. The Federal Government will not be able to get the funding to pay for it.
4. ACA was based on Lies and Deception ...... and that's now being exposed.
The Gov't has always subsidized healthcare for those who go to the ER and can't pay. So do you... why do you think a night in a hospital costs your insurance $5K a night and an aspirin in the hospital costs $200? One way or another, you're paying for it.
Umm....No! "The Gov't" is we the taxpayers. You can't reasonably separate the two.
As for the original subject of this thread before it predictably devolved into partisan sniping, Medicaid patients began having difficulties finding primary care physicians and specialists 25 years ago so this was an already existing problem which was simply exacerbated by the ACA.,
This has been known by both the medical and healthcare advocate communities all along but the politicians and administration simply chose to ignore it in order to cover everyone on paper regardless of the "where the rubber hits the road" ramifications. It was and continues to be all about votes, not about fiscal reality or common sense.
Free and open markets. Free enterprise and uninfluenced consumer choice.
It will always work better than ANYTHING government does.
Though I lean right the free market idea always cracks me up even though I do support it. It has been a long time since this country has had a real free market. How can the free market come into existence with the gvt we elect? With tax breaks, subsidies, bail outs,lobbyist loaded with cash seeking legislation that will give them advantage over competition, and the gvt insuring profit {see Obamacare}.
Is either party going to support a policy of no tax breaks? no subsidies? no bail outs? will they stop taking money from lobbyist? The free market in the U S is dead and will remain that way because we are all fascist now and we support it every Nov 2nd when we cast our vote. Even though {R}s babble on about the free market there record says other wise. As Bush put it during the crash " I have to bail out the free market to save the free market". LMAO, yeah right.
Though I lean right the free market idea always cracks me up even though I do support it. It has been a long time since this country has had a real free market. How can the free market come into existence with the gvt we elect? With tax breaks, subsidies, bail outs,lobbyist loaded with cash seeking legislation that will give them advantage over competition, and the gvt insuring profit {see Obamacare}.
Is either party going to support a policy of no tax breaks? no subsidies? no bail outs? will they stop taking money from lobbyist? The free market in the U S is dead and will remain that way because we are all fascist now and we support it every Nov 2nd when we cast our vote. Even though {R}s babble on about the free market there record says other wise. As Bush put it during the crash " I have to bail out the free market to save the free market". LMAO, yeah right.
Yes, I'm left wondering when those who advocate for "free markets" will actually back that up with their votes. As we've seen with the latest budget presented by Boehner, putting him back in power isn't how to go about it.
You stand there and tell me you didnt say something, and then you go in the very next paragraph and say it..
Bi polar?
I'm not the one who doesn't understand how I am talking about the present and current issues. You brought up my past comments (dishonestly too) in order to deflect. That confusion is on you.
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I dont think anyone even knows what your dam argument is other than "Republicans need to fix the **** Democrats fkd up, and if they dont, they are losers"..
LOLOLOLOLZ.
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You JUST SAID it was a republican idea, then you Democrats have spent YEARS defending the plan as the solution, now you are back whining that Republicans have no solutions.
What I said is clear to see. It's you having a hard time differentiating between viable legislation and actual legislation.
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Tell you what, when will YOU start holding the people YOU VOTED FOR, accountable for the **** THEY PASS?
I vote on people based on how they vote, not ideology. Don't presume to know how I vote or how I hold people accountable. Stop deflecting.
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I'm curious why you stand here all day long pointing fingers demanding someone else fix the crap that they warned was crap, you supported.
Because I'm tired of conservatives whining. That's all you do, is whine and cry like a bunch of little petulant children. All the while, your Republican overlords are telling you what you want to hear. Nothing but a bunch of conservative populism with no viable real world application. It's pathetic how you folks fall for that crap.
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I've got no problem with kicking out all the illegal immigrants, but Democrats whine like a little crybabies constantly and then stand there demanding Republicans give in, and if they dont just agree to go along with crap, then they have no solutions..
Well a lot of people do have a problem with kicking out all the illegals, especially your own party. Your party does nothing, then whines when something gets done. Petulant children.
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Republicans have no need to do anything but ENFORCE THE GOD DAM LAW ALREADY ON THE BOOKS..
Republicans dont have that authority, maybe you lack comprehension of the seperate branches of government..
LOLOLOLOLZ. No current or past Republican has enforced the laws in the last several decades. Did Bush Jr enforce immigration law when it exploded under his administration? Did Rick Perry not allow sanctuary cities in Texas? That's cute you thought otherwise.
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We had to pass ACA to insure 32 million uninsured americans
We now have 41 million, and the employer mandage is just now kicking in.
When did the Democratic talking point of insuring every american, no longer become relevant because the CBO projects that we will never get below 30 million uninusred with ACA, and its only going to cost TRILLIONS..
COMPLETE FAILURE...
Whatever. Considering the obstructionism not just at a national level, but at a state level (refusing medicaid expansion) there's no doubt that the ACA would under perform. It was envisioned that all states would adopt the Medicaid expansion but the supreme court decided that states could opt out.
Here's a Republican being smart and pragmatic about healthcare:
Gov. Gary Herbert announced Thursday that after months of negotiations, he has reached a final agreement with the Obama administration on his novel alternative to expanding Medicaid.
"They are giving us more flexibility than has been given to any other state in America. We are breaking some new ground," Herbert announced in his monthly press conference on KUED.
Herbert said he soon will send to the Obama administration a letter outlining the agreement they’ve reached on Utah’s alternative, his Healthy Utah plan.
The deal would help low-income Utahns earning up to 138 percent of the federal poverty level who are not covered by Medicaid buy private health insurance plans.
Yep, projected possible problems, not actual problems. My sister was eligible for the expanded Medicaid in the state of Michigan, and she now has a cardiologist and an internist that she sees monthly. Neither of them blinked an eye at her Medicaid coverage. She is, by the way, receiving excellent care.
A year ago she had no healthcare because she couldn't afford it. Once she started to see doctors when she became covered through Medicaid they discovered several life threatening conditions. The expansion of Medicaid through the ACA literally saved her life.
Sounds like the exception to the rule. 65% of physicians do not accept new Medicaid patients. Michigan tends to be a lower income state, in which providers may have little, if any choice regarding the insurance types they accept.
With 65% of physicians CURRENTLY not taking new Medicaid patients, there is already a huge problem. Now, with further falling rates, I would expect the number of physicians not accepting Medicaid to rise further.
Medicaid pays less than medicare in every state (with the exception of three). Any practice with a large number of medicaid patients would have a very difficult time of remaining solvent, unless they receive funding from the state (i.e. State University Hospitals and clinics, as well as County Hospitals).
As predicted, the large number of new medicaid patients (courtesy of the Obamacare exchanges) are finding it very difficult to find physicians due to low reimbursement. Initially, fees were increased to entice physicians to accept new medicaid patients. Now, with fees falling, patients "have insurance", but have no access, with the exception of emergency rooms.
This result was quite obvious and predictable to any physician, but no one bothered to ask us.
it's not just Medicaid. We have the highest plan available through the market for individual plans and many providers don't want to take anything that is an individual plan. They only want group plans. Our entire family is having to switch doctors.
it is not a subsidized plan. It is the best plan with the lowest deductible the Aetna offers. It cost me thousands of dollars. And people don't want to take it.
I'm not the one who doesn't understand how I am talking about the present and current issues. You brought up my past comments (dishonestly too) in order to deflect. That confusion is on you.
its not your past comments, ITS IN THE SAME REPLY, in fact its the exact same following paragraph, I even quoted it for you.
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Originally Posted by dv1033
What I said is clear to see. It's you having a hard time differentiating between viable legislation and actual legislation.
your response makes no sense given ACA is actual legislation
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Originally Posted by dv1033
I vote on people based on how they vote, not ideology. Don't presume to know how I vote or how I hold people accountable. Stop deflecting.
I didnt presume to know how you voted or hold people accountable, YOU POSTED it here for all to know
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Originally Posted by dv1033
Because I'm tired of conservatives whining. That's all you do, is whine and cry like a bunch of little petulant children. All the while, your Republican overlords are telling you what you want to hear. Nothing but a bunch of conservative populism with no viable real world application. It's pathetic how you folks fall for that crap.
Oh bull crap, it was Demcorats who cried and whined to no end making things up like
medical bills more responsible for bankrupties
and if you dont want healthcare for all, then we want people to die etc..
It wasnt Republicans making hyperbold claims that grannies were being thrown off the cliff.
ITS DEMOCRATS..
project much?
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Originally Posted by dv1033
Well a lot of people do have a problem with kicking out all the illegals, especially your own party. Your party does nothing, then whines when something gets done. Petulant children.
So people disagree on what should be done, but you want them to do it anyways? Thats a childish attitude, stand there and stomp your feet demanding something gets done but whine about every proposal... 4 year old, maybe 5 year old attitude.. Bravo
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Originally Posted by dv1033
LOLOLOLOLZ. No current or past Republican has enforced the laws in the last several decades. Did Bush Jr enforce immigration law when it exploded under his administration? Did Rick Perry not allow sanctuary cities in Texas? That's cute you thought otherwise.
There was a huge demand to build the fence but why are you now talking about the past? You JUST whined that people were talking about the past, what was the Democratic proposals then? mmmm?
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Originally Posted by dv1033
Whatever. Considering the obstructionism not just at a national level, but at a state level (refusing medicaid expansion) there's no doubt that the ACA would under perform. It was envisioned that all states would adopt the Medicaid expansion but the supreme court decided that states could opt out.
So now your excuse for it not working is that not everyone joined medicaid? do you really think that the only way it was going to work is add the 41 million uninsured to the medicaid rolls? Wow, thats some lack of confidence in its success you got there..
btw, the 30 million projected uninsured was BEFORE the Supreme Court ruled.. So you can sit here and make up excuses after excuses but in the end, thats all it is..
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Originally Posted by dv1033
Here's a Republican being smart and pragmatic about healthcare:
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