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	<title>Comments on: Five questions for Obamacare supporters</title>
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	<link>http://bowilliams.com/2009/07/five-questions-for-obamacare-supporters/</link>
	<description>Rarely senselessly vulgar; frequently slightly tacky</description>
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		<title>By: saintseester</title>
		<link>http://bowilliams.com/2009/07/five-questions-for-obamacare-supporters/comment-page-1/#comment-26620</link>
		<dc:creator>saintseester</dc:creator>
		<pubDate>Thu, 30 Jul 2009 02:06:39 +0000</pubDate>
		<guid isPermaLink="false">http://wmwmsblog.com/?p=2550#comment-26620</guid>
		<description>Jenny brings up a point that relates to the &quot;true&quot; cost. Somewhere in that $43 is profit.   The pundits all talk about the bill as the true cost of health care.  Which is it.   

And, another issue comes to mind.  Situations like infertility are not health CARE as defined by this debate. So when it comes to all the optional, but somehow medically related issues, I certainly wouldn&#039;t expect any public plan to pay any part of it. If private insurance wishes to offer those things as extra options for a price, then they&#039;ll do it they can stay afloat doing so.   But the taxpayers are not.

And don&#039;t forget, whatever wonderful solutions our federal gov&#039;t comes up with, is going to mandate what we must have and what we cannot have.  And ALL of us, the taxpayers, our children, our grand children, our great grandchildren are going to be paying the debt, whether it works or fails.   

I just cannot imagine the paperwork.  Have you never had to call the IRS and ask a simple question?  Just have one minorly complicated income situation, and the &quot;worksheets&quot; become a nightmare. OMG. I see an entire new career, much like the tax accountant, the federal-medical-form-filler-outer consultant.</description>
		<content:encoded><![CDATA[<p>Jenny brings up a point that relates to the &#8220;true&#8221; cost. Somewhere in that $43 is profit.   The pundits all talk about the bill as the true cost of health care.  Which is it.   </p>
<p>And, another issue comes to mind.  Situations like infertility are not health CARE as defined by this debate. So when it comes to all the optional, but somehow medically related issues, I certainly wouldn&#8217;t expect any public plan to pay any part of it. If private insurance wishes to offer those things as extra options for a price, then they&#8217;ll do it they can stay afloat doing so.   But the taxpayers are not.</p>
<p>And don&#8217;t forget, whatever wonderful solutions our federal gov&#8217;t comes up with, is going to mandate what we must have and what we cannot have.  And ALL of us, the taxpayers, our children, our grand children, our great grandchildren are going to be paying the debt, whether it works or fails.   </p>
<p>I just cannot imagine the paperwork.  Have you never had to call the IRS and ask a simple question?  Just have one minorly complicated income situation, and the &#8220;worksheets&#8221; become a nightmare. OMG. I see an entire new career, much like the tax accountant, the federal-medical-form-filler-outer consultant.</p>
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		<title>By: Bo</title>
		<link>http://bowilliams.com/2009/07/five-questions-for-obamacare-supporters/comment-page-1/#comment-26618</link>
		<dc:creator>Bo</dc:creator>
		<pubDate>Thu, 30 Jul 2009 00:22:48 +0000</pubDate>
		<guid isPermaLink="false">http://wmwmsblog.com/?p=2550#comment-26618</guid>
		<description>Cheryl, the scenario you describe is certainly preferable to many others I plausibly fear.  So, in that context, I hope you&#039;re right.

I have to say, my favorite thing so far on this post is jm&#039;s bit about the taxpayers&#039; alleged deep, abiding, multimillion-dollar concern for the health of members of Congress.  Has anyone &lt;i&gt;ever&lt;/i&gt; heard of this?  Does this actually have traction?</description>
		<content:encoded><![CDATA[<p>Cheryl, the scenario you describe is certainly preferable to many others I plausibly fear.  So, in that context, I hope you&#8217;re right.</p>
<p>I have to say, my favorite thing so far on this post is jm&#8217;s bit about the taxpayers&#8217; alleged deep, abiding, multimillion-dollar concern for the health of members of Congress.  Has anyone <i>ever</i> heard of this?  Does this actually have traction?</p>
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		<title>By: Cheryl</title>
		<link>http://bowilliams.com/2009/07/five-questions-for-obamacare-supporters/comment-page-1/#comment-26616</link>
		<dc:creator>Cheryl</dc:creator>
		<pubDate>Thu, 30 Jul 2009 00:14:39 +0000</pubDate>
		<guid isPermaLink="false">http://wmwmsblog.com/?p=2550#comment-26616</guid>
		<description>I don&#039;t believe there will by any major change.  The system we have is deeply ingrained.  If we see anything at all it will just be an expansion of Medicaid.  I could be wrong, but I don&#039;t see any  interest in identifying what the real issues are.  Federal legislators are too lazy to put any thought or effort into how to address the stranglehold big pharma and insurance companies have on our health care system.  Then there are the huge piles of money their lobbyists throw around.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t believe there will by any major change.  The system we have is deeply ingrained.  If we see anything at all it will just be an expansion of Medicaid.  I could be wrong, but I don&#8217;t see any  interest in identifying what the real issues are.  Federal legislators are too lazy to put any thought or effort into how to address the stranglehold big pharma and insurance companies have on our health care system.  Then there are the huge piles of money their lobbyists throw around.</p>
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		<title>By: Bo</title>
		<link>http://bowilliams.com/2009/07/five-questions-for-obamacare-supporters/comment-page-1/#comment-26613</link>
		<dc:creator>Bo</dc:creator>
		<pubDate>Wed, 29 Jul 2009 22:51:18 +0000</pubDate>
		<guid isPermaLink="false">http://wmwmsblog.com/?p=2550#comment-26613</guid>
		<description>Bigdave, &#039;seester:  Again, y&#039;all are all over it with suggestions that are much closer to truly gutting the system and starting over, rather than grabbing a bunch of Band-Aids for the current system.  What does something &lt;i&gt;really&lt;/i&gt; cost?  How can we protect patients&#039; rights while minimizing the frivolous lawsuit--a major cost factor?  (Hoo boy, loser pays still looks awfully good to me...)

Suzie, Jenny:  Of course you&#039;re going to find good experiences in a bad system, just as you find bad experiences in a good system.  But think institutionally.  What shall motivate the government to do this well for more than 300 million people?  &lt;i&gt;Can&lt;/i&gt; it?  What drives &quot;right-sizing&quot; here?  Indeed, isn&#039;t such all too often &lt;i&gt;contraindicated&lt;/i&gt; in a government program?  Where are the cost controls?  When there is no money anyway, what&#039;s another zero or three (and man oh man, have we ever proved that so far this year/administration)?

Any concerns about privacy?

Phil:  I can make no sense of &quot;in the long term, uninsured citizens cost us more than insuring everyone.&quot;  When &lt;a href=&quot;http://wmwmsblog.com/2009/06/kudlow-nails-it-on-obamacare/&quot; rel=&quot;nofollow&quot;&gt;89% of Americans answer that they are satisfied with their current health care&lt;/a&gt;, there is not a massive, multi-trillion-dollar problem to solve here.

I wouldn&#039;t leave it as it is.  But I also damned sure wouldn&#039;t commit the most expensive fallacy of the excluded middle in the history of the world.  &lt;a href=&quot;http://wmwmsblog.com/2009/07/adopt-my-plan-or-watch-civilization-end/&quot; rel=&quot;nofollow&quot;&gt;Adopt my plan, or watch civilization end&lt;/a&gt;.

Of course, I don&#039;t believe the plan is about helping people anyway.  It&#039;s about dependency on the state; just another power grab.

But I&#039;m just paranoid that way.</description>
		<content:encoded><![CDATA[<p>Bigdave, &#8216;seester:  Again, y&#8217;all are all over it with suggestions that are much closer to truly gutting the system and starting over, rather than grabbing a bunch of Band-Aids for the current system.  What does something <i>really</i> cost?  How can we protect patients&#8217; rights while minimizing the frivolous lawsuit&#8211;a major cost factor?  (Hoo boy, loser pays still looks awfully good to me&#8230;)</p>
<p>Suzie, Jenny:  Of course you&#8217;re going to find good experiences in a bad system, just as you find bad experiences in a good system.  But think institutionally.  What shall motivate the government to do this well for more than 300 million people?  <i>Can</i> it?  What drives &#8220;right-sizing&#8221; here?  Indeed, isn&#8217;t such all too often <i>contraindicated</i> in a government program?  Where are the cost controls?  When there is no money anyway, what&#8217;s another zero or three (and man oh man, have we ever proved that so far this year/administration)?</p>
<p>Any concerns about privacy?</p>
<p>Phil:  I can make no sense of &#8220;in the long term, uninsured citizens cost us more than insuring everyone.&#8221;  When <a href="http://wmwmsblog.com/2009/06/kudlow-nails-it-on-obamacare/" rel="nofollow">89% of Americans answer that they are satisfied with their current health care</a>, there is not a massive, multi-trillion-dollar problem to solve here.</p>
<p>I wouldn&#8217;t leave it as it is.  But I also damned sure wouldn&#8217;t commit the most expensive fallacy of the excluded middle in the history of the world.  <a href="http://wmwmsblog.com/2009/07/adopt-my-plan-or-watch-civilization-end/" rel="nofollow">Adopt my plan, or watch civilization end</a>.</p>
<p>Of course, I don&#8217;t believe the plan is about helping people anyway.  It&#8217;s about dependency on the state; just another power grab.</p>
<p>But I&#8217;m just paranoid that way.</p>
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		<title>By: bigdave</title>
		<link>http://bowilliams.com/2009/07/five-questions-for-obamacare-supporters/comment-page-1/#comment-26610</link>
		<dc:creator>bigdave</dc:creator>
		<pubDate>Wed, 29 Jul 2009 20:04:26 +0000</pubDate>
		<guid isPermaLink="false">http://wmwmsblog.com/?p=2550#comment-26610</guid>
		<description>btw, to open up another can of worms from comments mentioned above, medicaid reimburses better (i.e., more) than tricare/VA benefits.  there are a tremendous number of physicians who will not accept it.</description>
		<content:encoded><![CDATA[<p>btw, to open up another can of worms from comments mentioned above, medicaid reimburses better (i.e., more) than tricare/VA benefits.  there are a tremendous number of physicians who will not accept it.</p>
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		<title>By: bigdave</title>
		<link>http://bowilliams.com/2009/07/five-questions-for-obamacare-supporters/comment-page-1/#comment-26609</link>
		<dc:creator>bigdave</dc:creator>
		<pubDate>Wed, 29 Jul 2009 20:02:01 +0000</pubDate>
		<guid isPermaLink="false">http://wmwmsblog.com/?p=2550#comment-26609</guid>
		<description>i serously doubt many people will read the bill...i mean, i have never looked over a bill before and maybe i should have!  

the bottom line for health care is that we need to get costs contained and manageable before we worry about getting everyone &quot;insured.&quot;</description>
		<content:encoded><![CDATA[<p>i serously doubt many people will read the bill&#8230;i mean, i have never looked over a bill before and maybe i should have!  </p>
<p>the bottom line for health care is that we need to get costs contained and manageable before we worry about getting everyone &#8220;insured.&#8221;</p>
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		<title>By: Jenny B</title>
		<link>http://bowilliams.com/2009/07/five-questions-for-obamacare-supporters/comment-page-1/#comment-26601</link>
		<dc:creator>Jenny B</dc:creator>
		<pubDate>Wed, 29 Jul 2009 15:14:18 +0000</pubDate>
		<guid isPermaLink="false">http://wmwmsblog.com/?p=2550#comment-26601</guid>
		<description>One of the things that just BLOWS my mind is this: I am undergoing very expensive IVF treatments. When they started, I had insurance that covered 90%. Which was fantastic. I now have insurance that doesn&#039;t cover any part of it. So, I have lots of lab work and lab bills that were previously paid and are not now. When the insurance company paid the $300 bill, they paid something like $40 dollars and I paid $3- Now, without coverage for that, they demand $300 for the same test that the accepted $43 for. How does that make sense? Why screw people just because they do not have a certain benefit on their insurance?

Also, I do have a friend that is a military wife and she is a breast cancer survivor and she has had nothing but nice things to say about the health care she received then and now. 

I don&#039;t know how we should fix the healthcare system but, it&#039;s broken.</description>
		<content:encoded><![CDATA[<p>One of the things that just BLOWS my mind is this: I am undergoing very expensive IVF treatments. When they started, I had insurance that covered 90%. Which was fantastic. I now have insurance that doesn&#8217;t cover any part of it. So, I have lots of lab work and lab bills that were previously paid and are not now. When the insurance company paid the $300 bill, they paid something like $40 dollars and I paid $3- Now, without coverage for that, they demand $300 for the same test that the accepted $43 for. How does that make sense? Why screw people just because they do not have a certain benefit on their insurance?</p>
<p>Also, I do have a friend that is a military wife and she is a breast cancer survivor and she has had nothing but nice things to say about the health care she received then and now. </p>
<p>I don&#8217;t know how we should fix the healthcare system but, it&#8217;s broken.</p>
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		<title>By: phil</title>
		<link>http://bowilliams.com/2009/07/five-questions-for-obamacare-supporters/comment-page-1/#comment-26592</link>
		<dc:creator>phil</dc:creator>
		<pubDate>Wed, 29 Jul 2009 05:39:40 +0000</pubDate>
		<guid isPermaLink="false">http://wmwmsblog.com/?p=2550#comment-26592</guid>
		<description>1.) very very few

2.) no

3.) no

4.) yes

5.) In the long term, uninsured citizens cost us more than insuring everyone.  In addition to the fact that insurance companies and big pharm have too much influence on medical decisions, the free market system is not a great way to manage health care.  I can&#039;t tell you how much time I spend trying to get insurance companies to give authorization to pay for a medicine that would be in a patient&#039;s best interest.  May god have mercy on those with HMO&#039;s.


Signed your local community clinic cardiac nurse.</description>
		<content:encoded><![CDATA[<p>1.) very very few</p>
<p>2.) no</p>
<p>3.) no</p>
<p>4.) yes</p>
<p>5.) In the long term, uninsured citizens cost us more than insuring everyone.  In addition to the fact that insurance companies and big pharm have too much influence on medical decisions, the free market system is not a great way to manage health care.  I can&#8217;t tell you how much time I spend trying to get insurance companies to give authorization to pay for a medicine that would be in a patient&#8217;s best interest.  May god have mercy on those with HMO&#8217;s.</p>
<p>Signed your local community clinic cardiac nurse.</p>
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		<title>By: Suzie</title>
		<link>http://bowilliams.com/2009/07/five-questions-for-obamacare-supporters/comment-page-1/#comment-26590</link>
		<dc:creator>Suzie</dc:creator>
		<pubDate>Wed, 29 Jul 2009 05:05:26 +0000</pubDate>
		<guid isPermaLink="false">http://wmwmsblog.com/?p=2550#comment-26590</guid>
		<description>Well, Bo, you won&#039;t like my answer to #5 --

My hubby has been on the Army&#039;s medical plan since 1967 (operated by the US government). Since 1985, he&#039;s gotten VA medical benefits (also operated by the US government). When we got married in 2004, I became a Tricare (military, government-run plan) recipient.

I can take or leave Blue Cross. VA and Tricare have consistently been efficient, professional, thorough, and open to our preferences as to treatments, docs, everything, plus the Rx benefits are amazing... we spend little to nothing on meds.

Just my two tiny cents.</description>
		<content:encoded><![CDATA[<p>Well, Bo, you won&#8217;t like my answer to #5 &#8211;</p>
<p>My hubby has been on the Army&#8217;s medical plan since 1967 (operated by the US government). Since 1985, he&#8217;s gotten VA medical benefits (also operated by the US government). When we got married in 2004, I became a Tricare (military, government-run plan) recipient.</p>
<p>I can take or leave Blue Cross. VA and Tricare have consistently been efficient, professional, thorough, and open to our preferences as to treatments, docs, everything, plus the Rx benefits are amazing&#8230; we spend little to nothing on meds.</p>
<p>Just my two tiny cents.</p>
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		<title>By: saintseester</title>
		<link>http://bowilliams.com/2009/07/five-questions-for-obamacare-supporters/comment-page-1/#comment-26586</link>
		<dc:creator>saintseester</dc:creator>
		<pubDate>Wed, 29 Jul 2009 03:06:16 +0000</pubDate>
		<guid isPermaLink="false">http://wmwmsblog.com/?p=2550#comment-26586</guid>
		<description>You paycheck will go up by $212 so you can pay into the gov&#039;t insurance program since everyone will be required to purchase coverage from somewhere.

You mention the cost of insurance coverage, but insurance coverage is not the same as &quot;the cost of health care.&quot;

Again, I say, open the markets up. Let insurance companies compete across state lines.  And, we need to get away from the idea that insurance should cover EVERY little thing.  It used to be that insurance was there to cover a catastrophe, not a sore throat.  Walmart and CVS are competing to bring you the $10.00 strep test.  If one cannot afford $10.00, Medicare is already in place to cover the least fortunate among us.

And, tort reform is absolutely necessary to bring down medical liability insurance costs that are passed onto the consumer.   Do not imagine that you can sue the U.S. Gov&#039;t if they take over medicine and screw you up.   Ask those in the military health system if they have any legal recourse there.

By the way, the military system is a model of what universal health care would be like.  I&#039;ve yet to talk with someone who isn&#039;t exasperated with the long wait times and inability to get necessary referrals.

-- the LCOE pig</description>
		<content:encoded><![CDATA[<p>You paycheck will go up by $212 so you can pay into the gov&#8217;t insurance program since everyone will be required to purchase coverage from somewhere.</p>
<p>You mention the cost of insurance coverage, but insurance coverage is not the same as &#8220;the cost of health care.&#8221;</p>
<p>Again, I say, open the markets up. Let insurance companies compete across state lines.  And, we need to get away from the idea that insurance should cover EVERY little thing.  It used to be that insurance was there to cover a catastrophe, not a sore throat.  Walmart and CVS are competing to bring you the $10.00 strep test.  If one cannot afford $10.00, Medicare is already in place to cover the least fortunate among us.</p>
<p>And, tort reform is absolutely necessary to bring down medical liability insurance costs that are passed onto the consumer.   Do not imagine that you can sue the U.S. Gov&#8217;t if they take over medicine and screw you up.   Ask those in the military health system if they have any legal recourse there.</p>
<p>By the way, the military system is a model of what universal health care would be like.  I&#8217;ve yet to talk with someone who isn&#8217;t exasperated with the long wait times and inability to get necessary referrals.</p>
<p>&#8211; the LCOE pig</p>
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