Showing posts with label Medicaid. Show all posts
Showing posts with label Medicaid. Show all posts

Thursday, October 17, 2013

The Far Left Also Realizes Boehner Won. Too Bad Republicans Don't.

The Nation, here:


Because the deal only includes minor concessions, the Beltway consensus is that it represents a resounding defeat for Republicans, who “surrendered” their original demands to defund or delay Obamacare. In the skirmish of opinion polls, that may be true, for now. But in the war of ideas, the Senate deal is but a stalemate, one made almost entirely on conservative terms. The GOP now goes into budget talks with sequestration as the new baseline, primed to demand longer-term cuts in Medicare, Medicaid and Social Security. And they still hold the gun of a US default to the nation’s head in the next debt ceiling showdown.

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Boehner, last August, who got exactly this, despite having to try the so-called Tea Party gambit of defunding ObamaCare, which failed because of all the RINOs in the Senate, and was destined to fail from the beginning for that very reason, if only people like Ted Cruz and Mike Lee had bothered to check their voting records:


“When we return, our intent is to move quickly on a short-term continuing resolution that keeps the government running and maintains current sequester spending levels,” Boehner (R-Ohio) said on a conference call with GOP lawmakers, according to a person on the call.


“Our message will remain clear,” Boehner said. “Until the president agrees to better cuts and reforms that help grow the economy and put us on path to a balanced budget, his sequester — the sequester he himself proposed, insisted on and signed into law — stays in place.”


Sunday, October 13, 2013

How Rep. Paul Ryan Is Just Like Sen. Ted Cruz

Here in The Wall Street Journal on October 8th, Rep. Paul Ryan says he is willing to swap sequester cuts for cuts to mandatory spending:


If Mr. Obama decides to talk, he'll find that we actually agree on some things. For example, most of us agree that gradual, structural reforms are better than sudden, arbitrary cuts. For my Democratic colleagues, the discretionary spending levels in the Budget Control Act are a major concern. And the truth is, there's a better way to cut spending. We could provide relief from the discretionary spending levels in the Budget Control Act in exchange for structural reforms to entitlement programs.

And the reason is there's more to be gained over the long haul from cuts to the mandatory side, which is 60% of annual outlays anyway:


These reforms are vital. Over the next 10 years, the Congressional Budget Office predicts discretionary spending—that is, everything except entitlement programs and debt payments—will grow by $202 billion, or roughly 17%. Meanwhile, mandatory spending—which mostly consists of funding for Medicare, Medicaid and Social Security—will grow by $1.6 trillion, or roughly 79%. The 2011 Budget Control Act largely ignored entitlement spending. But that is the nation's biggest challenge.

But just why Republicans like Paul Ryan expect us to believe they can negotiate cuts to mandatory programs from Democrats who have just rammed a new one called ObamaCare down our throats is quite beyond me. It's as unrealistic as Senator Ted Cruz thinking libertarian Republicans could get Obama to defund that program without unity in the party on the subject in the first place. Cynics quickly decided Cruz was just fundraising for 2016. And Rep. Ryan could just as plausibly be trying to re-establish some street cred with conservatives after his involvement with the Facebook-financed immigration amnesty debacle.

There's plenty of unrealism to go around in the Republican Party, which still hasn't figured out that Obama and the Democrats are the enemy, which is surprising since that's how he views them. But that seems to be a particularly libertarian penchant, expressed as it is in interminable losing electoral challenges throughout the country which do nothing but help elect Democrats. Maybe Paul Ryan and Ted Cruz are just libertarian spoilers on the national stage, for whom success is keeping Republicans from succeeding.

Figuring out how to proceed when your country has been taken over by a hostile foreign power without having fired a shot remains the central problem for an opposition which doesn't realize it is one, especially when your own ranks have been infiltrated by an enemy.

Where are the non-libertarian economic conservatives? 


Friday, October 4, 2013

Obama Wants A Debt Default To Discredit His Opposition?

So suggests JT Young, who makes a plausible, although strictly political argument, here, for why Obama might want a debt default:


[T]he last time Obama faced Congressional Republicans in a debt limit fight, he lost enormously. ... However the roots of the administration's non-negotiating stance may run deeper than just that last defeat. It is not just a repeat of the past it must avoid, but a continuation of the present. ... Obamacare is hardly the worst of the administration's PR problems. According to a Bloomberg News national poll released 9/25, Obama's approval rating on the economy is negative, with 38% approving to 56% disapproving. On the federal deficit, it is -32% (29% to 61%). On the recent Syria sidetrack, his rating is 31% - 53%. ... It is clear that nothing the administration wants is likely to move over the next three years. Historically, the president's party generally loses seats in midterm elections - particularly second midterms - so the president's legislative situation is only likely to worsen. Should it do so, the president's political fortunes and popularity are sure to follow. In sum, there appears to be no variable that will change the chessboard. ... [T]he president's only hope appears to stake everything on a single move. In this case, it appears the move is to goad Congressional Republicans into a dramatic loss in a high-profile - and ideally prolonged - budget battle. That means a shutdown or worse, default, to discredit his opposition - in his best case scenario, to such an extent that he reverses the trend of normal midterm losses and the rapid decline of second term presidents' political relevancy. With his second term initiatives dead early, fighting a continuous rearguard action on his signature achievement, anticipating the loss of additional Congressional seats, and with lame duck status just over a year away, the White House may see little to lose by betting large. If so, America could find itself with quite a lot to lose, as this budget fight gets nastier, longer, and more dangerous than anyone anticipated.

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But what if the non-negotiating stance is more than just political in the conventional sense? What if it's ideological in a more sinister way? What if Obama really means to transform the country not just by eliminating Republicans, who are the political representatives of the middle class, but by eliminating the middle class itself? And capitalism in the process? And using the crisis of a default to install himself permanently at the head of the government? Using the impressive means now at his disposal with surveillance capabilities, militarized police who care nothing for the Fourth Amendment as we saw in the Tsarnaev affair, drones, the Department of Homeland Security generally, and the TSA in particular to control travel? And a de-Christianized, paganized military loyal to the commander in chief?

As all students of communist revolution know, it is the middle class which is the greatest enemy of the communists because being more numerous than the upper class the middle class stands in the way of the revolutionaries' attacks on the rich and on private property as a concept. "Their special interests are absolutely incompatible with the economic disturbances which are the inevitable accompaniment of transitional periods. The disturbance of credit cuts the ground from under their feet. They begin shouting for order, for the strengthening of credit, in such a way that every concession to them leads in effect to a complete restoration of the old order", wrote Bela Kun in 1918.

Make no mistake. This has been a transitional period in the mind of Obama, who is trying to transform the country in a number of ways which are not in keeping with America's past. For example, despite growing public opposition since March 2010, Obama continues to insist that ObamaCare must be implemented even though he himself has underscored its unpopularity by unilaterally and unlawfully altering and delaying key features of it. The Supreme Court itself has validated its compulsory basis, which the regime constantly trots out as authoritative as any teaching bearing Pontifical imprimatur. But at what cost to the middle class whose numbers continue to shrink? The best estimates show that ObamaCare will force 16 million heretofore middle class Americans into Medicaid, the healthcare system for the country's poor which already has 70 million participants, dramatically reducing their numbers by transforming their condition to dependency on the government. Fully 93% of American wage earners already make less than $100,000 a year, and 75% bring home less than $50,000 annually. Between the two extremes lie barely 30 million people. This week's posterchild for ObamaCare, for example, was a law student who got cheaper healthcare through Healthcare.gov, ObamaCare's new web portal which just opened, because it shunted him into Medicaid because his income is too low to qualify for a subsidized ObamaCare compliant health insurance plan. This was widely viewed as a positive!

The truth is Obama has done nothing to help the middle class even though he claims to be their champion, just as the Affordable Care Act will neither provide care nor be affordable. In fact, one might say Obama has been exacting revenge on the middle class. Even though he's been in charge of the government going on five years, Obama has done nothing to improve middle class incomes, which have instead headed in the other direction under his watch. Annual household income has been reduced by over 5% since June 2009 alone.

Similarly the hallmark of middle class membership, the home ownership rate has been reversed to the 1996 level after 5 million homes have been repossessed by the banks. During Obama's tenure in office the ranks of those not in the labor force have soared above the 90 million mark as the longest unemployment recession in the post-war period appears to have no end in sight nearly 6 years since it began, driving college graduates back home with their parents and dramatically reducing family formation. The credit expansion of the post-war economy upon which home ownership was based has hit a brick wall since 2007 while the powers that be have claimed to fix it while enriching only the bankers and the richest investors. Total credit market debt outstanding is up less than $8 trillion in the interim when by all rights it should be up $25 trillion. We even have so-called right wingers who both applaud this decline of home ownership and enthusiastically agitate for the elimination of the home mortgage interest deduction. They are as much useful idiots to Obama's pinched leftist vision as have been Republican free-traders who helped the investor class get rich by shipping American jobs to cheaper labor markets abroad, gutting American exceptionalism long before Obama came along.

As if all that isn't bad enough, unprecedented financial repression of the savings of the middle class is the official policy of Obama's Federal Reserve through Zero Interest Rate Policy and Quantitative Easing, arresting the basis of the gains which customarily accrue over time from compounding and destroying the incomes of the already retired.

Its main sources of wealth in employment and earning power, housing and savings already severely punished under Obama, the middle class is just an inch away from losing it all in a debt default. And once they are out of the way, there will be nothing standing between Obama and finally spreading the wealth around of the 2-3 million at the top who hold it.

Tuesday, October 1, 2013

ObamaCare Will Force Millions More Into Medicaid, And DENY Them The Right To Buy Private Insurance

It will deny them because ObamaCare-compliant plans will simply be too expensive for them to afford, and those will be the only ones available. 

John Goodman tried to warn us over two years ago, here:

"While defenders of the new law have chattered endlessly about people who are uninsured because of pre-existing conditions (turns out there are only 12,500 of them) almost no one seems to have noticed that 16 million people are not only going to be forced into Medicaid, they are effectively going to be denied the right to buy any private insurance — whether or not they have a pre-existing condition."

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But today it is coming true.

For example, in one county in Michigan an older, married, full-time worker with one child still in the home must make at least $19,530/year to get a tax credit to make the bargain basement Bronze plan monthly health insurance "affordable" for his family, but go below that threshold and he loses the subsidy entirely and ends up in Medicaid whether he likes it or not. That means he must make almost $9.39/hour, almost $2/hour above the Michigan minimum wage of $7.40/hour, or he's out of luck.

A single parent in the same situation must make no less than $15,510 to stay out of Medicaid and get the subsidy.

There were almost 61 million Americans making less than $20,000/year in 2011, and nearly 50 million making less than $15,000, meaning many of them will be forced into Medicaid under ObamaCare if they are not among the 70.4 million already in Medicaid in 2011, already 46.5% of all wage earners in the country that year.

Two kinds of insurance, ObamaCare and its crappier forerunner Medicaid, and one unhappy nation.

Wednesday, September 25, 2013

Healthcare Groundhog Day: Can You Say HMO-bamacare?

So says Scott Gottlieb, MD, for Real Clear Markets, here:


The new health plans offered in the Obamacare exchanges are going to be narrow network, no frills affairs. Obamacare's exchange based plans will be a throwback to the 1990s style of restrictive HMOs. They will give you fewer choices of doctors and hospitals than the kinds of health plans currently sold in the private, commercial marketplace. The doctor networks that Obamacare plans use will resemble Medicaid plans. But it doesn't end there. Pretty soon, these same bare bones health plans will also become standard fare in the commercial marketplace. You'll get them at work.

Sunday, July 28, 2013

Presidents Ranked By Change Of Income Gini Ratio Of Families In Post-War

1. JFK/LBJ       -6.6%
2. Truman       -5.0%
3. Clinton       +1.3%
4. Obama        +1.5% (to date)
5. Carter         +1.6%
6. Bush2          +1.8%
7. Nixon/Ford +4.0%
8. IKE              +4.1%
9. Bush1          +6.9%
10. Reagan      +8.6%

Inequality of market income decreased most under Kennedy/Johnson and increased most under Reagan. The measure is before taxes and transfers, however. The Organization for Economic Cooperation and Development figures after taxes and transfers for certain periods may be observed here. See the helpful discussion by Tim Worstall, here, including this:

"[E]ven in the post-tax and post-benefit numbers the US is still an outlier in the statistical methods used. In looking at inequality, poverty, in the US we include the cash that poor people are given to alleviate their poverty. But we do not include the things that people are given in kind: the Medicaid, SNAP, Section 8 and so on. It’s possible (I’m not sure I’m afraid) that we don’t include the EITC either. We certainly don’t in the poverty statistics but might in the inequality. All of the other countries do include the effects of such policies. Largely because they don’t offer benefits in kind they just give the poor more money and tell them to buy it themselves. This obviously turns up in figures of how much money the poor have."

That said, inequality of market income hasn't gone up very much in the twenty years since 1993, contrary to President Obama's recent comments here

The president might want to consider that Bill Clinton did a better job of reducing income inequality than he has. But, then again, Bill Clinton did a better job than Obama in most everything, and ranks number two behind Truman overall for the best economy in the post-war.

Thursday, February 28, 2013

Even In September 2009 Obama Showed He Didn't Understand The Size Of The Country

From his speech to Congress, here:


"First, if you are among the hundreds of millions of Americans who already have health insurance through your job, Medicare, Medicaid, or the VA, nothing in this plan will require you or your employer to change the coverage or the doctor you have. Let me repeat this: nothing in our plan requires you to change what you have."

Well, what if you are not among those "hundreds of millions", eh? Then you are out of luck in his mind, evidently. Who could he possibly be referring to?

It is customary to speak of tens of millions when speaking of up to 100 million.

It is customary to speak of a couple hundred million when speaking of up to 200 million.

It is customary to speak of a few hundred million when speaking of up to 300 million.

But "hundreds of millions" refers to far more than 300 million, especially if you are not lucky enough to be among them. By analogy with 100 million, you could be speaking of up to 1,000 million. That's 1 billion for those of you in Rio Linda.

Anyway, all those extra people in the "hundreds of millions" category must be those people you didn't know about from the 57 states Obama says he visited during the campaign "with one left to go", not counting Alaska and Hawaii! Densely populated states, those in excess of the 50 states, they must have been, too, which begs the question why he hadn't visited them yet!

The US population at the time of the speech was about 307 million. So by September of 2009, seven months after having been sworn in, Obama had had plenty of time to figure out the size of the country, but he hadn't.

The guy's a moron, and you know it. He wasn't even "learning on the job". Toking on the job is more like it.



Sunday, November 18, 2012

Community College Cuts Part-Timers' Hours To Avoid ObamaCare Costs

The Cheerleaders Against ObamaCare
The Community College of Allegheny County in Pennsylvania will cut 400 part-timers' hours to less than 30 hours per week to save $6 million in costs mandated by ObamaCare.

Story here.

Companies everywhere are in revolt against ObamaCare, which mandates coverage be offered when full-time workers exceed 49 in number, but full-time now "redefined" as 30 hours worked on average per week instead of 34 or 35. Leftism is nothing if not based on constant redefinition of reality.

So the path is clear if you're an employer: reduce full-time positions to 49 and part-time everyone else to no more than 29 hours per week. The result in America will be fewer and fewer full-time jobs and inadequate part-time jobs for more and more people, many of whom will be unable to afford to buy insurance through one-size-fits-all ObamaCare and will be thrown into state Medicaid programs where they will receive healthcare which you wouldn't wish on Fido or Morris.

ObamaCare is an ugly war on jobs, and is reminiscent of nothing so much as Stalin's war on the Kulaks of Ukraine, whom he starved to death when collectivization failed to produce the "mandated" amount of wheat. People will not begin to appreciate the comparison I suppose until our government decides the size threshold of companies must be lowered to, say, 39 full-time employees from 49 to get ObamaCare to "work", and to, say, 20 hours per week from 29 to mandate "more coverage". But by then business will already be flat on its back and the size of the proletariat will have swelled. Single payer can't be far behind.

They are saying out there that Romney lost because he focused on too many numbers, but Obama is using mandated numbers to slowly crucify you.


Monday, October 29, 2012

Blame Walmart For The Part-Timing Of America, And ObamaCare For Ramping It Up

From a very good story by the New York Times, reproduced here:


The rise of big-box retailers like Walmart . . . with their long operating hours and complex staffing needs, has contributed to the increase in part-timers.

Mr. Flickinger, the retail consultant, said when Walmart spread nationwide and opened hundreds of 24-hour stores in the 1990s, that created intense competitive pressures and prompted many retailers to copy the company’s cost-cutting practices, including its heavy reliance on part-timers.

Susan J. Lambert, an expert on part-time work and a professor of organizational theory at the University of Chicago, said the use of part-timers had also escalated because of the declining power of labor unions. “They set a standard for what a real job was — Monday through Friday with full-time hours,” she said. “We’ve moved away from that.”

ObamaCare will now put this part-timing trend into high gear as more and more employers seek to avoid ObamaCare's 30 hour rule, at which employers must provide a healthcare benefit. More and more employers are going to schedule people for up to 29 hours per week, and not one more.

If you read the full story excerpted above you'll wonder to yourself how $15,000 per year part-time earners are going to be able to afford to purchase healthcare at Obama's healthcare exchanges, especially since holding two part-time jobs is already impossible in the experience of most part-timers. The answer is they won't be able to afford to purchase insurance, and will be shuffled off to crappy care under Medicaid, which is going bust already.

The healthcare debacle in America is only just beginning, thanks to Obama and the Democrats.

Obama Believes Winning Will Be Mandate To Raise Taxes, "Reform" Immigration

Obama has stated explicitly his intent is, if he wins, to raise taxes and "reform" immigration, which is code for amnesty, as reported here:


"If we won, then I believe that's a mandate for doing it in a balanced way."

"We can do some more cuts, we could look at how we deal with the health care costs in particular under Medicaid and Medicare in a serious way, but we are also going to need some revenue."

"If we get [the debt and deficit] done, then immigration reform, I think, is there to get done."

"And I think [the Republican Party] is going to need to get it done because you can't continue to alienate the fastest-growing segment of the country. And it's the right thing to do."

Of course, there are mandates and there are mandates. Obama likes mandates. He likes telling people how things will be, which is why we have ObamaCare shoved down our throats.

In 2008 Obama interpreted his victory as a mandate when his margin of victory in the formerly Red States which went for Bush was merely 1.4 million votes. He lost that "mandate" such as it was in 2010, and if the Republicans keep the US House in 2012 that will still be the conclusion whether or not Romney wins the presidency.

Monday, August 20, 2012

With "You Didn't Build That" Obama Revealed We're No Free Market Economy

Barack The Builder-Thief
Consider Sheldon Richman, here, emphasis added:


"What we have—and have had for a long time—is corporatism, an interventionist system shot through with government-granted privileges mostly for the well-connected–who tend to be rich businesspeople. This system is maintained in a variety of ways: through taxes, subsidies, cartelizing regulations, intellectual “property” protections, trade restrictions, government-bank collusion, the military-industrial complex, land close-offs, zoning, building codes, restrictions on workers, and more. As a result, people can get rich at the expense of the government’s victims. Even some who have prospered apparently by market means have actually done so through government intervention, such as transportation subsidies and eminent domain. Wealth can be transferred in many ways besides welfare and Medicaid, some of them quite subtle. Most transfers are upward."

Obama's flub in "you didn't build that" wasn't some supposed expression of disdain for free-market capitalism, but rather a too-open affirmation of the collusion which exists in America between government and business, a collusion redolent of the fascism of an earlier era.

The line was supposed to be, before it blew up in his face, a gentle reminder to his peeps that they owe their continued success to his stewardship of this system of corporatist largesse. 

In stating the obvious Obama has let the cat out of the bag and proven himself an unreliable leader for the game of charades we call the free market economy. He let his guard down and opened a window on this uncomfortable truth about America, that in economics we consider our advocates of free market capitalism analogous to the preachers of fundamentalist Christianity. It's a free country and that's all well and good, as long as you're not really serious.

Obama's mistake is that he said all that out loud. He can be replaced.

(image source)

Sunday, August 19, 2012

Government Payments Like Social Security/Medicare Consume 89 Percent Of Tax Revenues

The government collects only $2.66 trillion in taxes but spends $2.36 trillion just on Social Security, Medicare, Medicaid, food stamps and the like, summed up as Personal Current Transfer Payments.

If we ran a balanced budget, that would leave just $300 billion for everything else, such as defending the country from our enemies, for which we actually spend about $700 billion currently.

Total current expenditures are running at $3.8 trillion, nearly 41 percent more than we presently take in.


Friday, June 29, 2012

Dissenting Supremes Affirm The Principle That Coercion Voids Contracts


When federal legislation gives the States a real choice whether to accept or decline a federal aid package, the federal-state relationship is in the nature of a contractual relationship. See Barnes v. Gorman, 536 U. S. 181, 186 (2002); Pennhurst, 451 U. S., at 17. And just as a contract is voidable if coerced, “[t]he legitimacy of Congress’ power to legislate under the spending power . . . rests on whether the State voluntarily and knowingly accepts the terms of the ‘contract.’” Ibid. (emphasis added). If a federal spending program coerces participation the States have not “exercise[d] their choice”—let alone made an “informed choice.” Id., at 17, 25.

However, nowhere in the opinion do I see a discussion of how ObamaCare is a coerced contract between the government and the individual, and thus no contract at all. The dissent instead focuses on how the States are being coerced into a contract with respect to the Medicaid expansion.

The reason for this is that the Court is deciding a case brought by the States which think they have been wronged in that respect. The Court is not responding to hypothetical individuals who believe they may be wronged in future, and who cannot bring suit until the provisions of ObamaCare have taken effect and they become actual individuals and victims of the law.

It may be surmised that the Court's dissenting opinions in this and other areas are intended to telegraph possible avenues for future challenges to which they may be sympathetic.

Monday, June 25, 2012

He Endorsed Obama And Now Warns About Our Enemy The (Fascist) State

It seems that fascism is becoming something of a meme over at Forbes.

Lawrence Hunter weighs in here against Walter Williams' categorization of Social Security under "handouts" and the recipients of it under "thieves":

... the modern fascist welfare state in America ... is every bit as real and destructive as he describes. ...

Food Stamps, The Women, Infants and Children (WIN) program, Medicaid, agricultural subsidies and price supports, most refundable tax credits, federal deposit insurance, all are examples of federal government “handouts;” Social Security is not; it is a government-mandated Ponzi Scheme—a “giveback”—and there is a huge difference. ...

"[W]orkfare” [is] a dodgy transaction between politicians and public employees/contractors and government subsidized-employers where government gives swag to bureaucrats, contractors and subsidized workers in exchange for their political backing and protection. ...

“Workfare” is the ultimate replacement of the private sector by the government where jobs are created and wages, salaries, benefits and pensions are paid or subsidized to strengthen the fascist welfare state. ...

Allowing one’s rage at the state (especially with respect to Social Security) to muddle one’s understanding of precisely how the state operates and what it is that makes the modern welfare state so vigorous and robust is a mistake that actually strengthens it. The vast majority of people support the modern fascist welfare state precisely because these distinctions [between handouts, givebacks and workfare] are real and matter to people. ...

[T]he modern fascist welfare state is a universal prisoners’ dilemma. The rational strategy when stuck in such a vicious game is to betray everyone else caught in the clutches of the government operating the game in the hope that you can minimize the damage government does to you. ...

[L]ibertarians like my friend Walter Williams have it upside down and backwards when they call Social Security a handout and seniors thieves for insisting on their monthly check. The problem isn’t that everyone is a thief in a fascist welfare state; it is that most everyone is a victim of the criminal enterprise called government and must defend themselves against the state—res publica culpa.


Lawrence Hunter became infamous in 2008 for endorsing Obama, here, primarily over opposition to Bush's foreign adventurism.

The whole thing is not a little ironic. Mr. Hunter allowed his rage at Bush to muddle his thinking about Obama v. McCain and pick the wrong guy. Can anyone seriously argue that the fascist welfare state would have strengthened in the exponential way it has under Obama under a president John McCain, who understood the prisoner's dilemma in fact, not just in theory?

The state? Res publica culpa.

Lawrence Hunter? Mea maxima culpa.

Wednesday, December 28, 2011

Ronald Reagan Was No Conservative: He's Responsible For The Healthcare Mess

Treatment regardless of ability to pay is all his fault, along with a number of other things:

The Emergency Medical Treatment and Active Labor Act (EMTALA) is a U.S. Act of Congress passed in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA). It requires hospitals to provide care to anyone needing emergency healthcare treatment regardless of citizenship, legal status or ability to pay. There are no reimbursement provisions. Participating hospitals may only transfer or discharge patients needing emergency treatment under their own informed consent, after stabilization, or when their condition requires transfer to a hospital better equipped to administer the treatment.

EMTALA applies to "participating hospitals." The statute defines "participating hospitals" as those that accept payment from the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) under the Medicare program. However, in practical terms, EMTALA applies to virtually all hospitals in the U.S., with the exception of the Shriners Hospitals for Children, Indian Health Service hospitals, and Veterans Affairs hospitals. The combined payments of Medicare and Medicaid, $602 billion in 2004, or roughly 44% of all medical expenditures in the U.S., make not participating in EMTALA impractical for nearly all hospitals. EMTALA's provisions apply to all patients, and not just to Medicare patients.

Sunday, July 17, 2011

Will Government Be Short $134 Billion In August as Bob Brinker Claims Today?

He made the claim on his radio show, "Money Talk." See the recap here.

Others, as for example here, maintain there's plenty of cash flow to pay for everything critical both in law and for creditworthiness:

"The Daily Treasury Statement for June 30—which any American, including the president, can look up on the U.S. Treasury Department’s website at this link—says the government took in $196.994 billion in revenue during the month ... more than enough to pay not only all Social Security benefits and veterans benefits and programs for the month, but also, on top of that, the interest on the federal debt, Medicare, Medicaid, the Indian Health Service, Temporary Assistance to Needy Families, all federal workers’ salaries, federal workers’ insurance benefits, Justice Department programs, and Defense Department venders.

"The combined costs for all of these federal expenditures in June was $195.502 billion.

"That means that out of the federal government’s $196.994 billion in revenue in June, the government would have had a surplus of $1.492 billion after it had paid the interest on the national debt, plus all Social Security benefits, veterans’ benefits, veterans’ programs, Medicare, Medicaid, the Indian Health Service, Temporary Assistance to Needy Families, federal workers’ salaries, federal workers’ insurance benefits, Justice Department programs, and Defense Department vend[o]rs."


Isn't it the potential of cutting off the cash cow for extraneous government spending which really has liberals like Brinker in a fit? After all, he called Senator Harry "The War is Lost" Reid of Nevada "a good man" more than once on his show. Brinker loves the guy.

How is it that Brinker can assert, as he did today, that advocating against raising the debt ceiling, as certain Republicans are doing presently, disqualifies one for the presidency when Obama actually voted against raising the debt ceiling in 2006, along with all the rest of his Democrat colleagues in the Senate? The Roll Call vote is here.

The minions of liberals in the federal workforce might actually have to THINK going forward and prove their competence for their exorbitant salaries by PRIORITIZING spending for a change if Republicans muster the courage to force them TO DO THEIR JOBS and leave the debt ceiling where it is. Raising the debt ceiling is the true default: It means you can't pay your bills without more borrowing.

Maybe Bob Brinker is afraid the Democrats are not really up to it. They certainly haven't been in the past. We're still waiting for a budget proposal from the Senate. The Senate under Reid hasn't passed one in over two years.

Wednesday, July 13, 2011

Treasury's Own Figures Show It Has Plenty of Cash Flow To Pay Seniors

[A]ccording to the Daily Treasury Statements published by the U.S. Treasury Department, the ongoing flow of federal tax revenue since the Treasury declared that it had hit the debt limit on May 16 has been more than sufficient to cover the combined costs of federal spending on interest payments, Medicare, Medicaid, Social Security, the Veterans Affairs department and federal workers wages and insurance benefits (including wages and insurance benefits for military personnel).

All the figures follow at the link here.

Wednesday, May 25, 2011

Obama Conceded Government Spending is the Problem, not Tax Revenue, Nearly Two Years Ago

"Medicare and Medicaid are the single biggest drivers of the federal deficit and the federal debt by a huge margin."

-- Barack Obama, quoted here, June 24th, 2009, and affirmed as "mostly true" by the source.


Monday, August 30, 2010

You'd Know It's a Depression If . . .

. . . 50 million Americans getting Medicaid, stopped getting it (cost $273 billion);

. . . 40 million Americans getting Food Stamps, stopped getting them (cost $70 billion);

. . . 10 million Americans on Unemployment, stopped getting it (cost $160 billion);

. . . 4 million on Welfare, stopped getting it (cost $22 billion).

The total current cost of these safety net programs: $525 billion.

Read all about it, here.

Monday, July 12, 2010

"THE MOST DANGEROUS AND INCOMPETENT PRESIDENT WE HAVE EVER HAD"

Not my words, but those of the Jewish atheist Nat Hentoff:


July 12, 2010

Health Care Rationing Obama Believes In

By Nat Hentoff

As a reporter, I do not use euphemisms - such as calling murderous terrorists "militants" or "activists." And as an American, I can exercise my First Amendment right to say plainly that President Obama is a liar with regard to our new health-care law, often referred to as Obamacare.

When a number of critics of Obamacare, including myself, warned that it would bring the rationing of treatments, medications and research into new procedures, the president said to the American Medical Association (June 15, 2009) that this rationing charge was a "fear tactic."

The next month, he said flat out: "I don't believe that government can or should run health care" (firstthings.com, May 31, 2010).

But in May of this year, the president nominated Dr. Donald Berwick, a professor at Harvard Medical School, to head Health and Human Services' Centers for Medicare and Medicaid Services (CMS) - the most powerful health-care position. As Hal Scherz underlines (RealClearPolitics.com, May 26): "CMS covers over 100 million Americans, has an annual $800 billion budget that is larger than the Defense Department's and is the second-largest insurance company in the world."

Unlike Obama, Berwick is enthusiastically, openly candid in his support of Britain's socialistic National Health Service. In a 2008 speech to British physicians, our new health czar said: "I am romantic about National Health Service. I love it (because it is) 'generous, hopeful, confident, joyous and just.'"

That "just" National Health Care Service decides which care can be too costly for the government to pay. Its real-time decider of life-or-death outcomes is the National Institute for Health and Clinical Excellence (NICE). Here is how "nicely" it works, described by Michael Tanner, senior fellow and health-care expert at the Cato Institute (where I, too, am a senior fellow):

"It acts as a comparative-effectiveness tool for the National Health Care Service, comparing various treatments and determining whether the benefits the patients receives - SUCH AS PROLONGED LIFE - are cost-efficient for the government" (lifenews.com, May 27).

So listen to our very own decider of how the Obama administration will lower our national debt by cutting inefficient health-care costs. After declaring his ardent romantic attachment to the British system, Berwick said: "All I need to do to rediscover the romance is to look at health care in my own country." He will, of course, be too busy to attend the funerals of the sacrificial Americans whose lives - not only those of the elderly - may thereby be cut short.

Tanner makes a grim point as Berwick rediscovers the romance of government cost-effectiveness: "Recent reports suggest that the recently passed health-care bill will be far more expensive than originally projected. As it becomes apparent that Obamacare is unsustainable, the calls for controlling its costs through rationing will grow louder. With Donald Berwick running the government's health-care efforts, those voices have a ready ear" (dailycaller.com, May 27).

By then, Berwick will be involved in the government-controlled health of more than 100 million Americans and - notes Michael Tanner - "Maybe those worries about death panels weren't so crazy after all."

Keep in mind that already, in May, "the Congressional Budget Office updated its cost projections (of Obamacare). It found that the new health legislation would cost $115 billion more than estimated when it was enacted ("ObamaCare's Ever-Rising Price Tag," Wall Street Journal, June 3).

How soon will the romantic rhythms of health rationing follow?

Wesley Smith, an invaluable investigative reporter on the dangers of government-controlled health care, describes the consequences if Obamacare is not repealed by the next Congress after the midterm elections:

"Once the centralized planning of medical delivery is complete - with cost-containment boards controlling the standards of care and the extent of coverage for both the private and public sectors - insurance companies, HMOs and the government will be able to legally discriminate against the sickest, most disabled and most elderly in our country. In other words, those whose care is most expensive."

For what to watch for during the reign of Berwick, whom Secretary of Health and Human Services Kathleen Sibelius recently glorified as "absolutely the right leader for this time" (CNSNews.com, May 26), I bring back Michael Tanner:

In the British Health Service Berwick loves, "750,000 patients are awaiting admission to NHS hospitals. ...The latest estimates suggest that for most specialties, only 30 to 50 percent of patients are treated within 18 weeks. For trauma and orthopedic patients, the figure is only 20 percent. ... Every year 50,000 surgeries are canceled because patients become too sick on the waiting list to proceed."

And, again unlike the president, Berwick tells it like it frighteningly is in a June 2009 interview for the magazine, Biotechnology Healthcare:

"It's not a question of whether we will ration health care. It is whether we will ration with our eyes open."

There are many reasons why it is vital for Americans to vote in the midterm elections - and, of course, in 2012, to prevent a second term for the most dangerous and incompetent president we have ever had - but for many Americans, it is particularly important this year to vote against supporters of Obamacare. The question for many voters should be whether, in the years ahead, they will be in condition to vote if they are on waiting lists for government-controlled health care.

More of us are learning that during the Obama administration, it is essential to continually keep our eyes open on all it does.

Nat Hentoff is a nationally renowned authority on the First Amendment and the Bill of Rights. He is a member of the Reporters Committee for Freedom of the Press, and the libertarian Cato Institute, where he is a senior fellow.

This piece appeared here.