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Old May 8th, 2017, 11:17 AM   #1
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TrumpCare: Now what??

WE all watched as a jubilant Trump and Ryan celebrated the House victory over Trumpcare or TrumpDon'tCare....which ever you prefer. The question is ... now what??

First of all we know that it's not over, but whatever happens in the Senate, the GOP owns AHCA. House Republicans will be held responsible for this bill. The vote on this bill was held without hearings, without a score from the Congressional Budget Office analyzing its full impact, and without giving Members enough time to even read the bill, as if they were willing to do so. Some had their staff read the bill. Nonetheless, with a razor-thin margin, House Republicans rammed their deeply unpopular TrumpCare bill through the House.

So what's next? The formidable Senate. The Senate is an entirely different animal at the D.C. zoo. There are 52 Republicans in the Senate, which means they can only afford to lose 2 votes....and there are some very unhappy GOP campers in the Senate. Our Senators don't just represent an area of their state--they represent their ENTIRE state. Some of these states have colossal healthcare issues, including opiate addictions. Some of these states depend on Planned Parenthood. Some of these states do NOT want the Emergency Room flood that was pervasive before ACA. Some say AHCA is too conservative and some say it's too liberal. OH we got trouble!!

Meet some of the GOP who oppose Trumpcare: https://thinkprogress.org/republican...n-7a582fdddad5

Anyway you lick the spoon, the Senate is unlikely to pass the bill in it's current form and Senators like Susan Collins say they will take their time--consider every avenue and if necessary rewrite the whole kaboodle.
Then return it to the House. Hmmmm......The House will have to either pass the Senate version of the bill, which will be even harder for Speaker Ryan to get done, or they’ll need to go to what’s known as a conference committee. The committee is composed of members from both parties and both Houses and the bill undergoes a number of additional changes. Assuming the conference committee can reach an agreement, which again will be difficult, the compromise bill will then need to get passed in both the House and Senate.

So ONE thing remains for sure. Obamacare is still the law of the land and will continue to BE law of the land until the House and Senate can agree, it's sent to the prez and he signs it. Tick Tock!
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Old May 8th, 2017, 11:20 AM   #2
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Well we've learned the Trump can turn on a dime, I happen to believe he is a plant but we can hold that for another day. When it's all said and done it will be a Medicare for all type plan.
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Old May 8th, 2017, 11:45 AM   #3
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Well we've learned the Trump can turn on a dime, I happen to believe he is a plant but we can hold that for another day. When it's all said and done it will be a Medicare for all type plan.

Medicaid, or VA for all. How're those two working out? Liberals are dumb.
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Old May 8th, 2017, 11:47 AM   #4
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Medicaid, or VA for all. How're those two working out? Liberals are dumb.
Sure, in your opinion I'm as Liberal as it gets, right?
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Old May 8th, 2017, 12:14 PM   #5
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Sure, in your opinion I'm as Liberal as it gets, right?

Where did I say that?
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Old May 8th, 2017, 04:56 PM   #6
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Medicaid, or VA for all. How're those two working out? Liberals are dumb.
Yes, medicaid for all in the form of singe payer. Would save us all money. Medicaid works fine. The VA is incompetent due to a systematic abuse caused be Federal Administrative employees. Medicaid and the VA are not the same. Not even close. Medicaid is using private services. VA is using federal employees to provide service. Which is why anyone who thinks that veterans should not be allowed to use private services, that can be paid for by VA benefits, much like medicaid, are either cruel or ignorant.
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Old May 8th, 2017, 05:38 PM   #7
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Yes, medicaid for all in the form of singe payer. Would save us all money. Medicaid works fine. The VA is incompetent due to a systematic abuse caused be Federal Administrative employees. Medicaid and the VA are not the same. Not even close. Medicaid is using private services. VA is using federal employees to provide service. Which is why anyone who thinks that veterans should not be allowed to use private services, that can be paid for by VA benefits, much like medicaid, are either cruel or ignorant.

Medicaid does not work fine.
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Old May 9th, 2017, 06:16 AM   #8
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Medicaid does not work fine.
You are right. Its not available to everyone, that is the problem
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Old May 9th, 2017, 06:25 AM   #9
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You are right. Its not available to everyone, that is the problem


Is Ray talking about MediCAID or Medicare? It's hard to keep up.
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Old May 9th, 2017, 07:46 AM   #10
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When the GOP owns it can they get the same pass and excuses that the progs got via media, prog citizenship and government?

Another whistle pass the graveyard moment and lets be patient, a couple of Obama EO's delaying signed law?

Can the Republicans be sloppy on the roll out/cost of said care as the progs did?

Is it that you now have a different standard because your team is not in charge?

This is a Bloomberg article from 2014. Is Bloomberg a hotbed of conservatives?

Did we save the 9 Billion as promised by Allbright in 2014?

So when and if the Bill passes and is signed into law could we please compare apples to apples and not this partisan crap?

Can you even find Mrs Clara the total cost of rollout/sustainment to date so far for Mr Obama's and the Elected Progs ACA bill?

Mr Linky: https://www.google.com/url?sa=t&rct=...eMycYUIaKub1SQ



September 24, 2014, 3:17 PM MDT

The federal government’s Obamacare enrollment system has cost about $2.1 billion so far, according to a Bloomberg Government analysis of contracts related to the project.

Spending for healthcare.gov and related programs, including at the Internal Revenue Service and other federal agencies, exceeds cost estimates provided by the Obama administration, the analysis found. The government’s most recent estimate, limited to spending on computer systems by the agency that runs the site, through February, is $834 million.

Healthcare.gov and its associated programs are the main portal for millions of Americans to sign up for coverage under the Patient Protection and Affordable Care Act known as Obamacare. Spending for the system has been a matter of dispute between the administration and Republican opponents in Congress, who have tried to block funding for the law.

“The way in which Obamacare has been rolled out has been very messy,” with spending scattered across dozens of contracts, many of them predating the law and amended afterward, said Peter Gosselin, a senior health-care analyst at BGov and lead author of study. “One of the reasons it has been implemented in the way it has been, financially, is precisely to deny opponents of the law a clear target.”

Contractor Infighting

The construction of healthcare.gov involved 60 companies, supervised by employees of the Centers for Medicare and Medicaid Services instead of a lead contractor, according to the inspector general at the Health and Human Services Department. The project was marked by infighting among the contractors, CMS officials and top officials at HHS, the Cabinet-level department that oversees CMS, according to e-mails released Sept. 17 by the House Oversight and Government Reform Committee.

Aaron Albright, a spokesman for CMS, disputed BGov’s calculation, which included parts of the federal health insurance system other than its computer elements.

“The GAO, HHS’s Inspector General and the department all measured the cost of marketplace-related IT contracts for healthcare.gov,” Albright said in an e-mail. “But this report measures different things, and not surprisingly, produces a different number.”

Consumer Savings

Albright added that the Affordable Care Act had saved consumers about $9 billion in health-care costs so far.

“CMS takes its responsibility for spending taxpayer dollars seriously,” he said. “That’s why we’ve moved aggressively to implement extensive contracting reforms, bringing in new leadership to oversee marketplace operations, hiring a systems integrator, and ending our largest contract with CGI and moving to a new type of contract with Accenture that rewards performance.”

Earlier this year, CMS fired the original contractor for healthcare.gov, CGI Group Inc. of Montreal, and hired Accenture Plc for the project. A UnitedHealth Group Inc. executive, Andy Slavitt, who had managed repairs of the site, was hired as the principal deputy administrator at CMS. Kevin Counihan, the former chief executive officer of Connecticut’s successful state-run insurance exchange, was hired Aug. 26 to manage healthcare.gov.

Watching Costs

The Medicare agency and independent auditors have had trouble tracking the costs of Affordable Care Act programs. The Government Accountability Office, a congressional agency, said in a Sept. 22 report that it was “difficult and time consuming” to obtain financial information for the Center for Consumer Information and Insurance Oversight, the CMS office that manages many ACA programs, and that it “could not determine the reliability of most of the amounts” CMS provided.

Albright said CMS has created a task force to track costs of the insurance exchange and “strategically manage” its future acquisitions.

Healthcare.gov opened on Oct. 1 last year and promptly collapsed, preventing millions of Americans from enrolling in coverage until December, after a frantic repair effort. By April, about 8 million people had initially signed up for private health plans using healthcare.gov or state-run systems, according to the federal government.

About 7.3 million people were enrolled in private coverage obtained under the Affordable Care Act as of Aug. 15, the CMS administrator, Marilyn Tavenner, said last week.

Other Costs

The BGov analysis is based on contract data compiled by the Washington-based organization, which is a division of Bloomberg LP separate from Bloomberg News. BGov’s price tag includes several large costs left out of the Obama administration’s estimate: $387 million in spending for healthcare.gov by the IRS and other agencies outside the health department; a $300 million contract to process paper applications; and spending by CMS after Feb. 28.

Senator Lamar Alexander, a Tennessee Republican who has scrutinized the Obama administration’s construction of healthcare.gov as the senior Republican on the Health, Education, Labor and Pensions Committee, said the cost of the site exceeded the combined value of his state’s three professional sports teams.

Despite the spending, the site “still isn’t secure, doesn’t let people easily compare doctors and medications covered by each plan, and has not processed all of the applications from last year’s open enrollment,” he said in an e-mail from a spokeswoman.

Insurance Subsidies

While spending for healthcare.gov has exceeded official estimates, the Affordable Care Act is coming under budget in at least one area: subsidies to help Americans buy insurance.

The BGov analysis estimates the government will spend $14.9 billion through the end of September to reduce premiums for people purchasing Obamacare plans. The administration predicted it would spend more than twice as much: $36.7 billion.

The discrepancy may be an indication of problems healthcare.gov has experienced communicating with computer systems at health insurance companies, Gosselin said. The subsidies are paid directly to insurers, and there may be a lag for the transfers because healthcare.gov’s back-end connections to insurers aren’t complete.

“Round one, the crisis was in the front-end of the system,” Gosselin said. “Round two, it’s going to be in the back office.”
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