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  • Category Archives The Hidden Costs of Obamacare
  • Democrats Didn’t Due Diligence on Obamacare

    Mar 9, 2010 DUE DILIGENCE is an investigation or audit of a potential investment to confirm all facts, such as reviewing all financial records, plus anything else deemed material.

    IN THIS CASE  “DUE DILIGENCE” REFERS TO WHAT THE 100% OF ELECTED DEMOCRATS IN CONGRESS SHOULD HAVE DONE BEFORE THEY ALL VOTED ON OBAMACARE.

    Pelosi: “We Have to Pass the Bill So That You Can Find Out What Is In It”

    ▶ 0:10

    https://www.youtube.com/watch?v=hV-05TLiiLU

    Mar 9, 2010 – Uploaded by PoliJAM

    Pelosi: “We Have to Pass the Bill So That You Can Find Out What Is In It” … Nancy Pelosi said there was so …

    MARCH 23, 2010 INSTEAD OF DOING WHAT A REASONABLE PERSON WOULD DO… THE 100% OF THE ELECTED DEMOCRATS IN CONGRESS VOTED AND PASSED OBAMACARE, THE UN-AFFORDABLE CARE ACT.

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    NOV 10, 2014 WAS PROFESSOR JONATHAN GRUBER TALKING ABOUT THE STUPID 100% OF VOTERS IN CONGRESS?

    ObamaCare architect: ‘Stupidity’ of voters helped bill pass | TheHill

    thehill.com/policy/…/223578-obamacare-architect-lack-of-transparency-helped-law-p…

    NOV 10, 2014 – An architect of the federal healthcare law said last year that a “lack of transparency” and the “stupidity of the American voter” helped Congress approve ObamaCare. In a clip unearthed Sunday, Massachusetts Institute of Technology Professor Jonathan Gruber appears on a panel and …

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    ON MARCH 23, 2010 THE DEMOCRAT’S  OBAMACARE WAS 100% UN-AFFORDABLE. period

    I did my  DUE DILIGENCE ON OBAMACARE: AND I VOTED FOR TRUMP

    JULY 7, 2017  IS IT JUST ANOTHER OBAMA ADMINISTRATION STUPID MESS FOR TRUMP TO CLEAN UP?

    OR NOT? WHY NOT JUST LET IT CRASH AND BURN AS OBAMA’S NAMESAKE LEGACY?

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    JULY 17, 2017 HOW’S OBAMACARE WORKING OUT FOR WORKING AMERICAN CITIZENS?

    Average Individual Health Insurance Premiums Increased 99% Since …

    news.ehealthinsurance.com/…/average-individual-health-insurance-premiums-increase…

    JAN 23, 2017 – Open enrollment for 2017 health insurance plans under the Affordable Care Act (ACA or Obamacare) began on November 1, … Prior to 2014, eHealth published an annual Cost and Benefits report, which tracked cost and …

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    HOW ARE THE OBAMACARE DEDUCTIBLES WORKING OUT FOR AMERICA’S WORKING FAMILIES?

    Nov 14, 2015“Our DEDUCTIBLE is so high, we practically pay for all of our medical … Her family of four pays premiums of $1,200 a month for coverage with an … like generic drugs or visits to a primary care doctor, before patients …

    Oct 10, 2016, Before Trump was elected, he said “HEALTH CARE IS GOING UP BY NUMBERS THAT ARE ASTRONOMICAL — 68%, 59%, 71%,”

    THAT “IT’S FAR TOO EXPENSIVE” AND THAT “NOT ONLY ARE YOUR RATES GOING UP BY NUMBERS THAT NOBODY’S EVER BELIEVED,

    BUT YOUR DEDUCTIBLES ARE GOING UP,

    SO THAT UNLESS YOU GET HIT BY A TRUCK, YOU’RE NEVER GOING TO BE ABLE TO USE IT.”

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    TRUTH IS: IN THE PAST FIVE YEARS, ACCORDING TO NPR HEALTH POLICY CORRESPONDENT ALISON KODJAK, “THE AVERAGE COST OF HEALTH CARE TO FAMILIES (PAYING DEDUCTIBLES)  BEFORE THEIR INSURANCE KICKS IN HAS RISEN 67%.”

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    I did my  DUE DILIGENCE ON OBAMACARE: AND I VOTED FOR TRUMP

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    JULY 17, 2017 HOW’S OBAMACARE WORKING OUT FOR AMERICAN SENIOR CITIZENS?

    Average? Retired  single  75 year old lady living on a lower income Social Security check

    HOT DAMN, I GOT A 3% SOCIAL SECURITY COST OF LIVING INCREASE

    Medicare costs $107.00 @month, Prescription Drug Plan$72.70 @month.

    Indeed,  I must pay an additional $220.75. AARP supplemental insurance for 100% full coverage, through United Healthcare (no deductible)

    TOTAL PAID OUT FOR MEDICAL INSURANCE $400.45 @MONTH

    Of course the  $200.75 is optional, my choice….  I pay so I won’t lose my house, my IRA and stock, Just in case, I fall and break my hip, spend a week in the hospital and spend another month in a care facility.

     And, I live through  it. 

    Oops,  I decided not to pay it, I am bankrupt,  I’ve lost my IRA, my stock and my house.

    Now, I am  homeless,  retired,  single, broken old lady on a lower income Social Security check.

    Best case scenario, I continue to pay the $200.75, my family inherits my IRA, my stock and my house.

    Worst case scenario I decided not to pay the $200.75, my family has to take care of a bankrupt, homeless broken old lady, and they inherit zip, zero, Nada, nothing.

    I did my  DUE DILIGENCE the care a reasonable person should take before entering into an agreement or a financial transaction with another party.

    As a reasonable old lady, I shall continue to  pay the $200.75@ month  to AARP for my United Healthcare and not become a burden to my family.

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    The bottom line…

    JULY 7, 2017  IS OBAMACARE JUST ANOTHER OBAMA ADMINISTRATION STUPID MESS FOR TRUMP TO CLEAN UP?

    OR NOT?

    WHY NOT JUST LET IT CRASH AND BURN AS OBAMA’S NAMESAKE LEGACY?


  • Ignorance – Perversion and Truth

    Ignorance – Perversion and Truth

    HISTORY HAS SHOWN FOR OVER 200 YEARS

    THAT OUR LEGISLATORS HAVE BEEN GUILTY OF NOT POSSESSING ENOUGH INFORMATION TO PERCEIVE THE IMPORTANT TRUTHS

    THOMAS JEFFERSON , 25 NOVEMBER 1817
    DOCUMENTED, JAN 18, 2017

    Pelosi: Pass Health Reform So You Can Find Out What’s In It

    www.usnews.com/…/pelosipass-health-refor…

    U.S. News & World Report

    Mar 9, 2010 – Pelosi: Pass Health Reform So You Can Find Out What’s In It … Add House Speaker Nancy Pelosi to the list. Speaking Tuesday to the 2010 …
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    HISTORY HAS SHOWN FOR OVER 200 YEARS

    THOMAS JEFFERSON, 25 NOVEMBER 1817
    DOCUMENTED, JAN 18, 2017

    WHEREAS IT APPEARETH THAT HOWEVER CERTAIN FORMS OF GOVERNMENT ARE BETTER CALCULATED THAN OTHERS TO PROTECT INDIVIDUALS IN THE FREE EXERCISE OF THEIR NATURAL RIGHTS, AND ARE AT THE SAME TIME THEMSELVES BETTER GUARDED AGAINST DEGENERACY, YET EXPERIENCE HATH SHEWN, THAT EVEN UNDER THE BEST FORMS,

    THOSE ENTRUSTED WITH POWER HAVE, IN TIME, AND BY SLOW OPERATIONS, PERVERTED IT INTO TYRANNY….

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    1. A Bill for the More General Diffusion of Knowledge, 18 …

    As part of his work in revising the laws of Virginia during the late 1770s and early 1780s, THOMAS JEFFERSON PUT FORTH A BILL THAT HAS BECOME ONE OF HIS MOST ENDURING WORKS ON THE SUBJECT OF EDUCATION: Bill 79, “A Bill for the More General Diffusion of Knowledge.” Its oft-quoted preamble reads as follows:

    THOMAS JEFFERSON, 25 NOVEMBER 1817

    MY HOPES HOWEVER ARE KEPT IN CHECK BY THE ORDINARY CHARACTER OF OUR STATE LEGISLATURES,  THE MEMBERS OF WHICH DO NOT GENERALLY POSSESS INFORMATION ENOUGH TO PERCIEVE THE IMPORTANT TRUTHS, THAT KNOWLEDGE IS POWER, THAT KNOWLEDGE IS SAFETY, AND THAT KNOWLEDGE IS HAPPINESS.”

    DONALD J. TRUMP AND AMERICAN VOTERS

    DID PERCEIVE THE IMPORTANT AMERICAN TRUTHS ABOUT KNOWLEDGE, SAFETY, POWER,PERVERSION INTO TYRANNY OBAMA CARE, EDUCATION, AND HAPPINESS.

    NO LONGER ARE OUR AMERICAN HOPES KEPT IN CHECK.

    DONALD J. TRUMP IS THE PRESIDENT ELECT AND INAUGURATION DAY IS JAN 20, 2017

    THE CHARACTER OF THE REPUBLICAN LEGISLATORS AND HIS CABINET PICKS

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    For the General Diffusion of Knowledge  and truth.

    Responding to stories of the day (fake news etc.)

    Sean Spicer

    Press Secretary and Special Assistant to the President

    Appointed

    Mr. Spicer was the longtime spokesman for the Republican National Committee and top aide to Mr. Priebus. Mr. Spicer will be the face of the White House, framing messaging, responding to stories of the day and briefing the press.

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    JAN 18, 2017 UPDATING 2015 POST

    Knowledge is Power 1597-1817-2015

    Posted on November 11, 2015 3:00 pm by Pearl Rains Hewett Comment

    1. A Bill for the More General Diffusion of Knowledge, 18 …

    As part of his work in revising the laws of Virginia during the late 1770s and early 1780s, Thomas Jefferson put forth a bill that has become one of his most enduring works on the subject of education: Bill 79, “A Bill for the More General Diffusion of Knowledge.” Its oft-quoted preamble reads as follows:

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    Whereas it appeareth that however certain forms of government are better calculated than others to protect individuals in the free exercise of their natural rights, and are at the same time themselves better guarded against degeneracy, yet experience hath shewn, that even under the best forms,

    those entrusted with power have, in time, and by slow operations, perverted it into tyranny;

    AND IT IS BELIEVED THAT THE MOST EFFECTUAL MEANS OF PREVENTING THIS WOULD BE, TO ILLUMINATE, AS FAR AS PRACTICABLE, THE MINDS OF THE PEOPLE AT LARGE,

    AND MORE ESPECIALLY TO GIVE THEM KNOWLEDGE OF THOSE FACTS, WHICH HISTORY EXHIBITETH, THAT, POSSESSED THEREBY OF THE EXPERIENCE OF OTHER AGES AND COUNTRIES, THEY MAY BE ENABLED TO KNOW AMBITION UNDER ALL ITS SHAPES, AND PROMPT TO EXERT THEIR NATURAL POWERS TO DEFEAT ITS PURPOSES;

    And whereas it is generally true that that people will be happiest whose laws are best, and are best administered, and that laws will be wisely formed, and honestly administered, in proportion as those who form and administer them are wise and honest; whence it becomes expedient for promoting the publick happiness that those persons, whom nature hath endowed with genius and virtue, should be rendered by liberal education worthy to receive, and able to guard the sacred deposit of the rights and liberties of their fellow citizens, and that they should be called to that charge without regard to wealth, birth or other accidental condition or circumstance; but the indigence of the greater number disabling them from so educating, at their own expence, those of their children whom nature hath fitly formed and disposed to become useful instruments for the public, IT IS BETTER THAT SUCH SHOULD BE SOUGHT FOR AND EDUCATED AT THE COMMON EXPENCE OF ALL, THAN THAT THE HAPPINESS OF ALL SHOULD BE CONFIDED TO THE WEAK OR WICKED:
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    The Bill was presented in the House of Delegates in 1778 and 1780, but was not passed; James Madison presented the bill several more times to the state legislature while Jefferson was serving in Paris as Minister to France. A much-revised version was finally passed into law in 1796 AS AN “ACT TO ESTABLISH PUBLIC SCHOOLS.”
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    Federal Role in Education – US Department of Education

    www2.ed.gov/about/overview/fed

    United States Department of Education

    Feb 13, 2012 – This page discusses the role of the U.S. Department, providing a … About ED OVERVIEW. The Federal Role in Education Overview. Education is primarily a State and local responsibility in the United …. Welcome to ED.gov …

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    The Federal Role in Education 2011-2012
    EDUCATION IS PRIMARILY A STATE AND LOCAL RESPONSIBILITY IN THE UNITED STATES. It is States and communities, as well as public and private organizations of all kinds, that establish schools and colleges, develop curricula, and determine requirements for enrollment and graduation.

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    The bottom line

    IT IS BETTER THAT “SUCH” SHOULD BE SOUGHT FOR AND EDUCATED AT THE COMMON EXPENCE OF ALL, THAN THAT THE HAPPINESS OF ALL SHOULD BE CONFIDED TO THE WEAK OR WICKED.

    NO LONGER ARE OUR AMERICAN HOPES KEPT IN CHECK.

    DONALD J. TRUMP IS THE PRESIDENT ELECT AND INAUGURATION DAY IS JAN 20, 2017

    AND, BY THE CONFIRMATION AND CHARACTER OF THE REPUBLICAN LEGISLATORS AND TRUMPS CABINET PICKS


  • Confront? Question? Demand?

    Confront? Question? Demand?

    Why do  I  personally bother to attend and speak out at  Rep. Derek Kilmer’s Town Hall Meetings?

    Someone’s  GOT TO DO IT … speak  out publicly, in front of the local news media on THE FEDERAL UNMENTIONABLES.

    Someone’s  got to  confronted him with the evidence, ask the hard questions, compel him to face or consider something and  demand answers.

    As our elected rep. in WA DC Rep. Derek Kilmer is responsible to us.

    WHAT WILL  KILMER  DO IN RESPONSE TO

    THE FEDERAL UNMENTIONABLES?

    1. The ISIS terrorist attacks, 62% of Americans are VERY CONCERNED?

    2.  How Is he going to VOTE to prevent the Olympic Peninsula Electronic WAR GAMES. from destroying our entire coastline of public land? And, the entire coastline from Alaska to Mexico?

    3.   How Is he going to VOTE on the FINANCIAL immigration  Crisis? Dec 3, 2014 – Seventeen states filed a joint lawsuit in federal court Wednesday to try blocking President Barack Obama’s executive order on immigration.

    4.  How is he going to VOTE to reform the Obamacare debacle?

    5. Is he going to address the economic crisis created by SUE AND SETTLE?  (ESA)  taking of public and private land, in violation of the Administrate Procedure Act

    6. Is he going to demand JUSTICE from the JUSTICE DEPARTMENT?

    7.  Is he going to support the return of individual states Sovereignty, to the States, of the United States of America? So we can “MIND OUR OWN BUSINESS”

    8. Rep Kilmer put it in writing,  I’ll continue my fight during this Congress to put our government back in the hands of “We the People.”

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     OK, REP. KILMER, THIS IS WHAT WE THE PEOPLE WANT?

    WHAT REPRESENTATIVE FEEDBACK ARE WE GOING TO GET FROM YOU?

    We the People of the United States, in Order to RE-FORM a more perfect Union,

    MUST RE- ESTABLISH The  Constitution of  the United States of America.

    MUST RE-ESTABLISH JUSTICE,

    MUST INSURE DOMESTIC TRANQUILITY

    MUST PROVIDE FOR THE COMMON DEFENSE

    MUST PROMOTE THE GENERAL WELFARE

    MUST RE-SECURE the Blessings of Liberty to ourselves and our Posterity,

    We do ordain and MUST INSIST ON  the RE-ESTABLISHMENT of the Constitution for the United States of America.

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    Rep. Kilmer Newsletter, below,  states,  I’ll be holding six town hall meetings so I can hear directly from you elected Rep. Kilmer will be holding six town hall meetings so I can hear directly from you. I want to stress these town halls are open to the public, and I encourage everyone to attend.

    It’s time to bring sanity back?

    Despite the overall dysfunction?

    I’ll continue my fight during this Congress to put our government back in the hands of “We the People.”

    Make the government more transparent and responsive?

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    I, personally, SHALL continue my fight to put our federal, state and local governments  accountable and back in the hands of “We the People.”

    Even if I have to go it alone, with my boots on the ground and making public comments  at public forums.

    And, on my website behindmyback.org  in cyberspace

     


  • The Observation of Despicable Obamacare

    The Observation of Despicable Obamacare

    UNDISCLOSED, Appalling, dreadful, contemptible, shameful, disgraceful, loathsome

    Or to put it another way,the Despicable Obamacare “Under Observation Rule”

    UNDISCLOSED, Appalling, dreadful, contemptible, shameful, disgraceful, loathsome

    WHEN IT COMES TO MEDICARE claims, it’s all about the fine print on your hospital chart. Find out how being “UNDER OBSERVATION” can cost you.

    The Two Words That Cost Medicare Patients Thousands

    HOSPITAL PATIENT’S OBSERVATION? AND OR TREATMENT?

    Under OBSERVATION, technically made her an out-patient and that means that MEDICARE WON’T PAY for her rehab in a nursing facility which costs $28,000.

    reporter: WE WANTED TO TALK TO MEDICARE , BUT THEY DENIED OUR REQUEST ON THIS, CITING LITIGATION ON THIS VERY ISSUE.

     THE HOSPITAL that treated m.j. wouldn’t discuss it with us, but said it is part of the rules when defining care.

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    GOOD REMEDY FROM a senior gentleman in Mesa, Arizona:

    November is coming folks, we can have an impact on this debacle by letting everyone in Congress know that their responsibility is to the constituents, not the president and not the lobbyists. We need to let them ALL know that they are in office to serve and to look after the BEST INTERESTS of “we the people”, their employers, and not to become self-serving bureaucrats who serve only out of greed. And if they don’t seem to understand this simple logic, we’ll fire them.

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    REPORTED ON NBC NEWS NIGHTLY January 09, 2014

    The Two Words That Cost Medicare Patients Thousands

    When it comes to Medicare claims, it’s all about the fine print on your hospital chart. Find out how being “under observation” can cost you.

    This content comes from Closed Captioning that was broadcast along with this program.

    back as promised with this new warning for everyone on Medicare . specifically, it is about the words that appear on hospital forms and small differences in the fine print that could mean thousands of dollars in payments down the line. we get details on this story tonight from our national correspondent, Kate Snow .

    reporter: 79-year-old m.j. is doing physical therapy after a bad spill in September. she spent three days in the hospital getting the same care as an in-patient but was not classified as one. instead, her chart said she was only under observation.

    it was illogical, I had a broken leg, it didn’t make sense at all, what were they going to observe?

     reporter: and here is what she didn’t understand, that label, under observation, technically made her an out-patient and that means that Medicare won’t care for her rehab in a nursing facility which costs $28,000.

    the whole thing is outrageous and it is not right.

    it is a huge problem, there are almost 2 million people every year who are stuck in this observation status Alice in wonderland world.

    reporter: the number of patients in this status increased more than 6,000 since last year, and just this year, many more were like m.j.’s. patients in the hospital three days or more but not eligible for costly rehab coverage.

    to the patients, our viewers, frankly it seems the hospitals share at least part of the blame for this.

    sure, they’re in had the hospital , they will think all of this is a hospital decision. much of this is out of our hands.

    reporter: the representative for most of the hospitals in the country say they’re being squeezed by Medicare . in-patients cost more so Medicare aggressively audits the classifications given.

    they edit the fact sometimes in years later, they take the payment back, unfortunately, the patient gets in the middle of this.

     reporter: we wanted to talk to Medicare , but they denied our request on this, citing litigation on this very issue. the hospital that treated m.j. wouldn’t discuss it with us, but said it is part of the rules when defining care. she and her husband who has Parkinson’s just moved in with their son in Dallas to save money.

    I worked my whole life. and I‘m just appalled.

    reporter: now, any money they can save will go to her rehab. so far legislative proposals to fix this problem have gone nowhere. advocates say patients who end up in the hospital need to make sure they’re admitted as patients, not just in-patients.

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    ANOTHER COMMENT ON THE  DESPICABLE OBAMACARE  OBSERVATION RULE

    appalling, dreadful, contemptible, shameful, disgraceful, loathsome

    Letter from a senior gentleman in Mesa, Arizona:

     Dear Family, Friends, Neighbors and former Classmates, I just found myself in the middle of a medical situation that made it very clear that “the affordable care act” is neither affordable, nor do they care.

     I’ll go back about seven years ago to a fairly radical prostate surgery that I underwent. The Urologist (a personal friend) who performed the surgery was very concerned that it was cancer, though I wasn’t told this until the lab report revealed it was benign.

    Since that procedure, I have experienced numerous urinary tract infections, UTI’s. Since I had never had a “UTI” prior to the prostate surgery, I assume that it is one of the side effects from surgery, an assumption since confirmed by my Family Doctor.

     The weekend of March 8-9, I was experiencing all the symptoms of another bout of UTI. By Monday afternoon the infection had hit with full force. Knowing that all I needed was an antibiotic, I went to an Urgent Care Center in Mesa, AZ., to provide a specimen, a requirement for getting the prescription. After waiting 45 min. to see the Doctor, I started getting very nauseous and light headed.

    I went to the Receptionist to ask where the bathroom was as I felt that I was going to throw up. I was told that I would have to wait for the Doctor because I would need to leave a specimen and they didn’t want me in the bathroom without first seeing him.

    That was when the lights went out, my next awareness was that of finding myself on the floor (in the waiting room) having violent dry heaves, and very confused. At this point, I tried to stand up but couldn’t make it, and they made it very clear they weren’t going to let me get up until the ambulance got there. By the way, when you’re waiting to see the Doctor and you pass out, you get very prompt attention.

    Now, “the rest of the story”, and the reason for sending this to so many of you.  I was taken to the nearest hospital, to emergency. Once there, I was transported to an emergency examination room. Once I had removed my clothes and donned one of those lovely hospital gowns, I finally got to see a Doctor. I asked “what is going on” I’m just having a UTI, just get me the proper medication and let me go home. He told me that my symptoms presented the possibility of sepsis, a potentially deadly migration of toxins, and that they needed to run several tests to determine how far the infection had migrated.

    For the next 3 hours I was subjected to several tests, blood draws, EKG’s, and demands for specimens. At about 7:30 the nurse came back to my room to inform me that one of the tests takes 1- 2 days to complete, I asked if they (the results)could be emailed, at which point she informed me that I wouldn’t need them emailed because I wasn’t going anywhere. I started arguing with her but was told, “if you don’t start behaving, I’ll start taking your temperature rectally, at which point I became a perfect gentleman. I did tell her I wanted to see the doctor because I had no intention of staying overnight.

    Now, this is what I want each of you to understand, please read these next sentences carefully.

    The doctor finally came in to inform me that he was going to admit me. I said, “are you admitting me for treatment or for observation?” He told me that I would be admitted for observation. I said Doctor, correct me if I’m wrong, but if you admit me for observation my Medicare will not pay anything, this due to the affordable care act , he said that’s right, it won’t. I then grabbed for my bag of clothing and said, then I’m going home. He said you’re really too sick to be going home, but I understand your position, this health program is going to hit seniors especially hard.

    The doctor then left the room and I started getting dressed, I was just getting ready to put my shoes on when another doctor (the closer) came into the room, he saw me dressed and said, “where do you think you are going?” I simply said “I’m going home, to which he replied, quite vociferously, no you aren’t. I said, “Doc, you and I both know that under the “affordable care act” anyone on Medicare who is admitted to a hospital for observation will be responsible for the bill, Medicare won’t pay a cent”.  At which point he nodded in affirmation. I said, “You will either admit me for a specific treatment or you won’t admit me.” Realizing he wasn’t going to win this one, he said he would prepare my release papers.

    A few minutes later the discharge nurse came to my room to have me sign the necessary papers, relieving them from any responsibility. I told her I wasn’t trying to be obstinate, but I wasn’t going to be burdened with the full (financial) responsibility for my hospital stay.

    After making sure the door was closed, she said, “I don’t blame you at all, I would do the same thing.”  She went on to say, “You wouldn’t believe the people who elect to leave for the same reasons, people who are deathly sick, people who have to be wheeled out on a gurney.” She further said, “The ‘Affordable Care Act’ is going to be a disaster for seniors. Yet, if you are in this country illegally, and have no coverage, you will be covered in full.”

    This is not internet hype folks, this is real, I just experienced it personally.  Moving right along, this gets worse.

    Today I went to a (required) follow up appointment with my Arizona Family Practitioner. Since my white count was pretty high, the follow up was important. During the visit I shared the experience at emergency, and that I had refused to be admitted. His response was “I don’t blame you at all, I would have done the same thing”.  He went on to say that the colonoscopy and other procedures are probably going to be dropped from coverage for those over 70.

    I told him that I had heard that the affordable care act would no longer pay for cancer treatment for those 76 and older, is that true? His understanding is that it is true.

    The more I hear, and experience the Affordable Care Act, the more I’m beginning to see that we seniors are nothing more than an inconvenience, and the sooner they can get rid of us the better off they’ll be.

    GOOD REMEDY FROM  this  senior gentleman in Mesa, Arizona:

    November is coming folks, we can have an impact on this debacle by letting everyone in Congress know that their responsibility is to the constituents, not the president and not the lobbyists. We need to let them ALL know that they are in office to serve and to look after the BEST INTERESTS of “we the people”, their employers, and not to become self-serving bureaucrats who serve only out of greed. And if they don’t seem to understand this simple logic, we’ll fire them.

    On the mend,

    REMEMBER:  Demand your hospital admission is for TREATMENT and NOT for OBSERVATION


  • The Mandated HITECH Act?

    Sep 29, 2013 The HITECH Act is a frightening diagnosis for doctors already fearful of the Obamacare unknown. IT IS A MANDATE THAT REQUIRES PHYSICIANS TO TRANSITION TO COMPUTERIZED VERSIONS OF PATIENTS’ PAPER CHARTS BY 2015, according to healthit.gov, and is another UNFORTUNATE ARM of the Affordable Care Act.

    While some applaud this Electronic Health Records implementation process as proof healthcare is moving into the 21st century, many doctors are wary of having to rely solely on computers to access their patients’ records. I’ve outlined just a few of their concerns.

    COSTLY CARE
    In addition to the technological issues, the hefty price tag of Obamacare’s electronic records mandate is also cause for concern.

    The average physician would lose $43,743 over five years; just 27 percent of practices would have achieved a positive return on investment; and only an additional 14 percent of practices would have come out ahead had they received the $44,000 federal meaningful-use incentive.

    Doctors like Eugene Sussman are recognizing these COSTS may have dire consequences:

    The costs “are the biggest holdback nationwide,” said Sussman, 64. “Doctors who are my age, in their early 60s, maybe will retire out. They may think, ‘I don’t need this bother; it’s going to cost more money and cost more time.’ ”
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    “HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH (HITECH) ACT,” enacted as part of the “American Recovery and Reinvestment Act of 2009” (ARRA), described by the head of the Office for … 2013, compliance date. There are …
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    Question everything?

    How many BYTES of computer space will the federal government need to stock pile and store ALL OF THE PRIVATE? MEDICAL RECORDS for 313,000 million Americans?

    The NSA data center in Utah? HOW MUCH DATA THAT FACILITY MIGHT HOLD? with estimates ranging from “YOTTABYTES” (in Wired) to “5 zettabytes” (on NPR)
    ———————————————————————————–
    complete text
    Paperless Problems: Doctors Hurting From Obamacare’s Digital Record Mandate
    Cortney O’Brien | Sep 29, 2013

    The HITECH Act is a frightening diagnosis for doctors already fearful of the Obamacare unknown. It is a mandate that requires physicians to transition to computerized versions of patients’ paper charts by 2015, according to healthit.gov, and is another unfortunate arm of the Affordable Care Act. While some applaud this Electronic Health Records implementation process as proof healthcare is moving into the 21st century, many doctors are wary of having to rely solely on computers to access their patients’ records. I’ve outlined just a few of their concerns.

    The LOWS of the HITECH Act

    Adapting to Technology
    A recent report from the vendor research firm KLAS Enterprises ranked six EHR vendors to determine their patient portal capabilities. A patient portal is a secure online website that gives patients convenient 24-hour access to personal health information. Athenahealth was the top performer and only vendor to adequately support all five meaningful criteria. Epic took second place, followed by Allscripts, Cerner, eClinicalWorks and Intuit Health.

    Allscripts, the vendor apparently good enough for third place, is currently being sued by several physicians for selling them faulty healthcare information technology. THE DETAILS: ALLSCRIPTS SOLD ONE OF THEIR SOFTWARE PRODUCTS, CALLED “MYWAY” TO 5,000 PHYSICIANS FOR THE PRICE OF $40,000 PER USER. THE PRODUCT TURNED OUT TO BE DEFECTIVE. Then, instead of trying to fix the product, Allscripts removed it from the market, leaving the doctors to deal with the damages. Allan Joseph, a lead counsel for the plaintiffs in the Allscripts Class Action, outlined some of the technological challenges his clients are facing in regards to The HITECH Act in an email to Townhall:

    “Depending on the product, there is a massive undertaking first to acquire the hardware, and then to install the software and the volumes of data required to operate the software. Then, the operations of the software needs to be implemented. There is a huge learning curve. The practitioners and their staff need to actually learn how to use the software. Most of the products are not intuitively simple to use (they are not, despite the marketing, plug-and-play); there is a great deal of “interaction” between the data and the operations. From charting to billing and everything in between, the learning curve is crushing in terms of time expended. Real and bona fide training is critical to the operational success. And, the manufacturer must be honest and upfront to the practitioner about the commitment that is truly required to make this product work.”

    He continues:
    “There has been a tremendous loss of productivity due to the training and learning curve associated with the implementation of the software. In many instances, practices have been forced to endure huge losses due to billing errors generated by a software malfunction. We have heard many instances where administrative staff simply quit due to the aggravation of the implementation and operational difficulties of certain manufactures.

    Many practices, even with the receipt of federal subsidies, have suffered huge losses.”

    Rosemarie Nelson, a Medical Group Management Association consultant based in Syracuse, N.Y., agreed that doctors receive little training, partly because they don’t want to take the time out of their busy work schedules. She provided additional insight to Townhall via email:

    “Doctors are not receiving the right amount of training for a couple of reasons. When negotiating contracts for systems both parties (the vendor and the customer) often reduce the training time to save money. Doctors do not often give up patient hours and/or personal time to participate actively in training as a team with their clinical support staff.”

    “Doctors are most concerned with how their day will change, just like everyone else adopting a new process or undergoing change. Even if we are not happy with the status quo, it is difficult to change the status quo.”

    Dangerous Glitches
    Technology breaks. Anyone who’s tried to download a file on their PC understands this unfortunate reality. Now, imagine the tech troubles in a doctor’s office. If these physicians do manage to figure out the new electronic-based systems, they are suddenly having to deal with disappearing data and computer glitches that have caused complications,

    a few that have even tragically led to deaths.

    The American College of Emergency Physicians has found that poorly designed EHR systems in use at hospital emergency departments are leading to “communication failure, wrong order–wrong patient errors, poor data display, and alert fatigue.”

    Bloomberg.com lists a number of other common errors:
    Dangerous doses of drugs have been given because of confusing drop-down menus; patients have undergone unnecessary surgeries because their electronic records displayed incorrect information; and computer-network delays in sending medical images have resulted in serious injury or death, according to a study published in 2011 based on reports submitted to the U.S. Food and Drug Administration.

    According to a study published in December by the Pennsylvania Patient Safety Authority, the number of reports about

    medical errors associated with electronic records is growing. Of 3,099 incidents reported over an eight-year period, 1,142 were filed in 2011, more than double the number in 2010.

    Costly Care
    In addition to the technological issues, the hefty price tag of Obamacare’s electronic records mandate is also cause for concern.

    The average physician would lose $43,743 over five years; just 27 percent of practices would have achieved a positive return on investment; and only an additional 14 percent of practices would have come out ahead had they received the $44,000 federal meaningful-use incentive.

    Doctors like Eugene Sussman are recognizing these costs may have dire consequences:

    The costs “are the biggest holdback nationwide,” said Sussman, 64. “Doctors who are my age, in their early 60s, maybe will retire out. They may think, ‘I don’t need this bother; it’s going to cost more money and cost more time.’ ”
    Doctor-Patient Divide

    A final repercussion to consider is how computerized records will affect the cherished doctor-patient relationship. Perhaps Dr. Richard Reece, from the MIT Technology Review,

    said it best,
    The computer is oversold as a tool to improve health care, implement reform, cut costs, and empower patients. The reasons are obvious to anyone who treats patients. You cannot look a computer in the eye. You cannot read its body language. You cannot talk to an algorithm. You cannot sympathize or empathize with it.

    Reece is right to lament the loss of the all-important doctor-patient relationship.

    This bond, which helps to build trust and peace of mind, is being compromised by emotionless computers.

    Between the faulty and frustrating technology, the crippling costs and the widened divide between doctor and patient that can result from the computerization of health records, the resounding message is clear: When it comes to a patient’s history, nothing is so secure as a hard copy.

    ———————————————————————-
    Another ObamaCare Pipe Dream: Electronic Medical Records …
    www.iwvoices.com/detail.php?c=1391468&t…ObamaCare…Medical…‎
    One of the ways in which ObamaCare is supposed to save money is by … aside $19 billion to help hospitals and doctors’ offices go electronic by 2014. … of the burden of data input responsibility and therefore cost of implementing an … Whenever he goes to the hospital, these continue to be reported on his computer record.
    ————————————————————————————
    Final Rule – U.S. Government Printing Office
    www.gpo.gov/fdsys/pkg/FR-2013-01-25/pdf/2013-01073.pdf‎
    Jan 25, 2013 – VerDate Mar<15>2010 18:57 Jan 24, 2013 … 17/Friday, January 25, 2013/Rules and Regulations … HITECH Act to address public comment.
    Department of Health and Human Services a 138 page report
    5566 Federal Register/ Vol. 78, No. 17 / Friday, January 25, 2013 / Rules and Regulations
    ———————————————–
    section 105 of Title I of the Genetic
    Information Nondiscrimination Act of
    2008 (GINA); and make certain other
    modifications to the HIPAA Privacy,
    Security, Breach Notification, and
    Enforcement Rules (the HIPAA Rules)