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  • Category Archives Undisclosed cost of Obamacare
  • 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