obamacare :(
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Ironton, OH

#1 Oct 7, 2012

Ashland, KY

#2 Oct 7, 2012

from this article....

Obamacare and regulations and taxes it imposes threatens vitality, innovation, and profitability of businesses and medical practices.

Ashland, KY

#3 Oct 7, 2012
Summary of tax increases:(ten year projection)

Increase Medicare tax rate by .9% and impose added tax of 3.8% on unearned income for high-income taxpayers:$210.2 billion
Charge an annual fee on health insurance providers:$60 billion
Impose a 40% excise tax on health insurance annual premiums in excess of $10,200 for an individual or $27,500 for a family:$32 billion
Impose an annual fee on manufacturers and importers of branded drugs:$27 billion
Impose a 2.3% excise tax on manufacturers and importers of certain medical devices:$20 billion
Raise the 7.5% Adjusted Gross Income floor on medical expenses deduction to 10%:$15.2 billion
Limit annual contributions to flexible spending arrangements in cafeteria plans to $2,500:$13 billion
All other revenue sources:$14.9 billion

Source: Wikipedia

Ashland, KY

#4 Oct 7, 2012
Summary of spending offsets:(ten year projection)

Reduce funding for Medicare Advantage policies:$132 billion
Reduce Medicare home health care payments:$40 billion
Reduce certain Medicare hospital payments:$22 billion

Source: Wikipedia

Ashland, KY

#5 Oct 7, 2012
Effective by August 1, 2013

Religious organizations that were given an extra year to implement the contraceptive mandate are no longer exempt.

Ashland, KY

#6 Oct 7, 2012
The House passed the bill with a vote of 219 to 212 on March 21, 2010, with 34 Democrats and all 178 Republicans voting against it. The following day, Republicans introduced legislation to repeal the bill. Obama signed the original bill into law on March 23, 2010.

Ashland, KY

#7 Oct 7, 2012
Douglas Holtz-Eakin, a CBO director during the George W. Bush administration, who later served as the chief economic policy adviser to U.S. Senator John McCain's 2008 presidential campaign, opined that the bill would increase the deficit by $562 billion.

Republican House leadership and the Republican majority on the House Budget Committee estimate the law would increase the deficit by more than $700 billion in its first 10 years.

Source: Wikipedia

Ashland, KY

#8 Oct 7, 2012
Coverage for contraceptives
Main article: Contraceptive mandates

With the exception of churches and houses of worship, PPACA's contraceptive coverage mandate applies to all employers and educational institutions. The mandate applies to all new health insurance plans effective August 2012. It controversially includes Christian hospitals, Christian charities, Catholic universities, and other enterprises owned or controlled by religious organizations that oppose contraception on doctrinal grounds. Regulations made under PPACA rely on the recommendations of the Institute of Medicine, which concluded that access to contraception is medically necessary "to ensure women's health and well-being."

Ashland, KY

#9 Oct 7, 2012
The United States Department of Health and Human Services reported that the bill would increase "total national health expenditures" by more than $200 billion from 2010 to 2019. The report also cautioned that the increases could be larger, because the Medicare cuts in the law may be unrealistic and unsustainable, forcing lawmakers to roll them back. The report projected that Medicare cuts could put nearly 15% of hospitals and other institutional providers into debt, "possibly jeopardizing access" to care for seniors.

Source: Wikipedia

Ashland, KY

#10 Oct 7, 2012
Public opinion supported healthcare reform proposals in 2008, but turned negative when the plan changed in 2009, and remains opposed to the final version that was signed in 2010.Though in 2008 then-Senators Barack Obama and Joseph Biden campaigned against requiring adults to buy insurance; in 2009 President Obama reportedly changed his mind and agreed with insurance industry and Democratic Congressional proposals to include an individual mandate.Public opinion of the legislation turned negative when the individual mandate proposal was announced, and remains opposed by a margin of 10 percentage points.

In March 2010, pollsters probed the reasons for opposition. In a CNN poll, 62% of respondents said PPACA would "increase the amount of money they personally spend on health care," 56% said the bill "gives the government too much involvement in health care," and only 19% said they and their families would be better off with the legislation. In The Wall Street Journal, pollsters Scott Rasmussen and Doug Schoen wrote, "One of the more amazing aspects of the health-care debate is how steady public opinion has remained... 81% of voters say it's likely the plan will end up costing more than projected [and 59%] say that the biggest problem with the health-care system is the cost: They want reform that will bring down the cost of care. For these voters, the notion that you need to spend an additional trillion dollars doesn't make sense."

Source: Wikipedia

Ashland, KY

#11 Oct 7, 2012
Medical Billing Codes: 18,000 to 140,000

Posted Wednesday, October 26, 2011 by Kerry Torres, RN, CNO

I recently came across an interesting article about medical billing codes. As CNO at Nurses PRN, with many years of experience in the field – I know the confusion that medical billing codes can cause. Finding the exact way to code a specific medical service so the bills sent to insurers are accurate and will go without question isn’t enough anymore.

It appears (according to the www.online.wsj.com ) a new federally mandated version of medical codes will expand the number from 18,000 to about 140,000 – allow me to confirm that number again in case you thought it was an error on my part - 140,000. The addition of these codes will describe precisely which artery is receiving a stent or which bone was broken. As nurses, we know the combination of body parts and medical procedures mixed and matched will exponentially grow quickly. This new process will eliminate the question of where a patient got hurt or how. Codes describing locations such as opera houses, art galleries and squat courts in addition to around a mobile home from the bathroom to bedroom will all have individual codes.

Despite the fact that some doctors don’t see this information as relevant, it appears that federal agencies developed the system, generally known as ICD-10 (International Classification for Diseases, 10thRevision) suggest these codes will provide a more exact and thorough accounting of diagnoses and hospital inpatient procedures. This, in turn, could pave the way for improved strategies and care guidelines.

For those experts who translate a doctor’s work into codes – they had better gear up to start using the system in the next two years. Experts in the industry say that the new detail is welcomed in many cases, although some codes may seem excessive. Regardless – this is the direction of medical coding. Much of the new system is based on a World Health Organization code set in use in many countries for more than a decade. The American version, developed by the Centers for Disease Control Prevention and the Centers for Medicare and Medicaid Services, is considerably more detailed.

Ashland, KY

#12 Oct 8, 2012

Just talk to me as a father - not what the Constitution says. What do you feel?

-Joe Biden
flu bug

Ashland, KY

#13 Oct 8, 2012
Well, I'm telling them two things. One is that, look, this is going to be something when the American people realize - once it's passed - that, A, it does take care of preexisting conditions; B, you're insurance rates aren't going to skyrocket; C, the insurance companies aren't going to be running the show like they were before; D, you're going to be in a position where you can keep your insurance that you have. That once the American public realizes that, you're going to get a reward for this. They're going to be rewarded.

Joe Biden

Ashland, KY

#14 Oct 8, 2012

You know we're going to control the insurance companies.

-Joe Biden

Ashland, KY

#15 Oct 9, 2012
In order to satisfy Obamacare requirements, New York State wants to limit how often you can visit your doctor.

United States

#16 Oct 9, 2012
Darden restaurants ( red lobster, olive garden,lone star steakhouse ) says with the affordable care act it will limit employees to 28 hours to keep from paying the government $3,000 per employee if they don't provide them with insurance.

Ashland, KY

#17 Oct 11, 2012
Obama's health care plan will be written by a committee whose head, John Conyers, says he doesn't understand it. It'll be passed by Congress that has not read it, signed by a president who smokes, funded by a Treasury chief who didn't pay his taxes, overseen by a Surgeon General who is obese, and financed by a country that's nearly broke. What could possibly go wrong?

-Rush Limbaugh
Sick OF Obama

United States

#18 Oct 12, 2012
Here's what doctors think of it: http://www.forbes.com/sites/sallypipes/2011/1... Interesting read.

Still waiting to see how much my insurance is going to raise when I renew it through work, or if it's even an option. I've hardly needed a doctor (as of yet). But I might in the near future.. nobody knows these things do they? That's why they call it insurance. I've been paying into something for years..just because (I may) have needed it and could afford it. Now I'm cornered. I'd better pay for it or face the penalty administered by the IRS (that does stuff like garnish wages, BTW) AND that penalty will increase (for me) for next three years annually.... If I expect treatment.

Before, I had the option not to pay for health insurance that I possibly didn't need. I could have still gotten treatment through a clinic that will have worked with based on my salary. I still payed for the treatment, but just made payments per a percentage of my salary. Per say, If I had a cold that was hanging on longer than I think it should, my usual trip to the doctor. A few antibiotics probably wouldn't have been that much. Plus doctor's diagnosis (majority of the cost).

When big government gets involved in something,IMO it usually means there's a profit in it for them somewhere. When there isn't any access for them to large amounts of money, they change the laws to get at it, via social security. Soon our 401K's. This will be no different.

Ashland, KY

#19 Oct 14, 2012
Obamacare will be destructive toward the medical field, just look at any other country who has socialistic medicine , Britain/Canada/Australia....Th ose with the means in those countries will routinely fly to the US for medical treatment for cancer and such because their healthcare is so piss poor.

Britain right now has hospitals closing left and right.

Ashland, KY

#20 Nov 21, 2012
Obamacare was the largest tax increase on the middle class in US history. 80% of the new taxes will fall on families making less than $125,000 per year.

Here is a listing of only 20 of the tax increases.

1. Excise Tax on Charitable Hospitals (Min$/immediate)
2. Codification of the “economic substance doctrine”(Tax hike of $4.5 billion)
3.“Black liquor” tax hike (Tax hike of $23.6 billion)
4. Tax on Innovator Drug Companies ($22.2 bil/Jan 2010)
5. Blue Cross/Blue Shield Tax Hike ($0.4 bil/Jan 2010)
6. Tax on Indoor Tanning Services ($2.7 billion/July 1, 2010)
7. Medicine Cabinet Tax ($5 bil/Jan 2011)
8. HSA Withdrawal Tax Hike ($1.4 bil/Jan 2011)
9. Employer Reporting of Insurance on W-2 (Min$/Jan 2012)
10. Surtax on Investment Income ($123 billion/Jan. 2013)
11. Hike in Medicare Payroll Tax ($86.8 bil/Jan 2013)
12. Tax on Medical Device Manufacturers ($20 bil/Jan 2013)
13. High Medical Bills Tax ($15.2 bil/Jan 2013)
14. Flexible Spending Account Cap – aka “Special Needs Kids Tax”($13 bil/Jan 2013)
15. Elimination of tax deduction for employer-provided retirement Rx drug coverage in coordination with Medicare Part D ($4.5 bil/Jan 2013)
16.$500,000 Annual Executive Compensation Limit for Health Insurance Executives ($0.6 bil/Jan 2013)
17. Individual Mandate Excise Tax (Jan 2014)
18. Employer Mandate Tax (Jan 2014) Combined score of individual and employer mandate tax penalty:$65 billion/10 years
19. Tax on Health Insurers ($60.1 bil/Jan 2014)
20. Excise Tax on Comprehensive Health Insurance Plans

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