SCOTUS Upholds Affordable Care Act!
Comments
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This statement is not meant to refer specifically to the U.S., because it applies to all countries that allow their citizens to vote: There is no point in criticizing one political faction's (or party's) policies without putting another viable policy on the table. That's the essence of debate, out of which usually comes a workable compromise.There's nothing wrong with criticizing the PPAHA law, but the critique should fall on deaf ears unless it's followed up by a workable alternative, or else workable suggestions on how it could be improved. So far, in all I've read or heard, there's been nothing. And that's really a shame, because there are plenty of workable solutions that countries around the world are employing, in order to provide their citizens access to good healthcare.BTW, thanks ANNNYC for explaining the inelasticity of healthcare in the free market/for profit system. I learned that many years ago but had completely forgotten the term! I think your explanation needs to be spread far and wide!
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How rich is the 1% who whine about a possible higher tax rate as part of a debt reduction plan? How rich is the 1% who whine about the ACA? Well, ladies, how many of these purses are in your closets?
Marc Jacob's $35000 purse. http://www.examiner.com/article/the-35-000-handbag-by-marc-jacobs-for-louis-vuitton
Olson twins $35,000 back pack. http://www.ctnow.com/videobeta/f29e4a3f-4da9-4413-a917-8b01ffedbcdc/News/35-000-Purse-10-7
Prada's $40,000 handbag.http://www.hauteliving.com/2011/07/prada-debuts-40000-handbag/
Hermes $50,000 gym bag. http://www.dailymakeover.com/blogs/beauty-trends-and-news/celebrity-hermes-birkin-handbag-gym-beach.html?slideid=2&slideshowPaused=false
There are waiting lists for these bags.
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Not in my closet!
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Bravo, Alexandria. I believe, too. (But am thankful this is a relatively civil thread.)
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Well, I generally believe in civility, but I do sometimes get a little too expressive when I'm mad. Not yet on this site, though.
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notself, in much of the tax discussion, "rich" is defined as individuals making $200k a year or families with an income of $250k per year. I doubt that many of those people have any of those bags in their closet. And note that the $200k/$250k bar actually captures about the top 3%, not just the top 1%.
I'm all for the Buffett rule, i.e. ensuring that those who make $1 million per year or more pay at least 30% in tax. But having an annual income of $1 million puts someone into a completely different snack bracket than a family with an income of $250k. I'm not suggesting that a family with an income of $250k is not well-to-do - of course they are - but if they are saving for retirement, putting kids through college or supporting elderly parents, as so many are, then they may be far from rich.
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No one wants to see me when I get mad because I just get even.
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I really like that backpack the Olsen twins made. Some of their clothes are nifty too, but idiot that I am, I did not marry a major league baseball player or something, nor did I start Facebook. I am a loser ;(
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I don't think I was talking about people making 250,000 a year. I was talking about the 1% who certainly need to pay more in taxes.
We could start by making all people who run for federal office or are appointed to federal office disclose the past 5 years tax returns. I am not talking about lower level federal employees, only those appointed by the President. We need strict insider trading rules applied to all law makers and SCOTUS. It is a damn shame that Martha Stewart had to spend time in the slammer for the same thing that Congress can do with impunity. By implementing these two rules a great deal of special interest tax rulings could be eliminated.
There needs to be some sort of regulation on money sent to offshore accounts. A certain man who is running for President pays a very low tax rate because most of his wealth is hidden in offshore accounts. He refuses to release more than one years tax return even though his father, who also ran for President, released 10 years tax returns after stating that one cannot tell anything by only one years filing. Finally there needs to be a regulation that a public record be kept of all people or corporations who donate more than $2500 to a PAC or directly to a candidate.
When we have an open government, health care bills will no longer run 2000+ pages. I support ACA but I think it is far from perfect because of special interest deals. We should have just opened Medicare to all Americans. Since most Americans are healthy, Medicare would most likely be completely solvent after the first few years. Insurance companies would still have a role in covering what Medicare doesn't. Special Interests stopped that from happening; the pie wasn't big enough for them.
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The two Bush tax cuts are the biggest threat to our fiscal stability and need to fully end. Capital gains taxes should be restored to Reagan-era levels. Also, we need a new economic stimulus package. But none of this is going to happen as long as the fallacy that fiscal austerity is what we need continues to prevail both here and in Europe, where Merkel et al are making a bad situation much worse with their austerity measures.
The US does not have high speed rail - at least not as it is known in Europe.
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Yes, of course, the 1 percent should pay more (Buffet rule rules), but I don't think it should stop there.
My family makes between 200,000 and 250,000, and I don't consider myself rich. WE are trying to save to pay for our daughter's education - who wants to go on to medical school, and our retirement. We're also helping our oldest daughter who's been unable to find a job. And of course, we could use extra money, like everyone. but we are comfortable -and clearly upper middle class.
But on the other hand, we can afford to pay more, and I've said before, are willing to pay more to ensure health care for as many people as possible, to improve our infrastructure, to safeguard our environment, etc. even if it is something of a sacrifice. My attitude is that it is patriotic to pay for necessary programs - that soldiers shouldn't be the only ones to sacrifice to make their country a better place to live.
This is a personal view.
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I love that view, Alexandria, and I share it. I make a piddling because I always work for non profits, but I am always willing to pay more to the treasury. I am cognizant of the fact that I don't live on an island, but that I am part of a civilized nation, and whatever my disadvantages may be in comparison to some are advantages in comparison to others and, therefore, this means I can help. I love JFK's exhortation that we ask what we can do for our country. Obama is asking of us too. That's what a strong leader does - he asks of his people.
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We could just shift some money from the biggest money-suck on earth, also known as the US military-industrial complex (Eisenhower called it that, and he was a general and a conservative).
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Ohhhh, yes!
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Well, we all studied something different in college. I studied marketing and journalism. So I find all the spin out there particularly amusing.
Alexandria mentioned somewhere above that "26,000 Americans die every year from lack of health care, according to recent newspaper articles." Actually, the reports say, "26,000 Americans die annually due to lack of insurance," but my favorite headlines are the ones that say, "Three Americans killed every hour by lack of insurance." What a crisis! You know, earlier reports said the number was 45,000.
Here are some more balanced articles to read.
This one is from last year:
QUOTE: "Kronick, a senior health care policy adviser in President Bill Clinton's administration, found that after adjusting for demographic and health factors ... the uninsured were at no greater risk of dying earlier than people who had employer-sponsored group insurance. .... He suggested that uninsured people are being caught in the social safety net of public hospitals and community clinics before they they die prematurely. PolitiFact, in an August, 2009 story, spoke to a range of experts from the left-leaning Brookings Institute to the conservative Heritage Foundation, who said they found Kronick's results credible." (End quote.)
If you want to see how far the junk science goes, here's another article on the earlier number of 45,000:
The point is: We don't know the number. What we DO know is that there are uninsured people who go to the ER, the clinics, and receive preventive care through charity and gov't programs. And there are uninsured people who don't. There are insured people who rarely visit a doctor (which is not at all unusual). And there are insured people who do.
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My brother died because of lack of insurance. He had cancer. The only doctor who would treat him after surgery was a GP who didn't know anything about cancer. No chemo, too much radiation. Charity is admirable, but I wouldn't want my health care dependent on it.
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Notself, I am sorry.
I think Obamacare is deeply flawed in many ways. Most notably in not getting rid of the job-insurance tie. I think it also throws way too many bones to the insurance industry.
So, I can completely understand if people are not thrilled with it as a solution.
What I cannot understand, at all, is the argument that the status quo ante is honky-dory. -
Notself,
Where I am treated, at a very reputable cancer center, there is a "charity care" program. I'm very sorry about your brother. I have lost many family members and a friend to cancer. They all were insured and received treatment that didn't work.
As I said in earlier posts, I do think reforms are needed. I just don't think universal health care is the way to go. When I was uninsured with a pre-existing condition many years ago, one reform I wanted to see made was the state directing people (who didn't qualify for assistance) to charities. Instead, I lost three months of care while I searched for someone to take me.
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Here are the tax rates in Australia. We do not have employer related health insurance - it's up to us to take it out if we want it. We do have workers compensation, so if we are injured on the way to work or at work we are covered - this is mandatory - we don't pay for it.
$0 - $6,000
$6,001 - $37,000
$37,001 - $80,000
$80,001 - $180,000
$180,001 +
0%
15%
30%
37%
45%
Generally, Medicare levy at the rate of 1.5% of taxable income is also payable. An additional 1% Medicare levy surcharge is sometimes payable in certain circumstances - ie if the higher income earner neglects to take out private insurance.
Sorry about the formatting but I'm sure you can work it out.
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Sue, this is off topic (but maybe not). I have heard that voting is mandatory in Australia. If you don't vote you get fined. I have wondered for awhile if this is true.
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In case anyone wondered where a great deal of our health insurance premiums go:
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Corporation's CEO compensation packages, including those mentioned in your article Sunflower, have gotten out of hand. The whole concept of the Board of Director's approving salaries in a ethical way is laughable. They all rotate into each other's Boards and scratch each other's backs.
In 1980, CEO pay averaged 42 times that of wages of blue collar workers, but in 2011 it reached 380 times.
My gf's father was a CEO of a Fortune 500 company 25 years ago. He is greatly disturbed with this trend. Nevertheless, with his 42x earnings, he left his 4 children comfortable and his grandchildren and great grandchildren a college education. No yachts, no gardners, no in-house chefs a la the life of our current day CEO's, but a comfortable one, none the less.
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Yes - voting in mandatory and you do get fined if you don't vote. We do not have the presidential style elections here, the leader of each side is chosen by the elected members. The person who runs for each electorate is chosen by the local members of the party unless they are independant.
I published our tax rates so you could see how high our income taxes are. They are about to triple the tax free threshold to 18,000.
Having "free' healthcare is good for low income earners but the quality of the care is not necessarily good. Obviously it's smart (for us of those who can afford it) to take out private health insurance. I pay $164 per fortnight to cover both of us - hospital and extras. Most of our insurers are not for profit or they make a very small profit. We always have to pay something out of pocket though as the refund does not necessarily match the fee. I get my reading glasses free as my optometrist chooses not to charge extra, but if I go to the physio, I pay $40 - the health fund pays $25. I pay nothing for a hospital stay, but the surgeon charges over the recommended fee, so I pay a gap.
It is all very complicated here, so I hope you end up with something a bit simpler.
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In response to yorkiemon - When you move to Switzerland, you're required to sign up for insurance in the first three months after your arrival. If you don't sign up, your local government will assign an insurer to you, and you're required to pay for it. I assume that the same thing happens to people already here who don't select an insurer - I have heard that there are some people who fall through the cracks and don't get caught, but everyone I know has insurance.
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When my DH had bowel cancer, the health fund paid out over $90,000, so I never begrudge paying the premiums as we will never pay them more then they have paid out for both of us.
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The problem with charity is that it isn't free. There is no such thing as free health care. SOMEONE pays. If it's not the person, it's someone else. That is why our system cannot depend on giving the indigent charity care. We all pay when that happens. In a sense, a mandate as upheld by the supreme court or as codified by the ACA merely sets in stone what has already existed - the mandate to pay. As I explained in an earlier post, the health providers who treat indigents (mostly hospitals) do have to pay and they pass on the cost to others - namely to insurers and self-pay people. We all pay higher premiums as a result. The mandate, in a way, makes things fairer by trying to ensure that the pain of paying is more spread out so that a few won't have to pay so very much.
Also, when people seek out charity care they are often acutely ill and the expenses are much higher to treat them than if they had had insurance to begin with and had received preventive care.
I don't know why people don't understand this. There is just no free pass, and everyone is already paying for the uninsured. Is it that they find the term "unviersal" scary, or something? I never thought universal human rights were so scary. And, BTW, human rights are guaranteed by Big Guvmint because it means they can't kill you or arrest you without cause.
We have both an inhumane healthcare system and a ridiculously inefficient and expensive one. The inflationary pressures of tending to the uninsured weighs on all of us. The price of ensuring employees is only one of several reasons why wages have been so stagnant in the US.
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Athena, I agree with you. Everyone should be contributing to the cost of healthcare because eventually, everyone will need healthcare. And even if they don't, as citizens within society, I believe we all should contribute to something as essential as healthcare.
I don't have a problem with people being taxed for this purpose. I do however have a problem with a tax that is not being fairly applied to everyone who should be taxed (read the list of exemptions!). And I do have a problem with a tax that is unenforceable. Obamacare: Tax Or Penalty? Call It What You Want, But IRS Won't Be Able To Collect It "Finally, there is the issue of whether the IRS can collect the tax if someone refuses to either buy insurance or pay the fine. The ACA says the IRS should enforce the law by imposing a tax penalty-but then effectively blocks the agency from using most of the tools it normally uses to go after tax scofflaws." From that, the author reaches the same conclusion that I've reached and have been saying in my previous posts (and I never even saw this article until just now): "Of course, this creates a big problem. The law requires insurance companies to sell to all comers regardless of pre-existing medical conditions. But if the tax fails to encourage healthy people to buy until they need coverage, the rest of us will end up paying higher insurance premiums as a result."
By the way, while I don't have a problem with a healthcare tax, I do have a problem when people are being legally mandated to buy a commercial product at a price that includes a profit margin. It was nice to see that the Supreme Court had the same concerns.
If the ACA actually had a hope in #@!! of delivering even just half of what it promises, I'd be all for it. I agree with the objectives. I don't support the ACA because I don't think that the ACA will deliver on those objectives. The more I dig into it, the more I scratch the surface and look below the rhetoric, the more problems I see with the way that the ACA is structured. It seems that so many people have bought the story-line and are repeating back the official sound-bites; I suppose I shouldn't be surprised but I am. The simple fact is that it doesn't take a lot of critical thinking or very much digging to dig up some real problems with the ACA that raise real issues. That's why I don't support it. Because it's not a good first step.
By the way, if you believe that the price of insuring employees is one of the reasons why wages in the U.S. are so stagnant, just wait until companies have to pay more to cover each employee, thanks to the changes brought about by the ACA. Just read the McKinsey article that I linked to in one of my previous posts. This is exactly the sort of reason why I don't support the ACA.
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Notself - so very sorry abut your brother.
Lifeiswonderful: I read the article that you linked in your post. Basically, it said that both the reports of the excessive deaths and the reports casting some doubt were credible, and declined to weigh the truthfulness of the number of deaths from lack of insurance. In other words, the article did not indicate that the number of deaths were false.
The Washington Times, which is a very right leaning newspaper, is not a credible source on this issue.
But there is a common sense here. People with insurance are more likely to go to the doctor for regular checkups and for disturbing symptoms that could mean cancer - heart disease - etc, is caught early.
There are also the anecdoctal stories. There is Notself's brother. There is the woman who told President Obama that her sister died of colon cancer because she did not ahve the insurance to go to the doctor early. There was the man in Cincinnati who had a tooth infection and did not have the money to pay both for food for his kids and his medicine. He died of a treatable infection. There are so many sad stories. So how many deaths that could have been prevented are too many? 500? A thousand? Ten thousand?
You said that there was a charity center in your town. What about other towns? Other states? What if the people giving to the charity decide that they'd rather use their money for themselves, because after all, isn't that why some people don't want taxes?
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Beesie,
Have you read the ACA, the actual bill? I have read quite a bit of it although not the whole thing. I find sections of it confusing to say the least. I have posted a list of actions that the bill has already implemented or is going to implement. It is on a separate thread and I delete any political comments because it is for information only. Here is the link. The site is from Kaiser Insurance one of the largest in the country, hardly in the pocket of the Administration.
http://healthreform.kff.org/timeline.aspx
I would be interested to know which provisions cause you concern.
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Notself said: "Finally there needs to be a regulation that a public record be kept of all people or corporations who donate more than $2500 to a PAC or directly to a candidate."
This has been federal law since the early 1970s. There is public disclosure of all contributions that exceed in the aggregate $200 in a calendar year to a PAC or $200 in an election cycle to a candidate. It is called the Federal Election Campaign Act of 1971, as amended.
Simply go to the Federal Election Commission's website at www.fec.gov and search away. By committee, by candidate, by individual, by geographics, by amount range. Just any which way.
It has been available for a very long time and almost all states have similar disclosure available. And to the extent a political organization does not have to register and report to a regulatory agency who makes the information public, then reporting to the IRS is required instead. Those reports are publicly available, also.
None of this is obscure or hard to find or research. The average person is capable of research and finding this information. I do it all the time.
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