rushmc 23 #1 July 5, 2010 Now we have passed it and we are finding out the price tag is a lie as is much more of it From AP found on Newmax Gonna be fun watching Lucky twist this..... Quote Experts See Longer ER Waits, Increased Costs as Obamacare Begins Monday, 05 Jul 2010 12:25 PM Article Font Size CHICAGO – Emergency rooms, the only choice for patients who can't find care elsewhere, may grow even more crowded with longer wait times under the nation's new health law. That might come as a surprise to those who thought getting 32 million more people covered by health insurance would ease ER crowding. It would seem these patients would be able to get routine health care by visiting a doctor's office, as most of the insured do. But it's not that simple. Consider: * There's already a shortage of front-line family physicians in some places and experts think that will get worse. * People without insurance aren't the ones filling up the nation's emergency rooms. Far from it. The uninsured are no more likely to use ERs than people with private insurance, perhaps because they're wary of huge bills. * The biggest users of emergency rooms by far are Medicaid recipients. And the new health insurance law will increase their ranks by about 16 million. Medicaid is the state and federal program for low-income families and the disabled. And many family doctors limit the number of Medicaid patients they take because of low government reimbursements. * ERs are already crowded and hospitals are just now finding solutions. Many Americans covered through employers won't see the changes until Jan. 1, the start of their next health plan year. That means 2011 will be the first year that the early benefits are fully in place. What that entails for costs is a matter of intense speculation. A recent survey of employers by Mercer, a major benefits consultant, found that 42 percent expect an increase of 2 percent or less, while one-fourth expect an increase of 3 percent or more. Government estimates are generally lower. Beth Umland, research director for Mercer, said employers were expecting health cost increases averaging about 6 percent a year before the law. "Now they are looking at an additional 2 or 3 points, so that 6 percent can become a 9 percent, and that seems to be above their comfort level," she said. Dave Osterndorf, chief health actuary for the Towers Watson consulting firm, said large employers will respond by passing on costs to their workers. "These first few changes, in and of themselves, will not dramatically change the way employers look at the provision of health benefits," he said. "Employers will feel part of the impact, and employees will feel part." Some coverage gains may take a while to add up. For example, Blue Cross Blue Shield Kansas City reports brisk sales to small businesses by advertising Obama's new tax credit for those who offer coverage. CEO Tom Bowser said more than 60 of the 227 small firms signed up so far did not previously offer health benefits. "Small groups are one of the toughest markets we have," said Bowser. "Because of the economy, more and more were dropping coverage entirely, and we've able to reverse that." Rand Corp. researcher Dr. Arthur L. Kellermann predicts this from the new law: "More people will have coverage and will be less afraid to go to the emergency department if they're sick or hurt and have nowhere else to go.... We just don't have other places in the system for these folks to go." Kellermann and other experts point to Massachusetts, the model for federal health overhaul where a 2006 law requires insurance for almost everyone. Reports from the state find ER visits continuing to rise since the law passed — contrary to hopes of its backers who reasoned that expanding coverage would give many people access to doctors offices. Massachusetts reported a 7 percent increase in ER visits between 2005 and 2007. A more recent estimate drawn from Boston area hospitals showed an ER visit increase of 4 percent from 2006 to 2008 — not dramatic, but still a bit ahead of national trends. "Just because we've insured people doesn't mean they now have access," said Dr. Elijah Berg, a Boston area ER doctor. "They're coming to the emergency department because they don't have access to alternatives." Crowding and long waits have plagued U.S. emergency departments for years. A 2009 report by the Government Accountability Office, Congress' investigative arm, found ER patients who should have been seen immediately waited nearly a half-hour. "We're starting out with crowded conditions and anticipating things will only get worse," said American College of Emergency Physicians president Dr. Angela Gardner. Federal stimulus money and the new health law address the primary care shortage with training for 16,000 more providers, said Health and Human Services Department spokeswoman Jessica Santillo. But many experts say solving ER crowding is more complicated. What's causing crowding? Imagine an emergency department with a front door and a back door. There's crowding at both ends. At the front door, ERs are strained by an aging population and more people with chronic illnesses like diabetes. Many ERs closed during the 1990s, leaving fewer to handle the load. The American Hospital Association's annual survey shows a 10 percent decline in emergency departments from 1991 to 2008. Meanwhile, emergency visits rose dramatically. At the back door, ER patients ready to be admitted — in hospital lingo, ready to "go upstairs" — must compete for beds with patients scheduled for elective surgeries, which bring in more money. "If you've got 10 ER patients and 10 elective surgeries," Kellermann asked rhetorically, "which are you going to give the beds to?" That's why easing crowding will take more than just access to primary care. It also will take hospitals that run more efficiently, moving patients through the system and getting ER patients upstairs more quickly, Kellermann said. Ideas that work include bedside admitting, where a staffer takes a patient's insurance information as treatment starts. That and other strategies are being tried at St. Francis Hospital and Health Centers in Indianapolis. There, the performance of nurse managers is measured by how long admitted patients wait in the emergency department for a bed upstairs. And to stave off inappropriate ER visits, the hospitals have opened after-hours clinics staffed by primary care doctors to handle patients who can't leave work to see a doctor, said Indianapolis hospital executive Keith Jewell. ER wait times have fallen. A Chicago hospital, too, is readying for the onslaught of ER patients. On the city's South Side, Advocate Trinity Hospital handles 40,000 emergency visits a year and is expecting more because of the new law. Greeter Stephanie Bailey makes sure patients don't get frustrated while they're waiting. She can take their vital signs and inform staff if the patient is about to leave without treatment. Inside the emergency department, a giant sheet of paper hangs on a wall. It's hand-lettered in orange and purple, and tracks daily progress on hospital goals: How many patients left before they were treated? How many minutes did patients stay in the ER? On a recent day, the note said "0.0 percent" of the patients left without treatment. Someone had added a smiley face. But there was no smiley face next to the average ER length of stay for the same day — nearly four hours. The hospital's goal is three. © Copyright 2010 The Associated Press. "America will never be destroyed from the outside, if we falter and lose our freedoms, it will be because we destroyed ourselves." Abraham Lincoln Quote Share this post Link to post Share on other sites
Lucky... 0 #2 July 5, 2010 1) Has there ever been a post where Rush doesn't use the word, "twist?" 2) I don't read long posts that are cut-n-pastes with 1 senence from poster. 3) I agree, fuck people, let's ensure corps are taken care of. Quote Share this post Link to post Share on other sites
mnealtx 0 #3 July 5, 2010 Quote1) Has there ever been a post where Rush doesn't use the word, "twist?" Has there ever been a post where Lucky doesn't take some sort of cheap shot at someone with an opposing view? Quote2) I don't read long posts that are cut-n-pastes with 1 senence from poster. And yet you expect everyone to read your logorrhoea and answer every single jot and tittle. Quote3) I agree, fuck people, let's ensure corps are taken care of. That wasn't what the article was saying, but I'm unsurprised you took the easy (and erroneous) way out.Mike I love you, Shannon and Jim. POPS 9708 , SCR 14706 Quote Share this post Link to post Share on other sites
rushmc 23 #4 July 5, 2010 Quote 1) Has there ever been a post where Rush doesn't use the word, "twist?" 2) I don't read long posts that are cut-n-pastes with 1 senence from poster. 3) I agree, fuck people, let's ensure corps are taken care of. You want to fuck em? You go ahead Cost are expected to go up FASTER than they would have if HC not been passed Treatement will become HARDER to get under the new HC plan Coverages for some illnesses and ages are already being called into question as to whether to treat or not under the new HC plan (and it is Dems saying this) And who gets to chose? The gov not the Drs I dont want to fuck them YOU DO but then you swallowed the lies and twisted the truth to push the agenda Truth sucks dont it"America will never be destroyed from the outside, if we falter and lose our freedoms, it will be because we destroyed ourselves." Abraham Lincoln Quote Share this post Link to post Share on other sites
Andy9o8 2 #5 July 6, 2010 QuoteWe Have to Pass it to Know What is in it. Sounds like my recipe for chili. Quote Share this post Link to post Share on other sites
rushmc 23 #6 July 6, 2010 QuoteQuoteWe Have to Pass it to Know What is in it. Sounds like my recipe for chili. Wll then You and Pelosi can have some fun"America will never be destroyed from the outside, if we falter and lose our freedoms, it will be because we destroyed ourselves." Abraham Lincoln Quote Share this post Link to post Share on other sites
Andy9o8 2 #7 July 6, 2010 Quote Quote Quote We Have to Pass it to Know What is in it. Sounds like my recipe for chili. Wll then You and Pelosi can have some fun Quote Share this post Link to post Share on other sites
rushmc 23 #8 July 6, 2010 Quote Quote Quote Quote We Have to Pass it to Know What is in it. Sounds like my recipe for chili. Wll then You and Pelosi can have some fun Scarry huh....."America will never be destroyed from the outside, if we falter and lose our freedoms, it will be because we destroyed ourselves." Abraham Lincoln Quote Share this post Link to post Share on other sites
Andy9o8 2 #9 July 6, 2010 Quote Quote Quote Quote Quote We Have to Pass it to Know What is in it. Sounds like my recipe for chili. Wll then You and Pelosi can have some fun Scarry huh..... Absolutely. Quote Share this post Link to post Share on other sites
rushmc 23 #10 July 6, 2010 Quote Quote Quote Quote Quote Quote We Have to Pass it to Know What is in it. Sounds like my recipe for chili. Wll then You and Pelosi can have some fun Scarry huh..... Absolutely. Your comparison, not mine"America will never be destroyed from the outside, if we falter and lose our freedoms, it will be because we destroyed ourselves." Abraham Lincoln Quote Share this post Link to post Share on other sites
rushmc 23 #11 July 6, 2010 Quote Quote Quote Quote Quote Quote We Have to Pass it to Know What is in it. Sounds like my recipe for chili. Well then You and Pelosi can have some fun Scarry huh..... Absolutely. "America will never be destroyed from the outside, if we falter and lose our freedoms, it will be because we destroyed ourselves." Abraham Lincoln Quote Share this post Link to post Share on other sites
Andy9o8 2 #12 July 6, 2010 Quote Quote Quote Quote Quote Quote Quote We Have to Pass it to Know What is in it. Sounds like my recipe for chili. Wll then You and Pelosi can have some fun Scarry huh..... Absolutely. Your comparison, not mine At the comedy club, are you "that guy" in the audience who laughs hysterically when everyone else is silent? Quote Share this post Link to post Share on other sites
rushmc 23 #13 July 6, 2010 Quote Quote Quote Quote Quote Quote Quote Quote We Have to Pass it to Know What is in it. Sounds like my recipe for chili. Wll then You and Pelosi can have some fun Scarry huh..... Absolutely. Your comparison, not mine At the comedy club, are you "that guy" in the audience who laughs hysterically when everyone else is silent? No, are you the one who sits with a stupid look on his face (while everone else is laughing) cause you never get the joke?"America will never be destroyed from the outside, if we falter and lose our freedoms, it will be because we destroyed ourselves." Abraham Lincoln Quote Share this post Link to post Share on other sites
Andy9o8 2 #14 July 6, 2010 Quote Quote Quote Quote Quote Quote Quote Quote Quote We Have to Pass it to Know What is in it. Sounds like my recipe for chili. Wll then You and Pelosi can have some fun Scarry huh..... Absolutely. Your comparison, not mine At the comedy club, are you "that guy" in the audience who laughs hysterically when everyone else is silent? No, are you the one who sits with a stupid look on his face (while everone else is laughing) cause you never get the joke? That's what you just did Quote Share this post Link to post Share on other sites
rushmc 23 #15 July 6, 2010 Quote Quote Quote Quote Quote Quote Quote Quote Quote Quote We Have to Pass it to Know What is in it. Sounds like my recipe for chili. Wll then You and Pelosi can have some fun Scarry huh..... Absolutely. Your comparison, not mine At the comedy club, are you "that guy" in the audience who laughs hysterically when everyone else is silent? No, are you the one who sits with a stupid look on his face (while everone else is laughing) cause you never get the joke? That's what you just did Uh, I think that was you and now, how about this http://www.youtube.com/watch?v=hV-05TLiiLU"America will never be destroyed from the outside, if we falter and lose our freedoms, it will be because we destroyed ourselves." Abraham Lincoln Quote Share this post Link to post Share on other sites
Andy9o8 2 #16 July 6, 2010 Sigh. Go back to post #5. You either get the joke or you don't. I'm done here. The sandbox is all yours. (God! Why do I let myself get sucked in?) Quote Share this post Link to post Share on other sites
mnealtx 0 #17 July 6, 2010 QuoteSigh. Go back to post #5. You either get the joke or you don't. I'm done here. The sandbox is all yours. (God! Why do I let myself get sucked in?) Because you couldn't resist playing the player instead of the ball?Mike I love you, Shannon and Jim. POPS 9708 , SCR 14706 Quote Share this post Link to post Share on other sites
rushmc 23 #18 July 6, 2010 QuoteSigh. Go back to post #5. You either get the joke or you don't. I'm done here. The sandbox is all yours. (God! Why do I let myself get sucked in?) Dude I got your joke I followed it Why dont you and Peolsi go pass your chili together sheeesh"America will never be destroyed from the outside, if we falter and lose our freedoms, it will be because we destroyed ourselves." Abraham Lincoln Quote Share this post Link to post Share on other sites
rushmc 23 #19 July 6, 2010 Quote Quote Sigh. Go back to post #5. You either get the joke or you don't. I'm done here. The sandbox is all yours. (God! Why do I let myself get sucked in?) Because you couldn't resist playing the player instead of the ball? I got his dumb ass joke and kicked it back This is the shit that happens when he thinks only he is smart enough to do shit like that (shit, get it???) "America will never be destroyed from the outside, if we falter and lose our freedoms, it will be because we destroyed ourselves." Abraham Lincoln Quote Share this post Link to post Share on other sites
Lucky... 0 #20 July 6, 2010 QuoteQuote1) Has there ever been a post where Rush doesn't use the word, "twist?" QuoteHas there ever been a post where Lucky doesn't take some sort of cheap shot at someone with an opposing view? Yes, apparently Rush has not posted w/o using, "twisted." Quote2) I don't read long posts that are cut-n-pastes with 1 senence from poster. QuoteAnd yet you expect everyone to read your logorrhoea and answer every single jot and tittle. I answer every word often with supporting ev. If a poster here writes it, it's worth reading, if it's a cut-n-paste, I can read that on my own. Quote3) I agree, fuck people, let's ensure corps are taken care of. QuoteThat wasn't what the article was saying, but I'm unsurprised you took the easy (and erroneous) way out. Sure it was, it was about how we can afford medical illness over medical costs. Quote Share this post Link to post Share on other sites jakee 1,596 #21 July 6, 2010 Quote I dont want to fuck them You don't want to fuck people? So.... what do you fuck?Do you want to have an ideagasm? Quote Share this post Link to post Share on other sites Lucky... 0 #22 July 6, 2010 Quote Quote 1) Has there ever been a post where Rush doesn't use the word, "twist?" 2) I don't read long posts that are cut-n-pastes with 1 senence from poster. 3) I agree, fuck people, let's ensure corps are taken care of. Quote You want to fuck em? You go ahead That's your point; cover as many as we can afford rather than let's cover em all and find a way to pay for it, right? Tell us all, do you think every single citizen should be guaranteed basic HC? Quote Cost are expected to go up FASTER than they would have if HC not been passed Who expects that; Heritage Foundation? And if they do it's because most people will be covered, something that carries no interest to you. Quote Treatement will become HARDER to get under the new HC plan Treatment will be more universally available, something that is of no interest to you. Quote Coverages for some illnesses and ages are already being called into question as to whether to treat or not under the new HC plan (and it is Dems saying this) Yes, the Obama death squads, which are circling overhead now, will be making that call. Quote And who gets to chose? The gov not the Drs Provide a little support for your insane predictions, try not to use HF, Cato or other pathetic rags....or is this your dellusion? Quote I dont want to fuck them YOU DO Tell me how you would cover every citizen and try not to say we can buy ins across statelines, as that isn't the deal maker. Pretend the actual is true; MILLIONS OF PEOPLECANNOT AFFORD HC, ESP WITH YOUR BELOVED PREEXISTING PRECLUSIONS. So tell me how a person who need several surguries can go out and buy ins w/o lying or if the cond has been discovered, how can they pay for a 50k procedure? Just skip along, we know you say, "fuck em." Quote but then you swallowed the lies and twisted the truth to push the agenda Which lies and what twisting? Can you earna midicum of cred and actually support a point? Quote Truth sucks dont it Yes, I live in a fascist country that puts corps before people. Quote Share this post Link to post Share on other sites Lucky... 0 #23 July 6, 2010 Quote Quote Quote Quote Quote Quote Quote Quote Quote We Have to Pass it to Know What is in it. Sounds like my recipe for chili. Wll then You and Pelosi can have some fun Scarry huh..... Absolutely. Your comparison, not mine At the comedy club, are you "that guy" in the audience who laughs hysterically when everyone else is silent? No, are you the one who sits with a stupid look on his face (while everone else is laughing) cause you never get the joke? You are also the guy who heckles when everyone else laughs. Quote Share this post Link to post Share on other sites Lucky... 0 #24 July 6, 2010 Quote Quote I dont want to fuck them You don't want to fuck people? So.... what do you fuck? http://www.animalspapper.com/wallpaper/Sheep-1/ Quote Share this post Link to post Share on other sites mnealtx 0 #25 July 6, 2010 QuoteSure it was, it was about how we can afford medical illness over medical costs. Thanks for showing you didn't read the article. I'll paraphrase for you: "Costs are going to go up" - several accounting firms "There aren't enough doctors and access is going to suffer" - doctors But hey...you keep toeing that Obamacare line.... Si se puede!!Mike I love you, Shannon and Jim. POPS 9708 , SCR 14706 Quote Share this post Link to post Share on other sites Prev 1 2 Next Page 1 of 2 Join the conversation You can post now and register later. If you have an account, sign in now to post with your account. Note: Your post will require moderator approval before it will be visible. Reply to this topic... × Pasted as rich text. Paste as plain text instead Only 75 emoji are allowed. × Your link has been automatically embedded. Display as a link instead × Your previous content has been restored. Clear editor × You cannot paste images directly. Upload or insert images from URL. Insert image from URL × Desktop Tablet Phone Submit Reply 0
jakee 1,596 #21 July 6, 2010 Quote I dont want to fuck them You don't want to fuck people? So.... what do you fuck?Do you want to have an ideagasm? Quote Share this post Link to post Share on other sites
Lucky... 0 #22 July 6, 2010 Quote Quote 1) Has there ever been a post where Rush doesn't use the word, "twist?" 2) I don't read long posts that are cut-n-pastes with 1 senence from poster. 3) I agree, fuck people, let's ensure corps are taken care of. Quote You want to fuck em? You go ahead That's your point; cover as many as we can afford rather than let's cover em all and find a way to pay for it, right? Tell us all, do you think every single citizen should be guaranteed basic HC? Quote Cost are expected to go up FASTER than they would have if HC not been passed Who expects that; Heritage Foundation? And if they do it's because most people will be covered, something that carries no interest to you. Quote Treatement will become HARDER to get under the new HC plan Treatment will be more universally available, something that is of no interest to you. Quote Coverages for some illnesses and ages are already being called into question as to whether to treat or not under the new HC plan (and it is Dems saying this) Yes, the Obama death squads, which are circling overhead now, will be making that call. Quote And who gets to chose? The gov not the Drs Provide a little support for your insane predictions, try not to use HF, Cato or other pathetic rags....or is this your dellusion? Quote I dont want to fuck them YOU DO Tell me how you would cover every citizen and try not to say we can buy ins across statelines, as that isn't the deal maker. Pretend the actual is true; MILLIONS OF PEOPLECANNOT AFFORD HC, ESP WITH YOUR BELOVED PREEXISTING PRECLUSIONS. So tell me how a person who need several surguries can go out and buy ins w/o lying or if the cond has been discovered, how can they pay for a 50k procedure? Just skip along, we know you say, "fuck em." Quote but then you swallowed the lies and twisted the truth to push the agenda Which lies and what twisting? Can you earna midicum of cred and actually support a point? Quote Truth sucks dont it Yes, I live in a fascist country that puts corps before people. Quote Share this post Link to post Share on other sites
Lucky... 0 #23 July 6, 2010 Quote Quote Quote Quote Quote Quote Quote Quote Quote We Have to Pass it to Know What is in it. Sounds like my recipe for chili. Wll then You and Pelosi can have some fun Scarry huh..... Absolutely. Your comparison, not mine At the comedy club, are you "that guy" in the audience who laughs hysterically when everyone else is silent? No, are you the one who sits with a stupid look on his face (while everone else is laughing) cause you never get the joke? You are also the guy who heckles when everyone else laughs. Quote Share this post Link to post Share on other sites
Lucky... 0 #24 July 6, 2010 Quote Quote I dont want to fuck them You don't want to fuck people? So.... what do you fuck? http://www.animalspapper.com/wallpaper/Sheep-1/ Quote Share this post Link to post Share on other sites
mnealtx 0 #25 July 6, 2010 QuoteSure it was, it was about how we can afford medical illness over medical costs. Thanks for showing you didn't read the article. I'll paraphrase for you: "Costs are going to go up" - several accounting firms "There aren't enough doctors and access is going to suffer" - doctors But hey...you keep toeing that Obamacare line.... Si se puede!!Mike I love you, Shannon and Jim. POPS 9708 , SCR 14706 Quote Share this post Link to post Share on other sites
