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Ten Things to Expect from Obamacare in 2014

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Submitted by Elizabeth Lee via Casey Research,

Ten Things to Expect from Obamacare in 2014

By Elizabeth Lee Vliet, M.D.

Obamacare's health exchanges opened on October 1. Hopefully you weren't one of the unlucky guinea pigs who attempted to sign up with a system so crummy that even the Washington Post is calling it a disaster.

Given that the impact of Obamacare will only grow from here on out, Casey Research  asked acclaimed Obamacare expert Dr. Lee Vliet what we should expect as the calendar turns to 2014.

Importantly, Dr. Vliet is independent in every sense of the word. Not only is she an independent physician, she's also a registered political Independent, and has no ties to pharmaceutical, insurance, political, or any other interests. Like any good doctor, she is professionally concerned with one thing and one thing only: her patients. You'll find her criticisms of Obamacare quite harsh, but only because she's disturbed about the impact it will have on her patients.

Ten Things to Expect from Obamacare in 2014

By Elizabeth Lee Vliet, M.D.

It's been clear to anyone paying attention that the October "rollout" of Obamacare has been a turbulent, confusing disaster. Sloppy IT systems and technological failures combined to cripple Obamacare's sign-up systems. Security flaws put Americans at risk for identity theft.

In an almost comical understatement, President Obama summarized these massive failures as "a few glitches." I think that Luke Chung, IT expert and president of database solutions firm FMS, explained the situation much more accurately:

"What should clearly be an enterprise quality, highly scalable software application felt like it wouldn't pass a basic code review. It appears the people who built the site don't know what they're doing, never used it and didn't test it."

Chung went on to call it a "technological disaster."

Think about what this ineptitude means in the bigger debate about Obamacare. The administration spent 3½ years and $698 million of taxpayers' money to develop this software. They've known since earlier this year that the system wasn't ready to support the rollout of the exchanges. Yet they proceeded anyway, apparently unconcerned about their faulty software costing Americans millions of hours of frustration and lost productivity.

These same bureaucrats continue to assume more and more control of our medical care. What does their incompetence say about how they will handle making life-or-death medical care decisions?

Like a parasite taking over its host, Obamacare will commandeer almost 20% of our economy, crowding out private options. With 2014 fast approaching, what should we expect in its next phase?

Here's my list Top Ten list for 2014:

1. The expansion of Medicaid, with increased cost burden for taxpayers.

Medicaid is a combined state-federal program initially designed to help the neediest among us. But it has burgeoned to cover medical costs for about one in every five people. Today, Medicaid pays for two of every five babies born in the United States, and three of every five people in long-term care facilities in the US.

Obamacare will add another 20 million new Medicaid dependents. According to the Kasier Family Foundation, that Medicaid expansion will add an average of 13% to state budgets in costs for 2014 alone.

Even though Medicaid was designed to help the poor, studies have consistently shown that Medicaid recipients receive worse medical care than people without any health insurance at all! Medicaid patients have longer waits to see a doctor, fewer specialists to choose from, and poorer medical outcomes overall. A particularly morbid piece of evidence is that on average, Medicaid patients die sooner after surgery than people who have no medical insurance.

Essentially, Obamacare is forcing 20 million more Americans into second-class medical care with Medicaid.

2. "Sticker shock" as the reality of higher health insurance premiums hits home.

The majority of Americans, especially those who are young and healthy and therefore have paid low premiums in the past, are seeing their health insurance premiums rise between 50% and 150%. Further, employers are cutting full-time workers back to part-time by reducing employees' hours per week from 40 to 29 or less, to avoid having to provide those employees with expensive, Obamacare-compliant coverage.

The "Affordable Care Act" has become anything but affordable for most people.

3. Large and small employers are cutting health insurance benefits.

Obamacare expands the requirements for what all health insurance policies must cover. So it's no mystery why premiums have risen: Americans now must pay for a host of features, whether they want to or not. For example, in my office, the women employees are all menopausal. Yet Obamacare requires our small-business health insurance policy to cover pregnancy and maternity care! That means our policy costs more.

These higher premiums force employers to pass on the costs to employees (in the form of higher co-pays and deductibles) and/or customers (in the form of higher product costs). 2014 will bring even higher premiums for most individuals and businesses.

To deal with this onslaught of rising costs, businesses have a series of bad options: fire or lay off workers, cut health insurance benefits for everyone in the company, or reduce full-time employees to part-time so they don't qualify for health insurance benefits, as I mentioned above.

Unfortunately, some businesses will be forced into the worst option of all: going out of business.

4. The employer-based health insurance policies that remain will have higher out-of-pocket costs for employees.

Because businesses must pay more to purchase Obamacare-compliant plans, they will require employees to pay higher co-pays and deductibles before coverage begins.

5. Fewer types of health insurance policies can be offered under Obamacare.

Many small-business plans and existing physician networks are being terminated due to the expanded coverage requirements under Obamacare. We just received notice that our own small-business plan is being terminated.

Candidate and then President Obama promised, "You can keep your insurance plan." Nope.

6. Many people cannot keep their doctors.

Candidate Obama promised, "If you like your doctor, you can keep your doctor." But many patients who like their doctors are being forced to find new ones due to changes in physician networks, as well as doctors leaving insurance plans to start fee-for-service or "concierge" practices.

Sadly, when a patient is pushed out of a long-standing relationship with a physician who understands their medical history, medical outcomes often deteriorate. This is especially true for special-needs patients, who often fall between the cracks when doctors are pressured to see 40 or 50 patients a day in five-minute visits.

7. Further destruction of Medicare.

In 2014, Medicare patients will discover several unwanted changes:

  • higher premiums for their supplemental policies
  • fewer types of Medicare supplement policies available
  • more cutbacks in Medicare-covered services
  • longer delays to see doctors, because many doctors are closing their doors to Medicare patients due to the cuts in reimbursements
  • fewer cancer care specialists taking Medicare patients
  • higher costs for hospital-based cancer treatments, as private offices with lower costs are closed due to reimbursement cutbacks
  • fewer hospital-based surgeries being approved because as of October 2012, Obamacare rules incentivize hospitals (i.e., paid more by Medicare) to do fewer surgeries and procedures.
  • Medicare patients who sign the Advance Beneficiary Notice (ABN) agreeing to pay for services Medicare does not cover will find that they now have higher out-of-pocket costs to pay for these non-covered services.
  • Patients over 80 are already finding reduced approvals for certain procedures and medicines. Expect to see more of this age-based rationing as the Medicare cuts increase over the next decade.

8. Loss of ownership of your medical records.

Your doctors, hospitals, and other health professionals are being pressured to adopt electronic medical record systems and send patient information to the federal government's medical database by 2015. If they don't comply, they'll be penalized with reduced payments for services.

This means the government will own your personal, private information, and you have no say in the matter. I consider this a complete loss of your privacy, as well as a violation of the Constitution's 5th Amendment "Takings" clause.

9. More waivers and exemptions for the political elites and Democrat cronies.

The Obama Administration and its political appointee, HHS Secretary Sibelius, have granted over 1,000 waivers and special exemptions to various Democrat donors, political allies, unions, and others. Obama's politically connected friends are the only Americans who won't suffer under Obamacare's onerous regulations, ballooning costs, and 20 new taxes.

10. On January 1, 2014, the Individual Mandate to purchase Obamacare-compliant health insurance goes into effect.

"Mandate" may sound benign, but it carries the force of law. Those who do not comply face another Obamacare tax (as the Supreme Court defined it), though called a "penalty" by Democrats when they forced the healthcare law through Congress on a partisan vote.

At the end of the day, Obamacare shifts a bigger burden onto taxpayers and increases the number of people on the dole. In other words, it pushes the US in the exact opposite direction it needs to go to solve its massive debt problems.

The most serious problems of Obamacare, however, will be felt at the individual level. You're going to wait longer to see a doctor, you're going to pay more for fewer treatment options, and healthcare quality will deteriorate as doctors and hospitals go out of business.

Obamacare seeks to replace the adaptability and efficiency of our free markets with heavy-handed government control and micromanaging by bureaucrats who don't have a clue about what really helps patients. We need the opposite: patient-centered, free-market reforms.

Such programs have been successfully implemented in states like Indiana and businesses like Whole Foods and Safeway. They used health savings accounts and other incentives to empower consumers to make their own medical spending decisions.

It's possible to reform and improve the broken payment system while keeping our excellent medical care and innovative atmosphere that relieves suffering and improves quality of life. Unfortunately, Obamacare is pushing our country in the wrong direction.

Dr. Vliet writes as an independent practicing physician with medical practices in Tucson and Dallas focused on issues of endocrine aging in men and women from puberty to late life. Dr. Vliet is a registered political Independent, and is also medically independent of all health insurance contracts since 1986. Her allegiance is to and for patients. Dr. Vliet is the 2007 Voice of Women Honoree by the Arizona Foundation for Women for her pioneering work on the overlooked hormone connections in women's health, and she is the author of six consumer books on health topics. She has appeared on nationally syndicated radio and TV shows discussing the healthcare law as well as a variety of health topics for women and men.

Dr. Vliet was one of the speakers at the just-concluded 2013 Casey Research Summit. (Click here to pre-order the complete Summit Audio Collection and save $100 off the normal price. This discount offer ends tomorrow.)

Dr. Vliet's medical websites are www.herplace.com and www.InternationalHealthStrategiesLtd.com. Follow Dr. Vliet on twitter @healthandcents

 

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Thu, 10/17/2013 - 11:37 | 4065116 hedgeless_horseman
hedgeless_horseman's picture

 

 

11:  United Healthcare stock will continue to skyrocket.

Obamacare guarantees profits and eliminates competition for the Health Insurers, just like the Federal Reserve Act did for banks.

 

The fine print, Section 2718 of the Public Health Services Act, implements the minimum medical loss ratio requirement, aka guaranteed profit requirement.

In phase 1, the health insurers and government were guaranteed all of your medical records under HIPAA.  When you visit a physician, you don't sign a release for this information, you sign a statement recognizing the physician is required to divulge it under HIPAA.  There is no privacy in HIPAA.

Thu, 10/17/2013 - 11:37 | 4065130 Theta_Burn
Theta_Burn's picture

Hmm..

The federal preserve...i like it

Thu, 10/17/2013 - 11:39 | 4065141 hedgeless_horseman
hedgeless_horseman's picture

 

 

Corporate Power is Protected - The industrial and business aristocracy of a fascist nation often are the ones who put the government leaders into power, creating a mutually beneficial business/government relationship and power elite.

Fascism, we are soaking in it.

Thu, 10/17/2013 - 11:43 | 4065162 Manthong
Manthong's picture

Those executives and the insurance execs know that their companies, long term,  are either toast or low wage slaves after Obamacare implodes and the sheep start screaming for a government takeover. They see the future of this and will milk every dime out of it before they throw their employees and the carcasses of their companies to the .gov wolves.

Thu, 10/17/2013 - 11:54 | 4065176 hedgeless_horseman
hedgeless_horseman's picture

 

 

Obamacare implodes and the sheep start screaming for a government takeover.

 Like I said before, Manthong, if you really believe that, then I have a bridge to sell you in the USSR. 

You predict a radical new victory for the socialists.  I predict continued victory for the fascists.  We shall see.  Either way, we both lose.

Stay healthy, boys and girls; eat well, and exercise.

Thu, 10/17/2013 - 12:11 | 4065285 rubiconsolutions
rubiconsolutions's picture

I spent 25 years in healthcare software, 10 of those working for physicians in southern California. The last 13 years I worked in sales and marketing, specifically selling EHR (Electronic Health Record) systems. 3 years ago I left the industry and did a couple of cross country bicycle trips. I've never looked back. One of the last things I did was to attend a meeting of the California Primary Care Association as the (un)Affordable Care Act was being finalized. I was in a session with one of my colleagues watching a 200 slide PowerPoint presentation on what the ACA would look like. One of the slides showed the bureaucracy that was going to be set up, an org chart if you will. It looked like a street map of Los Angeles. Dozens of agencies with Orwellian names linked in a labyrinth. Any reasonable person would look at that and draw two conclusions: 1) there is no way that healthcare costs will go down and 2) there is no way that services will be delivered efficiently or at all. I looked at my buddy and told him that if I had children who were thinking about becoming doctors I'd encourage them to become consultants instead because those are the people that are going to make money, teaching doctors how to navigate the system. It was done tongue in cheek because what I really mean is that I wouldn't encourage anyone to get into healthcare at all. This thing is going to be a disaster. I saw it coming years ago as government got their hands into more and more of healthcare delivery. They are going to kill 17% of the economy and a big percentage of the people who come in contact with the system.

Thu, 10/17/2013 - 12:24 | 4065333 NidStyles
NidStyles's picture

My sister said about the same thing. She's a former RN turned Accountant. She became an Accountant in 2010 when she had a similar presentation.

Thu, 10/17/2013 - 12:29 | 4065360 TeamDepends
TeamDepends's picture

At the White House, we put the funk in dysfunctional.

Thu, 10/17/2013 - 12:36 | 4065392 James_Cole
James_Cole's picture

Single payer, you can do it 'merica!

Thu, 10/17/2013 - 13:00 | 4065404 Manthong
Manthong's picture

@ HH, true dat.. we all lose

But after looking at that diagram yesterday (http://www.jec.senate.gov/republicans/public//index.cfm?a=Files.Serve&File_id=8e6dbf03-ca4a-44be-9de4-a100c43fb5c8      ), and knowing what I do about the competence of the civilian feds and considering what it takes to put ~ 200-300 million citizens and 20 million or so illegal aliens in that system..

I cannot envision them pulling it off successfully and I have a sneaking suspicion that it was designed to fail.  

(and I could go for some nicely seasoned organic hassenpeffer right about now) 




Thu, 10/17/2013 - 13:00 | 4065504 MillionDollarBogus_
MillionDollarBogus_'s picture

The Massachusetts health care insurance reform law, St. 2006, informally referred to as Romneycare, and officially entitled 'An Act Providing Access to Affordable, Quality, Accountable Health Care,' is a state law enacted in 2006, signed into law by then-governor Mitt Romney. The law mandates that nearly every resident of Massachusetts obtain a state-government-regulated minimum level of healthcare insurance coverage and provides free health care insurance for residents.....

http://en.wikipedia.org/wiki/Massachusetts_health_care_reform

Thu, 10/17/2013 - 13:02 | 4065495 Ignatius
Ignatius's picture

I talked to my favorite waitress at her job yesterday about ObummerCare. 

She has no insurance at work. 

She takes a few meds but gets by (cash n carry)

When she checked she found she would have to pay $270/month for insurance

She understands there's a "fine" if she doesn't enroll

She thinks she'll pay the fine.

What a clusterfuck.

Thu, 10/17/2013 - 13:12 | 4065587 NidStyles
NidStyles's picture

I would pay the fine as well if I were in her position, there's nothing like having to deal with the mob and their "protection" racket. Here I thought racketeering was illegal...

Thu, 10/17/2013 - 13:42 | 4065753 TeamDepends
TeamDepends's picture

We are opting to pay the fine in lead.

Thu, 10/17/2013 - 13:56 | 4065842 Frank N. Beans
Frank N. Beans's picture

she'll pay the fine, as will millions of others, if it's cheaper (which it is).  This fine will be on top of potentially higher out-of-pocket prices for Rx and doctor visits.   Thus UNaffordable Care Act. NOT more insured people.  Insurable, yes.  Insured, no.

what we're these people thinking when they came up with this mutated medical monster?

 

Thu, 10/17/2013 - 14:37 | 4066004 andrewp111
andrewp111's picture

Obamacare was designed to fail. The whole point is to soften the public up to accept Single Payer as a vastly better alternative. This pig is guaranteed to be such a clusterfuck that this is exactly what will happen. Hillary (or whomever D) will run in 2016 on a Medicare For All platform, and will win in a landslide. Everything is proceeding as Emperor Obozo and Mistress Pelosi have foreseen..

Thu, 10/17/2013 - 14:46 | 4066061 RabbitChow
RabbitChow's picture

Even under Obamacare, you will still have to pay co-pays and deductibles.

When I heard about the healthcare act, it was as if it had materialized out of nothing.  But that's never true, my conclusions were that the package was carefully crafted over a period of years by a consortium of big health care companies.  When things like this are put together, the obvious result is that the health care companies are devising all these new laws and regs to line their own pockets and make them rich beyond their wildest dreams.

I was thinking this system may be similar to a Euro style system where everyone has the option of subscribing to one of four or five different providers.  All hospials, doctors and healthcare folks have to accept you because they are ultimately reimbursed by the state.  Healthcare is no cost for the patient (other than premiums).  I should be obvious that we in Amerika have a completely different system -- not for caring for people but instead making the rich richer.

Thu, 10/17/2013 - 15:04 | 4066155 MachoMan
MachoMan's picture

As best I can tell, obamacare is of vastly more benefit to insurance companies than medical providers.  Medical providers are going to be forced to lower prices or eat fixed costs without people coming through the door.  I've not talked to a single medical professional that is happy about it.

Thu, 10/17/2013 - 14:52 | 4066099 John Law Lives
John Law Lives's picture

"what we're these people thinking when they came up with this mutated medical monster?"

They were thinking about how to gain more control over the masses.

 

Thu, 10/17/2013 - 15:31 | 4066279 moneybots
moneybots's picture

"what we're these people thinking when they came up with this mutated medical monster?"

 

My guess would be single payer.

Thu, 10/17/2013 - 14:19 | 4065941 MachoMan
MachoMan's picture

So...  the waitress doesn't qualify for tax credits?  Sounds like she's kicking some ass on tips...

Thu, 10/17/2013 - 14:40 | 4066032 2bit Hoarder
2bit Hoarder's picture

$270 a month is heavily subsidized.  Mine is over $900 a month.

Thu, 10/17/2013 - 15:01 | 4066141 MachoMan
MachoMan's picture

What is your premium payment before the mandate?  How old are you, 80?  And this is to get the minimum level bronze plan?  When I looked at my local BXBS rates, they were ~$300/mo. for a low deductible silver/gold plan + dental and vision.

Thu, 10/17/2013 - 13:17 | 4065625 ElvisDog
ElvisDog's picture

What's going to happen is that the 99% will be stuck in the system you describe. The 1% will pay the Obamacare penalty and have private doctors that they pay for in cash. The best doctors and specialists will migrate to the private-doctor system, because the money will be better and the paperwork/bureaucracy will be much less. The D.C. elites won't stop the private doctor system because they and their families will make use of it.

Thu, 10/17/2013 - 14:32 | 4065989 MachoMan
MachoMan's picture

Bingo.  I'm advising many medical professional clients to start doing "testing" now...  floating trial balloons to see how changing how they accept payment will affect their organizations.  The issue is largely one of specialization...  if you're specialized and there isn't much local competition, then you can much more easily move to a self-pay system...  if you're a hospital that needs to desperately put asses in beds in order to keep the lights on, then you have much less choice in the matter.  Of course, if you don't have to bill insurance for things, nor follow-up on the claims, then you can lay off a few folks...

Although, practically speaking, with the implementation of more high deductible policies, GP visits and the like are all going to be self-pay.  If you've got a $7k deductible, then you're going to have to get into some shit before you'll meet your deductible. 

Generally speaking, patients with insurance are given the benefit of the doubt and only have to pay their co-pay at the office visit.  However, now, the burden will shift to the patient and no benefit of the doubt will be given...  The patient will have to pay out of pocket and the medical professional will reimburse the patient to the extent of over-billing (good luck)[to the extent this practice is against a particular insurance company's requirements to be in network, then the medical professionals will drop the contract and force patients to submit claims on their own].  While most insurance companies have systems to quickly test the insurance coverage of a client (and the present amount paid towards deductible), these systems are not used in the moment as many clinics need to be more efficient than checking these things entails.  Likewise, you're going to get into "hard limits" on whether a facility will treat you...  if you have an outstanding balance over $X, then you'll be turned away at the door...  the clerk will have access to your balance due and you'll be asked to leave if you don't cough up the entire balance or bring it below the threshold at the time of your visit.

Thu, 10/17/2013 - 14:44 | 4066053 2bit Hoarder
2bit Hoarder's picture

What's going to happen is that the 47 percent will be in the system.   The only people I know who are signing up are those who are getting it for free.  

Thu, 10/17/2013 - 13:35 | 4065718 GeezerGeek
GeezerGeek's picture

Does anyone but me remember the diagram presented to depict the way HillaryCare (the Clinton initiative that led to Republicans winning the House and Senate in 1994 elections)? I recall, perhaps incorrectly, that it was Republican opponents of HillaryCare that created the diagram. Top-down control of anything as large as healthcare, in any country as large as the US, is impossible.

What the US really needed to do was to create a prototype system for something a bit less essential to most Americans. They should have created an affordable legal assistance mandate, under which all citizens could get access to competent lawyers. The entire legal profession could have been nationalized, paid a salary, and provided whatever legal assistance was needed by any individual. If that worked, then they could try it on healthcare. Too bad so many legislators are lawyers.

Thu, 10/17/2013 - 13:46 | 4065781 Manthong
Manthong's picture

“Our country is too large to have all its affairs directed by a single government. Public servants at such a distance, and from under the eye of their constituents, must, from the circumstance of distance, be unable to administer and overlook all the details necessary for the good government of the citizens; and the same circumstance, by rendering detection impossible to their constituents, will invite public agents to corruption, plunder and waste.”

http://www.goodreads.com/quotes/168803-our-country-is-too-large-to-have-all-its-affairs

Thu, 10/17/2013 - 14:51 | 4066092 MachoMan
MachoMan's picture

Ye jest, but all is possible in bizarro world.

PS, you already have an affordable legal assistance mandate for criminal defense as well as a discretionary expectation (not mandatory) for civil cases that touch on constitutional violations [the most common of which are prisoner cases vs. guards who allegedly abused them]. 

Thu, 10/17/2013 - 12:44 | 4065417 Imminent Crucible
Imminent Crucible's picture

Hate to disagree with you, HH, but I believe he's right on this one.  Keep in mind that Orrin Hatch said "the Democrats are going to throw their hands in the air and say ‘It's not working, it's unaffordable. And we have to go to a single-payer system where the government controls everybody's lives.’

“That what's behind all this. They know it's going to fail. It's already failing. And it hasn't even triggered the big expenses yet.”  And Harry Reid confirmed it soon afterwards: "No, it's not sustainable. But it's a solid first step towards a single-payer system." There are a lot of reasons why it has to crash, and I'll just point out one: The basic idea is to force millions of young, healthy people to buy insurance, to subsidize the cost of medical care for us fat, diabetic boomers as we age.  That can't work because of the law of incentivized consumption. Once they have insurance, these young people are going to use it.  They might have skipped getting a mammogram or blood work when they had to pay cash for a doctor's visit plus the tests. Not now.  So the young guy with a persistent cough heads to the doctor, who schedules x-rays and blood tests.  Poof!....there went months of premiums that were supposed to pay for Old Harry's new knee. 2500 pages of law.  11,000 pages of regs, and counting.  A software system that's fatally flawed and useless.  None of that mattered, because they knew from the beginning that it was an engineered crisis, to be replaced with (as Jon Stewart said) "the single payer system we deserve". I give it maybe 18 months, and then we'll hear how they have a much better system to replace it.

 

Thu, 10/17/2013 - 13:02 | 4065518 jughead
jughead's picture

It reminds me of a New Mexico ballot issue to amend the NM Constitution to legalize gambling in the state back in the 90s.  It passed, so the attorney general (who now happens to be a Congressman), the same AG who had to sign off on the ballot issue, sued, claiming that the amendment was unconstitional...and won...because it was purposely written to be unconstitutional, knowing that if the ballot issue passed, it could be overturned by the courts on those grounds.   These fuckers work like that. 

Thu, 10/17/2013 - 13:09 | 4065560 Singelguy
Singelguy's picture

You fail to appreciate that along with the higher premiums for young people, come higher deductibles and copays. They will probably still skip the mammogram or blood work because they will still have to pay for the first $5000 out of their own pocket. ACA does nothing to cap or control the cost of the blood work or mammogram or any other health care cost.

Thu, 10/17/2013 - 14:55 | 4066114 MachoMan
MachoMan's picture

Yep.  For medical practitioners/facilities who must run hundreds of patients through a day in order to keep the doors open, good luck with that.  Did medical service providers really think that the insurance companies weren't going to fuck them after routinely breaking it off in their ass on med mal premiums, etc.?  In a better functioning society, these medical providers would be left to fail...  However, they have every expectation that they need not lower their costs to what the market can bear because they expect to be bailed out...  again, good luck with that.

Thu, 10/17/2013 - 13:20 | 4065622 Winston Smith 2009
Winston Smith 2009's picture

"Once they have insurance, these young people are going to use it."

Considering the the under-employment rates in the US youth demographic, many of them will barely be able to afford it.

Thu, 10/17/2013 - 12:52 | 4065461 Buckaroo Banzai
Buckaroo Banzai's picture

 

MENS ROOM. CAPITOL. OCTOBER 15, 2013.

#1 (Shaking off and zipping up): Oh, hello. What are you doing here? Can't remember the last time I saw you in this building.

#2: Uh, yeah. Unscheduled visit. Actually I was looking for you. I know you're a little, um, preoccupied right now. But believe me, you'll want to make a little time for me right now.

#1: (washing hands) Preoccupied? That's the fucking understatement of the year. Look-- I'm happy to see you but for fuck's sake I'm in it up to my eyeballs right now.

#2: Yeah, I know, but you are going to want to hear this. Right now.

#1 (confused look)

#2 (interrupts): First-- this isn't personal, and I'm just a messenger. Let's just say I was, um, pressed into service. By a friend of a friend. Of a friend. I don't want to be here right now but you know how things work in this town.

#1: (grabs paper towel) Ah, fuck.

#2: Yep. Look John, they are serious. Serious as fucking cancer.

#1: Huh. Well, there's lots of different cancers...some a little more serious than others...

#2: OK. Let's call it Stage 5 pancreatic cancer.

#1: (throws paper towel in trash) Fuck.

#2: Yeah. I was told to tell you that the EBT system was taken down. To make a point. I'm sure you didn't miss it, but you know, they want to make SURE you knew. That it was them.

#1 (sighs)

#2: John. There is some serious fucking weight coming down.

#1: Look. I need to know. Are they actually trying to destroy the country.

#2: You know how this works. Above our pay grade.

#1: I don't fucking get this. Not for a second.

#2: Wheels within wheels, John. You didn't get where you are by not playing ball. Come on.

#1: But this doesn't make any sense. You don't kill the fucking golden goose.

#2: Look. It's fucked up, but I have been assured, very strenuously, that we will be taken care of. Keep your eye on the ball.

#1: Really? Because I don't see how they keep control of this.

#2: Maybe they want to let things slip out of control. For a while. They know what they are doing, John.

#1: Do they? Seriously. I am starting to wonder. I can see how the Russians benefit. The Chinese. Big pharma. The insurance companies. The banks. But me? I feel like I'm getting fitted for a world-class frame job. You know-- constituents? You've heard of them, right?

#2: Just between us. (sighs) I can't tell you that you're wrong. Shit, look what they did to the Chief Justice. The Chief Justice of the Supreme Fucking Court! Cut his balls right off. But look. He's still breathing, right?

#1: That prick down the street. Fuck him

#2: Prick? (laughs). You know the one wearing the pants also wears a cunt.

#1: He's a fucking sorceror, and she's fucking Satan itself. What a con they are running. Or are they actually real-live fucking Communists? How is that possible? I used to think I understood how things worked in this town. Now I don't have a fucking clue, and it scares the shit out of me.

#2: We're out of time. Do what you have to do, John. They were VERY clear that the personal consequences would be, um, "dire" was the word that was used.

#1: All right. Let's get out of here. Fuck.

Thu, 10/17/2013 - 13:04 | 4065526 jughead
jughead's picture

I think we've used the same washroom a time or two.

Thu, 10/17/2013 - 12:15 | 4065294 Clark Bent
Clark Bent's picture

In the film The Big Lebowski, Walter says "say what you like about National Socialism, at least it had an ethos," referring to Nazi Germany. In our fascism we don't even get that. We just get the super rich in league with the permanently poor making a meal out of humanity, a club they will not themeselves join or contribute to. After envy, Socialism's second great sinfulness, insane pathological hatred of a functional life. 

Thu, 10/17/2013 - 13:14 | 4065602 Winston Smith 2009
Winston Smith 2009's picture

"In the film The Big Lebowski, Walter says "say what you like about National Socialism, at least it had an ethos," referring to Nazi Germany. In our fascism we don't even get that."

Yes, we do.  It's the "grab as much of other people's money as you can using the coercive power of government" ethos.

Thu, 10/17/2013 - 14:46 | 4066064 lemonobrien
lemonobrien's picture

same as the nazi's stealing from the jews.

Thu, 10/17/2013 - 11:38 | 4065143 Fish Gone Bad
Fish Gone Bad's picture

In the end, everyone will get to lose.

Thu, 10/17/2013 - 11:46 | 4065178 Headbanger
Headbanger's picture

And the end for everyone has gotten a lot closer now with less healthcare options ans providers caused by this insane law!

And maybe that's the way the elites plan to lower entitlement spending.

So why not just bring back cigarette commercials on TV and raise the DUI limits so we all die sooner from cancer and drunk driving?

 

Thu, 10/17/2013 - 12:48 | 4065451 Stoploss
Stoploss's picture

Right, hb, the facists want to decide when you die.

Ciggs and alcohol deaths would represent freedom, and we just can not have any of that shit.

Thu, 10/17/2013 - 11:47 | 4065180 nantucket
nantucket's picture

UNH down 5% today, you jinxed it man.

Thu, 10/17/2013 - 12:37 | 4065402 syntaxterror
syntaxterror's picture

Probably down because only ONE person has been signed up on the Delaware exchange. Yes, ONE person.

 

Forward!

Thu, 10/17/2013 - 12:40 | 4065419 nantucket
nantucket's picture

Deleware?  maybe it was Joe Biden.  Oh wait, he's exempt....WOOO HOOOOO!

Thu, 10/17/2013 - 12:51 | 4065462 RSloane
RSloane's picture

LOL I was laughing at the state celebration when he finally got on it. One person.

Thu, 10/17/2013 - 14:12 | 4065917 Billy Sol Estes
Billy Sol Estes's picture

A statue will be erected in her honor

Thu, 10/17/2013 - 11:49 | 4065195 Millivanilli
Millivanilli's picture

I don't see how this amounts to health insurance if a person has to pay 10k to actually get Insurance after premiums and deductables for bronze plans. These fees will undoubtedly spike even higher.   

 

My solution: DON'T SIGN UP.    YEP.  FUCK EM.  

 

UNITED WE STAND!

Thu, 10/17/2013 - 12:29 | 4065272 Running On Bing...
Running On Bingo Fuel's picture

Your solution should be two prong.

1) Don't signup
2) Find, visit, get comfortable with an out-of-country medical solution.

If you put pencil to paper you will save vast amounts. You can self-insure: http://online.wsj.com/news/articles/SB1000142412788732488670457905304213...

Too, if you have a ligit LLC or Corp entity travel and expenses are fully deductible as a business expense.

FUCK YOU! Obamacare! Fidel's Angels are going to nurse me.

Thu, 10/17/2013 - 14:39 | 4066026 The Navigator
The Navigator's picture

Living close to the Mexican border now has some benefits - just not too sure about the quality, but costs should be dramatically lower.

Thu, 10/17/2013 - 18:36 | 4066895 Imminent Crucible
Imminent Crucible's picture

If you get temp resident status (FM3 visa) you can join the national system IMSS for about $250 a year.  The care quality depends on where you live. You can buy more expensive insurance and get a higher tier of care, or you can just pay cash at one of the country's "medical tourism" hospitals, built and equipped to US standards.  Many, many doctors and dentists are trained at US schools and speak English.  The cost of care varies, but is roughly about 1/3 the U.S. cost. Drugs at the farmacia are far cheaper than here.

Thu, 10/17/2013 - 11:57 | 4065229 goatmug
goatmug's picture

Not so sure about all the health insurers being the layup that everyone thinks they are....

 

The technological problems with signing up have resulted in carriers being incredibly behind projections in terms of new clients.  My guess is that this will make them roll into earnings way light of enrollees.

 

The only real traction we have as a health insurance agency is with really sick folks that are looking for coverage.  Young and healthy people are not so excited about paying 70% more and thus I'm not convinced we are going to see the real results that are predicted in charts like AET, UNH, and XLV.  Valuations are pegged to amazing numbers.... enrollments are well below what we've expected personally.

 

 

Thu, 10/17/2013 - 12:20 | 4065317 Clark Bent
Clark Bent's picture

Insurers perhaps don't get it but they are on the menu too, along with patients, doctors, and sanity. Employers paying for health insurance is swift becoming the furniture of a bygone era (like "retirement" and college educations). You can fine/subsidize all you like but broke people don't pay for insurance, and they have more pressing priorities. Once the industry becomes unsustainable, the private-public "partnerships" so cherished by fascists everywhere will revert to the intended course, single payer medicaid for all. Look up the Soviet Union to see how that worked. 

Thu, 10/17/2013 - 12:52 | 4065466 MachoMan
MachoMan's picture

Can't get blood from a turnip... 

Thu, 10/17/2013 - 14:23 | 4065955 akak
akak's picture

They want the blood AND the turnip.

Thu, 10/17/2013 - 11:59 | 4065239 CPL
CPL's picture

Expectations of delivery versus the reality are going to be incredibly disappointing.

Thu, 10/17/2013 - 13:04 | 4065530 earnyermoney
earnyermoney's picture

That's a nice summary of Barry's legacy.

Thu, 10/17/2013 - 12:28 | 4065353 Jumbotron
Jumbotron's picture

WEll....of COURSE UHC is skyrocketing.  Thery're part of the New American Fascist Regime.  Private entities enabled and enriched by the Government forcing new customers into them.  Too Big To Jail Banks......To Big to Fail Auto Companies.....The Federal Reserve.

And on and on and on.

And to think million of Schmucks out there still think this is socialized medicine.  No....not yet.  You don't pay the government a dime.  but you pay a Government enabled private entity.  You have Fascist Medicine.  Just like you have Fascist Banking and Economics.

Welcome to the American Reich.

Thu, 10/17/2013 - 11:34 | 4065117 Dr. No
Dr. No's picture

12.  A bigger headache at Tax time when you need to prove you have healthcare and it is compliant with the minimum requirements.  Expect to pay the penalty since you will not have the documentation to complete the schedule and submitt with your 1040.

Thu, 10/17/2013 - 11:36 | 4065126 RSloane
RSloane's picture

This is why the IRS was given 46 new powers under Obamacare. The same people who lied and deceived congress are now in charge of your health.

Thu, 10/17/2013 - 11:51 | 4065200 Dr. No
Dr. No's picture

When you pay the co-pay, you will get a 1099 along with a receipt.

Thu, 10/17/2013 - 11:54 | 4065215 White Owl
White Owl's picture

Only for those who are volunteer "Taxpayers".

Thu, 10/17/2013 - 11:57 | 4065228 Dr. No
Dr. No's picture

It is optional afterall.

Thu, 10/17/2013 - 13:50 | 4065799 GeezerGeek
GeezerGeek's picture

I believe that the term Harry Reid used was "voluntary".

Thu, 10/17/2013 - 11:57 | 4065223 Millivanilli
Millivanilli's picture

Just wait until they threaten people with Jail or Property confiscation for not paying the Insurance companies a tithe.

Thu, 10/17/2013 - 12:34 | 4065385 Running On Bing...
Running On Bingo Fuel's picture

It's going to be an epic shift.

Elders eating cat food to subside, sick from Fukushima and McDonalds cancer.

PAY UP YOU FUCKING LEACH! Uncle Sam needs you.

Time to donate organs.

Thu, 10/17/2013 - 14:13 | 4065920 Billy Sol Estes
Billy Sol Estes's picture

Or drone strike

Thu, 10/17/2013 - 11:36 | 4065122 El Vaquero
El Vaquero's picture

8. Loss of ownership of your medical records.

Your doctors, hospitals, and other health professionals are being pressured to adopt electronic medical record systems and send patient information to the federal government's medical database by 2015. If they don't comply, they'll be penalized with reduced payments for services.

This means the government will own your personal, private information, and you have no say in the matter. I consider this a complete loss of your privacy, as well as a violation of the Constitution's 5th Amendment "Takings" clause.

 

LOL, lets see how they square that up with Roe v Wade. 

Thu, 10/17/2013 - 12:02 | 4065249 trillion_dollar...
trillion_dollar_deficit's picture

Couple this with ICD-10 which significantly ups the information required as to how diagnoses occured (ie an example would be that an injury occured at an art gallery) and you have the beginnings of the ultimate Big Brother database.

Thu, 10/17/2013 - 12:09 | 4065275 El Vaquero
El Vaquero's picture

I'm just commenting on how abortion is legal because the court reasoned that to enforce an outright abortion ban would violate a right to privacy between physician and patient, but now .gov wants all of our medical records.  Not to mention HIPAA.  The Farce is strong with Obamacare. 

Thu, 10/17/2013 - 14:37 | 4066000 Manthong
Manthong's picture

ICD-10..  part of the complete digitization and collectivization of the individual..

Somebody out there tell me what part of Obamacare and ICD-(n) does NOT VIOLATE Amendment 4:  “The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated..”

Thu, 10/17/2013 - 15:10 | 4066180 MachoMan
MachoMan's picture

Because you'll consent, in writing, to the collection of the information or else you won't be seen...  your choice.  There's also a fuzzy line here...  the constitution is to protect us from governmental actors.  In the event it is private companies who gather the information, what then?  This is how the spooks buy the data from facebook, google, etc.  I don't have much faith that the judiciary will draw an appropriate line in this regard.

Thu, 10/17/2013 - 12:19 | 4065311 duo
duo's picture

I guess motorcycles and skiing will be outlawed, then.

Skateboarding?  Tosh.0?

Thu, 10/17/2013 - 13:18 | 4065636 kralizec
kralizec's picture

Everything will be banned...

Fuck this noise!  Let the black market underground healthcare market commence! 

What the Fedcoats don't know can't be used against you!!!

Thu, 10/17/2013 - 13:40 | 4065746 zuuma
zuuma's picture

""" FEDCOATS """ I LOVE that!!! +1000

Thu, 10/17/2013 - 13:35 | 4065717 ImnotPOTUS
ImnotPOTUS's picture

After the asshats in NY with the Range Rover, I am pretty sure it is a slam dunk that they can mandate that all Rice Rockets Riders must be organ doners.

Thu, 10/17/2013 - 15:12 | 4066200 MachoMan
MachoMan's picture

@trillion

Exactly.  With increased paperwork requirements for each billable hour, the pay per hour for medical professionals will be decreasing.  Medicare and Medicaid have been tacking on the paperwork big time, increasing audits for the paperwork, and increasing clawbacks.  One might say they're desperately trying to find the breaking point where medical professionals won't accept it any longer.  (we're not far).

Thu, 10/17/2013 - 12:26 | 4065347 NidStyles
NidStyles's picture

Dude, who is going to contest it? Look at who is in the Power of 9 right now? 6 sychophants and 3 broken shells of humanity. No one is going to contest it, it will hit the Power of 9 and just get slapped away.

Thu, 10/17/2013 - 12:45 | 4065424 El Vaquero
El Vaquero's picture

If somebody contested it, I would expect the government to argue that Roe v Wade allows for "reasonable regulations," and that the database was necessary to detect fraud and manage funds and would not be used for "other" law enforcement purposes, therefore it was reasonable.  Of course, were the SCOTUS to buy that argument, the government would promptly use it for "other" law enforcement purposes, much like the Border Patrol has done with those interior checkpoints despite being told not to by the SCOTUS, i.e. they're only supposed to check for illegals, but they are de facto drug checkpoints. 

Thu, 10/17/2013 - 13:15 | 4065612 NidStyles
NidStyles's picture

You forgot that somewhere they would call it common sense legislation, and that many people would benefit from the ease of access.

Thu, 10/17/2013 - 11:36 | 4065123 Stoploss
Stoploss's picture

I just discovered i am subsidized.

I will be receiving a payment of 80.00 / month??   WTF??

Anybody else?  That can't be right.

But if it is, hey, im ok with Barrycare!!

Thu, 10/17/2013 - 11:38 | 4065137 Dr. No
Dr. No's picture

Yes, that is the "vote for me" check.

Thu, 10/17/2013 - 11:43 | 4065161 Fish Gone Bad
Fish Gone Bad's picture

... and here I thought it was illegal to buy votes.

Thu, 10/17/2013 - 12:27 | 4065354 NidStyles
NidStyles's picture

Only if you use your own money....

Thu, 10/17/2013 - 11:58 | 4065236 BandGap
BandGap's picture

When all is said and done the doctor will be able to use at least two fingers for my prostate exam....

Thu, 10/17/2013 - 12:02 | 4065247 Toolshed
Toolshed's picture

Why are people downvoting Stoploss's comment? Our only hope now is to destroy this corrupt to the core regime and take our country back. The best way to do that is to bankrupt the thieving vermin. Is there a website that lists all government benefits available broken down by income? I want to know what I can get for free and I want every last bit of free stufgf I can get, whether or not I need or deserve it. If the free stuff stops flowing to the fat lazy freeloaders, just watch how amazingly fast they leap off their sofa's and out of their Rascals to riot in the streets. It would be totally awesome!! And gosh, if a few hundred politicians and banksters get strung up on lightposts in the process.......so much the better.

Thu, 10/17/2013 - 12:43 | 4065407 CrashX
CrashX's picture

With you on that. 

Also, when does Obamacare go into full effect? If the Boomers continue to shit all over us, then can't we all just make endless strings of appointments about every possible ailment or check-up that we might possibly ever need? 

I'm sick of this shit. The R's "pretend" to hold out, then "roll over" to the D's - all beholden to the banksters. Anyone who believes we have a two party system... 

We really need to fuck this shit up before the Baby Boomers die out. They started this shit - FORCE THEM to PAY for it by trying to survive the "standard of the living dead" they've set up for the rest of us. Have their own beloved ever-giving government mug them for every last penny. Don't leave those bastards a dime. 

And, if they DO make it out, "death tax" those bastards to pay back the debt they created. I'm well aware that we're all a bunch of pussies and will never stage any actual revolt - but we could at least do out best, sitting at home at our computers, to push this monstrosity over the brink. 

Thu, 10/17/2013 - 14:05 | 4065881 GeezerGeek
GeezerGeek's picture

Please explain just what you mean by saying they (boomers) started this shit. SS came before any of us were born. Medicare and the War on Poverty came into being before we were allowed to vote (the voting age was 21 back in 1965.) The first boomer president was Clinton, followed by Bush II and Obama. I will agree that boomer politicians have generally been complicit in destroying the US, but the problems started long before. The Federal Reserve and the income tax legislation came more than 30 years before the first boomers were born.

I think you damaged your ability to think critically when you experienced your CrashX.

And BTW, why do you want to use the death tax and punish their heirs? The death tax just funnels more money into leviathon government, it's not like it would be actually used to pay off any debts.

Thu, 10/17/2013 - 15:17 | 4066224 MachoMan
MachoMan's picture

If you want to talk about when many of our ills started, it was probably at the conception of civilization...  so I'm not sure why anyone would even bothering going down that road...

I think the issue is better directed at baby boomers for being a dominant voting block and being politically active (and successful) during material and relevant times.  In other words, people with the means to change things who failed to do so.  Likewise, requiring the youngest generations to foot the bill for our predecessors' prolifigacy is hardly fair either...  I don't see many boomers crossing the picket lines on that one.  In short, keep on point.

Thu, 10/17/2013 - 13:01 | 4065509 earnyermoney
earnyermoney's picture

LOL

Not me. I get the following message: If you're uninsured you'll see a $695 penalty.

Thu, 10/17/2013 - 14:13 | 4065925 Billy Sol Estes
Billy Sol Estes's picture

Boy you must be assbag POOR then!

Thu, 10/17/2013 - 11:45 | 4065169 Icewater Enema
Icewater Enema's picture

""...but the caduceus was wielded by Hermes and connotes commerce, negotiation, and trickery." Perhaps the correct symbol after all...

Thu, 10/17/2013 - 11:37 | 4065128 Waterfallsparkles
Waterfallsparkles's picture

I think Obama care will really hurt the economy as more and more people have to use their disposable income on higher Health Insurance premiums.

The people that Obama care suplements their premiums do not have that much to spend into the economy to begin with.  Yet, the middle class will be the ones whose budgets and spending will be hit hardest.

Thu, 10/17/2013 - 11:42 | 4065155 duo
duo's picture

the sudden stop in consumer spending will be legendary.

Thu, 10/17/2013 - 12:14 | 4065293 Winston Churchill
Winston Churchill's picture

Don't they have to pay out of pocket and collect the premium rebate

at the end of the year. ?

Whole lot of people going to understand a cash flow problems soon.

 

Thu, 10/17/2013 - 12:16 | 4065303 uplicidlit
uplicidlit's picture

@ Waterfall -- this is EXACTLY right. And what I can add here also lines up with what the good Doctor is saying.

I buy my own insurance and just looked at options for 2014. What a *&$%# shock!  Using www.ehealthinsurance.com, there are 51 plans to choose from in my state in 2013; it drops to 12 choices in 2014! My current Aetna plan is no longer available. The closest Aetna plan is a higher deductible w/fewer Doc visit co-pays included before the deductible kicks in.  That plan costs almost 70% more than what I pay now !!!

That means about $2300 LESS per year for me to spend on retailers, restaurants, ETC. This will KILL the economy. Get ready, those of you that haven't seen your new numbers yet.

I urge all of you to get a look at the future (pictures do speak a 1000 words) and go on that website. All you need to do it put in zip code, birthdate and gender...and you'll see the stunning difference in insurance costs between 2103 and 2104....right before your very eyes.

Thu, 10/17/2013 - 12:42 | 4065429 duo
duo's picture

I was planning on buying a new car next year.  Since I expect to be dropped off my wife's policy and have to cough up $600/mo for the privelege of paying $6000 out of pocket, I'm fixing up the 14 year-old car instead.

Thu, 10/17/2013 - 14:09 | 4065909 GeezerGeek
GeezerGeek's picture

The good news is that the NSA probably can't track it very easily and the CIA can't take remote control and make it crash.

Thu, 10/17/2013 - 12:49 | 4065458 AGuy
AGuy's picture

"That means about $2300 LESS per year for me to spend on retailers, restaurants, ETC. This will KILL the economy. Get ready, those of you that haven't seen your new numbers yet."

Yes and no:

1. No, because people simply won't pay for coverage, and just pay the penalty. They might even have more money as they will stop paying premiums.

2. Yes, because the Healthcare industry will see less money as people cut back on medical services. People will only go when they absolutely have to. It going to suck to be working in an emergency room as demand soars as people put off treatment until it becomes a crisis. I think this may also excerbate drug resistance dieseases as people avoid treatment and spread disease, and don't seek full treatement by going back to doctors for followups after getting a prescription filled.

 

Thu, 10/17/2013 - 12:53 | 4065474 duo
duo's picture

having to come up with your whole deductable UP FRONT will cause people to avoid treatment until they are in deep crap.

There's your rationing.

Thu, 10/17/2013 - 16:25 | 4066493 uplicidlit
uplicidlit's picture

@ AGuy -- No, your #1 is not so simple.  People have this false idea that you can can just walk into a hospital with a broken arm or having been hit by a car and declare, "oh sorry, I have no health insurance" and they'll be treated for free. What are you smoking?

If you don't have insurance and don't pay them...they will be coming for your assets.

So, the risk of not having insurance is getting financially wiped out if cancer befalls you, etc.

Thu, 10/17/2013 - 13:31 | 4065693 Singelguy
Singelguy's picture

Just for fun, I checked on esurance.com. I currently pay $243 a month with a $5,000 deductible. Under ACA, the cheapest policy is $589 a month with a $6,300 deductible. No subsidy for me either.

Thu, 10/17/2013 - 11:39 | 4065132 Bawneee Fwank
Bawneee Fwank's picture

And Obamacare will increase the enrollment of this...SNAP

 

Study: Food Stamps Most Rapidly Growing Welfare Program

http://freebeacon.com/study-food-stamps-most-rapidly-growing-welfare-pro...

http://object.cato.org/sites/cato.org/files/pubs/pdf/pa738_web.pdf

""Spending on advertising and outreach for food stamps by federal and state governments has also increased, now amounting to $41.3 million a year.""

""States like Florida have hired “food stamp recruiters,” who have a quota of signing up 150 new recipients each month. Rhode Island hosts “SNAP-themed bingo games,” and the USDA tells its field offices to throw parties to get more people on their rolls.""

Thu, 10/17/2013 - 12:41 | 4065422 Running On Bing...
Running On Bingo Fuel's picture

Yea. The FSA has perfected the recruitment process, they know every loophole.

All that brain power and they still can't find jobs? There is a crash-the-system movement and many don't even know they are a part of it.

Thu, 10/17/2013 - 11:37 | 4065134 RockRiver
RockRiver's picture

How am I not supposed to be depressed after these recent events?

Thu, 10/17/2013 - 11:40 | 4065149 Theta_Burn
Theta_Burn's picture

The depression will soon turn to numbness Nkorean style

Thu, 10/17/2013 - 11:42 | 4065156 Ghordius
Ghordius's picture

perhaps this might cheer you up: whatever ObamaCare is, it's not the "single-payer" aka National Health System aka "socialist" thing that most europeans have

Thu, 10/17/2013 - 11:46 | 4065171 El Vaquero
El Vaquero's picture

Perhaps this will un-cheer him up:  Obamacare is a fascist health care system.  The chart that Hedgeless_Horseman posted indicates that it is a government mandate that might just be beneficial to private insurers by providing them with captive customers and government subsidies that enter through the customer end of things.

Thu, 10/17/2013 - 12:23 | 4065298 Ghordius
Ghordius's picture

 

oh, damn, that fascist label again. sorry, can't resist

I was raised as a fascist (though in my environment I'm understood sometimes as a liberal and sometimes as a conservative) and I can tell you that orthodox (true ideology) fascists would not be happy with ObamaCare. too liberal, too much like financial capitalism, the bane of honest-to-earth fascists, and too much in favour of the big vs the small

true orthodox fascist leader would for example have all CEOs of those insurance companies at one table and bargain a fixed price per citizen, with a loaded gun on the table. then come out of the meeting and let himself be applauded and note that he had to shoot only one, and actually just to remind everybody that he can

true orthodox fascist leader would never permit healthcare through employers, i.e. would never permit that one type of corporation - i.e. companies would have that kind of power over another type of corporation, i.e. employees banded in trade unions. that's "corporativism", the fascist party kicking the various "groups of interests" into national harmony

for a fascist, if companies win, the damn liberals win. and if trade unions and the proletarians win, the damn socialist win. hence the "need" for the third option, the great leader that bangs the heads of the stubborn together. don't try at home, the system is highly dependable on the sanity of the leadership, which often deteriorates

Thu, 10/17/2013 - 12:33 | 4065378 El Vaquero
El Vaquero's picture

What direction do you think this country has been headed?  It's not like a switch gets flipped and we turn into facist nation in an instant.  There is more of a requirement that we lick the boots of the government now than there was 10 years ago.  Trade unions are in decline.  The president has already proclaimed that he has the authority to assassinate US citizens, and has already used that "authority."  Lets not forget all of the spying and the laughable "See something, say something" programs, or using the IRS to stifle dissent.  There is a massive apparatus telling us to be good little citizens, or else it will make our lives difficult.  It is just a short step from trying to make our lives difficult to trying to make them impossible.  Price fixing and capital controls are on the horizon.  We do not have a "pure" fascist system, but there are those who are sure pushing us in that direction.

Thu, 10/17/2013 - 12:40 | 4065420 Spastica Rex
Spastica Rex's picture

"Inverted Totalitarianism" is a term that's been bandied about of late. It distinguishes current social/government characteristics from those of past systems. However,  nuance and precision of thought/language are hardly components of the typical American intellectual skillset, so we might as well just call everything we don't like "socialist" or "fascist" (take your pick). That way, we can at least place ourselves on a one dimensional ideological spectrum, and communicate our political orientation to others.

Thu, 10/17/2013 - 12:44 | 4065437 Ghordius
Ghordius's picture

the direction might be authoritarianism, and might be totalitarian. but so it's communism. and never ever tell a real fascist that communism and fascism are the same. except if you are a suicidal masochist, that is

perhaps after socialism and conservativism had their "bad spells" this time it's liberalism. damn, this is so depressing

Thu, 10/17/2013 - 11:48 | 4065185 Spastica Rex
Spastica Rex's picture

Come on, now! That's not the narrative we've been tasked with maintaining here. Are you going to reveal next that the primary beneficiaries of O'Bama Care are the giant for-profit capitalist insurance companies?

The gall.

Thu, 10/17/2013 - 12:07 | 4065271 Ghordius
Ghordius's picture

I beg Your gracious pardon, Your Majesty. that was inexcusable, about as bad as if I'd wrote that the "socialist" NHS system look cheap, compared to ObamaCare. oh, damn, I did it again...

Thu, 10/17/2013 - 12:27 | 4065346 Spastica Rex
Spastica Rex's picture

How can you stand hanging out here?

This place is fucking retarded.

There, I said it, and I feel BETTER.

Thu, 10/17/2013 - 12:31 | 4065368 greatbeard
greatbeard's picture

>> the primary beneficiaries of O'Bama Care are the giant for-profit capitalist insurance companies?

This is all so confusing.  The Affordable Healthcare Act is a giant give-away to for profit corporations, the usual forte of the Republicans.  The Affordable Healthcare Act is virtually the same thing their presidential candidate put into action in his state as governor.  WTF is it that's got the R's panties in a wad?  Is it that they've been out done in the corporate giveaway department?  Why no threat to shut down the government to stop funding Medicare Part D?

Thu, 10/17/2013 - 12:55 | 4065481 Uncle Remus
Uncle Remus's picture

Phase 1 in which the insurance companies get their oats.

We'll get there.

Thu, 10/17/2013 - 11:38 | 4065139 backseatdriver
backseatdriver's picture

 17,000 new IRS agents armed with 40 caliber handguns, sawed off shotguns and automatic weapons to make sure you pay those Obamacare fines...what could go wrong?

Thu, 10/17/2013 - 12:13 | 4065250 White Owl
White Owl's picture

Look for a C with their ID number on their credentials. Only IR$ Criminal Investigation Division agents (the C designation) are legally allowed to carry a weapon. If there's no C, they have no legal authority to be armed... unless they have a State Concealed Weapon Permit. Specifically, if the ID number shows an A, they are Administrative IR$ agents and are NOT authorized to carry a weapon.

Thu, 10/17/2013 - 12:46 | 4065446 Running On Bing...
Running On Bingo Fuel's picture

So C mean shoot on sight, like "I was getting audited and I saw the whites of his eyes".

And A means a knife fight is appropriate. Slash, stab, decapitate.

Any other alphabet indicators? I have to update my manual.

Thu, 10/17/2013 - 13:00 | 4065486 Running On Bing...
Running On Bingo Fuel's picture

Funny thing is, if you've been on the other side of that table, ever notice how many `zuckersteins` are part of the auditing team....

Just a casual observation. Making Bebe proud.

Thu, 10/17/2013 - 13:21 | 4065651 White Owl
White Owl's picture

IR$ agents all have 'legal' aliases according to the IRC. Ask one for his Driver's License. He won't show it to you because the name doesn't match his IR$ ID. Hence, there are many Zuckersteins employed by the IR$, LOL.

Thu, 10/17/2013 - 13:41 | 4065751 Running On Bing...
Running On Bingo Fuel's picture

Heil Zuckersteins!

Thu, 10/17/2013 - 12:27 | 4065350 Chaos_Theory
Chaos_Theory's picture

They have to use a urinal sometime.  Then you can pretty easily handle the problem AND gain your own .40, shotgun and automatic weapon.  All you need is a screwdriver.

Thu, 10/17/2013 - 11:38 | 4065142 Deo vindice
Deo vindice's picture

Personally, I think Congress picked the wrong fight. (It should have been over the debt limit. Period. No more debt and return to the constitutional method of money). Let the people have Obamacare and they will find out for themselves what a monumental error it was to vote for him. (I'm talking about those who really did vote for him and support him - not the manipulated 'votes')

Sometimes people need to find out the hard way. The trouble is that this program will probably be the nail in the economic coffin of the nation.

Thu, 10/17/2013 - 12:15 | 4065299 Freddie
Freddie's picture

It will be the final nail in the coffin.  The healthcare system is being turned over to ACORN and SEIU.  Healthcare run by community organizers.  People who probably are on every govt benefit you can think off.

It will also kill off the seniors and baby boomers.

 

Thu, 10/17/2013 - 12:33 | 4065380 greatbeard
greatbeard's picture

>> ACORN and SEIU.

You forgot Soros bro, that always gets em goin.

Thu, 10/17/2013 - 11:44 | 4065165 Frank N. Beans
Frank N. Beans's picture

Dr. Vliet is right. 

Obamacare is a parasite that leeches off the backs of tax-paying mericans.  It is further growth of government and smothers individual rights and free enterprise. 

 

Let Obamacare happen.  Then see what happens in the form of anger, economic collapse, etc.   Vote out the bastards in Congress and eventually Obamacare will be repealed. 

 

Thu, 10/17/2013 - 14:57 | 4066123 vulcanraven
vulcanraven's picture

"Vote"

Lol

Thu, 10/17/2013 - 11:46 | 4065177 One And Only
One And Only's picture

Shut up and eat your fuckin peas bitches.

Thu, 10/17/2013 - 13:02 | 4065520 Running On Bing...
Running On Bingo Fuel's picture

Exactly.

How can you eat your pudding if you don't eat your peas!

Comfortably numb'ed.

Thu, 10/17/2013 - 11:47 | 4065179 NOTaREALmerican
NOTaREALmerican's picture

Socialism for the OldFarts in the form of Medicare led to ObamaCare. 

All the Libertarian and "Conservative" OldFarts should stop participating if their Big-Gov scam before they ask other leaches not to want their own socialist scams.

Thu, 10/17/2013 - 11:51 | 4065194 The Econ Ideal
The Econ Ideal's picture

The ACA/Obamacare doesn't just crowd out private options - it outlaws them. High deductible insurance plans bought by individual insurance buyers are outlawed come 2014 and after. The ACA caps deductibles at $6350 and this alone pushes premiums up substantially for those who had higher deductibles and were willing to assume more risk of their insured interest. The days of affordable insurance are gone for small business owners buying individual health insurance plans - their premiums are doubling and tripling. Socialism 101. 

Thu, 10/17/2013 - 11:53 | 4065212 NOTaREALmerican
NOTaREALmerican's picture

Re:  Socialism 101. 

Well,  Socialism 102 (or maybe 103+)

Big-OldFart was Socialism 101, then Big-Mic was Socialism 102,  then Big-Ag (Socalism 103),  then Big-OldFartMedicare (Socalism 104), and Bush2's Medicare-Part-D (more socialism from the OldFarts) was Socialism 104 review.

The problem with socialism is everydody loves their own scams, but doesn't want others to participate.

Thu, 10/17/2013 - 11:58 | 4065234 Waterfallsparkles
Waterfallsparkles's picture

The premiums have to be higher to suplement the cost for the people that do not work that want premium plans for zero cost.

It will also be a hardship for people that are forced into part time work.  Less monthly income yet they have to pay for their own Health Insurance.  They get a double wammy.

Thu, 10/17/2013 - 11:50 | 4065198 22winmag
22winmag's picture

I expect suicides from despondent people who are financially hammered by Obamacare, but don't expect to see it in the news much. You certainly don't see much about student loan suicides in the news.

Thu, 10/17/2013 - 11:57 | 4065231 NOTaREALmerican
NOTaREALmerican's picture

Re:  You certainly don't see much about student loan suicides in the news

Hey, hey, hey, my free-enterprise loving TBTF FINANCIAL SERVICES INSTITUTIONS makes student loans too ya know.  

You should make sure, in the future, you qualify that ONLY EEEE-VIL Big-Gov student loans are bad, but private FREE-ENTERPRISE loans are good because that's a decision made between free buyers and free sells with complete knowledge of all information.   (Cue:  Free-Enterprise loving slow-motion eagle)

Thu, 10/17/2013 - 12:37 | 4065398 Jethro
Jethro's picture

Hopefully they won't be so despondent to just waste their life. Hopefully they'll invite a politician along for the ride.

Thu, 10/17/2013 - 11:51 | 4065203 kchrisc
kchrisc's picture

Government is only always about separating you from your money and power.

Government always accomplishes the opposite of the stated goal. ALWAYS.

Government can only produce poverty, misery and death.

Obamacare is about forcing you to pay big businesses or government your money so as to further impoverish and kill you.

"When in the course of human events..."

Thu, 10/17/2013 - 11:54 | 4065208 Snoopy the Economist
Snoopy the Economist's picture

"For example, in my office, the women employees are all menopausal. Yet Obamacare requires our small-business health insurance policy to cover pregnancy and maternity care! That means our policy costs more."

So this doctor can customize her employees health insurance plan based on the small population of her employees? Would this not heavily influence her decisions on who to hire - only hire menopausal woman? I guess she had no plans to be an equal opportunity employer?

Thu, 10/17/2013 - 12:05 | 4065262 Theta_Burn
Theta_Burn's picture

Just cutting everyones hrs to under 32 is easier.

Thu, 10/17/2013 - 12:22 | 4065326 Widowmaker
Widowmaker's picture

Another real world example, many smaller companies (under 75 employees) are simply splitting into two smaller ones, and of course slashing hours/benefits in addition.

Obuttfuck and Kangaroo Kongress Incorporated are GENIUSES! 

Those tea-hatters sure were clueless!

Thu, 10/17/2013 - 12:50 | 4065460 MachoMan
MachoMan's picture

Maternity coverage has been an optional rider (no pun intended), rather than a requirement of standard policies.  In other words, employers did not have to "custimize" plans to avoid maternity coverage...  (and thus plan pricing was reduced accordingly).

Thu, 10/17/2013 - 11:59 | 4065210 Geruda
Geruda's picture

Most, if not all the flaws in the Affordable Care Act can be mostly if not entirely blamed on the republican party refusing to co-operate in designing a system whose purpose is to provide the most bang for the buck in terms of efficient resource allocation RATHER than doing everything in their power to maximize the opportunities for their obscenely weathy constituency to continue to make enormous profits from the system.     Often justifying their stupendously obstinate and deliberate sabotage of the process with such crap as "death panels" and all the other fish chum they knew would incite the crazies in their party who will eat shit for breakfast if their demagogues on the radio tell them it will weaken the power of the libruls...

I'm in an age demographic now where I keep hearing from various friends and acquaintenances about injections they are required to have for eye problems, cancers, etc that cost $4000 and more per injection.    Used to play poker with some old guys who had a company that built artificial limbs.  They were disgusted with what happened after they sold the business.   Prostheses that used to cost less than $500 jumped to over $5000 after the items became eligible for payment by medicare.

 

Republicans refused to allow the attachment of restraints in health care matters that would keep costs down to the gov't because that automatically translates into reducing the rate at which the fat cats get fatter, and serving the fat cats is their only purpose in life.

 

Thu, 10/17/2013 - 12:00 | 4065240 Samual Adams
Samual Adams's picture

You must be MDB's political science degree holding 1st cousin who works for some dept of health or hospital

Thu, 10/17/2013 - 12:05 | 4065260 rqb1
rqb1's picture

you have some good points, but the bigger issue is that the whole aca was, in my opinion, useless. 

there is already exchanges available that work, ehealthinsurance for one, and if they wanted to bring prices down, like they said, all they had to do was get rid of the interstate commerce law which prevents bcbs of pa competing with bcbs of md. 

Thu, 10/17/2013 - 12:19 | 4065312 NOTaREALmerican
NOTaREALmerican's picture

Re:  in my opinion, useless

Considering the law was written BY an insurance lobbyiest (which was linked on this site) I'd say the insurance SERVICES INDUSTREEEEEE decided they wanted more loot.

What is it about a scam based society that people think things could - in any way - turn out differently?

Health care is about screwing patients from their loot and (maybe) keeping them alive as long as possible to get that loot.   The doctors get a cut, the insurance INDUSTREEEEE gets a cut, the hospitals get a cut.

Life in a winner-take-all society is about screwing the dumbasses.     Well,  the dumbasses are going to get screwed.  Celebrate the winners.

Thu, 10/17/2013 - 12:06 | 4065264 Unstable Condition
Unstable Condition's picture

Wow!

Yeah, those damned republicans did this.....even though they were locked out of any input on the bill and not one single member voted to pass it....

Though I'm sure the reason for that has more to do with them not getting huge favors for their special interest groups, never-the-less, this is a dem inflicted law, 100%.

Own it...

Thu, 10/17/2013 - 12:28 | 4065352 Widowmaker
Widowmaker's picture

Whoever sucks the FIRE economy dick owns it.

Now swallow.

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