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Ten Things to Expect from Obamacare in 2014

Tyler Durden's picture




 

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.

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