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Obamacare Confusion Sends Hospital Admissions To Lowest On Record

Tyler Durden's picture




 

Only 5% of hospitals in American saw year-over-year growth in overall admissions in November, according to Citi. This is the weakest inpatient admission rate on record and comes amid both doctor and patient uncertainty over the Obamacare changes. As Citi's Gary Taylor notes "the paralyzing effect of the impotent Obamacare rollout" and Medicare's new "two-midnight" rule will weigh notably on hospital earnings as doctor's employment and compensation modesl remain in flux. 13 days to go...

Citi's survey drops to record low...

Only 5% of responders cited yty growth in overall admissions. This result is the weakest in the 11-year history of our survey and compares to a revised 22% in October, 37% in September and 24% in August.

 

And the survey has tended to be predictive of reality...

 

Via Reuters,

...

 

New billing rules for the Medicare program for the elderly and disabled require hospitals to treat patient stays lasting less than "two midnights" as an outpatient visit.

 

"In addition, it is reasonable to conclude that the cumulative impact of changing physician employment and payment models is beginning to play a role, as well as the paralyzing effect of the impotent Obamacare rollout," Citi analyst Gary Taylor said in a report.

 

Hospital inpatient admissions in November fell to their weakest level in more than a decade, based on responses to the bank's monthly survey of 98 hospitals, Taylor said.

 

In October and November combined, admissions were down 4 to 5 percent from a year ago, which will likely weigh on hospital operators' fourth-quarter earnings and 2014 forecasts, he said.

 

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Fri, 12/20/2013 - 19:20 | 4265548 Smuckers
Smuckers's picture

Ocomacare at work for you.

Fri, 12/20/2013 - 19:38 | 4265576 SafelyGraze
SafelyGraze's picture

"Hospital Admissions Lowest On Record"

this is *great* news!!!

the article completely mischaracterizes the reality!

low admissions are merely one of the many indicators that People Are Getting Healthier And Weller because of the new laws

please do your part to keep hospital admissions low by 

- eating your vegetables

- saying no to drugs

- exercising (under the supervision of your doctor)

- taking your prescription medications

- limiting high-risk behaviors

thank you and xappy xolidays!

xugs,
nanny 

 

Fri, 12/20/2013 - 20:25 | 4265680 AlaricBalth
AlaricBalth's picture

It's a miracle! Maybe this Messiah thing is true!
;-)
(Must I really put sarc?)

Fri, 12/20/2013 - 20:38 | 4265713 Miffed Microbio...
Miffed Microbiologist's picture

Too funny. Hospitals face no reembursement from Medicare if a Medicare patient is readmitted to the hospital in a short time. May be hospitals figure if they don't admit them in the first place they avoid this issue. Win win all around! Perhaps this is a good time to be in the mortuary business.

Miffed;-)

Fri, 12/20/2013 - 20:47 | 4265725 suteibu
suteibu's picture

I'm surprised hospitals haven't expanded into the mortuary business...on site.  One stop shopping.  Turnkey healthcare.  Cradle-to-grave care. The marketing writes itself.

Fri, 12/20/2013 - 21:01 | 4265759 Miffed Microbio...
Miffed Microbiologist's picture

And considering the number of hospital admissions due to drug side effects in patients who used pharmaceuticals PROPERLY as prescribed. When you add in the improperly used drugs plus the drug-drug interactions, you have a number in the 100s of thousands. How many legitimate businesses can actually create there own income steam? Play at your own risk. And this is coming from someone in the belly of the beast.

Miffed;-)

Fri, 12/20/2013 - 23:14 | 4266027 johngaltfla
johngaltfla's picture

I would have checked in until I realized I don't have coverage for perpetual barfing due to this ad.....FWIW, check out the "suttle" hing in the window above the door of the gingerbread house. If thisn't homopropaganada 101, I don't know what is...

 

WARNING: HEALTHCARE.gov Video Advertisement that will make you Vomit

Sat, 12/21/2013 - 00:23 | 4266111 suteibu
suteibu's picture

You should ban yourself for putting that link on here.  It is, indeed, vomit inducing.

Sat, 12/21/2013 - 07:37 | 4266342 GetZeeGold
GetZeeGold's picture

 

 

You should ban yourself

 

I'm sure he'll get around to it......when he freakin feels like it.

Sat, 12/21/2013 - 00:25 | 4266113 ReallySparky
ReallySparky's picture

Just wow! John did you notice the guy on far right with military dog tags. Disgusting waste of taxpayer dollars. Unbelievable!

Sat, 12/21/2013 - 00:56 | 4266144 Miffed Microbio...
Miffed Microbiologist's picture

Well, that video cinched it for me. I'm applying for the one way trip to Mars. This country needs complete flushing and that right soon. Im afraid that gingerbread house image will be still be fresh in my mind as I'm drooling in the corner in the nursing home.

Miffed;-)

Sat, 12/21/2013 - 02:10 | 4266198 Falling Down
Falling Down's picture

Using homoeroticism to sell ObammyCare.

 

Niiiiiiiice...

Sat, 12/21/2013 - 04:17 | 4266257 mess nonster
mess nonster's picture

What would Phil Robertson do?

Sat, 12/21/2013 - 08:19 | 4266343 GetZeeGold
GetZeeGold's picture

 

 

Probably pull the plunger on A-E........and watch them look stupid?

 

When you've got 400 million in the bank what would you do?

Sat, 12/21/2013 - 10:41 | 4266480 jballz
jballz's picture

 

reminds me of watching pro football.

Not really sure what you are all upset about.

Men in tights can't hug each other?

Sat, 12/21/2013 - 03:22 | 4266240 All Risk No Reward
All Risk No Reward's picture

They admit to 106,000 killed annually and 2,000,000 hospitalized, temporarily maimed and/or permanently maimed.

http://www.fda.gov/Drugs/DevelopmentApprovalProcess/DevelopmentResources...

You can figure that number is lowballed probably worse than unemployment.

In the meantime, the Biggest Finance Capital Medical Complex complains about synthetic vitamins and refuses to tell people about others reversing their multiple sclerosis and reducing theirt risk of diabetes through a nutritionally dense, anti-inflammatory diet:

Minding Your Mitochondria

https://www.youtube.com/watch?v=KLjgBLwH3Wc

An Interview with Michael Adams – “Curing MS with the Paleo Diet” – #181

http://www.gnosticmedia.com/interview-michael-adams-curing-ms-paleo-diet...

83% Reduction in Diabetes Incidence in Highest Genetic Risk Group

http://www.sciencedaily.com/releases/2008/05/080530074338.htm

The kicker, though, is that the dElites REJECT allopathic medicine that they created for their proletariat.

John D. Rockefeller used hoomeopathic medicine, as did the dElites of his day.

David de Rothschild is a naturopathic doctor who owns and runs an organic farm

They finance the message that the very medicine they use is "quackery" so that the allopaths become so biased to it that their closed minds will never investigate how they are much better approaches to health, even if they don't maximize Rockefeller Interest profits filtering brain shrinking, IQ reducing drugs through the sheeple.

It is a brilliantly executed plan because MDs tend to have minds more closed than the DMV at midnight - no matter how much evidence is presented.

How otherwise very intelligent people can be conned into thinking that anecdotal evidence is the end of the a matter instead of the beginning of a matter (imagine Newton dismissing gravity because the apple he saw falling was anecdotal evidence) is beyond my comprehension ability.  The process used to lobotomize the questioning portion of the typical allopathic doctor's mind must be powerful mojo.

Sat, 12/21/2013 - 08:20 | 4266362 duo
duo's picture

The Mitochondria video is worth watching if you are new to the concept that processed foods are killing us.

I'm surprised she didn't mention dandelion leaves, which are more nutritious than kale WRT vitamin content.

Sat, 12/21/2013 - 15:32 | 4266920 drstrangelove73
drstrangelove73's picture

Bulletin!Bulletin!Bulletin!

Sick people go to the hospital.
Sick people go to the hospital to die.

This just in:sick people die in the hospital everyday AS A PART OF THE NORMAL COURSE OF HUMAN LIFE..

My favorite ambulance chaser ad of all time was the solicitation to contact the law firm of Dewey,Cheatum,and Howe if "...a loved one died within 48 hours of receiving hemodialysis..."

Thought experiment:

If hemodialysis patients are among the sickest chronically ill people in the population.

And if each hemodialysis patient dialyzes every other day and sees a physician at each dialysis session;

What percentage of dialysis patients who die will have received hemodialysis within the previous 48 hours?

Sat, 12/21/2013 - 00:24 | 4266109 Chuck Walla
Chuck Walla's picture

Sears once offered funeral services. Probably next the Kenmore freezers.

FORWARD SOVIET!

Sat, 12/21/2013 - 00:26 | 4266112 suteibu
suteibu's picture

Craftsman chain saws.

Fri, 12/20/2013 - 20:28 | 4265691 franzpick
franzpick's picture

Welcome to Obamastan.

Sat, 12/21/2013 - 00:32 | 4266117 Anusocracy
Anusocracy's picture

Obamadontcare how screwed over the public is.

Sat, 12/21/2013 - 08:19 | 4266364 duo
duo's picture

I expected something other than surrender of the the individual mandate from the administration. How about “If you’re uninsured because your plan was canceled, and you get sick after Jan 1, you can join the “Obamacare emergency exchange”, where we will give you health care for free in exchange for 9.5% of your salary” (up to $117K).

Suddenly, you have 8 million self-employed and business owners enrolled in single-payer, and it will only take a year to suck in the rest (business won’t wait to cost-shift health care onto their employees).

Come on, Obama/Jarret/Lucifer, use some imagination.

Sat, 12/21/2013 - 14:36 | 4266861 Abiotic Oil
Abiotic Oil's picture

I work for a hospital system.

Since 2007 private insurance payers have been dropping, believed to be due to inability to pay high deductibles on necessary procedures, so they just aren't getting care.

Medicare/caid usage is rising, with hospitals being reimbursed .29 on the dollar, and that is scheduled to decrease. Aging poplation that has not taken care of itself and suffers from obesity and its complications, i.e. diabetes, blown out hips and knees, cancer, which are all "covered" by Medicare/caid.

Charity care is rising.

Huge layoffs where I work, again. First they gutted the worker bees and outsourced some dept's. Then when that wasn't enough, across the board paycuts and salary reductions. That still wasn't enough so middle management got a haircut and now they are finally forced to eliminate administration, always the last to go.

Docs suddenly deciding to retire.

Now private insurance co-pays and deductibles are going through the roof. My insurance, which is amazing, just went up 86% due to Obamacare. This will all equal less private insurance payers.

I can't remember the exact number but if a hospital falls below having 80 days cash on hand to run operations the Feds step in and take everything over, or the doors close.

So by plan or incompetence, we could be facing the Feds, who can't organize a two car parade of assclowns, will be running hospitals in this country.

Sat, 12/21/2013 - 15:51 | 4266949 Jena
Jena's picture

And anyone who is familiar with the VA system wouldn't want to be treated there.  But that is the trend.

Sat, 12/21/2013 - 07:18 | 4266332 Laughing Stock
Laughing Stock's picture

Exactly right!

One of the goals of healthcare reform should be a sustained decline in hospital visits.  So if fat fucking American slobs start taking better care of themselves all the better.

Also, one of the reasons deductibles under ACA are higher is because FatMericans think that the minute their fat slob kid gets the sniffles they need to rush the little douche to the ER.  It's about time these assholes had to think twice before wasting our healthcare resources.  As in, feel some out of pocket pain before heading to the doctor at the the drop of a hat every other day.

But the appologists will claim -- they paid for the insurance, so they should get to use it whenever they want -- BZZZZ -- wrong -- what they are doing is running up costs under the program, which results in higher premiums for everyone.  The old "I's gotz minez" 'hood mentality.

They run a commercial here in the NY tri-state area with some old geriatric c**t.  She yammers on about her heart doctor, her back dostor, her foot doctor...yada yad yada.  Some of these old assholes spend all day going to different docters and living off meds.  Fuck 'em.  Go for a walk you fat fucks!

'bout time!

 

Fri, 12/20/2013 - 21:50 | 4265866 Hal n back
Hal n back's picture

How embarrassing; Sarah Pailin was right.

 

Sat, 12/21/2013 - 02:05 | 4266193 Falling Down
Falling Down's picture

Or as Boris might say, "ObamaCare is work for you".

Fri, 12/20/2013 - 19:23 | 4265553 Hey Assholes
Hey Assholes's picture

Don't worry, the vaccines, GMO food, reccomendations to not take vitamins etc... will have people plenty sick in the near future.

 

Morticians, thats the future, morticians.

Fri, 12/20/2013 - 19:50 | 4265605 max2205
max2205's picture

That's what happens when you close ERs after 9 PM

Fri, 12/20/2013 - 22:53 | 4265991 logically possible
logically possible's picture

And in other news..... Morgues have been doing record business.

Sat, 12/21/2013 - 08:28 | 4266369 duo
duo's picture

The multivitamin hit-job of course didn't mention that fact that processed foods have almost no nutrition.  It also didn't mention that a  large part of current health problems come from a lack of minerals (Magnesium, Zinc) and vitamin D (sunlight).

Multivitamins aren't the best way to get vitamins (some are water soluable, some fat), and you run the risk of getting too much B6 while not getting enough D3.

Fri, 12/20/2013 - 19:33 | 4265560 Kamehameha
Kamehameha's picture

you go in that hospital you can come out missing a kidney if not worse.  where did that organ donor card you did not sign come from.  why are you completely sedated and being transferred over to hospice?

Fri, 12/20/2013 - 19:42 | 4265586 SafelyGraze
SafelyGraze's picture

wow

what a dark and depressing vision of life in hospitalstan

+10

Fri, 12/20/2013 - 20:07 | 4265641 NotApplicable
NotApplicable's picture

Chop Shop 2.0?

Fri, 12/20/2013 - 20:50 | 4265733 Miffed Microbio...
Miffed Microbiologist's picture

The hospital I work for was recently fined for removing the wrong kidney from a patient. This was reported in the news. It turns out the patient was admitted to another hospital and they had improperly marked the wrong kidney to be removed and he was transferred to us for the surgery. My hospital followed checking and rechecking documentation to verify the correct organ to be removed but it was to no avail. The other hospital called later to say it had been marked incorrectly but it was too late. I'm sure the other hospital received fines but we were too even though we weren't the cause of the error.

It's really is important to have someone advocating your care when you are incapacited. Pick the uber asshole of your friends or family who will watch your back aggressively. I've had friends ask me to accompany them to the ER just knowing I'd have their back in a critical situation and am not intimidated by white coats.

Miffed;-)

Fri, 12/20/2013 - 22:26 | 4265946 americanspirit
americanspirit's picture

Dear Miffed - a lot of people give a lot of advice on ZH - some of it is even worthwhile. But the advice you give here is the best of the best.

I'm not sure that the "uber asshole" is the one you want - it can be counterproductive to antagonize people unnecessarily.

But someone who is not only not intimidated but who makes it clear that they are not going away until the problem - whatever it is - gets resolved satisfactorily and who doesn't mind being thought of as an asshole if that is what it takes is definitely the one you want. I could tell stories .....

Sat, 12/21/2013 - 00:38 | 4266127 Miffed Microbio...
Miffed Microbiologist's picture

Dear Americanspirit, I am truly honored by your kind comment considering I'm a microbiologist and not educated in economics. That I could help anyone here gives me great joy and I am happy I can return the favor to all that have helped me see behind the curtain of our global economic ponzi scheme. Truly I am thankful to have found ZH and the motley Crüe who post here.

Perhaps I was a bit too strong to designate ones advocate as uber asshole. I have seen patients and their families get caught up in the medical field an never question what is going on with their care. They assume they will be taken care of. Even in the best of hospitals, the staff are stressed and overworked. Patient care is extremely complicated now. I've seen patients on 30+ meds with multiple drs on their cases. Recipe for disaster. People need to question and advocate for themselves or get a knowledgable strong person to do it for them if they are unable to do it themselves.

The worst part is seeing patients in love with drs because they have a great bedside manner. Sometimes they are incompetent idiots and we all rally to keep them from seriously hurting someone. Other drs can be nasty SOBs but are technically brilliant. It's just very hard for patients to judge competence and the medical field does a bang up job keeping it that way. I'm sure you have many stories. So do I. Some I wish I could forget.

Miffed;-)

Fri, 12/20/2013 - 22:55 | 4265998 logically possible
logically possible's picture

Miff, just curious, what is the fine for a wrong kidney these days?

Fri, 12/20/2013 - 23:18 | 4266033 Reckonball
Reckonball's picture

If you want your diseased kidney,you can can keep your diseased kidney..period...

Sat, 12/21/2013 - 00:08 | 4266099 Miffed Microbio...
Miffed Microbiologist's picture

If I remember correctly, for us it was around 100k which isn't much but when you have done nothing wrong it's a bit excessive IMHO. Probably just a governmental show of force. I am not sure if my hospital will contest it. I do not know what the fine was for the other hospital.

Miffed;-)

Sat, 12/21/2013 - 00:44 | 4266069 PFO
PFO's picture

Yo Miffed,

Right-on!!

A Polish friend was sledding with kids last winter in South Bend, Indiana and on the last run [naturally] hit the fence at the bottom of the hill fracturing 4-year old daughters leg.

He called 80+ year old Polish-American doctor upon arrival at the home-hearth who came over and splinted the break with a magazine! Then said "Go to Memorial Hospital tomorrow and have them take an X-Ray and I'll come set the break and cast it on the dining-room table the next day after the swelling goes down.

Dad made a big mistake by calling the US female across the street to ask her to accompany him to the hospital the next day to 'have his back' with the staff.

SHE said "If it was my kid, I'd take her to the ER right now!"

A perfectly programmed US feminist, whose mother is a . . . wait-for-it . . . NURSE!

So down to the ER they go at 8PM on a Sunday night. The staff tells Dad he must allow them to treat his daughter or she may be crippled for life and proceed to run him through the wringer.

$13,000 later the child's leg is cast and yet still has a slight misalignment in the set bone despite all the hoopla of the Memorial Hospital staff.

Dad finally tells me the tale several months later, concerned that he cannot pay the bill [+$9K]  left after the insurance vultures have vomited and is uncertain what impact this will have on his research at Notre Dame University and even his return to Poland. No worries I say and make an appointment to see the Memorial Hospital Risk Manager!

She [naturally] turns out to be a +$95K a year pig who can only spout the party-line which sounds like:

"That little girl received the finest medical care in the world." 

Amazingly, the Patient Accounts Representative offered a 30% credit without even being asked!!! WoW!

When I took from my briefcase and laid on the table - the cover-page of a letter from the FDA to Memorial complaining about their lackadaisical management of some R&D project, it was game-over.

I never referred to the letter, just left it on the table but kept asking who was in the ER to advocate for patients.

She actually replied she was trained as an advocate and when I asked how someone could contact her, gave me her extension. I replied that without literature or signs she simply did not exist to the hospitaling public and the look on her face was well-worth the whole ordeal.

My Polish friend even compared the bill to a Simpsons episode he'd seen in Poland years before where Homer goes to the 'hospital' and gets a $100K estimate to repair him. He then goes down the street to the 'walk-in clinic' and gets a $5,000 estimate and the advice that price doesn't matter, cause neither proceedure works and he'll be dead in 6 months either way. 

We both chuckled at this as the girls sat like funeral statues - two totally feminized droids, completely mentally crippled to the reality around them.

Never-the-less my Polish friend received a letter the next week 'zeroing the account' and asking him to forestall his daughter from 'filing any legal action when she turns 18.'

I went to say goodbye on the day the family returned to Poland and ran around the yard a few times with daughter, now outta cast, but with a slight 'kink' below the right knee. She jumped vivaciously off the porch squealing with delight.

The +80 year old Polish Doctor arrived to drive them to O'Hara and when he found out who I was he couldn't contain his amazement at what had been accomplished. He had NEVER heard of anyone standing up to the hospital over a bill and winning!

Moral of the story:

Whenever ANYONE bills you unfairly - FIND THE RISK MANAGER!!

It matters not what organization [church-government-private-public] you are dealing with.

FIND THE RISK MANAGER!!!

Call the administrative or government agency that regulates the billing party and FIND the individual who personally handles their account. Ask for a complaint form and the agency's procedures manual and administrative or state codes for handling complaints.

CALL THAT INDIVIDUAL BACK UNTIL YOU HAVE ALL THE i's DOTTED AND THE t's CROSSED.

THEN MAKE AN APPOINTMENT WITH THE RISK MANAGER!!

DEMAND THAT THEY JUSTIFY THE BILL AND NEVER TAKE NO FOR AN ANSWER!!

GOOD HUNTING . . .

Sat, 12/21/2013 - 03:27 | 4266242 All Risk No Reward
All Risk No Reward's picture

I went in to have surgery to repair a broken finger and the doctor came in and started rubbing the wrong finger...  He seemed a bit surprised when I point out he wasn't rubbing my broken finger...  it worked out in the end, but he was eyeing the wrong finger initially.

He may well have trained himself to do that as a doublecheck - I don't know.  If it was luck, though, I hope he learned a lesson and verifies what he's doing before he actually does it.

Othewrwise, no complaints.

Sat, 12/21/2013 - 03:31 | 4266243 ebworthen
ebworthen's picture

I deny every check box and offer to donate organs.

Too much gin and tobacco, but if i go in and I'm borderline and they find out I'm donating organs I'm SURE they will pull the plug and sell my organs.

Common sense.

Fri, 12/20/2013 - 19:35 | 4265574 ceilidh_trail
ceilidh_trail's picture

When will this nation finally realize that this guy is a complete incompetent?   Or is he...?

Fri, 12/20/2013 - 20:17 | 4265665 NoDebt
NoDebt's picture

All those who have been roused from their stupor are all that will ever be roused from it.  Only generational changes in opinions will move the needle from here.

As I learned just recently, things may not be as dim as we currently think.  I understand that the under-25 crowd is going STRONGLY conservative a la Ron Paul (limited government, Constitutional principles, etc.)  It was, perhaps, the best Christmas present I've had in a while.

That is the ONLY thing that has given me real hope this year (not the false hope offered by the fraud and liar in the White House).  And I do mean the ONLY thing.  All else is already a rather dim shade of charcoal and growing darker by the day.

Fri, 12/20/2013 - 19:50 | 4265591 MedicalQuack
MedicalQuack's picture

Yes and let's look at CMS bragging that their re-admission penalty program is working, well if admissions are down then would it not go to follow that re-admissions are down too:)  It's not their QE based program executing coding fines on hospitals is it?

Hospitals are doing better though with working with patients with "human" interactions and not math models to accomplish this though.  Heck you don't know if you are "admitted" or "admitted for observation" if you are on Medicare as the doctors have to work the coding.  Heck my ex was an MD and he used to have to sit through hospital admin meetings to where they told him he was not meeting his admission quota and don't think that doesn't make a doctor shooting mad. Here's a great video from the Texas Medical Association..tells all.

http://ducknetweb.blogspot.com/2009/04/hospital-admissions-are-down-er-d...

They just keep shifting the money around...and big name hospitals get fined too:)

http://ducknetweb.blogspot.com/2012/08/medicare-re-admissions.html

 

 

Fri, 12/20/2013 - 20:27 | 4265681 dryam
dryam's picture

Admission quotas are unlawful.  If I was your husband I would have took a stand, gotten fired, filed a no-brainer whistleblower lawsuit, and then retired.

Two or three years ago a similar thing happened with a very large hospital system in California with their ED's & quotas.  A couple of doctors were fired & they brought the lawsuit forward & won.  The hospitals were heavily fined & the whistleblowers were well compensated.

Fri, 12/20/2013 - 22:01 | 4265889 MedicalQuack
MedicalQuack's picture

I am in California and yes that got attention and hopefully was fixed, well until it comes up again somewhere.

Sat, 12/21/2013 - 03:28 | 4266241 ebworthen
ebworthen's picture

As time progresses, whistelblowers like that will be treated like Edward Snowden.

Fri, 12/20/2013 - 19:43 | 4265593 Intoxicologist
Intoxicologist's picture

At the hospital in my neck of the woods, you go in vertical and come out horizontal.

Fri, 12/20/2013 - 19:43 | 4265594 PubliusTacitus
PubliusTacitus's picture

This is bending the cost curve.

 

He got that right.

 

The unintended consequence is bending the quality of life and life expectancy curve.

 

Welcome to socialized medicine.

Fri, 12/20/2013 - 19:51 | 4265603 nmewn
nmewn's picture

"Just take off your clothes and step into the shower room before we process you. You'll be reunited with your loved ones momentarily.

Fri, 12/20/2013 - 19:59 | 4265617 fxrxexexdxoxmx
fxrxexexdxoxmx's picture

+100

I had not thought about the system in that way.  You nailed it nmewn.

Fri, 12/20/2013 - 20:23 | 4265673 nmewn
nmewn's picture

ObamaFuhrer almost has the pieces in place.

Still say he's gonna "forgive" medical students debt if they sign up to be slaves to the state & treat poor people and those on Medicare, for say five years...just like Fidel did.

Two Tier System coming...one for those who can pay...and one for them.

Guess which one will have the best doctors ;-)

Fri, 12/20/2013 - 21:11 | 4265784 Miffed Microbio...
Miffed Microbiologist's picture

The two tiered system is already in place, it's just not too visible yet. Obamacare will make it much more obvious. The one beautiful thing that makes me smile and gives me hope is these horrible superbugs are not respectful of wealth and privilege.

" Listen, and understand. That terminator is out there. It can't be bargained with. It can't be reasoned with. It doesn't feel pity, or remorse, or fear. And it absolutely will not stop, ever, until you are dead."

And with that, have a very Merry Christmas Nmewn!

Miffed;-)

Fri, 12/20/2013 - 22:16 | 4265934 nmewn
nmewn's picture

The superbugs never discrimnate.

Merry Christmas to you and yours Miffed ;-)

Sat, 12/21/2013 - 04:26 | 4266261 mess nonster
mess nonster's picture

MRSA doesn't discriminate, but it does like to live in hospitals. If you want to see the face of modern American fascism, just go to a hospital, and look into the face of a middle aged female RN. Prisons and hospitals... not much difference. 

Sat, 12/21/2013 - 01:09 | 4266154 PubliusTacitus
PubliusTacitus's picture

Der Fuehrer will ensure we are all "taken care of."

 

Merry Christmas, nmewn, be safe, wary, and well-armed.

Sat, 12/21/2013 - 09:19 | 4266399 nmewn
nmewn's picture

Yes, he will...lol.

Just think of it, he's managed to UNINSURE hundreds of thousands of the insured who were perfectly fine with their comprehensive & "junk policies". Now he's "allowing" these hundreds of thousands to purchase catastrophic policies (formerly known as junk) at a higher price by his executive decree...IF they can get them.

A decree. Just cuz he say's so. No law, no legislation. A decree.

It doesn't get any clearer.

Merry Christmas Publius, we've got a long fight ahead of us for the hearts & minds of idiots.

Fri, 12/20/2013 - 20:06 | 4265633 cossack55
cossack55's picture

Pre-dupe

Fri, 12/20/2013 - 20:07 | 4265634 cossack55
cossack55's picture

Go long Zyclon B.

Fri, 12/20/2013 - 20:24 | 4265677 nmewn
nmewn's picture

And short...naive little children, dancing in the meadow with wildflowers in their hair chasing rainbows & unicorns ;-)

Sat, 12/21/2013 - 02:07 | 4266195 Falling Down
Falling Down's picture

Zyclon B is still made as a an insecticide. I wonder if DuPont might be "going long" on it, too, these days.

Sat, 12/21/2013 - 10:25 | 4266466 AKrandy
AKrandy's picture

Long on zyklon B

Fri, 12/20/2013 - 21:23 | 4265806 Blame Crash
Blame Crash's picture

Wrong. That's crony corporatist medicine. There's a difference. And that doesn't mean that I'm an euthusiastic supporter of socialist medicine, but as a Canadian, I'll take our system over the corrupt American shit show any day of the week.

Fri, 12/20/2013 - 20:05 | 4265618 Yen Cross
Yen Cross's picture

    Long Undertaking...Who needs "Death Panels" with this passive geriatric herd thinning.

  Sick ACA(authoring) bastards.  May they all catch MRSA and watch their rotting flesh fall off before their souls land in a lava pool in hell!

Fri, 12/20/2013 - 20:07 | 4265636 ReactionToClose...
ReactionToClosedMinds's picture

Off Topic (maybe not overall):  MoveOn.Org/DailyKos swinging huge blog chatter on all finance & economic blogs..... revised 4%+ GDP, successful taper lite, market surge.

All hail the economic brilliance of Team 44 and FRB/ECB et al.  Team 44 itself says 2014 will be a breakout year economically .....

I must be a luddite .... in my lifetime I've never seen anything like this ( I can recall the end of the Eisenhower economy and the supply-side experiment of JFK where he told his neo-classical econ advisors "I'll think about it" while he did the opposite).   And this is not the preparation for or antebellum following, WW2 or WW1 either..... just your garden variety credit crash circa 2008 ... yet the central banks especially the FRB have engaged in one heck of a monetary experiment.   We shall see .....    the swings have tended to be about 8 years apart recently ..... 2008 + 8 = 2016 (martin Armstrongs big year also, fyi).  So maybe 2014 will be the blowoff with 2015 showing the shakiness of 2007.  I will say this, however, when this baby goes I hope it is not worse than 2008 ... I guess it depends on what sets the reversal off?

ValJar is person of the year .... and Duck Dynasty will be slowly eviscerated in the media and trashed ... while Miley Cyrus learns how to be successful like Facebook .....

 

 

Fri, 12/20/2013 - 20:26 | 4265678 Babaloo
Babaloo's picture

"Garden variety credit crash(?)" - Did you sleep through '08 and '09?

That was "garden variety" like 1929 was a "mild setback."

You need to quit writing. You're just displaying your bias.

Fri, 12/20/2013 - 21:18 | 4265792 ReactionToClose...
ReactionToClosedMinds's picture

sarcasm ..... 2008 was the first time I lost all faith in the 'system' [I read about 40+ books largely economic and financial ---learned an awful lot ... like the Great Depression did not start with the 1929 equity crash but the bank failures of Fall 1931 which orginated in Europe and much much more) ...... and the measures we (our fearless leaders have undertaken since then) are as extreme as I suggest.  No bias at all ... just reflections and obseervations.    The issue of 2008 was inherent in  the problem with the West ...... real economics are subservient to 'financial' resolutions .... which can work for a time but do not address substantive economic issues.   Gamechangers:  the USA becoming energy independent is a key potential factor, a global rebalancing (see Micheal Pettis ... this is an elaborate topic) is another.  Equlaization of labir rates globally which is happending faster than almost anyone predicted is another (return of mfg to USA or host countries) and last technological innovation.   But the financial overhand is substantial.  But since the 1970s and especially since the mid-1990s, the USA economy is outsized as a proportion to GDP in fin svcs beyond a normal range many will argue ... it is a tell-tale sign at least<<<that is the worrisome issue...the suggestion is an eventual reversion to the mean ..... and so what would take its place?  States like NY, Mass would take a beating as they are largely dependent on fin svcs which has been enormously helped by FRB ZIRP and QE. 

As to 'bias' again ...... ValJar as person of the year etc. .........  go read for yourself,   you would think unemployment is at 4.6% the way the MoveOn crowd is crowing.  They 'love' the stock market when it works in theri favor despite the punk economy and the apparent income inequality and fact African Americans are getting hammered economically by the political arty they regularly support.   Go figure

Fri, 12/20/2013 - 21:25 | 4265819 ReactionToClose...
ReactionToClosedMinds's picture

"The issue of 2008 was inherent in  the problem with the West ...... real economics are subservient to 'financial' resolutions .... which can work for a time but do not address substantive economic issues.  "

Many Europeans will argue the same in the EU project ...... an economic union without a fsical union ........ it can work for a time (decades .... see the USSR) but eventually reality rears its head

Fri, 12/20/2013 - 20:21 | 4265670 Josh Randall
Josh Randall's picture

I got the bronchitis, ain't nobody got time for that

Fri, 12/20/2013 - 20:30 | 4265689 haskelslocal
haskelslocal's picture

Invisible Hand.

Fri, 12/20/2013 - 21:13 | 4265758 virgilcaine
virgilcaine's picture

Hospitals are ripe for takeover and ch 11.

A long list of creditors will have to wait and see how Saint Francis Hospital and Health Centers’ bankruptcy proceedings shake out.

The hospital filed for Chapter 11 bankruptcy protection Tuesday.

Its three largest creditors are: Cardinal Health Inc. of Dublin, Ohio; HITNY NCA Comp. Inc. of Buffalo, N.Y.; and Mohawk Valley Plan of Schenectady, N.Y.

Saint Francis owes Cardinal $2,317,630.70 in trade debt; $1,392,215.17 to the Healthcare Industry Trust of New York for workers’ compensation; and $937,696.65 to MVP for benefits, according to a document filed with the U.S. Bankruptcy Court in the Southern District of New York, which includes a list of the hospital’s top 30 creditors.

Fri, 12/20/2013 - 21:52 | 4265864 the0ther
the0ther's picture

Being the cleaning fire. NY politics is so damn dirty.

Sat, 12/21/2013 - 10:05 | 4266437 Uncle Remus
Uncle Remus's picture

I have nothing but contempt for St. Francis where I live. And now they are gone - good riddance. Sounds like their bad collections karma came back to bite them in the ass. Bastards.

Fri, 12/20/2013 - 21:04 | 4265763 presk_eel_pundit
presk_eel_pundit's picture

Yeah, hospital admissions last month are down due to something that'll happen next month. Another ZeroHedge article that appeals to all of you assholes living in your parents basement.

Fri, 12/20/2013 - 21:07 | 4265777 Seal
Seal's picture

confusion is not happening next month

Sat, 12/21/2013 - 03:22 | 4266239 ebworthen
ebworthen's picture

Are you paying your $900/month premium with a $7,800 deductible and $40 co-pays yet?

Quit playing the hero; the movie ended.

Sat, 12/21/2013 - 10:19 | 4266458 presk_eel_pundit
presk_eel_pundit's picture

The monthly premium and deductibles for my wife and myself are less than half that much, and the monthly premium will actually be lower next year for the same coverage. That's with no Obamacare subsidies. The only difference is that all the preventative stuff is covered at 100%. No deductibles or co-pays. Like I said, another bullshit ZH article for the gullible.

Sat, 12/21/2013 - 13:30 | 4266739 ebworthen
ebworthen's picture

So you're paying $400/month to see your Doctor once or twice a year.

And if you do need to go into the hospital, you'll be out another $7,800.

If you go to the emergency room there will be an add on deductible for that.

Most people can't afford $400/month, or a $7,800 deductible.

You seem like nice people; but you still don't understand.

Sat, 12/21/2013 - 13:57 | 4266788 dracos_ghost
dracos_ghost's picture

How do you know your premiums will halve next year?  And the preventative stuff is covered only to your primary. If he sends you to a specialist or any treatment not on the 'List' you have to pay.

Fri, 12/20/2013 - 21:08 | 4265771 Seal
Seal's picture

ObombaCare IS de facto death panels

Fri, 12/20/2013 - 21:13 | 4265787 dexter_morgan
dexter_morgan's picture

another part of the mission accomplished

Fri, 12/20/2013 - 21:50 | 4265861 Bagbalm
Bagbalm's picture

This article assumes I know how this rule changes the PAY-OUT. I don't. You need to spell out who gets nicked and for how much.

Fri, 12/20/2013 - 21:55 | 4265875 Obnoxio
Obnoxio's picture

The Health Care Industry has become Government mandated extortion on individuals and small business. The high health care costs rob every other industry in order to sponsor a bloated health care industry under government threats.

Sat, 12/21/2013 - 00:55 | 4266140 Diogenes
Diogenes's picture

Lay off booze, drugs, cigarettes. Don't eat too much. Get some fresh air, sunshine, and exercise every day. Get a good night's sleep at night. Take a bath once in a while and stop worrying.

If everyone did just those things the doctors would lose half their business. One doctor said it would be more like 90%. Another one said he would have nothing left to do but obstetrics.

Sat, 12/21/2013 - 03:12 | 4266229 jonjon831983
jonjon831983's picture

This is actually a positve thing - people are getting healthier and sturdier. Hence, less admissions.

/S ?

Sat, 12/21/2013 - 03:19 | 4266237 ebworthen
ebworthen's picture

I'm not paying for that shit.

Sat, 12/21/2013 - 07:30 | 4266341 overmedicatedun...
overmedicatedundersexed's picture

no one knows the number of medical mistakes, as those that run things can never make a mistake, so there is no need to report one as it could not have happened, to the joy of lawyers everywhere who get to settle out of court by just agreeing not to make the case public. a non mistake that did get reported many years ago, a hospital switched it's O2 line with it's nitrous oxide line, and killed a few patients, but those that run that place kept their jobs, a few lawyers got rich of course this same hospital was inspected the week before by Joint Commission and accredited.

Sat, 12/21/2013 - 07:53 | 4266351 overmedicatedun...
overmedicatedundersexed's picture

another hospital I was once on staff at , had a small problem with error. seems the sterilizing liquid used on surgical equipment came in 5 gallon cans, and with a lot of surgery done there- those empty cans were just piling up. so off to the loading dock with them. A enterprising mechanic took the cans and filled them with used hydrolic oil which came from equipment in the hospital, and set them right back to the loading dock for a trip to the dump.

well the stock people walked onto the loading dock, saw the cans of "oil" and quickly took them to the OR storage area, where they were used to sterilize the surgical tools..a week or two of our brilliant MD's and Tech's using these tools and the hospital having a major uptik in post op infections, the hospital found the problem....well no.

a few days later a surgeon kept dropping a tool and said "what the heck is on this, I can't keep a grip on it!!"

then others said they were having the same problem, what's up with the sterilization fluid? did we change brands..

then the system worked and everyone was shocked they had been using surgical tools soaked in oil..good day.

Sat, 12/21/2013 - 08:27 | 4266372 Heroic Couplet
Heroic Couplet's picture

Bullshit. My parents' best friend was a physician with admitting privileges. I've known for four decades that physicians and hospital staff will do everything they can to get patients home for the holidays, especially terminally ill paitents who go home for the last time.

Sat, 12/21/2013 - 10:30 | 4266471 The Persistent ...
The Persistent Vegetable's picture

I'm not sure why fewer people being admitted to the hospital is a bad thing. I guess you can look at this two ways. One is that people are being denied care and dropping like flies. Or two, hospitals are no longer admitting people who dont need to ba admitted. I dislike Obama intensely. He is a corporate fascist. But i am amused at those who get mad at him for letting alll the bums get healthcare cause its going to explode the system who then get upset because it isnt exploding the system.

Sat, 12/21/2013 - 14:14 | 4266766 Hongcha
Hongcha's picture

One word; Cannabis.

Fresh, organic, smoked or added to your favorite high-fiber concoctions.

Cannabis Sativa, well-cultivated, is a healer on multiple planes.

Meanwhile, .gov forces ACA applicants into a web of synthetics and the God-damned FDA/DEA persecutes (no better word) people attempting to offer common sense / organic solutions.

Could the pervasive, committed evil of the FED be any more apparent, than in these realms?

Do not participate in the sins of the Great Whore, that you receive not of her plagues.

Sat, 12/21/2013 - 17:09 | 4267055 yogibear
yogibear's picture

Future jobs going forward.. Obams death panels.

Bill Gates would like to lead those. The cheap version is a Gates reduced costs firing squad.

 

 

 

Sat, 12/21/2013 - 19:14 | 4267177 chistletoe
chistletoe's picture

I went to WalMart yesterday.

 

There were fewer grossly-fat people roaming the aisles

and fewer people who had to get a cigarette break outside the front door.

 

Fewer people lined up for flu shots.  Fewer people coughing in my face.

 

In sum, this whole business is probably gong to be good for american's health ....

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