Mac1958
Diamond Member
- Dec 8, 2011
- 117,441
- 112,225
Zeke thinks he is neutral. Classic. Wake and bake zeke? Yeah, wake and bake.
I always love when liberals act like they are all above the political fray.
Meanwhile, it is now a foregone conclusion who was lying. It is beyond clear who the democrats consider to be morons. Just like all of us said! For FOUR FUCKING YEARS! They are fucking caught saying it was a lie and the liberals are hear defending what.....exactly?
Not one republican voted for the fraud. They ask for the alternatives that have been proposed, I provide one of them....and cool mac shluffs it off. Zeke laughs.
"Shluffs it off"?
I took the time to read it.
I took the time to think about it.
I got very specific on specific, critical issues.
As always.
Were you going to answer my specific questions, or schulff them off?
.
Sigh.
It will not matter to you. Are you really searching for or expecting me to tell you some plan out there that is perfect? Is your devils advocate disposition real, or are you one of those unreal morons who think there is some kind of Utopian solution?
Meaning, no matter what I say, you will point out the imperfections. The bottom line is the left wants control over the masses. They see that as noble. That is their utopia. At least that is what they sell. What the ELITES really want is power, and they need the poor to give it to them. They will automatically give it to them, so long as they are on the government teet.
Here, you want to get down into specifics?
Read all of this.
http://www.hatch.senate.gov/public/_cache/files/bf0c9823-29c7-4078-b8af-aa9a12213eca/The Patient CARE Act - LEGISLATIVE PROPOSAL.pdf
Not about to post 8 or 9 pages.
Like I said, I doubt it will make a difference to a fence sitter like you. You are too wrapped up in the notion that you think that is a noble place to be.
Didn't have to go in yet! Here we go:
Ol' Mac's Health Care Act of 2015
Based on what I think would be obvious:
So:
- It is insane to have six (6) different health care delivery/payment systems, none of which talk to each other. Talk about inefficient.
- Early and regular preventive/diagnostic/drug coverage before conditions get worse saves significant health care dollars
- A healthier populace is good, smart economics.
- Allowing insurance companies to compete for business by creating and offering attractive upgrades is good, smart economics.
- Freeing employers from costs and regulations of providing health coverage is good, smart economics.
- Opening the door to the industry that specializes in preventive/diagnostic services, motivating these clinics to pop up faster than Starbucks™, is good, smart economics.
...Scrap this insane, archaic six-piece system (Individual, Group, VA, Medicare, Medicaid, indigent) for one two-tier plan for all
...Tort reform that address not only the cost of malpractice insurance, but the even higher cost of preventive medicine
...A two-tier, portable, individual health care system based on the current Medicare/Medicare Supplement/Medicare Advantage chassis:
...Strong preventive/diagnostic/drug coverage for all to detect problems earlier and keep them from appearing in the first place
...Adoption of Value-Based Insurance Design, VBID, look it up
...Basic medical/hospital coverage at 80% of system rates as a foundation for everyone
...Open up a massive, 330 million person customer base to insurance companies via Medicare Supplements and Medicare Advantage plans
...Allow insurance companies to choose between national coverage or state-by-state
...Allow insurance companies to negotiate provider contracts to keep reimbursement acceptable for doctors and hospitals
...Maintain a significant and critical free market competition environment through the supplemental plans
...Watch preventive/diagnostic clinics spring up faster than Starbucks
...Assistance on supplemental plans for low income, assuring even more business to competition-based private insurance companies
...Calculate net costs and add to current Medicare Tax - while freeing businesses and employees from the massive costs & regulations of group plans
Run it for two years and look for tweaks.
As always, independent thought, no politics, specifics. Now, tell me again about how I'm a "fence-sitter".
.
You have NO idea how complicated health system is!
Here let me give you a quick example of what happens at least 10,000 times a day through a system our company submits that tells JUST
Medicare providers if they will be paid.
And this is just ONE of 2 billion inquiries per year submitted by providers through vendors to Medicare.
ISA*00* *00* *ZZ*99aa9999 *ZZ*CMS *141111*0559*^*00501*999999999*0*T*:~
GS*HS*99aa9999*CMS*20141111*0559*111115906*X*005010X279A1~
ST*270*1527*005010X279A1~
BHT*0022*13*NNNNN1411110559684AM*20141111*0559~
HL*1**20*1~
NM1*PR*2*MEDICARE-NY-DOWNSTATE*****PI*CMS~
HL*2*1*21*1~
NM1*1P*2*Some ??OLOGIST, PLLC*****XX*9999999999~
HL*3*2*22*0~
TRN*1*1527K1302*9222222222*CMZKN99~
NM1*IL*1*NN*NNNNNN****MI*987654321Z~
DMG*D8*18401111*M~
DTP*291*D8*20141111~
EQ*30~
SE*13*1527~
GE*1*111115906~
IEA*1*987055906~
And this is just a simple 270 eligibility inquiry... for Medicare which due to PHI restrictions I've changed any identifying information..(again something obviously you have NO idea as to what each of the above data elements mean!)
How about the EDI transaction 837 which is the claim document.
NOW how does this EDI transaction GET from the desktop to the Medicare Administrative Contractors data centers of which there are dozens around the country that are private for profit contractors that process the 1.1 billion Medicare claims... of which Medicare doesn't process one single claim by the way.
So with YOUR BIG BIG PLAN how will you integrate the 1996 HIPAA laws that required all health payers including Medicare to transmit electronically the claims using EDI transactions?
Again it was the stupid american such as you that have NO idea of the complexity of what is done but you bought into the big lie there
were 46 million "uninsured" which was the fabricated made up "health care crisis"!
While I'm tempted not to respond due to your "stupid american (sic)" comment -- I know how partisan ideologues are -- I'll go ahead and do so.
The Medicare chassis is already in place and scalable. At no point did I say that data centers are contractors were to be eliminated, did I?
No. In fact, they must remain.
You people are so consumed and controlled by your partisan ideology that your critical thinking skills are shot.
My plan doesn't fit your little political worldview, so you have to resort to personal insults and name-calling.
Tedious.
.