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  •  I have no problem with the Medicare Advantage (2+ / 0-)
    Recommended by:
    mapamp, HoundDog

    program, just the over-payment. No reason to end the program at all since it has been good for some people.
    And yeah, I don't think we got the message across well including that Ryan planned on the exact same "savings" ($716 billion) but he wasn't going to use it to help out with health coverage.
    My understanding is the $716 billion Obama took was used for a combo of things including increased benefits for seniors: helping with the donut hole in prescription benefits and making preventive care under Medicare free (no copayments). The rest, IIRC, was used for funding in Obamacare. So it was excessive profits to insurance companies being pulled to improve health coverage for Americans.
    Ryan would take that money away completely from anything that benefited regular people.

    We're not perfect, but they're nuts! -- Barney Frank

    by Tamar on Sun Dec 02, 2012 at 06:01:28 PM PST

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    •  This is partially true. I strongly favor the ACA (0+ / 0-)

      and yes, we transferred to fund to good, perhaps, even better use there.  But, as a Party we appear to have lied to to do it.  

      The CBO study I read indicated that only 1/3 of if was from Medicare the rest was from Hospitals reimbursement.  Hospitals may have been happy to rob Peter to pay Paul, but I fear Medicare seniors and disabled have and will pay a price.  And, I know for sure many of us perceive that to be true, and I lost respect for some of our Party apparatchuks (sp?) who went around making this bogus claim and many here, including myself compromised our integrity to Party loyalty to win this election and prevent the President's favorable from plummeting two year ago, when it was in serious jeopardy.

      I'm actual quite angry about it and expect many others are as well, meaning that the next Democrats to do something like this may pay an extra price due to pent up "accountability."

      If we believed funds could be better used in such a transfers we should have been honest about it, rather than be duplicitous. I personally know several seniors who will never trust Democrats again.  And, when I remind them that Paul Ryan and many Republicans want to kill these programs some say "well at least they were honest about it, while others don't believe it and point to Romney's position.

      But, the most outrageous thing is that we've added trillions to comparatively worthless military expenditures without so much as a blink.  

      And, we the reason we choose to take the ACA money out of Medicare rather than trim back military expenditures was pure political expediency.

      And, I believe there are more than a few Democrats planning at this very moment to do the exact thing over again.

      If they do, I have already vowed to spend the remainder of my life holding them accountable.

      The means is the ends in the process of becoming. - Mahatma Gandhi

      by HoundDog on Sun Dec 02, 2012 at 07:49:20 PM PST

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      •  on the hospitals -- they actually agreed to it on (0+ / 0-)

        the basis that they will have fewer uninsured patients.
        The money came from what's called DSH payments -- I know of that from my Medicaid work which also has DSH payments. DSH is Disproportionate Share Hospital payments that the federal government gives to hospitals that have a disproportionate share of indigent/uninsured patients. The ACA is good for hospitals because it reduces the # of no-pay patients hospitals will have to treat. So the idea is that they forgo the DSH payments in return for a better insured (read: more likely to pay) population of patients.
        I don't know where but I remember reading that the hospitals found that acceptable. Believe me, they have a very strong lobby so I think we would have heard a lot of screaming if they weren't okay with this shift in funding.

        We're not perfect, but they're nuts! -- Barney Frank

        by Tamar on Mon Dec 03, 2012 at 02:30:47 PM PST

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