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View Diary: This is the real 'rate shock': My parents' amazing Obamacare story  (164 comments)

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  •  Actually you are wrong. Title I (0+ / 0-)

    concerns insurance regulation. But no one talks about Titles II through X which have a lot of things that will actually reduce costs and improve the quality of care.

    How about the 1200 or more new Community Health Centers that are being built to offer excellent primary care to millions at the lowest prices? People will able to go there instead of ERs or doctors offices where too much is wasted on administration.

    Hospitals are being forced to give better follow up and after care to hospital patients to see that they don't need to be rehospitalized unnecessarily. They also won't get paid to fix the damage caused by their own mistakes — which is a great incentive not to make the damnable mistakes in the first place.

    There is more money for graduate education for nurses so there will be more nurse practitioners, midwives, and other advanced nurses as well as more registered nurses of which there have been shortages. There are also loan repay programs for doctors who go into primary care, pediatrics, gerontology and general surgery.

    Programs have been put in place to end the massive frauds found in Medicare and Medicaid — they amounted to about 10% of federal spending on those two programs. Insurance companies have a lot less but they are usually reticent about releasing any information.

    Oh there are so many other things — but some you know of: identifying, treating and education for people with diabetes will prevent kidney failure, heart disease, sores on feet or legs getting infected, ulcerated and eventually leading to amputation sometimes. That will save scads of money eventually.

    It is hard to explain the simpler benefits; just trying to get people to understand about insurance has required millions in spending.

    If you recall Obama speaking about the law, especially his address to the joint Houses in September 2009, he stressed there were three aspects that needed to be addressed: access, quality and costs. Access of course refers to the insurance, but he went on to speak of the other two. I imagine the speech is on the White House website. I'll try to find it someday.

    I'm asking you to believe. Not in my ability to bring about real change in Washington ... *I'm asking you to believe in yours.* Barack Obama

    by samddobermann on Thu Nov 14, 2013 at 04:54:51 AM PST

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