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If Republicans can make their peace with the Affordable Care Act and help figure out how to make the Affordable Care Act's exchanges work to control costs and improve quality, it'd be natural to eventually migrate Medicaid and Medicare into the system. Liberals would like that because it'd mean better care for Medicaid beneficiaries and less fragmentation in the health-care system. Conservatives would like it because it'd break the two largest single-payer health-care systems in America and turn their beneficiaries into consumers. link
No Ezra, this would definitely make the Masters of the Universe happy, but I join with digby to say that this is not the direction that would this liberal happy.
BTW, could someone please come out in the media and forcefully say that Mr. Klein speaks for the Masters of the Universe and not for most liberals.
Ezra may be a nice young man, but it's becoming clear to me that what he doesn't know or understand far outweighs what he does, and it's working out quite well for the MOTU who need people like Ezra to drive the conventional wisdom to where it benefits them the most.
Heckuva job, Ezra! Parent
We only produce managers. These people are managing the status quo.
This, IMO, is one of the many factors that keep us on the same path, plodding the same treadmill. Parent
I never heard or noticed our plight be put so succintly before...well done cal, nail on the head. Parent
Inasmuch as securing treatment of Medicare patients is concerned there's no good reason why granting a license to practice medicine can't require the treatment of Medicaid and Medicare patients. If lawyers can do pro bono the least that doctors can do is treat some patients at reduced fees. In this country, for years, we've bent over backwards to protect doctors' incomes. It's time we demand they be a part of the community, the WHOLE community. Parent
That's what liberals want, right? If private exchanges can do that, why shouldn't we be OK with it?
The point is not to hate the private markets just because they are private. Liberals distrust private markets because they don't think they control costs or improve quality.
We are concerned with the results, not the methods. At least I thought we were. Parent
I actually would like to twist Ezra's words and say he is calling for Medicare to be an option in the exchanges.
I'm pretty sure he does not mean that though. Parent
Many liberals would like to have a health care system that provides guaranteed universal health care in the most cost effective method available.
If by some miracle Obama's health insurance legislation reduces insurance costs by 5%, we would still be paying at least twice as much for less coverage than other countries with better outcomes and 30% - 45% more for prescription drugs. Parent
He's more like a Lanny Davis liberal. Parent
Your counter could be that the goals could never be accomplished through a private system, and that's a fine answer.
But that demonizes the result not the method. I disagree with the focus on the method instead of the result. Especially when the reality is that a private solution is plausible while a 100% government solution isn't politically. Parent
But since you ask, I was saying that simply declaring one is a liberal doesn't make it so. One must see what is advocated.
It's actually a point I've made to you directly before.
You're entitled to your position. I think it is ... misguided. That's my position. They don't have to be the same. But privatizing the Common Good is not a liberal position and throwing the word in there won't make it so. Parent
Not how that goal is achieved. Parent
Now obviously that's a big if, but if it were possible, why isn't that completely consistent with liberal principles. That's the swedish example we discuss often. Parent
The only way your utopian system would work is:
A. The exchanges don't increase their prices
AND
B. The government guarantees that if they do, the subsidies would be increased, dollar for dollar, with the exchange increases.
You wanna go back and work on it a little more? Parent
I, as a tax payer, do not want the government to shore up the overprice insurance, medical and pharmaceutical industries. The idea that the coverage would be "free" is ludicrous. It will not even be "free" to the poor as they will be required to sacrifice even more through cuts to domestic services to pay for ever increasing premiums and more out of pocket expenses.
Having the government pay 2 to 3 times more for insurance (not care) than other countries pay for care, and 35% - 50% more for prescription drugs is not only stupid but will provide less health care.
Supporting a system that provides the less amount of care for the most amount of money so that everyone has little actual coverage goes way beyond stupid and I doubt it will find favor with the majority of people. Moving from a Medicare system that pays 80% of care to a higher cost system that only pay 60% of actual health care is beyond stupid unless you are one of the savvy businessmen who are going to profit in the millions each year from the overpriced private system. Supporting a system that provides the less amount of care for the most amount of money Parent
As I look at comment after comment with links and information and all manner of analysis, I truly do not understand why so many here have to serve as the refernce desk for those who can't be bothered with the details.
[And yes, ABG, I am looking at you]
On the plus side, I guess it helps keep us all sharp and up-to-date with the latest information, but some days, I just get tired of feeling like we're being played. Parent
The point that I think you are missing are two fold
And we all ought to know by now that insurance doesn't equal care.
In order to guarantee some set level of actual care, there would have to be significant and stringent regulation - that insurance companies would fight tooth-and-nail against, while contriving more and more creative ways to justify saying "no." And that regulation would have to be such that how much or what kind of care one could get did not become a function of what state one lives in.
I don't care whether you call a collection of insurance companies an "exchange," or you call it "Fred" or "Betty," you are still relying on an industry that has been more of a barrier to care than it has an aid, and there is no reason to believe that will change. Parent
A single payer system can have horrible healthcare coverage. Do you diagree? Parent
"Coverage" is an insurance-related word, denoting what an insurance company determines it will pay for in accordance with the premiums paid to it by or on behalf of the person who is receiving the care, and has nothing to do with the actual care being delivered.
Did you mean to say that a single-payer system can limit the amount of care one is entitled to? Well, no kidding, but for the love of God, look around you - look at where the other developed nations that have some form of single-payer rank in any number of areas that are related to health care - infant mortality, life expectancy, overall health. Look at the bang the people of these countries are getting for their buck - paying less, getting more and healthier in the bargain.
It can be done, it has been done and if the country that claims to be so exceptional can't figure this out, I guess it is exceptional - exceptionally stupid, that is. Parent
We're bouncing around like lunatics blubbering Mensa-like comments such as, "Dis is really complicated stuff," or "it took a looong time to get here, it'll take a looong time to fix it."
BULL!!
While we're giving the finger to the sky, deluding ourselves about this idiotic nonsense about the oxymoron, "American exceptionalism," the rest of the world is politely averting their eyes from us and whispering quietly to each other, "What's happened to America? Sure is a pity."
The answers are all around us; just blindfold the President and let him throw a dart against a wall listing all the civilized countries' health plans. No matter which he hits it'll be head and shoulders better than anything we have, or will have.
Idiots! there's just no other word for us. Parent
And before you ask, yes, I did eat both!Mmmmmmmmmmm.
Rocked a footlong myself at beautiful Belmont Park on Sunday...only winner I had all day! Parent
Get any pork loin, the cheaper the better. Cut slices, kind of the size of a large t-bone steak. Put a slice into one of those one gallon freezer bags, take it into your shop and smack it a few times with a mallet until its really thin, but not so it breaks through. Then, just like any fried, chicken, chop, etc, soak in egg wash, dip in flour, soak again, dip again in seasoned bread crumbs. Slap it on a hot, oiled grille; a few seconds on each side, and stuff your face with both hands, baby! Parent
Why no veal Jeff? Moral objection to baby calf eats or availability or price or simple taste? Inquiring veal enthusiasts wanna know! Parent
Then to the Bronx.
But the Man said Pork, and so's I give the Man Pork.
And you know what? A six-pak, couple ears of butter drenched corns, and fried schnizel on some Bronx Bread.....Man! May not be heaven, but sittin on its doorstep ain't too shabby neither. Parent
It's the mushroom gravy that sets it off. jaegerschnitzel is made with pork or veal. Parent
It was a sad day in the Point when Flessel's closed in '98...all things must pass.
Parent
In Vienna for an environment conference, the former governor of California began his speech Tuesday in German instead of English. And he focused not on green themes but on the familiar things he misses in California -- "the music of Mozart," or "a juicy wiener schnitzel."
"Vor allem heute früh sind in mir so viele positive Erinnerungen erwacht. Der herrliche Kaffee, die Musik von Mozart, der Kaiserschmarrn, Wiener Schnitzel - da läuft mir das Wasser im Mund zusammen."
So Saddam was behind 9/11? There were WMDs in Iraq? Katrina was God's punishment for gays? Obama was born in Kenya? Income taxes are the highest in US history? There are secret death panels for old people? Bin Laden is still alive? Paul Revere did warn the British not to take our guns?
I'm glad that's been cleared up. Thanks, Politiifact, for showing us who is really fair and balanced.
It's a good segment. Parent
Not much there, there was a very tiny discussion about snakes.....hardly any particpation at all so I'm thinking they are all mostly A-holes still. It takes forever for some well healed A-hole to cough up the ghost and sell his house to someone nice.
I click on the only other discussion going on and on the clean up day they found a water bong made out of a plastic powerade bottle in one of the ditches. Under the photos is the description about how shocking this was for the clean up crews. They took several photos of it and there is also instructions that if you come across something that looks like this don't touch it and call the police and the homeowners assoc immediately.
These "shocked" people are the same people who made it illegal for the city police to patrol our neighborhood. I'm neutral about that, I'm good with it, we have our dogs that discourage break ins and it is sort of nice not having a bunch of cops all over my neighborhood. But my daughter went to high school here, so I knew long ago that the teenagers drive around this place and get high sometimes. The speed limit is 25 and it is pretty hard to drive faster because of the design of the streets. I don't care if the kids get stoned here. I really don't. These freaky insane crazy moneyed Christians around here are losing their minds though because someone found a homemade bong in one of the miles of ditches in here though? I won't be joining them. They will receive no dues from me. Get a phucking real life people.
Although they finally admitted mine perhaps was never on the list to be painted, the battle has now lasted two years with their final ruling being that since they painted it I had to pay, even if they may have painted the wrong fence to start with. Threatened with a lien, I've finally conceded defeat which irks me no end that I wasn't willing to battle it out in court too.
In the meantime, the bushes have completely grown back, once again blocking everyone's view so no one can tell if it's ever been painted or not.
When I retire I think I'll just make it my goal in life to be a thorn in their side for my daily cheap thrill. Parent
Anyway, my point to all this is that in going to these meetings around the state, you really start to get a feel for the character of different cities and towns, based on the agenda items, and the interactions with town members and local planning board members. For example, in one town meeting, the first angry resident got up there to complain about all the murders and why aren't the cops doing anything about the drug problems in town, and how can the city fix this so kids stop dying. In another town, the first item on the agenda was a proposal to replace all the flags on all the public buildings because the existing ones were looking kind of dingy and that's such a disgrace.
Your homeowners association sounds a lot like the second kind of town. I'm not gonna lie, I have a hard time keeping a straight face in some of those meetings. Get a life people. Parent
"In fact, 90 percent of the firearms recovered in Mexico, and which are then successfully traced, were determined to have originated from various sources within the continental U.S."
All better?
The link to "Pajamas Media" is funny, though. Parent
Implying the set sent for tracing was a random sample appears to have no factual support. For example, there would be no point is sending a Chinese hand grenade, or a Belgian rifle purchased by the Mexican government and later stolen from an armory.
What matters from a public policy perspective not the percentage sent for tracing, but rather the single digit percent used in crime.
A statement that is technically true is still a lie if its purpose is to deceive. Hiding the fact that the statistic was in relation to a non-random tiny subset makes the lie. Parent
If you included the fact that only about 3% of the guns seized were sent for tracing, and that the Mexicans had no reason to send any of the 97% that were known not to have a US origin, then it would be OK.
97% of the guns "were known not to have a US origin"? Based on what? That's just a ridiculous claim, with absolutely zero evidence. Beyond that, you're suggesting that the Mexicans only sent guns for tracing that they had reason to believe came from the US in the first place. This is, of course, not true:
ATF officials challenge the suggestion that Mexico only sends them guns they suspect are from the United States. In fact, the ATF found about a quarter of the 90 percent were made in other countries and then taken illegally from the United States into Mexico.... Alberto Islas, a security consultant with Risk Evaluation in Mexico City, said the 90 percent figure is based on an incomplete sample. Mexican officials only require ATF traces of guns used in "high-impact crimes," he said. That certainly includes crimes involving violent drug cartels. That's the sample from which the ATF derives its 90 percent statistic. Driving up that percentage, Islas said, is the fact that nearly all of the handguns traced by ATF come from the United States, Islas said, while assault weapons are more of a mixed bag -- some come from the United States, but others come through drug routes in Eastern Europe, Africa and elsewhere.
Alberto Islas, a security consultant with Risk Evaluation in Mexico City, said the 90 percent figure is based on an incomplete sample. Mexican officials only require ATF traces of guns used in "high-impact crimes," he said. That certainly includes crimes involving violent drug cartels. That's the sample from which the ATF derives its 90 percent statistic. Driving up that percentage, Islas said, is the fact that nearly all of the handguns traced by ATF come from the United States, Islas said, while assault weapons are more of a mixed bag -- some come from the United States, but others come through drug routes in Eastern Europe, Africa and elsewhere.
Good thing no one implied it, then.
Good to hear that's your opinion. Others disagree.
A statement that is technically true is still a lie if its purpose is to deceive.
You mean like suggesting that "Mexicans had no reason to send any of the 97% that were known not to have a US origin"?
I absolutely agree. Of course, that statement isn't even "technically true", since it's just made up. Parent
Implying the set sent for tracing was a random sample appears to have no factual support. For example, there would be no point is sending a Chinese hand grenade, or a Belgian rifle purchased by the Mexican government and later stolen from an armory. Good thing no one implied it, then.
The administrations statements implied the 90% had some relevance to the total rather that a selected subset. Indeed, there is no apparent reason that the administration would comment on the Mexicans subset selection criteria. Did you actually think the administration was commenting on how the Mexicans chose to select the subset? Parent
Then again, someone who claims that the "the Mexicans had no reason to send any of the 97% that were known not to have a US origin" probably shouldn't be complaining about the accuracy or quality of evidence to support the administration's statements, let alone what they think the administration is "implying".
Glass houses, and what not ... Parent
I got through about five paragraphs before I had to stop. No offense, but this 'massive' drive for tougher gun laws falls short because.... not one significant change has been made in a decade concerning restricting gun ownership.
Which tells me the writer of the article is a gun loving lunatic who sees every action involving guns as some grand conspiracy to get his gunz.
So again I will restate my original thought, 'Paranoid Much ?' Parent
Should help his presidential chances in the Brand R race...people across the political spectrum really hate this TSA bullsh*t. Give 'em hell Texas.
Perry's move THIS time might be good, but he's an idiot of the first rank. He's scary idiotic. I think this goes in the file of "a broken clock is right twice a day" file ;-) Parent
Pardon me if I don't look into your local yokel Goopers...I've heard enough tyvm:( Parent
Just check this story.
Kind of surprised this one hasn't made national news... Parent
Vote buying...not so much. S.O.P. in the best democracy money can buy...in cash or in favors. Parent
He was fine until the entire party took a hard right over Iraq.
I have a feeling I will get groped regardless of what Texas does, not sure how they intend to enforce a law upon federal employees on federal land doing federally mandated processes.
I just don't see Troopers, the Sheriff's dept, or HPD going to the airport and arresting the people groping me or anyone else. Parent
I'm just glad somebody in power is making a mini-stink about the TSA and their shenanigans that do everything but keep us "safe". Parent
It just gets better and better. Parent
You snooze you lose NYC area!
Talk about unreasonable search...and local John Law will get the surveillance data if the drones see anything illegal from high altitude.
Thanks a lot Chuckie Schumer for working to open up our airspace for the tyranny machines...send a naughty picture to somebody and resign, will ya? Pretty please?
If I see one camping this summer I'll just give the Reaper a one-finger salute, maybe a half moon...same for Schumer if I see him:) Parent
I got my old man's worldview, and my moms temperament...its a good fit, keeps my outta trouble. Parent