August 05, 2010

Missouri, Obamacare and the Unknowable Impact of "Fill in the Blank"
— Dave in Texas

Gee you'd think with thousands of pages of legislation, the Congress might have actually gotten around to defining "health care services".

You'd be dead wrong about that (see what I did there?)

No wonder Missourians rebelled, as with voters in Massachusetts, New Jersey and Virginia last year. There will be more such what-have-they-done ObamaCare moments. Wait until the public discovers the government is now literally determining what qualifies as "health care" in America.

That isn't a typo. ObamaCare mandates that insurers spend a certain percentage of premium dollars on benefits, but Democrats never got around to writing the fine print of what counts as a benefit. So a handful of regulators are now choosing among the tens of thousands of services that doctors, hospitals and insurers offer. Few other government decisions will do more to shape tomorrow's health market, or what's left of it.

There are two parts to this. One is the MLR, the "medical loss ratio", the ratio of the amount of money paid out in claims (losses) over the amount of money taken in for premiums. This has been wisely established at 85% for large employers and 80% for small businesses. That target had to come from the Post Office, or maybe USDA. No one knows how to improve "benefits of services" against "cost to perform" like the federal bureacracy. If there's a nickel's worth of work you can get out of a dollar, they will by God get around to it. Eventually.

The other part, and this will kill you (haha I did it again!), is what services actually are defined as "medical treatment".

Currently: none. We've got top men on it. Top. Men.

Yesterday almost one million Americans in Missouri voted on whether their legislature should amend state law to nullify the individual mandate and push back against the federal health care cartel. And over 70 percent of them said "hell yes".

Granny Rictus had it half right, sometimes you have to pass a bill just so you know what's not in it too.

Posted by: Dave in Texas at 06:08 PM | Comments (76)
Post contains 361 words, total size 2 kb.

1 That whole freedom of choice, chance to make your own health care decisions stuff was overrated.

It's much better to just turn things over to government bureaucrats.

What's the worst that could happen?

Posted by: DrewM. at August 05, 2010 06:00 PM (X/Lqh)

2 My body, my choice. * * Does not apply to any other health services other than abortion.

Posted by: Just Another Poster at August 05, 2010 06:11 PM (HAdov)

3 The incredible disappearing post.

Is there any doubt that our 'ruling elites' aren't near as smart as they think they are, and they are hideously overreaching?  Bureaucrats are merely men, but convinced of their own matchless capabilities to master everything they can conceive of.

Reality has proved this wrong through all of human history, but that hubris continues with the belief that they are the ones we were waiting for...

Posted by: nickless at August 05, 2010 06:13 PM (MMC8r)

4 They scream about us wanting in their bedrooms.  Then they want in our kitchens, living rooms, bathrooms, garages....yes, I know Rush came up with that.  And it WORKS.

Posted by: Bikermailman at August 05, 2010 06:15 PM (dIE9+)

5 I was adjusting the horizontal, and some shit happened.

Posted by: Dave in Texas at August 05, 2010 06:18 PM (Wh0W+)

6 Bikermailman, that's how it works. Give us your freedom, and you can have all the social-guilt-free orgasms you want. They're just another class of prostitutes, nothing more.

Posted by: JSchuler at August 05, 2010 06:19 PM (yKEQc)

7 but GatewayPundit has already noted that Sen Claire McScabkil has said that the Missouri voters are wrong. End of discussion, at least until next Jan (I hope...)

Posted by: Ira at August 05, 2010 06:19 PM (W6bJb)

8 That target had to come from the Post Office, or maybe USDA.

Headline at Drudge:  Postal Service loses $3.5 Billion...concerned about future liquidity.

Posted by: Guy Fawkes at August 05, 2010 06:20 PM (yT8z7)

9 It's nothing.

Posted by: Robert Gibbs at August 05, 2010 06:22 PM (xXyXP)

10

from GatewayPundit:

McCaskill, however, makes the point that people “don’t realize” how beneficial the “mandate” for health care will be. “A lot of noise about the mandate that people have gotten so focused on that they don’t realize that there’s going to be more access and affordability and more choices,” she said.

Larry/Goebbels: The people are saying --

Moe/Hitler: I do not care what the people say.

Posted by: Ira at August 05, 2010 06:26 PM (W6bJb)

11 Does chopping off the feet of my patients to make a couple of extra bucks count as medical treatment? Or how about an unnecessary tonsillectomy?

Posted by: SomeSay the Strawmarian at August 05, 2010 06:27 PM (V/EYZ)

12 re: #8 -- how dare you question their patriotism.

Posted by: Ira at August 05, 2010 06:27 PM (W6bJb)

13

I work for a health insurance company and we've been banging our heads against the wall as to how to implement this health insurance reform bill.  It's a shitstorm of a bunch of disjointed ideas and stupid, stupid plans.

It's a horrid bill and only confirms my theory that people in the government are either profoundly stupid or illiterate.  Or both....

Posted by: specious at August 05, 2010 06:27 PM (5WNX2)

14

I want "health care"

 

But first you will blow me

Posted by: Mel Gibson at August 05, 2010 06:30 PM (veaqz)

15

 Â“A lot of noise about the mandate that people have gotten so focused on that they donÂ’t realize that thereÂ’s going to be more access and affordability and more choices,”

Well, gee, you stupid bitch, maybe we'd be more aware of all that sweet sweet goodness in Obamacare if you mandarin kleptocrats hadn't buried it in 2,300 pages of lobbyist-written bullshit that you didn't even read.

Posted by: VJay at August 05, 2010 06:31 PM (Q/RCp)

16 If you like your health insurance, you can keep your health insurance, but we get to decide what counts as health insurance and if we do not like yours fuck you you lose your health insurance. I will not raise taxes on 90% of Americans one dime, unless they choose not to buy health insurance and then fuck them right in the ass.

Posted by: Obama at August 05, 2010 06:31 PM (V/EYZ)

17 This explains the G-Spot how ?

Posted by: Bill D. Cat at August 05, 2010 06:33 PM (NuAIL)

18 Hey remember when I kinda stuck my middle finger up when I mentioned McCain during a speech and people thought I was flicking him off? I was really flicking off America.

Posted by: Obama at August 05, 2010 06:33 PM (V/EYZ)

19 Postal Service loses $3.5 Billion...concerned about future liquidity.

Buy Forever Stamps!

Posted by: G Gordon Liddy at August 05, 2010 06:33 PM (8/oOq)

20
federal health care cartel


Mew meme alert!

Posted by: Lemon Kitten at August 05, 2010 06:35 PM (0fzsA)

21 I work for a health insurance company and we've been banging our heads against the wall as to how to implement this health insurance reform bill.

I usually go with darts or tarot cards in those situations.

Posted by: Guy Fawkes at August 05, 2010 06:36 PM (yT8z7)

22
If we repeal it - then doctors and nurses don't have to turn into slaves of the state.
 

Posted by: Lemon Kitten at August 05, 2010 06:36 PM (0fzsA)

23 No, really. It's nothing.

Posted by: Robert Gibbs at August 05, 2010 06:36 PM (xXyXP)

24 23 No, really. It's nothing. Posted by: Robert Gibbs at August 05, 2010 10:36 PM (xXyXP) No actually it's my cock fucking America.

Posted by: Obama at August 05, 2010 06:38 PM (V/EYZ)

25 O/T:  You just know things are getting interesting when they are bringing up George Bailey and it isn't Christmas and no bells are ringing for angels to get their wings: 
Dealbreaker refers to DI on this story too and then wonders if this has anything to do in relation to the above.
"It's a Wonderful Life"   is my favorite movie, quintessentially American, unmistakeably Christmas.  It is the only movie I recommend if you want to have a good cry.  Never ever had a guy watch, who didn't ball like a baby afterward.

Posted by: . at August 05, 2010 06:41 PM (p302b)

26 What happens when all 57 states "opt out"?

Posted by: mesablue at August 05, 2010 06:43 PM (AUndp)

27 >>>No actually it's my cock fucking America.

Our Revolution is the Original, badass motherfucker that, so far, has ended the reigns of Kings, Fascists, Communists, and Dictators by the score.

You will be a novelty, but not missed.

Posted by: Unfrozen Fozzilized Media at August 05, 2010 06:44 PM (hCQG5)

28 6 What happens when all 57 states "opt out"? Posted by: mesablue at August 05, 2010 10:43 PM (AUndp) A left wing judge invalidates their votes. Fuck you I won.

Posted by: Obama at August 05, 2010 06:44 PM (V/EYZ)

29 The trailer for "It's a wonderful Life"

Posted by: . at August 05, 2010 06:47 PM (p302b)

30 Liz Taylor? I'd still hit it.

Use the old roll her in flour trick.

Posted by: G Gordon Liddy at August 05, 2010 06:48 PM (8/oOq)

31 Sorry to have interrupted...when I read your post drew all I could think of was "elections have consequences"

Posted by: . at August 05, 2010 06:48 PM (p302b)

32 I'm going to head down to the DPS office tomorrow and have them check out this mole.

Posted by: Dr. Spank at August 05, 2010 06:48 PM (xO+6C)

33 Ooops....sorry Dave.....I meant to type Dave and I typed drew but then again someone came running in her yelling so I didn't proofread and just clicked send...

Posted by: . at August 05, 2010 06:49 PM (p302b)

34 Are we covered for rehab in the Healthcare bill?

Posted by: Cocaine-Addled Monkeys at August 05, 2010 06:50 PM (MMC8r)

35 aren't they arguing in court that this bill is a tax or something.  There is way too much to pay attention to and I figured I'd get my info on this from here.

Posted by: . at August 05, 2010 06:56 PM (p302b)

36 35 Didn't you hear I said it wasn't a tax to George Stephanopolous, and I would never ever ever lie.

Posted by: Obama at August 05, 2010 06:57 PM (V/EYZ)

37 >>aren't they arguing in court that this bill is a tax or something.

Yes. They're claiming they've the right to do this extending from the power to tax.

BTW: Did you know there's no standard for electronic medical records, even from hospital to hospital within the same city? Sometimes docs can't tell where to look for the info to save your life, or cannot access it due to systems differences, or important info is locked behind passwords nobody has.
But, the bill mandates your records will go electronic anyway.

Posted by: Unfrozen Fozzilized Media at August 05, 2010 07:00 PM (hCQG5)

38 They keep pushing me...

Posted by: Comrade Arthur at August 05, 2010 07:05 PM (Xt974)

39 Delegation doctrine ahoy!

Posted by: alexthechick at August 05, 2010 07:10 PM (YBXMV)

40 Christine Romer is quitting.

http://tinyurl.com/29euht5

Posted by: Tami at August 05, 2010 07:12 PM (VuLos)

41 It's.All.About.Control

Posted by: Soap MacTavish at August 05, 2010 07:20 PM (554T5)

42 "BTW: Did you know there's no standard for electronic medical records, even from hospital to hospital within the same city?..."

BTW, did you know that the AMA runs that Current Procedural Terminology system--you know, the one that ZeroCare mandates--and because it is trademarked and licensed, they make money every time one of their medical codes is sent to someone and that they really don't give a flying fuck how many doctors are AMA members because they're making their change off those codes?

Posted by: azlibertarian at August 05, 2010 07:22 PM (zw1gy)

43 "So a handful of regulators are now choosing among the tens of thousands of services that doctors, hospitals and insurers offer."

Death by regulation. Not yours necessarily but the nation's. The Executive has overpowered the Legislative and made it impotent because the legislators refuse to reign in this rogue Presidency. And who would be surprised? Pelosi-Reid are equally rogue.

This is all by design.

Our national nightmare continues.

Posted by: AnonymousDrivel at August 05, 2010 07:26 PM (swuwV)

44

We can complain all we want now, but we're f**ked once a majority of the population starts getting a big subsidy to purchase government-mandated insurance. 

The leftists are going to hook low-middle class citizens on the subsidy - they're counting on a slow decline in the quality of care as rationing gradually sets in. 

If Republicans don't repeal this monstrosity as soon as they have the ability, the toad's going to get cooked in the pot.

Posted by: stickety at August 05, 2010 07:27 PM (EsWC3)

45 I cant wait until November.

Posted by: Timbo at August 05, 2010 07:29 PM (ph9vn)

46 No Wheat for You.

Posted by: Putin - Wheat Nazi at August 05, 2010 07:39 PM (yT8z7)

47 health care is only work on those who were illed

We be illin'.

Posted by: Beasty Boys at August 05, 2010 07:46 PM (mSNsp)

48

I didn't say 'hell yes' I said fuck yeah.

 

 

Posted by: JR at August 05, 2010 07:47 PM (ReqUq)

49 I didn't say 'hell yes' I said fuck yeah. I don't remember seeing you here before.

Posted by: Team America at August 05, 2010 07:59 PM (SwkdU)

50 Christine Romer is quitting.

Guess who's fault that is -- Geoff!!!

Posted by: mesablue at August 05, 2010 08:02 PM (AUndp)

51

This is actually a really big deal.  My sister works for WellPoint and is one of those nurses that staffs a patient hotline and does outreach to encourage patients to get preventive care.  These people undoubtedly help patients get better care and they save money by allowing patients to get answers and treatment suggestions and often to avoid unnecessary and costly emergency room visits.  But they are not actually providing health care.  If the government rules that these nurse hotlines are not compensable health services, my sister and all the nurses like her will lose their jobs, and patient health will actually get WORSE and cost MORE. 

This seems like a no-brainer, right?  But we are talking about government here.

Posted by: rockmom at August 05, 2010 08:08 PM (w/gVZ)

52 Posted by: mesablue at August 06, 2010 12:02 AM (AUndp)

Apparently a little frustrated at her job.

Posted by: YIKES! at August 05, 2010 08:08 PM (x+k6q)

53 Posted by: rockmom at August 06, 2010 12:08 AM (w/gVZ)

That process of job layoffs in medical field especially in hospitalsis on going right now because of Oclusterfuck care.
I dodged a bullit from the latest rounds.

Posted by: YIKES! at August 05, 2010 08:13 PM (x+k6q)

54 One of the little things I remember from Orwell's 1984 was that when the monthly chocolate ration was cut from 10 grams to 5, the government announced the chocolate ration "has been raised to 5 grams per month."

Expect many similar announcements as the Obama bureaucracy decides what is best for patients, doctors, nurses, drug-makers, and medical device and service providers.

I suggest all businesses - retail and otherwise - devise some promotion to give away something - anything - for free on Election Day.  That will surely divert many of the parasitic Democratic voters, who would rather spend the day standing in line for a handout than going to vote instead.

Posted by: Adjoran at August 05, 2010 10:23 PM (VfmLu)

55 I know only one thing: I am NOT going to purchase anything I don't want, period! Nor will I pay a fine ore penalty for NOT obeying this crap. Put me in prison if you can catch me. 

Posted by: Kohl at August 05, 2010 11:23 PM (0waZf)

56 This is what is so fucking maddening about the GOP. They have not one, not 2, but at least 3 issues to run on, that the Dems are pushing or at least attached to (Hellcare, Illegal Immigration, and the Gay marriage usurpation)...at the very fucking least....and all I hear from them is crickets. I know, they're waiting for the summer to end, blah blah blah....all I know is that if I was in any position of power in the GOP, I'd have tons of ads that would be simply nuclear. It ain;'t rocket science......

Posted by: Damn Sockpuppet at August 05, 2010 11:59 PM (/m1En)

57

It's a horrid bill and only confirms my theory that people in the government are either profoundly stupid or illiterate.  Or both....

Posted by: specious at August 05, 2010 10:27 PM (5WNX2)

There's a third option.

they make money every time one of their medical codes is sent to someone and that they really don't give a flying fuck how many doctors are AMA members because they're making their change off those codes?

Posted by: azlibertarian at August 05, 2010 11:22 PM (zw1gy)

The AMA is a RICO. They're the ultimate corrupt union that has managed to get the government to give them power over others, members or not. They've probably done more to harm patients than help.

If the government rules that these nurse hotlines are not compensable health services, my sister and all the nurses like her will lose their jobs, and patient health will actually get WORSE and cost MORE. 

Posted by: rockmom at August 06, 2010 12:08 AM (w/gVZ)

They're creating an agency for that. They don't want to risk any unexpected changes in the employment trends. After all, if they're going to take over health care entirely, why not get started now?

Besides, they can't risk someone being given un-approved advice, some patient might enjoy their life instead of living in mortal fear of salt, and that would be a tragedy.

Posted by: Merovign, Strong on His Mountain at August 06, 2010 02:24 AM (bxiXv)

58 Howard Dean just said on CNBC that they may, may only lose one senate seat.  And he believed it.

Posted by: curious at August 06, 2010 04:50 AM (p302b)

59 I was beginning to wonder if anyone was up this morning.

Posted by: Vic at August 06, 2010 05:09 AM (/jbAw)

60 I didn't know where to post but innately knew it shouldn't be the top thread.

Posted by: curious at August 06, 2010 05:12 AM (p302b)

62 Doesn't look like there will be a lot going on today.

Posted by: Vic at August 06, 2010 05:13 AM (/jbAw)

Posted by: curious at August 06, 2010 05:14 AM (p302b)

64 Well, it is a friday in August but I still know plenty of people who used to take every friday at least who are working today.  The bars in NYC reap the benefit.

Posted by: curious at August 06, 2010 05:15 AM (p302b)

65 The big news today here is Tax Free day on "school supplies and clothes". That is an 8.5% discount here.

Only problem is that the clothes must cost less than $100.00.

Posted by: Vic at August 06, 2010 05:16 AM (/jbAw)

66 I used to leave about noon on Friday if there wasn't anything going on. I would have a nice long lunch with my wife and then she would drop me off at a place downtown for my Friday snoot-full.

Posted by: Vic at August 06, 2010 05:18 AM (/jbAw)

67 Headline thread is up now.

Posted by: Vic at August 06, 2010 05:19 AM (/jbAw)

68 I just got the letter from the company providing my flex reimbursements as to what things one can no longer get reimbursements for under the new law.  Guess what-it doesn't help me. 

Posted by: ed at August 06, 2010 05:40 AM (Urhve)

69 The problem with that healthcare theory is that the European countries that did it started when the countries were on the upswing and their economies were doing well.  We are starting in the midst of an economic disaster.  The slow addiction isn't going to work.

Posted by: ed at August 06, 2010 05:44 AM (Urhve)

70      This is probably representative of what's coming if Obama gets things transformed to positive liberties instead of negative ones.  It will take huge bureaucracies to define what we're entitled to.  We'll be at the mercy of people with no mercy.

Posted by: publicserf at August 06, 2010 07:44 AM (2XcgL)

71 I've asked Senator Claire "Don't you trust me?" McCaskill about this issue not once but twice with - predictably - no response. Seems she's real super-fretful about her dummy constituents not knowin' nothin' about the creamy goodness that is Obamacare but not so fretful about taking matters into her own hands and educating them herself.

Posted by: Tongueboy at August 06, 2010 08:21 AM (U1Ib2)

72 Blowjobs are health services, right?

Posted by: Purple Avenger at August 06, 2010 11:12 AM (lVO0g)

73 Brought to you by the slavery party, the Democrats, this time slavery by regulations and debt, still slavery. On;y difference, this time the lame stream journOlistas play their KKK.

Posted by: bill-tb at August 08, 2010 04:33 AM (y+QfZ)

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