|
![]() |
#76 | |
Non Potestis Latere
Join Date: Sep 2000
Location: Durango, CO
Casino cash: $19382
|
Quote:
It's true. The first one was for tier 1 help desk support. I never gave this a second thought till all u guys said never happened. I still know a handful of peeps there, ill have check if still the norm. This wa circa 2003. |
|
Posts: 16,883
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#77 | |
The Dude Abides
Join Date: Apr 2001
Location: Dakota Country
Casino cash: $12056
|
Quote:
Doesn't surprise me that Otter fell for that; in this case the "victim" must have enjoyed it; just sayin'.... ![]() ![]() ![]()
__________________
Arrogance, ignorance, and incompetence. Not a pretty cocktail of personality traits in the best of situations....in a leader, it's a lethal cocktail. --Grayden Carter |
|
Posts: 42,816
![]() |
![]() |
![]() |
#78 |
**** you, asshole
Join Date: Nov 2002
Casino cash: $577
|
|
Posts: 194,619
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#79 |
**** you, asshole
Join Date: Nov 2002
Casino cash: $577
|
|
Posts: 194,619
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#80 |
The 23rd Pillar
Join Date: Sep 2002
Casino cash: $19337
|
Doctors are selling their groups to hospitals as the changing healthcare world is making it hard for them to survive financially. Hospitals who take the doctors groups on to make sure they continue to have patients are seeing these struggling groups drag their balance sheets down. The democrats have failed us on healthcare reform. Of course, I'm pretty sure it was intentional.
__________________
![]() “The American people are tired of liars and people who pretend to be something they’re not.” - Hillary Clinton |
Posts: 92,480
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#81 | |
Has a particular set of skills
Join Date: Dec 2003
Location: On the water
Casino cash: $39727
![]() |
Quote:
Getting the facts straight: Most democrats wanted a single payor system. Medicare for all type. They couldn't get that passed. Settled for obamacare. |
|
Posts: 59,912
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#82 |
The 23rd Pillar
Join Date: Sep 2002
Casino cash: $19337
|
I suspect it's been going on longer than that, but the pace is accelerating because of the problems created by the spiraling costs of healthcare. Obamacare was focused on expanding coverage rather than the real problem. In fact, it seems to have exacerbated the real problem.
__________________
![]() “The American people are tired of liars and people who pretend to be something they’re not.” - Hillary Clinton |
Posts: 92,480
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#83 |
Non Potestis Latere
Join Date: Sep 2000
Location: Durango, CO
Casino cash: $19382
|
What do rocks taste like?
|
Posts: 16,883
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#84 | |
Bucs, Pats, Noles
Join Date: Apr 2006
Location: None of your business
Casino cash: $70063
|
Quote:
Cloward–Piven strategy at work and single payer will be next as this next phase of Fabian Socialism fails.
__________________
![]() “Preventive war was an invention of Hitler. I would not even listen to anyone seriously that came and talked about such a thing.” ~ Dwight D. Eisenhower |
|
Posts: 98,262
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#85 | |
Veteran
Join Date: Nov 2008
Location: ¿
Casino cash: $9875
|
Quote:
-BO |
|
Posts: 2,236
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#86 | |
Veteran
Join Date: May 2003
Location: Tucson AZ
Casino cash: $5300
|
Quote:
Obama is much more clever. Obama is in fact, trying to create a health care system that will cause the electorate to demand nationalized health care. Its the only thing that makes sense, unless we are to presume the crafters of this legislation are complete morons. Obama thinks we should have nationalized health care, probably due to the left wing arguments about how France spends about 8% of their GDP on health care while we spend 18% and the french have better longevity expectations and lower infant mortality rates. The american public has resounding rejected nationalized health at every opportunity. Consequently, Obama crafted a system which is admirably we'll crafted to achieve its purpose, but that purpose is NOT to provide health care. The purpose is to shift public opinion in favor of nationlized health. Quadrupling insurance company profits in the short term is the carrot he dangled in front of insurance executives (who only think short term) to quell their opposition. Go directly after national health, and insurance companies will spend a mountain of money to fight you, because that will disenfranchise them overnight (and, more importantly, unemploy their decision-making executives). Yet, Obamacare creates incentives for companies to DROP employee health coverage, by setting the penalty an order of magnitude lower than providing health care. Think about this, Obama has created a situation where companies stop providing health care while CHOOSING to pay more taxes (in forms of penalties) to the government. In one fell swoop he's created a situation where individuals will now be seeking iindividual plans, and will now cry out for government to "defend" them against the big bad insurance copmanies. All of this while INCREASING government revenue so that he has more govt sugar with which to pay off voters and corporations. He's also required individuals to get health care. This is a hidden tax increase, under the guise of giving you health care. The supreme court, btw, calls it what it is: a tax. Forget about Obama and Pelosi's lies. Now, those individuals will be out seeking individual policies without group bargaining power. Insurance companies will make hay bargaining against the untried and inexperienced organizations known as government established co-ops, which, as government entities, they will be able to influence through lobbying. As the op establishes, Obamacare pretty much makes it impossible for an insurance company to lose money, while shifting all the risk to health care providers. We can see the real intent of Obamacare in the taxation of medical devices, including things like BRACES in orthodontics which are hardly high tech. How, exactly, does increasing the cost of using medical devices improve access to health care? Not at all. In fact, it creates a government-mandated disincentive to provide health care, while increasing government revenue. Obama has, again, increased his capability to buy off voters and corporations on the back of sick Americans. As for why hospitals are going bankrupt, its going to get worse. This fall, we are still scheduled to change the coding method for health care claims, going from what is known as ICD-9 to ICD-10. Numerous analysts have reported that changing the coding method will cause a bigger financial hit to the health care system than the losses that destroyed the real estate industry in 2007-08. While most do not expect the same kind of economic meltdown since home-mortgages were built into financial instruments well-beyond the immediate losses to the home real estate industry, this is a crisis for hospital CFO's. Estimates suggest that hospitals will lose more than 4%-5% of revenue on the inefficiency of the new claims system during the adjustment period (of around a year). Now, when you consider that the majority of hospitals run at a 1-1.5% profit margin (2% is HIGH for a hospital) that means that the CFO will have to finance a year of losses. If they maintain their typical profit margins, they are looking at 4 (or more years if you look at finance costs) years operating in the red if you include the financing costs. Btw, the conversion to ICD-10 is not exactly part of Obamacare, but is instead a separate piece of legislation. Gee, is it any wonder that they aren't hiring or wanting to buy new equipment? I can't imagine how this harms the economic recovery, with health care being the single largest sector of the US economy. Btw, hospitals and doctors are also required to digitize their medical records (as part of the 2009 stimulus package and is tehcnically not part of OBamacare). Beginning in 2014, providers will face medicare and medicaid reimbursement penalties (of around 4%) for failure to comply to a requirement that only causes them losses and yields no benefit with most EMR systems. Now, for most EMR systems, digitization does NOT help the provider's bottom line, but does help the government. In fact, many new EMR systems will force the physician to spend MORE time dealing with new data requirements, increasing the time admin duties will take during patient visits. (Btw, as a matter of full disclosure---I work for a small health care IT company which is trying to get in on this market. I hold a sliver of founder stock and the CEO is my first cousin---he was also one of the key designers of Java.) Btw, the new regs for EMR systems are (surprise, surprise) behind schedule. And, industry data indicates that 30% of providers are so unhappy with their new EMR systems, that they are already looking for replacements. This is another whole area of revenue hits due to compliance inefficiency in the wake of a new regulatory system. While I do not expect anyone to "cry" for poor health care providers, I do hope to make you understand why providers are so unhappy. Physicians are now selling their private practices to join hospital owned groups, seeking more institutional expertise in dealing with these regulatory concerns. In fact, now more than %50 of providers operate in a hospital-owned practice rather than physician owned (1st time in history). My dad (a retired physician who used to be staff president of a KC area hospital) tells me this is a cyclical thing, that usually swings back when profits tend to gravitate toward hospital executives and the admin personnel develop proficiency under the new regs. Notice, however, that doctors under regulatory siege become more likely to embrace a european-style one-payer system. Yet, when paired with the incentives for employers and hordes of new patients put in a weak bargaining position vis a vis insurers, and hospital losses, you can see that Obamacare has undermined every source of opposition to national health. Obama is creating a political moment where national health can win at the polls by delivering something that is much worse. I think its intentional. P.S. (note that under the hospital-owned physician practice problems, I did not even mention the inherent conflict of interest created by hospital-owned practices and hits to quality of care). Last edited by JohnnyV13; 02-10-2013 at 05:53 PM.. |
|
Posts: 3,085
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#87 |
Bucs, Pats, Noles
Join Date: Apr 2006
Location: None of your business
Casino cash: $70063
|
I call BS on the French system. It's failing. It's one of the most expensive in Europe and unsustainable. They also do not use as much hi-tech HC in Europe as we do in the US. Another reason why ours costs more. Now add in the 2000 plus mandates imposed on HC/Insurance which have driven up cost and the illegals using the Emergency Rooms. Govt intervention in HC markets are a big reason why the costs have risen. Also, BI Pharma gets protected markets.
__________________
![]() “Preventive war was an invention of Hitler. I would not even listen to anyone seriously that came and talked about such a thing.” ~ Dwight D. Eisenhower |
Posts: 98,262
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#88 | ||
Bucs, Pats, Noles
Join Date: Apr 2006
Location: None of your business
Casino cash: $70063
|
France's Health-Care System Is Going Broke
http://www.businessweek.com/articles...is-going-broke Low-Tech and inexpensive but they get re-imbursed for this: Quote:
And you can't count infant deaths because we count ours differently. And now, because it's failing: Quote:
You're dreamer Johnny...like most progs.
__________________
![]() “Preventive war was an invention of Hitler. I would not even listen to anyone seriously that came and talked about such a thing.” ~ Dwight D. Eisenhower |
||
Posts: 98,262
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#89 | |
Veteran
Join Date: May 2003
Location: Tucson AZ
Casino cash: $5300
|
Quote:
Didn't say I agreed with Obamacare and the French argument. I said that is the argument most often used by supporters of national health. Often these kinds of arguments don't control for dietary habits, drug habits ect, and will look at infant mortality, critical care outcomes, and longevity. Basically, the whole post was about how Obama is trying to shift public opinion against the public will. Obviously, your opinion of that is going to vary depending on whether you think national health is desirable or not. In fact, I think Obamacare is a clusterfrak. We think our EMR system will win market share with or without Obamacare, because we turn EMR into something that substantially improves revenue for providers, whether the primary insurer is private insurance or a government agency---as opposed to most of our competitors. So, in many ways, I don't have a dog in this hunt other than my interests as a citizen. Where I disagree with the doctor is the ultimate purpose of Obamacare, which is NOT to quadruple ins. company profits. It's ultimate purpose is to get the public to agree with national health care---which is a long-term democrat dream. I'm saying how he's doing it is to deliver a complete train wreck to make everyone think national health care is the solution. Funny how you must not have read my post. Because I would have thought the portrayal of how Obama is getting companies to drop health insurance coverage, pass a tax increase that they lied and said wasn't a tax (obamacare), and then get companies to willingly pay more taxes (penalties) would make it pretty clear what I think of Obamacare---in order to get more government sugar that they can use to buy off voters and corporate supporters. Last edited by JohnnyV13; 02-11-2013 at 02:59 AM.. |
|
Posts: 3,085
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() |
#90 |
Shaken. Not stirred.
Join Date: Sep 2002
Location: London
Casino cash: $35326
![]() |
I'm not believing shit in this forum without reliable links. I'm sick of all the lying and trolling that goes on in here now.
__________________
Tell me, what lunatic asylum did they let you out of? |
Posts: 60,112
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() |
![]() |
![]() ![]() |
Thread Tools | |
Display Modes | |
|
|