Munchkin Man
EOG Dedicated
Greetings:
As the old saying goes, one picture is worth a thousand words:
Munchkin Man
As the old saying goes, one picture is worth a thousand words:
Munchkin Man
Fewer than 2 million of the nation’s 6 million companies with employees qualify for the small-business tax credits included in the new health insurance reform law, says the National Federation of Independent Business.
The law’s supporters had projected that twice as many small businesses would qualify for the tax credit. NFIB has joined a lawsuit challenging the constitutionality of the health care law.
An employer with 17 workers and an average wage of $39,000 will not qualify for a tax credit, NFIB says. Also, none of the 23 million-plus self employed Americans can get the tax credit either.
Workers will pay more for their health care next year as U.S. companies prepare for provisions of the overhaul signed into law by President Barack Obama, according to a survey released today.
About 63 percent of businesses plan to make employees pay a higher percentage of their premium costs in 2011, said the Washington-based National Business Group on Health, which surveyed 72 companies that employ more than 3.7 million people. The survey showed 46 percent plan to raise the maximum level of out-of-pocket costs that workers must bear.
The companies surveyed expect their costs of health-care benefits to rise an average of 8.9 percent next year. The legislation Obama signed in March will contribute an estimated 1 percentage point to the higher expense, Helen Darling, the business group’s president, said at a press conference in Washington today. Employee-paid portions may see small increases, she said.
Yep!!Our contract expires in March and the company has already told the union we are going to be paying 12% more for our insurance!!It is either that or they will drop the coverage and pay the fine which would be cheaper and make us go in pools and get our own.Video: Large companies will get hit with 9% increase in health costs under ObamaCare
]
Manchin endorsed President Obama’s efforts on landmark health care reform and voiced support for the bill before and after its passage in March. Now, just five weeks away from a tougher Senate race than he expected against Republican John Raese, the governor said in an interview with RealClearPolitics that he supports many basic components of the law but volunteered that some of it needs to be repealed.
“I believe in health care reform. I don’t believe in the way this bill was passed,” Manchin said Sunday afternoon. “Why they overreached, I don’t know.”
Pressed on his support for repeal, Manchin clarified that he favored “repealing the things that are bad in that bill.” He ticked off a list of reforms in the law that he supports and asserted there is broad agreement in both parties for many of them. “Can’t you keep that as a good base?” he said, adding, “It’s a great bill.” He emphasized that he’s not calling for wholesale repeal and just wants to roll back parts of it but said, “You do need to.”
Our health (bi-weekly) insurance premiums are rising from $110 to $160. That?s a 45% increase. To be fair, to balance that out, the benefits are decreasing (higher co-pays, etc.).
You are actually lucky compared to me. I can no longer purchase my policy, as it is not ?obamacare approved?. I officially got the letter on Monday, but knew already that my insurance company will no longer carry my policy because the new mandates have made it too expensive. I asked if they thought anyone else would sell me the same policy and they told me that they are now illegal and I wouldn?t be able to get that policy again. They gave me three options, the least expensive of the three almost doubles my costs. It will go up about 85%. To make matters worse, I am losing all the money that is left over in my HSA, unless I use it up by the end of the year. Something that won?t happen unless there is a medical emergency that is major.
The Obama Administration has quietly granted even more waivers to the new federal health reform law, doubling the number in just the last three weeks to a new total of 222.
One of the more recognizable business names included on the newly-expanded list of waivers issued by the feds is that of Waffle House, which received a waiver on November 23 for health coverage that covers 3,947 enrollees.
Another familiar name was that of Universal Orlando, which runs a variety of very popular resorts in the Orlando, Florida area. Universal was given a waiver for plans that cover 668 workers.
These waivers deal with limited health benefit plans, sometimes referred to as ?mini-med? policies, which companies as large as McDonald?s use for some its employees.
We need single payer health care.
"Single-payer financing is the only way to recapture this wasted money. The potential savings on paperwork, more than $350 billion per year, are enough to provide comprehensive coverage to everyone without paying any more than we already do.
Under a single-payer system, all Americans would be covered for all medically necessary services, including: doctor, hospital, preventive, long-term care, mental health, reproductive health care, dental, vision, prescription drug and medical supply costs. Patients would regain free choice of doctor and hospital, and doctors would regain autonomy over patient care."
http://www.pnhp.org/facts/single-payer-resources
February 02, 2012
Follow the Bills
The Health Care Racket
by RALPH NADER
Looking at millions of individual bills that makeup the 2.7 trillion dollars of annual health care costs opens a gigantic window on the massive waste, redundancy, profiteering, fraud and sometimes criminal over-billing.
Here is a partial example of what I mean, in the words of Philip M. Boffey, the estimable science writer for the New York Times:
?Why does an appendectomy in Germany cost roughly a quarter what it costs in the United States? ($3,285 compared to $13,123). Or an MRI scan cost less than a third as much, on average, in Canada? ($304 compared to $1,009).Moreover, France and Germany, Italy, England, Canada, Belgium, Sweden and all other western countries plus Japan and Taiwan cover almost all their citizens, unlike the U.S. where 50,000,000 people are uninsured.
?Americans continue to spend more on health care than patients anywhere else. In 2009, we spent $7,960 per person, twice as much as France, which is known for providing very good health services. And for all that spending, we get very mixed results?some superb, some average, some inferior?compared with other advanced nations.?
Boffey adds other explanatory factors. These include higher administrative costs to deal with insurance paperwork, higher insurance company profits and executive compensation and less developed electronic health records leading to costly errors.
Except for Germany there are somewhat longer waiting times for some patients to see a specialist in these countries. But in the U.S. seeing specialists is often prohibitively expensive, and if you cannot afford such services, that is the longest waiting time of all.
Health care bills come with hefty levels of fraud. From the historic study twenty years ago by the then General Accounting Office of the Congress to the present estimates by the nation?s leading expert in this field, Professor Malcolm Sparrow at Harvard University, fully ten percent of all health care expenditures are the result of computerized billing fraud and abuse. That will be $270 billion this year.
Dr. Sparrow, an applied mathematician, says it could be higher if the federal government would simply do a more detailed study. He adds that the enforcement budget should be one percent of the estimable volume of fraud. In actual practice, the enforcement budget is less than one/tenth of one percent, even though every dollar of enforcement brings in at least seventeen dollars back. (See Dr. Sparrow?s website:http://www.hks.harvard.edu/fs/msparrow/ )
Obviously the corporate fraud lobby is stronger than the taxpayer/consumer lobby in Washington, D.C. But why the health insurance companies, a formidable force in their own right when it comes to protecting its turf against single payer or full Medicare insurance (see singlepayeraction.org) do not do more to stop fraudulent billing practices, is a puzzle.
All in all, the health care industry is replete with rackets that neither honest practitioners or regulators find worrisome enough to effectively challenge. The perverse economic incentives in this industry range from third party payments to third party procedures. Add paid-off members of Congress who starve enforcement budgets and the enormous profits that comes from that tired triad ?waste, fraud and abuse? and you have a massive problem needing a massive solution.
Ralph Nader is a consumer advocate, lawyer and author of Only the Super-Rich Can Save Us! He is a contributor to Hopeless: Barack Obama and the Politics of Illusion, forthcoming from AK Press.
Edited from:
http://www.counterpunch.org/2012/02/02/the-health-care-racket/