Archive for Health Care

In Rare Unity, Hospitals, Doctors and Insurers Criticize Health Bill. GOP TAHCA Takes Away One Trillion Dollars From Health Care And Gives It To The Rich!

Posted in United States with tags , , , , , , , , , on May 5, 2017 by sheriffali

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Republicans and Donald Trump have spent 104 days from January 20, 2017 to May 04, 2017 working around the clock to destroy the lives of Millions of Americans by repealing Obamacare and implementing [TAHCA] “The American Health Care Act,” which takes away One Trillion Dollars from Health Care and give it to Corporations and the Rich. However, we must never forget the 7 years 2010-2016 the GOP Controlled Congress voted 62 times to repeal Obamacare. And yes, it is millions of uninformed, ignorant, mostly uneducated and brainwashed Americans that vote these people into Office and vote to keep them in Office. Amazing isn’t it?

 

[NYT] “It is a rare unifying moment. Hospitals, doctors, health insurers and some consumer groups, with few exceptions, are speaking with one voice and urging significant changes to the Republican health care legislation that passed the House on Thursday.

 

The bill’s impact is wide-ranging, potentially affecting not only the millions who could lose coverage through deep cuts in Medicaid or no longer be able to afford to buy coverage in the state marketplaces. With states allowed to seek waivers from providing certain benefits, employers big and small could scale back what they pay for each year or reimpose lifetime limits on coverage. In particular, small businesses, some of which were strongly opposed to the Affordable Care Act, could be free to drop coverage with no penalty.

 

The prospect of millions of people unable to afford coverage led to an outcry from the health care industry as well as consumer groups. They found an uncommon ally in some insurers, who rely heavily on Medicaid and Medicare as mainstays of their business and hope the Senate will be more receptive to their concerns.

 

“The American Health Care Act needs important improvements to better protect low- and moderate-income families who rely on Medicaid or buy their own coverage,” Marilyn B. Tavenner, the chief executive of America’s Health Insurance Plans, the industry’s trade group, said in a strongly worded statement.” Open NYT For Full Article: https://nyti.ms/2pMnxJc

 

Twitter @sheriffali

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During Barack Obama’s Presidency There were 60 Failed Repeal Votes Of Obamacare By Republicans And Even Now, With GOP In Control Of The White House, Senate And House Of Representatives, Their “Trump Republican Health Care Act” Imploded Like A Condemned Building Packed With C4!

Posted in United States with tags , , , , , , , , , , on March 26, 2017 by sheriffali

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Solipsistic, bloated host, Donald Trump doesn’t realize that he was the manipulator for a parasitic Republican Party. Republicans had nothing more than a bunch of spiritless inducing retreads and zero charisma candidates, who would have nothing more than sacrificial fodder, against Secretary of State Hillary Clinton’s seeming demographic inevitability.

 

Uninformed, ignorant, uneducated, and brainwashed Republican Voters duped with the Trump phenomenon, the Corrupt Corporate Media, Republicans And Trump’s lies, the suppression and purging of Minority Voters by Republican Governors, Bernie Sanders and his wayward followers, Vladimir Putin and Russia’s meddling, altered Hillary Clinton’s reality. Now we are left with the singular most corrupt person, Donald Trump and his egregious machinations pretending to be an Administration, plundering America with unequivocal assistance from most of the Congressional Republicans.

 

In the words of Hillary Clinton; “America is great because America is good,” along with Thomas Jefferson; “when injustice becomes law, resistance becomes duty,” must be the mantle for America’s true Patriots, those serving in the Military, Diplomats abroad, all US Intelligence Agencies, Law Enforcement and most of all – The American People,” we must fight the good fight to remove the “Ochlocracy” that hangs over America and the World.

 

At the present time, Paul Ryan, who passed for a wonk in the parched intellectual desert that is the Republican Party and Mitch McConnell, a cynical, pinched hallow man, whose partisanship borders on criminality and whose lack of integrity is mirrored in his chinless, weak Jowled Visage, combine them with Donald Trump’s lack of cerebral substance, self awareness and political acumen and you have, a failed Government, plundering America’s 240 years of sacrifices, credibility, democracy and financial stability.

 

Don’t believe that because you are just one person you can’t make a difference, yes you can, each and everyone, for in the final analysis, all of the tiny contributions in legal and moral resistance will bring about change from this dangerous pivotal moment for America.

[Please Note] Excerpts in this article are from various sources.

 

New York Times Columnist Maureen Dowd wrote a blistering article about Donald Trump in today’s March 26, 2017 Editorial. However, one must remember that Ms. Dowd, an ardent hater of former Secretary of State Hillary Clinton, during the Primaries, wrote unsubstantiated and critical articles about Mrs. Clinton, but now hypocrite Maureen Dowd now joins the Band Wagon in condemnation of Corrupt, Inept, Con Man, Liar Trump. Maureen Down is a Trillion Dollars Short and Years late. Subsequent to the one paragraph, open the link if you are interested in reading Maureen Dowd’s Trump Article;

 

“You promised to get the best people around you in the White House, the best of the best. In fact, “best” is one of your favorite words.

 

Instead, you dragged that motley skeleton crew into the White House and let them create a feuding, leaking, belligerent, conspiratorial, sycophantic atmosphere. Instead of a smooth, classy operator like James Baker, you have a Manichaean anarchist in Steve Bannon.

 

You knew the Republicans were full of hot air. They haven’t had to pass anything in a long time, and they have no aptitude for governing. To paraphrase an old Barney Frank line, asking the Republicans to govern is like asking Frank to judge the Miss America contest — “If your heart’s not in it, you don’t do a very good job.” https://nyti.ms/2ohuyO7

 

Twitter @sheriffali

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President Obama Breaks Silence To Slam GOP Health Repeal And Rally The Resistance

Posted in United States with tags , , , , , , , , , , , , , , on March 24, 2017 by sheriffali

“Donald Trump And The Republicans Are Only Using Words Such As “Repeal And Replace,” When In Truth And In Fact; They Don’t Intend To Replace Anything.

 

The Gimmick Republicans and Trump Sold to Their Ignorant Voters was just a farce. It is self evident that most of the Republican Voters are uninformed, ignorant, uneducated and brainwashed, clinging to their Guns in the Red States that soak up most of the Social Benefits and at the same time, criticizing the same programs that inure to their benefits. Now that reality has hit and “Rubber has met the Road,” the backlash to Republicans from their Constituents is the only reason why Trump and the Republicans have hit their most devastating Health Care impasse.” Sheriff Ali

 

[Shareblue] “President Obama broke his silence on the anniversary of the Affordable Care Act and spoke out against the Republican plan to repeal the landmark achievement.

 

 President Obama released a statement marking the seventh anniversary of the passage of the Affordable Care Act, better known as Obamacare. The former president also used his statement to sharply rebuke the ongoing Republican activity designed to repeal the law, engineered by Donald Trump and Paul Ryan.

 

Obama makes clear that “any changes” should “make our health care system better, not worse for hardworking Americans,” a clear allusion to the Congressional Budget Office’s conclusion that the Republican-backed America Health Care Act would kick 24 million people off of the insurance they gained on Obamacare, with millions more remaining uninsured.

 

There has been a grassroots uprising against the Republican’s anti-health care agenda, with town hall meetings packed with angry and fearful constituents who want to hold on to the coverage they have.

 

Pointing out that the law has made clear that “health care is not a privilege for a few, but a right for everybody,” Obama highlights the benefits of the legislation: “Twenty million Americans have gained the security and peace of mind of health insurance” while “more than ninety percent of Americans are insured – the highest rate in our history.”

 

Obama also reminded Republicans of their absurd rhetoric in the days and years after he signed the ACA into law, as they issued dire warnings about skyrocketing unemployment and job losses that it would purportedly cause. Obama noted, “This law is no ‘job-killer,’ because America’s businesses went on a record-breaking streak of job growth in the seven years since I signed it.” And he is right: When Obama signed the Affordable Care Act into law the unemployment rate was 9.9 percent; it is currently at 4.7 percent.

 

 The statement from Obama concludes with a rallying cry that echoes much of what the resistance has been fighting on behalf of in the months since he left the White House:

 

The Affordable Care Act is law only because millions of Americans mobilized, and organized, and decided that this fight was about more than health care – it was about the character of our country. It was about whether the wealthiest nation on Earth would make sure that neither illness nor twist of fate would rob us of everything we’ve worked so hard to build.  It was about whether we look out for one another, as neighbors, and fellow citizens, who care about each other’s success. This fight is still about all that today. And Americans who love their country still have the power to change it.”

 

Twitter @sheriffali

 

http://shareblue.com/obama-breaks-silence-to-slam-gop-health-repeal-and-rally-the-resistance/#.WNP-Wtv6f_g.twitter

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Hillary Clinton Hits Jeb Bush First, And Hard, In Speech On Race. By The Time Jeb Bush Got To The Lectern Declaring “I Believe In The Right To Rise In This Country,” The Scent Of Political Gun-Powder Was Still In The Air!

Posted in 2016, Politics with tags , , , , , , , , , , , on July 31, 2015 by sheriffali

[NYT] FORT LAUDERDALE, Fla. — Jeb Bush and his aides had envisioned a big, inclusive, high-minded speech about race on Friday in his home state of Florida, a chance to bring his message of colorblind opportunity to a prestigious group of African-American leaders.

 

In a rare gesture of bipartisanship, Mr. Bush even planned to warmly quote President Obama, usually the subject of his derision.

 

Then Hillary Rodham Clinton stomped all over those plans.

 

In a biting pre-emptive attack delivered as Mr. Bush, the former Florida governor, waited backstage here at the annual convention of the National Urban League, Mrs. Clinton portrayed him as a hypocrite who had set back the cause of black Americans.

 

Mrs. Clinton, a Democratic candidate for president, latched onto Mr. Bush’s campaign slogan and the name of his “super PAC” — “Right to Rise,” his shorthand for a conservative agenda of self-reliance and hope — and turned it into a verbal spear.

 

“People can’t rise if they can’t afford health care,” Mrs. Clinton said to applause from convention goers, a dig at Mr. Bush’s opposition to the Affordable Care Act.

 

“They can’t rise if the minimum wage is too low to live on,” she said, a jab at his opposition to raising the federal minimum wage.

 

“They can’t rise if their governor makes it harder for them to get a college education,” she said, a critique of Mr. Bush’s decision as governor to eliminate affirmative action in college admissions.

 

When Mr. Bush reached the lectern, declaring, “I believe in the right to rise in this country,” the scent of political gunpowder was still in the air.

 

It was an unexpected moment of Campaign Theater that seemed to presage Mrs. Clinton’s general-election strategy should she prevail in her party’s primary contest: an elbows-out, cutting approach to her Republican rival. And it was all the more striking because the Bush and Clinton families make a point of highlighting their friendly ties: Former Presidents Bill Clinton and George W. Bush appear on this week’s cover of Time magazine.

 

Twitter @sheriffali

http://nyti.ms/1KELO93

CLINTON CAMPAIGN - URBAN LEAGE FLORIDA - 1 CLINTON CAMPAIGN - NEXT POTUS

Without Any Fanfare Mexico’s Supreme Court Legalizes Sam Sex Marriage! Why Do SCOTUS Create So Much Commotion That Affects The Lives Of The American People?

Posted in Uncategorized with tags , , , , , , , , , , , , on June 15, 2015 by sheriffali

MEXICO CITY — His church turned him away, his family discouraged him from a public fight and the government of the state where he lives vowed it would never happen.

 

But it did. Hiram Gonzalez married his boyfriend, Severiano Chavez, last year in the northern state of Chihuahua, which, like most Mexican states, technically allows marriage only between a man and a woman.

 

Mr. Gonzalez and dozens of other gay couples in recent months have, however, found a powerful ally: Mexico’s Supreme Court.

 

In ruling after ruling, the court has said that state laws restricting marriage to heterosexuals are discriminatory. Though the decisions have been made to little public fanfare, they have had the effect of legalizing gay marriage in Mexico without enshrining it in law.

 

“When I heard the judge pronounce us legally married, I burst into tears,” said Mr. Gonzalez, 41. Like nearly all same-sex couples marrying in Mexico, he and his partner needed a court order in order to exchange vows.

 

As the United States awaits a landmark decision on gay marriage by the Supreme Court, the Mexican court’s rulings have added the country to a slowly growing list of Latin American nations permitting same-sex unions.

 

Argentina, Uruguay and Brazil already allow same-sex marriage. Chile plans to recognize same-sex civil unions this year; Ecuador approved civil unions in April; and Colombia grants same-sex couples many of the same rights extended to heterosexual married couples.

 

“It’s a huge change from where things were 10 years ago,” said Jason Pierceson, a professor at the University of Illinois at Springfield who studies gay marriage trends in Latin America.

 

The shift in Mexico, the second-largest country in Latin America after Brazil, is the product of a legal strategy that advocates used to bypass state legislatures, which have shown little inclination, and often hostility, to legalizing gay marriage.

 

In 2009, Mexico City, a federal district and large liberal island in this socially conservative country, legalized gay marriage — a first in Latin America. There have been 5,297 same-sex weddings here since then, some of them couples coming to the city from other states.

 

Twitter @sheriffali

 

 

http://nyti.ms/1dEVhyG

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Appeals Court Throws Out Obamacare Lawsuit Similar To House GOP Suit [TPM]

Posted in Uncategorized with tags , , , , , , , , , , , , , , , on November 24, 2014 by sheriffali

A federal appeals court threw out a lawsuit by a group of conservative doctors who sued the Obama administration for violating the Obamacare statute by delaying the employer mandate.

 

A three-judge panel on the 7th Circuit Court of Appeals on Friday unanimously affirmed a lower court decision that the Association of American Physicians and Surgeons lacked standing to sue because they failed to prove that the administration’s move would harm them.

 

“In a market economy everything is connected to everything else through the price system. To allow a long, intermediated chain of effects to establish standing is to abolish the standing requirement as a practical matter,” Judge Frank H. Easterbrook wrote for a three-judge panel of Republican appointees.

 

Notably, the lawsuit is similar to the one that the Republican-led House voted to authorize against Obama in July. GOP leaders say they plan to sue the president over the one-year delay of the employer mandate, although they’ve left some wiggle room to target another piece of Obamacare.

 

Legal experts say House Republicans will have a hard time achieving standing, which is required in order for the case to be heard on the merits. Their argument for standing is different, though, than the doctors’ claim: Republicans say Obama’s end-run around Congress threatens the separation of powers.

 

“The Supreme Court does not think that the Constitution’s structural features are open to litigation by persons who do not suffer particularized injuries,” Easterbrook wrote for the 7th Circuit panel.

 

The doctors association that brought the lawsuit said in 2011 its goal is “to fight socialized medicine and to fight the government takeover of medicine.” Prominent members have included former Rep. Ron Paul (R-TX) and current Rep. Tom Price (R-GA).

 

7th Circuit ACA Employer Mandate Ruling

 

 

Twitter @sheriffali

 

 

http://talkingpointsmemo.com/dc/federal-appeals-court-throws-out-doctors-obamacare-lawsuit

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4 Billion Dollars Spent To Elect People with 9% Approval Ratings That Are Against 95% Of The American People’s Interest; And It is The Majority Of The Same People That Voted To Elect Them, November 4, 2014. [REPUBLICANS]

Posted in Uncategorized with tags , , , , , , , , , , , , , , , , , , , , , , , , , , on November 5, 2014 by sheriffali

It defies common logic and beyond any sane person’s comprehension as to why the “Majority of Voters” would vote and reelect the same people that are responsible for almost destroying America during their 8 years rule when George W Bush and Dick Cheney ran the country.

 

In addition, since the inception of 2009 these elected people have done nothing but obstruct everything that would help 95% of Americans, including our Veterans, Middle-Class, Students and the Poor. They have “blocked” or “voted” against every bill having to do with Jobs, Infrastructure, Education, Health Care, Students, Unemployment Insurance, Veteran’s Benefits and other assistance for the American people.

 

I think we are living in a time where majority of Americans are uninformed; uneducated; ignorant; brainwashed and totally bankrupt of basic common sense. In the Exit Polls 54% of the Voters disapproved of how President Obama has handled the Ebola Virus. Just imagine, one person died and the approximately seven people that contracted the Ebola Virus have all been cured. Mr. Obama has taken steps along with other countries to contain the Ebola Virus that are only in three countries in Africa in order for it not to become a worldwide problem.

 

On the other hand, Ronald Reagan sat around until 20,849 Americans died from the HIV AIDS Virus before he even acknowledged its existence. Many of the same people are still in Congress and they are the same people that have cut over 600 Billion Dollars from the CDC Budget since 2010.

 

At the end of 2008 Bush and Cheney along with Republicans had literally wrecked the country. The Stock Market, Dow had fallen as low as 6,500; NASDAQ below 1,800; The S & P that House most of the 401K plans fell to 730, wiping out 50% or more of people’s pension. The Housing Market had totally collapsed and unemployment had hit 10.2%. The Annual Deficit was 1.2 Trillion Dollars. We had two unpaid for Wars costing to date 5.1 Trillion Dollars and two unpaid for Tax Cut for the wealthy of 1.2 Trillion Dollars.

 

Today the Stock Market is at record high; the Housing Market has recovered; Over 10 Million Jobs have been created bringing unemployment down to 5.9% and the Deficit has been reduced by 72%.

 

But yet, Majority of the Voters are totally dissatisfied with President Obama handling of his job. People are so ignorant on the Social Media Sites they blame Obama for the 2005 Hurricane Katrina Disaster; they haven’t a clue that the Deficit has been reduced by 70%. They blame him for America’s National Debt of 17 Trillion Dollars, even though when Bush left Office our National Debt stood at 10.4 Trillion and if you add the unpaid 5.1 Trillion for Wars that Bush started and the 1.2 Trillion Dollars unpaid for Tax Cuts, it isn’t difficult to see why our Debt is at 17 Trillion Dollars.

 

Irrespective of the Politicians that were Winners Tuesday night and even those that lost, their good life isn’t going to change. They will continue to draw $174,000.00 Plus Salaries and other major benefits including the best Medical Coverage. The people that are going to suffer are the people that Voted them into Power.

 

What has caused such damage to the Brains of the Majority of Americans?

 

Twitter @sheriffali

ELECTION NOVEMBER 4 2014

Why do people vote against their interest? When you are dead you don’t know you are dead, it is others that know you are dead; the same applies to when you are stupid!

Posted in Uncategorized with tags , , , , , , , , , , , , , , , , , , , , , , , , , on July 31, 2014 by sheriffali

The 12 Poorest States and 93 out of 100 Counties are all Republican Run Red States, so, why do people vote against their interest?

 

GOP Politicians are cognizant of your predicament and that is how they pick your pockets, you being “stupid!”

 

I do not only castigate only Republicans because there are Democrats who do the same thing. The worst part about the Democrats is that they seem to be trying to walk on both sides of the street at the same time. As for the GOP they are degenerates but they do not hide it, what they do is take advantage of the people that they have brainwashed with hate and disenchantment solely because those people are uninformed, mostly uneducated and their ideology about the “master-race,” still resides with them.

 

In the final analysis, if the 98% of the Middle-Class and the Poor, irrespective of which party they belong don’t learn to care for each other, they would always be the vehicle for the Politicians to keep the country divided. And, as some would know, “together we aspire together we achieve, divided, we fall.”

 

Twitter @sheriffali

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Obamacare: The Rest of the Story… New York Times

Posted in Uncategorized with tags , , , , , , , , , , , , , , on November 23, 2013 by sheriffali

Unless you’ve been bamboozled by the frantic fictions of the right wing, you know that the Affordable Care Act, familiarly known as Obamacare, has begun to accomplish its first goal: enrolling millions of uninsured Americans, many of whom have been living one medical emergency away from the poorhouse. You realize those computer failures that have hampered sign-ups in the early days — to the smug delight of the critics — confirm that there is enormous popular demand. You have probably figured out that the real mission of the Republican extortionists and their big-money backers  was to scuttle the law before most Americans recognized it as a godsend and rendered it politically untouchable.

What you may not know is that the Affordable Care Act is also beginning, with little fanfare, to accomplish its second great goal: to promote reforms to our overpriced, underperforming health care system. Irony of ironies, the people who ought to be most vigorously applauding this success story are Republicans, because it is being done not by government decree but almost entirely with market incentives.

Using mainly the marketplace clout of Medicare and some seed money, the new law has spurred innovation and efficiency. And while those new insurance exchanges that are now lurching into business will touch roughly 1 in 10 Americans (the rest of us are already covered by private employer plans or by government programs like Medicare), these systemic reforms potentially touch every patient, every taxpayer.

“This is the 90 percent of the story that doesn’t make the headlines,” said Sam Glick, who follows health care reform for the Oliver Wyman consulting firm.

Since the Affordable Care Act was signed three years ago, more than 370 innovative medical practices, called accountable care organizations, have sprung up across the country,  with 150 more in the works. At these centers, Medicare or private insurers reward doctors financially when their patients require fewer hospital stays, emergency room visits and surgeries — exactly the opposite of what doctors have traditionally been paid to do. The more money the organization saves, the more money its participating providers share. And the best way to save costs (which is, happily, also the best way to keep patients alive) is to catch problems before they explode into emergencies.

Thus the accountable care organizations have become the Silicon Valley of preventive care, laboratories of invention driven by the entrepreneurial energy of start-ups.

These organizations have invested heavily in information technology so they can crunch patient records to identify those most at risk, those who are overdue for checkups, those who have not been filling their prescriptions and presumably have not been taking their meds. They then deploy new medical SWAT teams — including not just doctors but health coaches, care coordinators, nurse practitioners — to intervene and encourage patients to live healthier lives.

Advocates of these reforms like to say that they are transforming medicine from the treatment of disease to the treatment of patients — and ultimately the treatment of populations.

At Cornerstone Health Care, a 250-doctor organization in North Carolina, patients with a history of congestive heart failure get a daily phone call from a nurse asking them to step on a scale and report their weight, the best early indicator of an impending emergency. The next stage, Grace Terrell, the president of Cornerstone, told me, will be to give these patients scales that automatically transmit their weight directly to the nurse. (“If the N.S.A. is Big Brother, we’re Big Mother,” Terrell says of the weight surveillance program.) Diabetes patients are invited in for low-cost pedicures. Why? Because diabetics are notoriously vulnerable to infections that lead to amputation, and a common cause of those infections is ingrown toenails. (Both of these practices were pioneered by CareMore, a California-based company that runs clinics for Medicare patients and that has become a major role model since Obamacare.)

The Heritage Provider Network, a huge accountable care organization in California, offers Medicare patients free dance lessons, healthy cooking classes and casino excursions that feature “brain power” activities on the bus. The Greater Buffalo United Accountable Healthcare Network, a new, seven-doctor practice in upstate New York, is building a gym and a teaching kitchen for its patients, who are mostly inner-city minorities.

“Most doctors were on treadmills,” plodding through their routines, said Raul Vazquez, the chief executive of the Buffalo venture. Now they’re reinventing health care for the inner city with an invigorated sense of mission.

This is not the heroic medicine that turns surgeons into gods and emergency rooms into Hollywood material. Don’t expect to see a toenail-clipping episode on “Grey’s Anatomy.” But these services address the embarrassing fact, reiterated in study after study after study, that Americans pay much more for medical care than other developed countries, with no better results. Obamacare addresses this problem by going, as Willie Sutton famously advised, where the money is. It concentrates resources on the unhealthiest. According to Kaiser Health News, the sickest 1 percent of patients account for 21 percent of health care costs; 5 percent account for half of the total costs.

“There are organizations that are bringing emergency room visits down by 15 to 20 percent,” Glick said. “Hospital admissions, you see numbers like 20 and 30 percent. That can make a huge difference not only in the cost of care but also in the quality of care.”

The best sign that these innovations are beginning to go viral is that they have caught the attention of some giant businesses. Drugstore chains like Walgreens and CVS are now partnering with hospitals or accountable care organizations to give patients convenient points of access and to coordinate treatment. Companies that spend heavily on employee health care plans are learning the best lessons of the Obamacare laboratory. Walmart, the country’s biggest private employer, will fly workers who need transplants or heart or spinal surgery to premier facilities like the Mayo or Cleveland Clinics to assure that their problems get fixed right the first time, avoiding costly readmissions.

Obamacare has also had some important indirect consequences. According to Catherine Dower of the Center for the Health Professions at the University of California at San Francisco, since the Affordable Care Act states have become more aggressive about challenging some of the protectionist laws that prevent well-qualified medical professionals — pharmacists, nurse practitioners, physician assistants, emergency medical technicians — from offering some kinds of primary care. California just passed a law that will allow pharmacists to check your blood pressure and cholesterol level and to dispense prescription birth control and antismoking drugs. Letting pharmacists perform services that don’t require seven years of medical training makes those services cheaper and more convenient, increasing the chances consumers will take better care of themselves.

Dower said that while the formal doctor lobby continues to resist this as a threat to the M.D. cartel, many physicians have embraced it, recognizing that outsourcing some of these services leaves them more time to do what only doctors can do. And with an estimated 29 million new clients expected to join the ranks of the insured, there is a lot of work to share.

The emerging system is far from perfect. As Elisabeth Rosenthal reported in The Times on Sunday, Congress buckled to drug company lobbying and refused to let Medicare use its purchasing power to bring down obscenely inflated drug prices. And like any upheaval, the reform of health care will produce some losers. Not all of the new organizations will make a go of it. Since hospitals account for about a third of our health care bill, they are a particular target of cost-cutters; some will fail to adapt and will go out of business. Taking costs out of the system means taking money out of somebody’s pockets. This is what the business world calls “creative destruction.”

Grace Terrell of Cornerstone said that of its 250 doctors, “20 percent are still, ‘Down with Obamacare,’ though even they like the private-enterprise approach; 30 percent really get it; and the others are moving faster than the market. We may ultimately fail, but we’re pretty far ahead of the curve.”

One reason you may not have heard much about this part of the Obamacare story is that it is numbingly complicated. (Stephen M. Davidson of Boston University has written a concise and accessible guide to the law and its consequences.) But I suspect another reason is partisan spite. The Democrats were passionately in favor of enrolling the uninsured, but many would have preferred a government-run program, or at least a public option. What Obamacare has wrought is the kind of market-driven reformation that Republicans pretend to believe in. Which makes you wonder how much of their opposition rests on the merits, and how much is just a loathing for anything associated with Barack Obama. [Bill Keller – New York Times]

PRESIDENT OBAMA - DOING GOOD