Archive for MEDICARE

If You Are Not In The 5% Top Earners Voting Republican Is Against Your Own Interest And That Of Your Children And The Generations To Come.

Posted in Uncategorized with tags , , , , , , , , , , , , , , , , , , , , , , on January 14, 2015 by sheriffali

Twitter @sheriffali

GOP AGAINST 95 PERCENT OF AMERICANS

Why are Republicans so offended by Liberals accomplishments?

Posted in Uncategorized with tags , , , , , , , , , , , , , , , , , on April 13, 2014 by sheriffali

LIBERALS ACCOMPLISHMENTS:

 

Liberals got women the right to vote! Liberals got African-Americans the right to vote! Liberals created Social Security and lifted millions of elderly out of Poverty. Liberals ended Segregation. Liberals passed the Civil Right Act; The Voting Right Act; Liberals created Medicare and Medicaid and passed the Clean Air Act and the Clean Water Act.

 

Republicans/Conservatives Accomplishments:

 

Republicans Voted against all of the above and have continued to this day to abolish the Programs or gut the Programs by cutting funding for which they have done and will continue to do.

 

Republican Supporters that are not Millionaires or Billionaires!

 

Republican Run Red States are some of the Poorest in the Nation; 45% of Children depend on Food Stamps; the Unemployment Insurance that expired December 2013 that the Republicans have refused to pass the extension Bill, hundreds of thousands of active and returning Veterans and the people that still can’t find work due to the unbelievable collapse of our Economy on George W. Bush’s Stewardship, are without the Unemployment Insurance and most of them are completely without any money to take care of their children.

 

Hence, it begs the question that whether you are Republican, Independent or Democrat and you if are not in the Millionaires or Billionaires Club, why do you support the GOP with your vote that enhances misery on you and your children?

 

Are you so blinded by being brainwashed or ignorance that you are unable to face reality? Or is it some other prejudice that possesses you body, soul and mind that causes you to suffer for the Republican Politicians that have and continues to protect only the very rich?

 

The Republicans just passed a Budget in the House of Representatives solely on GOP Party line that increases the Middle Class Taxes by $2,000.00, but, gives an additional $87,000.00 to the Rich. Just when you are going to face reality that your Greek god, Ronald Reagan idea of “trickled-down-economics is a farce that have scammed you and continue to scam you of having a better life for you and your children!

Follow me on Twitter: @sheriffaliREPUBLICANS - THE KOCH BROTHERS APRIL 13 14

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

The Republicans response to Obama’s Health Care Reform was the same for Social Security, Disability Insurance, Medicaid and Medicare! 1935-2013

Posted in Uncategorized with tags , , , , , , , , , , , on October 1, 2013 by sheriffali

1935

 

Almost all Republicans in Congress opposed the creation of Social Security.

 

1939

 

75% of Republicans in the Senate try to kill legislation providing Social Security benefits to dependents and survivors as well as retired workers.

 

1956

 

86% of Republicans in the Senate opposed Disability Insurance; the program was passed nonetheless.

 

1964

 

Republican Presidential Candidate Barry Goldwater and Ronald Reagan both suggest Social Security be made Voluntary.

 

1977

 

58% of the Senate voted against amendment to provide semiannual increases.

 

1977

 

88% of Republicans in the House and 63% in the Senate voted against increase in Social Security Payroll Tax needed to keep the system solvent.

 

1981

 

Ronald Reagan White House proposes $35 Billion in Social Security cuts over five years. The cuts would have included elimination of student benefits; lump-sum death benefits and a retroactive elimination of the $122.00 minimum benefit for three million recipients. Congress ultimately enacted $24 Billion of the proposed cuts.

 

1981

 

Reagan Administration begins a wholesale review of the Social Security Disability Rolls, resulting in over 560,000 eligibility investigations in 1982, more than the year before. Ultimately, at least 160,000 families were removed from the rolls.

 

1981

 

99% of Republicans in the House and 98% in the Senate voted for legislation containing $22 Billion in Social Security and Medicare Cuts.

 

1981

 

Reagan Administration proposes a three month delay in 1982 cost-of-living increases.

 

1981

 

Reagan White House proposes $200 Billion in Social Security Cuts between 1982 and 1990. The cuts included reduction in early retirement benefits; tightened disability eligibility standards; delay in the 1982 cost of living adjustment and a 10% eventual reduction in benefits for all new retirees. [The US Senate repudiated the President’s proposal by a vote of 96 to 0]

 

1982

 

President Ronald Reagan and Senate Republicans proposed a $40 Billion in benefit cuts over three fiscal years.

 

1985

 

The Reagan Administration backs attempts by the Republican Senate Leadership to eliminate the 1986 Social Security COLA. Vice President George Herbert Walker Bush casts the tie-breaking vote to eliminate COLA. The House of Representatives defeated it and it was never enacted.

 

1990

 

President George Herbert Walker Bush instigated efforts to end Social Security by appealing to younger workers to put “their” Social Security Insurance Payments in the Stock Market.

 

2005

 

Labor led a fight against privatization saved Social Security from being privatized.

 

2007

 

President George W. Bush, once again, includes privatization of Social Security in his 2007 Budget.

 

As you can see, the Republicans Greek god – Ronald Reagan and Congressional Republicans have been and continues to be, the worst enemy of America’s hard-working men and women! Why do people vote for them?

 

2010 – 2013

 

The Republicans in the House of Representatives voted 42 times to repeal Obama’s Health Care Reform Act and failed each time.

 

Then, Speaker of the House John Boehner allowed his Leadership to be hijacked by The Tea Party and the extreme right and attempted to use the Continuing Resolution for;

 

1. Defunding Obamacare that failed.

 

2. Delaying Obamacare that failed.

 

3. Attempted to delay the individual Mandate that failed.

 

Time ran out and they shut down the Government, claiming they were voting their conscience. However, you don’t have to be Einstein to ascertain that their motive has been and continues to be, to deprive the American People of vital Insurance Services that have been in the making for 70 years.

 

The Brainwashed or Uninformed Americans or both, really do need to get involved with what is best for them and their children, for if they don’t, they would continue to be used by the Republican Party against their own best interest. 

REPUBLICANS ARE AGAINST THE WORKING CLASS