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mimi
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#1

Post by mimi »

Republicans bleed slow-moving ObamaCare: Column


Kavon Nikrad7a.m. EDT March 20, 2013


If slim funding for Affordable Care Act causes rough Republicans will say "I told you so.'








n 2012, opponents of the Affordable Care Act (ACA) lost both at the Supreme Court and the ballot box. As a result, many opponents vowed to engage in scorched-earth tactics defunding the law or shutting down government. Last week, House Budget Committee Chairman Paul Ryan, R-Wis., announced where he stood with the release of a budget proposal he says would repeal ObamaCare.





The week before, however, the House of Representatives continued another approach, a back door that could slow or undermine the law's implementation with small cuts unlikely to spark a confrontation. The House passed a continuing resolution intended to keep the government running through September. Many conservatives balked because the measure's funding for health care reform looks like a win for President Obama. However that's not the whole story.





Small cuts





The House bill left out nearly a billion dollars in funding for insurance exchanges as well as funds for the IRS to prepare to enforce the law's tax rules. According to Rep. Nita Lowey, D-N.Y., this will delay "implementation of the Affordable Care Act. ... Without IT infrastructure to process enrollment and payments, verify eligibility and establish call centers, health insurance for millions of Americans would be delayed."more:


[/break1]usatoday.com/story/opinion/2013/03/20/republicans-obamacare-funding-sabotage-column/1997713/]http://www.usatoday.com/story/opinion/2 ... n/1997713/








When when issues come up with the implementation, Republicans will blame the law. But it's their own planned actions that will gum it up.

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#2

Post by SueDB »

The Pugs don't hate American, they just hate Americans with a passion unmatched since Reconstruction.
“If You're Not In The Obit, Eat Breakfast”

Remember, Orly NEVAH disappoints!

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mimi
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#3

Post by mimi »

There's a story going around that has everyone buzzing. It goes like this:





Politico:





Lawmakers, aides may get Obamacare exemption





By JOHN BRESNAHAN and JAKE SHERMAN | 4/24/13 9:49 PM EDT





Congressional leaders in both parties are engaged in high-level, confidential talks about exempting lawmakers and Capitol Hill aides from the insurance exchanges they are mandated to join as part of President Barack Obama’s health care overhaul, sources in both parties said.





The talks — which involve Senate Majority Leader Harry Reid (D-Nev.), House Speaker John Boehner (R-Ohio), the Obama administration and other top lawmakers — are extraordinarily sensitive, with both sides acutely aware of the potential for political fallout from giving carve-outs from the hugely controversial law to 535 lawmakers and thousands of their aides. Discussions have stretched out for months, sources said.


Continue Reading





A source close to the talks says: “Everyone has to hold hands on this and jump, or nothing is going to get done.”





Yet if Capitol Hill leaders move forward with the plan, they risk being dubbed hypocrites by their political rivals and the American public. By removing themselves from a key Obamacare component, lawmakers and aides would be held to a different standard than the people who put them in office.there's more:


[/break1]politico.com/story/2013/04/obamacare-exemption-lawmakers-aides-90610.html]http://www.politico.com/story/2013/04/o ... 90610.html








But, Ezra Klein puts that away:





No, Congress isn’t trying to exempt itself from Obamacare





Posted by Ezra Klein on April 25, 2013 at 8:50 am





Here’s how it happened: Back during the Affordable Care Act negotiations, Sen. Chuck Grassley (R-Iowa) proposed an amendment forcing all members of Congress and all of their staffs to enter the exchanges. The purpose of the amendment was to embarrass the Democrats. But in a bit of jujitsu of which they were inordinately proud, Democrats instead embraced the amendment and added it to the law. Here’s the relevant text:





The only health plans that the Federal Government may make available to Members of Congress and congressional staff with respect to their service as a Member of Congress or congressional staff shall be health plans that are — (I) created under this Act (or an amendment made by this Act); or (II) offered through an Exchange established under this Act (or an amendment made by this Act).Let’s stop for a moment here and explain why this is unusual. Large employers — defined in the law as employers with more than 100 employees — aren’t allowed onto the insurance exchanges until 2017, and only then if a state makes an affirmative decision to let them in.





But the federal government is the largest employer in the country. So Grassley’s amendment means that the largest employer in the country is required to put some of its employees — the ones working for Congress — on the exchanges. But the exchanges don’t have any procedures for handling premium contributions for large employers.





That’s where the problem comes in. This was an offhand amendment that was supposed to be rejected. It’s not clear that the federal government has the authority to pay for congressional staffers on the exchanges, the way it pays for them now in the federal benefits program. That could lead to a lot of staffers quitting Congress because they can’t afford to shoulder 100 percent of their premiums. (There’s also a smaller issue related to how retiree benefits might be calculated. But I’m only willing to go so far into the weeds here.)There's more. It sounds complicated. And it sounds like the result of a Congress pissing match. Sorry.





[/break1]washingtonpost.com/blogs/wonkblog/wp/2013/04/25/no-congress-isnt-trying-to-exempt-itself-from-obamacare/]http://www.washingtonpost.com/blogs/won ... obamacare/

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mimi
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#4

Post by mimi »

Ezra Klein has more on the Obamacare for congressional staffers thingy.





Congress isn’t giving itself special treatment on Obamacare. It’s giving itself special punishment.


Posted by Ezra Klein on April 25, 2013 at 12:26 pm





It's confusing to me. You can read it here. (I'm on my way out to find new shoes.)





[/break1]washingtonpost.com/blogs/wonkblog/wp/2013/04/25/congress-isnt-giving-itself-special-treatment-on-obamacare-its-giving-itself-special-punishment/]http://www.washingtonpost.com/blogs/won ... unishment/

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realist
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#5

Post by realist »

[link]The Texas Tribune,http://www.texastribune.org/2013/05/07/ ... th-reform/[/link]





Hotze to File Suit Over Federal Health Reform





The U.S. Supreme Court’s ruling that penalties under the Affordable Care Act qualify as taxes has opened the door to another constitutional challenge, Dr. Steve Hotze, a Houston physician and prominent Republican donor, said at a Tuesday press conference announcing his lawsuit against the federal government.





“What we were promised was a new health care policy and change that could be good for all Americans,” Hotze said at the state Capitol, flanked by more than a dozen Republican legislators. “Really, all it’s turned out to offer us is higher premiums, higher taxes and a government that will allow its bureaucrats to interfere with the doctor-patient relationship.”





Hotze plans to file a lawsuit in Houston district court on Tuesday to prevent enforcement of the federal Affordable Care Act in Texas.





[...]





The lawsuit presents two constitutional challenges: First, it argues that the ACA violates the rule that requires revenue-raising bills to begin the U.S. House, because the original bill began as a tax credit bill for veterans — not a revenue-raising bill. Second, the lawsuit argues that the ACA violates the Fifth Amendment of the Constitution by essentially requiring citizens to pay money to other citizens by compelling employers to pay private insurance companies for health coverage.more at the link
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Sterngard Friegen
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#6

Post by Sterngard Friegen »

Loser in more ways than I can count right now.

TexasFilly
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#7

Post by TexasFilly »

The Hotze clan are a bunch of losers. The Dr. was charged with DWI a few years back. Those charges somehow went away. At least one of the other brothers was a drunk too. But that doesn't stop them from running around telling others how to live their lives.
I love the poorly educated!!!

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Skip Intro
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#8

Post by Skip Intro »

[link]The Texas Tribune,http://www.texastribune.org/2013/05/07/ ... th-reform/[/link]“Really, all it’s turned out to offer us is higher premiums, higher taxes and a government that will allow its bureaucrats to interfere with the doctor-patient relationship.”Other than the taxes, and by substituting insurance companies for government, it sounds like the Blue Shield plan I've been paying for for the last 20 years.
In the Trump era anything is true if enough people believe it.

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#9

Post by A Legal Lohengrin »

The Fifth Amendment argument is such a drop-dead loser that it deserves no attention.





The Origination Clause argument appears to have a little more merit, such as it is. However, the Congressional Research Service has done [/break1]fas.org/sgp/crs/misc/RL31399.pdf]a report on that clause, in part on how the Supreme Court has handled cases raising it as a challenge. The long and short of it is that unless something is a tax in the strict technical sense, the Supreme Court is not going to invalidate a law on the basis that it's kind of sort of tax-ish.





The "money quote," at least for this case, is here:





The Court’s direct involvement in defining the meaning of the Origination Clause dates back at least to 1813 when Justice Joseph Story wrote that revenue laws are those


made for the direct and avowed purpose for creating and securing revenue or public funds for the service of the government. No laws, whose collateral and indirect operation might possibly conduce to the public or fiscal wealth, are within the scope of the provision.39Later, in his Commentaries on the Constitution, Story reiterated this position when he wrote that the meaning of the Origination Clause was


confined to bills to levy taxes in the strict sense of the words, and has not been understood to extend to bills for other purposes, which may incidentally create revenue.4039 United States v. Mayo, 26 Fed. Cas. 1230, 1231 (C. C. Mass. 1813)(No. 15,755).


40 Joseph Story, Commentaries on the Constitution (Boston: Hilliard, Gray & Co., 1833; reprint edition Littleton, CO:


Fred B. Rothman & Co., 1991) vol. 2, chap. XIII, sec. 877, p. 343.So, the short version: this pig ain't gonna fly.

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Sterngard Friegen
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#10

Post by Sterngard Friegen »

Hotze appears to be involved in quack medical remedies so this is only a slight segue into the legal profession's quack remedies for him.

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#11

Post by Plutodog »

Damn Obamacare is going to steal us away from the wonderful free market of the greatest healthcare system in the world...[/break1]washingtonpost.com/blogs/wonkblog/wp/2013/05/08/one-hospital-charges-8000-another-38000/]http://www.washingtonpost.com/blogs/won ... her-38000/One hospital charges $8,000 — another, $38,000Posted by Sarah Kliff and Dan Keating on May 8, 2013 at 12:01 amConsumers on Wednesday will finally get some answers about one of modern life’s most persistent mysteries: how much medical care actually costs.For the first time, the federal government will release the prices that hospitals charge for the 100 most common inpatient procedures. Until now, these charges have been closely held by facilities that see a competitive advantage in shielding their fees from competitors. What the numbers reveal is a health-care system with tremendous, seemingly random variation in the costs of services.
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#12

Post by A Legal Lohengrin »

Damn Obamacare is going to steal us away from the wonderful free market of the greatest healthcare system in the world...[/break1]washingtonpost.com/blogs/wonkblog/wp/2013/05/08/one-hospital-charges-8000-another-38000/]http://www.washingtonpost.com/blogs/won ... her-38000/One hospital charges $8,000 — another, $38,000For the first time, the federal government will release the prices that hospitals charge for the 100 most common inpatient procedures. Until now, these charges have been closely held by facilities that see a competitive advantage in shielding their fees from competitors. What the numbers reveal is a health-care system with tremendous, seemingly random variation in the costs of services.Incidentally, the "Invisible Hand" that the pugs worship like a God and believe will fix everything with fairy magic, at least in theory relies on market transparency, so that competition can shake things out. You know, knowing things like prices in advance. Without those things, there is no "free market," even if you do assume that a magical hand nobody can see will just fix everything for you.

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#13

Post by Dolly »

House GOP To Hold Yet Another Obamacare Repeal Vote........And so House Republicans will vote on Thursday — yet again — to wipe out the Affordable Care Act. By their own count, it’ll mark the 37th time they’ve voted to fully repeal or partially dismantle the President’s signature achievement.........The nonpartisan Congressional Budget Office said Wednesday that it will not score the legislation due to time constraints. In a letter to Republicans, CBO’s director pointed to its most recent Obamacare repeal score, in July 2012, which said getting rid of the law would increase budget deficits by $109 billion over the next decade.........The repeal vote is expected to pass on a party-line vote. What happens next is less clear. It remains to be seen whether Republicans will be able to close that chapter after this and move on to more serious health care legislation, or whether they’ll remain trapped in a hopeless battle that they’ve lost in Congress, the Supreme Court and at the ballot box.[/break1]talkingpointsmemo.com/2013/05/house-gop-obamacare-repeal-vote.php?ref=fpb]http://tpmdc.talkingpointsmemo.com/2013 ... hp?ref=fpb
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#14

Post by Estiveo »

I can only assume that the Rethuglicans keep doing this out of some sort of autonomic reaction from their lizard brain. I mean, none of them could have THAT many constituents writing letters demanding the repeated time-wasting fails, right?Kabuki for their local base, without the cool make-up.
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#15

Post by Mr. Gneiss »

Tenth Circuit Court of Appeals hears oral arguments today on Hobby Lobby's appeal.http://www.denverpost.com/breakingnews/ ... areFederal judges peppered lawyers for the federal government and Hobby Lobby Stores Inc. with questions Thursday as the two squared off over the corporation's challenge to a part of the federal health-care law that requires it to offer employees health coverage that includes access to the morning-after pill."The Greens are a deeply religious family who have exercised their faith through their business for 40 years," Kyle Duncan, who argued the case before the 10th Circuit Court of Appeals, said of the family that owns Oklahoma-based Hobby Lobby.[snip]Lower courts have rejected Hobby Lobby's claim, saying that for-profit businesses aren't covered by an exemption added to the law for religious organizations. That exemption applies to churches but not to affiliated nonprofit corporations, such as hospitals, that do not rely primarily on members of the faith as employees.The case was heard by eight 10th Circuit judges, not the typical three-judge panel, indicating its importance.

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#16

Post by Addie »

Paul Krugman, [link]New York Times,http://krugman.blogs.nytimes.com/2013/0 ... publicans/[/link]





Obamacare Will Be A Debacle — For Republicans





The Affordable Care Act, aka Obamacare, is a policy Rube Goldberg device — instead of doing the simple, obvious thing, which would just be to insure everyone, it basically relies on a combination of regulations and subsidies to rope, coddle, and nudge us into a rough approximation of a single-payer system. There were reasons for this, of course, mainly political...Still, the question is whether this cobbled-together system will work, and there have been many conservatives rubbing their hands with glee over the prospect of failure.





Whoops.





We won’t really know how Obamacare works until it has been in operation for a while; but we do know that essentially the same system has been running in Massachusetts since 2006, and is doing pretty well. The question, then, is whether other states that don’t have MA’s initial advantages — especially an already low uninsurance rate and an already operating system of community rating — can make this thing work. The big fear has been of sharply rising premiums as insurers are required to cover people with preexisting conditions. And the biggest test case was always going to be California.





Well, the preliminary numbers for CA are in — and they’re looking very good, with costs coming in below expectations. At this point, it looks as if this thing is indeed going to work.





And think about the political dynamics. Because the Supreme Court decided to let states opt out of the Medicaid expansion, some states — notably Texas — will have a pretty dysfunctional version of Obamacare in 2014, although even those systems will provide significant benefits to many people. Still, the whole political calculus was supposed to be that Republicans in red states could point to the horrors of Obamacare and ride them to political victory. Instead, it looks as if we’re going to see blue-state residents reaping the benefits of a functional health care system, while red-state residents are denied many of those benefits, for what looks like no better reason than mean-spirited spite — because what’s going on is, indeed, mean-spirited spite.
"The very least you can do in your life is to figure out what you hope for." - Barbara Kingsolver

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#17

Post by Foggy »

I got a fun email from WND yesterday titled "ObamaCare Just Killed Its Millionth Person". Tantalizin', yesno?Well, it turns out it came from Floyd Brown's latest playtoy, [link]Capitol Hill Daily,http://www.capitolhilldaily.com/[/link]. A letter signed by Martin Biancuzzo, who writes:I've seen what's coming and it's scary. It's a lethal dose of socialism being injected directly into the heart of the American health insurance market.Heck, it's already wreaking havoc. By our estimates, Obamacare has already killed a million people by further straining an already weak healthcare system.Whaddya mean, "already weak"? Why do you hate America? We had the greatest healthcare system in the galaxy before ObamaCare ruined everything! Best system EVAR, except for the healthcare systems of every other civilized nation.Still, ObamaCare responsible for killing a million people. Why, Unca Joe Stalin woulda called that a statistic, yes he would!!
For more information, read it again.

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Dolly
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#18

Post by Dolly »

California's health exchange to serve as voter registration hubMillions of Californians who contact the state's new health exchange to buy insurance will be given the opportunity to register to vote, too, a move that some Republicans fear could benefit Democrats.Secretary of State Debra Bowen made California the first state to designate its health exchange as a voter registration agency Wednesday, but others are expected to follow suit, said Shannan Velayas, Bowen's spokeswoman."This is about making sure that all eligible Californians are offered the chance to register to vote," Velayas said Thursday.A 1993 federal law requires states to designate their agencies and offices that provide public assistance or disability services as voter registration agencies, Velayas said.The federal law commonly is known as "motor voter" because it ensured that applicants for drivers' licenses nationwide would be asked if they wanted to register to vote. [/break1]sacbee.com/2013/05/17/5427419/californias-health-exchange-to.html]http://www.sacbee.com/2013/05/17/542741 ... ge-to.htmlOf course, some people at Free Republic are not happy about this. [/break1]freerepublic.com/focus/f-news/3022200/posts]http://www.freerepublic.com/focus/f-news/3022200/posts
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#19

Post by TexasFilly »

How about that? When my youngest turned 18 he had to go get a new driver's license. Guess what they offered to do? Yep, register with the Selective Service. Imagine making stuff easier for folks! Sekrit Stuffs!
One of his friends declined the offer, thinking it wasn't required. The mom asked me about it, and I had to tell her the truth. Then the kid signed up.
I love the poorly educated!!!

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Dolly
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#20

Post by Dolly »

GOP Ariz. rep. who supports Medicaid is threatenedA Republican member of the Arizona House who supports GOP Gov. Jan Brewer's push to expand Medicaid received an obscene and threatening voicemail at her office, a sign that the rancorous debate over embracing a signature component of President Barack Obama's health care overhaul in the state is far from over.A visibly shaken state Rep. Kate Brophy McGee of Phoenix urged fellow members Thursday to tell their constituents to be civil, after a fellow lawmaker encouraged opponents of the plan to call Brophy McGee and other GOP supporters."Let's tone down the rhetoric, let's focus on the issue, and let's disagree without making someone like me frightened to come to work," Brophy McGee said on the House floor.Other lawmakers who support or are believed to back Medicaid expansion reported getting email and phone calls containing varying layers of vitriol. [/break1]yahoo.com/gop-ariz-rep-supports-medicaid-threatened-201820632.html]http://news.yahoo.com/gop-ariz-rep-supp ... 20632.htmlArizona investigating angry email sent lawmakersThe Arizona Department of Public Safety has launched an investigation into lawmakers' safety after at least nine legislators received threatening emails over Gov. Jan Brewer's push to expand Medicaid in the state.Officials said Friday that the sender of the email asked the lawmakers to vote against the Medicaid expansion plan and made reference to Second Amendment rights.The recipients included Arizona House Speaker Andy Tobin and eight other Republican House members. The email refers to shooting someone and eliminating a threat.State police are also investigating a separate incident involving a voicemail left for Rep. Kate Brophy McGee, of Phoenix. She is a Republican who supports the Medicaid expansion. Brophy McGee asked House members Thursday to tell their constituents to be civil.[/break1]yahoo.com/arizona-investigating-angry-email-sent-lawmakers-172608611.html]http://news.yahoo.com/arizona-investiga ... 08611.html
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mimi
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#21

Post by mimi »

from that first link, Rep. Thorpe of Flagstaff sent an email telling people to call those who supported Medicaid. He later apologized, but said it wasn't his fault cuz he told people to be polite.And the guy who left the threatening messages left a phone number. Brophy McGhee said he sounded drunk.from that second link, just wow:The message referred to Second Amendment rights and shooting someone, but did not include any direct threats. It was sent to House Speaker Andy Tobin, who opposes the Medicaid expansion, and eight other Republican House members."Please kill SB1492, the Medicaid Expansion Act," the email begins, before quoting the Second Amendment. It then reads, "If you are ever asked why you shot the person, the only answer from your lips should be, I felt my life, or/and my family's life was in immediate danger of death. So I did what I had to do in order to eliminate this threat. "

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#22

Post by mimi »

Revealed: Letters From Republicans Seeking Obamacare Money





It’s the height of hypocrisy: They call for repeal of the law but plead for its dollars on behalf of constituents.


Lee Fang


June 5, 2013 | This article appeared in the June 24-July 1, 2013 edition of The Nation.








[/break1]thenation.com/article/174669/revealed-letters-republicans-seeking-obamacare-money]http://www.thenation.com/article/174669 ... care-money





And he Scribd the letters as well. They appear at the story link, but I can't link directly to scribd, which kinda irritates me cuz it's easier to read on scribd or download.

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#23

Post by bogus info »

This is going to make you mad as hell. :evil:





Currently, aides and lawmakers receive their health care under the generous Federal Employee Health Benefits Program. The government subsidizes upward of 75 percent of the premiums for the health insurance plans. In 2014, most Capitol Hill aides and lawmakers are expected to be put onto the exchanges, and there has been no guidance whether the government will subsidize those premiums. This is expected to cause a steep spike in health insurance costs.And this:





More than a dozen senior aides interviewed by POLITICO about the issue declined to be named out of fear for future job prospects. The problem is most acutely felt at the staff level, where aides make between $35,000 and roughly $170,000 and budgetary problems have all but stopped pay increases and bonuses. Lawmakers have questioned leadership aides about the future of their health care.Read more: [/break1]politico.com/story/2013/06/obamacare-lawmakers-health-insurance-92691_Page2.html#ixzz2W6PpA3tq]http://www.politico.com/story/2013/06/o ... z2W6PpA3tq





Emphasis mine. Welcome to the real world, Aholes.

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#24

Post by No Pilikia »

I was guilty of a threadjack a while ago about Electronic Medical Records, EMRs, & vented several times about my own issues dealing with this change as a Nurse Practitioner. I spent a little time trying to find my posts just now but didn't find them so just want to comment here. My boss sent me a great AMA editorial that does an excellent job of expressing how we folks in the trenches feel. I am so disappointed that I can't seem to cut & paste the link here but it was a PDF & I'll just guess that my boss's AMA account limits links? My boss titled the email to us "A great review of EMRs by head of AMA" & it was just so succinct in expressing the concerns of us providers. I now wish I'd written down my favorite sentence but it went something like this, that nowadays 18 month olds can figure out how to use an ipad but medical professionals with 7-10 years of post-collegiate education are brought to their knees by their EMR system. That statement is SOO!! true. It gave stats on how, a few years ago, folks would recommend their EMR system to others, but that # is down now, about 39% I think. I would have loved to read the IT Fogbowers' comments about this AMA editorial . It's quite clear that the IT folks & the medical providers need to spend a LOT more time explaining exactly what it is that we do in a clinic. Of course, we can only keep trying, but we waste so much time on the interface between technology & medicine, instead of spending that time on patient care. I will just expect it to get better. Meanwhile, my old 45-50 hour work week, is now a 55-60 hour week, because I am now "so lucky" that I can work from home. I am really proud of the 2 of my colleagues who have set firm limits & won't work from home. The rest of us are bleeding-heart-wimps. Will it burn us out? We'll just have to wait & see.
"The opportunity that Hawaii offered -- to experience a variety of cultures in a climate of mutual respect -- became an integral part of my world view and a basis for the values I hold most dear." Barack Obama, 1999

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Lani
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#25

Post by Lani »

It's bad IT. Hawaii has also turned all the agencies on aging into ADRC (Aging and Disability Resource Center), with very defective software. People who used to meet with older members of our society and and see what assistance they qualify for now must ask them 350 questions to enter into the database, plus anyone 18 and over with a qualifying disability. The questions are very personal and have nothing to do with qualifying for assistance. For example, sexual activity. Not kidding.I also have major problems with Hawaii outsourcing Medicaid to for profit mainland companies. They are paid for their services plus bonuses for cutting costs (i.e. services). Lingle's pitch was that it would reduce costs, but it has not. It has killed a number of people, however. l received some documents about the abuses and bonuses and forwarded them to Abercrombie, for a big yawn in return. A whistleblower was threatened with arrest and reported for handcuffs in Honolulu, but the state backed down. I've seen medical records recorded for good purposes in Australia. That country and others with universal healthcare recognize early the danger of some medications that the US does not. Personally, I support national collection as it prevents or ends dangerous practices and recognizes trends. Well, in a free society, anyway.

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