美國政府是在這月一日,正式被國會(參 眾院)退回2014年預算案(因包裹歐巴馬的健保改革法案中的保險交換-Insurance Exchange),這是歐巴馬健保改革方案中,可預期的難關,所已列入在最後(2014年)完成,代表著民主黨與傳統共和黨的基本價值觀與信仰是不同的,共和黨是代表華爾街,擁有悠久政治,經濟勢力的保守勢力,所以要看歐巴馬健保改革方案,勢必從歐巴馬當選時,2008年藉參院通過美國"振興經濟與再投資法案"說起,;....
在振興經濟與在投資法案中,有相當大的預算是執行傳統醫療指標(效益比-cost-effective 改為Quality Of Life-QOL;;簡單說就是醫療不單是救活病人,而是以恢復有意義的生活-回歸社會, 家庭為目的);.........
以後才有Affortable Care Act-ACA 可負擔的照護法案在參院通過(2011年,在驚險中通過---民主黨參議員與共和黨參議員連署通過將墮胎列入ACA法案中,使得參院創紀錄的開會 討論到早上4:30才通過;......以下有期中選舉的民主黨大敗,歐巴馬在驚險中連任成功(期中有債務上限與財政懸崖問題阻擾都過關了),但是自動減赤(目前面臨考驗);. 歐巴馬連任成功已縮減聯邦預算1.3兆(?),裁減聯邦公務員18萬人了!!!...........
當然健保改革法案中的保險交換-Insurance Exchange是牽涉保險公司, 醫療提共者--provider,保險人- insurer參者之間利益從分配(?),;這是資本主義自由經濟市場醫療照護的公平 正義性,也是維護基本人權的範疇,所以要能被各方接受,不是英國 歐洲的社會主義的公醫制度所無法取代的(?)……
Only the Beginning — What's Next at the Health Insurance Exchanges?
Henry J. Aaron, Ph.D., and Kevin W. Lucia, J.D., M.H.P.
N Engl J Med 2013; 369:1185-1187September 26, 2013DOI: 10.1056/NEJMp1308032
On October 1, the health insurance exchanges created by the Affordable Care Act (ACA) will open for business. Administrators must complete myriad tasks if they are to serve the millions of individuals — many of whom will be eligible for subsidies — and employees of small businesses who are ready to buy insurance……
First, the scope of exchange coverage will grow. Starting in 2016, exchanges will have to offer insurance to businesses with 51 to 100 employees. They have that option now, but no state-run exchange will exercise it in 2014
Second, states now have the authority to createTh a single, unified market for insurance by barring insurance sales to individuals and small businesses outside the exchangeThird, the quantity and quality of information on the prices charged by different hospitals, physicians, and other providers and the availability of data on the quality of care are improving
Fourth, the ACA has set in motion a large number of pilot programs, experiments, and demonstration projects involving new methods of paying for care and organizing providersFifth, few states have given exchanges the power to contract selectively with particular insurers or health delivery organizations, and fewer exchanges have fully used the power they have. Only six states are requiring insurers to offer standardized plans, and some of the minority of states that are limiting the number of plan offerings have set the cap so high that consumers are likely to experience information overload
台灣目前健保制度是國營的, 壟斷的;所以它的財務是無法透明監督的,;就如同九月政爭(司法關說案?),Bumbler雖然是哈佛法學博士,卻相當自戀!!,認為只有他是正義 公平的化身,;議員 立委都是 黑金化身(?),美國有”遊說法”—合法的關說?!......
但是任何一個世界民主法治國家都沒有像台灣,在經濟退時,還在"搞政爭";;在Bumbler執政期(自2008年美牛案進口--非Organic Food--MGO),到2012年在經濟衰退時,搞油電雙漲,造成台灣經濟無法活絡起來...;一片蕭條(連醫療都在紛紛關床中--警訊!!).........Bumbler 永遠是Bumbler!!!
Are Organic Foods Safer or Healthier Than Conventional Alternatives?: A Systematic Review
Crystal Smith-Spangler, MD, MS; Margaret L. Brandeau, PhD; Grace E. Hunter, BA; J. Clay Bavinger, BA; Maren Pearson, BS; Paul J. Eschbach; Vandana Sundaram, MPH; Hau Liu, MD, MS, MBA, MPH; Patricia Schirmer, MD; Christopher Stave, MLS; Ingram Olkin, PhD; and Dena M. Bravata, MD, MS
Ann Intern Med. 4 September 2012;157(5):348-366 (NIH report---systematic review)
Organic certification requirements and farming practices vary worldwide, but organic foods are generally grown without synthetic pesticides or fertilizers or routine use of antibiotics or growth hormones
Conclusion: The published literature lacks strong evidence that organic foods are significantly more nutritious than conventional foods. Consumption of organic foods may reduce exposure to pesticide residues and antibiotic-resistant bacteria.
從美國歐巴馬健保改革受阻,將面臨自動減赤風暴,;看台灣政局!!
版主: 版主021
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李誠民
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Re: 從美國歐巴馬健保改革受阻,將面臨自動減赤風暴,;看台灣政局!!
US health insurance exchanges are swamped 困境by users
BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f6035 (Published 7 October 2013)
Cite this as: BMJ 2013;347:f6035
….. health insurance exchanges across the United States three days after the 1 October launch of the online insurance marketplaces created by the Affordable Care Act.
…Traffic was also heavy at the CMS Centers for Medicare & Medicaid Services ) had received nearly 300 000 calls since midnight on 1 October, and on the center’s web chat service, whose staff had engaged in 167 000 web chats since the launch, 16 times more than Medicare.gov, the website that handles questions about Medicare, handles in a month, the spokeswoman said.
…But Barack Obama dismissed such criticisms earlier this week in a Rose Garden speech he made on Monday to mark the launch of the exchanges.
….. Under the Affordable Care Act people who do not obtain qualified health coverage in some form in 2014 will be penalized 1% of their yearly income or $95 per person in 2014, whichever is higher. The penalty increases every year until 2016, when it will be 2.5% of income or $695 per person, whichever is higher.
A recent Gallup poll showed that 65% of those surveyed who currently lacked insurance said they intended to purchase insurance rather than pay the penalty, but a majority said that they were “not familiar at all” with the exchanges………
要多繳稅(?費用)就是硬 碰硬了!!!不繳,-還要處罰(1%)!!!歐巴馬不跟國會對幹(共黨眾議院更槓上),才奇怪呢!!!
但是到到這月十七日無法解決,就會發生比”雷曼兄弟”更嚴重的 金融風暴;;所以在G20會議中,俄國普丁就警告了 歐巴馬!!!這次G20也就等於沒開!!!;昨日中國大陸財政部副部長,也出來警告美國政府,要好好處理十月十七日的財政危機(中國大陸是美國國最大債權國),所以APEC是中國大陸”獨領風騷”,美國 居然沒出席!!!....這就是政治現實!!!
BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f6035 (Published 7 October 2013)
Cite this as: BMJ 2013;347:f6035
….. health insurance exchanges across the United States three days after the 1 October launch of the online insurance marketplaces created by the Affordable Care Act.
…Traffic was also heavy at the CMS Centers for Medicare & Medicaid Services ) had received nearly 300 000 calls since midnight on 1 October, and on the center’s web chat service, whose staff had engaged in 167 000 web chats since the launch, 16 times more than Medicare.gov, the website that handles questions about Medicare, handles in a month, the spokeswoman said.
…But Barack Obama dismissed such criticisms earlier this week in a Rose Garden speech he made on Monday to mark the launch of the exchanges.
….. Under the Affordable Care Act people who do not obtain qualified health coverage in some form in 2014 will be penalized 1% of their yearly income or $95 per person in 2014, whichever is higher. The penalty increases every year until 2016, when it will be 2.5% of income or $695 per person, whichever is higher.
A recent Gallup poll showed that 65% of those surveyed who currently lacked insurance said they intended to purchase insurance rather than pay the penalty, but a majority said that they were “not familiar at all” with the exchanges………
要多繳稅(?費用)就是硬 碰硬了!!!不繳,-還要處罰(1%)!!!歐巴馬不跟國會對幹(共黨眾議院更槓上),才奇怪呢!!!
但是到到這月十七日無法解決,就會發生比”雷曼兄弟”更嚴重的 金融風暴;;所以在G20會議中,俄國普丁就警告了 歐巴馬!!!這次G20也就等於沒開!!!;昨日中國大陸財政部副部長,也出來警告美國政府,要好好處理十月十七日的財政危機(中國大陸是美國國最大債權國),所以APEC是中國大陸”獨領風騷”,美國 居然沒出席!!!....這就是政治現實!!!
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李誠民
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Re: 從美國歐巴馬健保改革受阻,將面臨自動減赤風暴,;看台灣政局!!
其實不需要下周二(1-2-10-15)民進黨提"倒閣案",等到10-17 歐巴馬與眾院協商後結果,就會對國民黨立委形成巨大壓力, 到時候會不會跑票,就立見真章!!!
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李誠民
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- 註冊時間: 週三 6月 23, 2010 10:18 am
Re: 從美國歐巴馬健保改革受阻,將面臨自動減赤風暴,;看台灣政局!!
The Medical Device Excise Tax — Over before It Begins?
Daniel B. Kramer, M.D., and Aaron S. Kesselheim, M.D., J.D., M.P.H.
N Engl J Med 2013; 368:1767-1769May 9, 2013DOI: 10.1056/NEJMp1304175
In June 2012, the Supreme Court upheld支持 贊成 critical provisions of the Affordable Care Act (ACA), which aims to expand health insurance to many of the 50 million currently uninsured Americans....本網站102-o9-05發言!!!
-----
美國可負擔的照護法案(Affordable Care Act ACA, 2012年),期中選舉附帶條件是在今年通過,才可實行!---期間歷經舉債上限,財政懸岩等,;最近就是臨界點(保險交換--Insureance Exchange),如果不能通過,就進入”自動減赤”;--美國已經減少18萬聯邦公務員了
反觀台灣健保財務(仍是隱藏的)虧空,影響政府財政,就增加個"補充保費?!",油電雙漲,再想提高營業稅(一般民眾!!!)……,;健保不會垮?!除非政府財政拖垮!!!....歐巴馬總統應該能過關,因為將制裁"敘利亞”,台灣怎麼過關
今天媒體報導::美國民主黨(參院)議員說:共和黨堅持是醫療儀器(包括雇人用品--如測血糖儀....),;是堅持健保改革要求包裹通過預算案(聯邦政府幾乎停擺?!)---這就是妥協與協商的藝術!!!......所以這月的十七日的參院預算案通過機率不大;;但事後果可能比"雷曼兄弟"金融風暴還可怕!!!-----所以美國是資本主義的自由市場經濟--華爾街禿鷹會管你金融風暴?!---正是華爾街禿鷹的機會來了;;;所以參院議員(民主黨)也逼歐巴馬表態!!!
Daniel B. Kramer, M.D., and Aaron S. Kesselheim, M.D., J.D., M.P.H.
N Engl J Med 2013; 368:1767-1769May 9, 2013DOI: 10.1056/NEJMp1304175
In June 2012, the Supreme Court upheld支持 贊成 critical provisions of the Affordable Care Act (ACA), which aims to expand health insurance to many of the 50 million currently uninsured Americans....本網站102-o9-05發言!!!
-----
美國可負擔的照護法案(Affordable Care Act ACA, 2012年),期中選舉附帶條件是在今年通過,才可實行!---期間歷經舉債上限,財政懸岩等,;最近就是臨界點(保險交換--Insureance Exchange),如果不能通過,就進入”自動減赤”;--美國已經減少18萬聯邦公務員了
反觀台灣健保財務(仍是隱藏的)虧空,影響政府財政,就增加個"補充保費?!",油電雙漲,再想提高營業稅(一般民眾!!!)……,;健保不會垮?!除非政府財政拖垮!!!....歐巴馬總統應該能過關,因為將制裁"敘利亞”,台灣怎麼過關
今天媒體報導::美國民主黨(參院)議員說:共和黨堅持是醫療儀器(包括雇人用品--如測血糖儀....),;是堅持健保改革要求包裹通過預算案(聯邦政府幾乎停擺?!)---這就是妥協與協商的藝術!!!......所以這月的十七日的參院預算案通過機率不大;;但事後果可能比"雷曼兄弟"金融風暴還可怕!!!-----所以美國是資本主義的自由市場經濟--華爾街禿鷹會管你金融風暴?!---正是華爾街禿鷹的機會來了;;;所以參院議員(民主黨)也逼歐巴馬表態!!!
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truelovecoco
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李誠民
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- 文章: 1467
- 註冊時間: 週三 6月 23, 2010 10:18 am
Re: 從美國歐巴馬健保改革受阻,將面臨自動減赤風暴,;看台灣政局!!
Bumler連任(2012)就拋出油電雙漲,但是台電與中油弊端,卻不聞不問?!造成通貨膨脹(政府的基本經濟責任!!!).....勞保虧空就轉移話題為軍, 公, 教與18%問題(最近十年退休與將休的,已改了許多,--例如18趴就取消了!!!)......但是最不公平的學官雙棲與黨職換公職(?!)有改嗎?!.....這就是社會公平 正義的事;--無怪乎1985公民要發動數次遊行 抗議活動!!!
台灣債務逼近上限(財政部跑馬燈?!當然與實際有差!!!),預算不減反增,公務員也是隨"組織再造"更膨大!!(公務員考試錄取率放寬,國人只有公務員有保障?),.....今年還是堅持電費增長,繼續核四廠(不會運轉的廢物!!!),再造成通貨膨脹(夜市與百貨公司,最能反映!!!---消費極劇縮減!!!).....
怕甚麼?!....等再過兩 三天就看真章了!!!美國白宮與議會僵局會解嗎?!就看歐巴馬的協調與妥協能力了!!!........
美國健保改革已經在這月一日開始實施了;...一個月後就要付給私營保險公司費用了!!!所以債務上限不久還是要提高!!!
...所以美國眾議院議長(民主黨)要堅決抗拒(健保改革法案要與預算包裹通過了!!!),公務員上街遊行也就不足為奇了!!!
台灣債務逼近上限(財政部跑馬燈?!當然與實際有差!!!),預算不減反增,公務員也是隨"組織再造"更膨大!!(公務員考試錄取率放寬,國人只有公務員有保障?),.....今年還是堅持電費增長,繼續核四廠(不會運轉的廢物!!!),再造成通貨膨脹(夜市與百貨公司,最能反映!!!---消費極劇縮減!!!).....
怕甚麼?!....等再過兩 三天就看真章了!!!美國白宮與議會僵局會解嗎?!就看歐巴馬的協調與妥協能力了!!!........
美國健保改革已經在這月一日開始實施了;...一個月後就要付給私營保險公司費用了!!!所以債務上限不久還是要提高!!!
...所以美國眾議院議長(民主黨)要堅決抗拒(健保改革法案要與預算包裹通過了!!!),公務員上街遊行也就不足為奇了!!!
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李誠民
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- 註冊時間: 週三 6月 23, 2010 10:18 am
Re: 從美國歐巴馬健保改革受阻,將面臨自動減赤風暴,;看台灣政局!!
The Taxing Power and the Public's Health
Michelle M. Mello, J.D., Ph.D., and I. Glenn Cohen, J.D.
N Engl J Med 2012; 367:1777-1779November 8, 2012DOI: 10.1056/NEJMp120964
Many observers feared that the Supreme Court decision on the challenge to the Affordable Care Act (ACA)1 would endorse a breathtaking expansion of the role of the federal government in regulating health matters………美國最高法院判定::”並不違憲”
the Court opened the door for Congress to use its taxing power to achieve myriad policy objectives. The federal government may now increasingly join state and local governments in making creative use of taxes to pursue public health goals, though political obstacles障礙物 may block immediate action.
Chief Justice John Roberts surprised pundits by joining the four liberal justices in upholding the individual insurance mandate in the ACA as an exercise of Congress's power to “lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States.”2 He wrote that the government has considerable power to tax “even in areas where it cannot directly regulate.”…….
…….
The federal government has long used taxes to achieve public health goals, but in fairly limited ways. Taxes and tax penalties for individuals have generally been confined to products that cause health harms and associated social costs, such as tobacco, alcohol, firearms, and pollutants……假借"防癌”,增加菸類, 酒類, 空汙等的健康捐(就是稅!!!),所以呢?!........
…..
the federal government could require individuals to pay a tax penalty unless they declare that they haven't used tobacco products during the year. It could give a tax credit to people who submit documentation that their body-mass index is in the normal range or has decreased during the year or to diabetic persons who document that their glycated hemoglobin levels are controlled. It could tax individuals who fail to purchase gym memberships. It could require taxpayers to complete an annual health improvement plan with their physician in order to obtain a tax credit, though that might be challenged under other parts of the Constitution. These strategies depart from traditional uses of taxes by targeting omissions and noncommercial activities that are important drivers of chronic disease.
所以美國眾議院議長(民主黨)要將健保改革與預算包裹聽過參院(共和黨似乎也同意?!)說:是時是醫療儀器加稅案(已通過!!!)
…..
State and local governments, too, can pursue such strategies. Levying 徵稅扣押taxes to achieve regulatory aims — even taxes resembling mandates with penalties — is well within their police-power authority. They've wielded this power to impose various “sin” taxes on unhealthful products, as well as in more innovative ways, such as the insurance mandate with an SRP that Massachusetts pioneered. The Court ruling makes clear that the federal government can enter territory historically dominated by the states.
…….
. Finally, tax strategies are “win–win雙贏” for governments, either leading people to take health-enhancing steps or collecting revenue to fund health or other programs…..增稅的目的是製造雙贏!!!!.....
……
Aggressive lobbying by the beverage industry, for example, defeated a soft-drink tax proposed for inclusion in the ACA, and a blitzkrieg 閃電行動by the tobacco industry sank California's Proposition 29, which would have hiked cigarette taxes by $1.00 a pack, with revenues稅收收入 allocated for cancer research.States, however, have sometimes had remarkable success in enacting new taxes; for example, New York passed a $1.60-per-pack increase in its cigarette tax in 2010, bringing the total state tax to $4.35 per pack, and 47 states have collectively increased their cigarette-tax rates more than 100 times in the past decade…..所以增加菸類的稅(健康捐!)也沒有減少癌症發生!!!.....其實是聯邦或州財政支出不足下的變相增稅!!!!........
………
Some interventions we've outlined would never survive the political process, given prevailing戰勝 盛行antitax sentiment感情 觀感. But such sentiment may fade as the economy recovers or become less important if Democrats regain control of the House of Representatives. Moreover, the Court decision affirms that Congress can facilitate passage of a tax by calling it something less controversial. The Court has highlighted an opportunity for passing creative new public health laws, authorized by the taxing power; this opportunity now awaits its political moment.
Michelle M. Mello, J.D., Ph.D., and I. Glenn Cohen, J.D.
N Engl J Med 2012; 367:1777-1779November 8, 2012DOI: 10.1056/NEJMp120964
Many observers feared that the Supreme Court decision on the challenge to the Affordable Care Act (ACA)1 would endorse a breathtaking expansion of the role of the federal government in regulating health matters………美國最高法院判定::”並不違憲”
the Court opened the door for Congress to use its taxing power to achieve myriad policy objectives. The federal government may now increasingly join state and local governments in making creative use of taxes to pursue public health goals, though political obstacles障礙物 may block immediate action.
Chief Justice John Roberts surprised pundits by joining the four liberal justices in upholding the individual insurance mandate in the ACA as an exercise of Congress's power to “lay and collect Taxes, Duties, Imposts and Excises, to pay the Debts and provide for the common Defence and general Welfare of the United States.”2 He wrote that the government has considerable power to tax “even in areas where it cannot directly regulate.”…….
…….
The federal government has long used taxes to achieve public health goals, but in fairly limited ways. Taxes and tax penalties for individuals have generally been confined to products that cause health harms and associated social costs, such as tobacco, alcohol, firearms, and pollutants……假借"防癌”,增加菸類, 酒類, 空汙等的健康捐(就是稅!!!),所以呢?!........
…..
the federal government could require individuals to pay a tax penalty unless they declare that they haven't used tobacco products during the year. It could give a tax credit to people who submit documentation that their body-mass index is in the normal range or has decreased during the year or to diabetic persons who document that their glycated hemoglobin levels are controlled. It could tax individuals who fail to purchase gym memberships. It could require taxpayers to complete an annual health improvement plan with their physician in order to obtain a tax credit, though that might be challenged under other parts of the Constitution. These strategies depart from traditional uses of taxes by targeting omissions and noncommercial activities that are important drivers of chronic disease.
所以美國眾議院議長(民主黨)要將健保改革與預算包裹聽過參院(共和黨似乎也同意?!)說:是時是醫療儀器加稅案(已通過!!!)
…..
State and local governments, too, can pursue such strategies. Levying 徵稅扣押taxes to achieve regulatory aims — even taxes resembling mandates with penalties — is well within their police-power authority. They've wielded this power to impose various “sin” taxes on unhealthful products, as well as in more innovative ways, such as the insurance mandate with an SRP that Massachusetts pioneered. The Court ruling makes clear that the federal government can enter territory historically dominated by the states.
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. Finally, tax strategies are “win–win雙贏” for governments, either leading people to take health-enhancing steps or collecting revenue to fund health or other programs…..增稅的目的是製造雙贏!!!!.....
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Aggressive lobbying by the beverage industry, for example, defeated a soft-drink tax proposed for inclusion in the ACA, and a blitzkrieg 閃電行動by the tobacco industry sank California's Proposition 29, which would have hiked cigarette taxes by $1.00 a pack, with revenues稅收收入 allocated for cancer research.States, however, have sometimes had remarkable success in enacting new taxes; for example, New York passed a $1.60-per-pack increase in its cigarette tax in 2010, bringing the total state tax to $4.35 per pack, and 47 states have collectively increased their cigarette-tax rates more than 100 times in the past decade…..所以增加菸類的稅(健康捐!)也沒有減少癌症發生!!!.....其實是聯邦或州財政支出不足下的變相增稅!!!!........
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Some interventions we've outlined would never survive the political process, given prevailing戰勝 盛行antitax sentiment感情 觀感. But such sentiment may fade as the economy recovers or become less important if Democrats regain control of the House of Representatives. Moreover, the Court decision affirms that Congress can facilitate passage of a tax by calling it something less controversial. The Court has highlighted an opportunity for passing creative new public health laws, authorized by the taxing power; this opportunity now awaits its political moment.
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李誠民
- 註冊會員
- 文章: 1467
- 註冊時間: 週三 6月 23, 2010 10:18 am
Re: 從美國歐巴馬健保改革受阻,將面臨自動減赤風暴,;看台灣政局!!
Inflated (通貨膨脹, 政府的責任!!!)prices: $105 billion
Inefficient delivery of care: $130 billion
Improper payments: $70 billion
Excess administrative costs: $190 billion
Fraud: $75 billion
http://articles.mercola.com/sites/artic ... fraud.aspx
Story at-a-glance
The Federal Disability Insurance Program has a $135-billion budget and serves close to 12 million people, but its funds are in danger of running out
The Senate Subcommittee for Investigations believes the program is being abused – by lawyers, doctors and even some recipients – putting the benefits for those who truly need them at serious risk
According to the Senate investigation, up to 25 percent of disability files should not have been approved and another 20 percent are highly questionable
Some Americans are using disability benefits as a financial bridge after their unemployment benefits run out; it’s easy to do since so many Americans have chronic conditions or impairments
As a whole, Americans are not healthy – they're tired, depressed, stressed out and often in pain – taking control of your health can help you to avoid disability and heal your body naturally
http://articles.mercola.com/sites/artic ... ystem.aspx
Story at-a-glance
Guaranteed health insurance does NOT equate to guaranteed health care. No strategies are included in the Affordable Health Care Act to actually prevent illness and reduce health care costs. Instead it expands an already flawed model of “care” that has been and continues to be one of the leading causes of death in the US
A recent review of U.S. healthcare expenses revealed that 30 cents of every dollar spent on medical care is wasted, adding up to $750 billion annually. This is the system being expanded upon with the Affordable Health Care Act
The US spends twice as much per person on health care than any other nation, yet we rank 49th in terms of life expectancy, and despite giving newborn babies more vaccines than any other country on the planet, the US ranks 30th for infant mortality
There is massive collusion going on between federal regulatory agencies and the industries they’re supposed to regulate, which ensures not just the profitability of Big Pharma and the medical industry as a whole, but also Big Ag, which is another major culprit behind the nation’s poor health. The ultimate price for this collusion and undermining of truth is your health. It’s a for-profit scheme, and healthy people do not make good customers
沒錢就是沒錢(債務上限, 聯邦公務員只好放無薪假!!!),參院只是寬限到明年二月!!!!
台灣健保虧空是事實,還要搞"長照", 錢哪來???!.....
Inefficient delivery of care: $130 billion
Improper payments: $70 billion
Excess administrative costs: $190 billion
Fraud: $75 billion
http://articles.mercola.com/sites/artic ... fraud.aspx
Story at-a-glance
The Federal Disability Insurance Program has a $135-billion budget and serves close to 12 million people, but its funds are in danger of running out
The Senate Subcommittee for Investigations believes the program is being abused – by lawyers, doctors and even some recipients – putting the benefits for those who truly need them at serious risk
According to the Senate investigation, up to 25 percent of disability files should not have been approved and another 20 percent are highly questionable
Some Americans are using disability benefits as a financial bridge after their unemployment benefits run out; it’s easy to do since so many Americans have chronic conditions or impairments
As a whole, Americans are not healthy – they're tired, depressed, stressed out and often in pain – taking control of your health can help you to avoid disability and heal your body naturally
http://articles.mercola.com/sites/artic ... ystem.aspx
Story at-a-glance
Guaranteed health insurance does NOT equate to guaranteed health care. No strategies are included in the Affordable Health Care Act to actually prevent illness and reduce health care costs. Instead it expands an already flawed model of “care” that has been and continues to be one of the leading causes of death in the US
A recent review of U.S. healthcare expenses revealed that 30 cents of every dollar spent on medical care is wasted, adding up to $750 billion annually. This is the system being expanded upon with the Affordable Health Care Act
The US spends twice as much per person on health care than any other nation, yet we rank 49th in terms of life expectancy, and despite giving newborn babies more vaccines than any other country on the planet, the US ranks 30th for infant mortality
There is massive collusion going on between federal regulatory agencies and the industries they’re supposed to regulate, which ensures not just the profitability of Big Pharma and the medical industry as a whole, but also Big Ag, which is another major culprit behind the nation’s poor health. The ultimate price for this collusion and undermining of truth is your health. It’s a for-profit scheme, and healthy people do not make good customers
沒錢就是沒錢(債務上限, 聯邦公務員只好放無薪假!!!),參院只是寬限到明年二月!!!!
台灣健保虧空是事實,還要搞"長照", 錢哪來???!.....
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李誠民
- 註冊會員
- 文章: 1467
- 註冊時間: 週三 6月 23, 2010 10:18 am
Re: 從美國歐巴馬健保改革受阻,將面臨自動減赤風暴,;看台灣政局!!
台灣還在馬王政爭,對於經濟一點都不關心, Bumbler2008年任台灣總統,就油電雙漲,造成通貨膨脹!!!.....2012年連任成功,電價又驚夏季電漲,今年十月又漲,似乎通貨膨脹與政府一點關係 都沒有!!!......美國談健保(?!)支出,首先談Inflation,因為通貨膨脹是百業都有關,!!!.........通貨膨脹就影響經濟活動(消費減少, 政府還是稅收減少!!!....社會投資就減少的惡性循環!!!)......
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李誠民
- 註冊會員
- 文章: 1467
- 註冊時間: 週三 6月 23, 2010 10:18 am
Re: 從美國歐巴馬健保改革受阻,將面臨自動減赤風暴,;看台灣政局!!
Cheap doctors
BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f6301 (Published 21 October 2013)
Cite this as: BMJ 2013;347:f6301
The BMA reports that, adjusted for inflation, consultants and doctors in training have seen a 13% pay cut since 2008
Andrew Percy, Conservative member of parliament and member of the health select committee, was reported by the Daily Mail as saying, “Doctors do work very hard, and are very dedicated to their training but to say they should be paid more is a bit cheeky.In the Daily Telegraph Matthew Sinclair, chief executive of the Taxpayers’ Alliance, said of general practitioners’ salaries: “Doctors’ focus should be on treating patients, not cashing in at taxpayers’ expense.”
Doctors train for years to provide an important service. We need to be up front that we are expensive because we are a skilled profession. Our message to the public should be this: you don’t want a doctor on the cheap.
BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f6301 (Published 21 October 2013)
Cite this as: BMJ 2013;347:f6301
The BMA reports that, adjusted for inflation, consultants and doctors in training have seen a 13% pay cut since 2008
Andrew Percy, Conservative member of parliament and member of the health select committee, was reported by the Daily Mail as saying, “Doctors do work very hard, and are very dedicated to their training but to say they should be paid more is a bit cheeky.In the Daily Telegraph Matthew Sinclair, chief executive of the Taxpayers’ Alliance, said of general practitioners’ salaries: “Doctors’ focus should be on treating patients, not cashing in at taxpayers’ expense.”
Doctors train for years to provide an important service. We need to be up front that we are expensive because we are a skilled profession. Our message to the public should be this: you don’t want a doctor on the cheap.