Sarah Kliff: “The majority of the cuts, as you can see in this chart below, come from reductions in how much Medicare reimburses hospitals and private health insurance companies.”
If Deepblue wants to come back and argue about health care policy, I am more than willing to do that. I personally believe that top hospital administrators need to get paid less in order to tackle the budget problems of administrative bloat. Cutting Medicare reimbursements is a necessary step towards balancing the entitlements portion of the national budget.
I am not happy with how the think tanks lately have been discussing cutting Medicare reimbursement by 40% for Medicare-for-All. That is too steep, too fast and could potentially disrupt services.
The ACA cuts that Deepblue refers to, however, were no where near that drastic and the Medicare-For-All bill at this point is more symbolic than a hard proposal.
Bill Clinton’s Speech
I took up his offer and listened to this C-span speech he linked. From 1995. Since apparently these “Liar, thy name is Democrat” people can’t let Bill Clinton go years later.
The thing about budgets, a fact that that Deepblue skirts, is that they are mostly planned FOR THE FUTURE. Federal, state, local budgets. They are all decided on in advance and don’t kick in as soon as they are passed, except for the immediate money needed to keep services running.
All those bullet points are indeed possibilities of Republican proposed tax cuts. Both now and in 1995. Children, students, and the chronically impoverished are extremely different affected populations than those affected by Obama’s Medicare reimbursement cuts, which are mostly eaten by the hospitals and insurance companies.
“you might want to glimpse at Article I, Section 8, Clause 1 of the United States Constitution”
I have inside info that Flagrantbagel might actually be lawyer. I’m sure he HAS looked at Article I, Section 8 of the Constitution sometime at school.
You do not want to get into an argument about the case law precedent of presidential powers involving taxation with me or Flagrantbagel, Deepblue.
OK, I was wrong. Chief Justice Roberts swung to the left and Kennedy did not. Amazing. I’ll have to scrutinize Roberts’s voting record more closely before passing him off as ideologically pure. Here’s the full ruling if you have a lot of free time. He actually upheld the mandate under the federal government’s Tax Power and not the Commerce Clause, while Ginsberg would have upheld it under both. Interesting, certainly a blow to conservatives.
Being uninsured myself, I have mixed opinions about the 2014 individual mandate, but what is known from models like Mass. is that it will reduce overall health care spending and create more competitive private insurance plans.
For a while this morning, Cable News was reporting that the mandate was struck down before they got “conflicting information.”
This is what happens when they don’t let in cameras.
The Court’s decision on the constitutionality of the Medicaid expansion is divided and complicated. The bottom line is that: (1) Congress acted constitutionally in offering states funds to expand coverage to millions of new individuals; (2) So states can agree to expand coverage in exchange for those new funds; (3) If the state accepts the expansion funds, it must obey by the new rules and expand coverage; (4) but a state can refuse to participate in the expansion without losing all of its Medicaid funds; instead the state will have the option of continue the its current, unexpanded plan as is.
Bloomberg surveyed 21 top constitutional scholars and found that, while 19 think the individual mandate of the Affordable Care Act ought to be upheld on the basis of legal precedent, just eight think the Supreme Court will actually do so.
Sigh. Yup, pretty much. Kennedy is supposed to be the swing Judge, the new Sandra Day O’Connor, but he really does bend conservative. It’ll probably turn out to be a 5-4 ruling against the mandate. There’s hope though, according to Kliff.
The other thing they are ruling on, but people are talking about less, is the proposed Medicaid expansions. States are arguing that it puts excessive burden on them and suing. Suck it, Red states. Eat your own Christian values, and help your poor people have basic human dignity.
I think, hopefully, a lot of the bill should remain intact. Otherwise everyone with a college kid under 26 is going to be pissed.