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Wisconsin Reaction on Supreme Court Ruling Divided by Party Lines

Wisconsin Republicans say that 5-4 ruling to upheld the federal Affordable Care Act will strengthen their resolve for to push for repeal, while Democrats praise the ruling.

 

In a highly anticipated ruling, the U.S. Supreme Court today upheld the Affordable Care Act, the health care reform law that President Barack Obama signed into law in 2010 and his top priority in the first two years of his administration.

The high court, by a 5-4 vote, upheld the entire law.

The controversial law — known as "Obamacare" to critics — expands health care coverage to millions of uninsured Americans.

In Wisconsin, the reaction was divided along political lines. Republicans said the ruling would motivate them even more to push for the repeal of the law, while Democrats lauded the decision.

Walker says he won't implement law here

Gov. Scott Walker, in a statement, said Wisconsin will not take any action to implement the provisions of the federal law.

"I am hopeful that political changes in Washington, D.C., later this year ultimately end the implementation of this law at the federal level," the Republican governor said.

"If there is no political remedy from Washington and the law moves forward, it would require the majority of people in Wisconsin to pay more money for less healthcare.  Additionally, it would increase the size and cost of government, decrease the quality of health care and, in our state, reduce access for those truly in need of assistance."

Walker may not have a choice, though, according to a story on WTMJ4. State Attorney General J.B. Van Hollen said in an interview Thursday that the governor will have to follow the established timelines of the new law.

Former Congressman Mark Neumann, who is running in the Republican primary for the U.S. Senate, called for the election of conservative leaders to the Senate in order to end the health care mandate.

“I think the outcome today just draw attention to the fact that we need to elect a conservative Republican to the United States Senate so that they have the votes in the Senate to repeal Obamacare next year,” Neumann told Patch. “I really think that is where it is going. This really puts Obamacare back in the center of the elections come fall and in our primary of elections. It is going to be a central issue that determines the outcome of the elections.”

Eric Hovde, a businessman running in the Republican primary election for the U.S. Senate, also called for the “trillion-dollar disaster” to be repealed and replaced with “consumer-driven, free-market solutions.”

Former Wisconsin Gov. Tommy Thompson, who is facing Hovde and Neumann among others in the U.S. Senate race, pledged to do all he could to stop the health care law from taking place if he is elected.

"But that is not enough. I also have the ideas and experience to actually bring down health costs and increase availability, which is something nobody else in the race offers," Thompson said. "That vote will only succeed if Wisconsin elects a Republican senator.

"Furthermore, I would work with Governor Walker to make sure Obamacare is derailed in Wisconsin. We deserve better than a cost-increasing, choice-limiting political fix for a broken health care system."

Congressman Tom Petri (R-Fond du Lac) said he was disappointed with the ruling as “the law is a significant overreach on the part of Congress.”

“I support health care reform, which ensures that all Americans, including those with pre- existing conditions, have access to affordable coverage,” Petri said. “However, I believe the health care law is flawed in its approach to achieving that goal and will only make worse our skyrocketing health care costs and federal deficits.”

Ryan Confirms Repeal and Replace is Only Option

Congressman Paul Ryan (R-Janesville), chair of the House Budget Committee, said despite the Supreme Court's ruling, the law is a terrible police and represents yet another broken promise from Obama because the President has consistently maintained the individual mandate is not a tax.

"Despite today’s disappointing decision on the law’s constitutionality, there is no question that the law remains terrible policy. It is bad news for individuals, whose personal health care decisions are threatened by greater government control," he said in a written statement. "It is bad news for workers, whose paychecks and jobs are threatened by the hundreds of billions of dollars of new tax hikes and crippling uncertainty from the massive law. It is bad news for seniors, whose health security is threatened by the bureaucratic restrictions to access from the law’s changes to Medicare"

But Ryan's challenger in the November election, Democrat Rob Zerban, said the high court's decision means greater security for Americans.

"I am pleased that the U.S. Supreme Court upheld the Affordable Care Act, protecting millions of Americans from living at the mercy of health insurance corporations,” he said.

Zerban said Republicans have always sacrificed the security of the US to be sure the profits of insurance companies are protected for future campaign donations. But, he added, the individual mandate was, in fact, a Republican idea.

"The individual mandate was a Republican idea because they thought it would be beneficial to insurance companies," he said. "And they're right, but having more people insured and increasing the pool by adding healthier populations reduces the liability for the company and other participants in the plans."

Ryan confirmed he will continue to work on nothing short of repealing the Affordable Healthcare Act and replacing it with what he calls patient-centered healthcare.

"It is incumbent upon citizens and their elected leaders to clear this partisan roadblock with full repeal, and advance common-sense, patient-centered solutions. We can still ensure universal access to quality, affordable health coverage without a budget-busting federal government power grab," his statement contineued. "I remain committed to advancing reforms that realign incentives so that individuals and their doctors – not government bureaucrats or insurance company bureaucrats – are the nucleus of our health care system."

Pocan says health care is a 'right'

State Rep. Mark Pocan (D-Madison), who is running for U.S. Congress in the 2nd District, said millions of Wisconsin residents receive better health care because of the act.

"In Congress I will continue to work to expand health care,” said Pocan in a prepared statement. “I look forward to the day when every man, woman, and child receives health care as a right, not a privilege."

State Rep. Gordon Hintz (D-Oshkosh) said he was pleased with the Supreme Court decision, stating that the “ruling assures our country can move forward in addressing the runaway insurance costs.”

Hintz called for Gov. Scott Walker to implement the provisions of the health care legislation.

“In the past, the governor and Republicans seem to have been more interested in playing politics than in best serving the interests of Wisconsin residents and being good stewards of our tax dollars,” Hintz said. “Now that the law has been upheld, it is my hope we can put our differences aside and work together to ensure Wisconsin is on the forefront of benefiting from this landmark legislation.”

Expert says repeal is unlikely

Marquette University law professor Ed Fallone, who teaches constitutional law,  said the ruling is a great victory for supporters of the individual mandate and the Obama administration.

Not surprisingly, Fallone noted that opponents will be hard-pressed to find anything in the justices' opinion to like. Still, he would have liked to see a less confusing approach to the mandate by having it defined under the guidelines of commerce and not a tax.

"I know in the end, the only thing people care about is the end result of upholding the mandate," he admitted.

As for whether or not Republicans in Congress can overturn the health care law, Fallone said the high court's decision means the only option now is to go through the democratic process.

"Congress has the power to change statutes that it previously passed so this, too, could be changed," he said. "Republicans' first strategy was to use the courts, but now they have to get the votes to repeal."

Fallone thinks that will be stretch because the president would have to be defeated and in addition to a majority in the House, Republicans would also need a sufficient majority in the Senate to overcome a Democratic fillibuster.

"It's highly unlikely a legislative repeal would succeed," he added.

"The Republicans will need a sizable sweep in November," Fallone said. "This is a 'huff and puff' fundraising election issue going into the fall elections."

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Check out these Patch blogs on the decision

  • Do you agree with the Supreme Court's decision to uphold the health care reform law?

    (Voting has been closed for this question)
    • Yes, there was no question this was constitutional.
        259 (38%)
    • No, there are too many problems with the current law.
        369 (55%)
    • Not sure. I like some parts of law but not others.
        41 (6%)
    Total votes: 669
  • Your vote will only count once. This is not a scientific poll. View Results Vote!
Related Topics: Affordable Care Act, Health Care, News, Obama, SCOTUS, Supreme Court, obamacare, and universal health care

Mary DeBattista

9:43 am on Thursday, June 28, 2012

Congratuations, America!! And right before your birthday, too. How fitting! I was quite sure the President would be backed by the SCOTUS, but how nice to see it come to fruition.

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Jay Sykes

9:53 am on Thursday, June 28, 2012

SCOTUS did not rule on the Commerce Clause, as most expected,interestingly they 'called it' on the ability of Congress to Tax. Can't wait to see the spin, as the President and all the supporters of the law said repeatedly that 'it was NOT a tax'.

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bigdog007

12:36 pm on Thursday, June 28, 2012

Mary, who will pay for this, how many more doctors will we need, who will want to be a doctor under this program and can you show me one nation where this type of program "is" sustainable?

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Dave Ruske

1:22 pm on Thursday, June 28, 2012

I seem to recall a lot of Republicans calling the mandate a tax earlier in the game, perhaps hoping the negative connotations of the word would help sway public opinion to their view. Now that the Supreme Court issued a ruling based in part on considering the mandate a tax, the Republicans are quoting Obama's words. I think the spin is that the Court apparently agreed it was a tax, just as Republicans had claimed... and used that to uphold the law.

Come November, the Republicans may gain the edge they need to repeal, but unless they have a replacement in mind that covers popular provisions --- like coverage of people with pre-existing conditions and allowing people 26 or younger to remain on their parent's plan --- they're going to lose moderate voters. Those provisions will be very hard to take away without looking bad.

I'm not crazy about government being involved with healthcare, but health insurance companies haven't exactly acted in the best public interest. In many ways, they brought this on themselves. I don't see any politically successful strategy to deregulation any time soon, regardless of which party comes out ahead in 2012.

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bob Joit

12:53 pm on Friday, June 29, 2012

And now the "government will be able to tell you how to live, what you can eat, what you can drink, what activities you can participate in and tax you more if you don't ... The real beauty of this ruling is the whole "tax you for not doing something that (they) want you to". Just lovely. Yes congratulations to all the Progressives out there.

Steve ®

9:44 am on Thursday, June 28, 2012

We will now officially follow socialist Europe's demise.

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Dirk Gutzmiller

11:29 am on Thursday, June 28, 2012

Steve ® - Not just Europe, even high-growth India and China have universal healthcare. And, the U.S. was the last "westernized" country in the world without it. Where would you go to dodge it?.

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Barack Hussein Obongo MMM MMM MMM

11:32 am on Thursday, June 28, 2012

President Obongo just lost his re election in November, this ensures it.

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Taoist Crocodile

2:39 pm on Thursday, June 28, 2012

I'm glad to see all of these brainwashed right-wingers getting their embolisms out of the way before the mandate kicks in.

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Greg

2:48 pm on Thursday, June 28, 2012

TC, Your time will come.

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Taoist Crocodile

2:56 pm on Thursday, June 28, 2012

Greg, that's either an empty threat (like all of the other 'revolution' and 'civil war' bs getting tossed around here) or just a meaningless utterance. As an employer, I've seen the effects of "Obamacare," and guess what - from where I sit, they're entirely positive. In fact, one of the major insurance companies in SE Wisconsin is actually going to be paying rebates due to low utilization. That's money going back into the pockets of hardworking Americans, thanks to our awesome President.

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Steve ®

4:11 pm on Thursday, June 28, 2012

TC - Obama care doesn't take full effect until 2014, you have seen nothing

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Greg

9:26 pm on Thursday, June 28, 2012

It is neither an empty threat or a meaningless utterance. It is a prediction that when you and yours find out what this powergrab really means, you will be getting your embolism. Kinda simple really.

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Taoist Crocodile

6:45 am on Friday, June 29, 2012

Sure. And when you and your kind figure out that there are no "death panels," and it's not a "government takeover," and the President wasn't born in Kenya, then we'll be living in the same reality. I guess the embolism could help with that; I can't see how it could hurt.

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Steve ®

9:03 am on Friday, June 29, 2012

What does the president being born in Kenya have to do with the largest tax increase the world has ever seen and a government take over of the private healthcare system?

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Taoist Crocodile

11:00 am on Friday, June 29, 2012

Steve, the answer is that all of those things are absolute fiction.

The point about the largest tax increase is completely bogus. Yes, if nobody was currently paying for health insurance, and all of a sudden everyone had to buy it from the government, then it would be the largest tax increase in history. HOWEVER, most people already have health insurance, and there's no reason why those who don't would have to buy it from the government anyway. They can just pay the fine, or buy it from a private insurer.

Just more lies and obfuscation from the right.

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Keri K Silk

12:24 pm on Friday, June 29, 2012

Steve you speak like a man who has healthcare. I have not been covered since 2005 when I left my job to become an entrepreneur. I'd love healthcare but I am turned down because of pre-exisitng conditions or the fees are outrageous. My being covered means preventative care. That will be a savings in the long run for all.

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Greg

3:35 pm on Friday, June 29, 2012

How is all of this great health care paid for if everyone just pays the fine? What is the plan for those that can't or won't pay the fine?
Tao, Got a problem with reading things into the conversation that aren't there?

Steve ®

9:46 am on Thursday, June 28, 2012

Obama : it's not a tax

http://abcnews.go.com/blogs/politics/2009/09/obama-mandate-is-not-a-tax/

OBAMA: My critics say everything is a tax increase. My critics say that I'm taking over every sector of the economy. You know that. Look, we can have a legitimate debate about whether or not we're going to have an individual mandate or not, but…

STEPHANOPOULOS: But you reject that it’s a tax increase?

OBAMA: I absolutely reject that notion.

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Jay Sykes

10:26 am on Thursday, June 28, 2012

Geez Steve, I thought you would have included a Beatles link:
http://www.youtube.com/watch?v=Oyu5sFzWLk8

Avenging Angel

9:48 am on Thursday, June 28, 2012

Whether or not the States can opt out is still an open question, but all this means is that we need to double our efforts to throw out Obama and regain the Senate.

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Avenging Angel

9:50 am on Thursday, June 28, 2012

And I will add, your are celebrating another hugh TAX on us? Remember, Obama said this was NOT a tax, but his lawyers managed to win on the argument that it IS a tax. Hypocrites.

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Gas Pains

12:04 pm on Thursday, June 28, 2012

If you are responsible and purchase private health insurance you pay nothing.

That's a tax I can live with.

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Steve ®

12:39 pm on Thursday, June 28, 2012

Most get healthcare from their employer. Most employers will now drop coverage as the $2000/person fine is cheaper. Enjoy your tax

SkinnyDude

9:54 am on Thursday, June 28, 2012

Yep they confirmed what I feared.....Obama just had one of the Largest tax increases in history as we are trying to come out of a recession. Can you say DOUBLE DIP?

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Mike Knight

9:58 am on Thursday, June 28, 2012

I can't fathom how forcing citizens to purchase health insurance is Constitutional. There's no mention of such a thing anywhere in the Constitutional. All three branches of the Federal regime are a tyrannical joke. They can make us buy anything or get a penalty with IRS enforcement. Home of the free? I think not!

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Mike Dee

3:30 pm on Thursday, June 28, 2012

@ Mike Knight, it's a free country If you can afford to live in it. What a joke,by the time the people wake up it's going to be to late. Get informed before November.

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Keri K Silk

12:29 pm on Friday, June 29, 2012

But it's okay for the State to make us buy car insurance?

Please explain the difference in your mind.

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Bob McBride

2:45 pm on Friday, June 29, 2012

Is the difference really that hard to see, Keri?

Think about what happens when a car hits something - or someone.

In addition to that, if you have a problem with being forced to buy car insurance, don't drive and the government won't hit you with a punitive monetary penalty for not carrying car insurance. You have a choice. Not so much with the health insurance mandate.

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Steve ®

2:46 pm on Friday, June 29, 2012

Keri - States are sovereign and law is different. You choose to drive so you can be forced to buy products or services. If you do not drive well then you can avoid those product and service fees 100%.

You will now be taxed just by being born in the USA and you can not avoid the tax by just not choosing to do an action.

You walk into a store, offered to buy a gallon of milk. You say no I don't need milk. The store charges you a fee for not buying the milk.

conservachick

10:00 am on Thursday, June 28, 2012

Headline: Supreme Court upholds Obamacare individual mandate as a tax
This was NOT sold as a tax
"During the 2009 debate over the Patient Protection and Affordable Care Act, President Barack Obama insisted that the law’s “shared responsibility payment,” assessed on Americans who fail to obtain government-approved medical coverage, is not a tax. “I absolutely reject that notion,” he told ABC’s George Stephanopoulos that September. “For us to say that you’ve got to take a responsibility to get health insurance is absolutely not a tax increase.” "
http://reason.com/archives/2012/06/12/the-obamacare-tax
In 1819 Chief Justice John Marshall observed that “the power to tax involves the power to destroy.” As currently interpreted, it also involves the power to manipulate us into submission.

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SkinnyDude

10:05 am on Thursday, June 28, 2012

Supreme Court just found that Obama broke his promise to middle class that he would not raise taxes. This is a tax . This is a tax on the middle class. Another promise broken and it will certainly effect small to mid size business willingness to grow . Expect Unemployment to remain high until Romney wins the white house.

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conservachick

10:06 am on Thursday, June 28, 2012

I just read the comments. It looks like a lot of us were paying attention and remembered that we were told this is not a tax, and are now being told that it is.
Come November, this should not bode well for the politicians who supported this monstrosity.

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Steve ®

10:08 am on Thursday, June 28, 2012

This will be a bloodbath in November. The dems like in Racine have a short term meaningless victory. Their losing streak will continue as they try and push their big government socialist agenda.

Force me to buy anything now, just call it a tax. Not sick? Just wait till you get cancer then get the insurance.

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James Madison

11:08 am on Thursday, June 28, 2012

Can you say per-existing condition? What a fool you are.

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CowDung

11:18 am on Thursday, June 28, 2012

Pre-existing conditions are no longer an issue under Obamacare. People can buy insurance only when they need it without paying higher premiums.

Considering that the fines for not having insurance are much cheaper than insurance, I expect lots of people to drop their insurance and pick it up only when they need it.

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James Madison

11:24 am on Thursday, June 28, 2012

CowDung, my point is that for all of Steve's hatred of the law, he's relying on aspects of it to save him once he gets cancer. Those previously without insurance will now at least be contributing SOMETHING to the cost of their healthcare, instead of the rest of us shouldering ALL of it once they go to the ER.

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Steve ®

11:42 am on Thursday, June 28, 2012

You go to the ER when you get cancer?
You only make my point. Go to ER after slicing yourself doing yardwork, hey you have cancer. Crap.

Purchase insurance tomorrow, insurance company can't deny me. Put 150,000 into my body, pay insurance company only a few thousand. Die, drop insurance. Cured, drop insurance. Cancer comes back, buy insurance again.

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James Madison

1:33 pm on Thursday, June 28, 2012

Steve, no, you are making my point.

1.) You wouldn't be able to get insurance with cancer without the ACA.
2.) You will be helping defray costs via the no-freeloader tax.

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Steve ®

2:34 pm on Thursday, June 28, 2012

No you made my point, and you just did it again.

1.) You wouldn't be able to get insurance with cancer without the ACA.
NO kidding, read my example above
2.) You will be helping defray costs via the no-freeloader tax.
I can't afford insurance, now what, now who pays it's a mandate that we all must have it. Your employer drops you from their insurance because the $2000 fine is cheaper per employee. Now what now you pay more. Enjoy your tax.

Craig

10:38 am on Thursday, June 28, 2012

I want someone else to pay my bills. This will keep me from overspending, and prevent prices from rising...........
Think Insurance Companies may raise the prices now that the individuals are not paying the bills?

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CowDung

10:42 am on Thursday, June 28, 2012

I don't like the third option in the poll. The SC's decision should be based on the Constitutionality of a law, not based on 'liking' certain parts of a law or not. One can hate the law, but still recognize that it is valid under the Constitution...

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SkinnyDude

11:10 am on Thursday, June 28, 2012

Its a 5-4 decision . So clearly that was debated among the Justices. It's the law because the current makeup of the court said so .Citizens dont have to agree with the law. That's the 1st amendment. It's also a 500 billion dollar tax increase on the american people . Obama's anti capitalistic ideas are choking the economy and opportunity from the citizens of this country. Expect the slow to NO recovery to continue.

Steve ®

10:46 am on Thursday, June 28, 2012

Mit just got some Steve® bucks. Never donated to a presidential election before

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Dirk Gutzmiller

11:46 am on Thursday, June 28, 2012

Steve ® - Very odd. You claim to be a 1%'er, and on Patch nearly every minute espousing Republican "values", yet you have never donated to a Presidential election before?

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Bren

7:33 am on Friday, June 29, 2012

An excellent example to his employees, demonstrating community interest. Careful Steve, you might be setting up a volunteer employee team to serve meals at a homeless shelter next. Philanthropy sort of sneaks up on you that way! ; )

SkinnyDude

11:04 am on Thursday, June 28, 2012

It's a 500 billion dollar tax increase on the american people. Can you imagine what Obama would do if he said he was going to raise taxes. This is what he does when he says he not raising taxes. This will further chokes growth . The economy now will be frozen or have a further down turn before the election. It's an obvious cause and effect situation. Unemployment will remain high . Growth will sputter. Revenues will sputter . Inflation will continue to rise as the fed has o continue to print money to pay for the lagging economy. The inflation becomes a hidden tax as Money is devalued. As the same money buys less and less. ARE YOU BETTER OFF THAN YOU WERE 5 TRILLION AGO?

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Ken

11:05 am on Thursday, June 28, 2012

The sky is falling! To those who believe that they are not already paying this "new" tax already, please consider that we insured are, in the form of those who are not insured having the use of the most expensive care possible-emergency rooms. Hospitals cannot turn these people away if they want to retain their tax exempt status.The health care industry just passes those costs on to the insured in the form of higher bills and premiums.I Medicare by the way, the insurance plan that all of us insured look forward to when we are eligible to apply is paid by collecting a tax.

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Chris

11:19 am on Thursday, June 28, 2012

Ken, are you saying that now that people will have insurance, they will not use emergency rooms for their primary care? I would claim just the opposite. People without insurance currently are by and large irresponsible. If they were responsible, they would have insurance. They have, through a series of life decisions, made poor decisions, leading to a choice of not having insurance, or being economically unable to attain insurance.

Do you really think that that behavior is magically going to change, now that they are insured? What would indicate that this is so?

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Jay Sykes

11:58 am on Thursday, June 28, 2012

Ken... Since the passage of Romney-care in Massachusetts the use of the emergency room has ++increased++ by 7-10%. The prediction was, just like you said, with mandatory insurance the ER usage/costs would be reduced. Supporters of the law,now proven wrong, had calculated a drop of 7-10% in ER usage.

Brittany

11:14 am on Thursday, June 28, 2012

If you know what's in the AHC Act I don't understand what people do not get about this. Lets go to some basics. In your working environment if you want to do a project you must show to your accounting department that it is financially feasible to save money in the long run. So was done with the AHC Act being scored by the CBO IF the individual mandate was included in the ACT to over the long term save money. Case in point individuals without health insurance who go to the emergency room for care cost taxpayers in today's market.

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Brittany

11:19 am on Thursday, June 28, 2012

The other point I want to make is children 26 yrs will be on parents health care, prescription drug care for seniors closing the donut hole, no caps on healthcare (I personally know someone who's child would be without care for her terminal illness if there were caps), people not denied for pre-existing conditions. People keep in mind as some middle class families face these very issues today, put yourself in their place before you pass judgement. It could happen to you or your family someday with the loss of a job and employer healthcare. Don't be so selfish. That's not what America is about.

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Bob McBride

11:34 am on Thursday, June 28, 2012

1) Since the law requires individuals to obtain health insurance and since it's highly like the cost of paying penalties for not providing employees with health insurance will be less than the overall cost of providing the benefit, this pretty much assures the end of employer provided health insurance for many people.

2) Requiring insurance companies to cover pre-existing conditions and allowing for the purchase of insurance posti-diagnosis is going to cause the overall cost of insurance plans to skyrocket. Those who can't afford it now most likely won't be able to afford it under the new system and will, in addition, be forced to pay a penalty for not having insurance. On top of that, a whole new class of individual, those who previously had employer supplied insurance and who are now forced out into the open market, may also be forced to opt for the penalty versus purchasing expensive insurance.

The net result could be less people actually covered, less people seeking healthcare when they need it, more people in financial straights as a result of healthcare costs and an actual worsening of the negatives created by our current system.

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Greg

11:35 am on Thursday, June 28, 2012

Your last statement is utter B.S. America is not about me paying for your stuff.

Sinead

11:21 am on Thursday, June 28, 2012

OK, so, those who can't afford to buy insurance now will be fined if they don't buy it in the 'future'? Can you imagine how much your taxes will increase as we ALL continue to pay for insurance for those (and the numbers will increase) who still can't afford insurance of any kind? How are they gonna pay that fine? Sorta like all of us in WI having to pay for the recent recall. The voice of the people, doesn't matter anymore. No one cares what the people think or want. It's all about 'they, them and those' imposing their wants, desires and saying 'they' know what's best for all of us. That's the socialist platform, right? How sad that the (liberal driven) court's decision is viewed as a positive outcome for 'what's his name' in DC. People, read the book, "The Amateur" by Edward Klein...then THINK again before you vote for 'what's his name' in November.

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Greg

11:31 am on Thursday, June 28, 2012

I think that some who celebrate this victory will be eating their words. But since it was not read until it was signed, I do not have all of the facts. The concept of universal health care is simple, it is universal, we all get the same thing. Those that have little or no coverage will get better coverage, and those that have really good coverage will get worse coverage. Connecting this to another conversation, I don't think this will do much for incentivizing people to enter the teaching profession. This may take that carrot off of the stick.

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Random Blog Commenter

11:34 am on Thursday, June 28, 2012

Since it is now a tax issue, the Supreme Court just returned that political hand grenade to Congress with the pin pulled.

Congress cannot dicate a personal action under the commerce clause, but congress does have virtually unlimited power to tax -- the fine for not having insurance is paid to the government, and thus the SC considered it a tax. The American people have shown a great ability to exert their political power against those who raise taxes.

Tax bills can be maneuvered through the Senate via reconciliation -- a simple majority. A GOP senate and house would be able to strike down the tax parts of Obamacare with a simple majority, the Dems could not filibuster. If Dems were to howl over this tactic, it was the same tactic used to pass the law in the first place.

The SC also said that states cannot also be punished by Congress for not chosing to expand Medicaid, which stays within the principle of our federalist form of government. States can chose to not participate in certain aspects of Obamacare and not have their base Medicaid funds removed by Congress.

Voting and elections will ultimately decide how all this turns out.

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Gas Pains

12:22 pm on Thursday, June 28, 2012

Of course it's a tax. It always has been. It is also a volunatry tax. If you choose to be irresponsible and not purchase health insurance from the private sector you are subject to the tax. Life is full of choices.

Romney sold this concept in Massachusetts as a 'tax on the freeloaders'

If you have insurance like I do we already pay a hidden tax in the form of higher premiums to compensate for the care received by the uninsured freeloaders of our society.

It's a strange world indeed when the GOP becomes the defender of freeloaders. Must've woken-up this morning in an alternate dimension...

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Steve ®

12:47 pm on Thursday, June 28, 2012

What happens when the freeloaders still don't buy insurance?

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Chris

12:51 pm on Thursday, June 28, 2012

Love the logic that the only way to get free-loaders to stop free-loading is to give them something for free. Brilliant!

Gas Pains...how about people don't get services they choose not to pay for. Now that will stop the free-loading!

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James R Hoffa

2:12 pm on Thursday, June 28, 2012

Hoffa does not have health insurance, but rather pays cash as he utilizes certain services. Hoffa always pays his bills and has never stiffed a health care provider. Does that make Hoffa a "freeloader" or "personally irresponsible?" Now, I no longer have the right to chose to pay as I go - I must buy health insurance or face a penalty, even though it's unclear how the IRS will enforce such a penalty. My freedom of choice was taken away by President Obama and Congressional Democrats and I'm being punished just because there are low-lifes out there that patronize health care services and then don't pay for them.

Is that the new American way - to punish the righteous just to kowtow to the low-lifes?

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Lyle Ruble

2:31 pm on Thursday, June 28, 2012

@JRH...Yep! Your on the hook now. Your financial responsibility has finally come around to bite you in the backside. But knowing you, I am confident that you'll figure out away to remain free and debt free. Just don't go and get married and have kids, that's when you really lose financial freedoms.:-)

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Greg

2:41 pm on Thursday, June 28, 2012

Hoffa, You will still have a choice, stand in line to get into the ward or black market.

SkinnyDude

11:34 am on Thursday, June 28, 2012

The law wasnt about making insurance affordable. That's laughable. It's going to raise the cost of healthcare . This is already occuring . People without money due to means or ignorance arent going to pay the fine or for insurance . That is what is laughable about the law. Its just a bad law all the way around as it is a power grab by the GOVERNMENT to expand DEPENDENCE. We all see how well that worked in EUROPE. They're sunk!

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Brittany

11:36 am on Thursday, June 28, 2012

People know what your talking about before passing judgement. I worked for 35 yrs with employer healthcare. It was only recently that I found out what the astronomical cost of getting individual healthcare was all about. The ONLY reason your healthcare is more affordable now as being part of an employer's healthcare plan is because costs are based upon the number in the pool of people covered. Therefore, that being said that is what the 'individual mandate' is all about and therefore by being able to cover a larger pool of people individual costs of healthcare premiums will come down. Right now that uninsured pool is going to emergency rooms for healthcare which is astronomical to taxpayers.

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Brittany

11:40 am on Thursday, June 28, 2012

Really Greg. Your already paying with millions of uninsured going to emergency rooms for healthcare. Who do you think they pass the costs of the uninsured onto. Your bill Greg! Can I be anymore clear!

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Chris

11:48 am on Thursday, June 28, 2012

Brittany, are you saying that now that people will have insurance, they will not use emergency rooms for their primary care? I would claim just the opposite.

People without insurance currently are by and large irresponsible. If they were responsible, they would have insurance. They have, through a series of life decisions, made poor decisions, leading to a choice of not having insurance, or being economically unable to attain insurance. I have no faith that those previously too irresponsible to have insurance, will now be responsible and take the time to find and utilize a primary care physician. Your premise that ER usage will go down is built on a rainbow wishes and unicorn dreams.

Do you really think that that behavior is magically going to change, now that they are insured? What would indicate that this is so?

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Greg

11:55 am on Thursday, June 28, 2012

Brittany, I pay for a lot of stuff that I should not have to. There is no personal responsibility in our country, and it shows.

florida

11:44 am on Thursday, June 28, 2012

So what if Walker says state won't comply; his state residents will have to comply or face IRS penalty.

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James R Hoffa

11:58 am on Thursday, June 28, 2012

What will that penalty be exactly, as the law states that it CANNOT be a forfeiture, seizure, and/or criminal prosecution, but doesn't state exactly how the IRS can enforce the penalty - isn't that strange that it states what they can't do but not what they can do?

florida

11:46 am on Thursday, June 28, 2012

@Brittany and we will still continue to pay the costs of uninsured who seek care because they are largely illegal immigrants who are nkt required under ACA to purchase health insurance!

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Ken

11:46 am on Thursday, June 28, 2012

Chris, are you saying all uninsured are that way because of choice? As to whether the newly insured will use ER's for primary care I cannot say without a crystal ball.What I'm saying is they wouldn"t be limited to that choice now.There are irresponsible people everywhere and it doesn't mean they are all unisured.

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Chris

11:56 am on Thursday, June 28, 2012

Ken,

No, I'm not saying all uninsured are that way because of choice. I'm saying that the vast majority of uninsured are that way because they have made irresponsible choices. Some have literally chosen not to buy insurance, whether individually or through an employer, and some have made such poor choices throughout their lifetime that they are economically unable to afford it, or can't get a good enough job that offers it.

So, my statement is that we are hoping that people who have shown, through personal choices to be irresponsible, will now, magically, with absolutely no incentive what so ever, be responsible, and that is where we will see this massive savings on healthcare that this law is touting.

florida

11:49 am on Thursday, June 28, 2012

You are naive if you think costs will go down now that everyone must purchase insurance. One, there will be hundreds, maybe thousands of "plans" (who has time to review them all and find cheapest)? Two, since when do for profit ckrps with a fiduciary responsibility to increase profits to shareholders EVER reduce the cost of their goods/services, Three, ever hear of inflation? Guess what insurance used to cost 30 yrs ago? Guess what it will cost 30 yrs from now. If you live on a fixed income, you can't afford inflationary costs.

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James R Hoffa

11:53 am on Thursday, June 28, 2012

At least Elizabeth Warren doesn't have to worry about the individual mandate or corresponding penalties (TAX) for non-compliance, as she is exempted from the mandate as a Native American.

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Johnny Blade

11:54 am on Thursday, June 28, 2012

RIP Limited Government ... Both partys are Tyrants .. The tree of liberty needs feeding my friends

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Johnny Blade

11:55 am on Thursday, June 28, 2012

Taxation = Slavery ... Now everyone is a SLAVE

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Chris Larsen

12:04 pm on Thursday, June 28, 2012

So this goes from not a tax in 2009 to the SC calling it a tax (because it's the only way to get around a states rights issue because the Feds have the power to tax) in 2012. Kinda like "We have to vote for the bill to see whats in it" So now we have another Obama tax lie, right up there with not raising taxes on the middle class. Cant wait to see the spin from the WH on this. The teleprompter will be working overtime on this one.

Too bad you cant recall a Supreme Court Justice, as Chief Justice Roberts just turned tail and handed us a 500 billion dollar tax increase.

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Greg

12:09 pm on Thursday, June 28, 2012

The spin from the WH will be; Obama will get in front of the camera and say "This is a good thing for the American people", that's all, same as always.

Chris Larsen

12:11 pm on Thursday, June 28, 2012

I don't know about the rest of you, but what happened in Wisconsin this past 12 months as far as outcry and uprising will be nothing compared to what could happen in our Nation over the next 2 years. I am very scared for my country right now.

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Chris Larsen

12:15 pm on Thursday, June 28, 2012

What also gets my goat, is Romney is now going to come out and say "This is so bad, etc" When this is his Mass. plan on a grand scale. We are screwed either way.

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Steve ®

12:39 pm on Thursday, June 28, 2012

State rights not equal to federal

Johnny Blade

12:44 pm on Thursday, June 28, 2012

Chris it will be scary ... Greece uprisings are coming here, we are way too much in debt, it is unsustainable ... Pensions will be defaulted on .. look at Cali .. I see massive riots when the dollar tanks

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Barack Hussein Obongo MMM MMM MMM

12:50 pm on Thursday, June 28, 2012

Largest tax increase in the history of mankind....thank you DemoRats. Let the civil war begin.

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Michael

1:00 pm on Thursday, June 28, 2012

As a small business owner, I will NO LONGER OFFER HEALTH CARE. It is now more economically beneficial to my business not to do so. Instead, I will pay the fine per each employee in an attempt to save my business and the jobs of my employees. Believe it! This is the reality of this law. Stop analyzing cause and start focusing on effect people.

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Barack Hussein Obongo MMM MMM MMM

1:04 pm on Thursday, June 28, 2012

Hell just make them 1099 employees like I am going to do, let them pay the fine.

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Bren

3:03 pm on Thursday, June 28, 2012

As I understand it, as a small business owner you will be eligible to participate in a health insurance purchasing pool which will keep costs affordable. Some years back I worked for an organization that participated in a similar pool operated by the local chamber of commerce. It worked well.

Not to tell you how to run your business but most full time employees want health care. I think you will be very pleasantly surprised at what's possible for your company and employees.

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Taoist Crocodile

3:12 pm on Thursday, June 28, 2012

So, Michael, why wouldn't you have stopped offering a health plan BEFORE there was a fine? If costs alone were driving your decision, then you would have dropped the health plan already.

Is it because, thanks to the ACA, there's now going to be a more affordable public option for your employees?

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Steve ®

3:43 pm on Thursday, June 28, 2012

►why wouldn't you have stopped offering a health plan BEFORE◄

Competition in the free market. Obama care removed that equally

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Taoist Crocodile

3:49 pm on Thursday, June 28, 2012

Steve, at least try to make sense. How did the ACA hurt competition? Bonus points if you can respond without contradicting yourself or parroting GOP lies and propaganda.

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Steve ®

4:06 pm on Thursday, June 28, 2012

I don't' need your bonus points.

When trying to find full time employees one way you bargain with them over compensation is offer benefits. Our Obama economy is still in the dumps so there is no shortage of workers unless you need a welder. Once the first large corporation dumps their healthcare plans and pays the $2000 fine/employee, the rest will follow removing that completion or way of luring an employee.

There was none of this before because there was no obama care mandating you purchase a product or service.

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Taoist Crocodile

4:14 pm on Thursday, June 28, 2012

Well, it's a good thing you don't need my bonus points, because you're not getting any - not only were you incoherent, but you didn't answer the question.

So, Steve, the question remains - If an employer didn't dump their health plan when there was NO fine, why would they be motivated to do so now that there IS a fine? What is it about "Obamacare" that will make employers drop their health plans? I'll give you one more chance to answer before I enlighten you.

Johnny Blade

1:05 pm on Thursday, June 28, 2012

I now realize why we have the 2nd Amendment ... Time to form the Militia ... Tyrants need to be ousted .. all of them

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Taoist Crocodile

3:13 pm on Thursday, June 28, 2012

Boo hoo. I'm sure the establishment is just trembling in fear of your impotent rage.

Brittany

1:11 pm on Thursday, June 28, 2012

People with Health Insurance use Emergency Rooms when they should be going to their doctors. I've seen this in action many times.

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Chris

1:26 pm on Thursday, June 28, 2012

Not sure what your point is.

At first you stated that this law will help people not use the ER because they have insurance and can use a primary care doctor, yet now you state that you see people with insurance using the ER for non emergency care.

.

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Steve ®

2:41 pm on Thursday, June 28, 2012

by ER you mean urgent care?

Brittany

1:16 pm on Thursday, June 28, 2012

Gee I paid too Greg. For many decades. That doesn't mean I have to be inconsiderate of others. There are many more middle class families struggling out here who worked all their lives. I never had any children. So does that mean I should have a bias towards those who do have children in being able to have the access to affordable health care. I wasn't brought up that way.

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Greg

1:38 pm on Thursday, June 28, 2012

I guess you have a choice, what a great concept. Wait until Obama wants to tell you that you must or must not have that bias.

James R Hoffa

1:32 pm on Thursday, June 28, 2012

Today's ruling created a new class divide between the not-so-free and the super-free, as Native Americans and the Amish are now the freest citizens of our nation.

Thanks SCOTUS, President Obama, and Democrats in general for once again further dividing us instead of brining us together as a nation.

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Brittany

1:32 pm on Thursday, June 28, 2012

What I'm saying Chris is there are many people who abuse the system all the way around. The point I was making without the AHC act uninsured people had no choice but to use emergency rooms for care. But, if you want to talk about clear abuse, it is those with health insurance who go to the emergency room first where the cost is clearly higher as a first choice or choice out of convenience versus seeing their doctor first in a non-emergency situation.

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Chris

1:42 pm on Thursday, June 28, 2012

I understand what you are saying...you just contradict yourself, that's all.

Here is what you posted above "Case in point individuals without health insurance who go to the emergency room for care cost taxpayers in today's market.".

The cost is the same, whether they have insurance or don't have insurance if they are subsidized. But, as seen with Mass., ER utilization has gone up, not down, thus driving costs higher, and not lower. Medical services utilization across the board also goes up with the more people insured...which makes sense...but that doesn't drive cost down...just drives demand up, without increase supply.

This bill is not affordable, and does not lower costs. It will help people get insurance...and that's all it does. It won't change their behavior to utilization, there will be no benefit to paying for a policy that fits your personal needs, will not change lifestyles, and further takes personal responsibility away...but other than that, it's fantastic!

Brittany

1:56 pm on Thursday, June 28, 2012

The way you state your comment, If your already providing healthcare benefits today that means you have healthcare premium costs already with or without this law. So why would you want to stop providing healthcare benefits for your employees if your already providing it? And if your decision is to drop existing healthcare benefits, that's a decision made regardless of this law. And yes depending upon size of company you may have to pay a penalty. But then what I would have to ask is why you offered healthcare benefits to begin with?

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Chris

2:08 pm on Thursday, June 28, 2012

Brittany,

You know the answer to your question, but you need to provide context. Employers offer insurance as a benefit to attract employees, plain and simple. However, under the ACA, if the plan is too good, you know, to attract really good employees, that business gets taxed. So, the effect of the law is to make basically all insurance plans the same, regardless of who supplies the plan. If all the plans are essentially the same, there is no longer an incentive to offer insurance benefits...so then it comes down to strictly dollars, cents, and sense. Why pay $10,000 per employee, when I could pay $2,000?

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Lyle Ruble

8:02 am on Friday, June 29, 2012

@Chris...As one retired business owner to a current business owner, let's look at your logic. As you say, offering benefits to employees is and has always been a means for attracting the best employee candidates. Let's follow what you are offering to a prospective candidate through a mock employment interview:

Employer: I don't offer healthcare insurance anymore, but I will pay your fine of $2000.

Prospective Employee: If I understand what your saying is that you used to offer healthcare, but now you don't, why?

Employer: Because it is cheaper for the business to pay the fine than to pay the employer portion of the premium and I don't have to negotiate with insurance companies.

Prospective Employee: So what you are saying, if I come to work for you that you will be saving money by making me purchase healthcare coverage for myself and my family. How much more will you pay me since I have to purchase my own? Seems to me you should pay me what you would have been spending of healthcare coverage.

Employer: I can't afford to do that, it will cost me more money.

Potential Employee: Thanks for your offer, but I think I'll pass, Good day.

Chris, besides attracting good employees, offering benefits instead of salary saves the employee and employee money. The employer doesn't have to withhold SS or payroll taxes.

If you don't offer a decent benefit package, you'll not get the quality of employee that you will need to maintain and grow your business.

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Bob McBride

10:33 am on Friday, June 29, 2012

Lyle, I believe Chris was referring to his penalty of $2K, not the employee's.

I think you're also assuming an employment marketplace where the potential employee holds a bigger bargaining chip (I'll go elsewhere) than is actually the case. In addition, the provisions in ACA that will most likely cause premiums to jump significantly (as insurance companies attempt to regain some of the additional costs associated with them), will provide employers with the perfect (and in many cases, legitimate) excuse for not only not providing health care insurance for new hires, but for discontinuing to offer it altogether, thanks, in part, to a penalty that encourages them to do so. Not only that, but that same penalty also provides the perfect excuse for doing no more than not charging the employee for their portion of the insurance going forward.

The goal obviously is NHC, however this is a pretty brutal way of getting us there and one that may, ultimately, end up making the situation much worse before it gets "better".

Brittany

2:17 pm on Thursday, June 28, 2012

I guess I would have to study Mass., ER utilitzation first from credible sources to comment on that. How do you know the bill is not affordable? I can't say either way for sure, but It was scored by the CBO. Yes, I would agree with you if the 'individual mandate' was struck down. The larger the pool of people, the more you can bring down costs, along with other things. I feel there is alot of administrative, testing waste in today's healthcare system and we should strive for cost containment in those areas also. I feel technology also plays an important role in cost containment throughout patient care to drive costs down. This is the area I come from. Our motto in the IT field was you have to spend money to save money in the long run. Of course I'm only talking about legitimate projects with a proven ROI. And the penalties collected may help to offset costs for those who don't join in. This was not meant to be a cure all, but a start.

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Brittany

2:24 pm on Thursday, June 28, 2012

For my statements, the other part of my background was working in part over the years in the Healthcare Sector, either within major hospitals or for the insurance companies themselves.

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Chris

2:25 pm on Thursday, June 28, 2012

Brittany,

How is Medicare doing after the CBO scored that when it was proposed? I'm not saying that a bill is, or is not good based on the cost...but we need to be honest with the cost. Have you seen the latest score? Have you seen the latest projections of how many companies are going to dump their plan?

Of course there's waste in the medical field...but you are proposing that government find and fix the waste?

Was the ACA act ever billed as just a start? I think the opposite of that is true. You remember the quotes..."If you like your plan, you can keep your plan". That's patently false. Obviously, if this was just the beginning, the quote would have been "For the time being, you can only have a certain type of plan, or you'll be taxed, until the next bill comes forth that expands on the current bill."

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mau

2:44 pm on Thursday, June 28, 2012

So now I will wait for my premiums to go up and my benefits to go down so that we can equalize everyone. I will now not only pay the premiums for our private insurance but also be taxed to pay for all those who have no means to pay for this mandate. Will we now build some new prisons to hold all the law breaking citizens who refuse to or can't pay either the premiums or the penalty.

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Keith Schmitz

7:14 am on Friday, June 29, 2012

If they do, it is the insurance companies using the ACA as an excuse.

Brittany

2:50 pm on Thursday, June 28, 2012

Medicare has been a program that has worked for decades. And yes, I do agree It's been out there for a long time through many administrations that it needs to be fixed to accommodate future generations. You may be able to start a new program for people who are in their twenties and thirties, etc. because they will have time to prepare. However, you don't pull the rug from under those who are in their late forties and fifties by drastically changing the program. It is another area that needs to be worked on, but nothing gets done with a stalemate in Congress, nor a my way or the highway attitude. All of these programs need compromise. Proof in that point I don't think the CBO scored well on the Paul Ryan plan either. What people need to do is become more engaged. Yes, I do believe it is just a start. This is massive, therefore just like anything else changes will have to be done accordingly.

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Chris

2:58 pm on Thursday, June 28, 2012

Brittany,

The point is you can't use the CBO score to say it's revenue neutral...case in point...

In 1965, as Congress considered legislation to establish a national Medicare program, the House Ways and Means Committee estimated that the hospital insurance portion of the program, Part A, would cost about $9 billion annually by 1990.v Actual Part A spending in 1990 was $67 billion. The actuary who provided the original cost estimates acknowledged in 1994 that, even after conservatively discounting for the unexpectedly high inflation rates of the early ‘70s and other factors, “the actual [Part A] experience was 165% higher than the estimate.”

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Bren

3:11 pm on Thursday, June 28, 2012

I believe the next step is reviewing health insurance company policies and setting uniform national standards where applicable (such as U&C). The medical industry also needs to adapt a national pricing code and that information needs to be available for everyone, at least for routine to moderate procedures and issues. The issue of "covered" physicians and clinics also needs to be reviewed. An acquaintance ended up paying several thousand dollars because her "covered" primary physician referred patients to another doctor in the "covered" clinic. The health insurance company informed her that the alternative doctor was not one of their covered physicians (although he worked in the covered clinic and was acting as a substitute). They charged the out-of-network rates and (this should be no surprise) threw out her appeal. This is just wrong.

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Steve ®

3:51 pm on Thursday, June 28, 2012

Your "acquaintance" was too stupid to call the insurance company before hand and see if this new doctor was covered?

Yes we know you want to take over the private healthcare industry so you can control 1/6th of the economy.

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Jay Sykes

4:47 pm on Thursday, June 28, 2012

@Bren... For health insurance purposes the uniform national coding standard exists today and its called a DRG;this coding system started in 1980. Got yourself broken leg? -- Fracture; upper end, closed; tibia alone -- that an 823.00 .

http://www.findacode.com/icd-9/823-00-fracture-upper-end-closed-tibia-alone-icd-9-code.html

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Bren

5:32 pm on Thursday, June 28, 2012

Steve, my acquaintance was indeed given to understand that this was an in-network provider when she learned at the time of her appointment that her PCP was not available. It was a highly unusual situation. Typically a clinic, a partnership of doctors, affiliate with one system or another. The insurance companies affiliate with systems, clinics, and doctors. (For example, when Aurora was starting up United Healthcare originally refused to accept Aurora's prices.) It's ridiculous for a health insurance company to be splitting hairs within a clinic in that way. My acquaintance is definitely not stupid, the rules are written casino-style, so that the House always wins.

Steve, not sure what type of "job creator" you are. I always look for direct services to cut out the expense of the middleman. The three issues with the U.S. healthcare system (in my opinion) are these: 1. We have a for-profit industry administering a human need (medical care). 2. That industry took advantage of the post-WWII trend of employers picking up medical costs as a recruiting/retention tool (companies can typically pay more than individuals). 3. The combined issues of the cost of medical training, business start-up and overhead, health insurance-related opportunity costs, etc., have caused prices to rise out of control. 4. Patients have a hard time getting up-front estimates--that's illegal in the car repair industry.

Right now corporate interests mostly support the GOP. A NHCP would be apolitical.

trealight2

4:16 pm on Thursday, June 28, 2012

Insurance companies are simply money managers that refuse to follow through on their commitments to cover health care costs but focus on building sky scrapers and paying out investors. Profits paid to investors/construction projects are garnered by refusing to cover people's health care costs through loopholes and shenanigans, where in-fact, these profits should be used to drive down costs (if only they were not-for-profit). Imagine your car mechanic collecting monthly payments with the understanding that when your car breaks, he'll fix it; your car breaks, and he refuses to fix it, and infact has been paying someone all along to figure ways to not fix it! Sounds ridiculous, right? Universal Health Care will increase entrepreneurialism by reducing obstacles to market- this is one step in the right direction but status-quo insurance companies need to be fazed out!

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Greg

4:41 pm on Thursday, June 28, 2012

I think the insurance companies had their hand in the writing of the ACA. The car repair scenario that you present is real, but not yet mandated by our government.

trealight2

4:32 pm on Thursday, June 28, 2012

Interesting program- BUT- beyond the religious rhetoric- pretty freakin expensive (though less household insurance rates)-
Couples rate $300/mo + annual membership!
That's over $3800/yr... now add two children to the mix-

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Steve ®

4:53 pm on Thursday, June 28, 2012

It's not too out of line with the cost of insurance even with your employer discounting it to you. Obama care will probably rule this as not the correct kind of insurance and they will be gone like all the rest in the free market.

trealight2

4:58 pm on Thursday, June 28, 2012

actually from what I understand they are considered a health coop- and fall outside of upcoming regulations- how that effects consumers' requirements for health coverage though, i do not know

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Ken

7:48 pm on Thursday, June 28, 2012

This a bill of incredible importance, so all Americans need to take a deep breath and wait and see the real impact on all of us,insured or not, before either side claims "victory", Because there is absolutely no "victory" if the vast majority of "we the people" ,the real govt. benefit from Washington's actions. I hope more of us start getting really educated on this subject instead of just watching/reading what we agree with on tv or the radio.

DICK STEINBERG

6:53 pm on Thursday, June 28, 2012

insurance companies have for a long time controlled the health care system in the USA. They deny coverage at will. They refuse to pay at will. Pre-existing condition defenses are a false premise. To health insurers arthritis is sometimes a pec even though people over 30 start having arthritis. Hereditary genes leave almost all people with a pec, i.e., heart, cancer, diabetes, etc. that why ins. companies always ask for your family medical history. the public pays for health insurance in good faith and has the right to expect the same.

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Ken

8:01 pm on Thursday, June 28, 2012

What many of us don't remember is that when the single provider (read a differrent type of medicare) was proposed, the Pres. caved and let the ins. industry write this bill to cover their interests after they figured the tides had gone against them and they better get on board.

Jim K.

8:02 pm on Thursday, June 28, 2012

The ruling by the Supreme Court has made me sick, but the Obamacare "Death Panel" has decided I am to old to get medical care! God help us all, as our country begins socialized medicine and gets futher entrenched in socialism and further into debt.

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Ken

8:13 pm on Thursday, June 28, 2012

Jim, please tell me how these"death Panels" that you are terribly worried about are worse than the exisiting system where ins co.. can basically deny any claim and make you prove (with a lawyer) that you have a viable claim.

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Keith Schmitz

7:12 am on Friday, June 29, 2012

Not to mention that a reversal of the ACA would have left millions in the lurch without health care coverage that have been added since its passage in 2009. What is disturbing are the Republicans who have flipped out and seem totally unmindful of the tragedies this would visit on a vast number of people.

Worse than 9/11? Get a grip.

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Mr.Ed

10:56 am on Friday, June 29, 2012

The "death panel" he is referring to is a panel in each specialty that decides if care for a condition is appropriate to cover or not. Think of it like this... An example: PSA testing and prostate treatment in men. If a treatment doesn't affect your expected lifespan (men, thats 76 years old) why cover it? So when the man lives two 77 and then gets metastatic prostate cancer, the treatment will be conservative because he has already lived a "full life." The push for conservative medicine has already started. http://www.cbsnews.com/8301-504763_162-57438590-10391704/u.s-panel-recommends-against-psa-tests-for-screening-prostate-cancer-in-men-of-all-ages/

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Johnny Blade

12:28 pm on Friday, June 29, 2012

@Ken ... at least you GET the care, the otherway "they" decide you don't get the care and die .. seems like a no-brainer .. well you probably can't understand

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mau

1:31 pm on Friday, June 29, 2012

Does anyone remember Hillary Clinton and Al Gore's attempt at a National Health Care System. I do. My sister-in-law was diagnosed with advanced cancer. Her chance of survival with treatment was low. I don't remember her exact survival number. But under their proposal she fell below the acceptable percentage for survival and thus would have been left to die with no treatment. Luckily their proposal failed and my sister-in-law is alive today. That is a death panel.

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Bren

8:03 pm on Friday, June 29, 2012

The so-called "death panels" are insurance company "appeal" committees. If a claim has been declined (because of coding errors, clerk who forgot to open the "notes" tab on that patient in the database, etc., which I observed numerous times when working in the industry), the patient may appeal for a review. The process may take months, and if the patient dies, oh well, less money to pay out. Seldom are declinations reversed, and if so, they are a compromise (at best). Panels are comprised of doctors who are paid by the insurance company and probably better than they ever were while in practice. So there is a broad constituency that profits from industrialized healthcare coverage.

If a treatment is turned down by the Appeal panel because it is "experimental," etc., the patient has little recourse. Litigation, another time-consuming enterprise that could further compromise health, try to get on Medicaid or wait until the point of collapse and be taken to a public hospital on the taxpayer dime, or go without treatment and die.

mau, if you have any links to back up your claims about the Clinton/Gore NHCP please provide them. I had no idea that their concept had reached the point of personal diagnoses.

Waukytalk

8:39 pm on Thursday, June 28, 2012

@Ken Insurance companies don't just deny any claim. There is a contract that they have to follow. The problem is sometimes people don't take enough time to be aware of things that there insurance covers or doesn't cover and the amounts that they may have to pay out of pocket.

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Keith Schmitz

7:13 am on Friday, June 29, 2012

Why is it then that insurance companies have people on staff to find ways not to pay claims? Why health insurance is the one thing this country that you pay for -- a lot -- and you have no guarantee that they will honor their promises?

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CowDung

10:35 am on Friday, June 29, 2012

Keith:

You seem to be posting a lot around here. Are you a Koch sponsored paid blogger or something?

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Bren

8:20 pm on Friday, June 29, 2012

Waukytalk, claim declination is the standard procedure for handling any irregularities in a claim. The patient becomes the insurance providers' unpaid employee whilst attempting to determine the actual purpose for the declination (suspected other coverage, provider/procedure code error(s), subjective interpretation of coverage, etc., etc.). The location of the service can also be an issue. A few years ago a relative had their foot stepped on by a horse after a riding lesson. Because the Urgent Care Center was located right next to the Emergency Room (both were clearly marked), the UCC employee mistakenly coded the stomp as an emergency room visit. If the relative hadn't been friendly with the plan administrator at their job they would have paid hundreds more because of the mistake.

Remember that billing and claim processing mistakes are always the fault and responsibility of the paying customer.

Steve W

11:21 am on Friday, June 29, 2012

The only good to come out of this is the entitlement crowd will finally be forced to pay for something. Instead of dodging medical bills they will be hit with a fine. Maybe less money will be spent on flat screens, cell phones and fake coach bags. I can't wait to see the looks on their faces when they realize Obamacare is not another free hand out.

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WIPLAYER

12:00 pm on Friday, June 29, 2012

Discussion is great but action is better. With action something happens. Even better is if you don't like what is happening then do something to change it. Too often we sit and make comments on boards like this but we don't do anything if we agree or disagree with things like the Health Care reform. I think it's great because it's a start. Of course it's not perfect and it never will be. However, if you don't like it then speak out through voting. Don't we have a say in who is in Washington? If you choose to do nothing but complain, get a Facebook account.

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Johnny Blade

12:24 pm on Friday, June 29, 2012

So if it is a tax .. the supreme court can't pass a tax, a tax bill must start in the house, the senate passed thier own bill and it got rectified .. It appears the law wasn't constitutionaly passed as a tax bill ... could be interesting

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Babykit

2:15 pm on Friday, June 29, 2012

Dream on Scotty, dream on.

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Earl

2:48 pm on Friday, June 29, 2012

Three reasons why this is a great law:
1. My ten year old grandson who was diagnosed with brain and spinal cord cancer cannot be dumped.
2. People who can afford health insurance, but choose not to buy it, in the hopes that they will never be sick or in an accident, now have to purchase it.
3. It will keep the cost of health insurance down by making certain that more than 85% of your premium dollars goes back to you and not into the pockets of multi-millionaire and sometimes fraudulent (United Health Care) CEOs.

It makes no sense to me that we have an outragiously expensive "insurance" system where we pay a third party a fortune to them pay our medical expenses.

The government doesn't dictate the quality of our care...insurance companies do.

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Johnny Blade

3:48 pm on Friday, June 29, 2012

So you think you deserve free health care?? Why not just force by gunpoint the Dr. to help your grandson .. seems to be what this law does .. oh except you don't have to force the Dr. .. so i guess it makes you feel better that the government does it for you

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Dirk Gutzmiller

4:40 pm on Friday, June 29, 2012

I am baffled by those commenters that seem to believe they will never encounter a situation where they cannot afford a huge medical bill, cannot get adequate healthcare, lose their insurance coverage, have a pre-existing condition and are refused coverage, must go bankrupt, etc. And we are talking also about family members, friends, neighbors, etc.
If I was super-rich, I would NOT have these concerns. So what if it cost a million to get a pancreas transplant, or my child has a brain tumor, cost is the last concern. Why even have insurance?
These commenters are speaking for the super-rich, or are among those that have not really experienced some of the surprises and tragedies in life that make you understand what can happen to their "secure" lives. If they say they have seen these sad twists of fate, but still believe in their Social Darwinism, it is very hard to have pity on them when "bad things happen to good people."
These commenters are exhibiting sociopathic tendencies of believing they are exempt from health issues,may even carry no health insurance, have no empathy for others, and would "game the system" more than anyone should they get desperate and sick.

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Greg

4:51 pm on Friday, June 29, 2012

Your assumption is that ACA is going to work, others may not share your view.
As of now I have not had a problem providing for health care for my family, and there is no indication that that was ever going to change. Now is the first time that I am unsure. If you know the content of this bill, in it's entirety, please share it with us.

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Dirk Gutzmiller

8:49 pm on Friday, June 29, 2012

Greg - Oh yeah, like someone needs to read and study the entire bill in depth to comment on it. That is why we have competing political parties, news organizations, political analysts, academia, etc. to listen to.
You already have health coverage, so you do not need to sign up. What do you fear exactly? Or are you just trying to encourage fear in others? You are not exactly a sage and neutral observer, quite the very opposite.
If the Republicans win the control of Congress and the Presidency, they will not dare get rid of the bill in its entirety, or replace it with a much weaker version. Everyone that has a health crisis or even hears about one after that will blame the Republicans for eliminating something that may have helped. Sob stories woule proliferate in the press, and the Republicans would look evil. Obama would go down in history as the great but denied visionary. Obamacare replaced by Romneycare would be a mostly a name change, and a bit of tinkering would convert one to the other. .
It is all over for those against universal healthcare,as, in one form or another, it is a done deal. That is the way world trends in healthcare have overtaken America. Some details would change, but Obama is at least the man that got the ball rolling downhill, and history will be kind to someone like him, versus the unprogressive Tea Party. .

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Greg

9:14 pm on Friday, June 29, 2012

I agree, Obama is leading our country downhill.
Dirk, Your blind trust is probably touching to politicians, but the majority of the country does not agree with you.

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Dirk Gutzmiller

1:38 pm on Saturday, June 30, 2012

Greg - Most people will say they are against universal healthcare, but when they hear the individual provisions, e.g., pre-existing conditions not preventing you from being covered, you cannot be dropped from coverage, etc., they are mostly all for it.
Obama does need to push the individual provisions, and Romney will not be able to say he is opposed without political repercussions. And wait until those millions of rebate checks for insurance companies are mailed later this year!

Keith Best

10:01 pm on Friday, June 29, 2012

Obama lied when he claimed it was NOT a tax.
I hope they hammer him with his worthless quotes.
NOBAMA 2012!!

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Jack Sparry

12:16 pm on Thursday, July 5, 2012

Well said Dirk! If you already have insurance, there's nothing going to change. Hey Keith, ask Romney. He has the same law in Massachusetts!

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The Anti-Alinsky

2:32 pm on Thursday, July 5, 2012

Jack, the difference is that it was passed at a state level vs. Federal. The way I read the US Constitution, a state has a right to do that.

jojobo1

7:25 am on Saturday, June 30, 2012

Keith Obama did not make it a tax and it was not supposed to be one.The supreme court called it that and you should wonder why they did that.I am sure they had a reason other than the obvious.Seems some business owners are only worried about their profits.I have always wondered why a group of business owners couldn't group all their employees together to lower the cost of insurance.It was not allowed .At least with this you can get into a large group to pay lower costs.I worked for 20 years for an employer who paid I believe it was 75% of the cost but we had to change insurance companies every 2 years because the cost raised to much by insurance companies

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Mike Knight

11:54 am on Saturday, June 30, 2012

Who are their delusional nuts who think the law is Constitutional? Then they're saying that the government can make us buy anything to pad their pathetic insider trading pockets, or make up any tyrannical direct tax they so choose. The Federal government was intended to perform a small amount of duties while the States took up anything else the citizen wanted. This current Federal government is beyond unconstitutional, and illegal on a plethora of levels including it's imperial war mongering about the planet in the supposedly name of spreading democracy, and humanitarian aid. This health care legislation was written by the insurance industry which is in turn owned by globalist bankers. It's just another tax paid to offshore bankers just as our income taxes go to pay off the interest on our national debt to the foreign bankers behind the private Federal Reserve.

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Jack Sparry

12:17 pm on Thursday, July 5, 2012

Romney thinks so, but won't say. Its the same law he signed in Massuchesetts!

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The Anti-Alinsky

2:32 pm on Thursday, July 5, 2012

Jack, the difference is that it was passed at a state level vs. Federal. The way I read the US Constitution, a state has a right to do that.

Zach Schober

3:45 pm on Saturday, June 30, 2012

Obamacare will be nice for all the hard working Americans that have to pay the price to save the non hard working unemployed people across the country while also increasing taxes for the middle class and leaving trillions of dollar debt for years to come. Keep the false hope going obama. FULL REPEAL

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Jack Sparry

12:18 pm on Thursday, July 5, 2012

Shouldn't you add Romney in your comment? He passed the same law in Massuchesetts...

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The Anti-Alinsky

2:32 pm on Thursday, July 5, 2012

Jack, the difference is that it was passed at a state level vs. Federal. The way I read the US Constitution, a state has a right to do that.

scooter

5:46 pm on Saturday, June 30, 2012

You Dem's got what you deserve. You put a completely unqualified goof in office, who insists on craming things down the majority of the publics throats. Say goodbye to the constitution.

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Jack Sparry

12:19 pm on Thursday, July 5, 2012

Uh oh, you forgot to add Romney in your comment....I wonder if he was in office, would you complain about the same law he passed?

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The Anti-Alinsky

2:33 pm on Thursday, July 5, 2012

Jack, the difference is that it was passed at a state level vs. Federal. The way I read the US Constitution, a state has a right to do that.

The Anti-Alinsky

2:36 pm on Sunday, July 1, 2012

The sad part is that this opens the door for Congress to tax not only anything we do, but anything we don't do.
Don't want health insurance? There's a tax for that.
Don't want to recycle? There's a tax for that.
Don't want to go out and celebrate the May Day parade in Red Square, I mean Washington DC? There's even a tax for that.

There are so many real problems with health care that forcing everyone to pay into it, one way or the other, will not fix anything. We need the Feds to relax their grip and allow hospitals, insurance companies, and other health related companies to truly compete. Until then we will only waste more and more money when we don't need to.

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scooter

10:57 am on Thursday, July 5, 2012

If Obama care is so wonderful, then why did he offer some "special interest groups" and politicians exemptions? In case some of you haven't noticed, the majority of the public doesn't want it. It was crammed down our throats by the incompetent goof we currently call the president. The govenment has become creative at taking your money by incorporating surcharges, fees, reimbursements, etc, etc., without calling it a tax. (look at your phone bill for example) Since paying it is not an option, it works the same way as a tax. All they have to do is require certain groups of people to pay more, and give reductions or exemptions to others. That way politicians can focus on the "perceived" tax rate without having to defend the reduction in our disposable income.

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Jack Sparry

12:08 pm on Thursday, July 5, 2012

I find it funny when I see comments from Republicans pushing to vote for Romney when he was the first person to pass the health insurance law in Massachusetts. It only tells me that he believes in this law, but won't come forth because he doesn't want to upset the Republican base. Not to mention his job loss in Massachusetts which happened under Romney. Why is Romney hiding millions in a Bermunda, Swiss and Cayman Island account? Could it be for tax shelters? Not to mention his Bain company. It is the American way to make money, but under Romney, outsourcing jobs was the way to go. Read more about Romney before deciding to jump on his bandwagon!!

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Greg

12:22 pm on Thursday, July 5, 2012

Please provide links supporting your talking points, so I can read more.

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Jack Sparry

12:45 pm on Thursday, July 5, 2012

Greg....http://www.vanityfair.com/politics/2012/08/investigating-mitt-romney-offshore-accounts... ....You should already be aware of the Massachusetts health care law. Also, the lost of jobs in Massachusetts and the outsourcing of jobs. The internet is easy to find information on what ever you seems to not want to see. I am not saying President Obama should not have focus on jobs. But, you have to be aware of both candidates before selecting base off of political parties. I am not a democrat, but I do believe in knowing both parties!

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The Anti-Alinsky

2:33 pm on Thursday, July 5, 2012

Jack, the difference is that it was passed at a state level vs. Federal. The way I read the US Constitution, a state has a right to do that.

Jack Sparry

11:22 pm on Thursday, July 5, 2012

The Anti-Alinsky, so you are telling me that the reason why the Romneycare is ok because it was passed in one state? It still means that in Romney vision, he wanted a health care law passed. If the health care law Obama passed was different, you would have a valid point that there is a difference. According to Scott Walker, he will not pass the law in WI. So what is everyone argument. If Romney passed the law first, that means you will not vote for him because you do not believe in what he passed in Massachusetts. Right?

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