Friday, December 11, 2009

"Obamanation care just keeps getting better, NOT!"

I have spent the last 30 days engaged with my senior health insurance clients preparing for and reviewing their Medicare Health Insurance needs now that Medicare Advantage PFFS (Private Fee For Service) plans are either gone completely or too expensive to purchase. Their federal funding created in the Medicare Modernization Act of 2003 made affordable coverage available to the 25% of my clients who cannot afford the cost of Medicare and a Medicare Supplement and a Medicare Part D drug plan. ( The average supplement for a 70 year old is $180.00 per month
in addition to the $96.40 for Medicare Part B monthly premiums and the $42.00 monthly premium for Part D drug plan, that 70 year old is current paying $316.40 in premiums alone).

In February the Obamanation and his left wing sycophants removed the funding for it to in their terms " reign in the costs of Medicare" and garner positive press for the new administration. (the hell with the 10.4 million senior Americans who were enrolled in it)

But what they are now about to do to the health care in this country and the way that they are going to subjugate the populace through this combination of legislation's is heinous in action and criminal in nature and a direct violation of every Americans right to choose their health care and method of payment.

We will start the with Medicare and my favorite clients the seniors because THEY EARNED IT!

To achieve the numbers that the new CBO review has published they are going to cut Medicare spending by 491 billion dollars by first eliminating the rest of the MMA 2003 plans subsidies which accounts for 118 billion dollars and more importantly 12+ million seniors now on Medicare Part C and restructure it the same way as Medicaid is, an HMO! ( they decrease the amount of funding every year until 2014 where it becomes Medicaid)(Pg.869-920 Reid Bill)
And with the age in proposal the only way that you could double down on the size of Medicare participants and still provide coverage will be to double the part B premiums on current enrollees and force the new enrollees to pay for early enrollment into part A which they have already paid for with their FICA tax and quadruple their part B or roughly a $500.00 per month premium. And this is before they purchase additional coverage to pay the 20% and the Walk In Fees and Part B CYD that you are still responsible for under Medicare coverage.
Cuts to Medicare include: Permanent reductions in the annual updates to Medicare’s payment rates for most services in the fee-for-service sector of $192 billion; $118 billion in cuts to Medicare Advantage; $43 billion in DSH cuts; $23 billion in unspecified cuts by the Medicare Advisory Board.

http://democrats.senate.gov/reform/patient-protection-affordable-care-act.pdf

So this plan is no friend to anyone on or enrolling into Medicare or on a fixed income.

Now for all of those not Medicare eligible and not of the belief that they are somehow entitled to health insurance because they cannot or are unwilling to provide coverage for themselves.

This is the first page of the CBO report requested br Senator Evan Bayh on the effects of this bill on insurance premiums. It has been copied and pasted as is with no editing!

Honorable Evan Bayh
United States Senate
Washington, DC 20510

Dear Senator:

The attachment to this letter responds to your request—and the interest expressed by many other Members—for an analysis of how proposals being considered by the Congress to change the health care and health insurance systems would affect premiums paid for health insurance in various markets. Specifically, the Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation have analyzed how health insurance premiums might be affected by enactment of the Patient Protection and Affordable Care Act, as proposed by Senator Reid on November 18, 2009.
I hope this information is helpful to you. If you have any further questions, please contact me or the CBO staff. The primary staff contact for this analysis is Philip Ellis.

Sincerely,

Douglas W. Elmendorf

cc:

Honorable Harry Reid Majority Leader

Honorable Mitch McConnell

The analysis examines the effects of the proposal in 2016 in order to indicate the impact that it would have once its provisions were fully implemented. To focus on permanent elements of the legislation, however, the estimates exclude the effect of the reinsurance that would be provided for new nongroup plans between 2014 and 2016 only (which would be funded by an assessment on insurers).
The analysis focuses on the effects of the legislation on total health insurance premiums that would be charged to individuals or employers before accounting for premium subsidies or the small business tax credit. The analysis also reports the effects of the legislation on the amounts the purchasers would ultimately have to pay, after accounting for those two forms of assistance. However, even when examining unsubsidized premiums, the analysis incorporates the effects of those subsidies (as well as existing tax preferences) on the number and types of people who would obtain coverage in each market, because those effects would have an important impact on the total premiums charged.

Average premiums per policy in the nongroup market in 2016 would be roughly $5,800 for single policies and $15,200 for family policies under the proposal, compared with roughly $5,500 for single policies and $13,100 for family policies under current law.
Those figures indicate what enrollees would pay, on average, not accounting for the new federal subsidies. The majority of nongroup enrollees (about 57 percent) would receive subsidies via the new insurance exchanges, and those subsidies, on average, would cover nearly two-thirds of the total premium, CBO and JCT The weighted average of the differences in those amounts equals the change of 10 percent to 13 percent in the average premium per person summarized above, but the percentage increase in the average premium per policy for family policies is larger and that for single policies is smaller because the average number of people covered per family policy is estimated to increase under the proposal. The effects on the premiums paid by some individuals and families could vary significantly from the average effects on premiums.

The letter is 29 pages long and I have more to say so read it yourself!

http://www.cbo.gov/doc.cfm?index=10781

Here is the summary of what this bill is really costing Americans!

1. Spending:
The cost of the bill is $2.5 trillion over 10 years of full implementation.

2. Taxes Increases:
Taxes will go up $493.6 billion—nearly half a trillion dollars.

3. Medicare Cuts:
Medicare will be cut $464.6 billion—another half a trillion dollars.

4. Abortion:
The bill permits the use of accounting gimmicks that will, for the first time, allow federal dollars to go to plans covering abortion. The bill does not include the Stupak language, and as a result, National Right to Life describes the Reid bill language as “completely unacceptable” and said it would “result in coverage of abortion on demand in two big new federal government programs.”

5. Government Plan:
The bill includes a government run plan and provides states with the possibility of opting out of participating in that plan. According to CBO, the government run plan “would typically have premiums that were somewhat higher than the average premiums for the private plans in the exchanges”

6. Employer Mandate:
The bill will impose $28 billion in new taxes on employers that do not provide government approved health plans. These new taxes will ultimately be paid by American workers in the form of reduced wages and lost jobs.

7. Additional CBO Background:
The bill would bend the federal cost-curve up. CBO says, “Under the legislation, federal outlays for health care would increase during the 2010–2019 period, as would the federal budgetary commitment to health care.” The coverage expansion would drive a net increase in government spending on health by $160 billion over 10 years.
CBO scored the bill as reducing the deficit by $130 billion over FYs 2010-2019.
However, CBO notes that the bill includes two budget gimmicks that hide the true cost of the bill. Doctors are assumed to get a 23 percent cut in 2011 which would carry into subsequent years. Fixing the SGR would cost $247 billion. Additionally, the CLASS Act generates $72 billion over the budget window, but later turns to deficits. Eliminating these two gimmicks means the bill would be $189 billion in the red. It would also put the real cost of the bill over a trillion dollars.
The start dates for the individual mandate, exchanges, and employer penalties were all moved from July 1, 2013, to January 1, 2014.
This is another budget gimmick to hide the true cost of the bill.
24 million people would be left without insurance.

8. Unfunded mandates on the states:
The bill mandates that states spend an additional $25 billion in Medicaid expenditures. Taxes on uninsured individuals would total$8 billion. Taxes on employers from the “free-rider” penalty would total $28 billion. 5 million Americans would lose their employer coverage.

9. Cuts to Medicare include:
Permanent reductions in the annual updates to Medicare’s payment rates for most services in the fee-for-service sector of $192 billion; $118 billion in cuts to Medicare Advantage; $43 billion in DSH cuts; $23 billion in unspecified cuts by the Medicare Advisory Board.

Only 19 million people will get a subsidy to help them buy health insurance.

None of the 162 million people with employer-based care will even be eligible for a subsidy.

The government plan would have higher premiums than private plans. CBO said the government plan would “typically have premiums that were somewhat higher than the average premiums for the private plans in the exchanges.”

With the opt-out provision, two-thirds of Americans are expected to have a government plan available in their state.

Co-ops are included but would have “very little effect.”

The CLASS Act would reduce deficits by $72 billion in the 10 year budget window, but “would begin to increase budget deficits” in the decade following 2029.

The IRS would need $5-$10 billion to expand and implement the provisions in the bill.
The costs of the subsidies in the exchange would grow at 8 percent a year.

The tax on high value plans will quickly be applied to almost all plans. CBO expects the revenues from the Cadillac plan tax to grow at 10-15 percent per year outside the budget window.

Includes a $15 billion “Prevention and Public Health Fund” slush fund.
CBO says it would be “difficult” to maintain the predicted savings over a long period of time—meaning that the plan will likely run deficits when savings do not materialize.

http://www.cbo.gov/ftpdocs/107xx/doc10731/Reid_letter_11_18_09.pdf

The actual projected costs of this healthcare bill are not measured with just dollars but the real cost here is freedom they are manipulating every facet of every industry to radically shift this country to a full blown socialist nation.
They have conspired and negotiated away your Constitutional right for self determination and have criticized anyone who opposes the Obamanation occupying our highest office. It is time for the resolution that was spoken 235 years ago:
NO TAXATION WITHOUT REPRESENATION!


Dr. Keith C. Westbrook Ph.D.

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Financial Services Professional specializing in health care risk mitigation and multi-layered retirment income planning.

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