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View Diary: Rules finalized for the good stuff in Obamacare (106 comments)

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  •  Agreed (1+ / 0-)
    Recommended by:
    alwaysquestion

    There seems to be quite a gulf between the policy and the actual implementation. There seem to be many negative consequences coming out of the implementation that ultimately I think people will not be happy with in the end.

    For example, it seems that while you may have coverage, there seems to be increased financial incentives for your doctor not to want to see you. In cases where you have conditions that will ultimately be costly or difficult to treat which will count against the person providing the care. Also, the people that will be providing care will likely not be the same people you are seeing now, due to cost reasons. So while access to care is there, it is seeming like it will be quite different care.

    Hard to tell at this point if these are intended or unintended consequences of the system.

    "I know the meaning of life. It doesn't help me a bit."

    by dss on Fri Feb 22, 2013 at 02:20:39 PM PST

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    •  When you hire insurance co. execs to write them (2+ / 0-)
      Recommended by:
      dss, 3goldens

      The rules come out much differently than the product that was advertised to the public.

      Thanks, Obama & Sebelius.

      Democratic Leaders must be very clear they stand with the working class of our country. Democrats must hold the line in demanding that deficit reduction is done fairly -- not on the backs of the elderly, the sick, children and the poor.

      by Betty Pinson on Fri Feb 22, 2013 at 02:32:54 PM PST

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      •  I don't see insurance execs in the rule.... (0+ / 0-)

        I posted the link to it just above, and while it is not easy reading, it looks like fairly straightforward comments and responses.

        IMHO, having CMS (Centers for Medicare and Medicaid Services) write these rules is a great idea - these folks literally wrote the book on efficient single-payer health care, and I don't see much, if any, insurance industry influence in their outfit.

        Look at it this way: if the hospitals and insurance companies had much sway over Medicare & Medicaid, they would be far less efficient than they are.

        Cheers.

        Against stupidity the gods themselves contend in vain. Friedrich Schiller

        by databob on Fri Feb 22, 2013 at 02:49:18 PM PST

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        •  Liz Fowler (5+ / 0-)

          She's a former VP from WellPoint who went to work for Max Baucus as his committee was writing the health care reform bill for the Senate.

          After passage of ACA, she went to work for Obama's administration as deputy director of the Office of Consumer Information and Oversight at the U.S. Department of Health and Human Services.   There she oversaw the process of rulemaking for ACA.

          She recently returned the private sector to cash in, taking a position as a senior officer in Johnson & Johnson's Government Affairs & Policy Group.

          Link

          Another link from the Guardian

          More amazingly still, when the Obama White House needed someone to oversee implementation of Obamacare after the bill passed, it chose . . . Liz Fowler. That the White House would put a former health insurance industry executive in charge of implementation of its new massive health care law was roundly condemned by good government groups as at least a violation of the "spirit" of governing ethics rules and even "gross", but those objections were, of course, brushed aside by the White House. She then became Special Assistant to the President for Healthcare and Economic Policy at the National Economic Council.

          Democratic Leaders must be very clear they stand with the working class of our country. Democrats must hold the line in demanding that deficit reduction is done fairly -- not on the backs of the elderly, the sick, children and the poor.

          by Betty Pinson on Fri Feb 22, 2013 at 03:11:02 PM PST

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          •  I think this will take time and the wrinkles (0+ / 0-)

            will iron out over time.  I am sometimes very conflicted on Obama's appointment choices, but think in the end that the public will demand more fine tuning after time shows the obvious fixes.

            Having said that, I am one of those impatient people and want single payer now.
             

          •  I'm conflicted on this one... (1+ / 0-)
            Recommended by:
            worldlotus

            I don't like the revolving door, but there's really no good solution for it, short of slavery, perhaps.

            Liz Fowler, with a Johns Hopkins PH.D. in Public Health and a law degree, is bound to be a power player in the public health arena.

            Accepting that some of ACA is a bailout for private insurance, I'm still having a hard time putting the blame on Liz Fowler. I'd need to know more about her, including her views on the subject.

            Blaming Liz Fowler for killing the public option - as the guy in the video insinuates -  seems a bit over the top. That was a far larger issue, as Max Baucus pointed out in the video.

            I guess we'll have to see how the ACA plays out, with fingers crossed.

            If only the people who are working so hard to destroy it had some reasonable alternative in mind.

            Cheers.

            Against stupidity the gods themselves contend in vain. Friedrich Schiller

            by databob on Fri Feb 22, 2013 at 03:56:30 PM PST

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