Last I Checked, It's still 2013 - Politics Thread

Re: Last I Checked, It's still 2013 - Politics Thread

Postby SK790 » Wed Nov 27, 2013 02:29:24

JFLNYC wrote:A corporation is now a "person" for religious beliefs, too? If they want to enjoy the limited liability bestowed upon them by the state, then they should have to play by the state's rules, including health insurance. Want to assert your individual religious beliefs? Give up the corporate shield.

Since I've made a habit of mentioning my ignorance on most things political, I'll do so again. However, I believe this is the angle they are going for. I remember reading about this case on the NYT or WaPo or somewhere somewhat reputable the past few days.

I disagree for the usual sane reasons of not considering corporations people, but I'll let the more eloquent liberals go into all that and bow out.

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Re: Last I Checked, It's still 2013 - Politics Thread

Postby SK790 » Wed Nov 27, 2013 02:46:30

TenuredVulture wrote:
pacino wrote:
TenuredVulture wrote:I'd say 10 cents a gallon tax would change my behavior, except that happened when gas when from 1.50 to 1.60 a gallon. Try to limit myself to a tank every two months, and even then I feel like it's a wasteful extravagance.

a tank every two months, aren't you special


I live in a small town. Nothing is more than a couple of miles away. Except liquor, and then I use Mrs. Vulture's car. Mostly, I take my bike for my 2 mile commute.

In defense of TV, I filled up once a month when living in Grand Forks. When the place you live in is 2 mi by 2 mi and the nearest town with over 1000 people is over an hour away, you tend not to use much gas.

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Re: Last I Checked, It's still 2013 - Politics Thread

Postby Monkeyboy » Wed Nov 27, 2013 06:30:29

Werthless wrote:
Monkeyboy wrote:
Werthless wrote:
Monkeyboy wrote:
CalvinBall wrote:think he is hoping that is the case



Yup. 50 hours, yeh, that's how long it will take.

If it's bad when people don't sign up, then I just have to wonder why the republicans are so gleeful at the low signup numbers. It's almost like they want it to fail. They just can't have it look like government can help solve society's problems. The moment it looks that way, their whole ideology falls apart.

You=bad at reading comprehension.



You= good at missing the point.

I got that we were supposed to "imagine" it. I just don't think you picked a ridiculously high number by accident.

You misinterpreted everything. I picked 50 hours intentionally because it is easy to imagine how behavior can be affected at such levels. It's hard to talk about how behavior is affected unless we pick a number that will impact a large amount. It's like if I say "increasing the price of gas by $0.10/gal tax will decrease consumption," it might be tempting to say "no way, if you have to drive, you'll drive." But when you think about how you would be affected by a $10/gallon tax, you can easily visualize how behavior would be affected. Well, the $0.10/tax may affect people, but in very small magnitudes. Maybe 1 out of 50 people change their behavior (ie. combine errand trips to limit distance) with $0.10/gal tax, but it still has an economic effect.

But getting back to health insurance, anything that is not "seamless" will lose people on the margins. If it takes 8 hours, then you're going to get people to say "I'll deal with this later." Maybe they do, maybe they don't. If it takes 2 hours, then someone learns that their cost would go up 50%, they might say "I'll deal with that later." Again, maybe they do, maybe they don't. As you increase the cost, in time investment, you're going to get more people dropping out along the way. It's easy to imagine at 50 hours, but harder to imagine at 2 hours. My uncle is lazy, and because he doesn't have dependent, I could totally see him not getting around to signing up if it's a big hassle. I'm not calling it rational or irrational, but it's just the way it is.

Your second comment is a misinterpretation, but I'm not sure you care. So I'll let that rest.



So it was a thought experiment. Ok, but picking 50 hours is so far beyond what is happening that I don't think it's worth thinking about it that way. It's like thinking about being fat by thinking about weighing 2,000 pounds. OMG, my legs would be crushed beneath me! When you go to such ridiculous extremes, it ceases to be relevant. Even Boehner, as much as he wanted it to take forever, only took an hour or two (more because he wouldn't take the healthcare guy's call, but that wasn't Obamacare's fault). I spent hours and hours trying to get insurance under the old system. Taking 2-3 hours to get insurance seems exceedingly easy based on my experience.

But you're right that I did misinterpret some of your post. So my bad on that.

For what's it's worth, I think you probably underestimate how much people want health insurance. I couldn't get health insurance for a while because I had some weird eye thing that they couldn't figure out. Then I had to have some procedures done and I had to pay it all out of pocket after visiting the ER. I would have run through a brick wall to get insurance. Yes, there are those who will give up after a few hours, but those are a small minority, imho. Many more people are being scared off by GOP scare tactics and that is just sickening, again, imho.
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby Monkeyboy » Wed Nov 27, 2013 06:38:06

Werthless wrote:
Monkeyboy wrote:As for the Supremes taking up the birth control mandate: If they strike it down, does that mean people can sue if they don't like where their tax money goes? Serious question. Isn't this a bit of a Pandora's Box? If so, I'm cutting off the defense department on the grounds that killing people goes against my Christian upbringing and beliefs.

No. Not a lawyer, but if memory of my wife's law school classes serves me right, I believe that hippies brought a suit in this vein to defund their contributions to the Vietnam War. Obviously lost.

I havent read the birth control case, but I am fairly sure they are making a different argument than "we don't like where our tax money is going."


But they are basing their argument on the fact that they are morally opposed to practice. Aren't they?

Assuming I'm right about their argument, I don't think it's a big stretch to say that someone morally opposed to war might try to make the argument that they shouldn't have to pay for that war. In both cases, they are being forced to use some of their income to pay for services that benefit the larger populace, services they don't use and are morally against.

Again, this is more of a question because I'm not a lawyer and have no interest in playing one on TV. I know it's not as simple as my post would indicate.
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby drsmooth » Wed Nov 27, 2013 08:08:00

Private health insurer Humana surveyed Medicare eligibles in 2013 on, among other things, how much time they typically devote to making Medicare coverage decisions.

Average (hey, there are exceptions) hours spent on that item reported by people who DO compare their options: 22. Hours. Annually. So the 64-yr-old Congressperson Boehner may have been quite near the low end of time spent by "choosers" in/near his age cohort.

My hunch is the figure is actually more like 22 minutes, if that, when ALL Medicare eligibles, choosers and non-choosers, are in the mix. Still not 50 hours. But not nothing. I must admit I have no idea what's taking them so long, availability of web info or no.

Coming from another perspective, prominent health economist Alain Enthoven has noted that people typically spend more time selecting wine at a restaurant than they do on their choice of employer-sponsored health coverage. So there's that.
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby pacino » Wed Nov 27, 2013 11:08:29

Image
thephan wrote:pacino's posting is one of the more important things revealed in weeks.

Calvinball wrote:Pacino was right.

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Re: Last I Checked, It's still 2013 - Politics Thread

Postby Phan In Phlorida » Wed Nov 27, 2013 14:57:52

drsmooth wrote:Private health insurer Humana ...

Even though I know it's a long "a", whenever I see their name I think of Ralph Kramden.
▬▬▬▬▬▬▬▬▬▬▬▬ஜ۩۞۩ஜ▬▬▬▬▬▬▬▬▬▬▬▬

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Re: Last I Checked, It's still 2013 - Politics Thread

Postby drsmooth » Sat Nov 30, 2013 20:55:02

A politics thing sort of, has a Philadelphia connection & central figure with an interesting lineage:

Chronicle of Higher Ed wrote:The American Police State

...Goffman's book, On the Run: Fugitive Life in an American City (University of Chicago Press), is an up-close account of [the US] prison boom told largely through the story of a group of young friends in Philadelphia's 6th Street neighborhood....

after braving violence and intimidation to get this story, Goffman now faces a different challenge. How can she keep the focus on black poverty, and not her own biography?...Instead of mass incarceration, they ask questions about what she dismisses as "the story of a blond young woman living in the 'hood." ...

...Goffman's bid to remain irrelevant is hampered by another personal detail. Her father, the late Erving Goffman, was one of the defining sociologists of the 20th century.
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby swishnicholson » Sat Nov 30, 2013 21:23:56

drsmooth wrote:A politics thing sort of, has a Philadelphia connection & central figure with an interesting lineage:

Chronicle of Higher Ed wrote:The American Police State

...Goffman's book, On the Run: Fugitive Life in an American City (University of Chicago Press), is an up-close account of [the US] prison boom told largely through the story of a group of young friends in Philadelphia's 6th Street neighborhood....

after braving violence and intimidation to get this story, Goffman now faces a different challenge. How can she keep the focus on black poverty, and not her own biography?...Instead of mass incarceration, they ask questions about what she dismisses as "the story of a blond young woman living in the 'hood." ...

...Goffman's bid to remain irrelevant is hampered by another personal detail. Her father, the late Erving Goffman, was one of the defining sociologists of the 20th century.


Is she hot?
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby Youseff » Sun Dec 01, 2013 11:46:14

idiots that run the GOP twitter thought this would be a nice tweet

Today we remember Rosa Parks’ bold stand and her role in ending racism.


https://twitter.com/GOP/status/407161769069924352
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby drsmooth » Sun Dec 01, 2013 11:51:55

Youseff wrote:idiots that run the GOP twitter thought this would be a nice tweet

Today we remember Rosa Parks’ bold stand and her role in ending racism.


https://twitter.com/GOP/status/407161769069924352


"ending", heh

anyway, pretty sure she sat
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby td11 » Sun Dec 01, 2013 12:46:15

Youseff wrote:idiots that run the GOP twitter thought this would be a nice tweet

Today we remember Rosa Parks’ bold stand and her role in ending racism.


https://twitter.com/GOP/status/407161769069924352

Racism *would* be over if jerks like you could just stop bringing it up
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby pacino » Mon Dec 02, 2013 11:54:30

the sky may not be falling in regards to healthcare costs:
In private insurance, the average spending growth rate per person has slowed a lot over the last few years. In Medicare, there was no spending growth between 2010 and 2013 and, in Medicaid, per person costs actually decreased some.

All told, health care costs have been growing more slowly over the last three years than any other time period since 1965. More recently, yearly health cost growth slowed from an average rate of 3.9 percent between 2000 and 2007 to 1.3 percent between 2011 and 2013


Most health care economists now agree, at least to some extent, with this more structural view. Even those who argue that the current slowdown is unlikely to last, such as Harvard's Amitabh Chandra and Dartmouth's Jonathan Skinner, still expect slower health care cost growth in the next decade compared with the previous one.

And in some cases, that translates into better health care, too. This chart from the council's report shows a significant drop in preventable readmissions to hospitals (when treatment goes wrong the first time and the patient must return to the hospital). That happened right around the time Medicare began penalizing such return trips to the hospitals.

Image
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Calvinball wrote:Pacino was right.

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Re: Last I Checked, It's still 2013 - Politics Thread

Postby Werthless » Mon Dec 02, 2013 13:44:41

pacino wrote:
Most health care economists now agree, at least to some extent, with this more structural view. Even those who argue that the current slowdown is unlikely to last, such as Harvard's Amitabh Chandra and Dartmouth's Jonathan Skinner, still expect slower health care cost growth in the next decade compared with the previous one.

And in some cases, that translates into better health care, too. This chart from the council's report shows a significant drop in preventable readmissions to hospitals (when treatment goes wrong the first time and the patient must return to the hospital). That happened right around the time Medicare began penalizing such return trips to the hospitals.

Image

It's probably the better health care that is leading to fewer readmissions and lower costs.

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Re: Last I Checked, It's still 2013 - Politics Thread

Postby Monkeyboy » Mon Dec 02, 2013 15:00:14

So then what would be considered evidence that the law is having a positive effect on costs and/or medical outcomes?
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby drsmooth » Mon Dec 02, 2013 16:57:09

Werthless wrote:It's probably the better health care that is leading to fewer readmissions and lower costs.


That would make sense. The chart makes a relatively small readmission rate decline look bigger than it is, and the period is pretty brief too. I don't doubt the change is technically significant, and reducing hospital readmissions can probably be counted on to have disproportionate impact on costs. But the magnitude of change to date is not easy to gauge from the information provided. The passage containing the highlighted text is not well-written.
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby drsmooth » Mon Dec 02, 2013 17:03:36

Monkeyboy wrote:So then what would be considered evidence that the law is having a positive effect on costs and/or medical outcomes?


it will probably be hard to tot up the statute's impact on costs, and harder still to make political hay of cost savings successes or failures, for a few years, mainly due to the way effective dates of various provisions have been staggered over several years.
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby jerseyhoya » Tue Dec 03, 2013 00:19:27

The enrollment records for a significant portion of the Americans who have chosen health plans through the online federal insurance marketplace contain errors — generated by the computer system — that mean they might not get the coverage they’re expecting next month.

The errors cumulatively have affected roughly one-third of the people who have signed up for health plans since Oct. 1, according to two government and health-care industry officials. The White House disputed the figure but declined to provide its own.

The mistakes include failure to notify insurers about new customers, duplicate enrollments or cancellation notices for the same person, incorrect information about family members, and mistakes involving federal subsidies. The errors have been accumulating since HealthCare.gov opened two months ago, even as the Obama administration has been working to make it easier for consumers to sign up for coverage, the government and industry officials said.

Health-care enrollment on Web plagued by bugs

Well look on the bright side, the people who made it through enrollment were more likely to be sicker than the average bear, so if their information never actually made it to insurers, then maybe the adverse selection problem won't be so bad.

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Re: Last I Checked, It's still 2013 - Politics Thread

Postby drsmooth » Tue Dec 03, 2013 01:23:22

I'm not clear how obsessing on this whole health enrollment administrivia thing is something other than a surefire political loser
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Re: Last I Checked, It's still 2013 - Politics Thread

Postby Werthless » Tue Dec 03, 2013 09:28:32

drsmooth wrote:I'm not clear how obsessing on this whole health enrollment administrivia thing is something other than a surefire political loser

Yeah, Obama should talk about something else. It's certainly not making him look good to keep talking about it.

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