The Amazing ObamaCARES News Buried Inside A 283-Page Medicare Report.


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The amazing news buried inside a 283-page Medicare report

 

From VOX.com  By 

 

This is arguably the most unexpected piece of news in the new Medicare Trustees report: the government’s hospital insurance program might be spending less money to cover more beneficiaries than it did a year ago.

 

Tele-consultation between the neurology department in Besancon hospital, France and A&E in Dole hospital, France. Dole hospital doesn't have a neurology department which makes detecting a CVA a difficult task. Telemedicine allows A&E doctors at Dole

 

Medicare’s hospital insurance program — known to wonks as Medicare Part A — spent $266.8 billion covering 50.3 million people in 2012. In 2013, the the same program spent $266.2 billion to cover 51.9 million people. These figures come from Table II B.1 in the 2012 and 2013 reports.

 

Medicare’s hospital insurance program is gigantic; it spends more money in a given year than the entire state of Wisconsin. In that context, $600 million is not much more than a rounding error. And some senior administration officials I spoke with cautioned against reading too much into these particular figures; receipts for services rendered in 2013, for example, might trickle after the year has ended.

 

But what’s definitely clear — and what’s driving this trend — is that Medicare is spending significantly less per person than they did two years ago. And this report expects that trend to continue for another two years going forward.

 

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By 2015, the Medicare Trustees’ Report projects that the program will spend less per person on hospital care than it did in 2008. This doesn’t happen much in health care: not just slower growth, but the actual dollar amount spent on a given type of care dropping.

 

These figures only represent the hospital insurance part of Medicare (this is Medicare Part A). The government insurance program has separate programs for doctor visits (Medicare Part B) and prescription drug coverage (Medicare Part D).

 

But even when you look at the overall picture, it generally looks pretty good: per-person Medicare spending has grown by an average of 0.8 percent since 2009. That’s a lot slower than the rest of the economy, which has grown at an average 3.1 percent rate. Between 2012 and 2013, it was even slower: Medicare’s per person costs stayed exactly the same.

 

As Health and Human Services Secretary Sylvia Mathews Burwell put it at a press briefing today, “that is a growth rate of 0 percent.”

 

As to why this is happening, that’s the big question. There has been an overall slowdown in health care spending, some of which is likely due to the recession: when people have less money to spend, they don’t buy as many medical services.

 

But Medicare beneficiaries should be somewhat insulated from the economy. They don’t lose insurance coverage during economic downturns, for example, as many who lose their jobs do. Many live on a more fixed income, too.

 

Its certainly possible that the overall economic climate might have impacted seniors’ decisions about health care. And its possible the health care law, and its changes to the Medicare system (this report estimates there are 165 of them) have had an impact as well.

 

The Affordable Care Act, for example, penalizes preventable readmissions — times when seniors turn up at the hospital a second time after something goes wrong during their first visit. Readmissions have been falling pretty steadily for the last few years, and those reductions could be showing up in the lower per-person spending.

 

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Last, the downward shift in hospital spending could just reflect larger trends in how doctors deliver medicine. As new innovations happen, procedures that used to be more invasive — and require a hospital stay — improve, become easier and shift into an inpatient setting, or can be treated with prescription drugs. You see that change below, with hospital care, since the early 1980s, becoming a slightly smaller portion of the country’s overall medical bill.

 

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(California Healthcare Foundation)

 

Overall, this report suggests a pretty positive trend for Medicare spending — it just doesn’t totally explain the forces that are driving it.

 

CARD 6 OF 15 LAUNCH CARDS

How much of health-care spending is wasteful?

A lot: about one-third of all health-care spending — $785 billion — goes to things that aren’t making us any healthier, according to a massive Institute of Medicine study published in 2012.

 

Most of the waste comes from the way the United States delivers medical care, with a fragmented system that delivers a lot of care that isn’t needed. The IOM estimates that we spend about $210 billion on unnecessary care, with doctors delivering care that isn’t recommended by medical guidelines. Unnecessary care can be harmful to patients, too, especially when it involves surgical procedures that didn’t need to happen.

 

Administrative costs are another huge driver of wasteful spending in the United States. Every doctor typically takes in payments from numerous health insurers, and need to employ lots of billing staff to handle the deluge of paperwork. The average doctor in the United States spends $82,975 dealing with insurers each year.

 

Last but not least, the American health-care system tends to have much higher prices than other countries. Most developed countries have some form of government rate-setting in health care, where bureaucrats set a specific price for any given medical treatment. The United States doesn’t have that — and also has thousands of health insurance plans, each negotiating their own price with doctors and hospitals. This helps explain why an appendectomy costs $8,156, on average, here — and $4,498 in the Netherlands.

 

 

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U.S. Announces Delegation To Africa: Ebola Virus Humanitarian Effort, “Conservative Politicians For 3rd World Nations Relief.”


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From VOX.com and Julia Belluz:

 

“A violent virus”: views from Ebola‘s ground zero

 

Aid worker Ishmeal Alfred Charles says getting abducted as a child soldier during Sierra Leone‘s bloody civil war when he was 15-years-old was less scary than living there now under the Ebola threat.

 

“You knew the rebels were coming,” said the Freetown native in a recent interview from Sierra Leone, where he is among hundreds of aid workers trying to beat back the deadly virus in what is now the biggest-ever outbreak and the first to hit West Africa. “They’d attack a town, and so you made a move. You knew to hide.”

Now, he can’t flee. It’s too expensive to fly elsewhere. And he can’t hide from an enemy that could be lurking anywhere. Instead, he has stopped shaking people’s hands and he installed a hand-washing station—a bucket filled with chlorinated water—outside his house.

 

“You don’t know if the person you’re sitting next to is infected with Ebola, so all you’re trying to do is be as conscious as you can. Because we have heard of situations where whole families get infected… and you lose everyone in the family.”

 

For most people, Ebola is a distant threat, a nightmarish word that conjures up images of sudden and violent hemorrhaging. But for West Africans like Charles, it’s now an everyday possibility. “Wherever you go—on Facebook, in the community, on the phone, in Whatsapp messages—people are talking about Ebola.”

 

As a program manager with the Catholic aid agency Caritas, Charles now works to educate people about a virus that only recently emerged in Sierra Leone. He goes door to door, school to school, church to church; he talks to everyone he can reach about the disease; and he hands out hand sanitizer and chlorine. Sometimes, he uses megaphones in town squares, relaying public-health messages about sanitation and prevention. It’s a tedious process, he says, but it’s necessary.

 

“A lot of people still have denial about Ebola,” Charles says. “That’s one of the biggest challenges.”

 

Stories about medical personnel and the government trying to kill or capture Africans circulate, and it doesn’t help that when patients are taken into quarantine, they most often never return.

 

Dispelling these myths isn’t easy. “We show them films, photos of Ebola,” says Charles. “We try to make sure they understand, first and foremost, there’s a virus called Ebola and it’s real.”

 

So far in the current outbreak, there have been 1,323 confirmed and suspected cases of Ebola, and 729 deaths. No one knows why the virus sometimes jumps from the fruit bat—which most scientists believe is its animal host—into the human population. But bad infrastructure and the lack of sanitation practices in what are some of the poorest countries on earth don’t help with its containment.

 

The shortage of resources has made the work very difficult, says Monia Sayah, a nurse with Doctors Without Borders.

 

Sayah, who normally resides in Brooklyn, New York, has just finished two stints on the front line in Guinea, the West African nation where the disease first reemerged in March.

 

When she arrived, she said her biggest challenge was not trying to get people to believe the disease is real: it was figuring out how to care for the reality of so many sick patients.

 

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“The workload was very high,” she says of dealing with up to a dozen Ebola patients in quarantine. So was the mortality rate: at the beginning, about eight in ten patients were dying, close to the numbers in previous outbreaks of the Zaire Ebola virus, which killed 79 percent of those infected. (The death rate in the current outbreak has dropped to around 60 percent.)

 

“It’s very stressful because you’re constantly on alert: a patient here, a patient there. The physical stress of working is very hard because you lose a lot of fluid (wearing protective clothing), and get very tired in the heat as well.” All the while, trying to make sure she didn’t expose herself to the virus or accidentally cross-contaminate any person or thing.

 

When she’d arrive at the treatment facility in the morning, she’d put on a gown and then a waterproof and airtight suit, headgear, goggles, two pairs of gloves, and rubber boots. “Every inch of the body is covered,” she says. When she left 12 hours later, everything except for her rubber boots—which get decontaminated with choline solution—was burned.

 

Since there is no treatment or cure for Ebola, caring for patients meant hydrating them, feeding and washing them, helping them walk, and giving them antibiotics to ward off any bacterial infection so that their immune systems can fight the virus.

 

It also meant touching and comforting them. “They’re alone. They are isolated. Normally in this part of Africa people are never alone when they’re sick.” Most commonly, family members care for their loved ones at home—not strangers in a containment facility.

 

“We take them away from their families,” says Sayah. “We know we’re bringing them to a treatment facility, the place they should be to receive the best care, to isolate the virus. But the virus is inside a person.”

 

The other tricky thing about Ebola is how quickly it can overtake its host. “We have patients asking for lunch, and we would go to see them a few hours later, and suddenly they would just die. It’s a violent virus. You never know what’s going to happen.”

 

Since working in the field, she has seen people lose their entire families. She has watched teenagers perish before her eyes. In another case, she says, “I went to see a woman in the community, and she was lying in a pool of blood. I thought she had a miscarriage there was so much blood.” The medical team was able to get her to a treatment facility, and stop the bleeding, but she was already very weak and died shortly thereafter.

 

What’s so critical about Ebola, too, is making a differential diagnosis between what might be the lethal virus and any other number of diseases that have a similar profile at first.

 

“Trying to make a differential diagnosis is difficult because you’re in a village,” Sayah explained, “you have nothing with you. All you have is a thermometer.”  If you misdiagnose a negative patient, that can mean unnecessary isolation and trauma. If a positive patient is passed, that’s another potential site of infection—and more spread.

 

Ebola specialists believe one of the key reasons this outbreak has spread so far is because of the shortage of health-care personnel to deal with it: if you don’t have enough people on the ground doing the labor-intensive job of tracing the contacts of positive patients and ensuring they are identified before becoming ill too, each missed case is the new beginning of more human-to-human spread.

 

Those missed cases are what worries Tarik Jasarevic, a World Health Organization worker on the ground in Guinea. He says that because of the geographic dispersal of the current outbreak—the demand for so many specialists in a relatively rare disease over several countries—mobilizing people and getting systems in place to care for everyone is problematic.

 

According to Jasarevic, you need these basic resources to contain an Ebola outbreak: “You need to have enough treatment centers so infected persons can be treated in adequate conditions. You need to have surveillance systems. You need to have a system where suspect cases and deaths are being reported so we can go in very safely and check on suspect sick people. We need to have lab capacity to make sure the people infected are identified.”

 

The WHO and other aid organizations have been short on many of these fronts right now, and the UN just pledged $100-million to help quell the current outbreak.

 

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For now, Jasarevic says he’s doing what he can in a very uncertain environment. “You try to wash your hands as much as you can. You try to make sure you don’t touch people who are sick. But you just don’t know who may be in contact with the virus.”

 

Thank you VOX.com and Julia Belluz

 

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U.S. Announces Delegation To Africa: Ebola Virus Humanitarian Effort, “Conservative Politicians For 3rd World Nations Relief.”

 

On Friday the White House announced a massive humanitarian effort to help the African nations dealing with the Ebola Virus. The White House releaded the following statement:

 

The White House Office of the Press Secretary

August 01, 2014

 

The Obama Administration’s Government-Wide Response to The Ebola Virus Outbreak In Africa

 

In conjunction with the worldwide effort to address the Ebola virus outbreak in Africa, I have instructed the following AmeriKKKans to be immediately drafted into service in our joint efforts to assist this horrific virus in Africa. I put out a nationwide call to all “patriots” in my concern that the homeland of all civilization, be saved from this tragedy effecting Africa.

 

Since the month of August has been unofficially designated as “lazy ass politician vacation time”, I choose this month to ship all these “embarrassment to America fools”, off to Africa.

 

The List Of Conservative “Volunteers”:

 

War Whore Senator John McCain

 

Ladyboy Senator Lindsey Graham

 

Batshit Crazy Rep. Michelle Bachman

 

Canadian Immigrant Senator Ted Cruz

 

Drunk House Speaker John Boehner

 

Outgoing Idiot Eric Cantor

 

Moron Rep Louie Gohmert

 

Dumbass Rep Steve King

 

Misogynist Mitch McConnell

 

The following civilians have been enlisted to accompany the politicians on this humanitarian effort….

 

Ted Nugent

 

Sarah Palin

 

Rush Limbaugh

 

Glenn Beck

 

Ann Coulter

 

Sean Hannity

 

The Complete Fox News Staff

 

Don Lemon

 

Andrea Mitchell

 

Wolf Blitzer

 

Jake Tapper

 

Chuck Todd

 

Allen West

 

Wayne LaPierre

 

George Zimmerman

 

The Koch Brothers have graciously volunteered their jet plane for the travel accommodations and have agreed to accompany this delegation to Ebola infected Africa.

 

The citizens of The United States Of America applaud these brave AmeriKKKans and our thoughts & prayers are with them.

 

If they return from this humanitarian voyage and are not infected with the deadly Ebola Virus, the FAA has made arrangements for this delegation to travel over the Ukraine war zone, in hopes the great Vlad Putin will shoot the aircraft down, using Russian supplied surface to air missiles.

 

God Bless The United States of America, and these brave selfless AmeriKKKans.

 

 

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TheObamaCrat SoapBox™: The Illegitimate Presidency Of Barack Hussein Obama.


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From Think Progress:

 

Think Tank ‘Analyst’ Says ‘Being Hung, Drawn, And Quartered Is Probably Too Good’ For Obama

 

 

A senior policy analyst from an immigration-restrictionist think tank wants to see President Barack Obama not just impeached, but publicly executed, he told a sympathetic audience last week. During a talk at a Tea Party organization in Sebring, Florida, Center for Immigration Studies (CIS) analyst Stephen Steinlight said that Obama’s supposed executive overreach couldn’t be reined in by a lawsuit and that “being hung, drawn, and quartered is probably too good for him,” Imagine 2050 first reported. He then joked that Obama’s head should be on a skewer.

 

Talking with members of the Highlands Tea Party, Steinlightsaid that Boehner’s lawsuit against Obama to faithfully execute the law would not prevent the President from taking executive action on immigration.

 

Anti Immigration Bigot Says Brutal Execution “Too Good” for Pres Obama

 

 

“There’s no court that will stop Obama from doing anything,” Steinlight said to members of the Highlands Tea Party. “And we all know, if there ever was a president that deserved to be impeached, it’s this guy. Alright? And I wouldn’t stop. I would think being hung, drawn, and quartered is probably too good for him. But you know, this man who wants to rule by the use of a pen, a telephone, let us not forget his teleprompter … the fact is that it would backfire very badly and we’ve got to be grownups and accept that we can’t have everything we want, you know, [like] his head on a skewer.”

 

Highland Tea Party members could be heard applauding and laughing in the background. Steinlight also alluded to the child migrant situation, saying that many of them are gang bangers and that “there are a lot more like them.”

 

According to his biography on the CIS website, Steinlight previously provided expert testimony on immigration for the Judiciary Committee of the United States. The work of his organization, CIS, is heavily cited by conservatives like Sen Jeff Sessions (R-AL) and House Judiciary Committee Chairman Bob Goodlatte (R-VA).

 

This is not the first time that Steinlight has made inflammatory comments — he once advocated banning Muslim immigration and said that immigration reform is a psychotic plot against America.

 

Thank you Think Progress.

 

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I usually don’t give space on my blog to dumbfuckery…but the incident listed above goes to a bigger issue some racist caucasian AmeriKKKans seem to have with our twice duly elected President Of The United States, Barack Hussein Obama.

 

I’ve heard many of these racist caucasian AmeriKKKans say that Barack is not a legitimate POTUSA. That opinion is solely based on Barack’s skin tone. See, no Negro can legitimately hold the highest office in “their” land if he is not caucasian or male. Sad and pathetic I know, but this mindset is an All AmeriKKKan thought process. If you’re white, you’re alright. If you’re brown, stick around. If you’re Black, you don’t exist.

 

The threats to our President of The United States Of ALL America are so numerous that it is humorous. I would wager that in the history of Presidents, none of the past 43 have ever had such blatant hatred directed toward this office…..or the office holder. But then again racism is a disease. Any disease must be removed by surgery or medicine, before it kills the body’s cell structure. The structure of America is terminal.

 

To say that Barack Hussein Obama’s Presidency is not legal, is illegitimate or goes against the U.S. Constitution simply because he is a Black man doing whats best for every American, whether you voted for him or not….is as asinine as believing you can stop him from using his powers of Executive Order/Action just because you don’t like his Executive Orders/Actions, by suing him. Barack is the 44th POTUSA. Barack has implemented The Patient Protection and Affordable Care Act.

 

ALL You dumbass racist caucasian TeaTardedRepubliCANT Pseudo-Freudian, Psycho-Sexual, Pro-caucasian, Pro-Racist, Anti-LGBTQA1, Anti-Feminist, Reich Wing GOPretender Conselfishservative, NRA-Gun Loving, Nut Bag, bottom feeding, racist, ass backwards, white supremacists, Koch Brothers & A.L.E.C. controlled morons, greedy, wealthy, caucasian, special interest groups, asshole Party Members, can dig up all the federal judges you can find to say “defund ObamaCares”…..remember they are members of the Judicial Branch of government. They have no authority over the Legislative Branch of government, or what The Executive Branch of government does, especially the Office of The President.

 

High school Civics, 101.

 

So, in closing, for all you morons, idiots, racist & dumbasses…..your will was defeated twice in elections that put this guy………..

 

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………….in your White Man’s House. Get over yourselves. Racism is not going to win out this time around. The man pictured above is more intelligent, more street smart, more savvy and much more qualified than you guys. So stop with this bullshit not the “real President” garbage. Barack Hussein Obama IS the real deal.  He’s the best damn POTUSA in my lifetime. His First Lady, and their daughters, are the best ever to occupy the White House. Even the Mother-In-Law is spectacular. Jealous much?

 

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Rick Perry And Sean Hannity Are Currently Patrolling The Border On A Boat With A Machine Gun…So Fuckin What?


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We are known by the company we keep.

 

 

 

 

 

 

 

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From Addicting Info:

 

Rick Perry And Sean Hannity Are Currently Patrolling The Border On A Boat With A Machine Gun

 

AUTHOR

 

Conservatives have spent the last few days criticizing President Barack Obama for the fact that he declined to visit the U.S.-Mexico border during his trip to Texas. Not missing a chance to attempt to embarrass the president, Texas Governor Rick Perry grabbed his friend Fox News host Sean Hannity, jumped on the nearest military-grade boat, and had his picture taken.

 

Perry has recently taken the lead on the topic of conservative complaints about immigration. The dysfunction of America’s immigration policies have been thrust onto the country recently when thousands of kids from Central and South America have wound up at America’s border and into the hands of overwhelmed immigration officials with no clear solutions about what to do with them.

 

Yesterday, Obama and Perry met to discuss the humanitarian crisis on the border, Obama described the meeting as “productive,” Perry sang a different tune. In an interview just hours after leaving Obama’s company, Perry told Fox News that he felt like Obama was ignoring the problem. He went so far as to suggest that not visiting the border was Obama’s “Hurricane Katrina” moment.

 

“I think about the criticism that George W. Bush received when he didn’t go to New Orleans [during] Katrina, this is no different,” he said on Fox News’ Hannity.

 

Apparently, the two of them – one a right-wing pundit and the other a sitting state governor – were eager to show how proactive they were being and traveled to the border to pose for some photos and try to look as cool as possible.

 

Hannity has been posting a torrent of the photos on twitter throughout the day.

 

Oh boy.

 

Hannity and Perry seem to have mistaken an influx of unaccompanied children as a military invasion force. Hannity in particular doesn’t seem able to contain his excite over being near a machine gun, tweeting several pictures that are just ammunition or the guns themselves.

 

What do they plan on doing with those guns? The kids are not dangerous, nor are they seeking to evade the American Border Patrol.

 

By all accounts, most of the children simply get across the Rio Grande and then find the nearest American to turn themselves in. They don’t know what else to do and they assume the Americans will help them.

 

Perry doesn’t seem to care. His plan is to send 1,000 Texas National Guard troops onto the border despite having absolutely no idea how that will help.

 

The fact that he thinks a boat armed with a machine gun looks like he’s helping further displays how ignorant Perry is about the crisis in Texas. Again, unless he plans on shooting these kids as they attempt to cross, the machine guns are nothing but props to make conservatives salivate.

 

One way Perry could have helped the kids and strengthened the borders was to support the immigration overhaulRepublicans in Congress recently killed. Of course, Perry didn’t. That would have gone a long way to actually addressing the problem. But on the other hand, Perry wouldn’t be able to ride alongside a .50 caliber machine gun then, would he?

 

Thank you Addicting Info.

 

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I am constantly amazed, although I should not be, at the dumbfuckery of The TeaTardedRepubliCANT Pseudo-Freudian, Psycho-Sexual, Pro-caucasian, Pro-Racist, Anti-LGBTQA1, Anti-Feminist, Reich Wing GOPretender Conselfishservative, NRA-Gun Loving, Nut Bag, bottom feeding, racist, ass backwards, white supremacists, Koch Brothers & A.L.E.C. controlled morons, greedy, wealthy, caucasian, special interest groups, asshole Party Members.

 

The President making a visit to the border in TexASS for a photo opportunity, which has no apparent value other than being a farce, is of some matter of importance for these two ass-hats, Perry and Hannity.

 

This is the issue with Immigration, it is used as a political talking point to disrespect The President Of The United States.

 

Here are some facts and truth about Immigration……

 

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It’s A Twitter Storm™ That’s Raining Videos™


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It’s A Twitter Storm™ That Is Raining Videos™

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

My new favorite anti gun ad……Listen to the accidental shooting statistics after the video.

 

 

 

 

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