Two Payer System
If lower income people are placed on Medicaid and they have a private policy
that covers most of what Medicaid doesn't, that is necessary, that's good.
If
the costs of the policy is less because of the Medicaid coverage, the policy is
affordable to the working people who have lower paying jobs. No one is cut back
or laid off.
Medicaid
is alleviated financially by the policies paying some on the care. This is
good.
Pre
existing conditions can be met.
Policies
can be kept.
As
the income or financial circumstance of the family or individual improves, more
can be transferred to the private policy.
<Medicaid
and the private policies work together to provide everybody coverage.
Higher
income earners can opt, in, with more coverage on the policies at a higher
cost.
No
one is turned away. No one is dropped.
People
get better coverage overall.
A
minimum of coverage is set on the insurance policies.
A
maximum is set on the cost of the policies.
The
person chooses the policy coverage.
This
system works to save existing policies. It works to reinstate people who have
been dropped, with better coverage for the same costs or less, truly.
If
it is done right it can work.
Americans
can have confidence in coverage.
No
one is bankrupt. Lives are saved. Care is available at reasonable costs.
Transference
of costs goes down.
There
is less of a rise in costs for policy holders.
The
hospitals are in better shape financially.
The
system helps to stabilize policy costs.
It
helps to keep Medicare costs down.
It's
not a bad system, if it is implemented right.
It
can work.
The
reason Obamacare doesn't work is because the implementation is flawed. Politics
kept the necessary changes from the table.
A
two payer system can work if we do it right.
Accounts
with Social Security were opened and information from the accounts was
transferred to the HUB on the Healthcare. gov website. before the website went
online. Here is the link: https://www.healthcare.gov/
Millions of SSI accounts were
apparently compromised, or possibly compromised, depending on how you look at
it. Security has since become an issue with experts looking into security
issues with the site.
Other security problems may exist
with the handling of information. Background checks were left out on some
workers who have access to files.
One
Man Does Not Make Up The Laws
“ One Man Does Not Make Up
The Laws”
No man makes up his own laws. And no, one,
man makes up the laws of a nation. One vote from a group in Washington should
not be enough to change the law for every person, state, business.
People and states, along with businesses,
have to have a say in the laws they are held accountable for upholding.
Groups of men, elected to office, that decide
on laws by voting on party lines, should be at least required to read the bills
they are passing that change laws.
READ THE BILL.
“Lasers
And Healthcare Attacks”
Since the criminals shot me with a laser through the right side of
my chest, while I was sleeping, and woke me up; with the sound of screams in
the distance, (it's an old trick) and the everyday knocking on the side of the
apartment in back, I decided to write something about the Patient Protection
Affordable U.S. Government Healthcare Act Mandate.
The main reason I became a heart patient,
(Lacking a necessary operation but I take a pill instead....Well, I mean a
bunch of pills) is because I was repeatedly electrocuted and shot through the
chest with lasers and that led to a heart attack. WELL... heart failure I
mean. Heart disease is different from just a heart attack.
"With Heart Disease You Get Oatmeal
Eggrolls." "Did you ever try them?" "They're GREAT! Ask
Tony Tiger. He never lies. He's like the best friend of Barak Obama. Kids like
Frosted Flakes because of the Corn Fried Flakes goodness and nutrition. It's not
the sugar-coating." "Really!" "Just ask the President
"He'll tell you the truth."
"He wouldn't lie about the reason that people
are going to the AHA website to sign up for the Patient Protection Affordable
Healthcare Act insurance policies, IN DROVES!" (And because of the
STAGGERING NUMBERS of visitors to the site it's breaking down!"
"We need to call in some more EMERGENCY
SITE BUILDERS FROM CANADA!" "HELP US CANADA!" "HELP!"
“The DOB”
“The Ten Commandments Of Obamacare”
“Obamacare Classified”
(Mission Impossible)
“Substance Use Disorder”
Assessing
what category your in, with respect to mental healthcare coverage. (Substance
Use Disorder). http://pubs.niaaa.nih.gov/publications/AssessingAlcohol/InstrumentPDFs/68_SUDDS-IV.pdf
People that don't know what Substance Use Disorder is: It is a term used by the
government to describe a sickness that a person may, or may not, have. The
definition in legal terms is not clear with respect to the laws that were
passed.
The sickness you may or may not have is called Substance Use Disorder. It can
be thought of as Substance Abuse Disorder.
There is a questionnaire that is given to the policy holder and then an
assessment is made on the policy holder while you are being interviewed. After
the assessment of the questionnaire and interview, you will be placed into a
category ranging from 1 to 5. 5 being the most sick, like schizophrenics and
althzeimers patients.
The
category you are placed in is permanent. You will be treated in association
with the category for the rest of your life.
The
assessors are not doctors. Any person the government gives permission to, or
hires, can be an assessor. The assessment on your mental health category is not
necessarily made by a professional like a doctor. The assessments do not have
to be made in a doctors office.
It
has not been made clear whether or not it is a requirement to have the
assessments made before diagnosis by a doctor, or not.
The
testing and assessment on Substance Use Disorder is a way to get you into a
particular category. The assessment is probably not required under the law itself,
but the categorization is. The assessment becomes a way to determine your
category status. Between 1 and 5.
This
is probably unconstitutional. There is also no security on the information. Any
one can order the results of the assessments in any hospital-doctors office-
government office- job- church- school- ect.
After
the testing is completed, on 100 million applications, the tests
can be ordered to further look into the matter of the possibility of your
dependency or Use Disorder. The tests range in price from 5000 dollars to
over ten thousand per test.
These
tests are not tests that actual mental patients need in order to have a proper
diagnosis.
These tests
are, strictly, non essential testing that is associated with categorizing the
possible Substance Use offenders. If these tests are mandated for every policy
holder in a specific category, the cost of the testing could bankrupt your
state. Easily.
Substance
Abuse Disorder is not a real reason to assess you in mental health. It is not
an acceptable way to make determinations on your health. It is only an excuse
to categorize you by the government.
“Criteria”
*Legal Foundation of The
Medical System
rewritten. That's to start with. ( Dr. House)
AKA. -Don Robbins.
The foundation of equality came from
the guidelines of criteria that were followed by the doctors and hospitals,
with respect to patient care.
Insurance policies were not reviewed
as to determine the care of the patient in the Emergency Room or Hospital.
Criteria was the guideline of care
for all patients regardless of the policy, or not having one.
Criteria guaranteed equal treatment
under the law.
Obamacare has destroyed the equal
treatment policy of Criteria. Now, there is no equal treatment except what is
mandated by Obamacare.
The mandated part of the care is not
yet known, in each case.
What treatments, that are
protected in patient rights, is also not known.
“Hints”
By Don Robbins
“Losing Your Doctor Under Obamacare”
The first caregiver
to be dragged into court on frivolous lawsuits has , historically, been the MD.
Under Obamacare, the only caregiver that is
responsible for patient care is the MD.
So, under Obamacare, the only caregiver that
will be dragged into court is the MD.
Instead of your MD. referring you to a
specialist, now, the MD. will be turning over your account to another doctor.
What other doctor? No one knows.
In other words; you lose your doctor.
Doctors cannot guarantee patients rights
without criteria guidelines. As it is, now, with the passage of Obamacare,
mandates under the laws have replaced criteria as the legal foundation of
protections.
It is ironic that Patient Protections under
the Affordable Healthcare Act are actually, virtually, non existent.
Without criteria, more pressure is placed on
the malpractice insurance that doctors carry. This leads to higher costs on the
part of the initial physicians. If something isn't done to reverse this
outcome, more MD's. could walk away from private practice.
Without enough private practice physicians
serving as primary care physicians, the costs of hospital care could rise
drastically, especially in smaller towns. The reason is a transference
from MD. visits, to Emergency Room visits.
November 15, 2013
Extending Policies
Does Not Repair Damage To System -(Over-ruling)
Over-ruling the law is not under the powers of the President.
An amendment to an
amendment to the Constitution is in order. This is done by Congress.
Keeping the coverage
that is labeled non compliant by the Obamacare laws is the same as allowing the
suspension of the Constitution, temporarily, by Presidential decree. Sort of
like a line item veto, but instead, a suspension of the law by decree. Or
changing the laws without Congressional approval.
Some Congressmen and
Women Congress persons (I think that is correct) have decided to write
legislation to continue cancelled insurance policies.
Criteria in coverage
on policies is not a replacement for criteria in patient care.
Equality in medical
care for the patient is based on criteria. Generalized descriptions on policies
are not guidelines of care that is based on criteria.
Mandates by government
office, such as the SUDD category and testing described in the Affordable
Health Care Act bill, as seen online, are not patches in criteria of scheduled
patient care.
Extending the
cancelled policies does not repair the damage done to the standard of care by
the elimination of criteria.
November 15, 2013
"Can KEEP IT
Can't" Obamacare Decisions
November 15, 2013
The Affordable Care
Act Needs To Be Repealed "Hint-Hint"
"Now, the state commissioners are telling
people in their states what's good for them?
McDermott thinks the
free enterprise system is lions eating antelopes!
This mess needs to
come to an end before it gets worse. Throw the Affordable Healthcare Act into
the trash. Throw it in the trash.
Just get rid of it.
Rep. DeLauro
says the system was bad before Obamacare. But what she doesn't seem to
understand is that socialism isn't the answer to the problem. "
November 15, 2013
Repeal Obamacare To
Preserve Equality In Patient Care
The problem is: that Obamacare doesn't fix the problem.
Yes, there are
problems but Obamacare doesn't fix the problems. It doesn't keep it's promises.
It doesn't make things better.
Obamacare doesn't fix
the problems that it created.
Obamacare didn't fix
the problems that needed to be fixed. Problems that needed to be fixed are
still not fixed.
People who
didn't have coverage in some cases, still don't.
Cutbacks on real
necessary care was the first thing that happened.
I was in the hospital
with a massive heart attack.
Obamacare cut back on
my care.
It spends billions on
unnecessary care, such as SUDD testing and assessments. That's mental health
care- drug dependency - coverage. Give 60 million tests and assessments to
policy holders who don't need or want it? And cut back on catastrophic heart
care? How does that help people who need care? How is that better? It's not.
Patients
are treated equally under the CRITERIA system. Obamacare replaces that
equal treatment with policy coverage. That gives the medical providers
permission to use policy guidelines to dictate care in the hospital. It gives
MD's permission to separate the patient from specialized care by using the
policy coverage, instead of criteria in patient care and procedures.
It is true that
insurance providers can be required to provide coverage on medical care
according to the government, but that care can be far from adequate with
respect to criteria. Criteria preserves quality care for all patients, under
care in a hospital.
Obamacare results in
unequal treatment. Obamacare results in medical care segregation. The poor are
segregated into sub standard policy dictated care. The rich are treated under a
completely different guideline. The government workers are also
exempt from the policy dictates that are controlled by the government
The Republicans pulled
the poor out of the fire.
The Tea Party led the
charge.
Repeal
Obamacare.
November 16, 2013
Obama Doesn't Have
The Legal Right To Violate His Own Laws!
Obama wants to make it sound like
it's up to the insurance commission in the states to re-up policies for people
who lost their coverage.
The
fact is that, (it is not up to commissioners) to give the policies back,
or, to meet with insurance executives and ask that the policies be reinstated.
(No pun intended.)
Obama claimed that he would extend the policies for the five million who lost
policies, but he doesn't have the legal right to do that. That would be like
breaking the laws he just passed.
*Extending policies that have to be reinstated and saying that he gave
permission to state commissioners to do so; is....?
November 16, 2013
Policies Are The
New Guideline Of Care (Replacing Criteria)
The standard (Minimum Essential
Coverage) on policies, has to be written into each individual policy, physically,
written into the wording on the policy. And the definitions of the coverage are
also written on each policy and with respect to the state requirements
mandated by the government.
The
policies become the new guideline of care. That means that whatever is written
into the policy, will be the procedures of care that you receive. If it
is not written into the policy, the care does not have to be given in the
hospital.
The
procedures have not been modified, yet. The policies have not been updated,
yet.
The
policy becomes the new criteria. What is written on the policy becomes the
legal foundation of all medical care. The Medicaid coverage is treated like
insurance coverage, making it the same as an exchange policy, metaphorically
speaking.
If your group
policy does not cover the SUDD -Mental Health questionnaire, it has to be
rewritten. (For example)
Basically,
all policies have to be rewritten. I don't know how many that is. (150 million,
or so.)
55 Million Left- When Will Small
Business Get Their Exemption?
We have 55 million policy
holders (small business) left that haven't been given an exemption from the
evil Obamacare.
5 million individuals have been given an extension of a year.
The corporations were already exempt.
The government workers were already exempt.
So, when will the small business owners get their
exemption from Obamacare?
November 16, 2013
"The
Specialist Told Me The Government Told Them How To Treat Me"
I went to the hospital. The government
told the doctors how to treat me before I got there. The government told the
doctors what to do.
They
didn't do the whole operation on my heart. They left part of the operation out
of the procedure because the government told the doctors it wasn't necessary,
but that I could be prescribed a pill if I had pain, later, during recovery.
A
test that is standard procedure was also not given during the time. The
government also regulated that on heart potatoes, (I mean patients).
Later, about
three months, I was brought back to finish the procedure. They put me to sleep
but when I woke up they said they didn't do the operation. (There was an
emergency). The surgeons had to rush to save a person having heart attack. *I
know how that feels.
But, the
test that they didn't do before was done this time, while I was asleep.
I was
sent home to reschedule.
Being
called in for my yearly check up ( a year had not passed yet), I was informed
that I had a blocked artery going into my brain. Ultimately, even though the
specialist didn't say so, the blocked arteries would most likely be the reason
that I stroke out, in the end. And- was probably, the reason I was short of
breath while I was riding my bike. They didn't tell me that I could have a
stroke because I was riding my bike. *I went ahead and rode it anyway! I just
took it more slowly. (Seriously).
I yell a
lot.
*+The specialist kept telling me that the
government had cut back on heart patient care. That the government told them to
skip the tests.
November 18, 2013
A Two Payer System
That Can Work (Not Obamacare)
If lower income people are placed
on Medicaid and they have a private policy that covers most of what Medicaid
doesn't, that is necessary, that's good.
If the costs of the
policy is less because of the Medicaid coverage, the policy is affordable to
the working people who have lower paying jobs. No one is cut back or laid off.
Medicaid is
alleviated financially by the policies paying some on the care. This is good.
Pre existing
conditions can be met.
Policies can be
kept.
As the income or
financial circumstance of the family or individual improves, more can be
transferred to the private policy.
<Medicaid and
the private policies work together to provide everybody coverage.
Higher income earners
can opt, in, with more coverage on the policies at a higher cost.
No one is turned away.
No one is dropped.
People get better
coverage overall.
A minimum of coverage
is set on the insurance policies.
A maximum is set on
the cost of the policies.
The person chooses the
policy coverage.
This system works to
save existing policies. It works to reinstate people who have been dropped,
with better coverage for the same costs or less, truly.
If it is done right it
can work.
Americans can have
confidence in coverage.
No one is bankrupt.
Lives are saved. Care is available at reasonable costs.
Transference of costs
goes down.
There is less of
a rise in costs for policy holders.
The hospitals are in
better shape financially.
The system helps to
stabilize policy costs.
It helps to keep
Medicare costs down.
It's not a bad system,
if it is implemented right.
It can work.
The reason
Obamacare doesn't work is because the implementation is flawed. Politics kept
the necessary changes from the table.
A two payer system can
work if we do it right.
November 18, 2013
Two Payer System-
(First Problem Solved) -Groundwork.
Technically, Obamacare is a one payer system. One payer on
Medicaid. And one payer on exchange policy.
Looking
at the huge problem associated with the voluntary part of the one payer on
exchanges, where the healthy dollars are not showing up, in order to compensate
for the needy in the insurance money pool; it is predictable, that, a lack of
interest will cause a short fall of usable capitol. This will lead to sharp
increases in the cost of related policies. This cause and effect is
called cost transference. Spreading the cost out evenly, so to speak.
It is
better to use Medicaid as a support on coverage, for young people and working
healthy people (at lower income levels), who will purchase policies for half
the cost in the private sector. The split on Medicaid and insurance
policies makes lower costs possible. This keeps more money flowing into
the pool for insurance coverage, without driving up costs for other policy
holders. (First problem solved.)
November 19, 2013
Picture Profile 2
Abstract by Don Robbins
November 19, 2013
Picture- Profile 3
Abstract by Don Robbins
November 19, 2013
Partial Insurance
Coverage( With Medicaid) - Verses Obamacare
Contributions into the insurance
pool funds is better than no contributions into the insurance funds.
With Obamacare, the
people who are placed into Medicaid coverage are not contributing to the pool.
This puts pressure onto the other policies , regardless of how you
politically spin it. (The facts.)
It is
better to have most of the people who are working at lower wages, to contribute
by having extra coverage on private policies. The policies in this case,
compliment their Medicaid coverage.
It is also more
economically feasible to have those with partial coverage, phase into full
coverage, over a period of time.
I was
saying that partial coverage (with private sector policies) would be far
less expensive to the working poor and others, because of Medicaid
coverage. And vice versa.
Partial
Medicaid with partial insurance coverage would be the best way to cover the
uninsured.
There would be
far less pressure on other policies, with respect to cost transference.
The main costs with
Medicaid is subsidies paid out. The actual payout would be less, to a possibly
greater degree, with partial coverage on policies from insurance companies that
cover enough to alleviate a good deal of the burden on Medicaid.
A
less expensive policy is possible with a partial coverage policy. This
could also cover areas that Medicaid does not cover. Taking into consideration
the necessary modifications on Minimum Coverage that is mandated by Obamacare.
The coverage that was
actually necessary was once again left out and more money was to be spent on
what was called Mental Healthcare, which was actually just testing and medical
tests after assessments on substance abuse.
Keep it in
mind, that, the testing that can be mandated after assessments, that are not
done by professionals, can be expensive. In that case, also possibly
unnecessary.
November 19, 2013
Security Problems?-
May Be Best To Shut Down The Site.
{ * Note ALERT! The bureau Of The Department
Of Land And Indian Affairs in association with the Interior office in the
Government, somewhere, sent me a asset letter. My total asset value is -0-. or,
$0.00. }
Why does the Obamacare website authorities need my Interior Department assets
information?
Contract work from 20 years ago is necessary to sign up on Obamacare?
I don't think that information from the State Department is supposed to be
available. There is information in those accounts from the past concerning
security. Clients and National security. Clearances and sealed records.
That's information on international business. Diplomatic files.
It
may be best to shut down the site.
