Beyond the Cusp

November 22, 2013

Obamacare Working Just as Actually Intended

Everywhere you turn on the media, be it news coverage, late night entertainment, Comedy Channel faux news or virtually any talk show, you are hearing all about the failures of the Obamacare rollout and how literally thousands, hundreds of thousands and soon rumored to become millions losing their health insurance coverage largely because their current policy does not meet the stringent government mandated standards. Virtually everybody is treating all of the litany of disasters which is becoming the standard for all phases and measures of Obamacare as if they are either unintended consequences, results from measures which were mainly caused by miscalculations, overzealous application resulting from no clearly defined standards, or simply put none of the problems were intended, planned, foreseen or desired. Well, perhaps the media has gotten this as wrong as they have virtually everything else about President Obama and his entire agenda from their initial praise and infatuation with “Hope and Change” without even bothering to question Hope for what and Change what and how. Perhaps all of the problems with Obamacare including the disastrous computer site “healthcare.gov” with its cycle of having far more down time than operating normally, if anything with that site can be referred to as normal, has all been part of a delicately balanced, fully flushed out, intentionally plotted and insidiously nefarious plot and plan to destroy the entire private healthcare and health insurance industries in order to get to a completely different kind of healthcare imposed on the American people.

 

Believe it or not, but the entire Obamacare system with its thousands upon thousands of regulations, many of which are unfathomable to any sane person, is designed to ruin the health insurance industry initially and then, as a result of possibly the majority of Americans being forced from their present insurance coverage into the government provided insurance through the exchanges, placing a plurality if not majority of Americans on government provided health insurance and thus place their healthcare decisions under the thumb of government bureaucrats.  The initial proof comes when one considers the required coverage that must be included in from even the most basic plan all the way to the most expensive so-called Cadillac plans. Why must every insurance plan cover birth control pills, breast exams, prostate exams, prenatal care, and a complete list of either gender related items or age specific items with no exceptions even for single individuals whose gender makes such coverage ridiculous, not simply superfluous. There is but one logical reason to have a long list of gender, age and other very specific coverage to be required in every insurance package for it to be acceptable in the President’s plan. The Gender specific requirements would never be necessary for either one gender or the other yet they are still demanded to be in even plans for single adults. Age specific requirements are placed as requirements for insurance plans for all ages. Even items that have such a low instance of occurrence in certain age groups or either gender as to make it required makes no sense and which would seldom if ever be covered in any regularly issued health insurance plan has been included in Obamacare to make sure that the vast majority of health insurance policies in some way do not meet the specific and stringent required coverage demanded by the Patient Protection and Affordable Healthcare Act thus making them unqualified and thus their holders become uninsured fulfilling  the plan is to force all, or at least the vast majority, of these victimized people onto the government exchange insurance rolls.

 

What comes after such a large number of Americans are forced onto the exchanges and government regulated and run health insurance? Well, these plans are still backed by the health insurance companies but not all of those who were eligible to participate actually chose to pick up such coverage. The insurance companies who will underwrite the exchanges will likely find that payments will be delayed, contested, and eventually regulated so that the payments are made more affordable for the government when reimbursing the payment for care given. These companies can expect bureaucratic snags and the government contesting prices and other monetary remunerations and these insurance companies will soon find that their repayments have fallen so far in arrears that their very ability to make a profit will be in peril. Eventually the government will push many of these insurance companies into bankruptcy. Once this situation has made it so that the health insurance companies have refused to remain in the government system then the government will take over the responsibility for payment for all healthcare for those people still on the exchanges. With the government not being the most efficient system known to mankind, eventually there will be sufficient backup in making payments that hospitals and physicians will either end up financially destroyed or leaving the system and practicing on a cash only system. The government will make that illegal as soon as there are sufficient physicians and hospitals working independently from the now government healthcare payments and coverage that putting these renegade healthcare providers completely out of the system and business or begging to be reincluded under the government plans. This will cause sufficient boondoggle that the repayment of fees for coverage that the entire system will collapse under the weight and tangled inefficiencies and healthcare will be in complete disarray.

 

When this situation becomes dire enough and unworkable through planned obstructions to remuneration and payments the people will demand that the government do something as the healthcare system will truly be broken. That is when the salvation that will be offered will actually be the formalization of the very system that caused the problem, a single payer healthcare system under the auspices and whims of a fickle Federal Government. Once there healthcare will never return to anything even remotely close to the quality and quantity of healthcare which has been the benchmark of the American healthcare industry. Americans can forget any research producing new drugs, pioneering surgeries and treatments being formulated and perfected in the United States, efficiency which is among the best in the world or new innovated diagnoses. What can be expected is long wait times to see a physician, even worse wait times to see a specialist, delays in receiving surgery, managed care, refusal of care if deemed too expensive or risky by government agency which has no physicians or other healthcare workers on the committee, general delays in all forms of treatment eventually reaching the point that if one has the flu they will receive care within two or three weeks, eventually months, after they have completely recovered. If all of the Patient Protection and Affordable Care Act or Obamacare, pick whichever name you prefer, has not been discarded into the waste-can of lost causes totally repealing every aspect, every regulation and any other vestiges of this approaching intentionally designed and engineered disaster then we will be telling our children and grandchildren about the time in the seemingly distant past, though it will be only a very few years, when sick children were taken to see a doctor and be treated within hours or maybe a whole day and receive possibly lifesaving treatments and be healthy and outside playing even before we get to see a doctor these days. I hope no parent or grandparent ever needs to tell their sick child such sad and unnecessary stories, especially as an explanation of why they are still suffering from some formerly easily treated illness. The entire disaster in the making that is the plan behind Obamacare must not be allowed to claim future lives, especially of innocent children. This is an emergency intentionally being perpetrated on the American people who do not deserve such a threat to their healthcare and personal health.

 

Beyond the Cusp

 

November 3, 2013

The Reality About Obamacare

Between the disastrous rollout of the Healthcare.gov website and the thousands upon thousands of people losing their health insurance over noncompliance, the truth of the real intentions behind Obamacare have gotten lost in all of the noise. Contrary to what everybody has been told, Obamacare is not about providing health insurance to every American nor is it about making sure everybody has access to quality healthcare. The truth of the design of Obamacare has little to nothing to do with insurance, providing coverage, providing healthcare, assisting people to receive affordable health insurance or anything else which has been either stated or implied. So, if Obamacare, or if you prefer the actual title, Patient Protection and Affordable Care Act, and they are one and the same contrary to what some have claimed, is not about healthcare or providing affordable or even unaffordable health insurance, then what is it really about and why has it been kept a deep, dark, hidden secret never to see the light of day?

 

The reason it has been so guarded is because if the truth became well known then the people and much of the healthcare system and health insurance providers would all be up in arms carrying pitchforks and torches and heading for the closest HHS office. The end result for Obamacare is for it to be a dreadful and complete failure. The rollout was simply a precursor for the eventual effectiveness of Obamacare. The reason that the White House and everybody at Health and Human Services along with the companies who worked together to program the website have taken its failure in stride is they do not care if it works or not beyond image. They mind that they are receiving disapproving numbers but since after this term President Obama cannot run again, they all know that after a few more years they will be seeking new employment. The design of Obamacare was to force through regulations unnecessary coverage into each and every health insurance package in order to send prices through the roof. That is why an eighty year old single man must have prenatal coverage and a young single woman must have prostate cancer coverage or some other equally ridiculous set of terms. The entire aim is to make health insurance prohibitively expensive such that everybody ends up on the government exchanges. Even the exchanges are set up to fail and that will set in motion the populace demanding that the government repair the disaster the government foisted upon the public. The only other set of items in the Obamacare regulations and legislation are a series of new taxes on all sorts of things many not even remotely related to healthcare in the slightest of ways. The end result will be a series of individual new taxes some of which, like the tax on medical instruments are designed to make research into new medicines and procedures more expensive, actually are related to the healthcare industry while others are solely applied to items from investments, banking transactions and a myriad of other non-healthcare applications simply to feed the government coffers.

 

Once the companies which offer health insurance finally realize that they have been forced into a corner through regulations demanding broad base coverage requirements pushing prices exceedingly high that they can no longer make any profit from their healthcare divisions and close them down and no longer offer healthcare insurance, then the government will be virtually the sole proprietor issuing health insurance which will facilitate government run healthcare as the next logical step. This will place the vast majority of the population onto the government exchanges which will also be a disaster already happening. Even the prices on the exchanges will end up rising as they struggle to bring in the needed funds through monthly charges to their members to cover the ever rising costs of healthcare. Eventually those people who do not receive financial assistance, and the threshold for financial assistance will be lowered each year forcing more people to have to pay the full price on the exchanges, will realize that the penalty for not purchasing insurance is far lower than the price of insurance and if you find yourself in need of insurance then you purchase it at that time and cannot be refused so they will simply run the risk of not having health insurance. This will be particularly true of those younger adults who can no longer remain on their parent’s insurance and who will balk at having to pay for longtime care for mental deficiencies which really means Alzheimer’s disease or other forms of dementia which only usually afflict the most elderly along with other items forced into the base required insurance package.

 

Once the majority of the population has been forced onto the government exchanges and the few remaining health insurance providers are hanging by a thread then the regulations only need change a few items in order to force sufficient changes on the insurers that they cannot survive the costs and realize their customers will react adversely to yet another set of policy changes and rate hikes.  This is the point where the government exchanges will provide the final impetus to get the progressive plan to its final goal, a one payer government healthcare system. By this point things will have deteriorated that even the dreaded government run healthcare will actually sound good. The healthcare industry will be so broken that anything will sound appealing and a single payer government run healthcare system will be welcomed. Sure there will be those who will rail against this inevitability and their rally will be that it is not Constitutional. If they are able to get this before the Supreme Court let’s hope that Chief Justice Roberts has reread the Constitution and does not get cold feet and fold rather than stand on Constitutionally sound principles that can keep him grounded and end this nightmare.

 

The United States has had a healthcare industry that has been the envy of the world despite what propaganda you may have heard. The United States was among the top five nations in medical discoveries and new procedures every year for seemingly forever. The wealthiest from every corner of the globe have come to the United States and a very select few other nations such as Israel for their surgeries or other technically challenging, complex, or requiring extreme specializations medical procedures. I can attest to this as during my time as a biomedical equipment engineering technician I was fortunate to assist in adapting and utilizing equipment and be a part of three of the first ten RF Catheter Ablation Surgeries in which the patient’s heart has two distinct nodal nerve bundles which fire to stimulate the ventricle twice per cycle and the errant node has to be destroyed using RF waves to kill the nerves within the node in order to produce proper heart rhythm. Any further description would be tedious, boring and unnecessary. The only other point is that had a tax been levied on each piece of medical equipment used in such a procedure the price would increase significantly. These such procedures are pioneered in the United States even should the discoveries be made elsewhere as the United States has the funds, patient load and every other advantage necessary to further medical science. The big lie is that there are people being denied healthcare in the United States for lack of insurance. That is not true as by law any hospital which receives any forms of government funding, Medicare, Medicaid, Veterans Insurance or any other program, must treat anybody who seeks medical treatment without regard to their ability to pay for the services. This is part of the reason we find emergency rooms filled at times with people who have a bad cold, sprained ankle, or other minor affliction which could be treated in a physician’s office but being unable to afford such they go to the closest hospital and are treated.

 

The other lie is that the cost of medical care rises beyond all reason because doctors are getting wealthy on the larger fees. The reality is that between employer provided insurance and government provided payments for healthcare the prices face a similar upward pressure that has also sent college tuition prices skyward. Since close to eighty percent of Americans have some form of third party health insurance they are not concerned with the costs and thus do not shop for cheaper prices as it would make no difference to their bill for the care. The other force driving healthcare prices skyward is a combination of two very closely related items, the costs for malpractice insurance and other coverage required for any physician, hospital or healthcare provider to operate and the ever larger rewards given plaintiffs in malpractice cases and the unfortunate fact that there are lawyers who seek out any reason no matter how slim to bring such cases hoping that either the jury will be sympathetic and reward their client, and they take their percentage, handsomely or the caregiving victim of the suit will settle out of court for some easy money. Anyway we look at healthcare now it is too late, the die has been cast and we will sooner than later find the United States becoming simply another European style financial disaster with government provided single payer healthcare. Who cares if it has failed almost everywhere it has been implemented, the United States will get it right because they know what they are doing. Right, that’s just so believable.

 

Beyond the Cusp

 

October 8, 2013

The Ugly Side of a Government Shutdown

The Federal Government shutdown has turned ugly and vindictive by design with the Administration going through each and every service, historic sites, museums, web portals and other various forms of public-government interaction with an eye to shutting down anything and everything which would cause the public harm and inconvenience. They then claim that the Republicans own the shutdown and that the President feels the pains and hardships the public are experiencing and President Obama claims that the Republicans will not negotiate with him over the budget. This is the biggest fabrication I have ever heard from any politician even including President Nixon’s claim that he is “not a crook.” Some examples pretty much make obvious where the closings originate. At Andrews Air Force Base the PX is closed but the golf course which the President loves is open. The right lane of highways and byways from which one can snap pictures of Mount Rushmore have been coned off so people are unable to stop. The last straw and most unbelievable act committed by the Administration was forcing people, mostly elderly, to leave their homes which border Lake Meade claiming that since the government has found it impossible to guarantee services preventing possible harm such as flooding from endangering their lives, they must leave immediately. Many of those people had no clue that the government did anything other than monitor the Hoover Dam as far as protecting them and even understanding the extent and scope that the Administration has gone to in order to maximize harm to the people and citizens of the United States; I seriously doubt they have suspended monitoring the Hoover Dam. The almost ridiculous lengths employed to maximize harm has been unprecedented and should be the main critical consequence of the budget battle covered by the mainstream media but instead they simply follow the President’s lead claiming that the Republicans are the sole source of all evils emanating from the shutdown.

 

The future has taken on an ominous tinge due to a small fact that once any politician opens the door to a new venue of consequences or behaviors it becomes just another tool which virtually any politician from either party will add to their tool kit for future use. Future budget battles will now target services designed for the people which will be the first services where personnel will be furloughed in order to deny these services to the public. The fact that there have been some midlevel and operational workers reporting that they have been instructed to make the shutdown as inconveniencing and causing maximum hardships as they are able is the most frightening aspect of this shutdown. These specifically targeted closings of open air monuments where it is costing the government funds in order to barricade these places which under normal operation might entail their being cleaned periodically but otherwise operate at no cost to government is opening a level of vindictiveness that cannot be stressed too strongly. The same goes for the numerous sites such as Mount Vernon where private groups who take absolutely no government funds are being ordered to be shutdown presumably because the Federal Government services and provides upkeep for access roads or parking lots or even because they claim they will no longer be able to provide security support in case of an incident. These actions are simply an abomination revealing a level of contempt for the public by those in government who are behind these closures who, just like those responsible for the stand-down order during the assault in Benghazi, remain unidentified though it can be assumed they are high up in the Administration and their orders very probably come from the highest levels if not the President himself.

 

There is going to be a phase two to the budget battle approaching rapidly and that is raising the debt ceiling. The claims that raising the debt ceiling will not increase the actual level of United States government debt because it is only being increased to cover spending which has already been approved is false. If that argument sounds highly suspicious and disingenuous, then you very likely have a good grasp on budgeting and money handling. The fallacy in that argument is that once the government has made a commitment to provide services or other governmental functions which require funding that there is no way to fund these expenditures in the future other than by raising the debt limit in order to cover the expenditures. This would be the same idea as if you decided to take a vacation this summer and as the time for the vacation approached you did not make any adjustments to your daily expenditures nor decide to postpone some purchases and instead simply applied for a new charge card on which you would pay for everything while on vacation claiming that the new charge card was not going to increase the family’s level of indebtedness as you had decided on the vacation already so the new charge card to cover the expenditures was unavoidable. We can expect that should any members of the Congress suggest that there be spending cuts made to defray some of the future spending rather than simply take on all of the coming spending by taking the easiest route and just increasing the level of indebtedness of the United States Federal Government will be ridiculed by the President and his minions in the press. Some of the driving reasons that the debt limit is once again being crashed has a lot to do with the fact that there has yet to be a single budget passed during the entire Presidency of Barack Obama. This even includes the first two years of his first term when the Democrat Party held a filibuster proof majority of over sixty in the Senate and a comfortable majority in the House of Representatives which in theory should have allowed President Obama to pass any legislation and establish any program his heart desired. Despite this unopposable majority in Congress, President Obama never passed a single budget as even the Democrats attempted to prevent some of his spending and he never passed his Cap and Trade energy legislation though he did manage to force Obama Care through the Congress using brute force along a party line vote which had not a single Republican supporting the Patient Protection and Affordable Health Care Act.

 

President Obama’s Presidency could be defined as an Administration which never found an increase or new expenditure it didn’t love. Since President Obama, possibly to his credit, did close down two fronts in what was originally labeled the War on Terror by ending much of our deployments to Iraq and Afghanistan, there should have been a savings which would have been reflected in budgetary savings, lower debt, and an economic peace dividend. The fact that we not only did not receive such a bonus and instead have found ourselves raising the debt ceiling repeatedly and facing budgetary shortfalls and an anemic economic recovery if any is just another result of an Administration whose spending is completely out of control. President Obama has craftily and cunningly used Continuing Resolutions in order to compound the spending increases thus causing vast additional spending across the boards on social programs. Even draconian spending cuts to the Military budget and cuts to the NASA budget (which never garner much savings as the NASA budget is less than 1% of the total budget) have failed to balance the excessive added spending on existing social programs and on the new social programs initiated by the Obama Administration. Yet, when the debate over raising the debt ceiling begins we can expect the usual blame game claiming the Republicans are trying to refuse to pay for spending which has already been approved and that these despicable Republicans would default on the United States payments on her debt. There is not an ounce of truth in either of those accusations. The Treasury Department receives inflow of cash every day from the Internal Revenue Service and from other taxes, tariffs, fines, and other revenue sources which are vastly greater on a daily basis than is the scheduled debt payment. Simply put, the debt payment can be made out of what we could call ready cash which the government takes in each and every day. Any claim that by not raising the debt ceiling we would default on our debt payment is simple demagoguery and absolutely false, but I guess we have all gotten used to lies from Washington no matter which party has the majority.

 

Beyond the Cusp

 

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