Tom Price for Healthcare and Human Services
For those of you who may have missed it, Rep. Tom Price (R-Georgia) is Pres. Trump’s pick to be the head of the Department of Health and Human Services. Price is an Orthopedic Surgeon (former?) and has been in the House for 12 years now and a member of the Congressional Healthcare Caucus. It appears he has all of the required qualifications to be the head of the Department of Health and Human Services. The minority representative American Medical Association for doctors has endorsed Tom Price as an excellent choice.
AMA “strongly supports the nomination of Dr. Tom Price to become the next secretary of Health and Human Services (HHS). His service as a physician, state legislator and member of the U.S. Congress provides a depth of experience to lead HHS. Dr. Price has been a leader in the development of health policies to advance patient choice and market-based solutions as well as reduce excessive regulatory burdens that diminish time devoted to patient care and increase costs,” said AMA Board of Trustees Chair Dr. Patrice A. Harris.”
The choice of Tom Price is a no brainer for Pres. Trump as he is also in line with Republicans wanting to repeal the PPACA and put in its place vouchers for healthcare, Medicare, and Medicaid. Paul Ryan and Mitch McConnell’s jobs suddenly became easier. Mr. Price’s 2009 bill “would allow refundable, age-adjusted tax credits with amounts tied to average insurance for people who buy insurance on the individual market and don’t have access to a government or employer plan.” One can see the widow-peaked Paul Ryan smiling all the way to the House floor.
The AMA in 2012 represented ~17% of all practicing doctors and students. Overall numbers have been in a downward slide over the years. Does the AMA represent the majority view of doctors and how they view the PPACA? “Only 26 percent of all primary care physicians viewed the law ‘very unfavorably’. So it might be said that just one out of four primary care physicians “hate” Obamacare.” Indeed, all the scare tactics of decreased care put forth by the opposition about the PPACA have failed to materialize (Kaiser). It does not matter to Republicans what the finding are and to some on our side of the table can only speak of “crapification” due to the PPACA as it is a bill signed by Pres. Obama
A growing number of doctors have come out in opposition to the AMA as led by Doctor Manik Chhabra, Navin Vij and Jane Zhu on their new blog Clinician Action. At the time (December 1, 2016) of Neil Versel’s article “Pushback begins against controversial HHS pick Tom Price”, 2500 doctors had signed their petition. As of December 4, 2016; >4600 doctors have signed the petition in opposition.
“We are practicing physicians who deliver healthcare in hospitals and clinics, in cities and rural towns; we are specialists and generalists, and we care for the poor and the rich, the young and the elderly. We see firsthand the difficulties that Americans face daily in accessing affordable, quality healthcare. We believe that in issuing this statement of support for Dr. Price, the AMA has reneged on a fundamental pledge that we as physicians have taken ?—? to protect and advance care for our patients.
We support patient choice. But Dr. Price’s proposed policies threaten to harm our most vulnerable patients and limit their access to healthcare. We cannot support the dismantling of Medicaid, which has helped 15 million Americans gain health coverage since 2014. We oppose Dr. Price’s proposals to reduce funding for the Children’s Health Insurance Program, a critical mechanism by which poor children access preventative care. We wish to protect essential health benefits like treatment for opioid use disorder, prenatal care, and access to contraception.”
The rest of their stetment can be found on their blog; Clinician Action.
Whether Tom Price carries some of his views beyond an agenda to reform healthcare and repeal the PPACA, we will not know until he is appointed and has spent some time in the position. It is worthwhile to point out;
“Tom Price is a member of the Association of American Physicians and Surgeons, a conservative group that publishes a journal that has promoted discredited views — including the supposed link between ‘vaccines and autism.’”
The Association of American Physicians and Surgeons also came out with a statement on Living Wills:
“Living wills are not needed to prevent overtreatment in days when hospital procedures have ‘produced the imperative to ‘move things along.’” Death is usually “orchestrated by professionals in hospitals, … a transition that has markedly shortened the ‘waiting time’ for dying.”
The “Tucson, Arizona-based AAPS is also listed on Quackwatch (“Your Guide to Quackery, Health Fraud and Intelligent Decisions”).”
There is more to be said here and I hope you take a moment to read Neil Versel’s article, some of the other references, and visit Clinician Action.
“Pushback begins against controversial HHS pick Tom Price” MedCity News, Neil Versel, December 1, 2016
I just watched Ryan’s interview on 60 minutes. Medicare will be broke in 10 years. We have to fix it with choices, etc, etc, etc.
We’re headed for Kansas wit large. And I don’t mean wizard of Oz.
Daniel:
How about we turn Medicare loose to negotiation “all” of their costs coming from Commercial healthcare? No doubt there needs to be some tax increase ; but, lets attack the costs first.
I come here to push for the elimination of private finance so that the base incentives of our form of social organization change from God of Mammon based to hopefully something more humanistic.
That said, let me share some of my experience with the US health care system as someone trying to recover from being sideswiped by an SUV while riding my bicycle on the shoulder of a state highway.
Kaiser put about 1/4 million in me with surgery on both shoulders and a outsource to a brain injury clinic. But after that I was still quite “hurt”, on narcotics and wanting to continue to heal. I asked for and got an MRI of my pelvic region and Kaiser said they didn’t see the damage that I subsequently spent 6 years at about $10 -$15K per year to remediate. Kaiser PT’s are not hands on PTs and so I went out and found osteopathic trained PT that helped me do the necessary rehab along with fancy/expensive injections into my pelvic region to “tighten up” all the un-fasciated parts. I have gone on to find and pay for neurofeedback therapy which is another non Kaiser therapy and it is healing my TBI, PTSD and anxiety disorder.
The bottom line is that US health care is run on the profit motive more than providing humanistic health care. The incentives are wrong and none of this will change, IMO, as long as private finance controls our world as the invisible hand of the myth of economics.
Thanks for reading.
psycho:
It is called commercial healthcare and instead of a normal “title,” you probably have a “salvage” title. They probably spent too much money to fix you up and will sell you for a song. Did the l2-l5 back surgery where the Sciatic was being squeezed off so I could barely walk. It worked and I am almost normal, 1 year later. 8+ inches, 45 staples, 5 hours , and seven days in with two other vets who transition in and out.
Glad you answered. We definitely do not need Tom Price.
Bill
At 64 years and 5 months and having spent $25,000 on health insurance and deductibles for me and my wife–64 years and 8 months, I was looking forward to buying into Medicare in 2017, particularly because I actually have some conditions which could lead to bankrupting medical care in the next couple of years. Now Ryan with Price’s support wants to end Medicare and throw me, my wife and every other senior citizen back onto the private marketplace where coverage for pre existing conditions if available at all will be prohibitively expensive. In essence I will be able to secure the health care I need to extend my life but only at the cost that I live out my days eating cat food or I can eschew the health care I need and leave my widow and children a nice nest egg. No surprise that I am leaning toward leaving my wife and children with a comfortable existence rather than extending my life to live in near poverty. Is this a great country or what? And I and my employers have paid in large amounts to Medicare since my first job in 1968, although admittedly I never paid the extra tax which kicks in at around $250K.
Terry:
I think as EM says you are safe. What level PPACA plan do you have? There also is no greater price for pre-existing conditions.
“ObamaCare means no discrimination. Under the ACA you can’t be charged more due to gender or health status on individual or small group plans sold after 2014. However there are certain factors such as age, tobacco use, family size, and geography which can be used to determine insurance costs to the consumer. Health insurance issuers in the individual and small group markets are only be allowed to vary premiums based on age (within a 3:1 ratio for adults), tobacco use (within a 1.5:1 ratio and subject to wellness program requirements in the small group market), family size, and geography.”
“Aside those listed above, all other factors – such as pre-existing conditions, health status, claims history, duration of coverage, gender, occupation, and small employer size and industry are no longer able to be used by insurance companies to increase the premiums for those seeking insurance.” http://obamacarefacts.com/no-discrimination/
I have been writing on the PPACA since 2008 along with Maggie Mahar, the same as Charles Gaba, and others as well. I have been consistently pointing out the myths here on Angry Bear as well as other sites and in local newspapers frequented by the local Republican idiots and naysayers. It does bother me so many readers still have not comprehended the detail of ESI and PPACA insurance plans as they both are similar. It only comes to mind during a catastrophic healthcare event. Then it is an “oh crap” moment.
Your out of pocket expenses for healthcare is limited under the PPACA. I think it is $6500/person this up coming year. If you make > 400% of FPL, you are stuck paying for individual coverage if you do not have ESI. The alternative to “no” healthcare insurance is not to be contemplated. Yet many people were satisfied that others had no healthcare insurance while they had theirs. After all there is always the backdoor ro the hospital where they “only-have-to- stabilize-you, not cure you, and kick you out the door. This too is acceptable to most who are safe in their ESI (healthcare insurance) cocoons. CoPays and Deductibles count towards your out of pocket maximum. http://www.bernardhealth.com/woofstreetjournal/bid/200184/Do-copays-count-toward-the-out-of-pocket-maximum-The-deductible
If you expected a “free-ride” for healthcare, it was never going to happen. Most countries have a two-tiered system of public and private insurance which now brings me to Medicare, Supplemental, and Part D. Medicare will be Part A and Part B. Hopefully you have 40 quarters done working or you may lose Part B. Part A is paid at 100% and Part B is only 80%. Both are for acceptable charges. If you are not admitted to the hospital and are only there to be observed, expect higher costs. Know what they are telling you and raise hell as you will pay more for “observation.” Supplemental Insurance picks up the 20% lefty on Part B plus some other things as well. Plan N AARP is a good plan which covers most things except “observation.” Plan F will cover what Plan N does and “observation.” In either plan there are deductibles and copays. 2016 was ~$150 for doctor visits deductible. I suggest you use AARP’s plan as they discount the premium in the beginning and for 10 years. Cost should be around $110/month for each of you. Part D is the drug plan. If you only have Tier 1 drugs, WellCare is pretty good at $27 a month and no copays for almost all Tier 1 drugs. If you have Tier 2, 3, or 4 drugs, you may want to pay more for a better plan as the costs are higher. Remember there is a Drug formulatory register that your drug must be on it. If it is not, then ou may no get it unless you appeal (which is available under the PPACA and it may disappear now under Trump).
Where you are really going to be screwed??? Long Term Healthcare. If you do not have a plan and by now at 65, it gets expensive. Medicare only covers you for a short while on LTC. Average life span in an Assisted Care or Nursing home is 4 years. Your SS will not pay for all of it. Both my wife and I bought a plan which will supplement SS and at least get us a room with a view for 4 years. It started out at $13 per month/person and is now up to $25/person. Still cheap enough. It pays out an additional $100 per day now. It increases yearly for inflation.
Thank Paul Ryan and the Republicans for killing LTC plans for US citizens.
Terry, read the plans and make sure you get what you need otherwise you are stuck for at least one year. Good Luck . . .
Terry, never fear.
While there will be extra costs to your Medicare supplemental insurance policy(the benefit of the free market), there is no way this privatization will affect any seniors currently on Medicare or those close to being on Medicare.
The Gop can easily sell the “down the road” benefits of their Medicare plan, but they cannot sell it to people who actually are on Medicare(or close to it). So in order not to alienate this large voting blog, they will grandfather in a huge amount of people (Those now 60 or older?), in order to keep their vote.
Terry you are not alone bro. I have seen my whole family go through what you are saying and it is true. You do have a difficult choice to make but I know and can tell that you are a person of great honor ,pride and respect for you family just like I and will have to will have to make that difficult choice one day just like the many before you and the many still to come after us. The system is rigged just like all the other government systems are so hang in there bro and enjoy life and your family as long as you humanly possiblibly can. The greed that is built into these systems is in itself enough to make one sick.
ryan:
You are not Trump so lose the “rigged” meme because it is not “rigged” and your comments are silly when you incorporate such a meme. Can you speak plain English? What is this “bro” stuff?
Run,
He is trying to sound like a human being.
I am skeptical that Ryan can push his plan through. There are already signs that Republicans, particularly in the Senate, will not support Ryan and Price as to Medicare. They are also vacillating on ACA “reform” because of the damage it will do to constituents. One of the reasons they resisted ACA in the first place was the realization that once people had coverage, either through the insurance exchanges or the expansion of Medicaid, it would be very hard politically to take it away. They have no plan of their own that will not strip many of coverage. That is the reason they are talking about delay of “implementation” of ACA repeal for up to 3 years while they try to figure out how to do something politically palatable. They are going to have a very difficult time coming up with something they can sell.
Psycho
I agree that we need to limit the profit-driven aspects of medical care. I don’t think we need to, or can, “eliminate private finance.”
I am not a “moderate” because I believe in any inherent virtue of moderation. But I do believe we can achieve much if we work on fixing what is wrong with the current system rather than calling for a revolution that is not going to happen.
Even rich people don’t like to be robbed. They will support us in reducing the criminal and predatory elements that are currently running…. well, at least Congress and the White house if not the “rigged system.”
Medicare is a very good idea. I think Run may be missing the point that old age IS a “pre existing condition” and tripling premiums when you are hold is going to be a staggering hardship when you could have increase premiums a few percent while you were young and “didn’t need” health care in order to fund a system that would be there when you needed it… because you had already paid for it.
Try teaching this to young people. Maybe they always knew that Medicare would NOT be there for them, not realizing the only way that could happen would be for them to vote for those who wanted to destroy it.
Here start reading: http://www.gohealthinsurance.com/pdf/GoHealthInsurance-Age-Rating-Study.pdf Pre-PPACA if you lost your healthcare insurance, the chances of you getting another policy was nil as the going rate was often times 7 to 10 times what the lowest cost insured was paying. With the PPACA it is 3 times maximum.
After open heart and at 62, no company would insure me. It was only when I was working again could I have healthcare insurance. I would strongly look into a HSA where they limit the amount you pay out. Mine was $2500. There is a world of difference between now and then.
Again the issue is not the insurance it is the cost of commercial healthcare.
Coberly,
I don’t believe that when Andrew Jackson eliminated private banking from the government is was called a revolution and I did not call it such either. It was your term. It is your opinion that private finance does not need to be eliminated along with writing that it is not going to happen and I disagree with both assertions.
I would ask why you think that private finance should be kept? It is my observation that they continue to make bad risk management decisions with Fukushima being my example. Do you think we should be burdening hundreds if not thousands of future generations of humans with the responsibility to manage our current nuclear effluent?
The current cabinet pick for Treasury by Mr. Trump has stated that he is ok with eliminating the Fed and only having private banking. Do you think that is a prudent move for society? In my world that means that folks will have even less opportunity to influence fiscal policy then currently. If we are to abolish the PRIVATE/public Fed, should we not go to totally sovereign finance that would serve and be accountable to the public?
I am not a proponent of revolution but that of evolution. I see humanity approaching an inflection point of global finance where moving to totally sovereign finance is possible and am wanting to encourage folks to educate others as to the benefits of that move. I think that humanistic economists should support that also.
psycho:
Why didn’t you point out a Postal Bank to compete against private banks?
psycho
you call it evolution. the money people would call it revolution. and so would my sixties friends who were all for it but didn’t know what it was.
i certainly agree that money has been the root of much evil… whether in America, Russia, or the Jackson era
But that might be like saying that people do a lot of harm with their right hands.
I already answered “why private finance should be kept”: because calling for a revolution will keep you from thinking about and doing what can be done to make the present situation tolerable. you might think of it as evolution.
psycho
it occurs to me that i really don’t know what you mean by eliminate private finance. by coincidence i am reading The End of Alchemy by Mervyn KINg, former governor of the the Bank of England.
He may be saying something like what you are saying. He may end up saying something like what I am saying… or something completely different. You might be interested in taking a look at it.
Run
thanks for all the information. i may not have time to read or understand it all. try not to get mad at those of us who have a different point of view…or even a less informed point of view.
i think post office banking might be a good idea. but i think the place people really get hurt is with mortgage loans and “investments.”
cberly:
It is short and uncomplicated read. You will understand it rapidly.
Run75441,
I didn’t suggest a Postal Bank because I believe that to be only small potatoes compared to the private banking cabal that controls finance in the US but also in many other countries as well as all the international back room tools like BIS, IMF, World Bank, SWIFT etc. To the question in another comment that Coberly wrote asking what I meant by private finance let me say that I think we need to view all of finance as a public utility rather than the mostly private finance function we have currently with usury and non-public major investment and risk management decisions….car culture in the US killing mass transit of the day comes to mind.
Having been involved in Future studies in my youth and being a computer systems engineer for pay I look for the structural facets of an issue. I think Postal Banks could be a workable part of totally sovereign finance but manipulated like a pest bee by the bear of private finance intent on getting to the honey.
I am really bothered by the potential being floated by Trump’s Treasury Secretary of replacing the Fed with totally private banking while I want to see all private banking replaced by totally sovereign governments as a public utility…..so folks can be held accountable and there is some visibility and public decision process around major societal directions…..which does not exist now, IMO
Talk with Mark Jamison. He is pretty smart and I think you will like him. I will let him know.
Run75441
I can only conjecture you mean this person
http://warrington.ufl.edu/contact/profile.asp?WEBID=1217
Thanks. He may be interested in the Field Anomaly Relaxation (FAR) engineering methodology I learned and used in my Future Study education.
Mark:
Not the one you have, also writes here.