And to Obama and the bottom 47% it isn't nearly enough.

-- Modified on 10/18/2012 12:09:03 PM

And it's one the Ryan Budget would cut by  one-third.  Oh wait. The Ryan budget can't pass the Demcratically dominated Senate and the Senate is going to stay Democratic. McMahon is losing; Scott Brown is losing to Elizabeth Warren by six full points, and  Tammy Baldwin is narrowly ahead of  the schmuck Tommy Thompson from Wisconsin.  John Tester is ahead in Montana; Amy  Klobuchar is ahead in Wisconsin and Maria Cantwell is crushing the GOP schmuck in Washington.

"But if you look at two other populations — children and the elderly — it does indeed serve a middle class demographic.

The Children’s Health Insurance Program, created in 1997, is responsible for bringing Medicaid to middle-class kids Under CHIP, some states cover children up to 300 percent of the poverty line — a $60,520 income for a family of four.

The other middle-class population in Medicaid tends to be the elderly. Since Medicare does not cover long-term care, such as the care provided in nursing facilities, Medicaid often picks up the bill for such services. Nina Bernstein has this excellent article on how Medicaid often becomes the safety net for elderly patients with complex conditions who  ultimately exhaust their assets on medical treatment.

So it’s not just rhetoric: Medicaid does indeed serve a middle-class population, just as Clinton has persuaded us over the past few decades."


-- Modified on 10/18/2012 9:10:38 PM

I don't know? Maybe Dr. Neff might know something?

What do you say Jeff, any truth to these claims?

http://www.autismkey.com/the-real-cause-of-autism/

In 2014, 2015, and 2016 the federal government pays 100% of the cost of expanding Medicaid to cover not only the poor but all adults up to the 133% of the federal poverty level. So we are extending welfare to the lower middle class.

       Of course, the Supreme Court struck the mandatory nature of this feature and some states will opt out if Mr. Obama is reelected. But most of them presumably will opt in and welfare costs will sky rocket in those years.

      I’m not against helping the poor and lower middle class this way if we can afford it but there is no money to pay for this and the notion and that we will find the money by getting tough on Medicare fraud is laughable.

visits to prompt an attempt at chronic care that ERs are ill-equipped to provide for all kinds of reasons: no staff that does it; no time to do it; no equipment or infrastructure to do it; no space to do it to name but a few.

Again the critics of Obamacare like marikod who laughably and  goofily  advanced the goofy idea that back procedcures were done by an abdominal approach kind of like sexual intercourse with a female via her ear ignore the constructive aspects of it because they are lazy and close minded.  Like Medicare, and like SSA, it will take time to be appreciated.

The governors who opt out of course are the ones whose states are at the bottom in access to care for the uninsured or the underinsured which increasingly include the middle class. Georgia is an excellent example whose governor was run out of Congress on a rail and was too much of a chickenshit to face the Ethics Committee music.

Obama will be re-elected. The stupidity embedded in Romney's tax lies; his bigotry towards immigrants, and his hatred and contempt for women are catching up with him at the worst time for him and the goofball  Ryan who has a fuckup a minute on the campaign trail.

The heavy metal in vaccine cause of autism has been thoroughly debunked.  

http://www.cdc.gov/ncbddd/autism/facts.html

http://www.cdc.gov/NCBDDD/autism/data.html

http://www.cdc.gov/vaccinesafety/concerns/autism/index.html

http://www.cdc.gov/Features/AutismResearch/

One of the leading research teams has been brought to Atlanta by one of the two founders of Home Depot billionaire Bernie Marcus who started Home  Depot after being fired along with billionaire Arthur Blank current owner of the 6-0 Atlanta Falcons from a company in California.

$8.3M NIH grant brings Autism Research Center of Excellence to Atlanta

http://www.bizjournals.com/atlanta/news/2012/09/24/83m-nih-grant-brings-autism-research.html?page=all

The perception of ACA or medicaid expansion by nitwits like marikod fails to understand that ACA is putting a stop over time to the staggering cost of medicine for upper class and upper middle class as well by stopping the burdens on ERs for chronic care.

Someone so stupid that he thinks back surgery is done through the abdomen and sexual intercourse through the ear where marikod's dick resides fails to realize that we all pay the costs of the masses hitting ERs in community hospitals however affluent they are in passed on billing costs from hospitals to insurance companies.

States whose governors refuse medicaid expansion because the S. Ct. stupidly allowed this will deny care to millions and put burdens on their already broken delivery systems like Dea in  Georgia who ran like a chickenshit from a Congressional ethics investigation.

he perception of ACA or medicaid expansion by nitwits like marikod fails to understand that ACA is putting a stop over time to the staggering cost of medicine for upper class and upper middle class as well by stopping the burdens on ERs for chronic care.

Someone so stupid that he thinks back surgery is done through the abdomen and sexual intercourse through the ear where marikod's dick resides fails to realize that we all pay the costs of the masses hitting ERs in community hospitals however affluent they are in passed on billing costs from hospitals to insurance companies.

States whose governors refuse medicaid expansion because the S. Ct. stupidly allowed this will deny care to millions and put burdens on their already broken delivery systems like Dea in  Georgia who ran like a chickenshit from a Congressional ethics investigation.

-- Modified on 10/19/2012 1:41:33 AM

Laparoscopic Spine Surgery

      If you indeed are a doctor, you really need to keep up with the state of art or at least avoid arguing those who do. I'll just paste this in:

"Your spine surgeon has determined that you need an operation for your back problem and feels that there would be a benefit to approach your spine from the front, through the abdomen. Most people are aware of back operations that are performed from the posterior approach, through the skin of the back, but are surprised when they are told they are going to have a back operation "from the front." The spine (or back bone) can be reached from the front. Although back operations from an anterior or front approach have been around for decades, they have usually be used for the more difficult and complex spine problems due to the need for a large abdominal incision. With the introduction of minimal invasive surgery (also known as laparoscopy), you surgeons can now perform a spine operation from the front without having to make a big incision. Your spine surgeon has recommended one of these minimally invasive techniques for you. This minimal invasive technique is called "Laparoscopic Anterior Spine Surgery." The laparoscopic approach uses small puncture holes instead of long incisions. A special lighted telescope is inserted through one of these puncture holes projecting a picture on a television screen allowing your surgeon to see the spine. Additional puncture holes are used to allow other specialize surgical instruments into your abdomen to perform the operation. This brochure has been designed to help you better understand your laparoscopic spine operation."


Are we clear now?

        As to your point that Obamacare will cut some costs by cutting chronic care visits to the ER, nobody knows the extent to which this will happen but it will be nowhere close to the costs of Medicaid expansion. And states that opt out are more likely to be like Mississippi which just does not have the matching state money needed.