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In case you didn’t understand the first time: Social Security is not an “entitlement” program

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strip bannernew-logo25Marti Oakley

Reposted from 2011….and here we are again with another administration that will refuse to deal with the real issues with medicare and social security….the absolute fraud that is perpetrated by the medical, pharmaceuticals and elder services industries costing medicare 20-60 billion annually.
“One way or the other, the elderly in this country will be cleansed from society. In the meantime, every dime that can be squeezed and wrenched out of our existence for any reason whatsoever will continue. And MSM along with government hacks will continue to portray the elderly as receiving “entitlements”, “free rides at the expense of the country”.

Never once will they admit the problem isn’t with the elderly, it is with those who exploit the elderly.”

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It is alarming to hear not only younger members of the country, but also some middle aged members, medical professionals and others, referring to Medicare as some kind of free, gravy train medical insurance that seniors don’t have to pay for. Are people really that ignorant of how this system works?

After paying into Social Security and Medicare for decades, those who receive medicare must also now pay a premium every month for this insurance. These premiums can range from a few hundred dollars a month, to several hundred. Married couples pay individual premiums which can amount to $700.00 per month or more, combined on average. These premiums are deducted from their Social Security checks; neither the government, nor taxpayers, pay this premium.

Then there is that handy-dandy “donut hole” where Medicare pays nothing. This was a huge gift to the insurance companies who whined about not getting a piece of the Medicare pie. From approximately the $2500.00 to $5000.00 costs of care, Medicare pays for nothing. Ta DA! We got your GAP insurance plan which will cost you another $200.00 per month at least. This will cover the costs incurred in the hole. Of course the insurance companies have no plans to make good on these GAP policies, so getting them to pay any percentage of anything is a monumental task.

Then there is the co-pay at your doctors office. Then the co-pay on medications. Then there are the costs of medications your insurance and Medicare don’t/won’t pay for. That comes right out of your pocket!

Now, to add insult to injury, an estimated 20 million illegal aliens will be given “free” healthcare and I have yet to hear the word “entitlement” attached to those benefits.

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Medicare Pay for Performance—Fighting a War That’s Already Over

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new-logo25Gerard Gianoli, M.D., F.A.C.S.

“In 1814, we took a little trip, along with Colonel Jackson, down the mighty Mississip….”

Like any good student growing up in New Orleans, I learned about the magnificent victory of the U.S. forces over the British in the Battle of New Orleans during the War of 1812. Of course, the Treaty of Ghent ended the War of 1812 before the Battle of New Orleans was even fought. Many have argued that the battle was useless since the war was already over. However, this is not the first or last time that governments have pursued “useless” enterprises.

Government central planning fosters this type of ineptitude. By its design, government is a slow-moving entity that often makes changes only long after that change has become obsolete. This is the nature of government, and it does not matter whether the occupants of the Oval Office or Congress have an “R” or a “D” after their names.

Recently, legislation passed as part of the “Doc Fix” (repealing the “SGR” physician pay cuts) institutionalized a physician Pay-for-Performance (P4P Medicare program called Merit-Based Payment Incentive System (MIPS).) The idea is to pay bonuses to physicians providing higher quality care.

Let’s make the highly dubious assumptions that government can measure quality in medical care and that such a system won’t just lead to “cherry picking” of patients. MIPS still won’t work to identify and reward “quality” physicians with bonuses. Why? Like in 1814, the government is fighting a war that is already over. More

The ‘Doc Fix’ and the End of Medicare

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new logo G. Keith Smith, M.D.

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The “permanent” end to the yearly threatened cuts to doctors’ pay—the sustainable growth rate (SGR) formula—may satisfy my curiosity about what the end of a Ponzi scheme will look like.

All Ponzi schemes are unstable and doomed to fail. Medicare and Social “Security” will be no different.

The yearly postponement of SGR cuts was a bribefest held to tease and extort corporate health cronies and physicians. The “doc fix” was not an exception: just look at all the “stakeholders” acknowledged in its 263 pages.

The purpose of the SGR was to delay the bankruptcy and end of Medicare. The doc fix will hasten it.

Central to the progressive goal of controlling the practice of medicine—and to the success of the [Un]affordable Care Act (UCA)—is the need to push physicians into employment contracts with hospitals. As hospital employees, doctors are easier to control, and less able to act as uncompromising advocates for their patients.

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What Made You Think Medicare Was “Free” Insurance?

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strip bannernew-logo25Marti Oakley

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It is alarming to hear not only younger members of the country, but also some middle aged members, medical professionals and others, referring to Medicare as some kind of free, gravy train medical insurance that seniors don’t have to pay for. Are people really that ignorant of how this system works?

After paying into Social Security and Medicare for decades, those who 1619098_10202643451221752_1414455253_nreceive medicare must also now pay a premium every month for this insurance. These premiums can range from a few hundred dollars a month, to several hundred. Married couples pay individual premiums which can amount to $700.00 per month or more, combined on average. These premiums are deducted from their Social Security checks; neither the government, nor taxpayers, pay this premium.

Then there is that handy-dandy “donut hole” where Medicare pays nothing. This was a huge gift to the insurance companies who whined about not getting a piece of the Medicare pie. From approximately the $2500.00 to $5000.00 costs of care, Medicare pays for nothing. Ta DA! We got your GAP insurance plan which will cost you another $200.00 per month at least. This will cover the costs incurred in the hole. Of course the insurance companies have no plans to make good on these GAP policies, so getting them to pay any percentage of anything is a monumental task.

Then there is the co-pay at your doctors office. Then the co-pay on medications. Then there are the costs of medications your insurance and Medicare don’t/won’t pay for. That comes right out of your pocket!

Now, to add insult to injury, an estimated 20 million illegal aliens will be given “free” healthcare and I have yet to hear the word “entitlement” attached to those benefits.

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Will Medicare Become Like the VA?

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new-logo25By Jane M. Orient, M.D. 

Executive Director of Association of American Physicians and Surgeons,

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“No VA employee, however incompetent, could ever be fired,” stated one physician.  Another said, “Incompetence is accepted…, and keeping quiet about it is the accepted norm.”

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Most veterans get most of their medical care from private doctors through Medicare or private insurance. Just think what those secret waiting lists would be like if they didn’t!

Still, a VA-like system for all has been proposed as a replacement for our unsustainable current system—at least until the recent scandals broke.

One enormous difference between the VA and Medicare is that veterans are free to go elsewhere—if they pay privately. Some veterans use their VA doctor only to get free medications.

Medicare patients, on the other hand, are trapped. There is virtually no private coverage available to persons over 65 to replace Medicare—President Lyndon Johnson wiped it out to prevent competition with “his” beloved system. There are only policies to “supplement” Medicare. And Medicare patients can’t just pay out of pocket for a “covered” service they can’t get otherwise, say because the Medicare-allowed price is too low—unless they see a doctor who is opted out of Medicare or disenrolled. For doctors, Medicare is all or nothing, so most doctors are still enrolled.

Most people don’t care about that—not yet. Who would want to pay for something that is free?

So it’s a good idea to look at those “free” (taxpayer-paid) VA services. More

Obamacare: Repeal (What?) and Replace (with What?)

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new-logo25Contributor & authorJane M. Orient, M.D., Executive Director of Association of American Physicians and Surgeons

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Government can’t fix the “health care system” any more than Obama can take out your tonsils. But it can refrain from tying up or tripping those who are trying to take care of patients.  We should start by repealing the mandates—on individuals, employers, medical facilities and professionals, and insurers. No American should be forced to buy a product he does not want or need or feels he cannot afford. No individual or company should be forced to provide services or products to government specifications. The American way is the voluntary way.

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Top 9 Ways Government Attacks American Seniors

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new-logo25Elizabeth Lee Vliet, M.D.

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“Who would have thought after a lifetime of service to our country in homes, jobs, and communities, seniors would be attacked by their own government with many threats to their savings and lives in retirement?”

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“Chaos, cost increases, and turmoil reign since Obamacare took effect. Hidden1619098_10202643451221752_1414455253_n changes drastically transform Medicare, affecting your ability to get needed medical care—even if you pay out of pocket.”

Here is my list of the Top ­9 government attacks on American seniors:

1. CMS proposed a 678-page rule (1-6-2014) requiring enrollment in Medicare for all prescribers of drugs covered under Part D Medicare. Currently, medication prescribers only need to have an active state license permitting prescribing. CMS is restricting Medicare beneficiaries’ ability to use their benefits if they see an independent physician outside “the system.” Independent physicians can see patients but cannot order anything for them. It’s like telling an auto mechanic that he can fix cars but he can’t use any tools.

Even Doctors enrolled in Medicare risk having their enrollment revoked if, in the eyes of the government bureaucrats, they “fail to meet Medicare requirements.” The requirements change almost daily, and Medicare rules are often subjectively interpreted, so this means doctors may avoid prescribing something YOU need rather than risk a Medicare sanction and losing income. More

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