STUPID Republicans and Cat Scratch Fever

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    Re: STUPID Republicans and Cat Scratch Fever

    In Response to Re: STUPID Republicans and Cat Scratch Fever:
    [QUOTE]Airborne!  Mi Amico! PCP's, their employers, and every hospital in Massachusetts will take MassHealth over ANYthing! MassHealth RULES!!! You say MassHealth, you're in.  You say Cigna, they gotta check. The prob here is, that these "providers", no damned well, that MassHealth is a blank check. MassHealth must accept you, ergo, they pretty much must approve, anything, and forever. I know this fact rather intimately, as I work with addicts (having been (am) one). No one is gonna shut down a cancer patient, but, there IS this: You've been to 3 detox's in the last 6 months, and you're done.  We ain't paying. ALL the time! Which is good? On my kids, I can fudge my financials around, and make $160,000/year, and still get MassHealth,  GRAVY! I don't, but could without so much as a light sweat. GRAVY! THIS is the problem with government mandated insurance. I am REALLY good with gravy, and I bet you are too.  Mine is darker and more of a Hunter Sauce. And chowder is thin, not thick. Got it?
    Posted by GreginMeffa[/QUOTE]
    Greg, Masshealth and Commonwealth Health and Medicaid are putting ACO health facilities in dire straights. I work for one and there was a mandate to try to find more private insurance and less gov. insurance. The privates pay better. With the merging of hospitals and purchasing by the likes of Steward, they are looking for a balance of @85% private to 15% gov. to survive.

    AB (addictive behaviour) and things of that nature may be different, I don't know that area as well. PCP sees Masshealth and swallows hard to see their ratios. I know several physician practices that have a no new public insurance patient edict. Discussions I have been in have all said the same types of things throughout the state and region (NE).
     
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    Re: STUPID Republicans and Cat Scratch Fever

    In Response to Re: STUPID Republicans and Cat Scratch Fever:
    [QUOTE]In Response to Re: STUPID Republicans and Cat Scratch Fever : Actually the actual study goes back to 2005 so the data is there but the correlation just doesn't exist. The rate of doctors accepting different insurance plans has be relatively stable. It's the number of PCP's that has not kept pace with the population. Virtually all specialties accept Mass Health so to make the leap that somehow it's a Mass Health problem isn't supported by the data. If that were true then doctors across the entire spectrum would refuse that insurance, not just PCP's.
    Posted by airborne-rgr[/QUOTE]
    The study I have only goes back to 2005 on wait times and says in the study that this year (2011) was the first time they asked about gov. insurance acceptance.
    Specialties get better rates from all insurance companies (may be why Greg said what he said in his post). PCP's are killing their billers to make sure they bill for the procedure that gets the best return.
    All I can tell you is what I know from my facility and the others I talk to weekly. The PCP's are running away from the gov. insurance like a house on fire.
     
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    Re: STUPID Republicans and Cat Scratch Fever

    In Response to Re: STUPID Republicans and Cat Scratch Fever:
    [QUOTE]In Response to Re: STUPID Republicans and Cat Scratch Fever : Our economic problems are rooted in the foolish policies of one George Bush who was hardly a "nanny state" guy. Rewriting history is so totalitarian of you. Your argument against contraception coverage (used by virtually everyone during child bearing age) can be used on all kinds of dependable social services. Want to get rid of free High School educaton?  That is just as much a luxury as access effective birth control. And contraceptive care, taxpayers really pay for that.
    Posted by Reubenhop[/QUOTE]

    Bush not a nanny state guy?  Are you serious?  Drug prescription program, no child left behind, TARP, and so on.


    Look, the nanny state has grown from both the left and the right.  Bush did his part for growing the nanny state.  He is just not as competent as expanding the grasp of intrusive nanny state regulations and laws as Obama.
     
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    Re: STUPID Republicans and Cat Scratch Fever

    In Response to Re: STUPID Republicans and Cat Scratch Fever:
    [QUOTE]Yet the root cause of the economic issues: the debt crisis and the ruin of the private sector economy,  is the same basic issue involved with the contraception issue. The uncontrolled overbearing Nanny State.  "... limiting the access of contraception to women."   Yes, let women keep their little pills, but dont force taxpayers to pay for 100% of their cost. That is like saying,  "limiting access to good food"....so therefore the Government must mandate free food for all... "limiting access to good health"...so therefore  Government must mandate free gym memberships for all.. "limiting access to transportation"   ...so Governement must mandate all comrade citizens get a Chevy Volt.. Welcome to the Nanny State.
    Posted by BetheKoolaid[/QUOTE]

    You are correct.

    If the conservatives do not engage in the battle over the social issues, the financial issues are lost, and therefore, the freedom to choose your own life direction is lost, and the liberals know this.


    Have liberals ever made a regulation or law addressing a social issue that did not end up costing the American taxpayer more?  This contraception regulation is a prime example, but hardly unique.

    The "socially liberal/fiscally conservative" position is not only morally bankrupt, it is financially bankrupt, because this liberal social stuff costs money.
     
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    Re: STUPID Republicans and Cat Scratch Fever

    In Response to Re: STUPID Republicans and Cat Scratch Fever:
    [QUOTE]In Response to Re: STUPID Republicans and Cat Scratch Fever : Bush not a nanny state guy?  Are you serious?  Drug prescription program, no child left behind, TARP, and so on. Look, the nanny state has grown from both the left and the right.  Bush did his part for growing the nanny state.  He is just not as competent as expanding the grasp of intrusive nanny state regulations and laws as Obama.
    Posted by skeeter20[/QUOTE]
    Bush created a worse kind of nanny state. He allowed the "kids" to run amok without worry. When they drove the car over the cliff he made US build a net at the bottom so they would have a soft landing! He told me he was conservative and turned into a socialist! Shared sacrifice but they keep the good stuff!
     
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    Re: STUPID Republicans and Cat Scratch Fever

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    [QUOTE]In Response to Re: STUPID Republicans and Cat Scratch Fever : The study includes Mass Health dating to 2005. It only started including Comm Care/Choice , another public insurance program, in this study. http://www.massmed.org/AM/Template.cfm?Section=News_and_Publications2&CONTENTID=54336&TEMPLATE=/CM/ContentDisplay.cfm Rather ironic that the doctors who had their graduate medical education (GME) subsidized by Medicare now refuse to accept it. In 2007, Medicare paid hospitals more than $8.6 billion in support of GME based on formulas for “direct” medical education (costs such as resident salaries and teaching time) and “indirect” medical education (non-specific hospital costs associated with teaching hospitals.) In 2007, approximately 89,300 residencies were funded under this system making the average Medicare per resident payment an astonishing $96,000. Not surprisingly this system is enormously popular with teaching hospitals since it represents a large and predictable funding stream based on the number of residents they employ – and employ is the operative word. Residents are learners, to-be-sure, but with their 80 hour weeks, they are also valuable and inexpensive skilled labor. Medicare GME funds make the resident a mini revenue center. http://www.cms.gov/CostReports/02_HospitalCostReport.asp
    Posted by airborne-rgr[/QUOTE]
    Look at top of page 6 - First time they looked at gov insurance acceptance. The rest is around wait times.

     
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    Re: STUPID Republicans and Cat Scratch Fever

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    [QUOTE]In Response to Re: STUPID Republicans and Cat Scratch Fever : They've sent their black helicopters.
    Posted by WhatDoYouWantNow[/QUOTE]

    It's about time.
     
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    Re: STUPID Republicans and Cat Scratch Fever

    I like "Stranglehold"...a killer riff.

    'Damm Yankees'...not so much.
     
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    Re: STUPID Republicans and Cat Scratch Fever

    In Response to Re: STUPID Republicans and Cat Scratch Fever:
    [QUOTE]In Response to Re: STUPID Republicans and Cat Scratch Fever : One hit wonder? Cat Scratch, Wango Tango, Wang Dang Sweet P-tang! I feel sorry for you sissies. F-Ing Nugent is the balls. Saw him several times in concert in the 80's. Check out the opening riff on stranglehold! Compare that to Obama singing Al Green. I guess you have to play to appreciate!
    Posted by TFefio[/QUOTE]

    He did Stranglehold at the Rock n Roll Hall of fame show, with Godsmack backing him up.  Totally blew away the crowd, I only saw it on TV and it was still awesome!

    Uncle Ted would call Massachusetts a "target rich environment". 

    He's the b-a-l-l-s!
     
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    Re: STUPID Republicans and Cat Scratch Fever

    In Response to Re: STUPID Republicans and Cat Scratch Fever:
    [QUOTE]I like "Stranglehold"...a killer riff. 'Damm Yankees'...not so much.
    Posted by MattyScornD[/QUOTE]

    Stranglehold is awesome, especially the Double Live Gonzo version. I'm a big Great White Buffalo fan too...
     

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