Wednesday, September 25, 2013

Goring's syndrome

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Orrin Hatch

(Difference between revisions)[[Image:Hatch.jpg|right|150px]][[Image:Hatch.jpg|right|150px]]'''Orrin Hatch''', born March 22, 1934 (age {{age|1934|3|22}}), is a [[Republican]] [[United States Senator]] from [[Utah]]. He was elected to the [[United States Senate]] in 1977 as a [[conservative]] but has moved to the [[Left]] ever since, as in December 2010 when he failed to vote against the repeal of [[don't ask, don't tell]].  He has repeatedly won reelection in the past, but will likely face a [[conservative]] challenger in 2012. He proved himself to be a RINO without a doubt when he expressed support for civil unions for homosexuals.http://www.sltrib.com/sltrib/politics/56112240-90/civil-com-gay-hatch.html.csp'''Orrin Hatch''', born March 22, 1934 (age {{age|1934|3|22}}), is a [[Republican]] [[United States Senator]] from [[Utah]]. He was elected to the [[United States Senate]] in 1977 as a [[conservative]] but has moved to the [[Left]] ever since, as in December 2010 when he failed to vote against the repeal of [[don't ask, don't tell]].  He has repeatedly won reelection in the past, but faced a [[conservative]] challenger in 2012 who came somewhat closer to winning, making him go into a runoff. He proved himself to be a RINO without a doubt when he wrote the [[DREAM Act]], voted for [[Eric Holder]], and expressed support for civil unions for homosexuals.http://www.sltrib.com/sltrib/politics/56112240-90/civil-com-gay-hatch.html.cspWhen he first ran for Congress, he criticized his opponent as a career politician who was in office for too long. Now he has been in office for a very long time.Before he entered politics, Hatch  worked as an attorney in [[Pittsburgh]] and [[Salt Lake City]]. He received a [[J.D.]] from the [[University of Pittsburgh]] in 1962.http://hatch.senate.gov/index.cfm?FuseAction=Biography.FastFacts  He was a candidate in the 2000 Presidential primary, but lost to [[George W. Bush]]. A Man of Faith, The spiritual journey of George W. Bush, by David Aikman, 2004, p. 1, Before he entered politics, Hatch  worked as an attorney in [[Pittsburgh]] and [[Salt Lake City]]. He received a [[J.D.]] from the [[University of Pittsburgh]] in 1962.http://hatch.senate.gov/index.cfm?FuseAction=Biography.FastFacts  He was a candidate in the 2000 Presidential primary, but lost to [[George W. Bush]]. A Man of Faith, The spiritual journey of George W. Bush, by David Aikman, 2004, p. 1, Hatch.jpg

Orrin Hatch, born March 22, 1934 (age 79), is a Republican United States Senator from Utah. He was elected to the United States Senate in 1977 as a conservative but has moved to the Left ever since, as in December 2010 when he failed to vote against the repeal of don't ask, don't tell. He has repeatedly won reelection in the past, but faced a conservative challenger in 2012 who came somewhat closer to winning, making him go into a runoff. He proved himself to be a RINO without a doubt when he wrote the DREAM Act, voted for Eric Holder, and expressed support for civil unions for homosexuals.[1] When he first ran for Congress, he criticized his opponent as a career politician who was in office for too long. Now he has been in office for a very long time.

Before he entered politics, Hatch worked as an attorney in Pittsburgh and Salt Lake City. He received a J.D. from the University of Pittsburgh in 1962.[2] He was a candidate in the 2000 Presidential primary, but lost to George W. Bush.[3]

? http://www.sltrib.com/sltrib/politics/56112240-90/civil-com-gay-hatch.html.csp? http://hatch.senate.gov/index.cfm?FuseAction=Biography.FastFacts? A Man of Faith, The spiritual journey of George W. Bush, by David Aikman, 2004, p. 1,

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Mario Diaz-Balart

(Difference between revisions)MarioDiazBalart.jpg U.S. Representative from Florida's 25th District
From: January 3, 2013 - present U.S. Representative from Florida's 21st District
From: January 3, 2011 - January 3, 2013 U.S. Representative from Florida's 25th District
From: January 3, 2003 - January 3, 2011 None (New district created after 2000 Census)

Mario Diaz-Balart (born September 25, 1961, in Fort Lauderdale, Florida), a Republican, is the United States Representative for Florida's 25th congressional district. He was first elected to the House in 2002 to represent the newly created 25th district. In 2010 he was elected to fill the seat vacated by his brother, Rep. Lincoln Diaz-Balart, representing the 21st district, before returning to the 25th in 2013. He is a member of the House Committee on Appropriations.[1]


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Scott Rigell

(Difference between revisions)'''Scott Rigell''' (born May 28, 1960 in Titusville, Florida) is a car dealership owner and the [[Republican]] U.S. Representative-elect from [[Virginia]]'s 2nd congressional district, defeating [[Democrat]]ic incumbent [[Glenn Nye]].'''Scott Rigell''' (born May 28, 1960 in Titusville, Florida) is a car dealership owner and the [[Republican]] U.S. Representative-elect from [[Virginia]]'s 2nd congressional district, defeating [[Democrat]]ic incumbent [[Glenn Nye]].He is a supporter of gun control and was one of the few Republicans who didn't vote to hold [[Eric Holder]] in contempt of Congress. http://www.libertynews.com/2013/03/republican-congressman-from-virginia-joins-democrats-in-calling-for-gun-control/[[Category:Representatives-elect]][[Category:United States Representatives]]

Scott Rigell (born May 28, 1960 in Titusville, Florida) is a car dealership owner and the Republican U.S. Representative-elect from Virginia's 2nd congressional district, defeating Democratic incumbent Glenn Nye. He is a supporter of gun control and was one of the few Republicans who didn't vote to hold Eric Holder in contempt of Congress. http://www.libertynews.com/2013/03/republican-congressman-from-virginia-joins-democrats-in-calling-for-gun-control/


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Will Obamacare Hurt Jobs? It's Already Happening, Poll Finds

"I can't say that the fears appear overstated, because the potential for big problems seems rather large," Friedman said about law's implementation.

"We don't know until 2014 and beyond what the impact of the ACA will be on businesses," he said. "There is tremendous fear that the premiums will be much higher, for small businesses especially. At this point we can't look a client straight in the eye and say, 'Don't worry about it. Everything will be fine.' "

(Read More: A Reason for Conservatives to Love Obamacare)

In addition to restricting hiring or cutting jobs, small companies are considering other ways to mitigate the expected financial fallout. Twenty-four percent are weighing whether to drop insurance coverage, while 18 percent have "reduced the hours of employees to part-time" in anticipation of the ACA's effects, the poll found.

Gallup Chief Economic Dennis Jacobe said small business owners' answers in the poll "is consistent with owners' tendency to be more Republican than Democratic, higher-income, more against big government, more conservative and less optimistic than Americans overall."

One group that favors Obamacare for small businesses said the findings reflect misconceptions about its true effects as well as the need for continued outreach by reform advocates to the small business community.

"We need to do more educating about the law," said Rhett Buttle, vice president for external affairs for the Small Business Majority, an advocacy group that has run informational meetings for owners about Obamacare.

"We think small business owners stand to benefit under the ACA," Buttle said. "We think small business owners, as they learn more [about the ACA] ... will save money in the long run."

—By CNBC's Dan Mangan. Follow him on Twitter @danpostman.


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Tuesday, September 24, 2013

The Young Won't Buy ObamaCare

Media outlets lately have emphasized the challenge of enticing healthy young adults to sign up for ObamaCare, "exactly the type of person insurance plans, states and the federal government are counting on to make health reform work," as the L.A. Times put it. These pieces are useful as far as they go, but miss a key point that Supreme Court Justice Samuel Alito managed to convey in many fewer words during last year's Supreme Court argument on ObamaCare.

Mr. Alito pointed out that young, healthy adults today spend an average of $854 a year on health care. ObamaCare would require them to buy insurance policies expected to cost roughly $5,800. The law, then, isn't just asking them to pay for "the services that they are going to consume," he continued. "The mandate is forcing these people to provide a huge subsidy to the insurance companies . . . to subsidize services that will be received by somebody else."

Since he puts it that way, why would they sign up for ObamaCare, especially since the alleged penalties will be negligible and likely unenforced?

Journalism celebrates the "five Ws" but a secret of our profession is that many of us disdain the fifth W—"why"—as if accurate analysis is somehow woolly and inferior to accurate transcription of simple facts like "who," "what," "when" and "where."

Here's another example. For 30 years, journalists have been "investigating" hospital pricing, which is neither competitive nor closely related to cost, invariably throwing up their hands and saying government must fix matters. Yet any reasoned analysis shows that government policy is why we have such a byzantine payment system in the first place, in which an ever-inflating health-care bill is allocated among "payer" groups via opaque political bargaining.

Why isn't the same mess seen in other realms of the economy? In the automobile market, dealers publish prices on their websites and in ads that are always lower than the sticker prices. Why?

Independent websites like Edmunds.com, AutoTrader.com and Kelley Blue Book publish detailed pricing information for consumers and do so for free. Why?

The answer is obvious. Consumers want such information and businesses see opportunity in providing it, even for free, in order to attract eyeballs for advertising.

Such information doesn't exist in health care because consumers don't demand it, because somebody else is almost always paying for our health care. Those of us who aren't subsidized directly by Medicaid, Medicare and the Veterans Administration are subsidized through the tax code to channel all our aches and pains through a third-party payment mill, disguised as employer-provided "insurance."

Not being able to analyze "why" also leads to all kinds of anomalous conclusions.

The uninsured are painted as the payer group getting the worst deal from the health-care system since they don't enjoy insurer discounts. But judging by the 6% of hospital costs written off as uncollectable, the uninsured are actually getting the best deal (in a sense). A 2011 government study found that even relatively affluent families pay just 37% of their hospital bills in full.

Medicare is portrayed as getting the best deal from the system because Medicare pays less per service. But remember how the system works. Who's to say Medicare doesn't pay less per procedure because it's being billed for many more procedures, because that's how providers are allowed to maximize their revenues from the payer known as Medicare?

In fact, plenty of evidence suggests this is exactly how Medicare operates. And Congress understands as much, hence the 25% cut in physician reimbursements it keeps threatening to impose is informed partly by expectations that physicians could maintain their incomes by charging for more services.

The media's refusal to accumulate any wisdom on the "whys" of our health-care system is also behind the willingness of so many to credit a recent moderation in health-care spending to ObamaCare, though that moderation began before ObamaCare was enacted.

The spending moderation is actually not dissimilar to that seen during the heyday of managed care in the 1990s and again during the 2000s as employers rolled out sharply higher deductibles, co-pays and health savings accounts. The moderation is not dissimilar to that seen in every economic downturn when companies chuck insured workers off their payrolls and fellow workers curb their health spending out of fear of losing their jobs.

Employers are stuck constantly trying to combat the inflationary forces that government policy fosters. That's our best explanation of why health-care inflation waxes and wanes, though never to the point of falling in real terms. And it's probably true now too.

If this big picture is news to you, blame the disrespect in which the fifth W is held by the media profession.

A version of this article appeared June 19, 2013, on page A13 in the U.S. edition of The Wall Street Journal, with the headline: The Young Won't Buy ObamaCare.


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