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Old 09-11-2012, 15:28   #121
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Re: Obamacare = early retirement anyone?

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The title shows that it's speculation. We have to give this time to work out. As someone said, look to Massachusetts.
Raku,

You can give it time to play out. I'll just leave and take my chances.

Massachusetts is not the same system as what is been put in place here.

I didn't serve in the military to have my doctor advise me of something based on a "cookie" system. I served my country, did what I thought I needed to do, and think it's about time to move on.

I have the right to question the leadership of this country, and will continue to do so, until I leave. It is not only my right, it is my duty.

James L
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Old 09-11-2012, 15:28   #122
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Re: Obamacare = early retirement anyone?

I tried to follow this thread, but gave up at page 7
At the moment we have large numbers of folks from Asia turning up in Oz on boats seeking asylum as refugees.
They get immediate access to our social security and health care system if they are accepted.
So, I was wondering, what if you guys just took your boats on a trip across the pacific, drop in for a bit of a holiday at Christmas Island or Nauru, and claimed to be refugees from the US health care system.
If you are accepted as refugees, you could cruise the South Pacific as long as you like.
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Old 09-11-2012, 15:30   #123
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Re: Obamacare = early retirement anyone?

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All of this is based on the fact that your situation is not put in front of the review board. Then if they decide your not worthy of the coverage, your basically screwed.

Another caveat, probably no insurance coverage would exist for you after that.

Not my idea of an even trade off.

James L

review board?? are you a fox news junkie?? what review board? like the death panel or board, whatever they called it
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Old 09-11-2012, 15:30   #124
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Re: Obamacare = early retirement anyone?

Most insurance policies wont cover you outside of the US. That includes Medicare. Many policies will cover you to be stabilized in another country, but then you have to pay your own way home to be taken care of further. The best of the bad solutions to this is to join some organization that has a group Medivac insurance plan. I undrstand that one of the big scuba diving groups has this type of insurance for around $200 a year. I belong to the Aircraft Owners and Pilots Association which has this same type of insurance for about the same price. Membership+Medivac will add about 20 to 25 dollars a month to your health coverage, and give you american care for the follow up or rehab or whatever is needed. 20 years ago a Medivac Lear Jet from Antgua to the Miami burn center cost the boat around 25K$. ____Just a non political thought.____Grant.
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Old 09-11-2012, 15:32   #125
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Re: Obamacare = early retirement anyone?

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review board?? are you a fox news junkie?? what review board? like the death panel or board, whatever they called it
U.S. Preventive Services Task Force (USPSTF)
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Old 09-11-2012, 15:32   #126
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Re: Obamacare = early retirement anyone?

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Raku,

You can give it time to play out. I'll just leave and take my chances.

Massachusetts is not the same system as what is been put in place here.

I didn't serve in the military to have my doctor advise me of something based on a "cookie" system. I served my country, did what I thought I needed to do, and think it's about time to move on.

I have the right to question the leadership of this country, and will continue to do so, until I leave. It is not only my right, it is my duty.

James L

I hope no one has ever told you otherwise. That "free speech" thing IMO Is THE most important of all our freedoms. Compare it to, say, China, where my daughter was during Frankenstorm. She lives in NYC and virtually all her close friends are there. News is so tightly controlled there that she could find out very little and was very distressed that this calamity was happening to her friends and possibly her home, and yet she could get no useful information.

We're lucky. I don't know what you mean about the "cookie" system and the military, sorry.

Massachusetts was the model. This will be evolving for some time, just as Medicare did. Thing is you can't finish a job well if you're not willing to start somewhere.

My opinion, my free speech, and like you, I feel my duty to speak up. We don't have to agree but we should both be speaking.
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Old 09-11-2012, 15:35   #127
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Re: Obamacare = early retirement anyone?

For being such an explosive issue, it has remained civil, and it would be great if it would continue on in a civil manner.
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Old 09-11-2012, 15:35   #128
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Re: Obamacare = early retirement anyone?

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U.S. Preventive Services Task Force (USPSTF)

"Created in 1984, the U.S. Preventive Services Task Force (USPSTF or Task Force) is an independent group of national experts in prevention and evidence-based medicine that works to improve the health of all Americans by making evidence-based recommendations about clinical preventive services such as screenings, counseling services, or preventive medications."

They're part of the SOLUTION. Evidence-based treatments is what we should be paying for. Leave experimental treatments to the NIH.

AND ... not part of Obamacare.
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Old 09-11-2012, 15:39   #129
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Re: Obamacare = early retirement anyone?

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I hope no one has ever told you otherwise. That "free speech" thing IMO Is THE most important of all our freedoms. Compare it to, say, China, where my daughter was during Frankenstorm. She lives in NYC and virtually all her close friends are there. News is so tightly controlled there that she could find out very little and was very distressed that this calamity was happening to her friends and possibly her home, and yet she could get no useful information.

We're lucky. I don't know what you mean about the "cookie" system and the military, sorry.

Massachusetts was the model. This will be evolving for some time, just as Medicare did. Thing is you can't finish a job well if you're not willing to start somewhere.

My opinion, my free speech, and like you, I feel my duty to speak up. We don't have to agree but we should both be speaking.
The speculative article explained it pretty well. If the doctor doesn't go with the U.S. Preventive Services Task Force (USPSTF) recommendation.....he doesn't get a "cookie".

I don't think anyone should influence what my doctor does or doesn't recommend to me with regard to my health.

This is not new for US health care. The great HMO system had the same problem. Unfortunately it wasn't quite as overpowering and the new system.

James L
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Old 09-11-2012, 15:49   #130
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Facts vs Fiction

The biggest failure is the piss poor job the Administration did Informing, Explaining and Marketing the Plan

There is a website if anyone has not seen it
The Health Care Law & You | HealthCare.gov

To help pay for it maybe those in Congress who oppose it would like to give up their Gold Plated Insurance we pay for......no wonder they hold onto those jobs like junk yard dogs..........there are more than a few more power hungry special interest reasons but they do have unbelievable salary, benefits, healthcare and retirement plans.

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Old 09-11-2012, 15:50   #131
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Ironically, the only payors I work with that have NEVER denied a test are medicare and medicaid.

The commercial payors- aetna, united- are a PITA in that regard, but I can always get approval if its needed.



Currently, 1/3 of my patients are denied care because they don't have insurance coverage. Doubt we'll do worse under ACA.
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Old 09-11-2012, 15:54   #132
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Re: Obamacare = early retirement anyone?

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The speculative article explained it pretty well. If the doctor doesn't go with the U.S. Preventive Services Task Force (USPSTF) recommendation.....he doesn't get a "cookie".

I don't think anyone should influence what my doctor does or doesn't recommend to me with regard to my health.

This is not new for US health care. The great HMO system had the same problem. Unfortunately it wasn't quite as overpowering and the new system.

James L

I agree with this. We should be following best practices, which are ever-evolving. Your doctor might not even know why something is no longer recommended. I've run into that one, but I disagree about the "great HMO system" not being overpowering. They didn't follow "best practices." They followed "best financial practices for them." Their gatekeeper system refused to pay to have my arm looked at by a specialist. It looked like a serious injury and I went to one, paying out of my own pocket.

it was a significant crush injury and I could have lost my hand. So I 'get' your point about desk chair warmers interfering with your medical care. In this case it was an RN deciding, not even seeing the injury.

But there's nothing new in it.

The British system of health care can be very good, but sometimes people have to wait a very long time for things that get done much more promptly here -- IF you have health care or cash, of course. I was in a Scotland ER for a concussion. There was no place to pay. However, there was also no blood pressure cuff in the exam room. Apparently they do not routinely screen for high blood pressure, a silent killer. Are those the choices we will have to make? I don't know.
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Old 09-11-2012, 15:55   #133
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Quote:
Originally Posted by Rakuflames

"Created in 1984, the U.S. Preventive Services Task Force (USPSTF or Task Force) is an independent group of national experts in prevention and evidence-based medicine that works to improve the health of all Americans by making evidence-based recommendations about clinical preventive services such as screenings, counseling services, or preventive medications."

They're part of the SOLUTION. Evidence-based treatments is what we should be paying for. Leave experimental treatments to the NIH.

AND ... not part of Obamacare.
+++++ 1
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Old 09-11-2012, 16:01   #134
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Re: Facts vs Fiction

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The biggest failure is the piss poor job the Administration did Informing, Explaining and Marketing the Plan

There is a website if anyone has not seen it
The Health Care Law & You | HealthCare.gov

To help pay for it maybe those in Congress who oppose it would like to give up their Gold Plated Insurance we pay for......no wonder they hold onto those jobs like junk yard dogs..........there are more than a few more power hungry special interest reasons but they do have unbelievable salary, benefits, healthcare and retirement plans.

I think the Congress should be entailed under it. They are Americans and they work for us, why wouldn't the same coverage apply to them?

BTW, have you tried to read that dribble? It has some many addendum and amendments it's unreadable.

James L
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Old 09-11-2012, 16:11   #135
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Re: Obamacare = early retirement anyone?

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+++++ 1
Not so much. Penicillin was an experimental drug at some point. Wonder how many people it saved.

I wonder how many "+1" you may put, if some organization who watches you decides some of your "recommendations" are not warranted?

Sorry.....I don't care what people think. This is not a good scenario.

This is freedom of choice, versus, not having been told there is one.

This is not a derogatory post towards you. It's just a point to consider.

I'm also not a fan of prescription meds being advertised. I think who ever passed that law needs to be beaten.

James L
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