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If Obamacare Isn't Repealed, What Can We Expect?
Vanity | 6/29/2012 | Lou L

Posted on 06/29/2012 5:57:37 AM PDT by Lou L

So the seemingly unexplainable happened yesterday, the US Supreme Court upheld Obamacare. Republicans have promised an immediate repeal should they sweep the elections come November, but that's not a slam dunk. It should be, but we know their track record.

If the Republicans don't sweep both Houses of Congress and the White House (including enough votes to avoid a fillibuster in the Senate), what happens next? What can we expect to see with the implementation of this law? Little things, big things...describe it here.

I think that new identification will be coming down the road ASAP. This won't be in the form of a small dossier of papers; it'll be a high-tech, electronic form of ID, containing RFID, and when decoded, will link to all your personal records, including healthcare and financial. God help us if they decide an optional way to ID people is with a cute tattoo stamped on our foreheads!

I think that most smaller companies still offering insurance will pay their fines, and drop their offerings. There won't be any financial incentive for the companies to keep their healthcare plans, and they'll need to drop them to stay competitive. Employees of these compannies will have to seek insurance through government brokerages.

There will be larger companies that still offer plans, but through government requirements and mandates, eventually it will become too expensive to offer plans, and those employees too, will have to seek insurance offered through government plans.

I'd like to think that the plans offered through the government might be tiered in such a way that they could offer "basic" coverage at the lowest possible rate, and offer better coverages to those that could afford it.

There will be a whole new lexicon of terms and challenges to our current understanding of healthcare. There may be a move to a more "military" style of basic care, where triage is practiced. It may be much like the way an inner-city emergency room is today; nurse practioners may be at the door, sending everyone home with a few asprin, for those with less than life-threatening conditions.

Public "clinics" will pop up, and people will have to go there for basic care. Of course, there will be a lot of standing around, a lot of paperwork. Some people will receive remarkably efficient service--most of these people will have some kind of political connection, be tied to some kind of public service job, or will have made a contribution to a re-election campaign.

Medical innovation will eventually slow. Pharma companies will see less and less incentive to develop expensive drugs, though some companies may thrive and get special exemptions to put some products on the market faster. There will be a political side to R&D...if a drug or device is politically popular, it may get to the market sooner, or through less rigorous testing.

Pharmas and Bio-Techs will need to watch their bottom lines closely (as will the government). Exceptional profits will have to mean that a greater percentage of contributions will need to be made. Of course, companies can't give directly to candidates, but they can give "soft money" to causes.

Eventually, demand will overwhelm the system, and rationing will inevitably occur. The "death panels" won't be obvious at first, but we'll see them. They'll never outwardly publish statistics, but if a drug isn't available, or a procedure can't be performed, well...what are you going to do?

The political system will change. Republicans will have to eventually accept the status quo (of a government healthcare system), and defend it, just like Social Security, and other programs. HC will become the "Fourth Rail," and will become untouchable. The Democrats will run on "improving the existing system," which may mean "higher taxes on those who can afford it..." Republicans will run on "improving the system in a fiscally responsible way...one that keeps HC costs low, and gives patients more choices."


TOPICS: Chit/Chat; Health/Medicine
KEYWORDS: aca; expectations; implement; obamacare
What are your thoughts?
1 posted on 06/29/2012 5:57:43 AM PDT by Lou L
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To: Lou L

Companies will start to make adjustments to staff to insure that they are at the minimums of these new regulations and taxes.

Some companies will find early on that the fines will be much less than the premiums they are paying and will make changes to their benefit packages.


2 posted on 06/29/2012 6:02:21 AM PDT by kempster
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To: Lou L

We only need 51 votes in the Senate. It’s a tax so it can be repealed through Reconciliation process. Same way Dingy Harry got around a GOP filibuster, and rammed it through the Senate in 2010.


3 posted on 06/29/2012 6:03:52 AM PDT by skully (06/28/12 : The banner no longer yet waves....Gadsden DTOM)
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To: Lou L

If Obamacare isn’t repealed I expect the GOP to disappear the teaparty to take it’s place.


4 posted on 06/29/2012 6:05:36 AM PDT by fortheDeclaration (Pr 14:34 Righteousness exalteth a nation:but sin is a reproach to any people)
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To: Lou L

I’ll tell you what is next. Higher utility bills and more expensive taxpayer provided trips by that b*tch in the White House.

Sorry, I am in a very foul mood this morning.


5 posted on 06/29/2012 6:05:52 AM PDT by bergmeid (Leftism kills babies and economies.)
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To: Lou L
If Obamacare Isn't Repealed, What Can We Expect?

If that happens, I expect very possibly to move to Idaho where Obamacare has been nullified (or maybe Texas if they do the same).

6 posted on 06/29/2012 6:06:23 AM PDT by PapaNew
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To: bergmeid
I'm devastated. My company can cancel the health insurance and opt out to pay a fine which would be cheaper. Then I would have to get Government health insurance. Lose my Dr's and be on a waiting list for care. Just like the Canadians.
7 posted on 06/29/2012 6:08:40 AM PDT by angcat (GO YANKS!)
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To: Lou L

better start taking better care of your health


8 posted on 06/29/2012 6:08:55 AM PDT by InvisibleChurch (i a m t h e m a r g i n o f e r r e r)
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To: skully
so it can be repealed through Reconciliation process

After Scott Brown was elected, the Rats couldn't pass this bill so they changed the rules and passed this horror show through that very same process.

Oh, the irony

9 posted on 06/29/2012 6:10:16 AM PDT by Puppage (You may disagree with what I have to say, but I shall defend to your death my right to say it)
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To: PapaNew
If that happens, I expect very possibly to move to Idaho where Obamacare has been nullified

When was an entire state given a waiver? I haven't heard that.

10 posted on 06/29/2012 6:11:45 AM PDT by Puppage (You may disagree with what I have to say, but I shall defend to your death my right to say it)
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To: Puppage

Traveling to different countries to chose a new country to live


11 posted on 06/29/2012 6:11:58 AM PDT by scooby321 (h tones)
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To: Lou L

At 18% of GDP? A current debt already exceeding GDP?

Another 1,000 yrs of darkness.

We’re already infested with Community Clinics infested with list checking morons.


12 posted on 06/29/2012 6:12:50 AM PDT by To-Whose-Benefit? (It is Error alone which needs the support of Government. The Truth can stand by itself.)
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To: angcat

I guess there’s somewhat of a silver lining. DemoRATS will suffer too. They will have family members dying as well as a result of waiting times. So between that and them aborting their kids, we will eventually get rid of them.


13 posted on 06/29/2012 6:15:26 AM PDT by bergmeid (Leftism kills babies and economies. Leftism is truly a DEAD END.)
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To: scooby321

Different Countries?

Such as?

What makes you think it’s not Worse in other countries?

Read some of their Constitutions.

Ireland’s protections for Citizens essentially say they have Rights until some faceless Bureau Weasel says they don’t.


14 posted on 06/29/2012 6:19:39 AM PDT by To-Whose-Benefit? (It is Error alone which needs the support of Government. The Truth can stand by itself.)
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To: Lou L

If Obamacare Isn't Repealed, What Can We Expect?

"NO, NO, NO! That's the wrong form! You filled out the canary form - the admissions form is the SALMON form! NEXT!"


15 posted on 06/29/2012 6:26:09 AM PDT by COBOL2Java (FUMR)
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Comment #16 Removed by Moderator

To: Lou L

First of all it’s absolutely ESSENTIAL to the democrats that the “Bush Tax Cuts” expire AND that obama get an increased borrowing line by increasing the debt ceiling this fall - AGAIN

They will shut down the government (threaten social security. MEDICARE add military pay) before the election and make it look like the GOP’s fault, to force the GOP to go along

They’ve already programmed the increased revenues to get obamacare up and running, though it won’t be nearly enough because their projections of increasing govt revenue from economic growth are/were wildly off base (a BIG LIE actually)


17 posted on 06/29/2012 6:32:34 AM PDT by silverleaf (Every human spent about half an hour as a single cell)
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To: Lou L
Under this law, if you don't have insurance, you pay a penalty (tax).

It is my understanding that many of the people without insurance are Illegals. Are Illegals now required, under law, to have insurance? And if they don't have insurance, will they be penalized - or would that be considered discrimination?

18 posted on 06/29/2012 6:33:47 AM PDT by Cowboy Bob (Greed + Envy = Liberalism)
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To: Lou L

We are becoming Europe. Look at their medical system (limited socialized care) and that is what we are getting.

Also, the more congress and govt in general gets involved in something, the more it costs and the more fouled up it gets. There will be ZERO cost savings from this. The cost of medicine will continue to go up. The only way to bring down the cost of medicine is to have tort reform, which won’t happen until we first have term limits in congress.


19 posted on 06/29/2012 6:34:26 AM PDT by Kirkwood (Zombie Hunter)
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To: Lou L
I think one step you left out was the disappearance of private medical insurance. Insurance companies looking at the law's restrictions on profits, internal expenses and marketing will decide that they can make money on life, car and house insurance so they really don't need a money loser like the medical business. Even if a business wants to buy insurance for their employees, there won't be anyone left to sell it to them other than the government.
20 posted on 06/29/2012 6:34:26 AM PDT by KarlInOhio (You only have three billion heartbeats in a lifetime.How many does the government claim as its own?)
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To: bergmeid

Chin up, think of Moochelle in London this week enjoying lobsta and champagne with the Olympic swells


21 posted on 06/29/2012 6:36:28 AM PDT by silverleaf (Every human spent about half an hour as a single cell)
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To: Cowboy Bob
nd if they don't have insurance, will they be penalized -

How many illegals fill out a 1040 to report their cash income? Even if they do get a tax ID number, it's only to underreport their income and scam a child tax credit for all their niños, both real and fictional.

22 posted on 06/29/2012 6:37:19 AM PDT by KarlInOhio (You only have three billion heartbeats in a lifetime.How many does the government claim as its own?)
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To: Lou L

OBAMACARE is set up to where they can waive groups or people from the participation. Kathleen Sebelius, Health and Human secretary can waive companies or groups from obamacare.

Mitt should say that he is going to appoint an HHS secretary that will waive ALL AMERICANS.

Obamacare and the tax that comes with it would be D.O.A.


23 posted on 06/29/2012 6:38:09 AM PDT by boycott (CAL)
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To: Lou L

OBAMACARE is set up to where they can waive groups or people from the participation. Kathleen Sebelius, Health and Human secretary can waive companies or groups from obamacare.

Mitt should say that he is going to appoint an HHS secretary that will waive ALL AMERICANS.

Obamacare and the tax that comes with it would be D.O.A.


24 posted on 06/29/2012 6:38:42 AM PDT by boycott (CAL)
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To: KarlInOhio
What happens when people go to the emergency room of a hospital, and they don't have insurance (as required by Obamacare)?
25 posted on 06/29/2012 6:45:42 AM PDT by Cowboy Bob (Greed + Envy = Liberalism)
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To: KarlInOhio

Private health insurance companies are not going away. They will now get govt subsidies and will actually make even more money from this. The govt is throwing money at the insurance companies because the private companies are needed to make this work without the entire system collapsing. So you can keep your private insurance, but don’t expect to get the same services at the price you have been paying.


26 posted on 06/29/2012 6:45:58 AM PDT by Kirkwood (Zombie Hunter)
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To: Lou L

“What are your thoughts?”

I think you have seen the future, particularly insofar as the political “nuances” are concerned. Particularly so for drug companies, and who will avoid “waits” for care.

Kudos.


27 posted on 06/29/2012 6:49:38 AM PDT by Road Glide
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To: Lou L
If Obamacare is implemented in its current form look for chaos in getting both health insurance and medical care. Insurance companies will have to offer health plans meeting the government's specifications ...my bet that will mean all policies will have free or mostly free abortions, benefits for assisted suicide, must include sex change surgeries and other liberal lunacy. With all preexisting conditions waived thousands of high risk people will get insurance who will immediately begin getting high cost benefits. The cost of private health insurance will skyrocket forcing many companies the drop insurance as it will be cheaper to pay the fine (i.e. tax) than provide health insurance. Small population states with few health insurers will see companies flee their market further pushing up costs. Without employer sponsored health insurance vast numbers of people will be forced to the state health care exchanges none of which have yet been created or in some states even had a preliminary start. The regulations on how these exchanges are to work is yet to be written or any money appropriated to fund their operation so there will be utter chaos in getting coverage. The SCOTUS ruling allows states to keep their current Medicaid eligibility so millions who cannot afford coverage under the health care exchanges will have no health insurance coverage.

If even half of the physicians who have said they will quit practice due to Obamacare make good on their promise there will almost immediately be long waits to see a physician and many clinics will rely more on physician assistants or nurse practitioners. Going to a clinic will more than likely mean a 10 minute visit with a physician assistant or nurse practitioner and a wait of weeks or more to see an actual physician. Hospital ERs will be flooded with people who do not want to wait to see a doctor. Medicare will become almost worthless as many hospitals and doctors will refuse to take or limit the number of new Medicare patients because of low reimbursement. Patients will become aware of new government treatment "guidelines" almost immediately. Medications that are not generic will be very hard to get and many patients will have to settle for less effective older drugs with more side effects solely because they are cheaper. Older adults will be routinely be denied common treatments. Forget about knee or hip replacements or cardiac pacemakers if you are over 75. Cancer in older patients will either not be treated or only minimally treated. NICU facilities will be forced to have death panels to decide which high risk infants will be given treatment. Abortions will be free or mostly free and hospitals be forced to provide them. Many Catholic hospitals will be shut down or sold to private holders adding to the long waits for hospital beds. Healthcare will quickly resemble that in places like the UK.

28 posted on 06/29/2012 7:06:55 AM PDT by The Great RJ
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To: Lou L

“What are your thoughts?”

START: My thoughts are this; EVERYTHING the government has taken over has become an over-bloated bureaucracy. IF the “tax” in the form of the fine on us ESCALATES like the price of a postage stamp has done; the government will have us as scared of the enforcing authority as we are now of the IRS - AND - They will get huge judgements on us for non-compliance and take our property. END

(Never mind that little nugget about EVERYTHING the government takes over going BROKE.)


29 posted on 06/29/2012 7:11:00 AM PDT by Twinkie (Isaiah 53)
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To: Lou L

Death panels begin 1/1/13 for Medicare patients. Every Medicare accepting hospital will be insentivized to raise the threshold for admissions/readmissions for certain conditions.


30 posted on 06/29/2012 7:41:58 AM PDT by Mike Darancette (Democrats are the problem. Vote them out, all of them.)
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To: Lou L
My thoughts are these:

Doctors with the means will retire rather than attempt to work under severely controlled government regulations...especially ones that haven't been issued yet. I would estimate that half of all MDs will leave the profession. Future MDs now in school will be doing some soul searching. All health care workers in the US today will be heavily courted by the SEIU. The SEIU will have already produced 5 or 6 thousand pages of “work rules” for “employers”.

As the government scrambles to provide “care” for of the formerly uninsured, the strain on the already stressed system will bring it to the break point. Already overcrowded ER'S will see enormous increases in patients. Nurse practitioners and Physicians Assistants will become the first line in treatment as MDs become scarce.

Down the road, private insurance companies disappear due to attrition and inability to compete.

All chain drug stores will ultimately be taken over GM style by the government to “streamline the healthcare delivery process”.

You think there are major drug shortages now, wait until some well-meaning bureacratic panel from HHS decides what will be allowed and what will be manufactured.

I could go on

31 posted on 06/29/2012 7:47:55 AM PDT by Artie
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To: Lou L

What can we expect?

We can expect forms with boxes that asks you to mark your race, sexual preferences, and legal status. Of course, they will already know your what your religion is and to which political party you belong.

But for damn sure the race and sexual preference boxes will be there.


32 posted on 06/29/2012 8:02:28 AM PDT by Smokeyblue
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To: Artie

“Doctors with the means will retire rather than attempt to work under severely controlled government regulations...”

That just means we will have to import our doctors from third world countries.


33 posted on 06/29/2012 8:06:50 AM PDT by Smokeyblue
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To: The Great RJ
Healthcare will quickly resemble that in places like the UK.

Chilling, but very good. I think you've really hit on the reality that will become "healthcare."

34 posted on 06/29/2012 8:14:14 AM PDT by Lou L (Repeal now!)
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To: Lou L

What can we expect?

Snooping doctors, asking personal questions and putting the replies in a government database.

A huge push to ban guns for “health reasons” after all every gun “Costs the healthcare system money” this you can bet on.

Mandatory checks for compliance with “Doctors orders”

Home health checks, basically snooping around your home to look for anything that could cost the state money.

DMV Style health care, long lines, paperwork, hours and hours of waiting in doctors offices.

Defiantly a new spy chipped ID card, with your whole life history on it.

Massive fines for anything big brother does not like.. smoking, drinking, eating fast food, even once.. boom, instant IRS penalty.

Yeah, its not a pretty picture, some may think this overly dramatic.. but i can assure you in 4 or 5 years it will ALL come to pass and the Sheeple will cheer it in thanks to massive brainwashing.. err i mean TV ads.


35 posted on 06/29/2012 8:28:09 AM PDT by eXe (Si vis pacem, para bellum)
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To: bergmeid

No Democrat politician will have that crappy service as they are politcally connected. You & I on the other hand will get worse than average care due to our political affiliation . I also look forward to the lame half hearted half assed attempts by the GOP~e to repeal Obamacare & listen to them piss moan & whine about how abrasive the TEA party types are.


36 posted on 06/29/2012 10:29:13 AM PDT by Nebr FAL owner
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To: Puppage

Not “given a waiver” as though they needed the federal government’s permission. No, as I understand it, the Idaho legislature passed and Governor signed into law, a bill proclaiming that basically Idaho does not recognize the health care mandate as valid and that the State of Idaho has exempted the citizens of Idaho from this unconstitutional Federal healthcare mandate.


37 posted on 06/29/2012 7:55:10 PM PDT by PapaNew
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To: PapaNew

Aaah, ok. Thank you.


38 posted on 06/30/2012 6:25:34 AM PDT by Puppage (You may disagree with what I have to say, but I shall defend to your death my right to say it)
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