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112th Congress: Everybody's Angry At Everybody
Posts
Fuck. That. Noise.
Errr, if you think medicare/medicaid doesn't negotiate prices at all, you'd be wrong. They have a certain price they'll pay for treatments and no more. Apparently the big issue is usually medicare/medicaid not paying enough to cover costs (but it's non-negotiable), and the costs being passed onto other patients, which insurance generally fights as much as possible. On drugs, I have no idea if they negotiate.
So...I shouldn't be bothered with him continuing to foster the big lie that keeps fueling the voter ID nonsense?
/Congress
I thought Medicare Part D specifically prevented them from negotiating on drug prices.
It's my understanding that prescriptions and so forth aren't subject to the same price controls that other specific treatments are, which is why I said 'across the board' - I was saying it was very odd we used the programs collective powers in one area but not in the other, and that it wasn't a coincidence.
I could be wrong about that, but I've heard a lot of talk about using the two as a cost control mechanism in both prescriptions and more importantly requiring effective and substantiated best practices.
There are very few procedures where the medicare rate doesn't cover costs. For example, I recall an instance where there were major complications that turned a fairly routine surgery into a 10+ hour affair and the NEUROSURGEON was only paid about $1000 for the effort, because that was the contracted rate for the procedure. (numbers are approximations, this was a long ass time ago) Shit like this is a fluke and sneaks it's way into private provider contract agreements as well.
There's no law that says doctors have to accept Medicare. It's network development people are just really fucking good at leveraging their massive headcount into getting the best deal possible, like any private insurance carrier.
#FreeScheck
#FreeSKFM
This is correct. The Pharm lobby is HUGE. Insurance companies are now largely cost prohibited from actually insuring Rx and have outsourced the actual insuring of their Rx benefits to companies owned by pharm companies (ie Medco and ummm... I dont know off the top of my head. I think Medco may be one of the last ones standing).
#FreeScheck
#FreeSKFM
It ends up being a double-edged sword from what I remember of my time working in the middle of this process. It isn't as much but you always know the medicare/medicaid money will be coming and what it will be, the private insurance money might not be what you charged and it might take a while to get there because of the run-around the insurance company will cause. That's at least what a number of people I worked with saw anyways.
Yeah, if Spools not with you, then he's against you!
Now where have I heard that ignorant "If you don't agree with me EXACTLY, you might as well disagree with me" rhetoric before...
The hospital (or at least the unit) my wife works at claims they haven't gotten any of their Medicaid payments since last June. I'm assuming that's a state problem, though.
Also, I wish this were longer, but the derisive laughter at the idea that we "tax the top" from Ryan's constituents amuses me.
http://www.youtube.com/watch?v=h5kgnE1Xvec&feature=player_embedded
They are legally not allowed to negotiate drug prices. They don't really negotiate non-drug treatments either - they just tell hospitals how much they'll be reimbursed for treatments.
like they'll pay for an xray every month or so. Guess what grandma's getting another x-ray! what do you mean she has parkisans she totally needs another one
Instead of putting them all on the shelf and having them compete on price for sales (like in, say, EVERY OTHER INDUSTRY with perfect substitutes) the pharmacy only stocks one generic brand. How do they decide which one? Well, they stock the one that gives the biggest rebate to the pharmacy in return for being stocked. The sticker price is therefore, very highly inflated. Luckily, old, sick people aren't always prepared to go shopping around for the best price for their meds, and when it's covered by their insurance, that likelihood goes to zero.
It has had a long history of stupid dealing with medicare money.
It started without any kind of price controls at all. Just treat grandma and send the government the bill.
A system to kind for this world.
Borderlands 2 PA Xbox Metatag - Bazillion Guns
This should be easily check on wikipedia I think - let me see what the ratio of gdp to government revenue was in, say, 1996.
edit: for some reason I'm having a devilishly hard time finding a number for gdp in 1996 - can anyone get that number?
It looks like the 1996 budget was 1.6 trillion.
Found 7.8 trillion as gdp
making taxation 20.5%
Assuming the numbers I got from random places weren't bad (adjusted for inflation from other years etc.) then I'd say you hit the mark EB.
That's frustrating. On the other hand, go internet.
#FreeScheck
#FreeSKFM
And the point continues to go over heads.
What he's doing is similar in dynamic to a backhanded compliment. Yes, he is saying that we shouldn't enact voter ID laws - while at the same time arguing that whether the vote fraud that these laws combat happens to any significant degree is an open question, despite all the evidence it isn't. The result is that he gets all of you to see him as agreeing, while continuing to fuel the bullshit that keeps bringing voter ID laws back.
And then there's the purely snarky liberal version. Wherein Megan divides 75 billion by 300 million and gets 25. And then ignores her commenters when they correct her and continues making her argument baesd on her 25 number. What's an order of magnitude?
I think it entered into things when the long term budget became an issue and the terms became total government revenue and the size of the economy to accomodate it over a span of several decades.
Good to know.
The big part:
That's so sad.
On Sullivan's blog today I learned that Greenwald married a 19 year old boy from Rio when he was 37.
All these top bloggers are a weird, freakish crew.
I suspect Yglesias was engineered in a lab by elite liberal scientists.
I suddenly want to burn down a Wal-Mart or three.
Yeah, that raised my eyebrows a bit when I read it today. Andrew's pretty weird himself and is also really, really bad at math. I still read him because he does tend to grapple with his critics. Like the one who wrote a much longer version of the thing I posted in the Primary thread about gas prices (which I also e-mailed Sullivan about).
Digby and Atrios aren't weird to the best of my knowledge!
He's saying that he didn't see any evidence of fraud, therefore he didn't see a need for the laws. I really don't get what you're on about here. You're going to have to explain how you're not just being a pedantic bigot.
steam profile
No, Spool is saying we lack the ability to measure the fraud.
AngelHedgie is saying the fraud doesn't exist and that by couching the argument in terms of "well, we aren't sure, so we shouldn't do anything" he's continuing the bullshit beliefs that fraud actually does occur somewhere which is the thing that perpetuates the stupid voter ID laws in the first place.
It's not that fraud (the kind in question anyway) can't be proved or can't be measured or shown, it's that it doesn't happen. It's not even realistic for it to happen.
Voter ID laws are stupid because they fight a problem that doesn't even exist. And everytime you backhandedly pretend the problem does or might exist somewhere, you perpetuate their stupidity.
It's been a standard measure ever since GDP measurement has been widespread. It's a first answer to the question: What part of your economy is run by the government?
Notice I say 'run' not 'paid for.' Transfer payments (like Social Security) aren't counted.
They aren't?
Maybe McArdle's numbers are right then. The number I used was the total budget number.
Lack the ability to measure the fraud? a) what the hell does that mean, b) where did he say that, and c) how is that functionally different? I actually did read the thread and am not an idiot, you're not just gonna bullshit me.
So far it's still pedantic bigots, people.
edit:: Looking a little more closely, is the issue that Spool is implying that fraud does or might exist? And Angel is saying that fraud doesn't exist AT ALL? Because if so, I wholeheartedly agree with Spool. Saying that fraud NEVER exists, and so therefore we don't need the laws, is a much more ignorant position than 'We need to see if the harm to the poor is worth any possible fraud prevention gains'.
steam profile
Here's where spool gathers his quotes together, you can look for yourself:
http://forums.penny-arcade.com/showthread.php?p=19032875#post19032875
I've already explained quite clearly the difference between what the 2 are saying. I'm not sure why you want to ignore it.
The position can best be summed up in this quote:
Which again tacitly admits that this non-problem even exists. AngleHedgie's point is that he is propping up some seriously anti-democratic bullshit by pretending voter fraud of this sort is even realistic.
Not just no evidence, but no realistic way it could be done anyway.
It's like saying "I'm not saying we should lock up all the unicorns. After all, we shouldn't have laws against being raped by a unicorn because there's no evidence that unicorns have ever raped anyone".