Deal refuses needed funds

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With all the fuss about the Affordable Care Act website, overlooked is a major problem for health care in Georgia. The problem is caused by Gov. Nathan Deal.

Deal is refusing to accept $33 billion (that’s billion) from the Affordable Care Act over the next 10 years. These are funds that will allow 600,000 more Georgians to enroll in Medicaid, and to fund Georgia hospitals to take care of others. For the first three years the federal government will pay it all, and a sliding scale thereon. There is no good economic reason for the governor to do this, and he is just part of a Republican campaign to throw out the law and repeal the ACA.

Not only is Deal risking the health of hundreds of thousands of people, but he also is risking the closing of rural hospitals in the CSRA that depend on Medicaid income. This unbelievable stubbornness will raise costs for Georgians’ hospital and emergency care. Instead of a healthy population monitored by physicians, emergency care will have to treat diseases that are festering long before they are seen in emergency rooms. This is medicine at the highest cost to the taxpayer and the patient.

In 2014, Deal will be running for re-election. His callous act harming 600,000 Georgians and our hospitals will come home to roost. The Democrats in the state will make sure it does.

Lowell Greenbaum

Augusta

(The writer is chairman of the Richmond County Democratic Party.)

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junimooni
241
Points
junimooni 11/25/13 - 02:42 am
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Come home to roost.
Unpublished

I couldn't agree more. This calculated political move by Gov. Deal is putting GA healthcare even further behind and was totally unnecessary.

KSL
120676
Points
KSL 11/25/13 - 04:15 am
14
2
"Our hospitals will come home

"Our hospitals will come home to roost." What the heck does that mean?

Riverman1
79017
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Riverman1 11/25/13 - 10:39 am
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2
Fiscal Responsibility

So after three years the state begins picking up the tab and by the end of ten years is completely paying the hundreds of millions necessary to fund the program. Dr. GB, check the projections of future budgets and see how that works out for you.

See this is the exact type thing that shows the difference in Republicans and Democrats. We would all like to provide free health care for dang near everyone. It's easy for Democrats to say just do it and not worry about how it will be paid for. The responsible people examine the costs and ask how it will be funded when the feds' contribution stops. If the bills can't be paid later, it's a good idea not to sign the agreement.

carcraft
24026
Points
carcraft 11/25/13 - 06:45 am
14
5
I have had a long discussion

I have had a long discussion with Juni. (LETTER TO THE EDITOR " Call it Romney Care") She seems to think like most liberals. The health care site crashing is Bush's fault. We can provide health care to 30 million more people with out increasing the number of Doctors or Nurses but more IRS agents are required. Every thing wrong with health care is due to greed, and Obama doesn't lie! Of course we can screw up health care for 90 million people to provide it for about 10 million! There are other consequences of this law like performance out comes that are going to hurt indigent hospitals but I guess that is OK also!

carcraft
24026
Points
carcraft 11/25/13 - 06:50 am
12
3
Thank you Riverman for your

Thank you Riverman for your comment. I have not been able to get some folks to realize that when the increased funding goes away the states are on the hook. I told some one it is better to not kick the can down the road and face the issue now! People act like the Federal government has a money tree. Obama has added $7 trillion to the deficit, I guess a few billion more won't matter, right?

junimooni
241
Points
junimooni 11/25/13 - 07:17 am
6
12
Don't MisQuote Me
Unpublished

Carcraft

I see you like to spread misinformation also. Show me where I said anything was Bush's fault. I pointed out that CGI, the IT contractor for Obamacare, has been employed by the U.S. government since the early days of the Bush administration. Once these private contractors become entrenched in Government they are hard to get rid of and because of crappy contracting laws, many of the contracts are mandatory use. I NEVER said or implied it was Bush's fault. Like most Teapublicans, you use your own manufactured version to twist the truth. And I never said any of the other statements you implied. If you choose to use my name in print, it would be wise to not misquote me.

junimooni
241
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junimooni 11/25/13 - 07:31 am
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12
Responsible People
Unpublished

Riverman,

"The Responsible people examine the costs and ask how it will be funded..." You mean like the unfunded Medicare Part D or two decades long unfunded wars? Pot meet kettle. Again I say until we reverse Citizens United and get the scourge of lobbyists out of our government, nothing will change, no matter who is in office.

A little background on the Republican "responsibly funded" Medicare Part D. Source is Wikipedia.

"By the design of the program, the federal government is not permitted to negotiate prices of drugs with the drug companies, as federal agencies do in other programs. The Department of Veterans Affairs, which is allowed to negotiate drug prices and establish a formulary, has been estimated to pay between 40%[26] and 58%[27] less for drugs, on average, than Medicare Part D. For example, the VA pays as little as $782.44 for a year's supply of Lipitor (atorvastatin) 20 mg, while the Medicare pays between $1120 and $1340 on Part D plans.[27]

Estimating how much money could be saved if Medicare had been allowed to negotiate drug prices, economist Dean Baker gives a "most conservative high-cost scenario" of $332 billion between 2006 and 2013 (approximately $50 billion a year), and a "middle cost scenario" of $563 billion in savings "for the same budget window".[28]

Former Congressman Billy Tauzin, R-La., who steered the bill through the House, retired soon after and took a $2 million a year job as president of Pharmaceutical Research and Manufacturers of America (PhRMA), the main industry lobbying group. Medicare boss Thomas Scully, who threatened to fire Medicare Chief Actuary Richard Foster if he reported how much the bill would actually cost, was negotiating for a new job as a pharmaceutical lobbyist as the bill was working through Congress.[29][30] A total of 14 congressional aides quit their jobs to work for the drug and medical lobbies immediately after the bill's passage."

Yep, I'd call that being fiscally responsible.....NOT.

ymnbde
9153
Points
ymnbde 11/25/13 - 07:35 am
11
2
so O is making bubbles?

O'care increased everyone's taxes
then O is generous enough to loan a portion back?
so we borrow back the money O taxes from us
then we pay more in taxes to repay what we borrowed
then O loans us even more
and we pay even more to O in taxes
and O loans us even more and on and on and on
after all, the $17 trillion deficit is a big bubble getting ever bigger
and O wants to make it just a drop bigger, just another little drop
oops
the money comes from us... the healthcare comes from doctors
seems o forgot that...

ymnbde
9153
Points
ymnbde 11/25/13 - 07:45 am
10
2
$33 billion, yes, billion, not quite $17 trillion

would educate a lot of doctors
and that is the ONLY way, yes, ONLY way, with an O
to lower health care costs without damaging the health care system
anything less is simply making government more powerful
and the ONLY thing that can take away our freedom
is government .*

jimmymac
32111
Points
jimmymac 11/25/13 - 08:33 am
1
0
RIVERMAN1
Unpublished

You've given a concise and accurate example as to why Deal was right to turn down the so called free money to expand Medicaid. There are far too many people who think everything should be free without realizing that eventually someone will have to pay. Dems just don't seem to be able to grasp that idea.

Bulldog
1296
Points
Bulldog 11/25/13 - 08:46 am
11
3
Bait and switch

Our governor joins those of many other states refusing to bankrupt their states by signing on to this healthcare disaster. After three years the GA taxpayer will be on the hook for untold millions in Medicaid bills.

dichotomy
30346
Points
dichotomy 11/25/13 - 08:54 am
13
4
The feds only fully cover it

The feds only fully cover it for 3 years. Then it starts falling on the GA taxpayers. And after 10 years it ALL falls on the GA taxpayers.

Medicaid is already breaking us financially. I say kick MORE people OFF Medicaid and use the money to take better care of those who are truly disabled and deserve our help. I am tired of improving the conditions of lowlifes who are healthy and able to work and who are living better off than me on "givermint" programs.

Deal did the right thing. Those other folks can go to the Obamacare site and sign up for insurance and get giverment subsidies. Obamacare already has lots of taxes built into it to pay for it. No sense in letting Lowell raise our GA taxes and make us pay for Obamacare TWICE. There will be states going broke in 10 years or less because they expanded Medicaid.

We have only begun to see the TAX increases and INURANCE RATE increases it will take to cover Obamacare. Y'all wanted Change and you are damned well fixin' to get it.

Little Lamb
43803
Points
Little Lamb 11/25/13 - 09:11 am
11
2
Medicaid

Dichotomy is correct. Georgia does not need to add any more people to the Medicaid rolls. Deal was correct in not taking the Medicaid expansion bait. It is a recipe for fiscal disaster.

deestafford
23410
Points
deestafford 11/25/13 - 09:29 am
9
3
The good Dr. Greenbaum should know that

the way drug deals get someone hook on illegal drugs is to give some free samples for awhile and then when you have them hooked you start charging them. Eventually, they have to resort to all types of activities to pay for the new habit and as a result other parts of their lives deteriorate. That is the same thing this "free" medicaid money will do to the states.

As far as the discussion of Bush and Medicare Part D is concerned, it should never had come to be. It was an attempt by the "compassionate conservative" Bush to reach across the aisle to Ted Kennedy and make nice. If one remembers the Democrats had been pushing for something similar for quite awhile and Bush fell for the deal hook, line, and sinker. He never understood the Democrats in DC were not like the Democrats in Texas.

Folks, one principle of economics everyone must understand---There ain't no free lunch.

Gary Ross
3346
Points
Gary Ross 11/25/13 - 09:36 am
11
2
Gov. Deal is doing his best

Gov. Deal is doing his best for the majority of Georgians. He does not want this state to get entrapped by the lies and deceit that eminates from this current administration. He's looking out for us!!! And he will get my vote for sure!

As far as the 600,000 minority that you speak of, 2/3 of them should get off their lazy butts and go out and find a job! Period!

localguy55
5477
Points
localguy55 11/25/13 - 09:49 am
8
2
Took the Words Right out of my Mouth

Deestafford, I was thinking the same thing. This Federal money is poison to our state and Deal was correct in not taking it.

The further Georgia stays away from the grips of the Federal Government the better off we are and the stronger we become.

Beholding to those criminals in washington is the worse thing any state can do to themselves. Look at California, Michican, Illnois. There are many more slaves to the fed. states.

Bizkit
29117
Points
Bizkit 11/25/13 - 09:56 am
10
2
Funny from Lowell whose

Funny from Lowell whose research created a pharmaceutical drug boom. So is he a paid sponsor of pharmaceutical companies too. The ACA is a disaster for a research-teaching school like GRU with the bundled payments. This will have a negative impact on hospitals and many will likely close. As pointed out the fed will only assist and then the state will be on the hook. It won't really matter because the Obamacare (that he now denounces as the ACA) is a sinking ship. Young people aren't signing up, they can't steal enough from medicare that people paid into, and because the "opt out" option the whole mechanics of the law is gone. It doesn't increase the numbers of insured-now more are uninsured, and the cost isn't going down it is going up and the subsidies will last how long? The ACA has not addressed any of the problems with our excellent health care system (which is too expensive but driven by consumers penchant for specialist), rather than stop pharmaceutical companies and insurance companies making deals to force consumers to buy the more expensive drug-they now cater to both industries, no tort reform like the UK would be great, the law has not accomplished the said goals. I don't see how you can argue the federal govt is up to this task with a "proven" record of incompetence. What idiot would pass a law that isn't even written-that should be impeachable.

RMSHEFF
13723
Points
RMSHEFF 11/25/13 - 09:58 am
9
2
Obama want to keep the "free

Obama want to keep the "free stuff"coming and increase the number of people getting free stuff. He know this money to the states will ruin the states economically and because the states can't print money they will have to turn to him. The whole idea is for the Federal government to gain power and the states to loose power. To liberals an "all powerful"federal government is their savior. Obama is all about power and control...... a dictator !

teaparty
11313
Points
teaparty 11/25/13 - 09:56 am
10
4
"These are funds that will
Unpublished

"These are funds that will allow 600,000 more Georgians to enroll in Medicaid"
Just what GA needs, 600,000 more deadbeats that have never anything in on Medicaid.

Bizkit
29117
Points
Bizkit 11/25/13 - 10:10 am
7
2
Juni, There is no rule

Juni, There is no rule against asking questions-even personal ones-you don't have to answer. Now if he knew your identity and mentioned that then he would be banned. You can flag comments and talk to Sean-he is really fair. But it doesn't appear as stalking-now tbledsoe towards Humble Angela was a close call. It isn't a very polite venue and people often resort to ad hominem. I don't flag comments-it's a free country. You have to admit the federal govt has a long track record of creating programs they initially fund and then leave the state on the hook.

Riverman1
79017
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Riverman1 11/25/13 - 11:05 am
5
3
Juni, hey, if you want to

Juni, hey, if you want to discontinue Medicare Part D, I'm all for that, too. But your point about Medicare not being able to negotiate prices with the drug companies as the VA does is specious. Realize Medicare coverage is for all Americans over 65. That’s about 50 million people with heavy use of medications of all kinds. For the government to negotiate a blanket price for all 50 million would be price fixing. The VA is only one agency with a much smaller patient population and it makes sense for them to negotiate prices as with any private organization.

Your argument reminds me of those who question how the same drug from the same company can be so much cheaper in a foreign country. The drug company is in many cases taking a loss on the drugs sold to those in foreign countries. It's the American market with the approval of the government, Democrats and Republicans, that's carrying the load and everyone knows it. Look at it as foreign aid because that's exactly what it is. Let Americans order drugs from foreign countries and the whole system falls apart.

teaparty
11313
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teaparty 11/25/13 - 10:54 am
7
2
mooni, sorry I offend you. I
Unpublished

mooni, sorry I offend you. I just like to know a little about the people I have discussions with. Forget I ask what part of the gov't you work for, sorry.

teaparty
11313
Points
teaparty 11/25/13 - 11:03 am
5
2
bizkit said, "I don't flag
Unpublished

bizkit said, "I don't flag comments-it's a free country."
I agree, I have never flagged a comment. It's seems that it always the liberals that gets their feelings hurt. I wonder why?

junimooni
241
Points
junimooni 11/25/13 - 11:24 am
1
3
Drug Prices
Unpublished

Riverman,

With the pharmaceutical industry making profits of over 30%, I think they can afford to be regulated. And why stifle competition? I thought competition was supposed to be encouraged in a capitalist society. If American pharmaceuticals can't compete with foreign companies, that is their own fault. Pharmaceuticals should be no different than any other competitive industry. American pharmaceuticals spend a much larger percentage on marketing than on R&D. Perhaps they should remove a few of their expensive television promotions in order to be more competitive.

junimooni
241
Points
junimooni 11/25/13 - 11:32 am
1
3
The larger picture
Unpublished

I think the most threatening thing to any of us is the loss of our vote counting for anything. Because of the SCOTUS Citizens United ruling, corporations are now deemed people, with the same rights and can contribute unlimited, undisclosed lobbying $$$ to both sides of the political fence. The average person's voice has no chance against those lobbying $$$. Term limits and a reversal of Citizens United would be a good start. I know a good many states have already approved the process to reverse the SCOTUS ruling. I hope enough states sign on soon and get the ball rolling to reverse this unmitigated gift to corporate America. When the first American corporation is placed in the electric chair is when I'll think of them as a person.

Riverman1
79017
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Riverman1 11/25/13 - 11:34 am
5
2
The American pharmaceutical

The American pharmaceutical corporations have found more cures for diseases than the rest of the world combined. They are funded by private investors seeking a profit. If you start fixing prices and their profits decrease the investors take their money and and the drug research dwindles.

Riverman1
79017
Points
Riverman1 11/25/13 - 11:41 am
5
2
Remember When Clinton Funded More Police Hires

A good example of what happens with temporary federal funding is when Clinton federally funded the hiring of 100,000 more policemen for a few years. Sure communities jumped on it, but when the funding ran out, those hires were let go. With Medicaid it's going to be near impossible to take people off the rolls once they are added.

Does Obama think the states are THAT stupid? They will accept money now and not think about having to pay later? It sounds like some kind of buy on credit gimmick with no payments until later. Obama is not giving the states anything. He's committing them to billions in the future they won't be able to pay.

junimooni
241
Points
junimooni 11/25/13 - 11:44 am
1
3
Party of Fiscal Responsibility
Unpublished

River man, you skipped right past the main point of my rebuttal to you. You said the Republicans were the party of fiscal responsibility, when history and my examples have clearly proved otherwise. Do you think the Republican back room deals with lobbyists on Medicare Part D is fiscally responsible? And establishing an unfunded program, such as Medicare D is responsible? Do you think two unfunded wars, which were started to line the pockets of Halliburton and its ilk, were fiscally responsible? I think not.

And I must add that history may or may not be kind to President Obama...that remains to be seen. But the unmitigated, blatant obstructionism carried on by this Congress and those who support them will absolutely be a blight in American history. To blatantly proclaim that your only mission is to obstruct will not be looked upon kindly by future generations who will see the truth behind the curtain.

Riverman1
79017
Points
Riverman1 11/25/13 - 12:02 pm
6
2
Evil Corporations and Haliburton

Oh the old evil corporations and Haliburton. So there have been past mistakes we should commit another one now? I don't think so. There is simply no way Georgia will be able to fund all of the new Medicaid enrollees in ten years. NO WAY. The future budget of the state is already in trouble with future retirees.

But back to Haliburton, they supplied and transported badly needed items to the troops in war zones. They actually dropped the contracts soon as they could get out of them. Everyone needs to do a little research about Haliburton.

junimooni
241
Points
junimooni 11/25/13 - 12:14 pm
1
8
Medicaid $$$
Unpublished

What many are not considering is that all Medicaid dollars are cut to hospitals refusing the expansion. It's not that they weren't receiving Federal $$$ before ObamaCare...they were. Now they're left in the cold without $$$ because of a political, not a financial decision. This unwise decision by Deal will ultimately cost GA taxpayers more in state taxes to make up the difference in the loss of Federal $$$. They are essentially cutting off their noses to spite their faces and losing ALL Federal aid, even those pre ObamaCare $$$. But it seems that is the way most voters in this State want it. They prefer to pay for higher indigent costs at the ER and hospitals. We all know those costs are passed on to those who do have insurance, as they always have been...nothing new.

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