Obama's Speech

General Buck Turgidson said:
I just don't think the CBO got both the costs and the revenues so wrong that the bill will substantially increase the deficit. If the CBO's latest projections are wrong by $150 billion, the net increase in the deficit over ten years is $7 billion, which is a drop in the ocean. The CBO would have to be very very very severely wrong for the ACA to have a meaningful negative impact on debts and deficits.
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The double counting of Medicare cuts is one reason the CBO numbers are wrong.

The other reason is that they have been creating 'fixes' for the Medicare cuts they were supposed to do over the past decade or so. To pretend that Congress will actually make cuts when in the past they have consistently (both parties) refused to make such cuts is absurd.
 
c'est la vie said:
That's where the GOP is full of shit. They refuse to cut a single dime from "defense."
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True but the same is true on the opposite side of the aisle with Medicare/Medicaid. Substantial reforms will need to be made to keep it viable and Dems are as intransigent on that as Repubs are on defense spending. I won't include SS spending cause that's an easy fix.
 
Superfreak said:
The double counting of Medicare cuts is one reason the CBO numbers are wrong.

The other reason is that they have been creating 'fixes' for the Medicare cuts they were supposed to do over the past decade or so. To pretend that Congress will actually make cuts when in the past they have consistently (both parties) refused to make such cuts is absurd.
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The Medicare doc fix has nothing to do with the Affordable Care Act.
 
Derp Derp said:
The way the rest of the industrialized world has done it. We implement a standardized payment system and implement cost controls. No more $10,000 MRI bills for a sprained ankle. It's a bunch of malarky that those nations health care costs are contributing to their fiscal problems when their costs are substantially lower, as in by half, than ours.
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In many cases now, the NHS tells the drugs manufacturers what they are prepared to pay and if they don't like it they are told that generic versions will be used instead assuming that the drug(s) are out of patent.
 
General Buck Turgidson said:
"Certain people" like the CBO?

And we're only headed off a cliff if Congress decides to drive us there. The best thing to do to restore fiscal balance is nothing at all. Congress has to actually do something to take us to a fiscal cliff. Current law would have the government running annual deficits of about %5 of GDP, which is entirely manageable.
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Certain people like you, who rely on numbers from the CBO that only a fool would believe. The double counting of Medicare cuts... cuts that are not likely to actually happen... is one major reason their numbers are off. But they have to put forth numbers based on what Congress says 'will happen'.

Are you not the very one that proclaimed my support of tax cuts w/corresponding 'future' spending cuts is ridiculous given the fact that history has shown Congress won't cut spending?
 
General Buck Turgidson said:
"Certain people" like the CBO?

And we're only headed off a cliff if Congress decides to drive us there. The best thing to do to restore fiscal balance is nothing at all. Congress has to actually do something to take us to a fiscal cliff. Current law would have the government running annual deficits of about %5 of GDP, which is entirely manageable.
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And for that day when China decides it's done w/ America?

How about that day?
 
Aoxomoxoa said:
In many cases now, the NHS tells the drugs manufacturers what they are prepared to pay and if they don't like it they are told that generic versions will be used instead assuming that the drug(s) are out of patent.
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Just curious... but why wouldn't the NHS automatically go with the generics or lesser cost of the two?
 
Oh, by the way, my daughter hasn't been able the grands have strep and she is also moving her office! MAybe next week...
 
Rana said:
Oh, by the way, my daughter hasn't been able the grands have strep and she is also moving her office! MAybe next week...
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No worries, though with the 4th being next week, maybe the one after that? Whatever works for her, as I stated, I would love to hear what she has to say. Thanks!
 
Rana said:
This is the only area that I agree with Superfreak, pppatoohy, healthcare costs will break this nation without genuine reform. Now where we differ is how to do it!
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This HAS to be the focus for the next few years.

And I'm not sure what they can do about obesity; I saw yesterday that some estimate obesity accounts for 15% of all health costs, and rising...
 
Derp Derp said:
True but the same is true on the opposite side of the aisle with Medicare/Medicaid. Substantial reforms will need to be made to keep it viable and Dems are as intransigent on that as Repubs are on defense spending. I won't include SS spending cause that's an easy fix.
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I can't help feeling that a lot of defence spending is just a device to keep people in jobs and reduce unemployment figures. Which is funny really because the GOP usually hates everything government related but where the military is concerned behaves just like Russia in the bad old days.
 
Superfreak said:
Certain people like you, who rely on numbers from the CBO that only a fool would believe. The double counting of Medicare cuts... cuts that are not likely to actually happen... is one major reason their numbers are off. But they have to put forth numbers based on what Congress says 'will happen'.
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The Medicare doc fix has nothing to do with the ACA. And you have a fundamental misunderstanding of how the ACA scores the budgetary effects of laws.


Superfreak said:
Are you not the very one that proclaimed my support of tax cuts w/corresponding 'future' spending cuts is ridiculous given the fact that history has shown Congress won't cut spending?
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I don't see what that has to do with anything. The ACA raises revenues more than it allocates in spending. It has a positive budgetary impact.
 
General Buck Turgidson said:
The Medicare doc fix has nothing to do with the ACA. And you have a fundamental misunderstanding of how the ACA scores the budgetary effects of laws.
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Again, does the ACA require Medicare cuts as part of what makes it 'reduce' the deficit?

I don't see what that has to do with anything. The ACA raises revenues more than it allocates in spending. It has a positive budgetary impact.
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ROFLMAO... So you think the politicians of the future will go along with the cuts in Medicare?
 
This is one where I don't trust the CBO's #'s - and I don't think they do, either.

No one can gauge the impact of reactionary employers laying off or not hiring because of this. What happens if obesity rates double in the next 10 years?
 
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