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Politics : Formerly About Advanced Micro Devices -- Ignore unavailable to you. Want to Upgrade?

To: Road Walker who wrote (380287)	4/25/2008 11:12:36 AM
From: i-node	Read Replies (5) \| Respond to of 1578743

Not worth discussing if your ideology won't let you accept actual data. John, it isn't my ideology. It is years of experience. This is a subject I understand deeply because I deal with it on a daily basis. I've clearly stated that I believe there are changes that can be made which will solve the most pressing problems. But it is lunacy to discard what is clearly the best working health care system in the world in favor of some method that may or may not work. I just don't think you have any idea about the scope of what you're dealing with. Consider the following example, which we are currently having to deal with at this time. In the past, every insurance company had its own identifying number for every provider -- obviously, a ridiculous situation. So, HIPAA, sensibly, said, "No more. Effective on 5/23/2008, there will be a single ID # for each provider and every insurance company will use it. Problem solved." Of course, things never work out this way. So, almost no state Medicaids are ready. Medicare has huge problems in that they have no way to accommodate incorporated sole practitioners (about 70% of physicians), and are now having to tell them, "Sorry, if your corporation has gotten paid in the past we can't do that anymore -- the payments come to you directly" which, of course, creates a huge tax issue. We're talking about changing one FREAKING ID # and it is a train wreck -- predominantly amongst government payors (private enterprise knew damned well their lives depended on it, and got their shit done). Now, you're talking about scrapping an entire system? You and others who are commenting on this have no idea what the scope of the proposed changes would be. People laughed at Huckabee over the "Fair Tax" support, but implementing fair tax would be far easier than what you and others are proposing and far less disruptive.