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	<title>Comments on: New Yorkers may feel the pinch of healthcare reform</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: CJK</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/#comment-14973</link>
		<dc:creator>CJK</dc:creator>
		<pubDate>Thu, 19 Nov 2009 02:32:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3693#comment-14973</guid>
		<description>Unintended consequences are guaranteed - It is how (or if) the system is able to change to make rational adjustments that will decide how absurd the resulting system becomes.  Until now we have only had escalating self righteousness - anything that can be done now must be done. While the money flies to the corporate provides (Pharma, equipment and hospitals make a lot of money- often spent it very poorly).  So the bills will mount and we (or our children) will have to really decide on what medical care should be paid for and how.</description>
		<content:encoded><![CDATA[<p>Unintended consequences are guaranteed &#8211; It is how (or if) the system is able to change to make rational adjustments that will decide how absurd the resulting system becomes.  Until now we have only had escalating self righteousness &#8211; anything that can be done now must be done. While the money flies to the corporate provides (Pharma, equipment and hospitals make a lot of money- often spent it very poorly).  So the bills will mount and we (or our children) will have to really decide on what medical care should be paid for and how.</p>
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		<title>By: Doc99</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/#comment-14828</link>
		<dc:creator>Doc99</dc:creator>
		<pubDate>Thu, 12 Nov 2009 22:03:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3693#comment-14828</guid>
		<description>Anyone else notice that HR 3962 defines on pg 1291 &quot;Healthcare workforce&quot; to include veterinarians? I&#039;m sure NY&#039;ers will now appreciate where their tax dollars will go.</description>
		<content:encoded><![CDATA[<p>Anyone else notice that HR 3962 defines on pg 1291 &#8220;Healthcare workforce&#8221; to include veterinarians? I&#8217;m sure NY&#8217;ers will now appreciate where their tax dollars will go.</p>
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		<title>By: hashmd</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/#comment-14782</link>
		<dc:creator>hashmd</dc:creator>
		<pubDate>Wed, 11 Nov 2009 20:14:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3693#comment-14782</guid>
		<description>As I have said before, any changes should be applied to the healthcare the President, Senate, and House gets. Why should they get a plan that no one else in the country gets. 

Only then would they &quot;get it&quot; that their &quot;reforms&quot; don&#039;t work.</description>
		<content:encoded><![CDATA[<p>As I have said before, any changes should be applied to the healthcare the President, Senate, and House gets. Why should they get a plan that no one else in the country gets. </p>
<p>Only then would they &#8220;get it&#8221; that their &#8220;reforms&#8221; don&#8217;t work.</p>
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		<title>By: MacMaster</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/#comment-14778</link>
		<dc:creator>MacMaster</dc:creator>
		<pubDate>Wed, 11 Nov 2009 19:12:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3693#comment-14778</guid>
		<description>So true - but remember... this is NOT about healthcare or the &quot;uninsured&quot;. This is only about power, and the solidification of a Democratic ruling class. 

Only when the liberals have succeeded in the creation of dependency (of the majority of the electorate) on the government, can they be confident of being in power for a long long time. The sheeple will not vote against the hand that feeds/nurtures/manages them..... 

History repeatedly shows that overturning the resulting tyranny (the all knowing, all seeing, all caring government) is very difficult to do. It is best to not allow it to happen in the first place.

Voting matters - vote conservative in 2010...</description>
		<content:encoded><![CDATA[<p>So true &#8211; but remember&#8230; this is NOT about healthcare or the &#8220;uninsured&#8221;. This is only about power, and the solidification of a Democratic ruling class. </p>
<p>Only when the liberals have succeeded in the creation of dependency (of the majority of the electorate) on the government, can they be confident of being in power for a long long time. The sheeple will not vote against the hand that feeds/nurtures/manages them&#8230;.. </p>
<p>History repeatedly shows that overturning the resulting tyranny (the all knowing, all seeing, all caring government) is very difficult to do. It is best to not allow it to happen in the first place.</p>
<p>Voting matters &#8211; vote conservative in 2010&#8230;</p>
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		<title>By: Patrick Connell</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/#comment-14776</link>
		<dc:creator>Patrick Connell</dc:creator>
		<pubDate>Wed, 11 Nov 2009 18:34:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3693#comment-14776</guid>
		<description>Why does everyone keep calling this &quot;health care reform?&quot; I would be the first to agree that we need health care reform! This is PAYMENT REFORM. When the feds force the insurance companies to take on the high risk (pre-existing conditions) who actually believes anything other than that costs of private insurance will increase by 50%? True health care reform is long overdue and will require a substantial cultural change in both the provider and consumer groups. Stop calling this trojan horse something other than what it is!</description>
		<content:encoded><![CDATA[<p>Why does everyone keep calling this &#8220;health care reform?&#8221; I would be the first to agree that we need health care reform! This is PAYMENT REFORM. When the feds force the insurance companies to take on the high risk (pre-existing conditions) who actually believes anything other than that costs of private insurance will increase by 50%? True health care reform is long overdue and will require a substantial cultural change in both the provider and consumer groups. Stop calling this trojan horse something other than what it is!</p>
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		<title>By: throckmorton</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/#comment-14775</link>
		<dc:creator>throckmorton</dc:creator>
		<pubDate>Wed, 11 Nov 2009 17:24:20 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3693#comment-14775</guid>
		<description>The hospitals in our area lose money on self pay and Medicaid, they lose less to barely break even on Medicare.  The money from private insurance patients offsets the losses.  Even so, only 1 of four made money last year.  The other three all lost money.  (All our hospitals are non-profit).

If this &quot;reform&quot; passes, Medicare is cut, Medicaid is expanded and the private insurers drop out, our hospitals will not survive.</description>
		<content:encoded><![CDATA[<p>The hospitals in our area lose money on self pay and Medicaid, they lose less to barely break even on Medicare.  The money from private insurance patients offsets the losses.  Even so, only 1 of four made money last year.  The other three all lost money.  (All our hospitals are non-profit).</p>
<p>If this &#8220;reform&#8221; passes, Medicare is cut, Medicaid is expanded and the private insurers drop out, our hospitals will not survive.</p>
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		<title>By: David Gray</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/#comment-14774</link>
		<dc:creator>David Gray</dc:creator>
		<pubDate>Wed, 11 Nov 2009 17:07:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3693#comment-14774</guid>
		<description>Its gonna be interesting when Docs, as an unorganized group, react to what these clowns in Washington are doing.</description>
		<content:encoded><![CDATA[<p>Its gonna be interesting when Docs, as an unorganized group, react to what these clowns in Washington are doing.</p>
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		<title>By: HChilds</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/#comment-14772</link>
		<dc:creator>HChilds</dc:creator>
		<pubDate>Wed, 11 Nov 2009 16:22:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3693#comment-14772</guid>
		<description>Liberals and Demwit states should be the first to feel the pinch of &#039;health care reform&#039;.  This is a great first step.</description>
		<content:encoded><![CDATA[<p>Liberals and Demwit states should be the first to feel the pinch of &#8216;health care reform&#8217;.  This is a great first step.</p>
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		<title>By: DaveyNC</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/#comment-14737</link>
		<dc:creator>DaveyNC</dc:creator>
		<pubDate>Tue, 10 Nov 2009 22:15:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3693#comment-14737</guid>
		<description>Sweet revenge, I&#039;d say.</description>
		<content:encoded><![CDATA[<p>Sweet revenge, I&#8217;d say.</p>
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		<title>By: Tweets that mention New Yorkers may feel the pinch of healthcare reform &#124; WhiteCoat's Call Room -- Topsy.com</title>
		<link>http://www.epmonthly.com/whitecoat/2009/11/new-yorkers-may-feel-the-pinch-of-healthcare-reform/#comment-14736</link>
		<dc:creator>Tweets that mention New Yorkers may feel the pinch of healthcare reform &#124; WhiteCoat's Call Room -- Topsy.com</dc:creator>
		<pubDate>Tue, 10 Nov 2009 22:05:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3693#comment-14736</guid>
		<description>[...] This post was mentioned on Twitter by Dr. Brennuh and EPMonthly, Healthcare_3.0. Healthcare_3.0 said: RT @epmonthly: New Yorkers could be the ones to feel the pinch of #healthcare #reform http://bit.ly/1nA6AR #hcsm [...]</description>
		<content:encoded><![CDATA[<p>[...] This post was mentioned on Twitter by Dr. Brennuh and EPMonthly, Healthcare_3.0. Healthcare_3.0 said: RT @epmonthly: New Yorkers could be the ones to feel the pinch of #healthcare #reform <a href="http://bit.ly/1nA6AR" rel="nofollow">http://bit.ly/1nA6AR</a> #hcsm [...]</p>
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