Posts Tagged ‘Patient Protection and Affordable Care Act’

  • The New Entitlement and the Future of Medicare


    I am a practicing Home Health Nurse. Nearly every day patients ask me what I think is going to happen to Medicare. Many of my patients are over 65. I also have a cadre of doctors and nurses I communicate with on a regular basis, and they too ask my opinion on the future of Medicare. Many of my MD friends have already made their decisions about Medicare and have begun to scale back on treating Medicare patients because they cannot financially sustain their practices in the face of current reimbursement levels. And they know that further cuts in reimbursement rates are around the corner.

    Medicare is in trouble. Most of us are aware of that. How can an already struggling entitlement withstand pending flood of baby boomers that threatens to swamp the Medicare system over the next 10-15 years. It has been calculated that Medicare Parts A & B will run out of money.

    Now lets look at Obamacare — or The Patient Protection and Affordable Act (PPACA) as it’s officially (and ironically) called. I have read this bill three times, and I draw attention to two areas: Fund transfers and minimum standards for coverage. Passed last March, Obamacare sets a minimum standard for health care coverage and creates a mandate for most US residents to obtain health insurance. This provision is currently being challenged by many states and cannot get to the Supreme Court quickly enough to have it overturned and deemed unconstitutional.

    The provision is based on the assumption that everyone needs to be insured. This is where the fund transfers will kick in. By 2014 the PPACA and its amendments provides for the establishment of “Insurance Exchanges” through which individuals and families that otherwise can not afford insurance premiunms will be able to receive Federal subsidies to reduce the cost of purchasing the insurance coverage. Thus, a new entitlement has been created. Or you can think of it as simply a massive expansion of Medicaid.

    Where will the major transfer of funds come from to pay for what I call “The Third Entilement”?  The new entitlement expands the eligibility of Medicaid by amending Medicare ‘s Part A and Part  B to reduce the growth of spending. In a nutshell, transfers of funds from Medicare Part A & B will be used to fund new and existing grant programs. This will wipe out Medicare.

    If you need more reasons to support the repeal of Obamacare, check out “Ten Reasons to Repeal Obamacare“.

    Cartoon Credit: Lloyd Marcus

  • The Health Reform Law: The Swindle of our Lifetime


    The day that the Patient Protection and Affordable Care Act was made available on the Internet, I began reading it. I figured that since I am so involved with my career as a Registered Nurse and health care industry entrepreneur, I needed to see for myself what was really in it. I read for hours, re-reading many paragraphs due to verbiage was difficult to understand. I found the opposite to be true in other areas with passages so compelling that it was hard to stop reading. Much to my surprise, it was these areas that had absolutely nothing to do with “health care”.

    I have read the entire bill two more times — start to finish.  My general conclusion is that this bill is the swindle of our lifetime. I was astounded to see the hit that small businesses like my own will take. Insurance premiums were undoubtedly going to increase and capital gains taxes would go up an additional 3.8 %. Expenditures of $600 or more would require a W-9, adding the burden of hiring someone to administer this new paperwork. The taxation measures aimed at small businesses are so frightening that I began to reconsider my hiring plans and explored the very dark possibility that my small business would not survive another two years.  My business at this writing is growing and is profitable but this law leaves its future uncertain.
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  • Welcome to Hanas on Health!


    Welcome to Hanas on Health!  I am excited to be writing about America’s health care policies and the changes that we have recently encountered with “Healthcare Reform”.  I have been a practicing Registered Nurse for several years and a successful entrepreneur in the health care industry, I have begun to feel the adverse affects recent health reform measures are having on our  current health care system.

    Hanas on Health is my place to share my experiences with the implementation of this reform and why I am advocating that it be repealed. I will be exploring in depth how these reforms are affecting small businesses, health care professionals, entrepreneurs, individuals and homeowners. In detail. I will also touch on various efforts to repeal and defund Obamacare, as well as new reform proposals by elected officials such as Congressman Paul Ryan’s proposals on entitlement reform.

    Stay tuned and welcome to the trenches of America’s health care policy!