Could the Obamacare Dream Turn Into a Nightmare for This Industry?

If we were to draw two columns -- one for winners from the Patient Protection and Affordable Care Act, or PPACA, and another for losers -- the word "hospitals" would probably be listed near the top in the winner's column. Large hospital chains Health Management Association (NYSE: HMA  ) and Tenet Healthcare (NYSE: THC  ) , have seen their stocks more than double over the past year, while Community Health Systems (NYSE: CYH  ) is up around 75%.

Investors flocked to hospital stocks in anticipation of the full implementation of PPACA, commonly referred to as Obamacare. In the minds of many, Obamacare presented a dream come true for helping hospitals to flourish. But could that dream now be turning into a nightmare for the industry?

Pleasant dreams
Many hospitals currently write off large amounts of bad debt when patients can't pay for services. They also often face competition from specialty physician-owned hospitals that are sometimes accused of cherry-picking the most lucrative patients with generous insurance benefits.

Key components of Obamacare sounded great to hospital operators. Medicaid would be expanded in all of the states to cover more uninsured Americans. The legislation's employer mandate promised to force all but the smallest employers to provide health insurance with extensive benefits or pay steep fines. Likewise, most individuals not covered by their employers or through government programs would be required to purchase insurance or pay fines. The dream of reducing those huge bad debt write-offs seemed attainable.

Obamacare also prohibited the establishment of new physician-owned hospitals. For ones already in existence, the bill placed restrictions on expansion. While Obamacare didn't fulfill the wildest dreams of hospitals not run by physicians, it seemed to deliver some pleasant changes to the status quo.

Rude awakenings
The biggest drawback for Obamacare was that hospitals had to go along with $155 billion in Medicare and Medicaid cuts. That wasn't considered too bad, though, since they would get that money back and then some, with all of those previously uninsured patients gaining insurance. Unfortunately, there have been a few rude awakenings disrupting the dream.

First, the Supreme Court ruled last summer that Obamacare's requirement that states expand Medicaid was unconstitutional. As of last count, 18 states opted to either not expand Medicaid or are leaning in that direction.

Earlier this month, the White House delayed implementation of the employer mandate that was scheduled to go into effect in 2014. The House of Representatives is also pushing forward with a proposed delay of the individual mandate.

Meanwhile, those Medicare and Medicaid cuts are scheduled to move forward. This has prompted calls by the American Hospital Association to push back the cuts along with the employer mandate, especially since the employer mandate delay "comes at a time when there is significant uncertainty regarding Medicaid expansion."

What about those physician-owned hospitals? They're actually making more money under Obamacare. Of the physician-owned hospitals eligible for quality incentives enacted by the law, 75% are receiving higher reimbursement. For hospitals not owned by physicians, 74% received penalties rather than incentive payments.

Nightmares ahead?
Investors are still banking on having millions of newly insured Americans help hospitals' financial performance. However, the possibility exists that the dreams could turn into nightmares.

Employers have been adding more part-time workers than full-timers, and in some cases, they're converting their full-timers to part-timers. Paul Dales, senior U.S. economist at Capital Economics, says companies may be seeking to avoid paying for insurance as required by Obamacare

The key to success for Obamacare's individual mandate is for young Americans who are currently uninsured to buy insurance through health insurance exchanges. That might prove more difficult than initially thought. ADP Research Institute found that only half of young adults with coverage through their employers take advantage of it. ADP's Tim Clifford says the penalties for individuals who don't buy insurance are "kind of invisible," since they aren't assessed until taxes are filed and are "probably not enough to change behavior."

Even if we assume that these concerns are overblown and Obamacare results in significantly fewer uninsured patients, hospitals could have another worry. Paul Keckley, executive director for the Deloitte Center for Health Solutions, recently told hospital executives that "there is no scenario, looking forward, where bad debt goes down."

Deloitte ran multiple models assessing the impact of Obamacare, only to find that the assumption of reduced bad-debt write-offs that many hospitals have counted on could be wrong. A key issue is that an increasingly higher percentage of hospitals' bad debt actually stems from patients who have insurance. Insured patients with high deductibles often don't pay what they owe.

Winners column
A potential bright spot remains for some hospitals, though, even if many of the earlier dreams fade away. Obamacare is one of several factors pushing hospitals toward consolidation to achieve efficiencies. Tenet, for example, recently announced plans to buy Vanguard Health Systems (NYSE: VHS  ) . If the deal goes through, the combined organization will include 79 hospitals and 157 outpatient clinics. There has also been buzz that Community Health Systems might buy HMA.

The efficiencies resulting from consolidation are nice, but an even greater advantage could come from the pricing leverage obtained as a result of larger scale. One study found that hospitals raised prices 40% after mergers that absorbed nearby rivals. Such cost savings and pricing powers could keep large hospitals in the Obamacare winner's column despite the other issues. Unfortunately, they could add to the loser's column, too.

Are you wondering whether you will be a winner or loser with Obamacare? The Motley Fool's new free report, "Everything You Need to Know About Obamacare," lets you know how your health insurance, your taxes, and your portfolio could be affected. Click here to read more. 


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  • Report this Comment On July 20, 2013, at 7:12 PM, doco177 wrote:

    1. Millions are losing the insurance Obama promised they could keep. Because ObamaCare forces employers to offer expensive Cadillac plans but also offers the option of paying a fine for not providing health insurance that can be cheaper than providing it, between seven and twenty million Americans are likely to lose their health insurance coverage according to the Congressional Budget Office. The original estimate was closer to four million.

    2. The cost of healthcare premiums is about to further skyrocket. Premium costs have already exploded, but that is a slow-motion explosion. In the near future, we could see costs double or worse. Naturally, these costs will hit an already burdened middle class hardest.

    3. Lost jobs. Lost jobs.

    The Federal Reserve's March beige book on economic activity noted that businesses "cited the unknown effects of the Affordable Care Act as reasons for planned layoffs and reluctance to hire more staff."

    Human resources consulting firm Adecco found that half of the small businesses it surveyed in January either plan to cut their workforce, not hire new workers, or shift to part-time or temporary help because of ObamaCare.

    4. Potential doctor shortages that will mean rationing: The healthcare industry is already a bureaucratic quagmire. ObamaCare is about to add steroids. As the profession becomes tyrannized by government, the talented people currently practicing medicine plan to get out sooner than expected. Who knows how many will choose not to get in. Doctor shortages are what lead to the nightmare known as rationed care.

    5. Somewhere around $800 billion in tax increases will hit America's middle class. This added burden will not only further oppress a middle class already reeling from a drop in wages over the last few years, but could damage the overall economy.

    6. Inflation, the cruelest tax on the poor. When businesses get socked with added costs brought about by higher taxes and burdensome government mandates, they pass those cost along to the consumer in the form of higher prices.

    7. Added bureaucracy. Even those Obama lapdogs over at the Washington Post's Wonk Blog are admitting that applying for health care is about to get more burdensome than the byzantine paperwork involved in buying a home.

    8. To cut costs or to avoid having to provide insurance, workers on the economic margins are already losing hours, which means a lower paycheck. There are a million sad stories in ObamaVille; here are just a few of them.

    9. ObamaCare is projected to add $6.2 TRILLION to a deficit the GAO has already declared "unsustainable." That's "trillion" with a "t".

    10. More taxes than currently estimated are likely to hit because of situations like this one.

    11.Muslims, Amish, Native Americans, Congress are exempt from mandate and penalties under Obamacare that the rest of us have to pay.

    The govt becoming more involved in health care is the reason the costs have increased. So Govt creates a crisis, then provides a solution that comes at the expense of liberty and freedom, costs trillions, and by most accounts won't solve the problem but in fact make it far worse.Corruption, incompetence, disregard of the Constitution, and lying are integral to the way that this country is being run.

    Three years ago, Obama, Democrats, and his media lied to us about cutting the cost of health care, being able to keep our insurance, and not taxing the middle class.

    Today, those lies and what ObamaCare is and will do to the working and middle class are the biggest untold story in America.

    Boycott and refuse Obamacare...If only a mere 20% of the over 300 million population of the USA boycott Obamacare the government would be overwhelmed to even think they could penalize or mandate every citizen that refused to participate in the most corrupt and unlawful ways which it was passed that circumvented the constitution of the United States.

  • Report this Comment On July 20, 2013, at 7:20 PM, doco177 wrote:

    1. Millions are losing the insurance Obama promised they could keep. Because ObamaCare forces employers to offer expensive Cadillac plans but also offers the option of paying a fine for not providing health insurance that can be cheaper than providing it, between seven and twenty million Americans are likely to lose their health insurance coverage according to the Congressional Budget Office. The original estimate was closer to four million.

    2. The cost of healthcare premiums is about to further skyrocket. Premium costs have already exploded, but that is a slow-motion explosion. In the near future, we could see costs double or worse. Naturally, these costs will hit an already burdened middle class hardest.

    3. Lost jobs. Lost jobs.

    The Federal Reserve's March beige book on economic activity noted that businesses "cited the unknown effects of the Affordable Care Act as reasons for planned layoffs and reluctance to hire more staff."

    Human resources consulting firm Adecco found that half of the small businesses it surveyed in January either plan to cut their workforce, not hire new workers, or shift to part-time or temporary help because of ObamaCare.

    4. Potential doctor shortages that will mean rationing: The healthcare industry is already a bureaucratic quagmire. ObamaCare is about to add steroids. As the profession becomes tyrannized by government, the talented people currently practicing medicine plan to get out sooner than expected. Who knows how many will choose not to get in. Doctor shortages are what lead to the nightmare known as rationed care.

    5. Somewhere around $800 billion in tax increases will hit America's middle class. This added burden will not only further oppress a middle class already reeling from a drop in wages over the last few years, but could damage the overall economy.

    6. Inflation, the cruelest tax on the poor. When businesses get socked with added costs brought about by higher taxes and burdensome government mandates, they pass those cost along to the consumer in the form of higher prices.

    7. Added bureaucracy. Even those Obama lapdogs over at the Washington Post's Wonk Blog are admitting that applying for health care is about to get more burdensome than the byzantine paperwork involved in buying a home.

    8. To cut costs or to avoid having to provide insurance, workers on the economic margins are already losing hours, which means a lower paycheck. There are a million sad stories in ObamaVille; here are just a few of them.

    9. ObamaCare is projected to add $6.2 TRILLION to a deficit the GAO has already declared "unsustainable." That's "trillion" with a "t".

    10. More taxes than currently estimated are likely to hit because of situations like this one.

    11.Muslims, Amish, Native Americans, Congress are exempt from mandate and penalties under Obamacare that the rest of us have to pay.

    The govt becoming more involved in health care is the reason the costs have increased. So Govt creates a crisis, then provides a solution that comes at the expense of liberty and freedom, costs trillions, and by most accounts won't solve the problem but in fact make it far worse.Corruption, incompetence, disregard of the Constitution, and lying are integral to the way that this country is being run.

    Three years ago, Obama, Democrats, and his media lied to us about cutting the cost of health care, being able to keep our insurance, and not taxing the middle class.

    Today, those lies and what ObamaCare is and will do to the working and middle class are the biggest untold story in America.

    Boycott and refuse Obamacare...If only a mere 20% of the over 300 million population of the USA boycott Obamacare the government would be overwhelmed to even think they could penalize or mandate every citizen that refused to participate in the most corrupt and unlawful ways which it was passed that circumvented the constitution of the United States.

  • Report this Comment On July 20, 2013, at 8:02 PM, rschatz2525 wrote:

    YES We tried to warn you

  • Report this Comment On July 20, 2013, at 8:09 PM, Acttorneyatliar wrote:

    I've seen simple (simpleton) comments here from Obamalievers asserting that The Motley Fool simply does not like Obummercare and therefore posts articles such as the foregoing warning America about the downsides of his great socialist plan to cure America's healthcare ills. What is apparent is that such simpletons simply have not read the articles or done any research on their own into this impending train wreck. Their faith in their messiah, his lamestream media lapdogs, and his dooming socialist ideals is absolute, if completely ignorant and foolish. As pathetic as it is, the ignorant who voted for this liar did so twice and would do so again because his socialist smooth talk and promises - despite that they have been entirely unfulfilled - remain their gospel.

  • Report this Comment On July 20, 2013, at 8:27 PM, Jason87467 wrote:

    It will turn the hospitals in a nightmare in terms of how much money they can rob the patients, but that does not mean they will not make enough.

  • Report this Comment On July 20, 2013, at 9:06 PM, scottman927 wrote:

    i think the title of this article is starting off pretty misleading;the healthcare industry in america is colossal mess,its a disaster;we have the most advanced technology in the world,and the worst most cost UNproductive system in the world,by most standards;before obama came to office,the entire industry was controlled by lobbyists. the AMA is one of the most powerful lobbyists in DC,and in the past,and still,COLLUDE with mostly republican leaders in very private places and closed door meetings,to plot ways to make "the change makers" appear to be "ruining a great system". Hospitals are for profit entities and that has always been a serious conflict of interest when it comes to health. Before obama came along,the industry had its GRIP on the throat of america and could write its own policies and never worry about a republican prez giving it headaches (cuz they made huge contributions to pacs). the healthcare industry is like a massive swamp and all the creatures that dwell in that swamp like it just the way it is. when i see comments here that absolutely WREAK of stunning,disgusting ignorance,its no wonder things have been the same way,for so long. The real problem with america,is that its SOOO HARD to get the truth to the People about whats really going on;and whats really going,is that the healthcare industry,.....that (for SO long) enjoyed never being bothered about it RIPPING everyone off,now is scared to death it might have to play by some reasonable rules. There is roughly a 99% chance that someone being critical of obamacare,has been severely lied to about most aspects of it.

    if someone has a pre-existing condition,they now know the road to giving them a better shot at dealing with it,has finally began getting paved,even thought the entire road is still a long way off. Is that so terrible?

  • Report this Comment On July 20, 2013, at 9:09 PM, mman5513 wrote:

    The only reason my son with multiple organ failure was transferred to a quality hospital in Mt. Sinai was because I had a so called cadillac plan...

  • Report this Comment On July 20, 2013, at 9:30 PM, JePonce wrote:

    Obamacare is not about health care.

    It is about control.

    Government will take control of $2.4 trillion formerly a part of the private sector economy.

    Government will take control of the citizens. When politicians own your health they own you. Obamacare provides government to dictate what you can and can not eat and drink, and it can impose a fat tax on anyone who is over weight, unless of course, you are a politician.

  • Report this Comment On July 20, 2013, at 9:35 PM, ChrisMcPhail wrote:

    Look who’s new in the white house!

    Arif Alikhan – Assistant Secretary for Policy Development for the U.S. Department of Homeland Security

    Mohammed Elibiary – Homeland Security Adviser

    Rashad Hussain – Special Envoy to the Organization of the Islamic Conference (OIC)

    Salam al-Marayati – Obama Adviser and founder of the Muslim Public Affairs Council and is its current executive director

    Imam Mohamed Magid – Obama’s Sharia Czar from the Islamic Society of North America

    Eboo Patel – Advisory Council on Faith-Based Neighborhood Partnerships

    This is flat-out scary!!!

    The foxes are now officially living in the hen house… Now ask me why I am very concerned!!! Do you feel OK with this??? We are quiet while our Country is being hi-jacked out from under us by Obama and his THUGS!!!

  • Report this Comment On July 20, 2013, at 9:59 PM, stever7golf wrote:

    Motley FOX Biased garbage!

  • Report this Comment On July 20, 2013, at 10:07 PM, Jarhead44 wrote:

    Obama must be impeached and removed from office. He has done enough, including his attitude towards Christians. His lack of action with regard to Benghazi. His unlawful use of the I.R.S., N.S.A., C.I.A. and his outside contractors. ie; Muslim Brotherhood and his blatant disregard for the economy that impeachment and jail time should be on the American Citizens Priority list. We need to push our Congress to do something and stay on them until they do. You can add Pelosi, Clinton, Reid and the rest of his regime to the list of people who should be prosecuted for crimes against humanity.

  • Report this Comment On July 20, 2013, at 10:12 PM, CADDYKID wrote:

    One real truth.....You cannot add millions of teat sucking losers into any system and come out ahead. There are only so many doctors. There are not enough doctors now. Therefore, good luck seeing one before a 6 month appointment time. I'll stick to my Cadillac plan and private doctors.

  • Report this Comment On July 20, 2013, at 10:21 PM, therylmccoy wrote:

    Hey Hospitals, maybe if your healthcare was a bit more affordable we wouldn't have to stick you with the bill.

    $25 for a single aspirin? $75 for a box of gauze? Why do we have to pay these prices?

  • Report this Comment On July 20, 2013, at 10:24 PM, stevmg wrote:

    So what is your option?

    1). Leave people uninsured?

    2). Not have coverage for pre-existing conditions?

    Remember, when a non-paying patient goes to an ER and gets care but doesn't pay for it (NOW) the cost of that care doesn't magically go away by a "write-off". The cost of that care is provided by the hospital which must transfer that cost to the paying patients/insurance which raises the rates for everyone.

    That isn't blind socialism, that's a Heritage Foundation Plan and one Bob Dole had proposed in the nineties.

    Motley Fool has forgotten their roots and all they are interested in is profit, not service and medical care is a service which society must provide to its citizens. How far you go with the service is subject to debate. In medical circles we have a word for it "Triage" (sorting). We have been doing it for years and it will continue to be done. To wit, how long do you keep eighty year old grandma alive on a ventilator in an ICU which will increase her life expectancy maybe one month when that same money could give a forty year old extended productive life. That's the question and ones like it which have to be addressed.

  • Report this Comment On July 20, 2013, at 10:58 PM, RHO1953 wrote:

    Obamacare is a cruel lie. The mandate that forces you to buy insurance at rates much higher than before also has an escape hatch. If it is higher than a set percentage of your income even after subsidies, you are exempt. We will never see the percentage of people covered that was advertised. Young people are going to get hammered. They use the least health care but their premiums will be subsidizing others. You will force them to decide between eating and housing and insurance. Most will simply pay the penalty and move on naked. They can just wait until they have a major illness and buy insurance since they can't be denied coverage for pre-existing conditions after full implementation. It is a disaster by design. Obama and his minions have set up an intentional Trojan Horse that will obliterate the health care system.

  • Report this Comment On July 20, 2013, at 11:13 PM, strifle wrote:

    Lies!!! All lieeees!!!

  • Report this Comment On July 20, 2013, at 11:30 PM, ceh4702 wrote:

    If you had lost your job at over age 50 and were having a hard time finding a new one or had to take a nowhere job to get by and cant afford an extra $600 a month just to insure a spouse who is now out of work just to find the government wanted you to pay a big fine you might not like O'bammacare that much either. People in the IRS take the 5th and dont go to jail or get fined but if you dont pay your taxes you might go to jail. Welcome to a world where you have no rights.

  • Report this Comment On July 20, 2013, at 11:57 PM, clloyd53 wrote:

    Many doctors and private hospitals limit the number of patients they treat that have Medicaid or Medicare. They do this because of the reduced fees that these programs pay. To make up for it doctors and hospitals run unnecessary test and exams and pawn patients off to specialist in their groups. So to get every penny from these programs possible. The medical industry are raping the people. And the government gives them a nod and a wink. Because every penny given to corporations. Help the economic indicators rise. Further more it was a yearly custom for hospitals to ask Congress for money to cover uninsured immigrants. Congress always paid these private hospitals for full cost of treatments. Now hospitals will get reduced payments for immigrants. That will hurt private hospitals. And I hope it makes them have to fold. The thieving scum.

  • Report this Comment On July 21, 2013, at 12:55 AM, DANGOMEZ322 wrote:

    IN 2007, I BECAME FED UP WITH THE POOR DECISIONS OF PHYSICIANS, WHOSE ONLY PURPOSE, WAS TO GENERATE INCOME FOR THE HOSPITAL THEY WERE WORKING IN. IT WAS NO LONGER ABOUT PATIENT CARE, BUT ABOUT THE BOTTOM LINE FOR THE COMPANY, AND THE STOCKHOLDERS. COSTS CUTS, LACK OF SUFFICIENT TRAINED STAFFING, UNNECESSARY TESTS ORDERED AT REDICULOUS TIME DURING A PATIENT'S CARE, AND SO MANY OTHER PRACTICES. FAMILIES BEING LIED TO, IN ORDER TO EXTEND THE CARE OF THEIR LOVED ONES INORDER TO COLLECT MORE INCOME. PATIENTS LIED TO BY OMNIPOTENT PHYSICIANS, TRYING TO PLAY GOD. EGOS OUT OF CONTROL WHEN IT COMES TO APPLYING MEDICAL KNOWLEDGE. IT WAS 39 YRS. OF WATCHING THIS DEVELOPE, AND FINALLY NOT WANTING TO BE A PARTICIPANT IN THE CIRCUS OF HEALTHCARE. WHEN IT BECAME "THE HEALTHCARE INDUSTRY", PATIENT CARE TOOK A BACKSEAT TO PROFIT. THERE ARE STILL MANY DOCTORS STRUGGLING TO ACTUALLY CARE FOR PEOPLE, BUT THE BIGGEST REASON FOR GOING TO MEDICAL SCHOOL IN THE PST 20 YRS. IS TO BECOME WEALTHY. I WORKED IN A TEACHING HOSPITAL, AND 1 IN A 100 MEDICAL RESIDENTS WOULD ACTUALLY BECOME A DOCTOR. I DON'T EVEN WANT TO GET STARTED ON THE NURSING PROFESSION ! KEEP THIS ALWAYS IN MIND, DOCTORS BURY THEIR MISTAKES ! I HAD EXPECTED TO WORK UNTIL I COULD NOT PHYSICALLY DO SO, BUT I COULD NO LONGER DO IT EMOTIONALLY. I RETIRED DURING THE 12 HOUR NIGHTSHIFT I COMPLETED THAT NIGHT IN MARCH OF 2007, AT THE AGE OF 62. I HAVE MISSED IT, BUT I WOULD HAVE WOUND UP IN JAIL FOR ASSDAULT, IF I HAD CONTINUED TO PRACTCE MY PROFESSION.

  • Report this Comment On July 21, 2013, at 1:00 AM, DANGOMEZ322 wrote:

    P.S. IF YOU ACTUALLY KNEW WHAT TAKES PLACE IN HOSPITALS, YOU WOULD BE AFRAID TO BE ADMITTED, OR GO TO AN EMERGENCY ROOM. YOU WOULD BE VERY AFRAID !!

  • Report this Comment On July 21, 2013, at 1:01 AM, pebear wrote:

    Hospitals are just a legal form of extortion. Just look at your average bill from any hospital. 50 dollar aspirins, 25 dollar tums, 100 dollar unused bed pans. It kinda reminds me of the 300 dollar hammers that vendors have been charging the Air force. The sad fact is if you don't have insurance you don't have an agreement with any medical facility or healthcare cooperative then when you happen into these places you have to pay full retail price because you don't have the insurance company to negotiate better rates than the rull retail price. I don't feel bad for hospitals, they are run just like the mafia. They charge as much as they can get away with. Then if their investors get nervous about continued profit growth, they lay off a bunch of nurses and care goes down and profits soar.

  • Report this Comment On July 21, 2013, at 1:04 AM, puglvr1 wrote:

    Well as a cancer survivor whose insurance rates(bluecross of Georgia) have went up by 47.6 percent since January,If I get sick again,out of principle I will not beg the Idiot in Chief or his beauracrats for treatment. I will give them their dream patient. I will ask for enough pain medicine that just like a dog I can go lie down in a field and just pass away. Anyplace I end up is got to be better than here in the former land of the free and home of the brave....

  • Report this Comment On July 21, 2013, at 2:16 AM, impeachobama wrote:

    " Dream Come True ? " It's been a Nightmare from day one. When something is over 2000 pages long and Nancy Botox tells the Stupid Republicans they have to pass it before the read it, and they do, you know you're in deep doo doo But of course , America has been lead by what the People want since Harry Truman left this Mortal Coil.

  • Report this Comment On July 21, 2013, at 4:33 AM, PuppetGorilla wrote:

    God Shed His Grace on Thee,

    Birdies should be tamed.

    If a dingo cant stay in, it should be caught.

    7 city pledge was just a demonstration and this fool is really legal already. Legally your ex, and I'm never gonna marry anyone except my true love. Aint it crazy I'm a red dragon and not a green one? Well Merry Christmas is Happy Birthday too. And Corey Monteito is dead because noone would cover up those who needed privacy. Now our homeland has an excuse to whitewash the fence in a full force end, or a beginning to what Isaiah states as God will build a highway in the remenance of his people since he saw the hand of this fool. Be saved by heaven, be good to your pets, and the brothers of this country.

  • Report this Comment On July 21, 2013, at 7:58 AM, Namath13 wrote:

    Hey stevmg, who says we have to have plans for everyone? This is America, where in the U.S. Constitution does it say that we need to have health insurance for everyone? This is a free country and we'd like to keep it that way. The system we had was far superior to anything out there!! Why do you socilaists always have to tinker with everything in an effort to collectivize it? The best decisions for everyone are always made at the local levels!! Didn't you learn anything from that great experiment that went so horribly wrong in the USSR?

  • Report this Comment On July 21, 2013, at 8:48 AM, reagan105 wrote:

    Just another redistribution of wealth, people who work paying for those who won't! The biggest problems I see are college grads buried with student loans and now the bill for obamacare. The average student will be paying $900 between these two bills. Thats before they put food in their mouth! How can we expect them to buy cars or homes? Basically the President robbed them of a future! Now add 20 million illegals getting free healthcare, who pays for this? You know Obamacare is a nightmare, they passed it without a single member in congress reading it, I am sure it will be the same for the immigration bill!

  • Report this Comment On July 21, 2013, at 9:31 AM, Icthelite wrote:

    The scary thing to me about this whole program is that our congressional representatives voted for an open ended extortion agreement. We now know there was never actually a written plan for anyone to read at the time Pelosi was waving some catalog around yelling they had to approve it in order to know what was in it. Now even though the PPACA has been signed into law we are seeing more changes to it as each day, month and year goes by.

    If this is really a law that everyone has to comply to why are the constant changes not going back to Congress for review and the voting process that is required to change a law?

  • Report this Comment On July 21, 2013, at 9:48 AM, JackTroy wrote:

    Have you ever noticed that when the Highway Dept. are widening a highway or fixing a bridge it usually takes 3 to 5 years because there really is no urgency---the bid was accepted and you can't look for someone else to finish a the project even if it went on for 15 years. You drive past these road projects everyday, nobody is there working but its not a holiday or bad weather.

    In my state of NY I have to watch existing bridges rust and concrete crumble and ask why this happens when it is so much more cost effective to maintain than to replace. I also pay money every day for the NY State Thruway to (supposedly) keep up the highway. But government and public service unions would much rather watch these ROT knowing that they will get featherbedding and employment opportunities so that governnebt money can be appropriated to show "we are working for you."

    In 2010 Congress voted the "highway department" approach to making sure you get your health care. If its a matter of life an death just hope that the new class of medical shovel-leaners aren't on a break. BTW if you a liberal you are an idiot.

  • Report this Comment On July 21, 2013, at 9:57 AM, gaynorhenry wrote:

    There is no could be or might be, in this, it will be a disaster. It's one thing to change a system and ensure everyone is covered and prices are lower or stay the same but that clearly is not going to happen. Instead we are faced with more red tape and a convoluted process and set of rules. The changes are already causing issues in our healthcare which was working just fine thanks; my husband never heard from his healthcare provider now we get calls regularly and I am afraid that is just the tip of the iceberg.

  • Report this Comment On July 21, 2013, at 10:57 AM, josephamiller wrote:

    DEAR SIR OR MAMA,I HAVE 2 BIG PROBLEMS WITH OBAMA CARE.FIRST I AM A CATHOLIC AND OBAMA CARE TRIES TO FORCE CATHOLIC HOSPITALS TO GO AGAINST THEIR FAITH AND HAND OUT CONDUMS.THIS VIOLATES FREEDOM OF RELIGION.SECOND OUR COUTRY HAS BECOME TOO DEPENDANT ON GOVERNMENT WITH FOOD STAMPS AND OTHER PROGRAMS ,SURE MANY NEED THESE AND I UNDERSTAND THAT BUT I ALSO BLIEVE WE NEED TO PUT MORE AMERICANS BACK TO WORK.WHICH MEANS REDO OF TRADE AGREEMENTS SO WE CAN EXPORT MORE .AND KEEP PEOPLE WORKING. GIVE A MAN A FISH (FOOD STAMPS) HE EATS FOR A DAY.GIVE HIM A JOB AND HE NOT ONLY EATS BUT HAS SO SELF ENSE OF WORTH.FDR HAD CCC CAMPS WHICH GAVE PEOPLE MONEY BUT THEY HAD TO WORK.WHY NOT DO SOMTHING LIKE THAT AGAIN.REMEMBER DC IS NOT THE GOVERNMENT .IT IS WE THE PEOPLE !!!!

  • Report this Comment On July 21, 2013, at 11:29 AM, csymonds wrote:

    Obamacare has already prompted hospital to cut their part-time help from 35 hours a week to 29 hours a week. School are also following that pattern going to 29 hours or under. Companies like GM , PEPSIE and others are going part-time and temporary help. The unions that fought for Obamacare no longer support it because it's costing people full-time employment. The good things about Obamacare none can be found. Yes low premiums with high deductibles you can't afford. The right to be refused medical if you are terminally ill. In other words they can say DIE SUCKER. Example look at that young girl the director of Obamacare refused her medical. It took a world wide out cry to get her medical help.

  • Report this Comment On July 21, 2013, at 12:51 PM, sabebrush6 wrote:

    Obama Rated 5th Best President

    Yes, of the 44 US Presidents: Obama rated 5th best president ever!

    The Democratic Party publicity release said, "...after a little more than four years, Americans have rated President Obama the 5th best president ever."

    *The details, according to White House Publicists, read like this...

    * Reagan, Lincoln, Washington, Jefferson and 6 others tied for first.

    * 15 presidents tied for second.

    * 17 other presidents tied for third.

    * Jimmy Carter came in 4th.

    * Obama came in fifth.

  • Report this Comment On July 21, 2013, at 3:02 PM, WilyCat wrote:

    You know things are going to be a disaster when congress passes a bill, knowing it is rife with problems, but says we'll fix it later. Having NO Obamacare is better than this mess. What a disaster.

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