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Cleveland Clinic Cutting 300 million - due to obamacare... - 9/24/2013 10:27:59 PM   
Phydeaux


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During the run-up to the health law, Obama frequently touted the Cleveland Clinic as a model for the health system: “They actually provide great care cheaper than average,” he repeated at an October 2012 debate with former Massachusetts Gov. Mitt Romney.

But as full implementation approaches on Jan. 1, 2014, clinic leaders say the government — through Obamacare’s cuts in hospital payments, Ohio’s refusal to expand Medicaid and sequestration — is removing significant funding from the health system very quickly. And last week, the clinic announced it was cutting $300 million from its budget and laying off workers.

“We know we’re going to get paid significantly less,” said Dr. Delos Cosgrove, the CEO and president. “This is not just Cleveland Clinic. This is every CEO that I’ve talked with across the country.”

Read more: http://www.politico.com/story/2013/09/obamacare-one-blow-after-another-97231_Page3.html#ixzz2fsYBPgfs
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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 1:48:21 AM   
joether


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"The White House delayed the employer mandate for at least a year to allow time to sort out the complicated reporting requirements."

The concepts in the ACA were written to handle a whole new system for health care in America. It was understood at the time that companies would need to adjust and change whole sections of their own healthcare packages to be inline with the law. However, the Administration as other watchdog groups have noted in the past, is that some healthcare packages carried with it legal contracts that needed to be handle in court correctly to come into compliance with the law. Anyone that understands that situation knows it came take a few months and/or years to work out all the kinds. Hence, the Obama administration pushing back some of the time tables to the benefit of the companies and courts. That is what is called 'consideration of your fellow Americans'. A concept completely removed in conservative circles these days.

"And in most states, workers at small businesses will have only one plan to choose from in the health exchanges next year, not the multiple choices they were supposed to have."

This is not the fault of the Obama administration NOR the ACA. In fact, individuals of those small business will be able to look at plans starting next month. Obtaining one for a small business is unfortunately taking time; but that is the fault of private insurers not the government. Realize also that there is no 'one size fits all for small businesses'. Each small business can range from 1-900 people, with resources ranging from $50 to just about $200 million. The Small Business Administration can give better details if your REALLY interested.

"But as full implementation approaches on Jan. 1, 2014, clinic leaders say the government — through Obamacare’s cuts in hospital payments, Ohio’s refusal to expand Medicaid and sequestration — is removing significant funding from the health system very quickly. And last week, the clinic announced it was cutting $300 million from its budget and laying off workers."

Yes, $700 Billion was cut from the Medicare program when the ACA was put into law. The mannerism and change in process would remove much of the overhead experienced by the government towards private insurance companies nation wide. So to put it in simple terms: The Obama administration removed pork from Medicare that private insurance companies have benefitted for years to allow their upper management fat paychecks and bonuses. Those companies, either being to slow or unable to change due to contracts, 'retaliate' by removing workers so their upper management does not have to suffer from any ill effects. So bottom line here is that conservatives are angry the Obama Administration saved a huge pile of money and forced CEO's to tighten their individual take home benefits for the benefit of their workers.

"Obama promised during the health care fight that people who liked their employer-provided coverage would be able to keep it.

But several large employers have announced plans to curtail employer coverage, particularly for part-time workers. Grocery chain Trader Joe’s said this month that it wouldn’t provide insurance to part-time employees because they could get a better deal on the exchange.

Opponents of the law also cite widespread concern that even if consumers can keep their plans, they might have to switch physicians or networks."


Oh forgot, companies are all 'Lawful Good' entities with halo's over their heads. They would NEVER try to use something to their advantage (read: political net gain). They would never point in another direction and say "Hey look, Nancy Pelosi is fucking Harry Reid" while adjusting things for their financial benefit while your distracted. They would always be honest and truthful.....

Only a fool would believe all companies act in the best interest of others.

When Americans really begin to understand the ACA, they are going to find the law performs in a decent manner but improvements could be made on a number of issues. What will really frost those Americans is when they find out it was the GOP that watered down many of the things they want improved upon. In other words, the original bill the President presented to Congress in 2009 was designed with the average American in mind. Unfortunately only about 1/10th of those that have read the full ACA read the bill the President presented.

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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 2:52:17 AM   
DomKen


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FR
It's sort of funny and sad how desperately the conservatives are getting. If the ACA is going to be such a disaster why not wait till next year after the exchanges open and Medicaid expands and campaign on getting rid of it? Because, of course, they know that despite some hiccups and some minor things that will need fixing the overall effect will be positive unless they can so poison the well before hand that people act against their own interests and fail to take advantage of the ACA. Hence the various "opt out" campaigns by surprisingly well funded, read Koch, groups that have sprung up.

As to the Cleveland Clinic cutting their budget and laying off workers, did no one notice that a major goal of the ACA and other reforms was to reduce spending on health care? If less money is spent on health care then of course companies that provide health care are going to see reductions in their income.

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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 3:50:35 AM   
Lucylastic


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Obamacare Premiums Report Shows Low Prices For Uninsured With Wide Variation
The average price for basic health coverage purchased on health insurance exchanges created by President Barack Obama's health care reform law will be $249 a month, not counting subsidies, in 48 states reviewed by the Department of Health and Human Services, according to a government report published Wednesday.

The health insurance exchanges, marketplaces for uninsured people and consumers who don't get health benefits from their employers, are scheduled to launch on Oct. 1 for an enrollment period that runs through the end of March for 2014 coverage. This latest analysis of what the health insurance plans will cost comes just six days before people will be able to find out what they'll actually pay.

"For millions of Americans, these new options will finally make health insurance work within their budget," Health and Human Services Secretary Kathleen Sebelius said during a conference call with reporters Tuesday. Reporters were provided access to the report prior to its publication.

The figures released by the Department of Health and Human Services represent averages and prices will vary widely by geographic location as well as family size, age, tobacco use and income. Even the average price of a so-called bronze plan, designed to cover 60 percent of medical expenses not counting monthly premiums, masks big variation. The average price of the cheapest bronze plan in Minnesota is $144 while in Wyoming, comparable coverage costs $425 on average, not including subsides.

For people who currently are uninsured and who qualify for financial assistance or enrollment in Medicaid, the federal-state health program for the poor, the average prices look to be low: 56 percent of uninsured will be able to get coverage for less than $100 a month per person, Gary Cohen, director of the Center for Consumer Information and Insurance Oversight, said during the conference call.

The report cited examples of families and individuals who could qualify for subsidized coverage that would greatly reduce its cost, and Cohen said some low-income people will even be able to obtain a bronze plan with no monthly premium because of the subsidies.

A 27-year-old in Dallas who earns $25,000 a year will be able to purchase a bronze plan for $74 a month, including federal tax credits to discount the price. A family of four in Dallas with a $50,000 household income could choose a bronze plan for as little as $26 a month, including the subsidies. A family of four earning $50,000 a year purchasing the least expensive bronze plan would pay $36 a month in Charlotte, N.C., $32 a month in St. Louis and $24 a month in Ft. Lauderdale, Fla., including subsidies.

Premiums for the cheapest silver plan on 36 state-based health insurance exchanges the federal government is at least partially managing are 16 percent lower than originally projected by the Congressional Budget Office, Cohen said.

Prices for some people who already buy their own insurance will rise above today's level, however, largely because the health care reform law doesn't allow insurance companies to exclude people with pre-existing conditions, guarantees a minimum benefits package, doesn't allow women to be charged more than men, and limits how much more older people must pay. The current market favors healthier people, but is more challenging for older and sicker people, who often can't find coverage.

http://www.huffingtonpost.com/2013/09/25/obamacare-premiums_n_3984979.html

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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 4:12:53 AM   
angelikaJ


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quote:

ORIGINAL: Phydeaux



But as full implementation approaches on Jan. 1, 2014, clinic leaders say the government — through Obamacare’s cuts in hospital payments, Ohio’s refusal to expand Medicaid and sequestration — is removing significant funding from the health system very quickly. And last week, the clinic announced it was cutting $300 million from its budget and laying off workers.



Read more: http://www.politico.com/story/2013/09/obamacare-one-blow-after-another-97231_Page3.html#ixzz2fsYBPgfs



Ohio’s refusal to expand Medicaid and whose fault is that?


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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 4:16:45 AM   
angelikaJ


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Lucylastic,

I am wondering something: how big are the gaps in coverage for the "bronze plans"?

It makes me uncomfortable to think that the people least likely to be able to pay deductibles and larger co-pays are going to be the ones stuck with them.
How is that going to help with hospitals betting stuck with the tab?

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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 4:42:25 AM   
dcnovice


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quote:

If less money is spent on health care then of course companies that provide health care are going to see reductions in their income.

My brother the healthcare wonk often makes this point. "One person's cost saving," he says, "is another person's loss of income."

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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 4:43:19 AM   
Lucylastic


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I honestly dont understand how each state or plans work out Anjelika
Web MD has a nice section about it with some zero bullshit information on th ACA in states, with plan outlines, tips, costs etc

http://www.webmd.com/health-insurance/health-check-health-insurance/default.htm

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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 5:43:07 AM   
DesideriScuri


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quote:

ORIGINAL: Phydeaux
During the run-up to the health law, Obama frequently touted the Cleveland Clinic as a model for the health system: “They actually provide great care cheaper than average,” he repeated at an October 2012 debate with former Massachusetts Gov. Mitt Romney.
But as full implementation approaches on Jan. 1, 2014, clinic leaders say the government — through Obamacare’s cuts in hospital payments, Ohio’s refusal to expand Medicaid and sequestration — is removing significant funding from the health system very quickly. And last week, the clinic announced it was cutting $300 million from its budget and laying off workers.
“We know we’re going to get paid significantly less,” said Dr. Delos Cosgrove, the CEO and president. “This is not just Cleveland Clinic. This is every CEO that I’ve talked with across the country.”
Read more: http://www.politico.com/story/2013/09/obamacare-one-blow-after-another-97231_Page3.html#ixzz2fsYBPgfs


As has been pointed out before, they cite Ohio's refusal to expand Medicaid, as one reason they are cutting back. Expansion is not a dead issue in Ohio, though.

Governor John Kasich had expansion in his budget proposal in February. State GOP leaders removed it from the budget, but it's still being debated in the State legislature. Gov. Kasich is fully behind expansion. The Ohio Ballot Board just okayed it to be a ballot issue in 2014, provided all the necessary steps are completed.

http://news.yahoo.com/ohio-board-oks-medicaid-proposal-201225577.html


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What I support:

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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 6:32:59 AM   
Aylee


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http://www.usatoday.com/story/news/politics/2013/09/23/aca-family-glitch-issues/2804017/

Old spin: If you oppose ObamaCare it’s because you want kids to die!

New spin: Hey, what’s a half-million kids in the scheme of things?

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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 10:49:52 AM   
Phydeaux


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quote:

ORIGINAL: joether

"The White House delayed the employer mandate for at least a year to allow time to sort out the complicated reporting requirements."

The concepts in the ACA were written to handle a whole new system for health care in America. It was understood at the time that companies would need to adjust and change whole sections of their own healthcare packages to be inline with the law. However, the Administration as other watchdog groups have noted in the past, is that some healthcare packages carried with it legal contracts that needed to be handle in court correctly to come into compliance with the law. Anyone that understands that situation knows it came take a few months and/or years to work out all the kinds. Hence, the Obama administration pushing back some of the time tables to the benefit of the companies and courts. That is what is called 'consideration of your fellow Americans'. A concept completely removed in conservative circles these days.

"And in most states, workers at small businesses will have only one plan to choose from in the health exchanges next year, not the multiple choices they were supposed to have."

This is not the fault of the Obama administration NOR the ACA. In fact, individuals of those small business will be able to look at plans starting next month. Obtaining one for a small business is unfortunately taking time; but that is the fault of private insurers not the government. Realize also that there is no 'one size fits all for small businesses'. Each small business can range from 1-900 people, with resources ranging from $50 to just about $200 million. The Small Business Administration can give better details if your REALLY interested.

"But as full implementation approaches on Jan. 1, 2014, clinic leaders say the government — through Obamacare’s cuts in hospital payments, Ohio’s refusal to expand Medicaid and sequestration — is removing significant funding from the health system very quickly. And last week, the clinic announced it was cutting $300 million from its budget and laying off workers."

Yes, $700 Billion was cut from the Medicare program when the ACA was put into law. The mannerism and change in process would remove much of the overhead experienced by the government towards private insurance companies nation wide. So to put it in simple terms: The Obama administration removed pork from Medicare that private insurance companies have benefitted for years to allow their upper management fat paychecks and bonuses. Those companies, either being to slow or unable to change due to contracts, 'retaliate' by removing workers so their upper management does not have to suffer from any ill effects. So bottom line here is that conservatives are angry the Obama Administration saved a huge pile of money and forced CEO's to tighten their individual take home benefits for the benefit of their workers.

"Obama promised during the health care fight that people who liked their employer-provided coverage would be able to keep it.

But several large employers have announced plans to curtail employer coverage, particularly for part-time workers. Grocery chain Trader Joe’s said this month that it wouldn’t provide insurance to part-time employees because they could get a better deal on the exchange.

Opponents of the law also cite widespread concern that even if consumers can keep their plans, they might have to switch physicians or networks."


Oh forgot, companies are all 'Lawful Good' entities with halo's over their heads. They would NEVER try to use something to their advantage (read: political net gain). They would never point in another direction and say "Hey look, Nancy Pelosi is fucking Harry Reid" while adjusting things for their financial benefit while your distracted. They would always be honest and truthful.....

Only a fool would believe all companies act in the best interest of others.

When Americans really begin to understand the ACA, they are going to find the law performs in a decent manner but improvements could be made on a number of issues. What will really frost those Americans is when they find out it was the GOP that watered down many of the things they want improved upon. In other words, the original bill the President presented to Congress in 2009 was designed with the average American in mind. Unfortunately only about 1/10th of those that have read the full ACA read the bill the President presented.



Counterfactual.

Obama held up the cleveland clinic as an example of medicine being practiced the way it should be. New strategies, better outcomes.

Ironic that his policies are causing layoffs at it. Seems clear they don't want better outcomes, doesn't it.

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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 11:03:27 AM   
thompsonx


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Counterfactual.

Obama held up the cleveland clinic as an example of medicine being practiced the way it should be. New strategies, better outcomes.

Ironic that his policies are causing layoffs at it. Seems clear they don't want better outcomes, doesn't it.

When did obama become govonor of ohio?
Ohio’s refusal to expand Medicaid

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Profile   Post #: 12
RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 11:12:30 AM   
DesideriScuri


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quote:

ORIGINAL: thompsonx
Counterfactual.
Obama held up the cleveland clinic as an example of medicine being practiced the way it should be. New strategies, better outcomes.
Ironic that his policies are causing layoffs at it. Seems clear they don't want better outcomes, doesn't it.
When did obama become govonor of ohio?
Ohio’s refusal to expand Medicaid


That was only part of the reasoning behind the cuts.

Sequestration was another.

Cuts in hospital payments under Obamacare was another.

There was no mention of which of those 3 had the most impact. Expanding Medicaid isn't off the table in Ohio, either.




_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to thompsonx)
Profile   Post #: 13
RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 12:58:14 PM   
thompsonx


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Joined: 10/1/2006
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quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: thompsonx
Counterfactual.
Obama held up the cleveland clinic as an example of medicine being practiced the way it should be. New strategies, better outcomes.
Ironic that his policies are causing layoffs at it. Seems clear they don't want better outcomes, doesn't it.
When did obama become govonor of ohio?
Ohio’s refusal to expand Medicaid


That was only part of the reasoning behind the cuts.

Sequestration was another.

Cuts in hospital payments under Obamacare was another.

There was no mention of which of those 3 had the most impact. Expanding Medicaid isn't off the table in Ohio, either.




So this op link may be put under the heading of bullshit, a site that post half truths and whole lies?
Something not worthy of consideration?
Do we see a pattern?
Or must we wade through each tedious piece of shit to once again show that there is no substance in the link and nothing more than a waste of time to read?


< Message edited by thompsonx -- 9/25/2013 1:00:26 PM >

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RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 1:10:29 PM   
mnottertail


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Looks like the delusion is on the part of feebleminded teabaggers, here is what the fellow actually said....IN TOTO.

http://video.cnbc.com/gallery/?play=1&video=3000201120

Which the hysterical teabaggers cannot address the facts so they shoot the people who are not the messengers.

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Profile   Post #: 15
RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 1:58:44 PM   
DesideriScuri


Posts: 12225
Joined: 1/18/2012
Status: offline
quote:

ORIGINAL: thompsonx
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: thompsonx
Counterfactual.
Obama held up the cleveland clinic as an example of medicine being practiced the way it should be. New strategies, better outcomes.
Ironic that his policies are causing layoffs at it. Seems clear they don't want better outcomes, doesn't it.
When did obama become govonor of ohio?
Ohio’s refusal to expand Medicaid

That was only part of the reasoning behind the cuts.
Sequestration was another.
Cuts in hospital payments under Obamacare was another.
There was no mention of which of those 3 had the most impact. Expanding Medicaid isn't off the table in Ohio, either.

So this op link may be put under the heading of bullshit, a site that post half truths and whole lies?
Something not worthy of consideration?
Do we see a pattern?
Or must we wade through each tedious piece of shit to once again show that there is no substance in the link and nothing more than a waste of time to read?


You still chose to read it. Your choice. You chose to respond. You chose to continue to respond. It was your choice to waste your time.

You don't have to wade through anything you don't want to wade through.


_____________________________

What I support:

  • A Conservative interpretation of the US Constitution
  • Personal Responsibility
  • Help for the truly needy
  • Limited Government
  • Consumption Tax (non-profit charities and food exempt)

(in reply to thompsonx)
Profile   Post #: 16
RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 2:06:43 PM   
mnottertail


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Then lets see no more attack the messenger horseshit when we all know it is a waste of time to read that asswipe, cuz it is pure dipshittery, and a personal attack therefore to do so.



< Message edited by mnottertail -- 9/25/2013 2:08:15 PM >


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Profile   Post #: 17
RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 2:40:00 PM   
thompsonx


Posts: 23322
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Status: offline

quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: thompsonx
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: thompsonx
Counterfactual.
Obama held up the cleveland clinic as an example of medicine being practiced the way it should be. New strategies, better outcomes.
Ironic that his policies are causing layoffs at it. Seems clear they don't want better outcomes, doesn't it.
When did obama become govonor of ohio?
Ohio’s refusal to expand Medicaid

That was only part of the reasoning behind the cuts.
Sequestration was another.
Cuts in hospital payments under Obamacare was another.
There was no mention of which of those 3 had the most impact. Expanding Medicaid isn't off the table in Ohio, either.

So this op link may be put under the heading of bullshit, a site that post half truths and whole lies?
Something not worthy of consideration?
Do we see a pattern?
Or must we wade through each tedious piece of shit to once again show that there is no substance in the link and nothing more than a waste of time to read?





Were you going to answer my question? So this op link may be put under the heading of bullshit, a site that post half truths and whole lies?

(in reply to DesideriScuri)
Profile   Post #: 18
RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 2:47:38 PM   
Phydeaux


Posts: 4828
Joined: 1/4/2004
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quote:

ORIGINAL: mnottertail

Then lets see no more attack the messenger horseshit when we all know it is a waste of time to read that asswipe, cuz it is pure dipshittery, and a personal attack therefore to do so.




Sorry, I'm going to have to decline that invitation.

Fact is, obamacare cut reimbursements.

While not expanding medicaid may deprive a clinic of new clients, with approximately the same number of clients the clinic was forced to slash 300 mil and thousands of jobs.

(in reply to mnottertail)
Profile   Post #: 19
RE: Cleveland Clinic Cutting 300 million - due to obama... - 9/25/2013 2:49:58 PM   
mnottertail


Posts: 60698
Joined: 11/3/2004
Status: offline
When did it cut reimbursements? What does that have to do with the lying asswipe of the op? That is an attack the message as a lie, which it is by citation of the fucking guy that spoke the words he actually spoke.


So what you are saying is you attack the messenger when there are no facts that you possess. Got it.

< Message edited by mnottertail -- 9/25/2013 2:50:06 PM >


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