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Romneycare vs. Obamacare: Lessons for today's 'shutdown... - 9/29/2013 12:13:32 PM   
dcnovice


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An interesting perspective.

You won’t hear many Republicans say it, but Mitt Romney’s health care insurance program in Massachusetts, seen as a model for the Affordable Care Act, has been largely successful and popular.

http://news.yahoo.com/romneycare-vs-obamacare-lessons-todays-shutdown-debacle-151334335.html

Don't miss the Ted Cruz observation at the end.

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/29/2013 6:24:51 PM   
Lucylastic


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In my disgust at their bullshit, all I can add is


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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/29/2013 7:13:52 PM   
joether


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Speaking as someone that lives in the Commonwealth of Massachusetts, this program has been very successful in a number of ways. ER waiting rooms are virtually bare of patients waiting to get seen, allowing for doctors and nurses to operate triage measures as the 'work flow' increases or decreases. People once went to the ER for simple issues can now visit a local doctor to handle the same problem. The cost of Mass Health is like 1.6% of the budget for Massachusetts (it could have risen within the last year or so). That means we spend more on snow removal than health care. Mass Health comes in several forms: From very rich individuals to those that can not pay at all. About 97% of the citizens are on some form of health care; find me a state in the union that does that! Further, health care businesses are turning a decent profit and doors have been open for competition.

The only folks that I find that hate Mass Health are either the ignorant or those that have a few screws loose (but don't worry, they can get help for that too). When a patient needs help with some surgery or process but can not get help for what ever reason, they can often visit their state rep. That person can in some cases help create exceptions or file a bill to amend the process if sufficient patients already exist. In this manner, government works with the citizens and businesses to make things a reality.

I'm sadden to known that there are an abundant of people that could get access to health care under the ACA. And the worst of the worst are in those districts/states run by the Republican/Tea Party. Come October 1st, the exchanges open in each state giving these people access to a healthy range of programs that do not cost them an 'arm & leg' (like they have right now). Americans are going to find how deeply the GOP has lied and manipulated things that were meant to be enjoyed by all of America!

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/29/2013 7:39:37 PM   
DesideriScuri


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quote:

ORIGINAL: joether
Speaking as someone that lives in the Commonwealth of Massachusetts, this program has been very successful in a number of ways. ER waiting rooms are virtually bare of patients waiting to get seen, allowing for doctors and nurses to operate triage measures as the 'work flow' increases or decreases. People once went to the ER for simple issues can now visit a local doctor to handle the same problem. The cost of Mass Health is like 1.6% of the budget for Massachusetts (it could have risen within the last year or so). That means we spend more on snow removal than health care. Mass Health comes in several forms: From very rich individuals to those that can not pay at all. About 97% of the citizens are on some form of health care; find me a state in the union that does that! Further, health care businesses are turning a decent profit and doors have been open for competition.
The only folks that I find that hate Mass Health are either the ignorant or those that have a few screws loose (but don't worry, they can get help for that too). When a patient needs help with some surgery or process but can not get help for what ever reason, they can often visit their state rep. That person can in some cases help create exceptions or file a bill to amend the process if sufficient patients already exist. In this manner, government works with the citizens and businesses to make things a reality.
I'm sadden to known that there are an abundant of people that could get access to health care under the ACA. And the worst of the worst are in those districts/states run by the Republican/Tea Party. Come October 1st, the exchanges open in each state giving these people access to a healthy range of programs that do not cost them an 'arm & leg' (like they have right now). Americans are going to find how deeply the GOP has lied and manipulated things that were meant to be enjoyed by all of America!


http://www.kaiserhealthnews.org/stories/2013/april/09/massachusetts-health-care-costs.aspx

http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8311.pdf

These two articles don't paint as rosy a picture, Joether.

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What I support:

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/29/2013 8:46:30 PM   
Kirata


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I'm not convinced that the two programs are sufficiently comparable to support the conclusions that the writer is making. For example, there's a piece over at Marketwatch (link) alleging some deleterious effects of Obamacare that I haven't heard attributed to Massachusett's plan. Comment?

K.

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 12:59:59 AM   
tweakabelle


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This debate is so similar to the debate in Australia prior the introduction of Medicare here.

The Right and the private health industry swore ten kinds of damnation were about to be visited upon poor Aussies because the Govt was establishing a free universal healthcare system. It turned out that all the doomsday predictions and hyperbole was wrong on every point.

The sky didn't fall in, doctors didn't resign en masse, costs didn't go through the roof. Instead we found we had a first class health care system that served all Australians. Medicare here has been so successful that everyone, on all points of the political spectrum now accepts it and no one advocates a return to old private system.

My expectation is that exactly the same will happen in the US.

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 3:36:31 AM   
joether


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quote:

ORIGINAL: DesideriScuri
http://www.kaiserhealthnews.org/stories/2013/april/09/massachusetts-health-care-costs.aspx

http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8311.pdf

These two articles don't paint as rosy a picture, Joether.


If your looking for the perfect health care idea; your going to be looking for a REALLY long time. Even I can point out that Mass Health has its share of problems. Parts of it have to be rewritten to handle issues with the ACA before 2014. That by itself take a bit of thinking on exactly how to make the rules mess together. Another (and the 2nd link points this out) that the health care costs are not unique to Massachusetts. Meaning that the other 49 states have a huge amount of problems regarding health care coverage, access, and usage. Some states in the Union have/are going in the direction of Massachusetts even before the ACA was going through the House & Senate back in 2009.

The 2nd article tries to explain all the sub-parts of Mass Health. It does a fair job of giving the reader the basic core concepts. Unfortunately the document was not made to give an in-depth analysis of all the parts. Keep that in mind when reading it.

From personal observation, the recession which started sometime in and around 2007 effected the state more than others in the country. With pass recessions, crime due to medical circumstances was always a problem. Someone needed medication, got desperate and invaded a store for supplies. This recession has not seen very much of that. How much do you suppose that has saved business owners in the state? Or stopped individuals remaining productive citizens rather than imprisoned inmates?

The first article really fails to explain very much of anything, DS. It doesn't explain where its facts originate from. Or how they measured those figures/facts. While a curious and shorter read to the 2nd article, it also is absence much in the way of useful information.

< Message edited by joether -- 9/30/2013 3:51:39 AM >

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 5:44:43 AM   
DesideriScuri


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quote:

ORIGINAL: joether
quote:

ORIGINAL: DesideriScuri
http://www.kaiserhealthnews.org/stories/2013/april/09/massachusetts-health-care-costs.aspx
http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8311.pdf
These two articles don't paint as rosy a picture, Joether.

If your looking for the perfect health care idea; your going to be looking for a REALLY long time. Even I can point out that Mass Health has its share of problems. Parts of it have to be rewritten to handle issues with the ACA before 2014. That by itself take a bit of thinking on exactly how to make the rules mess together. Another (and the 2nd link points this out) that the health care costs are not unique to Massachusetts. Meaning that the other 49 states have a huge amount of problems regarding health care coverage, access, and usage. Some states in the Union have/are going in the direction of Massachusetts even before the ACA was going through the House & Senate back in 2009.
The 2nd article tries to explain all the sub-parts of Mass Health. It does a fair job of giving the reader the basic core concepts. Unfortunately the document was not made to give an in-depth analysis of all the parts. Keep that in mind when reading it.
From personal observation, the recession which started sometime in and around 2007 effected the state more than others in the country. With pass recessions, crime due to medical circumstances was always a problem. Someone needed medication, got desperate and invaded a store for supplies. This recession has not seen very much of that. How much do you suppose that has saved business owners in the state? Or stopped individuals remaining productive citizens rather than imprisoned inmates?
The first article really fails to explain very much of anything, DS. It doesn't explain where its facts originate from. Or how they measured those figures/facts. While a curious and shorter read to the 2nd article, it also is absence much in the way of useful information.


The first article points out:
    quote:

    Seven years after its groundbreaking health reforms, which became the model for the Affordable Care Act, Massachusetts boasts an uninsured rate of less than 2 percent, compared to a national average of 16 percent. But the cost of health care in the state, the highest in the country before the reform law was passed, remains so.


IOW, the cost of health care in the MA is still the highest in the country. In 7 years, it hasn't reduced costs to the point where MA health care costs are lower than any other State in the Union.

The second article concludes:
    quote:

    After six years of implementing an ambitious health reform initiative, Massachusetts has clearly demonstrated the potential for reducing the number of uninsured through strong stakeholder commitment and by embracing a model of shared responsibility. With the lowest rate of uninsured in the country, the Massachusetts experience became the model for federal health reform. However, major challenges still lie ahead for a state struggling to contain the growth of health care costs. As those within Massachusetts continue to debate the most appropriate way to slow health care spending, other states moving forward with the implementation of federal reform, can draw on some of the state’s early successes and challenges.


Both of these things paint a picture that isn't as rosy as the one you painted. Both articles point out that the number of uninsured has dropped dramatically and MA leads all States in the Union in having the lowest %-age of uninsured. That's not a shocker, by any stretch. Threaten a person with financial sanctions for not having insurance and assist lower income indiv/fam's pay for insurance, and, lo and behold, fewer people have insurance. Whodathunkit?

But, the cost of care hasn't dropped to the point that MA doesn't have the highest costs of any State. IOW, this was nothing but a shift of costs onto MA taxpayers, not an actual cost-lowering strategy. Does MA have such an incredibly high budget that 1.8% of its budget can drive national health expenditures (public and private) to 17+% National GDP (It would have to since MA's health care costs are highest of any State in the Union)?

I never said you were wrong. I only said that the articles don't paint as rosy a picture. I brought them to your attention because I wanted to get your opinion on them. One comes directly from the Kaiser Family Foundation and the other is an "editorially-independent program of the Kaiser Family Foundation, a non-profit private operating foundation, based in Menlo Park, Calif., dedicated to producing and communicating the best possible analysis and information on health issues." (About KHN)

KFF is very friendly towards Obamacare, so it's not like these are from an opponent of national health care.

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What I support:

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

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 7:11:21 AM   
mnottertail


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quote:

ORIGINAL: DesideriScuri

quote:

ORIGINAL: joether
Speaking as someone that lives in the Commonwealth of Massachusetts, this program has been very successful in a number of ways. ER waiting rooms are virtually bare of patients waiting to get seen, allowing for doctors and nurses to operate triage measures as the 'work flow' increases or decreases. People once went to the ER for simple issues can now visit a local doctor to handle the same problem. The cost of Mass Health is like 1.6% of the budget for Massachusetts (it could have risen within the last year or so). That means we spend more on snow removal than health care. Mass Health comes in several forms: From very rich individuals to those that can not pay at all. About 97% of the citizens are on some form of health care; find me a state in the union that does that! Further, health care businesses are turning a decent profit and doors have been open for competition.
The only folks that I find that hate Mass Health are either the ignorant or those that have a few screws loose (but don't worry, they can get help for that too). When a patient needs help with some surgery or process but can not get help for what ever reason, they can often visit their state rep. That person can in some cases help create exceptions or file a bill to amend the process if sufficient patients already exist. In this manner, government works with the citizens and businesses to make things a reality.
I'm sadden to known that there are an abundant of people that could get access to health care under the ACA. And the worst of the worst are in those districts/states run by the Republican/Tea Party. Come October 1st, the exchanges open in each state giving these people access to a healthy range of programs that do not cost them an 'arm & leg' (like they have right now). Americans are going to find how deeply the GOP has lied and manipulated things that were meant to be enjoyed by all of America!


http://www.kaiserhealthnews.org/stories/2013/april/09/massachusetts-health-care-costs.aspx

http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8311.pdf

These two articles don't paint as rosy a picture, Joether.


Yeah, and the kaisers aint likely to do so, they are the ones that got Nixon to devastate us with HMOs and less care but more profits in the first place, I am sure they got the ass at anyone who would clear out their profits instead of healtcare.

Before the ignorant questions are asked, read about Kaiser Permanente and Nixon.


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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 7:22:19 AM   
blckmailedthroat


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Unmentioned in your first article, and mentioned only in passing in your second, is that although MA's costs are still highest in the nation, cost growth has been significantly slowed. Health care costs are high in Massachusetts for a couple reasons, mostly that income is very high and that we have a lot of the top specialists in really expensive treatments, so we "import" a lot of really expensive cases. But even before the ACA, health care cost growth was slowing in Massachusetts faster than it was in the rest of the nation.

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 7:28:48 AM   
DesideriScuri


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

ORIGINAL: mnottertail
quote:

ORIGINAL: DesideriScuri
quote:

ORIGINAL: joether
Speaking as someone that lives in the Commonwealth of Massachusetts, this program has been very successful in a number of ways. ER waiting rooms are virtually bare of patients waiting to get seen, allowing for doctors and nurses to operate triage measures as the 'work flow' increases or decreases. People once went to the ER for simple issues can now visit a local doctor to handle the same problem. The cost of Mass Health is like 1.6% of the budget for Massachusetts (it could have risen within the last year or so). That means we spend more on snow removal than health care. Mass Health comes in several forms: From very rich individuals to those that can not pay at all. About 97% of the citizens are on some form of health care; find me a state in the union that does that! Further, health care businesses are turning a decent profit and doors have been open for competition.
The only folks that I find that hate Mass Health are either the ignorant or those that have a few screws loose (but don't worry, they can get help for that too). When a patient needs help with some surgery or process but can not get help for what ever reason, they can often visit their state rep. That person can in some cases help create exceptions or file a bill to amend the process if sufficient patients already exist. In this manner, government works with the citizens and businesses to make things a reality.
I'm sadden to known that there are an abundant of people that could get access to health care under the ACA. And the worst of the worst are in those districts/states run by the Republican/Tea Party. Come October 1st, the exchanges open in each state giving these people access to a healthy range of programs that do not cost them an 'arm & leg' (like they have right now). Americans are going to find how deeply the GOP has lied and manipulated things that were meant to be enjoyed by all of America!

http://www.kaiserhealthnews.org/stories/2013/april/09/massachusetts-health-care-costs.aspx
http://kaiserfamilyfoundation.files.wordpress.com/2013/01/8311.pdf
These two articles don't paint as rosy a picture, Joether.

Yeah, and the kaisers aint likely to do so, they are the ones that got Nixon to devastate us with HMOs and less care but more profits in the first place, I am sure they got the ass at anyone who would clear out their profits instead of healtcare.
Before the ignorant questions are asked, read about Kaiser Permanente and Nixon.


Or...

http://www.kaiserhealthnews.org/About.aspx
    quote:

    KHN accepts no advertising and all original content is available to partner news organizations and the public free of charge. Neither KHN nor the Kaiser Family Foundation is affiliated with the health insurance company Kaiser Permanente. Learn more about our Editorial Policy.


http://kff.org/history-and-mission/
    quote:

    The Foundation is not associated with Kaiser Permanente or Kaiser Industries. Kaiser operates primarily with funds earned from managing its own endowment, augmented by support provided by external funders.




_____________________________

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 mnottertail)
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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 7:32:59 AM   
mnottertail


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Yeah, the nixon library doesnt have anything to do with nixon either.

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 7:41:31 AM   
DesideriScuri


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quote:

ORIGINAL: mnottertail
Yeah, the nixon library doesnt have anything to do with nixon either.


Point taken.

Federal Express and the Federal Reserve are both part of Federal Government, right?


_____________________________

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)

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 7:45:58 AM   
mnottertail


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No, but teabaggers, independents and republicans are the same. And the Nazi party is socialist because it said so in its name.

It would seem that the Kaiser Foundation, funded by Kaiser (who created Kaiser Permanente) even under the artifice of separate endowment would not be your most insightful, accurate, and impartial source of actual fact regarding actual healthcare.

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 8:27:17 AM   
DesideriScuri


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quote:

ORIGINAL: mnottertail
No, but teabaggers, independents and republicans are the same. And the Nazi party is socialist because it said so in its name.
It would seem that the Kaiser Foundation, funded by Kaiser (who created Kaiser Permanente) even under the artifice of separate endowment would not be your most insightful, accurate, and impartial source of actual fact regarding actual healthcare.


Such a not-to-be-trusted-to-have-a-clue and obviously partisan foundation, KFF is, huh?

NPR might not agree...

http://www.npr.org/blogs/health/2013/09/26/226456791/how-much-will-obamacare-cost-me-try-our-calculator

Neither does the Obamacare website...

https://www.healthcare.gov/how-can-i-get-an-estimate-of-costs-and-savings-on-marketplace-health-insurance/

And, let's just say that KFF hasn't exactly been a detractor...

http://kff.org/health-reform/video/health-reform-hits-main-street/

_____________________________

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 mnottertail)
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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 9:20:49 AM   
mnottertail


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They have a calculator...........hmmmmmmm, yes I understand that Ted Cruz has actually been in peoples homes, but that doesnt mean that he will be president.

So, the calculator is proof that they are without fault given that they pretty much put us in this healthcare mess?

< Message edited by mnottertail -- 9/30/2013 9:22:58 AM >


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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 10:14:38 AM   
DesideriScuri


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quote:

ORIGINAL: mnottertail
They have a calculator...........hmmmmmmm, yes I understand that Ted Cruz has actually been in peoples homes, but that doesnt mean that he will be president.
So, the calculator is proof that they are without fault given that they pretty much put us in this healthcare mess?


NPR is touting the KFF calculator.

Obamacare's government website is touting KFF's calculator.

KFF created an animated video in support of Obamacare back in 2010.

While I tend to agree that they might not be the bestest of citations when it comes to credibility because of partisanship, they are on the Liberal side of things, and are showing deficiencies of MA Health Care's cost-controlling. They are proponents of Obamacare and they are showing deficiencies in the legislation that Obamacare is modeled on.




_____________________________

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 mnottertail)
Profile   Post #: 17
RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 10:43:27 AM   
mnottertail


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Wonder if teabaggers will take that under advisement and fix the law, or if they are gonna wait upon events when it will be done by the democrats.

And you don't have a very good handle on the word 'touting'.

< Message edited by mnottertail -- 9/30/2013 10:51:22 AM >


_____________________________

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RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 11:38:37 AM   
DesideriScuri


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quote:

ORIGINAL: mnottertail
Wonder if teabaggers will take that under advisement and fix the law, or if they are gonna wait upon events when it will be done by the democrats.
And you don't have a very good handle on the word 'touting'.


The fix is in the repeal.


_____________________________

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 mnottertail)
Profile   Post #: 19
RE: Romneycare vs. Obamacare: Lessons for today's 'shut... - 9/30/2013 11:41:54 AM   
mnottertail


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Hardly. I think that going back to the old way of doing business is worse for the country than anything, and the majority of people do not want that.

It is rather disturbed to say that repeal is the fix, so we can go to a far more predatory system. I understand the teabaggers have never been accused of a vigorous social agenda, but their drive to disinfranchise, destroy, bankrupt the citizenry has certainly taken on new heights of zeal as of late.

_____________________________

Have they not divided the prey; to every man a damsel or two? Judges 5:30


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