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#51 |
Ring of Famer
Join Date: Oct 2003
Posts: 13,020
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![]() And everyone pays for other people's health care voluntarily or through coercion.
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#52 | |
"Whoa Nellie"
Join Date: Mar 2009
Posts: 10,223
Adopt-a-Bronco: mellon head |
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#53 |
"No Fate"
Join Date: Dec 2004
Location: SkyNet
Posts: 8,166
Adopt-a-Bronco: CJ Anderson |
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#54 |
Partisan
Join Date: Jan 2003
Location: Trumpville (like Potterville, but stupider)
Posts: 73,820
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![]() Ted Cruz says the reason the website doesn't work is because it's being run by "...the Nigerian e-mail scammers." http://politicalticker.blogs.cnn.com...lly/?hpt=hp_t2
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#55 |
Ring of Famer
Join Date: Jul 2006
Posts: 13,394
Adopt-a-Bronco: Casey Kreiter |
![]() Cruz is the definition of a psychopath.
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#56 | |
"No Fate"
Join Date: Dec 2004
Location: SkyNet
Posts: 8,166
Adopt-a-Bronco: CJ Anderson |
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#57 |
Ring of Famer
Join Date: Apr 2004
Location: BFE
Posts: 6,644
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#58 |
Ring of Famer
Join Date: Sep 2013
Posts: 1,064
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![]() The software code was db2 technology which is a 30 year old technology not built for the web. It should have been written with browser friendly html5. He used a Canadian company CGI that was fired by Canada for their incompetence.
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#59 | |
Lost In Space
Join Date: Apr 2004
Location: DC
Posts: 22,622
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1. First DB2 is database not a presentation or business logic layer and IBM has redesigned to support Web Operations. It not the best DB but it is industrial standard. They reused code and wrote their own, but it doesn't look like the government paid for EA upfront that are required for operation like this. 2. The CGI that won the competition is NOT a Canadian Company. The CGI America company that won is wholly owned subsidiary, because CGI America bids and win us DoD contracts, the law don't foreign direct control. 3. CGI won competitive acquisition managed by the Federal Acquisition Regulation (FAR). Past Performance is limited to only work that done in US and rated by CPAR systems. Cost and Technical Capability are usually higher evaluation factors then past performance. 4. Obama wasn't involved in the selection of the vendor. I love the fact that Politicians and Media type that have no idea about development or deployment are making statements like they understand the technology or the process. Last edited by elsid13; 10-22-2013 at 02:35 AM.. |
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#60 |
Ring of Famer
Join Date: Nov 2006
Posts: 5,804
Adopt-a-Bronco: None |
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#61 | |
Ring of Famer
Join Date: Nov 2006
Posts: 5,804
Adopt-a-Bronco: None |
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Oh, and "browser friendly HTML5" ![]() All the morons running around parroting the idiocy of "OMG they're using OOOOOLLLLLD technology" are just showing how easily the ignorant can be fooled. The problems with that site have exactly nothing to do with using "old" technology. |
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#62 | |||
Ring of Famer
Join Date: Sep 2013
Posts: 27,935
Adopt-a-Bronco: None |
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#63 | |
Ring of Famer
Join Date: Sep 2013
Posts: 27,935
Adopt-a-Bronco: None |
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#64 |
Ring of Famer
Join Date: Sep 2013
Posts: 27,935
Adopt-a-Bronco: None |
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#65 | |||
Ring of Famer
Join Date: Nov 2006
Posts: 5,804
Adopt-a-Bronco: None |
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#66 | |
Ring of Famer
Join Date: Nov 2006
Posts: 5,804
Adopt-a-Bronco: None |
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Seriously, when someone says ZOMG they are using DB2 which "is a 30 year old technology not built for the web" then you know they don't have the first damn clue what they are talking about, and are just parroting some other idiot. |
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#67 | |||
Ring of Famer
Join Date: Sep 2013
Posts: 27,935
Adopt-a-Bronco: None |
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#68 | ||
Ring of Famer
Join Date: Nov 2006
Posts: 5,804
Adopt-a-Bronco: None |
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When you have a group of people that, though action or inaction (or inability) are harming the whole, you don't think it's indicated for that whole to do something about it? I'm a pragmatist, not a ideologue. There are basically three choices: 1.) Let people suffer and die and have minimal up front costs. 2.) Keep people from suffering and dying at enormous cost -- what we currently do (only slightly mitigated by the ACA) 3.) Keep people from suffering and dying at a cost somewhere in between. -- what we should to be doing. #1 is full of personal liberty, and also full of suffering (and also financial costs). I prefer to act against the suffering. |
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#69 | ||
Ring of Famer
Join Date: Sep 2013
Posts: 27,935
Adopt-a-Bronco: None |
![]() Outright defund/repeal?
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2. ACA does absolutely nothing to mitigate cost. It works overtime to hide cost. Which is problem #1 with our health care system and the employer-based model today. 3. You're magic-bulleting this point. Yes, cost is pretty much THE problem. But that problem isn't getting solved by obfuscating payment. When the consumer consumes, he needs to CARE what it costs. The provider needs to know he cares what it costs. Reinstating this cost-conscious relationship will drive costs down. And drive innovation at the same time. Single payer can only fix prices and enforce quotas. Those are the only tools in its arsenal. It's one size-fits-all and yet still does little to motivate efficiency. |
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#70 | |
Ring of Famer
Join Date: Aug 2003
Location: The Boredom Capital of the Universe (Everett, WA)
Posts: 5,581
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How is this possible? Because, the magic of Obamacare is simply basic economics. Here are six economic reasons why the Affordable Care Act marketplaces reduce premiums. More Competition. Generous subsidies and an individual mandate create a lucrative pool of formerly uninsured consumers. Insurers will compete with each other to gain market share, driving premium prices down. Less Adverse Selection. The Achilles’ heel of the individual insurance market is adverse selection. This occurs when one side of a transaction lacks the necessary knowledge to make the transaction. Insurers typically lack precise information about the health profiles of their customers, but they do know the people most likely to buy health insurance are often the sickest. As a result, they raise prices to cover risk, which increases prices for everyone in the market. Obamacare’s individual mandate ends the cycle. Put simply, if everyone is required to buy health insurance, insurers can afford to charge less. Lower Transaction Costs. Information is a key to market efficiency. For the invisible hand to match supply and demand, consumers must make informed decisions, which has traditionally been quite difficult. In the new marketplaces, insurers are required to present their offerings and benefits in standardized formats. Prices will be clear and simple to compare. Lower Administrative Costs. Under the ACA, the share of premiums insurers spend on actual medical services, as opposed to administrative costs, will be subject to a floor. If insurers spend less, they are required to rebate the balance to plan participants. Consequently, insurers will have less ability and incentive to pad premiums, creating savings for consumers. Rate Review. The ACA empowers the HHS and state regulators to review premium increases. Insurers can be required to justify unreasonable increases, which will be made public. Although regulators do not have the power to limit rate increases, public shaming may have the same practical effect.* Better Quality. Even in the absence of premium reductions, consumers will see savings and an improvement in the quality of coverage. What your premium buys you is more important than its price sticker, and under the ACA, consumers will get bigger bang for their buck. Qualified marketplace plans are required to cover all essential health benefits, including preventive services. http://tcf.org/blog/detail/six-ways-...nsurance-costs Obamacare cost-cutting: CNBC explains A number of provisions of the Affordable Care Act, many of which have already gone into effect, are directly aimed at reducing the growth of health-care spending, which accounts for nearly one-fifth of the overall U.S. economy. ------------------- The law also encourages hospitals, primary care physicians and other medical providers to join forces in so-called Accountable Care Organizations, whose goal is to coordinate care for their patients and, if they meet certain quality targets such as keeping those people healthy and out of the hospital, get paid more by Medicare. Obamacare also created the Independent Payment Advisory Board, which is empowered to recommend reductions in Medicare spending, in years in which Medicare per capita costs exceed specific targets including overall medical prices. Those reductions will take effect unless Congress comes up with another reduction that saves the same amount. Obamacare's provision that insurers' policies cover things such as preventative care for customers is also geared to reducing overall long-term costs. The theory is that people who can obtain preventative care, and actually do with, will be less likely to suffer chronic health conditions that could end up costing much more. http://www.cnbc.com/id/101065202 I think that last paragraph is the most important. Until now, people without health insurance waited until the last minute to get medical attention and then showed up in ERs when their illness was at an advanced stage and required expensive care. Those same folks will now be insured and able to go to a doctor well before their diseases get out of control. Early treatment will lead to cost savings. Last edited by Fear the Hawk; 10-22-2013 at 11:29 AM.. |
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#71 |
A verbis ad verbera
Join Date: Mar 2006
Posts: 39,063
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![]() Obama will have to give a delay to the individual mandate. Which will be funny because he shut govt down refusing to give one.
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#72 | ||||
Ring of Famer
Join Date: Nov 2006
Posts: 5,804
Adopt-a-Bronco: None |
![]() Try going back and reading what I've written about it..
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And, of course, we do have a social safety net for people who lose the person supporting them so not really sure what point you think you have there. Quote:
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When you get cancer, do you shop for the cheapest doc, or the one that has the most chance of treating you successfully? Right now we spend 2x as much as most other first world countries many of whom have single payer and or other types of socialized medicine, so the idea that the only way to reduce cost is to put the cost in front of the "consumer" doesn't even remotely follow the evidence. |
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#73 | |
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Join Date: Sep 2002
Posts: 17,400
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I'm going to focus on what's important and that's fishing! ![]() Yeah go out and buy insurance! If you don't you will get fined! Oh never mind the fact you can't buy the expensive garbage! ![]() |
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#74 | ||||||
Ring of Famer
Join Date: Sep 2013
Posts: 27,935
Adopt-a-Bronco: None |
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A Health Insurance mandate is like forcing everyone to buy full coverage on all vehicles. Even if you leave it parked in storage. And with basically the same price whether you drive a Ford Fiesta or a Maserati. Because if you happen to get in an accident, you might stiff the body shop on repairs. And body shops hate bad debt as much as everyone else. I should stop talking because someone somewhere is dreaming up a new federal program. ![]() Quote:
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Price is ALWAYS a consideration. Whether that makes you comfortable or not. And it's better when it's the consumer's consideration that matters as opposed to some convoluted regulatory preference scheme. At least to the greatest extent possible. Quote:
The person making those decisions doesn't know you at all. Doesn't really care whether you live or die. Might slightly prefer the latter, since you're kind of a burden once you reach that point, anyway. As I've said before, I'm not opposed to a low-level Tier of "safety net" care for people without other options. But this idea of putting people struggling to make ends meet on a expensive and still high-deductible federally mandated plan doesn't solve anything. The fundamental problem is health care is out of control and unaffordable. Insurance is not designed to make that which is unaffordable affordable. It spreads risk. That's all it does. At the well-known expense of higher average costs. Last edited by BroncoBeavis; 10-22-2013 at 12:53 PM.. |
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#75 |
Ring of Famer
Join Date: Oct 2003
Posts: 13,020
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