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American Legion seems angry.Follow

#1 Mar 17 2009 at 4:25 AM Rating: Decent
#2 Mar 17 2009 at 5:58 AM Rating: Decent
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With all the shenanigans around here this am I very cautiously clicked the link (there's no **** behind it).

American Legion does indeed seem angry - at least their Commander does.

If I got this right - Obama is planning on billing private insurance companies in reimbursement for services. The vets claim this is the the gov getting off the hook and that ultimately it means the vets themselves paying for their medical treatment. This particular article only presents the views of the AL.

Hmmm, interesting, though personally it falls way short of fascinating. On the surface it doesn't appear that a vet would be paying anything additional out of pocket. Sounds like it would be set up so that if the vet has medical insurance, through a job a spouse or whatever, that the VA will seek reimbursement when and where possible.

I guess I see where there could cause some awkward unforeseen precedent setting. But mostly I just wonder how much these private insurance companies would be willing to cover. If the treatment is for an injury pre-coverage I think what is actually covered will be pretty limited in many cases. If however, the insurance company will pay - well I'd say for the VA to get them bills in the mail.
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#3 Mar 17 2009 at 5:59 AM Rating: Excellent
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Oh, sure, now they all want socialized medicine Smiley: wink2

Seriously though, I don't know much about the plan, don't care for the little I know and hope it's something in the "We're considering several options" phase that doesn't bloom into an actual plan. Which is how it sounds right now; the AL being upset that the White Hopuse wouldn't immediately shelve the plan. If there's an actual White House push for this, I'll be disappointed.
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#4 Mar 17 2009 at 6:03 AM Rating: Excellent
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Elinda wrote:
Sounds like it would be set up so that if the vet has medical insurance, through a job a spouse or whatever, that the VA will seek reimbursement when and where possible.

I guess I see where there could cause some awkward unforeseen precedent setting. But mostly I just wonder how much these private insurance companies would be willing to cover.
Private insurance being the clusterfuck it is, I dislike the idea of subjecting veterans to dealing with it.

I'm always amused by the lame "Your medical decisions should be between you and your doctor, not you and the government" anti-universal healthcare argument. I've had very few medical decisions made that were just between me and my doctor. Typically, it's my doctor saying what he thinks is the best course of action and the insurance companies saying "That's nice, but here's what's really going to happen..."
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#5 Mar 17 2009 at 6:18 AM Rating: Excellent
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I see no harm in the VA seeking compensation from private insurance if it exists. The real clusterf*ck will happen when and if they decide that the private insurance be the primary (consulted and billed first).

It's all a huge mess on both sides as it is now. I fully expected the private health insurance debacle in the U.S. to collapse under its own weight a decade ago.

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#6 Mar 17 2009 at 6:24 AM Rating: Excellent
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Samira wrote:
I see no harm in the VA seeking compensation from private insurance if it exists. The real clusterf*ck will happen when and if they decide that the private insurance be the primary (consulted and billed first).
I was viewing it as a private=primary thing but I don't have details.

One of the prime concerns of the AL is private insurance raising rates on veterans as a result of being billed for injuries the vets received in the course of their enlistment. Something that'd obviously need to be prevented.
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#7 Mar 17 2009 at 6:36 AM Rating: Excellent
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Well fUck a duck, that needs to happen for all of us. Smiley: oyvey

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#8 Mar 17 2009 at 6:46 AM Rating: Excellent
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Samira wrote:
Well fUck a duck
I would, but my insurance doesn't cover avian influenza. Or avian syphilis.
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Belkira wrote:
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#9 Mar 17 2009 at 7:32 AM Rating: Decent
Jophiel wrote:
Oh, sure, now they all want socialized medicine Smiley: wink2

Seriously though, I don't know much about the plan, don't care for the little I know and hope it's something in the "We're considering several options" phase that doesn't bloom into an actual plan. Which is how it sounds right now; the AL being upset that the White Hopuse wouldn't immediately shelve the plan. If there's an actual White House push for this, I'll be disappointed.


Jophiel wrote:
I was viewing it as a private=primary thing but I don't have details.

One of the prime concerns of the AL is private insurance raising rates on veterans as a result of being billed for injuries the vets received in the course of their enlistment. Something that'd obviously need to be prevented.


I was getting the same impression from the article.

The thing is, this story actually broke a few days ago, and the Senate was less than thrilled, to put it mildly. I had thought it was just dust in the wind, but it came back up today on several blogs and Yahoo. I would wager that this is being looked at seriously by the White House, since it is the second mentioning of it, but only time will tell, really.


Edit for clarification: By second mentioning, I mean it is the second time it has made news articles in various publications, and not just digging up an older article. Apologies for any lack of clarity there.


Edited, Mar 17th 2009 11:33am by KinleyArdal
#10 Mar 17 2009 at 8:01 AM Rating: Excellent
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My guess is that the proposal got floated and the Senate was "less than thrilled" which was Story #1. Then the American Legion got involved, was less than thrilled and posted their angry-gram which was Story #2.
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#11 Mar 17 2009 at 10:43 AM Rating: Good
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#12 Mar 17 2009 at 10:46 AM Rating: Decent
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Jophiel wrote:
Oh, sure, now they all want socialized medicine



Gonna channel Smash for a moment. This is an attack against private medical insurance. Can you noodle out why?
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#13 Mar 17 2009 at 11:41 AM Rating: Excellent
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gbaji wrote:
This is an attack against private medical insurance. Can you noodle out why?
Of course. Which doesn't mean that I like the plan.

Whether or not the plan actually goes through (I doubt it) or whether or not it's a crafty ploy to demonize private insurance or whatever, I still don't like the plan.
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#14 Mar 17 2009 at 12:16 PM Rating: Excellent
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Someone from another forum described the plan this way which sounds considerably less asinine:
Quote:
He's not actually charging the veterans for treatment.

He's just consolidating the paperwork trail. Currently, treatment for military injuries are payed for by the DVA. Other health problems (not related to military) aren't covered. The veteran would require private insurance for this.

The problem with this is that the person is now covered by two policies. Which one does the hospital charge for a particular treatment?

So Obama is proposing that everything gets sent to the private insurer. The private insurer would then settle with the DVA. But the hospital would only have to deal with a single insurer. It would have zero effect on the benefits from the veteran's point of view.
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#15 Mar 17 2009 at 3:58 PM Rating: Decent
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Jophiel wrote:
Someone from another forum described the plan this way which sounds considerably less asinine:
Quote:
He's not actually charging the veterans for treatment.

He's just consolidating the paperwork trail. Currently, treatment for military injuries are payed for by the DVA. Other health problems (not related to military) aren't covered. The veteran would require private insurance for this.

The problem with this is that the person is now covered by two policies. Which one does the hospital charge for a particular treatment?

So Obama is proposing that everything gets sent to the private insurer. The private insurer would then settle with the DVA. But the hospital would only have to deal with a single insurer. It would have zero effect on the benefits from the veteran's point of view.


That's like saying that raising your taxes to 100% is just "consolidating a paper trail". Cause this way you don't have to figure out how much gets withheld and how much you keep. Gee! Putting money into two pockets is just too hard...

The point is that this puts all medical care square on the hands of the private insurance provider. Which means that employers of military, especially disabled military, will see their health premiums go up. This puts greater pressure on the employer to perhaps not hire that vet in the first place (which certainly affects the vet). And that's before the implication to the vet, that maybe he just shouldn't bother trying to get a job, but just live off the veterans benefits. Those do provide greater coverage if the vet's income is sufficiently low...


The broader issue is that he's painting the presence of a private insurer as a "nuisance" when combined with some state health benefits. The pretty obvious objective being that if you make it annoying and expensive enough for people to have more than one source of health care, it'll make the argument for universal health care that much stronger.
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#16 Mar 17 2009 at 4:20 PM Rating: Decent
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The point is that this puts all medical care square on the hands of the private insurance provider. Which means that employers of military, especially disabled military, will see their health premiums go up. This puts greater pressure on the employer to perhaps not hire that vet in the first place (which certainly affects the vet). And that's before the implication to the vet, that maybe he just shouldn't bother trying to get a job, but just live off the veterans benefits. Those do provide greater coverage if the vet's income is sufficiently low...


The broader issue is that he's painting the presence of a private insurer as a "nuisance" when combined with some state health benefits. The pretty obvious objective being that if you make it annoying and expensive enough for people to have more than one source of health care, it'll make the argument for universal health care that much stronger.


While that would be great, and is fascinating "Ignorant crazy guy guessing wildly at what things he doesn't understand might mean and coming up with doomsday" reading, it's not at all what this about.

Coordination of benefits is a fact of life in every facet of health care insurance in this country, this is nothing Earth shattering. Veteran's Status is a protected EEOC class, not hiring someone because of it will result in your company being destroyed in Federal court. If anything, it makes the argument for single payer health care much less compelling, as it works against the argument of an inherent efficiency gained by removing the entire coordination process.

Employers aren't going to care. ERISA compliance already prevents them from even knowing if these issues even exist in a potential employee. Obvious conditions like a missing limb or something carry the same negative employment consequences if they were the result of an IUD or a thresher accident.

All this will do is require health insurance companies to...shocking as it sounds...provide payment for medical treatments of people they insure. Save us from this RED MENACE!!!
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#17 Mar 17 2009 at 4:23 PM Rating: Decent
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Smasharoo wrote:
Veteran's Status is a protected EEOC class, not hiring someone because of it will result in your company being destroyed in Federal court.


Yes. I know. That's presumably exactly why Obama is doing this with Veterans first, instead of say blind people, or retirees.

I'm sorry. I assumed that was obvious.
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#18 Mar 17 2009 at 4:24 PM Rating: Decent
Gbaji wrote:
That's like saying that raising your taxes to 100% is just "consolidating a paper trail"


You're on a roll!
#19 Mar 17 2009 at 4:40 PM Rating: Decent
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Yes. I know. That's presumably exactly why Obama is doing this with Veterans first, instead of say blind people, or retirees.

I'm sorry. I assumed that was obvious.


No, what's obvious is that companies WOULDN'T BE ABLE TO NOT HIRE VETERANS BECAUSE OF THIS. Thus collapsing your fucking lunatic paranoid "this is to encourage Vets to live off the state" castle in the air before it gets built.

Considering I had to educate you about the EEOC's existence not so long ago, I don't think it was a great leap to assume that, in fact, you did not know this "obvious" fact. Remember, I'm replying to person who posted "Private employers can decide to not hire black people just because they're black".

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#20 Mar 17 2009 at 4:55 PM Rating: Decent
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You're naive enough to think that someone's going to write "Didn't hire because he's a disabled vet" somewhere? Seriously? I know you're insane, but not generally stupid.

You also completely missed the point. I know all of that. I said it would make employers not want to hire them as much, not that they wouldn't hire them (for exactly the reasons you outlined). It would make the employer painfully aware that he's bearing a higher load for health care costs than he would otherwise though. Which in turn, will make those employers more receptive to the idea of socialized medical care, especially small business owners, who I'm sure will be the focus of Obama's health care agenda.


It's about creating pressure artificially. By putting the costs for all of a disabled vet's care onto the employer instead of just those not related to his service, and making the reason for this that it's just too darn complicated to manage multiple providers, it puts that much more pressure on people to accept the "simple" solution of socialized medicine. They're using vets exactly because they are the one group that everyone will be outraged if their coverage is reduced. Obama can pass this on to the private carrier, arguing that he's not reducing their coverage, just "consolidating the paper trail" or some such non-sense, and if any private providers complain about the costs, they can be labeled as unpatriotic and unsympathetic to veterans. The "solution" will be to consolidate under one system. Which will have to be a federally run system.


That's the agenda here. Obama is using Veterans to push a social agenda. And *thats* what people are pissed at. The first coverage should come from the VA, not a private provider after the fact.
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#21 Mar 17 2009 at 5:14 PM Rating: Decent
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You're naive enough to think that someone's going to write "Didn't hire because he's a disabled vet" somewhere? Seriously? I know you're insane, but not generally stupid.

You also completely missed the point. I know all of that. I said it would make employers not want to hire them as much, not that they wouldn't hire them (for exactly the reasons you outlined). It would make the employer painfully aware that he's bearing a higher load for health care costs than he would otherwise though. Which in turn, will make those employers more receptive to the idea of socialized medical care, especially small business owners, who I'm sure will be the focus of Obama's health care agenda.


Ludicrous. Small business are already on board. Small businesses can't afford to self insure, they're forced to pay much much higher premiums per employee than large businesses, and generally their employees end up paying more as a result.

The small business argument against nationalized health care is from those that simply don't offer health care benefits *at all* to most employees. Explain to me how this hurts them.

The losers in this are *self insured* large businesses, that without getting into the complexities of the law, act as *their own* pool of capitol for claims and premiums. They pay a small fee to an administrator, say BCBS or CIGNA for networks and cards and the like, and possibly purchase a stop loss premium for $500,000+ catastrophic claims, but mostly just collect money from employees, pay claims with it and if they have a positive balance at the end of the enrollment period, they keep it. They're fucked here, because these are just more claims for them, although to be honest, even the impact there on a 10,000 employee company from this is likely marginal. They have an argument, though. This is just added cost for them. Joe and Bob's Appliance Repair was just purchasing premiums outright before, they'll do the same after. The cost of their premiums has virtually nothing to do with their individual employees.
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To make a long story short, I don't take any responsibility for anything I post here. It's not news, it's not truth, it's not serious. It's parody. It's satire. It's bitter. It's angsty. Your mother's a *****. You like to jack off dogs. That's right, you heard me. You like to grab that dog by the bone and rub it like a ski pole. Your dad? Gay. Your priest? Straight. **** off and let me post. It's not true, it's all in good fun. Now go away.

#22 Mar 17 2009 at 5:55 PM Rating: Decent
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Please don't pretend to be that dumb. It's a nice charade for the uninformed, I suppose...


You know darn well that one of the agenda items for Dems right now is to get health coverage for those 40 million uninsured folks. And a whole lot of them work for small businesses. So the whole "They don't buy insurance at all, so it doesn't matter" argument isn't much of an argument.

They will be presented with a forced choice of private or public payer systems. This is just a bit of groundwork designed to ensure that that choice is as weighted in the favor of a government managed system as possible.
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#23 Mar 17 2009 at 6:10 PM Rating: Decent
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gbaji wrote:


They will be presented with a forced choice of private or public payer systems. This is just a bit of groundwork designed to ensure that that choice is as weighted in the favor of a government managed system as possible.
VA is government run???
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#24 Mar 18 2009 at 5:04 AM Rating: Excellent
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The White House is meeting with veterans groups again on Thursday. I expect that this will be their exit from the situation.
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#25 Mar 18 2009 at 5:16 AM Rating: Default
Jophiel wrote:
He's not actually charging the veterans for treatment.

He's just consolidating the paperwork trail. Currently, treatment for military injuries are payed for by the DVA. Other health problems (not related to military) aren't covered. The veteran would require private insurance for this.

The problem with this is that the person is now covered by two policies. Which one does the hospital charge for a particular treatment?

So Obama is proposing that everything gets sent to the private insurer. The private insurer would then settle with the DVA. But the hospital would only have to deal with a single insurer. It would have zero effect on the benefits from the veteran's point of view.


As a layman, this sounds reasonable, but the article seems to refute this.

American Legion wrote:
WASHINGTON, DC (March 16, 2009) – The leader of the nation’s largest veterans organization says he is “deeply disappointed and concerned” after a meeting with President Obama today to discuss a proposal to force private insurance companies to pay for the treatment of military veterans who have suffered service-connected disabilities and injuries. The Obama administration recently revealed a plan to require private insurance carriers to reimburse the Department of Veterans Affairs (VA) in such cases.

“It became apparent during our discussion today that the President intends to move forward with this unreasonable plan,” said Commander David K. Rehbein of The American Legion. “He says he is looking to generate $540-million by this method, but refused to hear arguments about the moral and government-avowed obligations that would be compromised by it.”


Regardless, I think you are right, and that Thursday is going to see an end to the topic. No matter what the truth of the policy is, it is generating a lot of heat from the VA, the populace, and the Senate again came down on it like a ton of bricks yesterday. The White House will probably look for an exit from this topic ASAP.



Edited, Mar 18th 2009 9:17am by KinleyArdal
#26 Mar 18 2009 at 5:39 AM Rating: Decent
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Jophiel wrote:
He's not actually charging the veterans for treatment.

He's just consolidating the paperwork trail. Currently, treatment for military injuries are payed for by the DVA. Other health problems (not related to military) aren't covered. The veteran would require private insurance for this.

The problem with this is that the person is now covered by two policies. Which one does the hospital charge for a particular treatment?

Well the hospitals have this all figured out for worker's comp cases.

I can see where it might be a good thing to get the health insurance providers to provide. Premiums are high and presumably an individual would get better health care through a private financier versus a big, bureaucratic government administration. However, I'd rather over-coddle the vets when it comes to health care provisions. It seems like there are too many ways for the vet to get the short end of the stick with the current proposal put forth by the Pres.

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