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	<title>
	Comments on: Oh, and about that state Medicaid waiver&#8230;	</title>
	<atom:link href="https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/feed/" rel="self" type="application/rss+xml" />
	<link>https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/</link>
	<description>A blog about political change, among other things</description>
	<lastBuildDate>Sat, 07 Jul 2012 07:24:30 +0000</lastBuildDate>
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		<title>
		By: Curtis		</title>
		<link>https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/#comment-380792</link>

		<dc:creator><![CDATA[Curtis]]></dc:creator>
		<pubDate>Sat, 07 Jul 2012 07:24:30 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=17872#comment-380792</guid>

					<description><![CDATA[http://www.youtube.com/watch?v=8xk1P1913y0]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.youtube.com/watch?v=8xk1P1913y0" rel="nofollow ugc">http://www.youtube.com/watch?v=8xk1P1913y0</a></p>
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		<title>
		By: Curtis		</title>
		<link>https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/#comment-380771</link>

		<dc:creator><![CDATA[Curtis]]></dc:creator>
		<pubDate>Sat, 07 Jul 2012 05:24:17 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=17872#comment-380771</guid>

					<description><![CDATA[Nature&#039;s first green is gold,
Her hardest hue to hold.
Her early leaf&#039;s a flower;
But only so an hour.
Then leaf subsides to leaf.
So Eden sank to grief,
So dawn goes down to day.
Nothing gold can stay.

Nothing gold, nothing gray
will make a feeling stay.
To realize the power
notwithstanding the hour
your hand you must make hold
Nature&#039;s first green that&#039;s gold.]]></description>
			<content:encoded><![CDATA[<p>Nature&#8217;s first green is gold,<br />
Her hardest hue to hold.<br />
Her early leaf&#8217;s a flower;<br />
But only so an hour.<br />
Then leaf subsides to leaf.<br />
So Eden sank to grief,<br />
So dawn goes down to day.<br />
Nothing gold can stay.</p>
<p>Nothing gold, nothing gray<br />
will make a feeling stay.<br />
To realize the power<br />
notwithstanding the hour<br />
your hand you must make hold<br />
Nature&#8217;s first green that&#8217;s gold.</p>
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		<item>
		<title>
		By: holmes		</title>
		<link>https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/#comment-380744</link>

		<dc:creator><![CDATA[holmes]]></dc:creator>
		<pubDate>Sat, 07 Jul 2012 03:44:52 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=17872#comment-380744</guid>

					<description><![CDATA[Curtis: thanks. Good info.]]></description>
			<content:encoded><![CDATA[<p>Curtis: thanks. Good info.</p>
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		<title>
		By: Parker		</title>
		<link>https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/#comment-380721</link>

		<dc:creator><![CDATA[Parker]]></dc:creator>
		<pubDate>Sat, 07 Jul 2012 01:30:47 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=17872#comment-380721</guid>

					<description><![CDATA[Curtis, 

Thanks for the link to the WS article.  Again, what a tangled web we weave when we practice to deceive.

Pat, 

My wife is an IT person, she voiced the same reservations.

Side note: its still 94 degrees at 8:30 pm in SE Iowa.  I don&#039;t need Obamacare, I need a Canadian cold front to swoop down and make thunderstorms that rain, rain, rain.]]></description>
			<content:encoded><![CDATA[<p>Curtis, </p>
<p>Thanks for the link to the WS article.  Again, what a tangled web we weave when we practice to deceive.</p>
<p>Pat, </p>
<p>My wife is an IT person, she voiced the same reservations.</p>
<p>Side note: its still 94 degrees at 8:30 pm in SE Iowa.  I don&#8217;t need Obamacare, I need a Canadian cold front to swoop down and make thunderstorms that rain, rain, rain.</p>
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		<title>
		By: Curtis		</title>
		<link>https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/#comment-380711</link>

		<dc:creator><![CDATA[Curtis]]></dc:creator>
		<pubDate>Sat, 07 Jul 2012 00:43:13 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=17872#comment-380711</guid>

					<description><![CDATA[Wow. No doctors. No IT. No mandate. And all this:

http://www.weeklystandard.com/blogs/morning-jay-dont-bet-obamacare_648166.html?nopager=1]]></description>
			<content:encoded><![CDATA[<p>Wow. No doctors. No IT. No mandate. And all this:</p>
<p><a href="http://www.weeklystandard.com/blogs/morning-jay-dont-bet-obamacare_648166.html?nopager=1" rel="nofollow ugc">http://www.weeklystandard.com/blogs/morning-jay-dont-bet-obamacare_648166.html?nopager=1</a></p>
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		<title>
		By: Pat		</title>
		<link>https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/#comment-380689</link>

		<dc:creator><![CDATA[Pat]]></dc:creator>
		<pubDate>Fri, 06 Jul 2012 23:43:17 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=17872#comment-380689</guid>

					<description><![CDATA[There is another hurdle that Obamacare must pass. It will require complex computer systems to support the exchanges and there is no time to develop them. I&#039;m a software architect in a major healthcare organization. I&#039;ve been working with one system, among dozens, since 1998. As a system of record, our system feeds multiple down stream systems. This is not easy, because each system has its own set of conventions on how to represent health information. Obamacare faces challenges two orders of magnitude more complex than we&#039;ve dealt with over many years.

I blogged about the issue &lt;a href=&quot;http://standingpat.wordpress.com/2012/06/28/why-obamacare-will-collapse/&quot; rel=&quot;nofollow&quot;&gt;here.&lt;/a&gt;]]></description>
			<content:encoded><![CDATA[<p>There is another hurdle that Obamacare must pass. It will require complex computer systems to support the exchanges and there is no time to develop them. I&#8217;m a software architect in a major healthcare organization. I&#8217;ve been working with one system, among dozens, since 1998. As a system of record, our system feeds multiple down stream systems. This is not easy, because each system has its own set of conventions on how to represent health information. Obamacare faces challenges two orders of magnitude more complex than we&#8217;ve dealt with over many years.</p>
<p>I blogged about the issue <a href="http://standingpat.wordpress.com/2012/06/28/why-obamacare-will-collapse/" rel="nofollow">here.</a></p>
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		<title>
		By: Curtis		</title>
		<link>https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/#comment-380665</link>

		<dc:creator><![CDATA[Curtis]]></dc:creator>
		<pubDate>Fri, 06 Jul 2012 21:51:04 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=17872#comment-380665</guid>

					<description><![CDATA[The Ryan Roadmap does that, Holmes:

Interstate Purchasing. Currently, individuals and families can purchase health insurance only in the States in which they live, because insurance companies are prohibited from selling polices outside their respective States. Thus the consumer is prevented from purchasing coverage from another State that might offer more suitable, or more affordable, coverage.

This proposal breaks the lock, allowing each individual to use the refundable tax credit toward the purchase of health insurance in any State. This will greatly expand the choices of coverage available to the consumer, and also will encourage broader competition and diversity among insurers, who will be able to sell their policies to individuals and families in every State, as other companies do in other sectors of the economy. After analyzing Federal Employee Health Benefits Program [FEHBP] preferred provider organization [PPO] prices, the Government Accountability Office reports: “We found that FEHBP PPO hospital prices differed by 259 percent and physician prices differed by about 100 percent across metropolitan areas in the United States, after we removed the geographic variation associated with the costs of doing business such as rents and salaries, and differences in the types of services provided.”

Allowing consumers to shop across State lines will balance State regulation of health insurance. Individuals no longer will have to pay for health benefits mandated by their home States that they do not need; they will be able to choose policies from States whose mandates better fit their personal circumstances. States will then have an incentive to balance their insurance mandates against costs to remain competitive with other States.

See:

http://roadmap.republicans.budget.house.gov/plan/default.aspx#Healthsecurity

click on &quot;Health Care Security and scroll a couple pages.]]></description>
			<content:encoded><![CDATA[<p>The Ryan Roadmap does that, Holmes:</p>
<p>Interstate Purchasing. Currently, individuals and families can purchase health insurance only in the States in which they live, because insurance companies are prohibited from selling polices outside their respective States. Thus the consumer is prevented from purchasing coverage from another State that might offer more suitable, or more affordable, coverage.</p>
<p>This proposal breaks the lock, allowing each individual to use the refundable tax credit toward the purchase of health insurance in any State. This will greatly expand the choices of coverage available to the consumer, and also will encourage broader competition and diversity among insurers, who will be able to sell their policies to individuals and families in every State, as other companies do in other sectors of the economy. After analyzing Federal Employee Health Benefits Program [FEHBP] preferred provider organization [PPO] prices, the Government Accountability Office reports: “We found that FEHBP PPO hospital prices differed by 259 percent and physician prices differed by about 100 percent across metropolitan areas in the United States, after we removed the geographic variation associated with the costs of doing business such as rents and salaries, and differences in the types of services provided.”</p>
<p>Allowing consumers to shop across State lines will balance State regulation of health insurance. Individuals no longer will have to pay for health benefits mandated by their home States that they do not need; they will be able to choose policies from States whose mandates better fit their personal circumstances. States will then have an incentive to balance their insurance mandates against costs to remain competitive with other States.</p>
<p>See:</p>
<p><a href="http://roadmap.republicans.budget.house.gov/plan/default.aspx#Healthsecurity" rel="nofollow ugc">http://roadmap.republicans.budget.house.gov/plan/default.aspx#Healthsecurity</a></p>
<p>click on &#8220;Health Care Security and scroll a couple pages.</p>
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		<title>
		By: Parker		</title>
		<link>https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/#comment-380663</link>

		<dc:creator><![CDATA[Parker]]></dc:creator>
		<pubDate>Fri, 06 Jul 2012 21:48:21 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=17872#comment-380663</guid>

					<description><![CDATA[What a tangled web we weave when we attempt to decieve.  Pelosi: &quot;We have to pass the bill so that you can find out what is in it.&quot;  Too bad the supremes were not mandated to read and parse all 2,000+ pages.  Obamacare is the new synonym for fluster cuck.  Bring on the turmoil and law suits, may 10,000 lawyers rush in.]]></description>
			<content:encoded><![CDATA[<p>What a tangled web we weave when we attempt to decieve.  Pelosi: &#8220;We have to pass the bill so that you can find out what is in it.&#8221;  Too bad the supremes were not mandated to read and parse all 2,000+ pages.  Obamacare is the new synonym for fluster cuck.  Bring on the turmoil and law suits, may 10,000 lawyers rush in.</p>
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		<title>
		By: holmes		</title>
		<link>https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/#comment-380653</link>

		<dc:creator><![CDATA[holmes]]></dc:creator>
		<pubDate>Fri, 06 Jul 2012 21:19:12 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=17872#comment-380653</guid>

					<description><![CDATA[The interstate exchanges may be one of the few things I really like about the law.  The states are restraining interstate commerce by setting up little healthcare fiefdoms.  Can you think of another product that isn&#039;t allowed to be sold across state lines?  So the federal government has the right to step in and regulate that interstate trade; it has the right and ability to require states to accept outside insurance, while still adhering to the state&#039;s requirements for minimum coverage.    

I don&#039;t understand why the Republican governors would refuse to institute the exchanges, other than it is yet another unfunded mandate.  Really the Federal government itself should either a) set up the exchange or b) just simply require insurance companies to sell in any state (we don&#039;t need an interstate exchange for fruit or televisions.)]]></description>
			<content:encoded><![CDATA[<p>The interstate exchanges may be one of the few things I really like about the law.  The states are restraining interstate commerce by setting up little healthcare fiefdoms.  Can you think of another product that isn&#8217;t allowed to be sold across state lines?  So the federal government has the right to step in and regulate that interstate trade; it has the right and ability to require states to accept outside insurance, while still adhering to the state&#8217;s requirements for minimum coverage.    </p>
<p>I don&#8217;t understand why the Republican governors would refuse to institute the exchanges, other than it is yet another unfunded mandate.  Really the Federal government itself should either a) set up the exchange or b) just simply require insurance companies to sell in any state (we don&#8217;t need an interstate exchange for fruit or televisions.)</p>
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		<title>
		By: Curtis		</title>
		<link>https://thenewneo.com/2012/07/06/oh-and-about-that-state-medicaid-waiver/#comment-380644</link>

		<dc:creator><![CDATA[Curtis]]></dc:creator>
		<pubDate>Fri, 06 Jul 2012 20:44:37 +0000</pubDate>
		<guid isPermaLink="false">http://neoneocon.com/?p=17872#comment-380644</guid>

					<description><![CDATA[The individual mandate can only be applied through an exchange set up by the states. It cannot be applied through an exchange set up by the federal gov&#039;t. So, there goes the individual mandate, at least in all those states that refuse to set up their own exchange. 

Here&#039;s another post by M. Tanner which expands and clarifies on his above post:

http://beforeitsnews.com/story/2350/111/The_States_Resist_Obamacare_by_Michael_D._Tanner.html

Now what for those states that refuse to set up their own exchange? The feds threaten to rewrite the legislation to remove the loophole which would lead to a fresh constitutional challenge and another look at whether or not the mandate is a penalty or a tax. 

Andrew McCarthy cites United States v Butler. This case has some great language upholding the general idea that taxation must benefit everyone and must raise revenue within the expression of an enumerated power. All else shall be left to the States sovereignty. 

http://www.law.cornell.edu/supct/html/historics/USSC_CR_0297_0001_ZS.html

See especially paragraphs 2, 9-11, 13; and after &quot;Held&quot; 4, 9, and 12.

Note also the seeming contradiction between paragraph 15 and the result which limits the application of the General Welfare Clause. 

15. The power to tax and spend is a separate and distinct power; its exercise is not confined to the fields committed to Congress by the other enumerated grants of power, but it is limited by the requirement that it shall be exercised to provide for the general welfare of the United States.

The answer is that a tax to provide for the general welfare of the United States must also not invade the reserved powers of the States. Those powers are all powers not enumerated. Health Care is not an enumerated power. Therefore, by definition that a federal tax must accomplish the end of raising revenue for not only the general population but for fields withing the powers enumerated, anything doing different is not a tax.]]></description>
			<content:encoded><![CDATA[<p>The individual mandate can only be applied through an exchange set up by the states. It cannot be applied through an exchange set up by the federal gov&#8217;t. So, there goes the individual mandate, at least in all those states that refuse to set up their own exchange. </p>
<p>Here&#8217;s another post by M. Tanner which expands and clarifies on his above post:</p>
<p><a href="http://beforeitsnews.com/story/2350/111/The_States_Resist_Obamacare_by_Michael_D._Tanner.html" rel="nofollow ugc">http://beforeitsnews.com/story/2350/111/The_States_Resist_Obamacare_by_Michael_D._Tanner.html</a></p>
<p>Now what for those states that refuse to set up their own exchange? The feds threaten to rewrite the legislation to remove the loophole which would lead to a fresh constitutional challenge and another look at whether or not the mandate is a penalty or a tax. </p>
<p>Andrew McCarthy cites United States v Butler. This case has some great language upholding the general idea that taxation must benefit everyone and must raise revenue within the expression of an enumerated power. All else shall be left to the States sovereignty. </p>
<p><a href="http://www.law.cornell.edu/supct/html/historics/USSC_CR_0297_0001_ZS.html" rel="nofollow ugc">http://www.law.cornell.edu/supct/html/historics/USSC_CR_0297_0001_ZS.html</a></p>
<p>See especially paragraphs 2, 9-11, 13; and after &#8220;Held&#8221; 4, 9, and 12.</p>
<p>Note also the seeming contradiction between paragraph 15 and the result which limits the application of the General Welfare Clause. </p>
<p>15. The power to tax and spend is a separate and distinct power; its exercise is not confined to the fields committed to Congress by the other enumerated grants of power, but it is limited by the requirement that it shall be exercised to provide for the general welfare of the United States.</p>
<p>The answer is that a tax to provide for the general welfare of the United States must also not invade the reserved powers of the States. Those powers are all powers not enumerated. Health Care is not an enumerated power. Therefore, by definition that a federal tax must accomplish the end of raising revenue for not only the general population but for fields withing the powers enumerated, anything doing different is not a tax.</p>
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