News Judge rules for GOP in ObamaCare lawsuit

Discussion in 'The Howard Stern Show' started by the G-man, May 12, 2016.

  1. the G-man

    the G-man Well-Known Member

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    By Tom Howell Jr. - The Washington Times - Thursday, May 12, 2016

    A federal judge dealt President Obama and his health care law a major blow Thursday, ruling in favor of House Republicans who said the administration was unlawfully paying insurers without authorization from Congress.

    The order by U.S. District Court Judge Rosemary Collyer, presiding in Washington, says the administration should stop doling out the Affordable Care Act’s “cost-sharing” payments to insurers until it gets an appropriation from Congress.

    However, she stayed that order pending a likely appeal by the administration.

    The cost-sharing program reimburses insurers who have reduced co-pays and deductibles for qualified Obamacare enrollees as a condition of participating in the state-based health care exchanges.

    GOP lawmakers say Congress never authorized spending for the program, and indeed zeroed out funding for it, so Mr. Obama was breaking the law and violating Congress’s constitutional power of the purse by continuing to disburse the funds.
     
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  2. Kanye West

    Kanye West Yeezus!

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    OMG white people rejoice!
     
  3. scoobyla

    scoobyla Well-Known Member

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    and the Rs wonder why trump crushed them...
     
  4. Willowglen

    Willowglen Lookin thru the glass ceiling & up Stephs skirt VIP

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    The Republicans keep judge shopping like an addict looking for a doctor to give them more Oxy.
     
  5. PI Nate

    PI Nate Disenfranchised since 1984... Gold

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    I'm not white, what else ya got?
     
  6. Kanye West

    Kanye West Yeezus!

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    ummmm lighter shade of brown people rejoice :dontknow:
     
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  7. PI Nate

    PI Nate Disenfranchised since 1984... Gold

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    :mexican:
     
  8. Kanye West

    Kanye West Yeezus!

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    :lo5:
     
  9. YodaQuiversStern

    YodaQuiversStern Turn and face the strange

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    http://time.com/4292290/how-obamacare-is-fueling-americas-opioid-epidemic/


    How Obamacare Is Fueling America’s Opioid Epidemic

    Not long ago Dr. Bill Sullivan, an emergency-room physician in rural Spring Valley, Ill., refused to prescribe a potentially habit-forming painkiller to a patient that had requested it by name. That might seem like a good thing since opioid addiction has become a national epidemic. But in fact, as a result of reforms put in place under theAffordable Care Act, he may have put his hospital at financial risk.

    As part of an Obamacare initiative meant to reward quality care, the Centers for Medicare and Medicaid Services (CMS) is allocating some $1.5 billion in Medicare payments to hospitals based on criteria that include patient-satisfaction surveys. Among the questions: “During this hospital stay, how often did the hospital staff do everything they could to help you with your pain?” And: “How often was your pain well controlled?”

    To many physicians and lawmakers struggling to contain the nation’s opioid crisis, tying a patient’s feelings about pain management to a hospital’s bottom line is deeply misguided––if not downright dangerous. “The government is telling us we need to make sure a patient’s pain is under control,” says Dr. Nick Sawyer, a health-policy fellow at the UC Davis department of emergency medicine. “It’s hard to make them happy without a narcotic. This policy is leading to ongoing opioid abuse.”

    That abuse has led to a full-blown crisis. Since 1999, fatal prescription-opioid overdoses in the U.S. have quadrupled. According to the CDC, more than 47,000 Americans died of a drug overdose in 2014, a record high, and more than 60% of those deaths involved an opioid. U.S. emergency rooms now treat more than 1,000 people every day for misusing prescription opioids.

    Patient-satisfaction surveys are not the cause of this crisis, of course. But there is research to support some doctors’ contention that they’re making the problem worse. A 2012 study in the Archives of Internal Medicinefound that the most satisfied patients are more likely to spend more on prescription drugs and have higher mortality rates. In a 2014 survey published in Patient Preference and Adherence, over 48% of doctors reported prescribing inappropriate narcotic pain medication because of patient-satisfaction questions. One doctor wrote that drug seekers “are well aware of the patient satisfaction scores and how they can use these threats and complaints to obtain narcotics.”

    CMS, which is part of the Department of Health and Human Services (HHS), disputes any link between its surveys, a hospital’s reimbursement money and opioid abuse. In March, agency doctors wrote in JAMA that the patient-satisfaction survey accounted for 30% of a hospital’s total performance score in fiscal year 2015, with pain management one of eight equally weighted dimensions, along with factors like nurse communication and cleanliness and quietness. (CMS did not respond to interview requests.)

    Still, lawmakers are concerned. Republican Senator Susan Collins, whose home state of Maine saw a 27.3% rise in its drug-overdose death rate from 2013 to 2014, has called for HHS to investigate the connection between the surveys and inappropriate prescriptions. “Health providers are telling me that these questions are written in a way that make them fear a lower reimbursement if patients did not answer them in the affirmative,” says Collins. “For a small rural hospital in Maine to lose a certain percentage of their Medicare reimbursements is a big deal.”

    In April, four Senators—two from each party—sponsored a bill that would untie reimbursements from pain-management questions. An earlier measure attracted bipartisan support in the House. Says West Virginia Representative Alex Mooney, who introduced the bill: “It’s a simple fix that can have significant results.”
     
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  10. reno

    reno VIP Extreme Gold

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    When I broke my ankle and back, the hospital gave me Oxycodone.:weeed:
     
  11. YinzerMasshole

    YinzerMasshole VIP Extreme Gold

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    We could go back to DubyaCare, or as we knew it at the time: Have Money Or Die!
     
  12. YinzerMasshole

    YinzerMasshole VIP Extreme Gold

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    The Washington Times, huh? Always nice to know what the Moonie paper thinks.
     
  13. the G-man

    the G-man Well-Known Member

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    Feel free to read about it at CNBC, Politico, the Washington Post or dozens of other sites that reported the story, then.