Saturday, May 19, 2012

ObamaCare Thoughts

Thoughts On ObamaCare:


Patient Protection and Affordable Care Act, affectionately named Obama care, has been the target of a substantial amount of negative opinions and press.  It has been attacked as an overreach of the federal government due to the mandates regarding coverage and fines that will be in effect for business owners and individuals.  Arkes (2011) tells us that, “Some of our most accomplished lawyers have sought to argue that Obama care represents "a bridge too far," that if the federal government can manage the access of individuals to their medical care, there is virtually no limit to what it can do, either in exercising every power now exercised by local governments or deeply invading the zone of personal freedom” (p. 42).  What the basic fear of most Americans is that if we are mandated to get healthcare insurance, then where that government control will end.  The argument, according to Arkes (2011), “has been that many other products may plausibly serve the public health, and so people could be compelled, perhaps, to purchase broccoli or electric cars” (p. 43).  With an American economy, which seems to offer no light at the end of the financial tunnel, big government urging any extra expenditures in any family, seems too much to ask.
Even though at first look the big brother perception of Obama care, may cause people to avoid seeing the big picture. For instance there is legislation that is part of the Patient Protection and Affordable Care Act that may cause reform that is desperately needed.  The Physician Payments Sunshine Act is a small part of Obama care package which according to Klebanow (2012), “requires all manufacturers of drugs, biological, and medical devices to disclose on an online database payments to physicians and teaching hospitals amounting to more than $100 per year” (p. 22).  This legislation does have the potential to cause much more expenditures for pharmaceutical companies and medical service providers. However, it does serve to keep doctors and pharmaceutical companies playing fair and honest. Perhaps with this type of legislation there may be fewer medications recommended by doctors, who know of bad side effects yet prescribe medications due to outside pressure.
Healthcare costs for the private sector have increased in recent years so too has the government spending on Medicare and Medicaid. The United States deep in recession and national debt at an all time high legislators have been able to temporarily set aside party line divisions and approve the White House supported Affordable Care Act of 2010. Officially, “The health care law offers clear choices for consumers …” (U.S. Dept. Health and Human Services, 2012) the purpose behind it is to provide greater access to reasonable care for at-risk groups such as college students, low income, seniors, children, those with chronic conditions and disabilities which covers a greater portion of America than is currently supported on Medicaid/Medicare.  
Government spending on Medicaid and Medicare has since 1983 been on a pay-per-service system where a reasonable fixed amount is attached to each diagnosis-related group “since the government’s payment per patient is…fixed, every dollar spent by the hospital on the patient means a dollar less in hospital revenue.” (Kotlikoff, 2007).  Some hospitals cut corners to boost revenue generated from an increasing pool of Medicaid and Medicare patients which led to public mistrust of government healthcare in general.  The system as it stood prior to 2010 was not sustainable runaway spending on Medicaid and Medicare “…reflects real benefit levels that have been rising at a much faster clip than real income per capita…” (Kotlikoff, 2007) so when the recession seemed to last longer than anticipated the government was forced to finally make an effort to protect itself and its citizen’s budgets.  

Resource Bibliography:
  1. Seidman, G. (2010). Is a flat-line a good thing? On the privatization of Israel’s healthcare system. American Journal of Law & Medicine, 36, 452-481. 
  2. Halvorson, G. (2007). Understanding the trade-offs of the Canadian health system. Heathcare Financial Management, 82-84.
  3. Kennedy, E. (2009). ‘The cause of my life.’ Inside the fight for universal healthcare. Newsweek, 154(4), 34-39.
  4. Arkes, H. (2011). Natural rights trump obamacare, or should. First things: a monthly journal of religion & public life, (218), 41-46.
  5. Klebanow, D. (2012). Obamacare Remains on the March. USA today magazine, 140(2800), 22-24.
  6. U.S. Department of Health & Human Services (2012). The Health Care Law and You. Retrieved from: http://www.healthcare.gov/law/resources
  7. Kotlikoff, L. (2007, Oct). Healthcare Fix : Universal Insurance for All Americans. MIT Press. Cambridge, MA.   
  8. Goldman, D. , Sood, N. (2006) Health Affairs, 25, no.5. Rising Medicare Costs: Are We In Crisis? Retrieved from: http://content.healthaffairs.org/content/25/5/w389.full.html

9.      H.R. 4872 (111th): Health Care and Education Reconciliation Act of 2010

10.  Senger, Alyene: IPAB Spells Gloom And Doom For Medicare

  1. Troy, Tevi (2012). Obama Care in the Supreme Court. Commentary, Feb2012, Vol. 133 Issue 2, p20-24, 5p http://web.ebscohost.com.ezp.waldenulibrary.org/ehost/results?sid=1f9034cd-cef9-470f-a933-cf857b173ebc%40sessionmgr13&vid=4&hid=17&bquery=obama+care&bdata=JmRiPWE5aCZjbGkwPUZUJmNsdjA9WSZ0eXBlPTEmc2l0ZT1laG9zdC1saXZlJnNjb3BlPXNpdGU%3d#1

Sunday, September 25, 2011

Changing Technology:

With all the changing types of technology these days, its hard to keep up with what one needs in today's technically evolving world. words like quad core, vmware, ssd hybrids, android, and iOS, can overwhelm the mind. However the solution is simple. Keep it simple, and take time to research. Its not important to have the latest and greatest, it is only important to have a tool for everything you need to do. Make a list of how you need to plan your day, and what you need to accomplish, then make sure you have all the tools. Its all about being productive, if you have what you need to do that, then that's all you need.

Changing Technology:

With all the changing types of technology these days, its hard to keep up with what one needs in today's technically evolving world. words like quad core, vmware, ssd hybrids, android, and iOS, can overwhelm the mind. However the solution is simple. Keep it simple, and take time to research. Its not important to have the latest and greatest, it is only important to have a tool for everything you need to do. Make a list of how you need to plan your day, and what you need to accomplish, then make sure you have all the tools. Its all about being productive, if you have what you need to do that, then that's all you need.

Monday, May 2, 2011

It is nice to be part of a community which has banded together to help one another after the horrible storms tore through our county last week. We went out to help move debris from the yards and homes of families that were hit by the storm. We were gald to see others helping out during this time.

Thursday, January 7, 2010

Passwords



Computer security is as serious for most home computer users as it once was for businesses. Now with more and more comfort with using computers for banking, buying online etc, It is important to keep your PCs secure. One thing I have come across too often is a lack of a login password. Even though cyberspace is full of threats, some of the biggest threats are users in the home going to sites that the computer owner doesn't know about untill they have a virus. It is also an extra level of security for your home network. The short and simple of security and password protection is this...


  • Make sure all PCs and Macs in your network have their own login passwords

  • Make sure you are using some measure of wireless encryption (WEP, WPA, etc.

  • Make sure your router (if you have one) has a password you chose

  • Make sure to use all available protections provided by your router (mac address filtering, wireless security, password protection etc.)

  • Also it is always a good idea (for home network users) to change your home network name to something other than MSHOME or WORKGROUP which are windows defaults.

I just had to share this post because I have had too many customers have to call me out more than neccesary because they would not password protect their computer from their children. Children aren't always to blame, but for my customers their problem was teenager related. Multiple tech calls can get costly no matter how fair your tech's prices may be, so protect yourself and your computer from all threats external, and internal.

Tuesday, January 5, 2010

I just added my blog to technorati and I'm putting JU2PANE8S2UA <--this code here to verify. Hope everyone out there has a great new year. There is a lot of threats out there today so I will sum up today's post with one bit of advice. Download Malwarebytes Anti-Malware and install it to clean up in case of infection. that's all for now from One Geek Solutions