Thanks to Obamacare we may Suffer the Pleasures of an IRS Audit when Caring for our Aging Loved Ones

Posted by PITHOCRATES - May 18th, 2013

Week in Review

Thanks to birth control and abortion people stopped having as many babies in the Sixties and Seventies.  While their parents did their job to keep the population growing their selfish baby boomer children did not.  Which has caused populations everywhere to age.  Where fewer and fewer young people are supporting more and more elderly baby boomers in retirement.  Putting a huge burden on our hospitals.  And our nursing homes.  Where it is not uncommon for an elderly patient to suffer a near life-ending malady.  And is rushed to the hospital.  The hospital uses the latest in life-saving drugs and treatment.  Stabilizes the patient.  Who, unable to live on their own anymore, are transferred to a nursing home.  Where drugs keep them alive.  Until they suffer another near life-ending malady.  And the nursing home sends them back to the hospital.  Where doctors stabilize the patient.  And sends them back to the nursing home.  And so on until the patient dies.

This is one of the most heart-wrenching things to have to go through with a loved one.  To see a loved one passed back and forth between the hospital and nursing home.  While the quality of their life diminishes.  And making everything worse are the costs.  Insurance pays for some of it.  When that runs out the government will pay for some.  But if a patient needs custodial care (to help them bathe, dress, eat, etc.) the family will have to begin liquidating their assets.  Unless they have no assets.  If not then the government steps in once again.  After verifying that they have no more assets to take.  But at this stage you’re getting the bare necessities to keep your loved one alive.  Where costs are more times than not driving the decision-making process.  Not the patient’s quality of life.  Even when the government provides free health care for its people little changes in this heart-wrenching process (see Pledge to close health and care gap by Nick Triggle posted 5/13/2013 on BBC News Health).

Ministers are promising an end to the era of vulnerable people being passed around the health and care systems.

The pledge forms part of a shared commitment being set out by NHS and local government leaders to close the gap between the two systems by 2018…

It comes as figures show elderly hospital patients are facing increasing delays for social care help.

The analysis of government figures by Age UK showed that hospital patients were waiting for more than 30 days on average for a care home place – 13% longer than three years ago.

Those needing social care packages at home are waiting 27 days on average – again 13% longer.

As well as being inconvenient for patients, the delays are costly for the NHS.

For example, a hospital bed costs £250 [$379.25] a day compared with just over £500 [$758.50] a week for a care home place.

Age UK released the figures to illustrate the growing disconnect between the health and social care systems…

Michelle Mitchell, of Age UK, said: “Waiting in hospital needlessly not only wastes NHS resources but it can also undermine an older person’s recovery and be profoundly upsetting for them and their families as a result.”

Now imagine inserting the IRS into this process.  Who the government will no doubt use to determine how much a patient’s family can contribute to this process.  The same IRS that fills a person with fear and dread whenever they get a notice from the IRS in the mail.  The government agency that can destroy your life like no other can.  That IRS.  Imagine the care of your loved one dependent on an IRS auditor’s opinion of how much you can afford to pay.  Which may happen.  For Obamacare gives the IRS that power.

Or worse.  Imagine the IRS determining the cost of care for your loved one based on your politics.  Like the IRS has been doing when granting tax-exempt status for certain groups.  Where people who support liberal causes go to the front of the line.  While conservatives go to the back of the line.  Especially if you’re a Tea Party conservative.  Imagine going through the equivalent of a costly IRS audit at the time your loved one is being shuttled between the health and social care systems.  As a conservative.  Where the IRS will seize all of your assets to pay for your loved one’s health care costs.  While liberals won’t go through the same costly IRS audit.  Or give up their assets.

It isn’t fair.  But little in Obamacare will be fair.  Not when liberals in government will use the IRS to attack political opponents.  Which they have admitted to doing.  We used to joke that we’d rather have a colonoscopy than go through the ordeal of an IRS audit.  Now we may have to have an IRS audit first before we can enjoy the pleasure of a colonoscopy.  Thanks to Obamacare the IRS will make a dreadful procedure even more horrible.  But on the brighter side if you want birth control or abortion they will be free on demand.  Including the morning-after pill.  Even if you’re a 15-year-old girl.  Funny, really.  As these things caused the very thing that got us into this mess in the first place.  An aging population.

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Woman waits over 12 Months for Colonoscopy in Australia

Posted by PITHOCRATES - September 2nd, 2012

Week in Review

Health care in Australia is a hybrid of public and private service providers.  It is mostly a public universal health care system with a private system layered on top for those who wish to pay for it.  The federal government subsidizes private insurance to encourage some to use it and leave the federal system.  For Australia, like most developed nations, has an aging population.  Thus a growing rate of people leaving the workforce and becoming high consumers of health care services while there are fewer people entering the workforce to pay for this large rise in health care consumption results in a doctor and nurse shortage.  Which leads to, of course, longer waiting times (see Still on hospital waiting list by Richard Bruinsma posted 9/3/2012 on the Sunshine Coast Daily).

A MAROOCHYDORE woman who requires a simple exploratory colonoscopy every five years has “celebrated” 12 months on the Nambour General Hospital waiting list.

The woman, who did not want to be named, has a family history of bowel cancer and requires the regular check-ups as a precaution…

“Five years ago, I got in within three months, so I couldn’t believe a whole year has passed since I’ve been referred by my doctor…”

“If I’m waiting for 12 months for a simple colonoscopy, then what’s the rest of the health system like?”

A Nambour hospital spokesman was restricted from speaking specifically about the woman’s case but said the opening of new procedural suites at the hospital in April meant patient through-put had increased…

“All referrals to the service are reviewed and categorised according to clinical urgency and need by a medical officer. Those deemed more urgent are given priority.

“The Sunshine Coast Hospital and Health Service is working hard to assess and treat all patients on the waiting list.”

Most Australians are satisfied with their health care.  It’s one of the better universal health care systems.  Thanks to the hybrid structure of it.  And a relatively small population.  Though as baby boomers are retiring and leaving the workforce it is making an impact on their health care services.  As time goes on the Australians may love their health care system.  But they may complain about it more.  Such as in the UK.  And Canada.  Even in the United States.  Which before Obamacare they didn’t complain about the same kind of things.  The rationing of services.  And longer waiting times.  But that will come.  Because it’s happened in the UK, Canada and Australia.  And they’ve been practicing universal care for a long time.

Australia’s population is less than 10% of the United States’ population.  And it’s about a third of the UK’s.  So they don’t need a very large health care system by comparison.  But as Obamacare takes off the bureaucracy running it will be enormous.  As will the costs.  The bill itself had over 2,000 pages of new rules, regulations, fees and fines.  A lot of which were fill-in-the-blanks.  Things left noted ‘as to be determined’ by some government bureaucrat.  Meaning they will be making a lot of it up as they go.

So while the UK, Canada and Australia have universal systems with some problems with rationing and waiting times the Americans will see under Obamacare an explosion in rationing and waiting times simply because they will have so many more patients in their system than the British, the Canadians or the Australians.  Resulting in their own doctor and nurse shortage.  And if they are having problems after doing universal health care for such a long time you know some newcomer to the game will have even more problems.  Especially considering the US will have about five times the number of patients the British have.  And about thirteen and a half times the number of patients the Australians have.

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FT131: “If liberals say sin taxes hit low-income and young adults disproportionally they must know they have photo IDs.” -Old Pithy

Posted by PITHOCRATES - August 17th, 2012

Fundamental Truth

Liberals want to Tax the Poor while Looking Like they’re not Taxing the Poor

A sin tax is an excise tax.  An excise tax is a flat tax.  Everyone pays the same amount.  Which liberals/progressives find unfair.  As these taxes hit low-income people disproportionately.  Whether it’s someone living on low wages.  Or on limited government support.  They live on a small amount of money each week.  And if they buy alcohol or cigarettes those sin taxes consume a large proportion of their weekly spending money.  By greatly increasing the price for alcohol and cigarettes.  When you hear things like ‘placing a bulls-eye on Joe Six-Pack’s back’ it refers to a low-income guy that enjoys drinking beer.  But drinking beer is difficult for him to do because the current tax structure favors the rich.  Who can more easily afford excise taxes.

And it’s the same for cigarette smokers.  There has been a war on tobacco.  And it’s been so successful that a lot of college-educated people don’t smoke these days.  For it is politically incorrect to smoke today.  They’ve banned it from restaurants.  From the office.  Even outside in some places.  Some are even trying to ban it in people’s homes if they have children.  Progressives hate smoking so much that they have placed enormous sin taxes on cigarettes.  Making it very difficult for Joe Six-Pack to buy his cigarettes.  And it is the low-income and those without college educations who tend to smoke these days.  So the people who can least afford to pay these high sin taxes pay most of them.

Progressives want to raise tax rates on the rich.  Because they have more money and therefore should pay more in taxes.  According to them.  So they can transfer the cost of government away from the low-income to the high-income.  And they’ve succeeded.  Today almost half of all taxpayers pay no federal income taxes.  While the top 10% of earners pay approximately 70% of all federal income taxes.  Yet despite this huge transfer of wealth from the rich to the poor sin taxes have continued to rise.  Meaning the liberals want to tax the rich.  And they want to tax the poor.  While looking like they’re not taxing the poor.  By ascending their self-righteous soapboxes.  For they know better than we.  Sin taxes, they say, are for our own good.  They discourage bad behavior.  And encourage good behavior.  Behavior that they approve of.  And it’s only coincidental that they these taxes fall disproportionately on Joe Six-Pack.  Then they try to take the little income remaining from poor Joe by selling him lottery tickets.  Something else more lower income people buy than rich people.  For rich people are already rich.

Obamacare combines the Joy of a Colonoscopy with the Fear and Loathing of an IRS Audit

Most people would rather have a colonoscopy than sit through an IRS audit.  Why?  Because a colonoscopy is more enjoyable.  It only takes a couple of hours as an outpatient in the hospital.  Your odds are better for getting good news after a colonoscopy than after an IRS audit.  And doctors are happy to give good news to their patients.  While IRS agents are happy when they can take your money.  The more of it they can take the happier they are.  And with today’s tax code they can always find money to take from you.  Especially if you’re a business owner.  Or a movie star.  Where you can lose your pension, your children’s college fund and your house if you made a mistake or trusted an untrustworthy accountant.  So given the choice people would choose a colonoscopy over an IRS audit almost any day.  Even without the anesthetic.

And speaking of health care and the IRS, how about that Obamacare?  The liberals’ solution to ‘fix’ health care.  Even though it wasn’t broken.  Americans have long opposed any form of national health care.  They opposed it when Hillary Clinton tried to put a plan together behind closed doors.  And they still oppose it.  Based on that majority of the population that wants to repeal Obamacare.  Which they passed into law thanks to some backroom deals.  And fun with numbers.  The big selling point was to keep the cost of it below what the wars in Iraq and Afghanistan cost.  If the liberals could keep the price tag below a trillion dollars over a ten year period they could say it wouldn’t cost Americans an extra dime to give ‘free’ health care to everyone.  Because they would just transfer all of that war spending to health care spending.  Despite those trillion dollar deficits.  A debt approaching $16 trillion.  And an economy wallowing in the Great Recession.

So how did they do it?  Keep the cost under a trillion dollars?  By being devious.  The data they submitted to the Congressional Budget Office (CBO) included ten years of expenditures but only 6 years of benefits.  Because 6 years of benefits cost about a trillion dollars.  Well, almost.  They also stole about $700 billion from Medicare.  So the real cost of Obamacare over a ten year period is closer to $3 trillion.  Or about three times the cost of the wars in Iraq and Afghanistan.  How’s that for free health care?  So Obamacare is really, really expensive.  Which is why Obamacare forces all Americans to buy health insurance.  Even the young and healthy who would rather put that money into a house payment while they are young and healthy.  And how are they going to enforce this?  By combining the joy of a colonoscopy with the fear and loathing of an IRS audit.

Getting a Photo ID is too Costly, too Complex or just too Time Consuming unless you’re a 16-Year-Old Anxious to Drive

Because of Obamacare everyone will have to prove to the IRS that they have bought health insurance.  Which means if you want health care you better file your federal income taxes.  Have a Social Security number.  And have proven to your employer that you are a legal citizen.  With two pieces of documentation.  Like a Social Security card.  And a photo ID.  Pretty intense requirements.  And much more stringent than it used to be when anyone could go to the emergency room and receive treatment.  Today if you’re sick you better hope dotted your ‘i’s and crossed your ‘t’s.  Because in Obamacare before you can get a colonoscopy you have to first answer to the IRS.

And Joe Six-Pack?  We love you.  Because you’re just an average Joe.  The backbone of America.  Working hard and raising your family.  So who are we to begrudge you a cold beer after a hard day’s work?  Or a smoke?  We won’t judge you for enjoying those things.  Because a lot of us enjoy those things, too.  Even if it’s not politically correct.  Or in our best interests.  Or behavior those ‘better than us’ would approve of.  Just make sure you have your photo ID before you buy your beer.  Or your pack of smokes.  Because unless you look old you aren’t buying either without one.  Even if you’re a grizzled war veteran.  And been to hell and back in Iraq or Afghanistan.  Because even a Purple Heart won’t get you beer or a pack of cigarettes without a photo ID.

The liberals have made it harder for you to get health care.  Or to smoke.  And they’re not making it any easier to drink adult beverages.  If you want to do any of these things you better suck it up and get a photo ID.  Because proving who you are, how old you are and whether you are a legal citizen are very important to liberals.  Unless, that is, you want to vote.  Then they don’t give a damn.  They even say asking for a photo ID to vote is only a way to disenfranchise the low-income and young adults.  So they can’t vote.  Because getting a photo ID is too costly, too complex or just too time consuming.  (Except for all those 16-year-olds anxious to drive.)  Yet these are the very same people who acknowledge that the low income and young adults pay a disproportionate share of sin taxes.  Which they pay on those things you can only buy with a photo ID.

So why this bizarre and inconsistent behavior on the part of liberals?  Well, it must have something to do with the vote.  And based on their devious behavior in passing legislation people don’t want, one can only assume that their lax attitude is for one reason.  Making it easier for them to win elections when they pursue policies that the people don’t want.  Like Obamacare.  Which is why when it comes to the vote they want anyone to be able to walk in off the street and say they’re whoever they say they are and vote.  Unlike the ‘hell’ people have to go through to buy a beer, a pack of cigarettes, getting a job or collecting their lottery winnings.  Yes, if you win the big one you’ll need a photo ID to claim your money.  But you don’t need it to vote.  Because voting just isn’t as important as these other things.

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