Obamacare

Obamacare's Medicaid Problem

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Whitehouse.gov

The Obama administration has pointed the relative success of state-based exchanges as a sign that Obamacare's health insurance exchange system can work in practice. But while it's true that several of the state-based exchanges appear to be functioning fairly well, those states may have another problem on the horizon: Many of the successful enrollments so far are in Medicaid, not private insurance. Via CBS News:

As the Obamacare website struggles, the administration is emphasizing state-level success. President Obama said Monday, "There's great demand at the state level as well. Because there are a bunch of states running their own marketplaces."

But left unsaid in the president's remarks: the newly insured in some of those states are overwhelmingly low-income people signing up for Medicaid at no cost to them.

Matt Salo, executive director of the National Association of Medicaid Directors, said, "We're seeing a huge spike in terms of Medicaid enrollments."

He says the numbers have surprised him and state officials.

CBS News has confirmed that in Washington, of the more than 35,000 people newly enrolled, 87 percent signed up for Medicaid. In Kentucky, out of 26,000 new enrollments, 82 percent are in Medicaid. And in New York, of 37,000 enrollments, Medicaid accounts for 64 percent. And there are similar stories across the country in nearly half of the states that run their own exchanges.

Maryland, another state running its own exchange, has enrolled about 80,000 people in Medicaid, but only about 2,300 in private plans. 

Medicaid was always supposed to be part of the mix, and the Congressional Budget Office even projected that Medicaid enrollment would be higher than private enrollment in 2014. But the numbers we're seeing so far are way out of proportion to what was expected. 

The issue here is that if states don't get high enrollment in private plans, and the enrollment mix isn't weighted enough toward relatively young and healthy beneficiaries, you end up with a small, lopsided private insurance pool made up mostly of older, sicker, and thus more expensive individuals. As former federal Medicaid chief Gail Wilensky tells CBS, "Either the private insurance enrollments come up somewhere around the expected amount or there's going to be a problem. …You need a volume and you need a mix of people that are healthy as well as high users in private insurance, in order to have it be sustainable." It's possible that these early enrollment figures are just the products differing levels of enthusiasm between Medicaid eligible individuals and folks enrolling in private sector coverage. But if not, this could be a real problem. 

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  1. “If you think health care is expensive now, wait until you see what it costs when it’s free.”

    P.J. O’Rourke

  2. But while it’s true that several of the state-based exchanges appear to be functioning fairly well,

    If you mean “not crashing or locking up”, sure, why not.

    But that’s a pretty low fucking bar in 2013. Glad to see the rest of the article gets at whether or not they are functioning in accomplishing their purpose, which is getting previously uninsured people paying premiums.

  3. Sebelius looks like she is trying to decide which of that guy’s internal organs she will remove and eat first.

    1. Sebelius looks like she is trying to decide which of that guy’s internal organs she will remove and eat first.

      I think the female Mantis consumes the males head first….

      After this I got nuthin…

    2. Of course! That’s where the raptors have been hiding…. the government sector!

      1. The terrible lizard people run our government?

        1. Looks like one of our Shape Shifting Reptilian Overlords forgot to shape shift.

          1. Nahh….she just shape shifted to a form even more repulsive than reptilian.

            1. Hey Man, Don’t be talkin’ bad about my main fantasy BABE? I been wantin’ ta have a foursome tween me & her & Hilliary-Bob & Billiary-Bob for a LONG time now?

              1. This is a sentence that did not need to be written. Or read. Or thought. Or said aloud.

                1. Hey Man, Sorry to tinkle in yer Wheaties, but? Ahs has bin fantasizin’ along them thar same line, about Iron Pants Maggie Thatcher cumin’ along an’ joinin’ ur party, turnin’ it inter a five-some, an’ challenin’ us all (all 4 of the rest of us) to git on thru ‘er iron pants! Sad ta say, she’s them thar dead an’ gone nawh, so no, can’t make no moh’ sick jokes no moh’ about them thar “jumpin’ er bones” no more, Ah’s been reformededed, mah probatshion offisser been talkin’ to me about them that tamin’ down that them thar necrifeely-ya stuff? But Ah’s tellin’ ya, them thar pilotician-type ladies, them that’s them thar HOT stuff!!!

  4. Here’s the other trick with those Medicaid enrollments:

    A lot of the “newly eligible” Medicaid people were previously on Medicaid. Its dead easy (relatively speaking) to get someone who you have all the info on to sign up (again) for something. So we’ll see the fully taxpayer-financed program fill up chop-chop because (a) its free to the user and (b) those people are easy to find and badget into signing up.

    1. Objection! Badgeting the witless!

      1. +1 Racist depiction of Japanese-American Lawyer

  5. OT: How the Dollar Could Eventually Collapse

    What the Chinese have been doing, however, is quietly building a financial infrastructure that would allow them and the rest of the world to free themselves from dependency on the dollar. They have suggested substituting promissory notes from the International Monetary Fund in world trade and struck deals with Russia and the OPEC nations to trade outside the dollar. They have established direct exchange of the yuan with Hong Kong, Taiwan and Singapore. Last spring Australia agreed to make its currencies directly convertible with the yuan and has since shifted 5 percent of its reserve holdings into yuan instead of dollars. The Chinese are negotiating a similar arrangement with New Zealand. And now they will be moving into London and the European market as well.

    1. Might I suggest switching to the Bitcoin?

      1. But how will we quantitatively ease!?!?

        1. I’m quantitatively easing right now, it’s easy.

          1. Is that what the kids are calling it these days?

            /getoffmylawn

    2. Michael Pento, president of Pento Portfolio Strategies, who writes frequently for Huffington Post, adds: “The No. 1 security issue we have as a nation is the preservation of the U.S. dollar as the world’s reserve currency. It’s a thousand times more important than a nuclear bomb being tested by North Korea. Yet we are doing everything to abuse that status.”

      1. If he’s right, let’s double down on the abuse and get this show over with.

    3. If I were Not the United States, I would be doing everything I could to free myself of The United States.

      However, if I were Greece, I’d be trying to marry up.

    4. At the end of the day, as the saying goes, the world is going to have little choice except to go nuclear. China and India are already proving that, even if you’re not particularly concerned about global warming, running an industrial nation on coal produces insufferable air pollution. China just passed the United States on total electricity generated and China and India combined will probably have to produce ten times more if they are to lift their populations out of poverty ? which their people desperately want. We may be able to divert ourselves into natural gas for awhile, even though it is a huge waste. (Gas would be much better utilized as methanol to run our cars.) But in the end, the world is going to move to nuclear power ? there is no other way.

      I don’t know if I share the rosey nuclear outlook in the near term, but I do think, in the long run the world is going to go mainly nuclear power.

      1. Fusion is the long term solution.

        1. Its just 10 years away!

          1. R C Dean|10.26.13 @ 2:32PM|#
            “Its just 10 years away!”

            You said that 20 years ago.

        2. Not Thorium?

        3. I have a solution that will satisfy even the most obstinate and brain dead of the Greens. We make a little fusion sun, and surround it with solar panels.

      2. But in the end, the world is going to move to nuclear power ? there is no other way.

        I’m not so sure, at least in regards to conventional nuclear fission. The waste product, operational, and proliferation risks are vast. And by nature of controllable criticality, fission reactors reach a certain size – such to say huge – at their best efficiencies.

        I’m no eco-green, nor am I in the carbon warming cult, but distributed power – especially solar – has potential to be disruptive technology if batteries get better. If every residential structure in USA had solar roofs, connected to a smart grid but especially yet-to-be invented batteries, all the power America consumes would be provided.

        I’m not necessarily advocating that notion vs. nuclear either, just saying there are lots of ways any energy tech could suddenly disrupt energy markets and concepts. Nobody knows the future.

        1. “””yet-to-be invented batteries””

          That is the real stumbling block, if you could store electricity as easily as you can store gasoline that would totally change everything.

          1. That’s why I am still a fan of hydrocarbons as transport fuel.

        2. I understand what you are saying but don’t agree.

          Proliferation risks from nuclear are far from vast. Most countries with nuclear power do not have weapons. Nuclear power plants don’t enable weapons production. Producing weapons grade materials is much easily produced from reactors designed to produce weapons materials, which is not what power reactors do and function in a completely different way.

          The waste is a trivial issue. We have the technology to burn all the long lived waste down to a level where the radioactive danger is non-existent after 300 years. Fast reactors, molten salt thermal reactors, etc. The waste is an issue for people who want to make something out of nothing.

          I’m not sure what you mean by the nature of controlling nuclear fission. Controlling fission is quite simple. Decay heat is a problem in accidents. But to do with efficiency, fission power has more potential for increased efficiency than any other form of electricity production. We currently utilize less than 5% of the extractable energy in the fuel we put into the core. There is a lot of room for improvement.

          continued…

        3. Not only are the batteries yet to be invented (you would have to ignore that if they were invented they would add massive cost to a solar system), the “smart grid” is yet to be proven. Solar roughly produces 20%, on average, of its installed capacity. So to have a smart grid without batteries you would need roughly 500% of the maximum grid requirements in solar. Ask any grid operator if they could handle this randomly fluctuating punch of juice into the grid and they will laugh at you. But even this ignores the fact that solar is incredibly expensive before batteries and is land intensive. To think that it will ever do any more than 20% of our electricity production is somewhat of a pipe dream.

          There are rules of physics which we must abide by, solar just doesn’t work if you want reliable cheap power. Long term, the human race will draw most, if not all, of their electricity from some form of nuclear reaction, be it fission or fusion. Energy density is a very important property that we don’t really pay attention to yet but will become ever more important as much more electricity is required to support developing nations. One golf ball size chunk of uranium, when fully fissioned in a fast reactor, holds enough energy to provide you with all the energy you will use in your lifetime. That is tough to beat.

          1. Where to start here.

            Proliferation risks from nuclear are far from vast. Most countries with nuclear power do not have weapons.

            That is obviously changing year by year.

            Nuclear power plants don’t enable weapons production. Producing weapons grade materials is much easily produced from reactors designed to produce weapons materials, which is not what power reactors do and function in a completely different way.

            The safest, most controllable large-scale nuclear reactors are CANDU reactors, and they are the best proliferators as well. Fukushima was boiling water, Chernobyl was graphite core (the other ideal proliferator-type of reactor), and the most unsafe kind, but still a power station. I could be wrong, but I’d guess Three Mile Island was pressurized PWR.

            There is no reactor technology not a proliferation risk. If risk is not in properties and potential of the reactor itself, it is in the reactor’s fuel cycle.

        4. The thing about energy whatevers, be it storage or transport, is to use it where it works. Solar powered garden lamps? Awesome. Solar powered calculator? Groovy.

          Solar powered home furnace? Not. Real. Smart.

          Proliferation aside, if the tech can’t justify itself economically for where you want it? It doesn’t belong there.

        5. where I live, in the mountains of western Pa, there have been several times in recent years when we’ve gone more than 30 days without seeing the sun. OTOH, we have 6 gw of coal fired electric plants one county over.

      3. But in the end, the world is going to move to nuclear power ? there is no other way.

        Yes, there is. The other nuclear option.

        “Duck and cover!”

    5. Yeah, the U.S. is in a death spiral.

      1. Barry’s presidency could not have come at a worse moment in our history. It meant total capitulation to institutional reactionaries who believe that the solution to the problems they created is to double down on the failure of central planning, crony capitalism, wasteful spending and failed ideas.

        1. It’s possible they’re not stupid; they may be being paid to do this by someone who would benefit from a devastated U.S.

          In any event I don’t know anyone who feels personally obligated to pay any of the U.S. national debt AND I live in a major gold producing area. So here, I don’t think we’ll much care about a default or a currency collapse.

          It will be initially inconvenient but in time we will be able to calculate prices in terms of gold and thus be immune from currency wankery.

          With a general collapse of the U.S. we might even see banks issuing their own notes again which will remove many of the logistical difficulties of using gold as a currency.

          1. It’s possible they’re not stupid; they may be being paid to do this by someone who would benefit from a devastated U.S.

            This is a conspiracy theory worthy of a Daily Kos poster shrieking about the Kochtopus.

            1. Are you at all surprised, dude?

            2. Shrug

              Given the attributes of those I am hypothetically accusing and those that would stand to benefit, is it really that outrageous of an idea?

                1. So they’re not capable of such a thing? I’m only saying it’s a possibility, that they are so corrupt that acting in this manner would cause them no ethical or moral concerns.

                  1. Never bet on evil when stupid is an option.

          2. It’s possible they’re not stupid; they may be being paid to do this by someone who would benefit from a devastated U.S.

            The primary beneficiary from dollar as wrc is the federal government. There’s no way the proggies want to end the power that gives them.

            1. Yet everything they do is leading to the collapse of their very center of power.

              They are either stupid or corrupt at a treasonous level.

              I’m saying the latter is on the table as a possibility. Though I don’t know what percentage I would assign to it.

            2. There is that, far more likely, they undermine its status through policy ignorance.

              1. So incompetence over stupidity? Hard to tell the difference.

                1. They are routinely manipulated by foreign interests overriding the national, that is a bipartisan problem. Bush may have actually been worse on this single score than Obama, but they don’t do it out of malice. Just the chump factor that is part of the national DNA.

    6. The dollar will cease being the world’s reserve currency when and only when the petro-dollar arrangement ends.

    7. Yeah, who wouldn’t want to switch from an opaque and somewhat fraudulent, fiat currency that the world economy is already heavily invested in, and convert it over to a clear-as-concrete, closed book, completely fraudulent quasi-communist shithole fiat currency, whose value is arbitrarily based on China’s word, as opposed to.. arbitrarily based the fed’s word… and Saudi oil production capacity… Confederate notes were a smashing success, for about 2 years… count me in!

    8. Oh, lord, this shit again.

      Here’s the thing. China’s running an export economy. If there’s a run on the dollar, the Chinese economy collapses as the US stops importing, and all of China’s dollar-denominated assets collapse, too. China suddenly falls into a depression, and everyone being placated by economic growth gets really mad.

      So if there’s a run on the US dollar, what happens in China is the PLA marches on Beijing and starts hanging members of the Politburo. Under the command of the generals if they’re smart, under the command of the colonels if the generals aren’t, but the Party leadership swings either damn way.

      Under which circumstance, no, nobody will take yuans. In which case, what are they going to do, suddenly flip to Greek-issued euros? There would be an immediate switch back to the dollar as the blood flowed in Beijing.

      Now, it is possible that the yuan will, very slowly and very gradually, push the dollar out of sole reserve currency status over the next, oh, thirty years. (And if you actually look up the numbers involved with that parade of Chinese moves he quotes, that’s the pace you’d expect; guess why he didn’t include them?) In which case, nobody will give a shit. The dollar lose thirty percent of its value over thirty years? The dollar already inflates more than that.

  6. Medicaid is growing, thanks to expansion. Medicare is growing, thanks to demographics. So guess who gets squeezed in-between?

    1. The suckers that are gainfully employed?

      1. Got it in one.

  7. …”But while it’s true that several of the state-based exchanges appear to be functioning fairly well,”…

    If the CA site is functioning well, it’s scaring a lot of people off:
    “When it opened Oct. 1, California’s site received 987,000 visitors looking to buy health insurance in the first five days, a volume that caused pages to load slowly. From Oct. 1 to Oct. 5, Covered California officials said 28,700 individual applications were completed.”
    That looks like an ~3% completion rate. And that still says nothing about how many actually *bought* insurance.
    http://www.sfgate.com/health/a…..927390.php

  8. Krystal Ball of MSNBC: We’re Not Propagandists.

    Partial Transcript:

    “Republicans, of course, have been lying to Americans about the Affordable Care Act,” she continued, “telling them it’s a train wreck, saying this president is a bystander to his own presidency, arguing that the federal government is incompetent and can’t work.”

    “Now they’ve got all kinds of evidence to back up their malicious and destructive claims,” Ball added.

    “This is the first direct experience that millions of Americans will have with Obamacare,” she insisted. “This is the critical entry point to President [Barack] Obama’s signature achievement; an achievement that we’ve marched for, and rallied for, and fought Supreme Court cases and elections over.”

    “I’m not trying to engage in hyperbole here,” Ball continued. “The Affordable Care Act can still work beautifully, but we’ve sure taken a giant risk ? an unnecessary risk ? with a dismal failure of a rollout and there’s really no excuse.”

    1. The Affordable Care Act can still work beautifully

      “All is well! All is well!”

      1. The Affordable Care Act can still work beautifully

        Yes, and I could win the lottery tomorrow. I think my chances are better than the ACA.

        1. This is an unfair comparison.

          People do actually win the lottery. Central Planning, on the other hand, has never once worked on a National scale.

          1. We just need a Ministry of Supreme Social Happiness. People just have a bad attitude and can’t appreciate the great savior that has been sent to save us lowly and ungrateful mortals.

            1. Fuck you.

              1. WTF? Are you mad because I fucked your mom? It wasn’t that good, so cheer up.

                1. Well, to be fair she has been dead for six years.

                  1. Ok, that wasn’t nice of me. But when you just say Fuck you for no apparent reason, then what do you expect?

                    1. I read it as a joke to your comment about everyone having a bad attitude.

                    2. I read it as a joke to your comment about everyone having a bad attitude.

                      I’m in a strangely negative mood since yesterday and I’m not really sure why. I guess I need to drink more.

                    3. I’ll be heading out for beer and football in 2 or 3 hours.

                    4. this site needs a sarcasm font!

                  2. Well, to be fair she has been dead for six years.

                    A better response has never been crafted!

                    (Tip o the cap)

          2. “But everyone in Europe loves their free healthcare!!”

            1. Some dude who’s an editor at some lefty site was really into the French system.

            2. So says all the lefties in Murika, most of whom who have never been to Europe and don’t know anyone there. I bet if we ask any Europeans who actually use the system and pay for it, probably not so much.

              My daughter-in-law lives in Portugal. I’ll have to ask her what medical care is like there. I don’t know anyone else in Europe.

              1. I found the link: http://www.theatlantic.com/bus…..are/32139/

              2. So says all the lefties in Murika, most of whom who have never been to Europe and don’t know anyone there. I bet if we ask any Europeans who actually use the system and pay for it, probably not so much.

                The Brits unquestioningly adore NHS, but the system is terrible. They’ve recently been trying to reform it because, surprise!, people have a disturbing tendency to be left lying in their own filth all night, to not get pain medication when they’re suffering terribly, and sometimes to not be fed.

                The truth is, the vast majority of Americans are very happy with their health care situation, so it’s not as if Europeans are happy with it and we aren’t.

            3. There’s are several reasons why many Canadians and Europeans love their socialized and single payer health care systems.

              1) Basic services are at zero or minimal out-of-pocket costs. Can’t complain about that.
              2) As long as one remains healthy, one is assured that the State will take care of him if he were to come down with a chronic illness or major accident. Since most people are relatively healthy most of the time, the majority of people are content with this assurance, dubious as it may be. Of course a minority of people require significant medical services and may receive a level of care that does not meet current US standards. The NHS horror stories and “The Barbarian Invasions” stories only apply to them, so they are the only whiners who complain about the quality of socialized medicine.
              3. The cost of service is concealed by layers of complexity in the taxation system.

              As long as one remains relatively healthy, European-style socialized medicine and single payer isn’t so bad. However, if one gets old and sick, well, tough luck.

              1. As long as one remains relatively healthy, European-style socialized medicine and single payer isn’t so bad. However, if one gets old and sick, well, tough luck.

                Shorter:

                It’s great until you actually need it.

    2. You know who else blamed his own people for their lack of vision?

      1. The one eyed man in the kingdom of the blind?

    3. She does everything but question her own assumptions that lefty social gadgets work; an abstract of Einstein’s definition of insane.

    4. “Krystal Ball of MSNBC: We’re Not Propagandists.” ? =/= ? ” Obama’s signature achievement; an achievement that we’ve marched for, and rallied for, and fought Supreme Court cases and elections over.”

    5. Hilarious article from 2010 on TechCrunch about those go-getters from HHS creating HealthCare.gov.

      http://techcrunch.com/2010/08/…..s-twitter/

      The comments are priceless – my fave is the first “This website is unremarkable by private standards. If BlueCross or Aetna had a website that looked like this it wouldn’t generate any acclaim. Get ready for DMV-style healthcare.”

  9. I will be on Medicaid; now “low income” after 25 yrs of employment. Just one of many people laid off. This is my first experience with welfare. The jobs in my area pay @60% less than the job I had. Even if I manage to get a job, I’d STILL qualify for Medicaid.

    This is where the long-term unemployed-underemployed people no longer on the radar are going to show up, like the increase in those on disability/food stamps. Google the term: “New Face of Medicaid” – you’ll see many are curious about how this is going to change the system. Some speculate that newer Medicaid patients will be younger and healthier.

    I was not prepared for the insulting mail from my state’s Medicaid provider. I got a letter from them that basically states:
    “We noticed that you are poor – are you disabled or a drug addict? If so, you may qualify for a different program.”

    Our state’s “workforce” program is useless. The “help” offered by my state consists of a bureaucrat reading me the SAME job listings I can access on my home computer – the assumption seems to be I can’t find a job because I am incapable of READING the ads myself – I need someone to READ THEM TO ME!

    Oh…but suddenly they are extending a helping hand as long as I am a drug addict. I am thinking of calling them to ask if there was any benefit to developing a drug habit.

    1. I am thinking of calling them to ask if there was any benefit to developing a drug habit.

      I can tell you right now that being poor, miserable and high is way better than being poor, miserable and sober. I’d say go for it.

      1. HA – thanks for the suggestion. I was thinking heroin. What would you suggest?

        1. You can’t start with heroin, ALP. To get to heroin you have to first take a “gateway” drug.

          1. Decades of pot smoking – got that covered. Sadly, all that toking never took a toll on my ability to be a self sufficient adult. I am READY for my new, truly useless, drug-addled existence.

          1. You ever taken MDMA for an extended amount of time?

            First of all, one’s tolerance rises rapidly with constant use. Secondly, after a few weeks of constant use people start getting dumb and shaky. I don’t know if this is from adulterants or the chemical itself, but ecstasy addicts are very strange.

            1. Well, apparently since none of it available on the street is without all sorts of other ingredients and most not even containing real MDMA at all, how can we tell?

              You get burnt on any drug if you do it all of the time, less high and more bad side effects. It’s just that the effects of some are a lot worse than others. Alcohol is a really bad drug, but there’s nothing else legally available.

        2. That’s a personal decision that only you can make.

          Some people don’t like the edge of stimulants and choose opiates or booze as their intoxicant of choice. Others like the energy of an amphetamine high and may smoke/snort/shoot/eat meth.

          Experimentation is your friend in this endeavor.

          I will say that opiates are unique in that if you’re addicted there are programs to keep you high, i.e. methadone. Though booze is cheap and readily available.

          1. I’d say start with weed. You can’t get physically addicted, but you can be psychologically addicted, which counts to the government.

            It’s relatively inexpensive, non-toxic, and if you stick with under an ounce, you probably won’t go to jail.

        3. I’d go with weed and blow. Can’t speak to molly as I’ve never come acrossed it. Probably would if I hung out at the campus bars.

          1. Been hitting the bong since…well…a long time. Like I said above, THAT certainly did not get in the way of my self reliance, so that’s not gonna cut it.

            What little experience I have with shooting up (only 2x courtesy of nurse friend back in the day when it was easier to steal that stuff from a hospital) was pretty amazing.

            Opiates it is. I have a needle fetish anyhow…always loved donating blood until my blood pressure got so low they won’t do it anymore.

        4. Krokodil

          Google image search it.

          1. No. Don’t.

          2. The actual drug isn’t that bad. It’s just that people are directly injecting corrosive chemicals and bacteria into their bloodstream.

        5. I know most of the financial advisors I’ve talked to recommend picking up a new, expensive habit, when one falls on hard times.

          I know enough regular heroin users to tell you it’s a good way to lock yourself in a permanent cycle of unemployment. Some people can use it recreationally and be functional, but not everyone can. If you can’t handle it recreationally plan on alienating your family and friends over the course of the next few years until none of them will talk to you, you may also want to work on deadening your gag reflex and finding a high traffic truck stop.

          You should go with pot and if you can start growing some for yourself. If you’re unemployed you’ll have some extra free time and a new hobby will keep your wits sharp.

          1. This thread is the best discussion I’ve had regarding the train wreck that is Obamacare so far! I really should come here more often. Lots to think about.

            FYI: I never HAD a gag reflex…ponder THAT one. I am more ready for this than I ever dreamed!

            1. I never HAD a gag reflex

              You must’ve be the life of parties!

      2. I can tell you right now that being poor, miserable and high is way better than being poor, miserable and sober. I’d say go for it.

        Not if you want to continue enjoying your 2nd amendment rights.

        1. Hey, I didn’t say anything about getting caught.

          1. Well, if he’s doing it to get extra loot from the .gov, he’s gotta tell him he’s doing it at some point or another, so…

    1. If you’re ugly and economically ignorant I’m your guy!

    2. He looks like a pedophile.

  10. I just drove to the grocery store and while I was on my way back, I once again inadvertently was listening to NPR.

    They started talking about the protesters in DC right now. They seemed very alarmed and not too happy that there are protesters from both leftist groups and the tea party.

    They were not focused too much at all on what else was going on, but totally obsessed with the idea that Dennis Kucinich and that right wing extremist, Justin Amash, were on the same side of an issue.

    1. Nothing is worse than when TEAMs cooperate. They might realize they’re both human and stop being utter scumbag partisans. And that ruins TEAM discipline and hatred, and they can’t have that. Hatred of the other TEAM is how they keep the sheep in line. Principles? Fuck principles or actually standing up for what you say you believe in. The hatred and partisanship has to be maintained at all costs. TEAM UBER ALLES.

      1. “Nothing is worse than when TEAMs cooperate. They might realize they’re both human and stop being utter scumbag partisans.”

        Nothing makes the commanders in the trenches politicians, and pundits
        collectively shit themselves quite like the fear of loosing their zero-sum narrative. War was difficult to press forward when soldiers didn’t properly dehumanize their
        enemies…

    2. If they lose the narrative of Team Red vs Team Blue they would have to find a new one to report on.

      Thus they are appalled at bipartisanship directed at a Democrat’s malfeasance since their listeners don’t want to hear that.

      The only acceptable narrative is heroic liberals protesting Republican wars or GOP party implosion.

    3. The appeal and potential electability of Rand Paul is embodied in NPR’s alarm at a protest-spectacle beyond stereotypes.

      1. The crazy thing is that Rand is only a radical from their POV. From most of us here, I’d guess, he seems like a so-con huckster triangulating to get the hard-core fiscal cons, the holy rollers, and the Tea Partiers together while hand-waving at his father’s core beliefs.

        1. Yeah, I don’t see him as a holy roller at all. I know he’s not an atheist but I don’t see him as a hard core socon by any means.

        2. hand-waving at his father’s core beliefs.

          In case you didn’t notice, Ron didn’t get much actually accomplished as a Congressman. If Rand revealed himself as Ron reincarnated, he would lose any opportunity to actually do something other than bitch about everyone else, as fun as that is.

          If he was Pure, he wouldn’t stand a snowballs chance in hell of doing anything except patting himself on the back for being principled.

          1. “If he was Pure, he wouldn’t stand a snowballs chance in hell of doing anything except patting himself on the back for being principled.”

            It’s funny sad because it’s true…

  11. Scientists make shocking discovery: The coldest thing in the universe is not Hillary Clinton

    A new look at the coldest known object in the universe reveals a ghostly shape glowing in the Centaurus galaxy some 5,000 light years from Earth.

    The Boomerang Nebula is a numbing 1 degree Kelvin, or about -458 Fahrenheit, more than a degree colder than the background radiation of the Big Bang, according to calculations by an astronomy team led by the Jet Propulsion Laboratory in La Ca?ada Flintridge.

    Yet fringes of this pre-planetary nebula are warming, a phenomenon that may confirm a particle physics prediction made by Albert Einstein.

    Images of the nebula were released Friday by the National Radio Astronomy Observatory.

    1. Yet fringes of this pre-planetary nebula are warming

      Global Warming… IN SPAAAAACE!

      1. That’s what happens without government regulation.

      2. They need carbon offset credits right away. Oh, and a capital exodus from wealthier greedy nebulas to noble yet humble ‘disadvantaged’ nebulas, so that they in turn might develop cleaner, carbon neutral star production facilities, and more efficient and earth-friendly stars…

    2. The coldest thing in the universe is not Hillary Clinton

      I thought it was Sebelius?

      1. Yeah, missed the obvious zinger on that one.

      2. No….Sebelius is the sharpest thing in the universe.

        (Sorry Almanian…..I know you’ve got an thing for her)

      3. Seriously, she looks like she pisses shaved ice.

    3. Yet fringes of this pre-planetary nebula are warming

      Evidence of evil capitalists!

    4. Yet fringes of this pre-planetary nebula are warming,

      Don’t colder objects tend to absorb energy from warmer objects, such as that background radiation from the Big Bang?

    5. Resting place of the Necrons.

  12. If they lose the narrative of Team Red vs Team Blue they would have to find a new one to report on.

    They still have the race card, they’ll never give that up. Even if all of the races mixed until you could no longer distinguish who was what race, they would still have the war on wiminz and gays, and transexuals, and whatever else too I guess. Even if NO ONE on earth fucking even cares anymore, outside of the leftist politicians and their puppet media, they will still never shut the fuck up about it. Someone has to be a victim and someone has to hate someone, or the left would vanish in a puff of smoke. These are just miserable and hateful people and they want everyone else to be just like them.

    1. Salon Pitch: Anti-NSA Rally Shows White Privilege of Civil Liberties Movement.

      1. Oh for the love of fuck. Who wrote that? Let me guess, Joan Walsh.

        1. No, no, just joking. But the fact that it could be real is what’s sad.

        2. It’s not a real headline. “Salon Pitch” is what people say when they’re making fun of something that Salon would publish.

          1. I didn’t notice the Salon Pitch: part…

            1. Yeah, you’ve missed a couple of jokes today….

              1. So I’ve heard.

    2. Are you suggesting that the ‘Guilt Hammer?” is the only tool in their box?

  13. Last week I bitched endlessly about how awful the 3 plan options were in the exchanges and how expensive they were. This week I’m gonna point out how awful Medicaid is. Currently it’s tough for Medicaid recipients to find a doctor willing to accept them as patients in many states. Doctors in many states lose money when the treat Medicaid patients. Telling people they have access to Medicaid and therefore health care is a deception. They will gain eligibility in a program but that doesn’t mean they’ll have access, especially when the number of eligibles increase and fewer docs accepted it. Those folks will end up in the same place they previous obtained their care – ER’s.

    Expanding a crappy, poorly run program was never a good idea.

    1. I have to guess that your are probably right about that, from what I have personally heard. I know 2 people who are on medicaid and from the conversations I have had with them on the subject, it seems their healthcare choices suck pretty badly. I wouldn’t want to be in their shoes, that’s for sure.

    2. Obviously you’re just another person who wants the poor to suffer and die.

      I keep saying this, but I will again, in the hopes that some GOP intern reads this and tells his boss: it’s not enough to kill Obamacare. You have to offer a clear, convincing alternative. The goal should be to make health care cheaper. Shift the focus from insurance and government programs to free-market-oriented care. Point out that the free market is perfectly capable of providing health care for nearly everyone, just as it provides food and clothing and shelter for nearly everyone. (Say “nearly everyone” to undercut the “you want the poor and sick to die” argument, and to make clear you aren’t talking about eliminating Medicare and Medicaid tomorrow.) Emphasize diverse and customized solutions, using innovative technology, instead of one-size-fits-all solutions run by Washington.

      Write a Contract With America-style set of bullet points that sound reasonable to the average voter, and that Democrats will have a hard time arguing against. Sell the heck out of it in 2014. The failure of Obamacare is a huge opportunity to turn the leviathan state around, so don’t blow it (though you probably will).

    3. Last week I bitched endlessly

      You’re a woman. You bitch endlessly every week! 😉

      (This is why there are no female libertarians….)

    4. As long as you don’t get sick, Medicaid is great. As long as one doesn’t have to pay for it, what’s not to like about going to the ER for treatment of flu-like symptoms?

      People are going to love their free Medicaid and tax-subsidized ObamaCare, providing that they stay healthy.

    5. Thought experiment: To qualify for Medicaid, one has to have an income below $11,500. This is an easy mark to hit for kids, who are legally prevented from having an income, thus I don’t have a huge problem with them being covered. However, for a full-time worker, averaging 50 weeks of full-time work for a year, one would have to make less than $5.75/hr to hit that mark. How big of a deadbeat must one be to hit that mark for a non-disabled, working age adult? You have to actively try to make $2.hour below the minimum wage.

  14. http://www.youtube.com/watch?v=wFwFtBepqlk

    I’m sure this has been posted, but I just saw it and I’m fucking livid. This fucking cunt should be dragged from her cushy office and never allowed back.

    Public employees sneering on camera that they don’t work for the taxpayers…truly we are well beyond anything resembling a republic.

  15. http://www.youtube.com/watch?v=wFwFtBepqlk

    I’m sure this has been posted, but I just saw it and I’m fucking livid. This fucking cunt should be dragged from her cushy office and never allowed back.

    Public employees sneering on camera that they don’t work for the taxpayers…truly we are well beyond anything resembling a republic.

    1. Obama and everyone in his admin are extremely arrogant and feel that they are somehow entitled to whatever they can take from the tax payers. and that they are not accountable for anything or to anyone.

      I will always remember a saying that I often heard when I was a kid. I think it’s from the Bible, but I don’t really know. I’m not religious, but this seems to be wise words, wherever it’s from:

      Pride cometh before the fall.

      1. The original is “Pride goeth before the fall”. Appropriately enough, from Proverbs.

        1. Thanks. I wasn’t sure where it was from, but I thought the Bible. My parents are religious and when I was a kid they used to make me to go church. After I was too old for them to force me, I still kept going for a while because that’s where I found the hottest and sluttiest chicks.

        2. Not quite.

          “Pride goes before destruction, and a haughty spirit before a fall.”

          Same source. Even more correct.

      2. They were positively gleeful coming into office. Barely even bothered to make any effort to hide the 800 billion dollars in kickbacks to backers and cronies, and state level allies hiding the costs of their policies under a thin veneer they cynically called a stimulus. He is so arrogant about it, he asks for more to this day for another round of kickbacks to his people under the guise of infrastructure. Yeah, that’s what you said you were doing with the money the last time until it was safe enough to mock us with ‘those shovel ready jobs weren’t so shovel ready.’

        You’re history’s greatest asshole, Barry.

        1. , and state level allies hiding the costs of their policies, under a thin veneer they cynically called a stimulus.

        2. Turns out Michelle went to Princeton with an exec at CGI, and Valerie Jarrett’s daughter and son-in-law work there as well. Surprise, surprise, surprise!

          1. Where’s the fainting couch!

          2. This script you handed me with all of its stereotypical depictions of political corruption through cronyism is too far fetched, PapayaSF. Who is going to believe that the incompetent company set to design the website for the national health system would be ran by insiders?

            1. The critics will roll on the floors laughing at such a preposterous movie premise.

              1. And it turns out CGI was the company behind the failed Canadian gun registry, and several other failed IT projects.

                The registry was estimated to cost in total $119 million, which would be offset by $117 million in fees. That’s a net cost of $2 million. Instead, by 2004 the CBC (Canada’s PBS) was reporting costs of some $2 billion ? or a thousand times more expensive.

                1. This is likely what the Democrats on the Hill meant when they warned Republicans ‘not to take this too far.’ They know the operational failure is just the tip of the iceberg; just like Solyndra, CGI sounds like it was built as a nepotism backdoor arrangement for their own kind.

                  Also, Jarrett’s head would look nice hanging over any GOP politicians mantle.

                  1. CGI sounds like it was built as a nepotism backdoor arrangement for their own kind.

                    You mean they didn’t actually spend 600+million on programmers?

      3. “Obama and everyone in his admin are extremely arrogant and feel that they are somehow entitled to whatever they can take from the tax payers. the red army in Berlin around april of ’45, plundering and pillaging for justice, and that they are not accountable for anything or to anyone, because they’ve won…”

    2. She doesn’t work me, that’s for sure. I would never hire the stupid cunt in the first place.

    3. I’m sure this has been posted, but I just saw it and I’m fucking livid. This fucking cunt should be dragged from her cushy office and never allowed back tar and feathered on pay-per-view.

    4. I’m sure this has been posted,

      Yeah; it was posted here. 😉

    5. She doesn’t work solely for teabagging idiots whose only political goal is to restrict access to healthcare for the most possible people, I believe is the gist.

      1. Insurance /=/ healthcare as you well know, but as usual you don’t care about the facts. Get back under the desk, the President probably misses your attention.

  16. http://cnsnews.com/news/articl…..umber-full

    Wow this country is so fucked.

    1. Maybe not. The leftists have overplayed their hand and now it’s out of control. The balance will break down and the free shitters who they can no longer provide freebies for, will turn on them.

      I don’t see any way out of this except for collapse and start over, as ugly as that is. The only other way is that states start to secede and form their own unions. Both could actually start happening at the same time. But our current course is only sustainable in the mind of foolish ideologues who cannot let go of a failed idea, even after it’s too late.

      1. free shitters who they can no longer provide freebies for, will turn on them

        What, and vote Republican or Libertarian? No chance. When socialism fails, it’s never the fault of socialism.

      2. I’m with you, Hype, although sadly I think it’s personality rather than ideas or even results that will turn people away from leftism for the nonce. I picture a gutsy, gusty Chris Christie blowing Hillary off the stage in 2016. Apologies for saying “blowing Hillary,” which might have put an unpleasant image in your mind.

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    1. Isn’t there one weird trick we can use to keep these spam bots out?

      1. I want a “flag as spam” button and thumbs up/down comment voting, but my desires may not get a lot of support around here.

        1. Fuck you; edit button.

          (Doesn’t work quite as well as FYCS, though).

  19. I posted about this Medicaid factor last week.

    The other thing to keep in mind is this:

    There’s a vast number of ongoing Medicaid enrollment every month anyway. People climb off Medicaid; others fall back on. There’s huge eligibility turnover.

    So to get the TRUE enrollment number you have to figure out how many people in a given state signed up for Medicaid every month under the OLD system at the OLD state Medicaid websites. Because anything up to that number should not count as an Obamacare signup. It’s just plain old Medicaid statistical noise.

    I bet 20,000 people a month sign up for Medicaid in New York no matter WHAT happens. So New York’s had no net signups at all, as far as I can tell.

    1. Very good point, and it applies to Obamacare insurance signups as well: how many of those would have happened anyway, without the website?

      But progs don’t think that way. If the government provides (e.g.) a job by hiring someone, they assume that person would never have found a job otherwise. Thus GOVERNMENT WORKED ONCE AGAIN.

    2. Yes, but OC lowered eligibility requirements for 35 state accepting the expansion, so we will have new Medicaid enrollment.

  20. “People rush to sign up for free stuff. No one hurries to sign up for expensive stuff.”

    Who would have seen that coming?

  21. I know a pretty simple way to solve the problem of a lopsided risk pool.

    1. Is it a final solution?

      1. There are no final solutions in pragmatism.

        1. And there’s no “pragmatism” in socialism.

        2. ObamaCare. As pragmatic as they come.

    2. Could we force these deadbeats into the Peace Corps? There are always ditches to be dug in Botswana.

  22. Well, it’s kind of obvious. If you are poor, you can’t really afford health insurance even at subsidized prices. It ain’t cheap.

    I imagine with Obamacare, health care costs will go up even higher, but we’re already paying twice as much as any other country does. We really need to go back to the drawing board. “Health insurance” is just a remarkably stupid thing

    1. There’s nothing wrong with the basic concept. It’s just another form of insurance. The problem is that it’s been regulated up the wazoo for generations, with every “reform” raising costs. And now that it’s very expensive, the leftist solution is… more regulation that causes even higher costs, plus subsidies.

      1. Not only that, but insurers now “insure” against voluntary routine tests, checkups, and treatments. Do you get auto insurance for tuneups, oil changes, new wiper blades and headlights? Can you imagine how expensive those services would be if you did?

  23. You mean something that the Liar-N-Chief is supporting is fucked up? Well, let me put on my shock face!

    1. You know what’s fun, you can always spot an Obama quote even without attribution because of the word “bunch.” “A whole bunhca folks” or “a bunch of states” or bunches o’ protestors shoutin’ about it.

  24. well they just priced healthy people out of the market, and now they’re surprised that only poor or sick people are signed up – people who are paying in little if any and taking out much.

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