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quote:
Originally posted by Gustofer:
quote:
Originally posted by jljones:
I can tell you for a fact that a young woman called 911 each day for nearly two months (about 5-6PM each day) feeling suicidal. She was transported by ambulance to the hospital each time. The hospital admits her and then releases her after only a few hours. The ambulance and hospital get the Medicare amount, and write off several thousand dollars. Each day. Multiple that by a couple of hundred (or more) people a week. That’s where they are losing money.

They have no choice. EMTALA (the government) requires that they see her and they can only accept what CMS pays (generally speaking). Again, the government is the reason for that. They have no choice but to write off a ton of money. Can't get blood out of a turnip.


So how do we solve this problem? I like our current administration. Be patient, these things take time.
 
Posts: 1587 | Location: Mason, Ohio | Registered: September 16, 2015Reply With QuoteReport This Post
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posted Hide Post
quote:
Originally posted by Gustofer:
They have no choice. EMTALA (the government) requires that they see her and they can only accept what CMS pays (generally speaking). Again, the government is the reason for that. They have no choice but to write off a ton of money. Can't get blood out of a turnip.


There’s always a choice.

If playing the system (and getting taxpayer funded bailouts) isn’t profitable, why are all the “rural hospital” being bought up by the larger chains like Mercy Health, Mission Hospitals, and Deconess?

We have 2 trauma centers within about 5 miles of one another. A “rural hospital” 20 minutes south. And 20 minutes east. And 10 minutes north. And none are profitable, but all the COVID money was sure soaked up by the owners. And now…..another taxpayer funded bailout.

Do the taxpayers need to be on the hook to support an unholy agreement that the hospitals voluntarily put themselves in? And you can’t have it both ways. Trying to claim it’s the government’s fault but yet the larger chains are buying up the “rural” for some reasons? Seems to me if the rural hospitals just drag down the bottom line you’d not buy them up. But, they do because they are playing a financial game at taxpayer expense.

And putting $50m on the government’s credit card is the dumbest of answers. It’s the same tactics that keeps the VA from ever getting fixed.




www.opspectraining.com

"It's a bold strategy, Cotton. Let's see if it works out for them"



 
Posts: 37741 | Location: Logical | Registered: September 12, 2004Reply With QuoteReport This Post
Lawyers, Guns
and Money
Picture of chellim1
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quote:
If playing the system (and getting taxpayer funded bailouts) isn’t profitable, why are all the “rural hospital” being bought up by the larger chains like Mercy Health, Mission Hospitals, and Deconess?

jljones is correct.

Obamacare (The Affordable Care Act) accelerated the trend of consolidation. "Big Hospital" is in bed with government. I've seen it up close and personal when St. Anthony's hospital (a stand-alone community hospital) was bought by Mercy. It's not better, it's just bigger and more bureaucratic ... and "compliant" with government mandates. St. Anthony's was all about the mission; Mercy is all about the money.

****
The problem with all this kind of thinking is it's superficial and banal, for it ignores the real source of America's decline: the moral rot that has eroded every institution and every nook and cranny of our society. Whenever I mention this moral rot, I get immediate push-back of this sort: corruption has always been around, so today is no different from previous eras.

While it's self-evident that self-interest and greed manifest as corruption, it's not true that the systemic corruption of the present is no different from previous eras--it's worse, much worse because it's now normalized, and so we accept the most outrageous forms of corruption as "normal."

So private equity buys a company, loads it with debt, transfers all the borrowed cash to the private equity "owners," and then leaves the company a sinking hulk that soon declares bankruptcy. Or when private equity snaps up hospitals and healthcare clinics and prices rise not for better service but to "reward the owners," this plundering of "healthcare" is just good solid MBA-school maximization of shareholder value.

Every institution has been hollowed out by self-service. Is it any wonder than younger generations have near-zero trust in institutions, given that their PR veneer of "public service" is just a cover for milking the system for private gain?

https://www.zerohedge.com/poli...eat-again-start-here



"Some things are apparent. Where government moves in, community retreats, civil society disintegrates and our ability to control our own destiny atrophies. The result is: families under siege; war in the streets; unapologetic expropriation of property; the precipitous decline of the rule of law; the rapid rise of corruption; the loss of civility and the triumph of deceit. The result is a debased, debauched culture which finds moral depravity entertaining and virtue contemptible."
-- Justice Janice Rogers Brown

"The United States government is the largest criminal enterprise on earth."
-rduckwor
 
Posts: 25919 | Location: St. Louis, MO | Registered: April 03, 2009Reply With QuoteReport This Post
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In this area we are seeing a rise of the independent practices, many of which do not accept any insurances. The patient can file for reimbursement from their insurance, so the patient doesn't necessarily foot the entire bill.

This frees the provider from loads of restraints and BS administrative work from insurance.

It also separates them from a lot of the government non-sense.

I am not thrilled with being forced into Medicare this year, as I believe I lose the choice to use these independents unless I fully self-pay.
 
Posts: 10293 | Location: On the mountain off the grid | Registered: February 25, 2002Reply With QuoteReport This Post
Lawyers, Guns
and Money
Picture of chellim1
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quote:
we are seeing a rise of the independent practices, many of which do not accept any insurances.

"Concierge medicine" is becoming more and more popular. Of course, the term means different things to different providers. My wife's doctor went that route. It would have cost her a $250/month fee above and beyond insurance to stay with her.

Personally, I've dropped my health insurance altogether. I never used it except for an annual checkup and it was getting outrageously expensive. I hope nothing catastrophic happens, because insurance used to be for catastrophe but that type of coverage really isn't available anymore.



"Some things are apparent. Where government moves in, community retreats, civil society disintegrates and our ability to control our own destiny atrophies. The result is: families under siege; war in the streets; unapologetic expropriation of property; the precipitous decline of the rule of law; the rapid rise of corruption; the loss of civility and the triumph of deceit. The result is a debased, debauched culture which finds moral depravity entertaining and virtue contemptible."
-- Justice Janice Rogers Brown

"The United States government is the largest criminal enterprise on earth."
-rduckwor
 
Posts: 25919 | Location: St. Louis, MO | Registered: April 03, 2009Reply With QuoteReport This Post
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posted Hide Post
quote:
Originally posted by chellim1:
"Concierge medicine" is becoming more and more popular. Of course, the term means different things to different providers. My wife's doctor went that route. It would have cost her a $250/month fee above and beyond insurance to stay with her.

Personally, I've dropped my health insurance altogether. I never used it except for an annual checkup and it was getting outrageously expensive. I hope nothing catastrophic happens, because insurance used to be for catastrophe but that type of coverage really isn't available anymore.


I pay $99 per month but it is going up to $130 this autumn. Unlimited visits, no rush when with the doc.

For insurance, we use Christian Healthcare Ministries. $574 per month total for my wife and I, with no lifetime maximum. There are restrictions on pre-existing conditions, which are not covered for 2 or 3 years, and a deductible for each event. For us, it is much better coverage at much lower cost than I had from my employer. *not legally insurance but amounts to the same thing.
 
Posts: 10293 | Location: On the mountain off the grid | Registered: February 25, 2002Reply With QuoteReport This Post
Fighting the good fight
Picture of RogueJSK
posted Hide Post
quote:
Originally posted by chellim1:
Personally, I've dropped my health insurance altogether. I never used it except for an annual checkup and it was getting outrageously expensive. I hope nothing catastrophic happens, because insurance used to be for catastrophe but that type of coverage really isn't available anymore.


Depends on the area and the insurance companies. Because that's what I have. It's a ~$9k deductible and a ~$9k max out of pocket.

I only go to the doctor about once a year, so that made the most sense for me. Basically just a catastrophic stoploss plan, plus benefitting from the company's prenegotiated rates with providers and pharmacies. I have the $9k deductible/OOP factored into my liquid emergency fund.

There's no way I'd go through life with zero insurance coverage, meaning no upper limit on out of pocket costs. That's how you go bankrupt after an unexpected major medical event. Fall off a ladder, have a car wreck that's your fault, get run over in a crosswalk by someone who then flees, have a heart attack, get shot by a road rager, etc., and you're suddenly facing tens/hundreds of thousands of dollars in snowballing medical bills with no way to stem the financial bleeding.
 
Posts: 34246 | Location: Northwest Arkansas | Registered: January 06, 2008Reply With QuoteReport This Post
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According to one CFP on YouTube, the $6,000 additional deduction applies no matter if one uses the standard deduction or itemizes deductions.

The 2025 standard deduction will be $31,500 for a married couple filing joint. Each person over 65 there is an additional $1,600 added to the standard deduction.

Then there is that additional $6,000 deduction no matter which deduction you use.

For both over 65, the new standard deduction will be $46,700.

For one spouse over 65, the new standard deduction will be $39,100.

If you itemize as married joint, your total deduction will be Itemized+$12,000 if both are over 65, and will be Itemized+$6,000 if one is over 65.
 
Posts: 10293 | Location: On the mountain off the grid | Registered: February 25, 2002Reply With QuoteReport This Post
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posted Hide Post
quote:
Originally posted by Fly-Sig:

Then there is that additional $6,000 deduction no matter which deduction you use.

For both over 65, the new standard deduction will be $46,700.

For one spouse over 65, the new standard deduction will be $39,100.

If you itemize as married joint, your total deduction will be Itemized+$12,000 if both are over 65, and will be Itemized+$6,000 if one is over 65.


Not that simple. For high income couples, the $6K deductions begin phasing out at $150K and disappear completely at $250K (per couple).
 
Posts: 1290 | Location: NE Indiana  | Registered: January 20, 2011Reply With QuoteReport This Post
So let it be written,
so let it be done...
Picture of Dzozer
posted Hide Post
Was this already posted? I didn't see it if so...
The 1099-K threshold was set back to $20,000 and 200 transactions for platforms like eBay and Reverb. So you won’t receive a 1099-K unless your gross sales exceed $20,000 and 200 transactions in a year.



'veritas non verba magistri'
 
Posts: 4118 | Location: The Prairie | Registered: April 28, 2007Reply With QuoteReport This Post
No More
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quote:
Originally posted by tsmccull:

Not that simple. For high income couples, the $6K deductions begin phasing out at $150K and disappear completely at $250K (per couple).


Yup, there are always complications and details wrt taxes! When the IRS writes their specific rules it may further complicate things in unexpected ways.

There are many thresholds across taxes for retirees which greatly complicate planning. The best advice for retirees is to look as poor on paper as possible. (ROTH ROTH ROTH).

At least now the tax rates have been made permanent, simplifying some decisions.
 
Posts: 10293 | Location: On the mountain off the grid | Registered: February 25, 2002Reply With QuoteReport This Post
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Federal judge blocks Planned Parenthood defunding in Big, Beautiful Bill

https://justthenews.com/govern..._campaign=newsletter

A federal judge in Boston on Monday blocked the One Big, Beautiful Bill Act's provisions to defund Planned Parenthood, just days after President Donald Trump signed the law.

U.S. District Judge Indira Talwani, an Obama appointee, issued the temporary restraining order.

The ruling comes in the wake of a Supreme Court ruling that dramatically limited the scope of nationwide injunctions by lower court judges and is sure to lead to a legal fight with the administration.

"The true design of the Defund Provision is simply to express disapproval of, attack, and punish Planned Parenthood, which plays a particularly prominent role in the public debate over abortion," Planned Parenthood argued in its suit, per Reuters. The case in the U.S. District Court for Massachusetts.


_________________________
 
Posts: 14055 | Registered: January 17, 2011Reply With QuoteReport This Post
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Picture of 2BobTanner
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If these leftist judges want to keep playing these games, then it’s time to return the favor: file IMPEACHMENT charges against everyone of them for obstruction and exceeding their constitutional duties given what the SCOTUS said in the most recent cases. The Dems are going to scream anyway, so let them.


---------------------
DJT-45/47 MAGA !!!!!

“Quidquid latine dictum sit, altum videtur.”

"Sometimes I wonder whether the world is being run by smart people who are putting us on, or by imbeciles who really mean it." — Mark Twain

“Democracy is the theory that the common people know what they want, and deserve to get it good and hard.” — H. L. Mencken
 
Posts: 2995 | Location: Falls of the Ohio River, Kain-tuk-e | Registered: January 13, 2005Reply With QuoteReport This Post
Tinker Sailor Soldier Pie
Picture of Balzé Halzé
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At this point, I just shake my head and chuckle at the absurdity of these judges' rulings. It's simply nonstop, blatant, juvenile insanity.


~Alan

Acta Non Verba
NRA Life Member (Patron)
God, Family, Guns, Country

Men will fight and die to protect women... because women protect everything else. ~Andrew Klavan

 
Posts: 31395 | Location: Elv. 7,000 feet, Utah | Registered: October 29, 2012Reply With QuoteReport This Post
Thank you
Very little
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As always a good read from Shipwreckedcrew

https://x.com/shipwreckedcrew/.../1942433465888301346

 
Posts: 25884 | Location: Gunshine State | Registered: November 07, 2008Reply With QuoteReport This Post
Tinker Sailor Soldier Pie
Picture of Balzé Halzé
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If Shipwreckedcrew is saying that, then you know this judge is FAR over her skis on this one.


~Alan

Acta Non Verba
NRA Life Member (Patron)
God, Family, Guns, Country

Men will fight and die to protect women... because women protect everything else. ~Andrew Klavan

 
Posts: 31395 | Location: Elv. 7,000 feet, Utah | Registered: October 29, 2012Reply With QuoteReport This Post
Get my pies
outta the oven!

Picture of PASig
posted Hide Post
From the NY Post:

quote:

Republicans’ righteous win on the ‘Big Beautiful Bill’ saved the party’s future

By Daniel McCarthy
Published July 7, 2025, 6:29 p.m. ET

The One Big Beautiful Bill Act — a massive package of tax relief, more funding for immigration enforcement, and savings from entitlement changes — is now law, and it’s a triumph not only for President Trump but for the whole Republican Party.

The GOP passed two make-or-break tests here: one of party discipline, the other of political principles.

And the party saved its life by getting this bill enacted.

The stakes were so high because most of the OBBBA’s tax cuts only continued the lower rates Trump shepherded through in his first term.

But that relief was temporary, and if Congress hadn’t made it permanent by passing the law, Americans would have seen their taxes go up.

This wasn’t just a vote about tax cuts — it was a vote against a tax hike.

Democrats wanted Republicans to commit suicide by letting taxes rise on their watch.

What would happen to a tax-hiking Republican Congress in next year’s midterms? Or to a Republican Congress that humiliated Trump by failing to deliver the legislation he promised?

The answers are obvious: This was an existential trial for the party.

Liberals played three cards to try to get Republicans to torpedo their own majority and president.

First, they used their media leverage to make the bill as unpopular as possible, though most people polled had no idea what the bill’s details were — or that their taxes were guaranteed to spike if it didn’t pass.

As always, Democrats tried to demonize spending reductions as attacks on the poor, though any voter who looks at what the bill actually says will find common-sense reforms, such as requiring that able-bodied recipients of Medicaid support work at least 80 hours a month to qualify for benefits.

Is working 10 days a month too much to ask of able-bodied beneficiaries between the ages of 18 and 64? And the law exempts parents who are raising children.

Democrats will scour the country for woeful anecdotes to promote ahead of next year’s midterms, but if Republicans campaign on the clear merits of the law they’ve passed, voters will reward them.

The other cards the bill’s opponents played came from dissident factions on the right, and put Republican principles to the test.

Ironically, these arguments against the OBBBA came from utterly opposed rival camps: the libertarians and the New New Dealers.

The libertarians had a champion in Kentucky Rep. Thomas Massie, one of only two House Republicans to vote against the bill in the end.

“I voted No on final passage because it will significantly increase US budget deficits in the near term,” he wrote on X.

But why would higher deficits be worse than higher taxes?

The more libertarian policy is actually to let Americans keep more of their own money, no matter what.

Even if someone like Massie disputes that, the practical upshot of defeating the OBBBA wouldn’t be to keep deficits down anyway, since the bill’s failure would hasten the return of Democrats to power.

The result would be higher taxes and more spending, the dead opposite of what libertarians want.

Antithetical to Massie, yet also opposed to the OBBBA, are those conservatives with high-profile media perches who want to conserve the New Deal.

These New New Dealers consider the welfare state as sacred as Democrats do — they prefer bigger government and imagine it can be used for socially conservative ends.

They don’t want tax cuts for all Americans, only for families, in the form of more expansive child tax credits.

Yet the OBBBA helps families tremendously, not only by lowering their taxes along with everyone else’s but also by creating “Trump accounts,” allowing parents and their employers to make tax-advantaged contributions for a newborn’s future needs, like college or buying a home.


Link


 
Posts: 36045 | Location: Pennsylvania | Registered: November 12, 2007Reply With QuoteReport This Post
Lawyers, Guns
and Money
Picture of chellim1
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quote:
The libertarians had a champion in Kentucky Rep. Thomas Massie, one of only two House Republicans to vote against the bill in the end.

“I voted No on final passage because it will significantly increase US budget deficits in the near term,” he wrote on X.

But why would higher deficits be worse than higher taxes?

The more libertarian policy is actually to let Americans keep more of their own money, no matter what.

That's a good way to frame it: But why would higher deficits be worse than higher taxes?

I'm glad it passed. But now we are going to have to address the deficit spending. We simply can't keep spending over a $ trillion $ more than government brings in.



"Some things are apparent. Where government moves in, community retreats, civil society disintegrates and our ability to control our own destiny atrophies. The result is: families under siege; war in the streets; unapologetic expropriation of property; the precipitous decline of the rule of law; the rapid rise of corruption; the loss of civility and the triumph of deceit. The result is a debased, debauched culture which finds moral depravity entertaining and virtue contemptible."
-- Justice Janice Rogers Brown

"The United States government is the largest criminal enterprise on earth."
-rduckwor
 
Posts: 25919 | Location: St. Louis, MO | Registered: April 03, 2009Reply With QuoteReport This Post
Lawyers, Guns
and Money
Picture of chellim1
posted Hide Post
quote:
Originally posted by 2BobTanner:
If these leftist judges want to keep playing these games, then it’s time to return the favor: file IMPEACHMENT charges against everyone of them for obstruction and exceeding their constitutional duties given what the SCOTUS said in the most recent cases. The Dems are going to scream anyway, so let them.

I don't disagree... but a conviction would be difficult.


Federal and state constitutions provide different mechanisms for impeachment of judges, but impeachment is generally a two-step process.

With respect to federal judges, under Article I of the U.S. Constitution, the House of Representatives has the power to impeach and the Senate the power to hold a trial to determine whether removal is appropriate. The House can impeach a judge with a simple majority vote. However, a judge may only be removed from office following a trial and a vote to convict by a two-thirds majority of the Senate.



"Some things are apparent. Where government moves in, community retreats, civil society disintegrates and our ability to control our own destiny atrophies. The result is: families under siege; war in the streets; unapologetic expropriation of property; the precipitous decline of the rule of law; the rapid rise of corruption; the loss of civility and the triumph of deceit. The result is a debased, debauched culture which finds moral depravity entertaining and virtue contemptible."
-- Justice Janice Rogers Brown

"The United States government is the largest criminal enterprise on earth."
-rduckwor
 
Posts: 25919 | Location: St. Louis, MO | Registered: April 03, 2009Reply With QuoteReport This Post
Thank you
Very little
Picture of HRK
posted Hide Post
quote:
Originally posted by chellim1:
quote:
Originally posted by 2BobTanner:
If these leftist judges want to keep playing these games, then it’s time to return the favor: file IMPEACHMENT charges against everyone of them for obstruction and exceeding their constitutional duties given what the SCOTUS said in the most recent cases. The Dems are going to scream anyway, so let them.

I don't disagree... but a conviction would be difficult.


Federal and state constitutions provide different mechanisms for impeachment of judges, but impeachment is generally a two-step process.

With respect to federal judges, under Article I of the U.S. Constitution, the House of Representatives has the power to impeach and the Senate the power to hold a trial to determine whether removal is appropriate. The House can impeach a judge with a simple majority vote. However, a judge may only be removed from office following a trial and a vote to convict by a two-thirds majority of the Senate.


from my post above from SRC on X he advocates impeachment as even if it's not successful, it corners the D senate members as advocating for judicial malfeasance and meddling for political purposes.

Impeachment by the Judiciary Committee should be fast and simple. Then send it over to the Senate.

Force the Senate Democrats to save her.

Force the Chief Justice to preside over her trial.
 
Posts: 25884 | Location: Gunshine State | Registered: November 07, 2008Reply With QuoteReport This Post
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