as time passes more and more of the positive ineffective uh... aspects of
the affordable our health care act are coming out
what we jump to the c_b_o_ says
repealing obama cared is last year they did their valuation will increase budget
deficits by one hundred nine billion dollars over the next decade
like those numbers keep coming out and it's harder harder every year to fight
against that would keep in light of the people by how much it costs
only for so long
uh... and so i think that they're fighting a losing battle i think also by
the way that the democrats need to get out in front of this
as public perceptions of old bum a care at changes become more positive stop
just fighting against these repeal votes pass another health care bill
like did a little bit more for the american people like keep hitting them
like they were there on the defensive now they're not gonna win on this
and so i think you need to take advantage of that
another interesting area of the story of a jr brought to my attention
is that as a part of this continual voting to repeal bomb a care
being in the c_b_o_ to score never find out how much of a it's gonna cost over
time
and the c_b_o_ is not having any of the anymore
uh... we got a call from a representatives they say that preparing
a new estimate
of the budgetary impact of repealing a c_i_a_ with a considerable time probably
several weeks
because there are hundreds of provisions in the a c a
and those provisions are already in various stages of implementation
moreover we've just finished a time-consuming task of updating our
baseline budget projections and need to finish our analysis of the president
president's budgetary proposals
like the c_b_o_ is nonpartisan they can be used by both democrats and
republicans to try to
of value at the long-term cost of these programs but you can abuse it you can
use it thirty seven thirty eight thirty nine times at some point you have to say
no
it's like what happened when they kept asking for obama's birth certificate
in-flight you only get to see it so many times and then after a certain point
just on google you can see like stands in it or something like that
um... so this is kind of a sideshow i understand that they're just trying to
be able to go home to their district to look good
understand that as well
but it's annoying and as some silver lining i think it's a sign
but they are gonna lose on this
thanks to a provisioning the affordable care act unheeded data bases being
stocked with information
about the wildly despair costs of health care procedures
and so but let's get some information about what what this database is doing
so
uh... its removal by the administration in conjunction with the centers for
medicare
uh... and medicaid services and basically what it does is over two
thousand eleven
it looked at the one hundred most commonly build medical procedures and
try to find out a different hospitals how much of the cost
uh... the data released covers claims that were filed in fiscal year twenty
eleven
and includes over a hundred and sixty-three thousand individual charges
recorded at more than thirty three hundred hospitals in three hundred and
six metropolitan area so is extremely comprehensive
now we're gonna talking about the rest of the story of the new york area uh...
because information is just sold an interesting i love this coming out i
need to know this is a part of obama care but it's now mind you favor part
so we're gonna talk about the cost of of three different medical procedures
and understand that we're talking about new york city
some of these hospitals were to be discussing it is a couple of blocks are
most a couple of miles away from each other
so let's imagine hypothetically
you had to put the patient on a ventilator how much does that cost now
on the low end
the lowest even find is fifty three thousand dollars but damn if you make
the mistake in go in the wrong hospital
they can cost you up hundred and fifteen thousand dollars
more than twice as expensive
for the exact same procedure
moving on something a little bit more complicated obvious is treating a heart
attack with force tents and major complications and this is a
life-threatening illness here
eighty nine thousand dollars on the low end
one hundred and sixty six thousand dollars on the high and again almost
twice as expensive
uh... and perhaps most shockingly this is up for treating chronic obstructive
pulmonary disease ceo peavey
the range is from eleven k on the low end all the way up to ninety nine
thousand dollars in the high end
and again i cannot stress this enough
this is for the exact same treatment now look there might be some d_r_ reasons
for the praises the different house for the hospital
in a better neighborhood
uh... doctors that have a better qualifications or something like that
but at the end of the day
we're talking about the same treatment for the same disease
and it can be up to nine times more expensive from one hospital to another
why this information is important why refocusing on it
because the magic
that you're not
john bainer yahoo dot eric cantor the president
and these procedures need to be paid for either by your health insurance or
perhaps out-of-pocket
what does it mean to a family
to pay either eleven thousand dollars
for ninety nine thousand dollars in the same neighborhood in the same perot
that is a
leif altering and possibly family in credit destroying difference right there
and we would not have known about it if not this obscure provisions the creators
database
in the affordable care act
it's extremely important i think
now i don't know where we're going to go from here what we're gonna do with this
information
their there's some quotes that i've been reading from the executives at hospitals
and they say that
yeah this looks really bad but it's very hard to make any changes you know we
have these sliding scales and things like that
hard to make any real lingering doubt changed
i don't know maybe they're right
i guess i'm not a a hospital administrator
but love the information is out there i'd want people to get angry about this
i want people to get worked up about this
because we have huge problem in america when it comes of the cost of our health
care
one of the right loves to talk about how high a quality is
that may very well be true for all i know that ninety nine thousand dollars
the opi train a treatment is the best in the world and that's great
but i would love to get the average back down towards eleven k i think that that
would be better
not just for the families
but the companies that health insurance companies have to pay for it like we're
gonna talk later on about the the influence of health uh... insurance
costs have our deficit
i have to think that the difference between eleven k
in ninety nine k
has some long-term effect on our deficits
uh... and finally
dat internet that this information is out there if he becomes available in a
very easy to use fashion on some government website which very well might
be the case i would advise you to please before going for any of health
uh... anne treatment any medical procedure
look at the cost of these different uh...
differ hospitals because it could be a they could make a difference at last the
rest of your life