Wednesday, September 25, 2013

Obama Care & Photo ID

As I'm watching and reading about the events and the upcoming Senate vote concerning the Affordable Care Act I got to wondering if those who enroll, particularly the poor and elderly, will need to have photo ID's.

If so I think this raises some very interesting questions concerning the bogus complaints of Voter ID laws. 


7 comments:

Chris Baumgart said...

Voter ID's were portrayed along with changing the electoral districts as tactical mischief by the Republicans to decrease the chances of the Democrats from winning certain political seats. This is the new "brand" the Republican party looks like. Cheaters. - not trustworthy- mammon lovers - puppets of the wealthy- ... And a few more...this is coming from a guy in the Ad business for over thirty years. So I know a bit about it. And a guy who has voted Republican until the new look appeared on the scene. The problem is that the Brand has followed most of these politicians in the last several election cycles. And worse, it's still clinging to this Party. The Patient Protection and Affordable Healthcare Act may require some type of ID, but most patients will be signed up into their Service Exchange so there should be a history and established information. The accountability of fraud will continue to be with Hospitals, clinics and doctors.

Lew said...

Couple comments:

• First – you are correct yoSAMite – there will most assuredly be all manner of ID required to access insurance, exchanges, IRS requirements and forms, and many-many more things that we (and actually nobody) even knows about yet. And yes, it will again represent the hypocrisy of the “photo ID deniers” (to borrow a title from the global warming commando’s play-book). It also harkens back to the Wisconsin Democrat party’s website - during the Walker recall campaign - where they were advertising an organizational meeting – which clearly alerted all that they needed a VALID PHOTO ID in order to get in. :)
• As for the comment that voter ID is “tactical mischief by the Republicans to decrease the chances of the Democrats from winning certain political seats.” I would re-word that just a little bit to make it true: It is tactical reform by the Republicans to decrease the chances of the Democrats from winning certain political seats via vote registration and ballot mischief.
• As for the new GOP “brand” – I have no idea what all that is about. I am not a Republican, I’m a conservative who votes Republican most of the time due to no other viable choice.
• As for the “puppets of the wealthy” talking point, I would suggest a re-think on that one - that is - if reality matters? Under the current administration in Washington (for some 5 years now), the rich have increased their wealth gap over the poor and the middle-class. Long tern unemployment has increased 78%, some 50 million have dropped-out of the work-force, and food-stamp recipients have increased by 104% - to name only a few metrics. Yet the wealthy are doing just fine. WHO's policies have been in place? WHO is the ‘puppet of the wealthy?’

“The Patient Protection and Affordable Healthcare Act may require some type of ID, but most patients will be signed up into their Service Exchange so there should be a history and established information. The accountability of fraud will continue to be with Hospitals, clinics and doctors.”

• So, the next time I go in for a medical procedure or board an airplane I will tell them to check my “history and established information” – no need for all those forms, pat-downs, and wrist bands… Oh, and just give me the subsidy – no need for any ID check please. Yikes! :\

Chris Baumgart said...

Lew, thank you for consuming and rephrasing my earlier comments... Apparently you do not seem to be reading or listening with neutral ears, to media outlets reporting that unemployment is on the decline and the housing market continues to improve... Voter ID fraud in Wisconsin has been close to not at all, in the past 55 years, so that is a good thing. I'm not sure why the airline will be desiring to access your medical records? When I go to the doctor they usually have me in there system and the doctor has never asked for my ID with a check up-? Glad to hear you vote: ) as far as receiving medical care, not sure if you can fake some other poor persons cancer. A conservative not a Christian?

Lew said...

No problem Chris - I enjoy the banter.

“Unemployment is on the decline and the housing market continues to improve...”

• The decrease in the UE rate nationally is not due to increased employment, but rather an increase in people dropping out of the workforce. The housing market is improving because it bottomed-out. The people who lost everything, and foreclosed have not rebounded. Truth is, had the government left the housing market alone, and not mandated banks to sell unqualified mortgages in the first place; there would have been no housing crash to recover from.

“Voter ID fraud in Wisconsin has been close to not at all”

• Vote fraud in Wisconsin has been similar to many other places – varied, and hard to detect – and even harder to correct. Even when it is found and prosecuted – votes are simply never changed once cast – which I agree with – which is all the more reason to ensure vote integrity the first time. Photo ID is not a fix-all when it comes to the vote fraud pie. It is one piece. It is simply a common sense point-of-vote check that can also discourage other aspects of vote fraud. Another big vote reform that needs to be dealt with – that would work with photo ID – is to have a better and more thorough process to purge stale vote registration roles. Here, and in many precincts around the country people remain on the books years and years after their deaths, or their re-location. Either way, photo ID is simple, allows immediate detection at the point-of-vote, and is completely constitutional as has been ruled by the SCOTUS. Contrary to the common talking points – there are many examples of vote fraud – both in WI – and elsewhere - even though it is rarely aggressively investigated unless someone lodges a complaint and gets a lot of visibility. Anyway – how many does their need to be? One, five, fifty, … ? Do you concede your vote to be nullified? After all, it’s only ONE vote – “close to none at all” when compared to the total - right?

• My analogy that lumped airlines and healthcare together was meant to show how the need for ID is not exclusive to healthcare, but also to security – and nonetheless important. And, relying on “history and established information” for either is not very realistic. I apologize if I was overly obtuse… :)

yoSAMite said...

Hi Chris. When I went in for my hernia operation a while back, I had to not only show my insurance card, but also my drivers license. The same thing for my daughter when she visited the emergency room a couple of weeks back.

I would assume that since everyone will have to be enrolled in some sort of insurance company hospitals will require photo ID.

And Chris us Republicans aren't nearly as mean as you make us out to be. :)

Chris Baumgart said...

Yes Sam, making sure the hospital gets the billing correct, that they send it to the right person - it makes sense. If there is a co-pay with any type of insurance they need to keep track of us. So no doubt hospitals will keep this policy. As I mentioned earlier overcharges or incorrect billing for services not rendered would be or could be viewed as fraud. So the accountability leans heavily on Hospitals, clinics and Doctors. Historically this is where the abuse has focused. Individuals not so much. Quality healthcare for all Americans that is affordable is "the greater good", that God teaches us to make happen if it is in our power to so. The New Testament stresses that we take an interest and do all we can to aid the least of those around us. Most people seem to live in the fast lane, not doing their homework on issues mentioned above... Worse is if they have no moral balance and do not have conviction concerning the well being of others. They serve themselves, they serve the love of money, of mammon. This is their false god, this continues to be the spiritual hurdle in this country that convolutes the virtue of goodness. Prejudice, rooted deep. Not sure if it will ever be rid of. But one must keep his or her eye on the greater good and speak up when there is a light of hope to achieve it. Living in peace is better than living In war. Working together on both sides of the political isle for the good of all Americans is the ideal. Sam I always look at you as the "music man" not as a Republican... Cheers to all!

Lew said...

Chris, I completely agree - “Quality healthcare for all Americans that is affordable is "the greater good" and I also agree that “if it is in our power to so” we should do our “homework” and act. What I don’t agree with is the notion that just because we WANT to help others, anything we do is good. Doing what is in one’s power to do - to help others - pre-supposes that you actually help them.

In this case – getting back to Sam’s original comment about the ACA and photo ID: Along with the ID rigor that will most assuredly be required - making healthcare affordable – as the name of the act implies – is the issue – and the “affordable care act” does not. Apart from all the exemptions, subsidies, and delays that have already been unilaterally (and perhaps illegally) applied by the POTUS to this supposedly universally helpful law – there are now reams of data documenting people losing their coverage, and/or being forced into more expensive coverage, because of the taxes, and penalties imposed by this law. Not to mention all the jobs that have been killed and/or trimmed back to a part time model. And also not to mention that Congress (those who passed it) also has made sure that THEY are not under it.

To be more specific - with respect to doing ones “homework” – lets do that. I will defer to a study performed by the Society of Actuaries entitled: Cost of the Future Newly Insured under the Affordable Care Act (ACA) - MARCH 2013. BTW - Actuaries use predictive math to attempt to make sure insurers don’t run out of money to pay claims – kind of important to making sure the products offered can be paid for. The main objective of this study was to estimate the change - due to new participants in the individual healthcare insurance market - and the “impact that the Affordable Care Act (ACA) will have on filling the UNISURED GAP.” “Research sponsored by the Society of Actuaries predicts ACA-driven changes in the individual health care market could drive up underlying claims costs by an average of 32 percent nationally by 2017. The research also predicts high variability among states, with as many as 43 states experiencing a double-digit claims cost increase.”

Reference the study at http://cdn-files.soa.org/web/research-cost-aca-report.pdf and pay particular attention to the charts on pages 7 and 8. Essentially, apart from a handful of states in the northeast ALL other states will see anywhere from 7% to 80% insurance cost increases.

I cannot and do not suppose to judge the good intentions that are or aren’t in anyone’s heart – that is between them and someone higher than me. But, I do have the ability (and inclination) to use my inherent powers of logic and reason to attempt to make my personal actions to help others actually have the result intended. It is just as ‘self-serving’ to support pretended helpful actions - that demonstrably do not help - as it is to not help at all – and from a practical, biblical, and moral perspective - perhaps worse.

As a practical matter, I would personally rather see Medicare and Medicaid expanded to cover all catastrophic healthcare for all non-insured. Everything else should be subject to personal purchase of insurance via a nationally competitive insurance market. I can think of no worse outcome to anyone’s prospects for affordable and quality healthcare than to have the government (the IRS no less) involved in it.