ACA upheld!

And pleased too. Yes, we've joined the ranks of civilized countries.

Anyone who frames this issue as "the working vs. the lazy" needs to turn off the Fox News and actually understand what the law says.

Anyone who frames this issue as "the working vs. the lazy" needs to turn off the Fox News and actually understand what the law says.

As a poor, self employed carpenter

Anyone who's read the Commerce Clause and other, older Supreme Court cases that interpret it shouldn't be surprised.

Alex Honnold's life in the van is over.

The majority opinion reads that the Act violates the Commerce Clause, but can be upheld through Congress's power to tax.

As a poor, self employed carpenter

then it sounds like you personally will benefit greatly

because you likely show little net income from your self employment, to the extent that you would get a "voucher", a check if you will, to help you buy health insurance that you don't have enough of your own money to buy now

you will also be able to "shop" among many more insurers created by the law

congratulations, Brandon

Whats next you let them tell you what you can eat what you can drive what you can wear what you can build where you can climb where you can walk where you can smoke what you can smoke......... oh thats right you already do all of that. Sad!

The central problem with the US healthcare system is cost due to fat in the system. And that fat is primarily buried in the disjointed private insurance system . But ACA does absolutely nothing to control the cost of health care...

didn't we all learn something in history class along the lines of 'no taxation w/o representation'?
or am I just too far out? (which I'm totally fine with, i'd just like to know)

But ACA does absolutely nothing to control the cost of health care.

The central problem with the US healthcare system is cost due to fat in the system. And that fat is primarily buried in the disjointed private insurance system . But ACA does absolutely nothing to control the cost of health care. And does nothing to eliminate the dis-functional private insurance system. It simply mandates that we all participate in a dis-functional system.

My brother is a French citizen, lives in St Etienne. He's in his 40's, fell off a ladder working on his house a couple years ago and injured his shoulder. Despite much protesting and seeing more than one doctor, and having a wife working in the system, he could not even get an MRI. Now he's got a bad shoulder. Pain wakes him up at night. But he's not a pro athlete, and not worth the investment.

Until you take out excessive tests and generous malpractice awards out of the health care equation, the costs will continue to rise.

Those who want to suck wealth from a straw, hoard up their booty, and then blame those who they stole from for the problems they in fact caused? You aren't part of the tribe, you are a parasite.

I made a whopping 25K last year.

I have been told BY DOCTORS in Britain that not only is this procedure not available there ("...I think if someone qualifies for that we send them to Sweden") but that there is no way someone in my age group would ever be made aware such a thing were an option.

My brother is a French citizen, lives in St Etienne. He's in his 40's, fell off a ladder working on his house a couple years ago and injured his shoulder. Despite much protesting and seeing more than one doctor, and having a wife working in the system, he could not even get an MRI. Now he's got a bad shoulder. Pain wakes him up at night. But he's not a pro athlete, and not worth the investment.

Will you have access to a top notch sports medicine ortho?

For all of my adult life, sometimes when money was very tight and other times when it was rolling in, I kept a high deductible health policy which covered what I need covered. This kept my rates down. Those days are done. Now I’ll have to pay for all kinds of coverages I don’t want or need, and the government will decide for me what I want to put at risk in terms of a deductible. Or my alternative is to pay the “tax” and find out what care I am eligible for when the “need” arises.

Yes, I did vote, I do vote- this was never a tax issue at all until the supreme court ruled it so.

If you are you're being taxed twice. Once for being in business then again for being self employed. Welcome to America where double taxation is a normal practice.

Here we get taxed when we buy equipment then the Assessor taxes us again for owning equipment and using it. Yeah! Here we have to have a state contractors license and then we have to have a state business license and then we have to have a city of Reno and a city of Sparks business License and then we have to have a county business license.

And people wonder why sh#t costs so much this is just a sample of the taxes and fees I pay to do business and add insurance costs holy sh#t its through the roof.

I incur no costs upon the government.

i say this,, that if SS goes away (of which ive contributed much $$$$) for my retiremnet,,i will become a bank robber.

Tomorrow is going to be a wonderful day...

...SCOTUS will rule the most significant portion of ObamaCare unconstitutional.

… One view is to make all procedures available everywhere. The other, increasingly prevalent view, is to concentrate those procedures into "centers of excellence", where they do a LOT of them. Beyond question, centers that do a lot of procedures have consistently much better outcomes than places that do them occasionally

You have to be careful of people, even DOCTORS, who have political agendas.
My experience in talking with colleagues from England is quite different

I ABSOLUTELY guarantee you that if your brother had had an MRI, his shoulder would be no better today.

Your unsophisticated view of how medicine is best practiced doesn't help, either…

(Reuters) - Nearly 45,000 people die in the United States each year -- one every 12 minutes -- in large part because they lack health insurance and can not get good care, Harvard Medical School researchers found in an analysis released on Thursday.

"We're losing more Americans every day because of inaction ... than drunk driving and homicide combined," Dr. David Himmelstein, a co-author of the study and an associate professor of medicine at Harvard, said in an interview with Reuters.

Overall, researchers said American adults age 64 and younger who lack health insurance have a 40 percent higher risk of death than those who have coverage.

The findings come amid a fierce debate over Democrats' efforts to reform the nation's $2.5 trillion U.S. healthcare industry by expanding coverage and reducing healthcare costs.....

Ginsburg's dissent (I'm tempted to spell it "descent") on the Commerce Clause, however, should alarm civil libertarians. Since anything affects interstate commerce by the logic of that opinion, Congress can regulate any behavior whatsoever. Our only protection would be not in the enumerated limits on congressional power (see, e.g. Stevens' dissenting opinion in Citizens United, in which Ginsburg joined), but in the non-enumerated powers in the "penumbra" of the Constitution, "found" in Roe v. Wade. Talk about subjectivity!

I've never seen "lack of insurance" listed as the cause of death in the obituary column.

Norton how is your back today???? You must be taking one of your perscriptions.

Why do sole proprietors, the people pushing business forward through their motivation to succeed, have to pay more in taxes than a payrolled employee?

That doesn't seem right.

I incur no costs upon the government. (meaning no handouts) I'm fine with taxes, but it does seem kind of unfair to hit the self employed guy harder than the person who clocks in and clocks out, leaving work at work. I'm stuck taking work home with me, designs, materials pricing, bookkeeping, follow ups with clients, etc.

It was John Roberts that cast the deciding vote. That's damn important.
He's got balls, I'll give him that.

Social Security will be going BK

KenM,

We are all very fortunate that you are no longer in the practice of medicine.

Social Security will be going BK

Much in the same way SCOTUS will strike down Obamacare.

Curt

… One view is to make all procedures available everywhere. The other, increasingly prevalent view, is to concentrate those procedures into "centers of excellence", where they do a LOT of them. Beyond question, centers that do a lot of procedures have consistently much better outcomes than places that do them occasionally

That has absolutely no bearing on anything in my post. Anytime I have needed specialized care I have gone to a center of excellence. Where do I argue against that?

I have been told BY DOCTORS in Britain that not only is this procedure not available there ("...I think if someone qualifies for that we send them to Sweden")

Since Ginsburg's dissent finds the Commerce Clause essentially unlimited, her views make it very difficult to predict what is and isn't constitutional. It's as if we're left with the Potter Stewart definition of unprotected pornographic speech, i.e. "I know it when I see it." This offers citizens scant protection from governmental overreach.

I know about MRIs, way more than the average person. My point, perhaps not well stated, was that they blew him off despite his efforts to get attention.

I recently had my left shoulder MRId. The report did not look good, but the orthopedic surgeon looked at it and at me and pronounced it to be bunk, got me in with a good P/T, and the results are excellent. On the other hand in 2004 I had the other shoulder MRId and when the same doctor looked at it he said I had no option other than surgery. The result is a great shoulder. That is what I called good health care, and not what my brother got. I’ve had long conversations with him and his situation is not unique.

does this mean if you don't have your yearly Obama Barium Enema, you may be jailed? Jailed if don't submit to an enema?

Your point about being blown off....think about this.....has NOTHING TO DO with the availability of MRI's, or even the health care system. It has to do with specific practitioners, and what they did....and then you are extrapolating it to the entire country. Not reasonable.

What’s up with the condescending attitude? I have a lot of experience with health care as a very successful patient, and survivor of a critical condition, who is interactive and pro-active with my doctors and the entire process.

I wonder how many of the vehemently anti-healthcare posters have ever actually travelled outside the US? You know, to countries like Germany, Canada, Belgium, and Norway that are bankrupt hellholes because of socialized medicine?

Roberts made it easy to collect since he ruled it a tax. Yes, you can get into trouble by not paying taxes.

To us Americans much has been given; of us much is required. With all our faults and mistakes, it is our strength in support of the freedom our forefathers loved which has saved mankind from subjection to totalitarian power.

No suprise but I see no proof he did not say that and for what its worth I dont care who says what if they are politicians they are all full of sh#t.

So you may be a lover of technology and what it does, but I am a skeptic, and always will be.

Sorry to have been away. Just finished discussing the termination of the company health insurance plan of my office partner. He has nine employees, no reason for him to keep it with the ACA and he'll save thousands each month.

In sum, Congress passed the minimum coverage provision as a key component of the ACA to address an economic and social problem that has plagued the Nation for decades: the large number of U. S. residents who are unable or unwilling to obtain health insurance. Whatever one thinks of the policy decision Congress made, it was Congress’ prerogative to make it. Reviewed with appropriate deference, the minimum coverage provision, allied to the guaranteed-issue and community-rating prescriptions, should survive measurement under the Commerce and Necessary and Proper Clauses.

John Roberts:


. . .

yosguns,

I'm just specualting on the potential ability of congress to "tax". How about a special climbers tax for just entering YNP, an additional "tax" if you have equipment with you.

yosguns,

The law which requires hospital to treat the uninsured could be changed. Changed to read "only in emergency cases, as deemed by a PA or Dr.".

The law which requires hospital to treat the uninsured could be changed. Changed to read "only in emergency cases, as deemed by a PA or Dr.".

that is exactly what the law right now says

clue: that is why the uninsured can only go to the emergency room for open wound or life stabilizing "treatment"

clue: guess who makes the call?

clue: the on staff DOCTOR

NOW every lazy unemployed 300lb alcoholic smoking diabetic has the right to live to be 95-years-old by implementing endless, heroic medical procedures that will cost 6.75 million dollars per individual, as Federally mandated!

Apparently, it works because people's insurance premiums pick up the slack. Aaaahhhh.

Articulate, focused, sincere, compassionate, victorious

No wonder rightwingers hate him

Roberts is "a disappointment," said conservative radio host Bryan Fischer, who plans to devote his entire show to the ACA today. "He is gong to go down in history as the justice that shredded the Constitution and turned it into a worthless piece of parchment."

They show up at ER with colds, the flu, etc and get treated.

I'd like to know about this rebate my President speaks of for those of us qualify (do I)?

I'm a little confused about the comment of the law being decided legally rather than politically

Karl,

Welcome to reality...

Boehner is a great person, he knows what is best for our country.



TheTool

Boehner is a great person, he knows what is best for our country.



The Fool

Norton,

Ready to pop another?????

sheeoot,, wait till I jump on the program,, ill grab my vouchers and head to the hospital- youll be fixing my swelling legs, my atrophied shoulder problems , my bursas,,well to make it short, it aint gonna be CHEAP!


Whn do i get these? I aint a spring chicken- and after the fixings ill be able increase my climbing at LEAST two grades! (up to that mystical 5.5D !)

I spent four hours with Boner, I know who he is.

I spent four hours with Boehner

I spent four hours with Boehner, I know who he is.

Not yet. Obamacare was still a huge gift to insurance companies with the individual mandate. Civilized countries don't do this with private industry insurance taking a huge chunk of the money

Part of the ACA already in effect (over $1 billion in refunds are coming to policy holders now that the ACA was upheld) is that 80% of all funds must go to providing care. Whatever profits are made have to come from the other 20%.

two-thirds of US physicians disagree with that...but doctors are the new enemy of the Left, I suppose.

In Arizona, women are now legally pregnant two weeks before conception, according to a new law, the Orwellianly-named, “Women’s Health and Safety Act,” signed yesterday by Republican Governor Jan Brewer. The scientifically, medically, ethically, and intellectually dishonest legislation is designed to reduce the amount of time a woman is allowed to have a legal abortion, and is one of the most draconian bills to become law in America.......

She said the law defines pregnancy in a way that bans abortion two weeks before the other seven states with similar laws, because it calculates gestational age starting with the first day of the last menstrual period rather than the date of conception.

During the hearings on the bill, doctors said many women don’t discover their fetus has a severe or life-threatening problem until an ultrasound at about the 20th week. The doctors — and several women who had faced this issue — testified that this law would arbitrarily cut off the right for these women to have an abortion.

“My heart goes out to the families that will be impacted,” Steinberg said. “Women are being forced to carry children that they know will end up dying within hours of birth.”.....

This is MORNING EDITION from NPR News. Steve Inskeep is on assignment. I'm Renee Montagne.

Doctors, by a large majority, support adding a government run health insurance program that would compete with private insurance. That's according to a new survey. What's been called the public option continues to be one of the most contentious issues in the health care debate, but the survey shows that doctors are already used to dealing with government run insurance.

NPR's Joseph Shapiro reports.

JOSEPH SHAPIRO: In the survey, nearly three-quarters of doctors said they favor a public option. Co-author Dr. Salomeh Keyhani is a researcher at Mount Sinai School of Medicine.

Dr. SALOMEH KEYHANI (Researcher, Mount Sinai School of Medicine): The results of the study demonstrated that the majority of physicians support a public option in the United States of America.

SHAPIRO: That included the 63 percent who say they'd like to see patients get a choice of public or private insurance and another 10 percent who favor a public option only. They'd like to see a single-payer system. When the public in general is surveyed, support for a public option has run between 50 and 70 percent.

9 out of 10 doctors would not recommend pursuing a career in health care.

60% of doctors think Obamacare will lower the quality of patient care.

The survey is from Feb, 2012.

60% of doctors think Obamacare will lower the quality of patient care.

...The American Medical Association, the American College of Physicians, the American Academy of Family Physicians, the American College of Surgeons, the American Academy of Pediatrics, the American Congress of Obstetricians and Gynecologists, the American Society of Anesthesiologists, the American Osteopathic Association, the American Psychiatric Association, and the American College of Cardiology all endorsed last year’s health reform. These groups represent hundreds of thousands of physicians across a wide range of medical sub-specialties.

A key reason for these endorsements was the widespread recognition that our current health care system works poorly from the perspective of both physicians and patients – and the understanding that the new law was an important step in building a more effective health care system.

I can tell you that there were collective cheers from physicians on my floor today as well as the physicians at the hospital that my sister works at.

Resources will be limited and it is very likely that the decision about your treatment options will not be up to you.