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	<title>Comments on: &#8220;Newt Gingrich: Health-care reform plan&#8221; by Bryan McAffee</title>
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	<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=newt-gingrich-health-care-reform-plan-by-bryan-mcaffee</link>
	<description>Orange County&#039;s top political blog</description>
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		<title>By: Xavier</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-109834</link>
		<dc:creator>Xavier</dc:creator>
		<pubDate>Sat, 31 Oct 2009 18:29:41 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-109834</guid>
		<description>I agree with all of the points Newt makes (to my own shock). But he has left out the most important cure for our health care system: repeal the anti-trust exemption that the health insurance industry enjoys. That will go a long way to solving many of the ills of the current system.</description>
		<content:encoded><![CDATA[<p>I agree with all of the points Newt makes (to my own shock). But he has left out the most important cure for our health care system: repeal the anti-trust exemption that the health insurance industry enjoys. That will go a long way to solving many of the ills of the current system.</p>
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		<title>By: Lisa    Rubenstein</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-106497</link>
		<dc:creator>Lisa    Rubenstein</dc:creator>
		<pubDate>Sun, 13 Sep 2009 22:19:39 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-106497</guid>
		<description>I am a Dem who ran into this website during a web search.  I am impressed by the thoughtfulness of the dialogue.  I&#039;ve been looking for this kind of conversation on healthcare.  I&#039;m interested in what conservatives make of the fact that 60% of the total of 18% of GDP spent on health is from taxpayer dollars (with 10% of that 60% being due to unpaid taxes on employer provided healthcare).  This means we currently don&#039;t have any kind of free market, it seems to me.  So just using free market logic may not work. 

Our tax dollars and insurance dollars are going to support unnecessary procedures and such and the public doesn’t have any incentive to choose carefully.  Reigning in tax dollars will just result in fewer people with insurance and more expensive emergency care (unless we can live with lots of folks dying in the street). We have to find a way to incentivize people getting the right care (as Newt essentially alludes to). Yet the addiction of businesses of many kinds to the public largess is such that there is tremendous resistance to any solution.  

Re. primary care/family medicine, the problem is that only 2% of US graduates are going into gen med, peds, or fam med.  These primary care specialties were very popular in the 1990&#039;s, but as specialist salaries, driven by procedure-based reimbursement, have risen to as much as 7x that for primary care for many specialties, and while expectations for primary care management of complex patients have risen, students see primary care as undesirable.  This despite the evidence that more primary care at national levels (comparing nations), US state levels, and US county levels produces higher quality for less cost.

I&#039;m interested in perspectives from the conservative end of things to these issues.  Seems to me, we need all the thinking we can get.</description>
		<content:encoded><![CDATA[<p>I am a Dem who ran into this website during a web search.  I am impressed by the thoughtfulness of the dialogue.  I&#8217;ve been looking for this kind of conversation on healthcare.  I&#8217;m interested in what conservatives make of the fact that 60% of the total of 18% of GDP spent on health is from taxpayer dollars (with 10% of that 60% being due to unpaid taxes on employer provided healthcare).  This means we currently don&#8217;t have any kind of free market, it seems to me.  So just using free market logic may not work. </p>
<p>Our tax dollars and insurance dollars are going to support unnecessary procedures and such and the public doesn’t have any incentive to choose carefully.  Reigning in tax dollars will just result in fewer people with insurance and more expensive emergency care (unless we can live with lots of folks dying in the street). We have to find a way to incentivize people getting the right care (as Newt essentially alludes to). Yet the addiction of businesses of many kinds to the public largess is such that there is tremendous resistance to any solution.  </p>
<p>Re. primary care/family medicine, the problem is that only 2% of US graduates are going into gen med, peds, or fam med.  These primary care specialties were very popular in the 1990&#8242;s, but as specialist salaries, driven by procedure-based reimbursement, have risen to as much as 7x that for primary care for many specialties, and while expectations for primary care management of complex patients have risen, students see primary care as undesirable.  This despite the evidence that more primary care at national levels (comparing nations), US state levels, and US county levels produces higher quality for less cost.</p>
<p>I&#8217;m interested in perspectives from the conservative end of things to these issues.  Seems to me, we need all the thinking we can get.</p>
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		<title>By: Lisa    Rubenstein</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-106494</link>
		<dc:creator>Lisa    Rubenstein</dc:creator>
		<pubDate>Sun, 13 Sep 2009 22:00:56 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-106494</guid>
		<description>I am a Dem who ran into this website during a web search.  I am impressed by the thoughtfulness of the dialogue.  I&#039;ve been looking for this kind of conversation on healthcare.  I&#039;m interested in  what conservatives make of the fact that 60% of the total of 18% of GDP spent on health is from taxpayer dollars (with 10% of that 60% being due to unpaid taxes on employer provided healthcare).  This means we don&#039;t have any kind of free market, it seems to me.  Our tax dollars and insurance dollars are going to support e and more expensive emergency care. Yet the addiction of businesses of  all kinds to the public largess is such that there is tremendous resistence to any solution.
unnecessary procedures and such,and consumers don&#039;t feel the bite.  Unless we can change the incentives simply limiting tax dollars will just result in more people out of insuranc
Re. primary care/family medicine, the problem is that only 2% of US graduates are going into gen med, peds, or fam med.  These primary care specialties were very populat in the 1990&#039;s, but as specialist salries, driven by procedure-based reimbursement, have risen to as much as 7x that for primary care for many specialties,, while expectations of primary care have risen, students see primary care as undesirable.  This despite the evidence that more primary care at national levels (comparing nations), US state levels, and US county levels produces higher quality for less cost.</description>
		<content:encoded><![CDATA[<p>I am a Dem who ran into this website during a web search.  I am impressed by the thoughtfulness of the dialogue.  I&#8217;ve been looking for this kind of conversation on healthcare.  I&#8217;m interested in  what conservatives make of the fact that 60% of the total of 18% of GDP spent on health is from taxpayer dollars (with 10% of that 60% being due to unpaid taxes on employer provided healthcare).  This means we don&#8217;t have any kind of free market, it seems to me.  Our tax dollars and insurance dollars are going to support e and more expensive emergency care. Yet the addiction of businesses of  all kinds to the public largess is such that there is tremendous resistence to any solution.<br />
unnecessary procedures and such,and consumers don&#8217;t feel the bite.  Unless we can change the incentives simply limiting tax dollars will just result in more people out of insuranc<br />
Re. primary care/family medicine, the problem is that only 2% of US graduates are going into gen med, peds, or fam med.  These primary care specialties were very populat in the 1990&#8242;s, but as specialist salries, driven by procedure-based reimbursement, have risen to as much as 7x that for primary care for many specialties,, while expectations of primary care have risen, students see primary care as undesirable.  This despite the evidence that more primary care at national levels (comparing nations), US state levels, and US county levels produces higher quality for less cost.</p>
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		<title>By: Rich Bailey</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-101839</link>
		<dc:creator>Rich Bailey</dc:creator>
		<pubDate>Tue, 18 Aug 2009 13:59:23 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-101839</guid>
		<description>Larry Elder discusses the limitation of Medical Students enrolled each year as a way the AMA helps protect doctors jobs and salary;s. I have recently read that we face a crisis of having a huge shortage of family practitioners in the future. Incentives for people to go into medicine and growth of medical schools etc will aid in competition among doctors. Allow more students to go to med school. Dont elliminate based on full schools, make more room.</description>
		<content:encoded><![CDATA[<p>Larry Elder discusses the limitation of Medical Students enrolled each year as a way the AMA helps protect doctors jobs and salary;s. I have recently read that we face a crisis of having a huge shortage of family practitioners in the future. Incentives for people to go into medicine and growth of medical schools etc will aid in competition among doctors. Allow more students to go to med school. Dont elliminate based on full schools, make more room.</p>
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		<title>By: Larry Gilbert</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-100911</link>
		<dc:creator>Larry Gilbert</dc:creator>
		<pubDate>Sat, 15 Aug 2009 18:46:43 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-100911</guid>
		<description>Laguna. Very well stated. Thank you!</description>
		<content:encoded><![CDATA[<p>Laguna. Very well stated. Thank you!</p>
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		<title>By: Larry Gilbert</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-100910</link>
		<dc:creator>Larry Gilbert</dc:creator>
		<pubDate>Sat, 15 Aug 2009 18:44:27 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-100910</guid>
		<description>kenlaysnotdead.
We both know that Newt knows the proper flow of the legislative approval process. My sense is that he was taking a 1,000 plus page draft document and simplifying his key points for the average American.
As to your point that there is no bill yet. Thank God. 
If not for citizens representing BOTH major parties, along with Independents, asking questions on the draft text our elected officials were about to give their stamp of approval on the simple expression &quot;trust me.&quot; President Obama wanted this plan apporved befor eht break knowing full well that it had not been vetted.

I seem to recall one major player named Nancy P. who had to race out and visit the Pope as she &quot;fast tracked&quot; another piece of the president&#039;s agenda. That should never trump reading what you sign, especially as you are creating a burden for generations to come including some babies yet to be born.

As to Newt&#039;s personal handling of his wife&#039;s death. While you can surely express your opinion, that input derails this vital debate. As such  while I shall not defend his action, I have no intention of commenting further.</description>
		<content:encoded><![CDATA[<p>kenlaysnotdead.<br />
We both know that Newt knows the proper flow of the legislative approval process. My sense is that he was taking a 1,000 plus page draft document and simplifying his key points for the average American.<br />
As to your point that there is no bill yet. Thank God.<br />
If not for citizens representing BOTH major parties, along with Independents, asking questions on the draft text our elected officials were about to give their stamp of approval on the simple expression &#8220;trust me.&#8221; President Obama wanted this plan apporved befor eht break knowing full well that it had not been vetted.</p>
<p>I seem to recall one major player named Nancy P. who had to race out and visit the Pope as she &#8220;fast tracked&#8221; another piece of the president&#8217;s agenda. That should never trump reading what you sign, especially as you are creating a burden for generations to come including some babies yet to be born.</p>
<p>As to Newt&#8217;s personal handling of his wife&#8217;s death. While you can surely express your opinion, that input derails this vital debate. As such  while I shall not defend his action, I have no intention of commenting further.</p>
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		<title>By: Larry Gilbert</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-100908</link>
		<dc:creator>Larry Gilbert</dc:creator>
		<pubDate>Sat, 15 Aug 2009 18:33:17 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-100908</guid>
		<description>CJ.
I was not happy with the expenditures of Bush 43 but his investment in saving this country was considerably CHUMP CHANGE when matched up against the debt being created by the current occupant at 1600 PA Ave.</description>
		<content:encoded><![CDATA[<p>CJ.<br />
I was not happy with the expenditures of Bush 43 but his investment in saving this country was considerably CHUMP CHANGE when matched up against the debt being created by the current occupant at 1600 PA Ave.</p>
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		<title>By: Laguna</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-100860</link>
		<dc:creator>Laguna</dc:creator>
		<pubDate>Sat, 15 Aug 2009 05:02:35 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-100860</guid>
		<description>Michelle, again I agree with one of your main points: this is about power. 

As Martin Luther King asserted: 
    Freedom is never voluntarily given by the oppressor; it must be demanded by the oppressed.

We are being oppressed by the political class, corporations, and their lobbyists. Yesterday, Roger Hedgecock shared the lobbyists motto: If you&#039;re not at the table, you&#039;re on the menu.   

I don&#039;t care if it is the &quot;right&quot; or the &quot;left&quot; who is in power at the time - the vast majority of us are pawns (less than pawns) in this game. Our elected representatives are unresponsive to our needs and/or demands. 

Power - though recognized in our Constitution to be possessed by us, the citizens - is not really being shared with us. We as a people have grown complacent. A complacent populace is clay in the hands of dictators.

Look at the current situation. Individuals are standing up, rising up, and speaking out at Tea Parties and Town Hall meetings. They are being roundly criticized and ridiculed, by people at the highest levels of the Barack Obama administration. This man was elected and is supposed to be the president of &quot;all Americans.&quot; 

He is at least complicit, at worst, an advocate of the attacks on the character and motivations of those freely exercising their rights, not just as Americans, but in accordance with the wording of our Constitution, God-given, inalienable rights. In United Nations jargon, that would be HUMAN RIGHTS.

(Of course, the United States&#039; Constitution is sufficient for me. I don&#039;t need the UN to try to supersede God in determining the terminology used to describe what each of us knows in her or his heart.) 

This whole health care debate is about POWER.
 
We cede our power when the politicians say &quot;Trust me.&quot;

As the crowd clamored at Claire McCaskill&#039;s Town Hall,
&quot;We don&#039;t trust you!&quot;

That&#039;s where this movement is starting. And that is precisely why we the people are being attacked.</description>
		<content:encoded><![CDATA[<p>Michelle, again I agree with one of your main points: this is about power. </p>
<p>As Martin Luther King asserted:<br />
    Freedom is never voluntarily given by the oppressor; it must be demanded by the oppressed.</p>
<p>We are being oppressed by the political class, corporations, and their lobbyists. Yesterday, Roger Hedgecock shared the lobbyists motto: If you&#8217;re not at the table, you&#8217;re on the menu.   </p>
<p>I don&#8217;t care if it is the &#8220;right&#8221; or the &#8220;left&#8221; who is in power at the time &#8211; the vast majority of us are pawns (less than pawns) in this game. Our elected representatives are unresponsive to our needs and/or demands. </p>
<p>Power &#8211; though recognized in our Constitution to be possessed by us, the citizens &#8211; is not really being shared with us. We as a people have grown complacent. A complacent populace is clay in the hands of dictators.</p>
<p>Look at the current situation. Individuals are standing up, rising up, and speaking out at Tea Parties and Town Hall meetings. They are being roundly criticized and ridiculed, by people at the highest levels of the Barack Obama administration. This man was elected and is supposed to be the president of &#8220;all Americans.&#8221; </p>
<p>He is at least complicit, at worst, an advocate of the attacks on the character and motivations of those freely exercising their rights, not just as Americans, but in accordance with the wording of our Constitution, God-given, inalienable rights. In United Nations jargon, that would be HUMAN RIGHTS.</p>
<p>(Of course, the United States&#8217; Constitution is sufficient for me. I don&#8217;t need the UN to try to supersede God in determining the terminology used to describe what each of us knows in her or his heart.) </p>
<p>This whole health care debate is about POWER.</p>
<p>We cede our power when the politicians say &#8220;Trust me.&#8221;</p>
<p>As the crowd clamored at Claire McCaskill&#8217;s Town Hall,<br />
&#8220;We don&#8217;t trust you!&#8221;</p>
<p>That&#8217;s where this movement is starting. And that is precisely why we the people are being attacked.</p>
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		<title>By: kenlaysnotdead</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-100855</link>
		<dc:creator>kenlaysnotdead</dc:creator>
		<pubDate>Sat, 15 Aug 2009 03:35:45 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-100855</guid>
		<description>Larry,

It&#039;s not lost on me that after his &quot;slap down&quot; in 1998 he left office shortly thereafter, and targeted healthcare as the cause of the future. Only he simply collected millions of dollars insted of doing anything about it. 

Newton is an interesting study, just like Bill Clinton and Barrack Oboma he was abandoned by his father, then 19 and left with a sixteen year old Mother. He decries the very services that gave him a chance in life. That is a fighting quality.

As for healthcare, he and his GOP brethren could use some schooling on how th American System works. I am stunned and embarrassed that a former speaker of the house does not understand the process of a bill becoming law. Of course he does, he is just a LIAR and A CHEATER, and AN ASSHOLE FOR LEAVING HIS DYING wife. But that being said, let&#039;s look at this:

http://www.schoolhouserock.tv/Bill.html

For this is how a bill becomes a law. and there is no BILL YET.</description>
		<content:encoded><![CDATA[<p>Larry,</p>
<p>It&#8217;s not lost on me that after his &#8220;slap down&#8221; in 1998 he left office shortly thereafter, and targeted healthcare as the cause of the future. Only he simply collected millions of dollars insted of doing anything about it. </p>
<p>Newton is an interesting study, just like Bill Clinton and Barrack Oboma he was abandoned by his father, then 19 and left with a sixteen year old Mother. He decries the very services that gave him a chance in life. That is a fighting quality.</p>
<p>As for healthcare, he and his GOP brethren could use some schooling on how th American System works. I am stunned and embarrassed that a former speaker of the house does not understand the process of a bill becoming law. Of course he does, he is just a LIAR and A CHEATER, and AN ASSHOLE FOR LEAVING HIS DYING wife. But that being said, let&#8217;s look at this:</p>
<p><a href="http://www.schoolhouserock.tv/Bill.html" rel="nofollow">http://www.schoolhouserock.tv/Bill.html</a></p>
<p>For this is how a bill becomes a law. and there is no BILL YET.</p>
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		<title>By: CJ</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-100853</link>
		<dc:creator>CJ</dc:creator>
		<pubDate>Sat, 15 Aug 2009 03:02:13 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-100853</guid>
		<description>#&#039;s 5 &amp; 8
You don&#039;t have to look to far into the future to see who is going to pay for Iraq and the TARP brought to you, me and the &quot;grandkids.&quot;  Thank you #43, but who wants to remember those added cost? A certain party surely wants to pass the blame.  The power has shifted, and yes, we will all pay just like we always have, but please #44 came into this game with a deficit and let&#039;s remember how we all got that burden placed on us.  Please!
CJ</description>
		<content:encoded><![CDATA[<p>#&#8217;s 5 &amp; 8<br />
You don&#8217;t have to look to far into the future to see who is going to pay for Iraq and the TARP brought to you, me and the &#8220;grandkids.&#8221;  Thank you #43, but who wants to remember those added cost? A certain party surely wants to pass the blame.  The power has shifted, and yes, we will all pay just like we always have, but please #44 came into this game with a deficit and let&#8217;s remember how we all got that burden placed on us.  Please!<br />
CJ</p>
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		<title>By: Jim Benson</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-100814</link>
		<dc:creator>Jim Benson</dc:creator>
		<pubDate>Fri, 14 Aug 2009 20:49:05 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-100814</guid>
		<description>Travis, I agree enough with the special tax breaks for insurance companies.</description>
		<content:encoded><![CDATA[<p>Travis, I agree enough with the special tax breaks for insurance companies.</p>
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		<title>By: Michelle Quinn</title>
		<link>http://www.orangejuiceblog.com/2009/08/newt-gingrich-health-care-reform-plan-by-bryan-mcaffee/comment-page-1/#comment-100805</link>
		<dc:creator>Michelle Quinn</dc:creator>
		<pubDate>Fri, 14 Aug 2009 19:38:21 +0000</pubDate>
		<guid isPermaLink="false">http://orangejuiceblog.com/?p=26932#comment-100805</guid>
		<description>The bottom line is power, power over the fastest growing population, poor,underserved,vunerable.

These are the population the government wants, not the working,self reliant,self sustaining. They make Govenement smaller, not bigger!

Taking from the self reliant and giving to the needy!

Watch as the needy grows like a weed, if this Health Care Reform passes, ya just need to look at Santa Ana!!

stop state restriction&#039;s on health insurance companies within their states! 

Thats it, &quot;Competition&quot;, is the key!.</description>
		<content:encoded><![CDATA[<p>The bottom line is power, power over the fastest growing population, poor,underserved,vunerable.</p>
<p>These are the population the government wants, not the working,self reliant,self sustaining. They make Govenement smaller, not bigger!</p>
<p>Taking from the self reliant and giving to the needy!</p>
<p>Watch as the needy grows like a weed, if this Health Care Reform passes, ya just need to look at Santa Ana!!</p>
<p>stop state restriction&#8217;s on health insurance companies within their states! </p>
<p>Thats it, &#8220;Competition&#8221;, is the key!.</p>
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