The Future Pathway of ObamaCare

ObamaCare of the Future Update: The British National Health Services “Pathway” Or the Liverpool Care Pathway: A “kinder” way to kill you quickly…

The new investigation will examine how hospitals have received tens of millions of pounds to implement the controversial system for care of the dying.

Kevin Fitzpatrick, spokesman for the campaign group Not Dead Yet, said: “It is very worrying that in any situation less than 100 per cent of families are being consulted before patients are being put on the Liverpool Care Pathway. It is a shock for families to find that out.

“In some situations doctors are prepared to do it without consulting families because they think they know what is best and questions arise as to why they think it is OK to do that. Families have the right to know why a loved one is being put on the LCP.”

Ministers yesterday ordered an independent inquiry into why hospitals have been paid to hit targets for numbers of patients dying on the Liverpool Care Pathway.

Hospitals incentive to kill you early…Hmmm…Sounds familiar somehow…. 😦

In England, it’s called the Liverpool Care Pathway (LCP). Here it is better known as the “death panel,” but the end result is the same. When you become so sick that the cost of your care is deemed burdensome to the state, you are consigned to the proverbial ice floe and set adrift.

And with Obamacare already at 3x the cost and it just really began this week and doesn’t kick into high gear for another year what does this foretell in a Nation that is already $16 Trillion in debt???

Shocking new figures released on Tuesday reveals that the situation in Britain is more grave (no pun intended) than anyone thought. The MailOnline reports that as many as 60,000 patients are placed on the LCP each year, a virtual death sentence, without giving their consent. A third of families, moreover, are kept in the dark when doctors withdraw lifesaving treatment from loved ones.

And it gets worse than that: Some patients are denied nutrition and fluids, both measures designed to hasten their deaths, which typically occur within 29 hours.

Elspeth Chowdharay-Best of Alert, an anti-euthanasia group, is quoted as saying, “The Pathway is designed to finish people off double quick. It is a lethal pathway.”

Yet, not everyone shares that grim assessment. National Health Service Secretary Jeremy Hunt has claimed that the LCP is a “fantastic step forward,” adding that “we need to be unabashed about that because it’s basically designed to bring hospice-style care to terminally-ill people in hospitals.”

Secretary Sebelius  and IPAB anyone… 🙂

Sarah Wootton, chief executive of the campaign group Dignity in Dying, said: “The NHS is clearly moving in the right direction. However, the report highlights there is a need for further training and education on end-of-life communication. As a society we need to appreciate that dying is not a failure of medical care and treatment, but dying badly is.”

But Secretary Hunt told LBC Radio that a few wrongful deaths shouldn’t be construed as an indictment on the system:

I would be very sad if as a result of something that is a big step forward going wrong in one or two cases we discredited the concept that we need to do a lot better to give people dignity in their final hours because it’s something we haven’t done well.

Lots of people don’t want to die with lots of tubes going in and out of their body — they actually want to die in a dignified way.

Hunt didn’t elaborate on how much dignity patients experience when their suffering goes untreated or they are denied food and water.

Tens of thousands of patients with terminal illnesses are being placed on a “death pathway”, almost double the number just two years ago, the Royal College of Physicians has found.

It aims to give patients a ‘good death’ by avoiding unnecessary and burdensome medical intervention but there have been accusations it hastens death because it can involve the removal of artifical hydration and nutrition.

A report into palliative care in the NHS found that in one, unnamed hospital trust, half of families were not told that their loved one had been placed on the LCP and in a quarter of trusts, one in three families were not informed.

The Liverpool Care Pathway was intended for use in hospices but was given approval by the Department of Health in 2006 leading to widespread use in hospitals. Concerns about the pathway were raised first in The Daily Telegraph in 2009 when experts warned that in some cases patients have been put on the pathway only to recover when their families intervened, leading to questions over how people are judged to be in their “last hours and days”.

Daily Mail: Sick children are being discharged from NHS hospitals to die at home or in hospices on controversial ‘death pathways’. Until now, end of life regime the Liverpool Care Pathway was thought to have involved only elderly and terminally-ill adults.

But the Mail can reveal the practice of withdrawing food and fluid by tube
is being used on young patients as well as severely disabled newborn
babies.

The decision to order an independent investigation follows deepening concern over the LCP, which is thought to be used in the deaths of 130,000 hospital patients each year.

Now project that onto a country 5 times larger and that gets to be be 2/3 of a million people.

On ‘bribe’ payments, first revealed by the Daily Mail, which have seen at least £30million given to hospitals that hit targets for numbers of patients who die on the pathway, Mr Lamb said: ‘We are doing an analysis to focus on the circumstances under which these payments have been made.

How the mail led the way

Welcome to the Future! 🙂

Political Cartoons by Chuck Asay

Political Cartoons by Glenn Foden

Political Cartoons by Chip Bok

Political Cartoons by Gary Varvel

 Political Cartoons by Bob Gorrell

 

The Opium Den

Michael Ramirez Cartoon

The Ship of State 🙂

“You’ll have to pass the bill to find out what’s in it” -Soon-to-be Ex-Speaker Pelosi.

Sounds a bit like the “Let’s make a Deal” and the Zonk was crammed down your throat because it was the right thing to do! 😦

If you want to know why Washington can’t control entitlement spending, there’s no better example than the regular ritual surrounding Medicare payments to physicians.

It has been going on for more than a decade, and it follows a consistent script. Congress faces a deadline to adjust Medicare reimbursements to a sustainable growth rate (SGR) established in a 1997 law. But Congress has never trimmed payments to anything near the levels demanded by the SGR formula, and it’s too late to play catch-up.

The looming cut is alarmingly large — so large that there’s no way it can stick. The American Medical Association then makes a fuss, raises the specter of doctors fleeing Medicare en masse, scares the seniors and forces Congress to come up with a short-term patch that holds the line on pay for a year or so and maybe even raises it a bit.

So the can gets kicked down the road, and Medicare keeps eating up a larger share of gross domestic product.

More than 60% of yearly spending is devoted to Social Security, Medicare and Medicaid and Defense apart from war expenditures. Budgetary discipline is impossible without a no-holds-barred discussion of demography, increased longevity and the national-security perils of unsustainable national debt.(IBD)

And then there’s Social Security, which the government’s main dependency weapon. But also they can’t privatize it because they stole the money decades ago but will never admit it.

Then there are the public sector government unions and their out of control, over the top salaries and lavish Rolls Royce pensions and benefits.

Yet, in California alone, nearly 10,000 retirees will get pension checks totaling at least $100,000 this year (that’s a Billion dollars a year folks in just 1 state! and these people typically can retire in their 50’s so could collect 30-40 BILLION dollars over time!)

And California just re-elected,after 30 years out of office, a massive Liberal, Jerry Brown.

Joshua Rauh, associate professor of finance at at Northwestern University, estimates that 20 states will run out of pension money by 2025.

The pension doomsday clocks in Illinois and New Jersey will strike even sooner, in 2018, he said. (MSNBC)

Social Security and Medicare are also headed for doomsday in the next generation.

In New Jersey, for example, the state is obligated to pay pensions out of the general fund when the pension fund runs dry. In 2018, the state will owe $14 billion in pension payouts, or one-third of the state’s annual tax receipts. To put that in perspective, to plug a budget hole like that this year, the state would have to cut all education spending. That bears repeating: It would have to eliminate spending on every elementary school, high school and college from its budget.

Another common pension abuse is “double-dipping” – a practice in which employees retire and start collecting their pension, then are rehired to perform their old job at their old salary. It’s a common practice for government workers around the country, despite many rules forbidding it.  Workers often argue that they have earned their pension and their right to retire, and if they decide to work during retirement, they’re entitled.  But the logic there is deeply flawed, said Dean.

“Pensions were designed to make sure government workers were allowed to grow old with dignity, not to make them rich,” he said.

And the poster child for that is Phoenix’s own Chief of Police (with help from his good buddy Mayor Phil “flash” Gordon) Jack “The Hack” Harris.

He retired as chief in 2007 and began collecting a $90,000 pension. Two weeks later, he was hired for essentially the same job, retitled “public safety manager,” and granted a salary of $193,000.

And Mayor Phil is a Pro-Illegal, “soak the rich” progressive Liberal!

Liberals love to dip into other people’s pockets and manipulate the system for their own advantage and then blame it on greedy “rich” people and conservatives/republicans.

Well, I guess I wouldn’t be poor either if I had a $90,000 pension and a $193,000 job all at taxpayer expense!!

But undoubtedly I’d be a racist! 🙂

A 30-year government worker with a final salary of $80,000 could expect an annual pension of roughly $55,000, or about $4,600 per month for life, under the current scheme. (And could easily be in their 50’s)

To earn that kind of guaranteed monthly income, a 401(k) saver would need $1 million in their retirement account, assuming $100,000 in savings can generate $400 in monthly income.

While it’s not impossible to grow a 401(k) to those lofty levels, it is rare.  In fact, 50 percent of Americans who have 401(k) accounts have less than $35,000 in them. Contrast that with our 30-year government workers who can all expect predictable pension checks.

So expect a furious battle as state governments attempt to reign in pension costs. (MSNBC)

And you get the Unions “outraged” and etc and that’s why they support the liberals in the Democrat party, because they will just keep paying them out and blaming someone else (“The rich”) for it.

We are on pace to soon owe 100% of our annual gross domestic product in national debt, while compiling the largest annual peacetime deficits in our history.

And what will happen when the pain comes?

Lots of crying and nashing of teeth and blaming “the rich”. But mostly, it will be the new NIMBY Principle. Not in my Back pocket You!

“Someone else” has to pay for my sins. Not Me. “Them”.

Sorry, but it’s YOU. Me. and that Grand Piano of neglected debt, avarice, and delusion staring down at you!

That’s the REAL TRUTH.

You aren’t required to like it.

It just is.

Deal with it.

The Free Ride is over. It’s time to roll up your selves, feel the pain, and get it done.

But first you have to De-tox the patient. And these DT’s are going to be a near stoke.

But as anyone who has ever kicked an addiction knows, you have to want to change first. And there in lies the real problem.

The patient knows he’s very sick, possibly morbidly so, but when the doctor prescribes the cure the patient is going to wail like a banshee and kick and scream and throw a tantrum.

Think I overstate, just wait and see.

And the Liberal Media and The Democrats will play the head drug pusher tempting you back into the opium den.

Think I overstate, just wait and see.

I think not.

And look at it this way: In terms of our collective health and national security, a budget surplus is probably worth more than an expanded federal health care entitlement, another Social Security cost-of-living increase or a new aircraft carrier.

But no pain, no gain!

So do you want another hit of Opium??

Political Cartoon by Michael Ramirez

Distrust and Verify

Before my rant, I saw this cartoon and busted out laughing.

Political Cartoon by Michael Ramirez
DAMN STRAIGHT!!
Now on with the show!

Ever feel like your life is the subject of opposition research. Research to to know exactly how much of risk you are. To know everything about you.

No trust. No freedom.

Well, if you don’t. Then read this, and you may. It was in the Wall Street Journal, so not some wacky blog.

Big Banker is watching you—more closely than ever.

With lenders still skittish about making new loans, credit bureaus and others are hawking services that help banks probe deeply into your financial closet. The new offerings include ways to look at your rent and utility payments, figure out your income, gauge your home’s value and even rate your banking habits based on details like whether your direct deposits have stopped.

All of this could influence your financial freedom—not to mention the number of junk-mail solicitations you receive.

Ken Lin, CEO of Credit Karma, a credit-score information website, knew he had a good credit score. But when he recently applied for a new credit card, he was rejected: The lender had flagged him as a higher credit risk because the value of his California home had declined and his mortgage principal wasn’t declining—giving away that he has an interest-only mortgage.

“It’s a lot more than just your credit score today,” he says.

Your credit record still matters, of course. But here are some newer ways lenders and financial-services companies are sizing up your financial behavior and credit-worthiness:

• Bank-depositor behavior scores. Fair Isaac, the creator of the widely used FICO credit score, is marketing bank-depositor behavior scores, which are used by banks to assess their own customers.

The scores are based on balances, deposit records and withdrawal activity, says Debb Gordon, a senior principal consultant at Fair Isaac.

Unlike credit scores—which are most affected after payments are late or credit is maxed out—behavior scores can be a leading indicator of credit risk. They also can help banks identify which of their customers might be ripe for additional services and rewards programs and which might need special attention because, for instance, their direct deposits had stopped.

• Income estimation. This business took off earlier this year after the Federal Reserve allowed lenders to use credit bureaus’ income estimates to satisfy new requirements that credit-card applicants show the ability to pay their debts.

The bureaus use credit-record information, such as the size of your credit lines and the age and size of your mortgage, and plug it into models to predict your earnings. Those estimates also may be used to double-check the income you report on credit applications or to determine if you should be preapproved for credit.

You can’t see those estimates. But if you are denied credit because of them, you must be given a chance to provide additional information.

• Rent payments. An estimated 40 million consumers, including young people and people who prefer to pay in cash, have too little credit experience to generate a useful credit score. But they are likely to pay rent or utility bills, which could help credit bureaus better assess their credit-worthiness.

Experian, one of the three major credit bureaus, bought RentBureau—which collects rental-payment data from large property managers—and expects to integrate that information into credit records before the end of the year.

Even if those consumers don’t want credit, that information could help them win better rates from insurers, which may use insurance scores based on credit records, and fatten up thin credit files, which some employers check before making hiring decisions.

Credit bureaus say they also would like to offer data on cellphone payments, but have run into concerns over privacy issues, which may require legislation to untangle.

• Collection triggers. If you owe money, you can run, but you can’t hide. Credit bureaus can now send daily reports to collection companies when a debtor’s financial status changes—say, if new employment information appears or if a debt starts to decline. A drop in credit use would indicate that the consumer has more capacity to pay and a better chance of repaying other outstanding debts.

• Home values. As home values have plummeted and foreclosures have soared in many states, lenders of all stripes have become more cautious, as Mr. Lin found. Using home values as a factor in credit decisions doesn’t appear to be widespread, but it may come into play when someone in, say, Nevada or California applies for a new loan. Of course, it also could work in your favor if you are one of the roughly 25 million Americans who owns a home outright.

• Your wealth. Information about your assets other than homes and cars, which aren’t part of the credit record, may soon play a bigger role in your financial life. With a better sense of a consumer’s balance sheet, lenders might be able to target potential customers better and also have a fuller sense of their likely risk. Equifax, another of the big three credit bureaus, offers financial-service providers an estimate of liquid wealth as part of a financial “suite” of information.

As all of this becomes a widespread practice, those who are prompt and careful in all aspects of their financial life may have more options—and those who have been sloppy with, say, their bank accounts may be penalized for that.

And mind you, Obama’s Federal Reserve  just gave the banks another stimulus.

I wonder if they’ll track the money you lose due to government policies like massive tax increases, say 1/1/11, Health Care, etc al??

Or the Inflation that even more spending by the Fed will cause?

Too bad no one is watching the government or these “too big to fail” banks like a hawk.

We are the prey.

“Trust Me, I know I’m doing” — Detective Sledgehammer (love that show).

We just don’t trust you, citizen. On anything!