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Phil Jacobus has been involved in health care since 1977, when he visited China to sell equipment. He has done business in 35 countries and still travels extensively. Phil is active in charity, helps rural clinics and always tries to help DOTmed users when he can.
Phil is a member of AHRA, HFMA, AAMI and the Cryogenic Society of America. He has contributed to a number of magazines and journals and has addressed trade groups.
Phil's proudest achievement is that he has been happily married to his wife Barbara since 1989, who helped him found DOTmed in 1998.
![]() Doug, You are correct with the grid-lock we see in Washington if we start from scratch it could take years. That would be bad news for all of us.
![]() More cost effective method of healthcare delivery is the design of the law, but reading and using a calculator sends it somewhere else, it sends it to twice the initial costs estimated. Who exactly do you think pickup the difference in costs....
![]() I find the premise that SCOTUS should leave PPACA in place, or that 50 million people will lose healthcare amusing. Repealing "Obamacare" is the best thing that could happen to tax paying US citizens this decade.
![]() This entire "law" needs to be struck down in its entirety. Not only is the mandate unconstitutional, the drunken politicians with their special interests and offshore accounts and lobbyists in their pockets need to go. Not only this, the healthcare system in the United States was around a 3 trillion dollar business as a whole per year. Now you want to add the fed adding another 1 trillion to the tab? Something has to give if this thing stays. This is nothing more than a takeover of the cash flow for control, Guaranteeing the current administration the Chavez like takeover of the USA. ![]() As Ronald Regans's Solicitor General commented, healthcare is interstate commerce, therefore the Constitution's Commerce Clause allows for Congress to regulate healthcare. Our elected legislators crafted and approved this regulation. Any result other than confirming the law as written by our elected legislators will be a setback to Constitution and the rule of law in the United States. ![]() If you actually read the interview you are referring to, Charles Fried sounds like he has no respect for the constitution as a whole, he implies that congress is not subject to the separation of powers in the constitution, and he clearly thinks the Supreme Court has no legitimate authority. But then he is a professor of law at Harvard, which means he is about as liberal as one can be. Now, if healthcare is interstate commerce, as Charles Fried claims, then why can't healthcare insurance companies compete equally in all 50 states? And if "the Constititution is clear", as you claim, then why does President Obama spend so much time inventing ways to subvert it? |
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Doug Baker
IF not the ACA , then what?
March 29, 2012 11:05
Phil, I believe the Supreme Court also has to consider, if they gut the law, and that dooms the entire ACA, now what?
That it goes back to the Congress and we lose 2-3 more years of haggling how to cut cost in healthcare etc? Most likely, and we dig an even bigger hole in the budget. Hopefully, they see the real gem in this act is the the start of real Accountable Care, which is the only hope of bringing doctors/hospitals/CMS together on designing a better, more cost effective method of healthcare delivery. Cost out does not come from leaving 50 million American under-insured or with no insurance, just look at current trends, we are still spending more.
For ACO's to work, everyone has to be enrolled so the outcomes are measured across all demographics. It comes down to "how do you get all Americans covered and participating" , and that is the dilemma the Court finds itself in. Invalidate the mandate and punt or????
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