Washington D.C. Circuit Court Of Appeals Rules Most ObamaCare Subsidies Illegal

Federal Appeals Court Deals Major Blow To ObamaCare – Big Government

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President Obama’s un-Constitutional practice of lawlessly ignoring and rewriting laws to suit his left-wing political agenda has come back to bite his signature domestic achievement. Tuesday morning a federal appeals court dealt what USA Today describes as a “potentially major blow” to ObamaCare with a 2-1 ruling against the Obama administration’s end-run around Congress to disburse federal subsidies:

The appeals panel ruled that as written, the health care law allows tax credits to be offered to qualified participants only in state-run exchanges. The administration had expected most if not all states to create their own, but only 16 states did so.

The court said the Internal Revenue Service went too far in allowing participants in other states served by the federal exchange to qualify for billions of dollars in government assistance. The aid has helped boost enrollment figures to more than 8 million.

Once it became clear 36 states could not be bribed with federal dollars or bullied by the media into setting up their own ObamaCare exchanges, rather than go back to Congress to lobby for changing the law, President Obama blithely believed he could ignore and rewrite a law he signed after helping to usher it through a Congress dominated by Democrats.

If the ruling stands, those enticed into purchasing ObamaCare coverage with the help of untold billions in federal tax dollars will lose their subsidy in these 36 states. This is almost certain to force many ObamaCare recipients to drop coverage. The big question is how many of these people lost their affordable coverage after ObamaCare made the affordable insurance they were happy with illegal and cancelled those plans?

“We reach this conclusion, frankly, with reluctance,” Judge Thomas Griffith said. “At least until states that wish to can set up exchanges, our ruling will likely have significant consequences both for the millions of individuals receiving tax credits through federal exchanges and for health insurance markets more broadly.”…

Michael Cannon, a Cato Institute health economist who helped devise the legal challenge, said the refusal by so many states to create health exchanges led to the court ruling. “This is popular resistance to the law,” he said.

For now, USA Today reports, everything is on hold. The Administration has already announced that the taxpayer-funded subsidies will continue to flow.

Although the ruling will have no impact while it is appealed – either to the full appeals court, which includes four Obama appointees, or to the Supreme Court – the result could be chaotic if ultimately allowed to apply nationwide.

While the political Left and mainstream media are almost certain to wring their hands over the roughly 5 million able-bodied Americans not receiving federal monies (the sick, elderly, disabled, and truly poor are covered by Medicare and Medicaid) paid for by other able-bodied Americans, the principle here is much larger and more important: The rule of law.

Moreover, as Michael F. Cannon of Forbes points out, the winners in this decision outnumber the losers 10 to 1. As many as 57 million Americans will now be out from under the punitive ObamaCare mandate, compared to the 5 million who will not see an increase of their health insurance premiums but will lose their illegal taxpayer-funded subsidies.

Cannon also reminds that the whole idea and original intent of awarding billions in federal subsidies only to those states that built their own ObamaCare exchanges, wasn’t accidental or a technicality. Throughout the law it is made clear that those subsidies are available only “through an Exchange established by the State.”

Congress’s intent behind shaping the law in this manner was to entice/threaten the states into building their own exchanges. After 36 states wisely refused, Obama rewrote the law and illegally awarded the subsidies anyway.

The Constitution is very clear that it is the job of the legislative branch (House and Senate) to write law. The Executive branch enforces the law.

Rather than enforce the law, Obama broke it by rewriting it.

The potential danger of the court’s allowing such a precedent is staggering.

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White House To Ignore Court Ruling, Keep Handing Out Obamacare Subsidies – Daily Caller

The Obama administration will continue handing out Obamacare subsidies to federal exchange customers despite a federal court’s ruling Tuesday that the subsidies are illegal.

A D.C. Court of Appeals panel ruled Tuesday morning that customers in the 36 states that didn’t establish their own exchange and use HealthCare.gov instead cannot be given premium tax credits, according to the text of the Affordable Care Act itself.

But the White House said in response that it will continue handing out the billions of taxpayer dollars in subsidies. White House press secretary Josh Earnest said that while the case continues to be battled out in the courts, the administration will continue to dole out billions in tax credits to federally-run exchange customers.

“It’s important for people all across the country to understand that this ruling does not have any practical impact on their ability to continue to receive tax credits right now,” Earnest said in a press briefing Tuesday.

A three-judge panel issued the ruling Tuesday, concluding 2-1 that the federal subsidies are illegal. The Department of Justice is seeking an en banc ruling from the appeals court, which would require all judges in the court to rule on the case. Eleven judges on the court would hear the case: seven Democrats and four Republicans.

That decision will likely also be appealed to the Supreme Court.

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*VIDEO* Bill Whittle: It Takes A Superhero


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Over 500 Grievous Injuries Or Deaths Resulting From Poor Care Occurred At VA Hospitals In 2013

Over 500 Grievous Injuries Or Deaths At VA Hospitals In 2013 – Washington Free Beacon

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Veterans Affairs hospitals across the country reported more than 500 incidents last year where patients were gravely injured or died as a result of the care they received.

Data obtained by the WashingtonFree Beacon through the Freedom of Information Act (FOIA) shows 575 “institutional disclosures of adverse events” – the bureaucratic phrase for reporting a serious mistake – at VA hospitals in fiscal year 2013.

See the data here.

According to the Veterans Health Administration ethics handbook, such disclosures are required when “an adverse event has occurred during the patient’s care that resulted in or is reasonably expected to result in death or serious injury.”

Specifically, adverse events are defined by the department as “untoward incidents, diagnostic or therapeutic misadventures, iatrogenic injuries, or other occurrences of harm or potential harm directly associated with care or services provided” by the VA.

How many of the 575 “adverse events” reported last year resulted in patient deaths is unknown. It is also unclear how 2013 compared to previous years. The Free Beacon has filed another FOIA request seeking this information.

“Until VA leaders make a serious attempt to address the department’s widespread and systemic lack of accountability, I fear we’ll only see more of these lapses in care,” Rep. Jeff Miller (R., Fla.), the head of the House Veterans Affairs Committee, said in a statement to the Free Beacon.

“Like other hospital systems, VA isn’t immune from human error – even fatal human error,” Miller said. “But what the department does seem to be immune from is meaningful accountability. Given that these tragic events are part of a pattern of preventable veteran deaths and other patient-safety issues at VA hospitals around the country, it’s well past time for the department to put its employees on notice that anyone who lets patients fall through the cracks will be held fully responsible.”

The VA came under intense scrutiny from Congress and the media this year after whistleblowers revealed thousands of veterans were placed on secret wait lists and dozens died awaiting treatment.

VA Secretary Eric Shinseki resigned earlier this year as a result of the uproar that followed. The department also ordered a nationwide audit of its consulting practices.

The VA also disclosed in April that, since 1999, 76 patients were seriously injured because of delayed gastro-intestinal cancer screenings, and 23 died.

Medical privacy laws strictly bar from disclosure the names of patients and other details, making it difficult to document individual cases. However, the data obtained by the Free Beacon gives a broad view of serious mistakes at VA hospitals over the past year.

Gainesville

The Malcom Randall VA Medical Center in Gainesville, Fla., reported 31 “adverse events” during fiscal year 2013, the most of any VA facility.

The VA also confirmed two patients died at North Florida/South Georgia system, where the Gainesville hospital is located, due to delayed cancer screenings.

The system is the busiest in the country, serving roughly 125,000 VA patients per year.

VA hospitals have struggled to handle the flood of new patients in the years following 9/11, especially after the troop drawdowns from Iraq and Afghanistan in recent years.

However, numerous congressional investigations and internal audits by the VA also describe a corrosive work environment, where leadership encouraged staff to cook the books to meet performance standards and where whistleblowers were harshly punished.

Three VA officials in Gainesville were placed on leave this year after an audit by the VA Inspector General found the hospital was using a secret paper list to keep track of appointments.

There were also allegations that surgeons were not allowed to perform certain operating room procedures to avoid increased mortality rates, and that patients with a high mortality risk were sent to a local hospital. However, the VA Inspector General said in a report Monday it could not substantiate those claims.

The Malcom Randall VA Medical Center did not return requests for comment.

Pittsburgh

The VA Pittsburgh Healthcare System reported 26 disclosures in fiscal year 2013.

CBS reported earlier this year that the Pittsburgh VA failed to warn patients of a fatal Legionnaires’ Disease outbreak. At least six veterans died and 16 fell ill from February 2011 to November 2012 as a result of the outbreak, while leadership tried to insulate the hospital from the Centers for Disease Control and congressional investigations.

A Pittsburgh VA official later falsely testified before Congress that the outbreak was the result of the city’s water treatment, when in fact the hospital had known for more than a year that it was caused by human error.

Augusta

The Charlie Norwood VA Medical Center in Augusta, Ga., reported 14 “adverse events” during fiscal year 2013, and three cancer patients died as a result of delayed screenings over the past two years.

According to a 2012 report from the VA Inspector General’s Office, five patients died or sustained serious injury as a result of mismanagement between 2007 and 2010, and more than 4,500 gastrointestinal endoscopy consults went unresolved.

A recent VA audit reported that 26 new patients in Augusta had to wait at least 90 days for an appointment. Additionally, 133 veterans were not scheduled for an appointment despite requesting one in the past 10 years.

Since then, Augusta officials say they have reduced the number of veterans waiting at least 90 days for an appointment from 26 patients to two.

Acting VA Secretary Sloan Gibson toured the center last week, as part of a national tour of VA facilities, and said much of the scheduling problems were due to staff shortages.

“It should not take so darn long to hire someone,” Gibson said. “We need to make sure we’re talking to staff more frequently and understanding their needs. The employees here truly care.”

There are currently four open federal investigations into whistleblower retaliation at the hospital.

Columbia

In Columbia, S.C., the William Jennings Bryan Dorn veterans hospital reported 13 serious mistakes in patient care during fiscal year 2013. There have been six total deaths since 1999 due to delayed cancer screenings, according to the VA report.

A February report by the VA Inspector General found the Dorn hospital faced staffing and equipment shortages that led to delays. The report also noted that Dorn ranked 127th out of 128 VA facilities in health care-associated infections during 2013.

In response, the Dorn VA hospital agreed said it was immediately taking steps to fix the problems.

The hospital reported four more “institutional disclosures” in the second quarter of fiscal year 2014.

The Dorn VA hospital did not return requests for comment.

Wrongful death payments

Another measure of how patients are killed or gravely injured due to VA mistakes is wrongful death payments.

The Malcom Randall VA Medical Center in Gainesville has made more than $5 million in wrongful death payments in the years since 9/11, according to data from the Center for Investigative Reporting.

Overall, the Department of Veterans Affairs has paid out more than $200 million in wrongful death payments since then. But it is also an incomplete look at the problem.

According to the Center for Investigative Reporting, “independent legal analysts say the nearly 1,000 wrongful death payments in the decade after 9/11 represent a small percentage of the veterans who have died because of malpractice by the Department of Veterans Affairs.”

Eddie Creed, a Seattle-area jazz musician, died in 2012 at a VA facility after a medical device malfunctioned and emptied a lethal dose of morphine into his body. The medical device had been recalled a month earlier.

Creed’s death certificate said he was killed by throat cancer.

The VA refused to release the details of an internal investigation into the accident to Creed’s family until after local news outlet KUOW investigated the incident.

The VA Inspector General found that the Dorn VA hospital failed to peer-review numerous patient deaths – many of them shortly after surgeries – that met the criteria for review. The hospital has since gone back and reviewed those deaths.

The Department of Veterans Affairs did not immediately return a request for comment for this article.

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‘They Said His Soul Was Gone’: Wife’s Outrage After Unconscious Vet Was Pronounced DEAD At VA Hospital – Daily Mail

A woman in Kentucky is demanding answers from a local VA hospital after she claims her husband was erroneously pronounced dead.

According to Jennifer Dunn, doctors at the Lexington VA Hospital assured her last week that her husband, Danny Dunn, was no longer among the living.

The wife was given her husband’s time of death, but when she went into his room to bid a final farewell, she found Mr Dunn with a strong heart rate and blood pressure.

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It all started last Thursday morning when 46-year-old Danny Dunn, an U.S. Army veteran, was discovered unconscious by his wife in their Central Kentucky home.

The former soldier was rushed to a hospital in Harrodsburg and was later airlifted to the VA Hospital in Lexington, where medical personnel pronounced him dead.

‘I said, “Are ya’ll sure he’s gone?” and they said, “There’s no pulse, ma’am, he’s gone,”‘ Jennifer Dunn told LEX18.

In accordance with her husband’s end-of-life wishes, Mrs Dunn made the decision to take him off life support, but she quickly discovered that Danny still had vital signs.

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As of Monday, the 46-year-old veteran was very much alive, and according to his wife, apparently growing stronger.

‘He squeezed my hand when I asked him to,’ she said. ‘He opened his eyes when I asked him to. And he grabbed my hand.’

The Dunn family now want the ailing husband and father transferred to another hospital for treatment.

The VA facility in Lexington released a general statement to the local TV station, which read in part: ‘Veterans can have confidence that our staff of dedicated and professional providers is committed to working with them and their families to honor their wishes and support their needs.’

But the Dunns are far from satisfied with the hospital’s response to the near-fatal blunder.

‘They said his soul was gone and that he wasn’t living no more,’ said Dunn’s son, Tyler. ‘That he was gone long before we got him there… I mean we’re just looking for answers and they won’t give us any.’

This case is yet another black eye for the beleaguered VA system, which has faced public scrutiny in connection to explosive allegations of poor – and at times non-existent – medical care offered to servicemen and women.

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The VA’s inspector general has confirmed that at least 35 veterans died while awaiting appointments at the agency’s Phoenix medical center alone.

The resulting election-year firestorm forced VA Secretary Eric Shinseki to resign in May. A half-dozen other VA officials have resigned or retired since then.

More than 8million of the nation’s 21million veterans are now enrolled in VA health care, although only about 6.5million seek VA treatment every year.

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White House Bribing Health Insurance Companies To Keep Rates Down Ahead Of Midterms (Allen West)

White House Bribing Health Insurance Companies To Keep Rates Down Ahead Of Midterms – Allen West

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It was the line from The Godfather that will never be forgotten: “I’m gonna make you an offer you can’t refuse.” The Chicago thugocracy of Barack Hussein Obama took that tactic with health insurance companies to make them swallow Obamacare in the first place, and is now quietly bribing them to “postpone” rate hikes scheduled to come out right before the midterms.

According to Forbes.com, ” Hidden in the midst of a 436-page regulatory update, and written in pure bureaucratese, the Department of Health and Human Services asked that insurance companies limit the looming premium increases for 2015 health plans. But don’t worry, HHS hinted: we’ll bail you out on the taxpayer’s dime if you lose money. No wonder there wasn’t a press release. The White House is playing politics with Americans’ health care – and they’re bribing health insurance companies to play along.”

Ok, let me clarify: the Obama administration has sneaked in a regulatory rule update asking health insurance companies not to do their job accurately if it means higher insurance premiums. After all Obama – aka Vito Corleone – stated Obamacare would bring about an average reduction of $2500 to healthcare premiums. Now, here is the offer the insurance companies can’t refuse: “even if you’re losing money, we’ll square it away for you” – with taxpayer dollars of course.

So in the long run, the hard-working American middle-income family gets screwed either way! Either they’ll have to pay higher premiums or pay the government through higher taxes – such as Obama’s desired higher gas taxes – in order to compensate the insurance companies. And here we thought Obama REALLY didn’t like those insurance companies.

Now, silly me, I thought bribery was a felony offense. Oops, there I go again using logic and common sense when assessing the Obama administration – heck, they’re having problems with computer hard drives, bribery is just par for the course.

And to think the Washington Post just gave President Obama three more “pinocchios” for lying. Nah, none of this matters – it’s certainly not “impeachable.” It’s just liberal progressive socialist politics as usual – fear, intimidation, coercion, lies and deception. Can you imagine what would be happening if this were a revelation occurring under a Republican president?

But be careful, you don’t want to be accused of racial animus because you’re questioning the president’s bribery policy. And I don’t think the U.S. Department of Justice will be investigating this, do you?

Why is all of this happening now? Why it’s simple. There’s an election coming in November 2014 and the last thing Obama, his personal consigliere Valerie Jarrett and the Democrats want is for 2015 healthcare insurance premium increases to be announced in September. And Obama accuses everyone else of playing politics.

As Forbes reports, “typically, insurance companies release their premium rates between summer and early fall – i.e., right before voters cast their ballots in November. If premiums skyrocket—which looks increasingly likely – then voters won’t look too kindly on Senators and Representatives who voted for Obamacare and created this problem. Hence the White House’s desperate damage control. It almost worked: No one noticed when the regulations were first released. In fact, it took days for any news outlet to find the language and then translate it into readable English. TownHall.com figured it out first. The Los Angeles Times then reported that “hold[ing] down premium increases for next year” is a “top priority” for President Obama since “rates will be announced ahead of this fall’s congressional elections.” Wow, give the LA Times a Scooby Snack for getting that one right!

Forbes says “even if the healthcare insurance industry doesn’t want to play along, it’s still in these companies’ best interests to assent to the administration’s “request.” Under Obamacare, insurers are so heavily regulated that they have to play nice with the bureaucrats who call the shots. The president isn’t the only government official who carries a big stick. If insurance companies don’t give in, regulators have powerful ways to make life hard for them. A shrewd CEO doesn’t need to look far to see what might happen if his company opts out. This administration already has a reputation for strong-arming dissenting businesses in other industries.”

Don’t believe how bad it could be? Just ask the coal industry and the small community banks. Of course, this will once again be dismissed and the White House may still get away with its attempted sleight of hand. Technically, the regulations don’t force health insurance companies to hold down their premium increases. But the White House isn’t asking nicely. Does it ever?

If the GOP can awake from its stupor and acknowledge the other side doesn’t play nice, perhaps they’ll start winning elections. This is the politics of Moose and Rocco, and exactly what Americans consented to when they voted to have Chicago come to Washington D.C.

P.S. Hillary is from Chicago too.

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Former Maryland VA Official Pleads Guilty In $1.4M Fraud Scheme

Former VA Official Pleads Guilty In $1.4M Fraud Scheme – WBAL

A former Deputy Chief of Veterans Claims in the Maryland Department of Veterans Affairs pleaded guilty Monday to extortion in connection with a scheme to fraudulently obtain over $1.4 million in veterans benefits.

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The plea agreement was announced by United States Attorney for the District of Maryland Rod J. Rosenstein and Special Agent in Charge Kim R. Lampkins of the Department of Veterans Affairs Office of Inspector General.

In January 2011, U.S. Army veteran David Clark, age 67, of Hydes, Maryland, retired from the Maryland Department of Veterans Affairs as the deputy chief for veterans claims. Clark’s duties included submitting claims and documentation on behalf of veterans in Maryland who appointed the MDVA to represent them in obtaining federal benefits from the VA. Clark also submitted documents to the Maryland State Department of Assessments and Taxation in support of veterans’ applications for property tax waivers.

According to his plea agreement, while serving at Deputy Chief of Claims, Clark fraudulently obtained VA compensation for himself and at least 17 others, by submitting false documents to the VA purporting to show that the claimants had been diagnosed with diabetes, and in some cases, that the claimant had served in Vietnam when they had not. The claimants paid Clark half of the retroactive lump sum payment they received in cash or some other amount of cash. These payments to Clark were made in unmarked envelopes, at MDVA offices in Bel Air; at the Fallon Federal Building in Baltimore; and at other locations.

In support of these claims, Clark submitted fake letters from doctors purportedly treating the veterans, which falsely stated that the claimants suffered from Type II diabetes. Clark used the names and addresses of real doctors who were unaware of his conduct. Each letter stated that the diagnosis of Type II diabetes had been made a year or more prior to the date of the letter, which entitled each claimant to a retroactive lump-sum payment. The letters also stated that the claimants were currently taking insulin, which increased the amount of compensation the VA paid the claimant.

Clark created counterfeit versions of a Defense Department form for himself and five others, which falsely stated that each had served in Vietnam. These forms also falsely stated that these individuals had received various awards and decorations for the Vietnam service, including that Clark himself had been awarded the Purple Heart Medal. These documents were submitted to the VA to provide false evidence that they qualified for compensation benefits for diabetes.

Clark also submitted false certifications to the SDAT, on behalf of claimants that owned homes in Maryland, that the filers were entitled to a property tax waiver due to a service-connected disability.

The false claims cost the government $1,151,219 and the loss from the property tax evasion is $255,555, for a total loss of $1,407,134, officials said.

Clark faces a maximum sentence of 20 years in prison and a $250,000 fine. Clark has agreed to forfeit $1,407,134.

A sentencing date is scheduled for Nov. 17.

Eight other veterans have previously pleaded guilty to paying Clark cash to submit false documentation to receive VA benefits:

* John Bratcher, 56, of Conowingo, Maryland, a veteran of the U.S. Air Force
* Richard Genco, 71, of Baltimore, a veteran of the U.S. Navy
* Paul Heard, 65, of Baltimore, a veteran of the U.S. Navy
* George Kulla, 68, of Baltimore, a veteran of the U.S. Army
* Sandra Tyree, 65, of Baltimore, a veteran of the U.S. Air Force and former employee of the U.S. Department of Veterans Affairs
* Kenneth Webster, 68, of Pasadena, Maryland, a veteran of the U.S. Marine Corps and a former police officer with AMTRAK
* Raymond Sadler, 63, of Middle River, Maryland, a veteran of the U.S. Marine Corps
* Kenneth Williams, age 65, of Baltimore, a veteran of the U.S. Marine Corps.

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*VIDEO* House Veterans’ Affairs Committee Hearing On Widespread Corruption Within The VA



……………………….Click on image above to watch video.

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HHS Report: 1.3 Million Obamacare ‘Enrollees’ May Not Even Be American Citizens

1.3 Million Obamacare ‘Enrollees’ May Not Even Be American Citizens, Admits HHS Report – Daily Sheeple

Trouble is brewing in Washington as those who still consider legitimate the national healthcare takeover known as Obamacare try to figure out which enrollees are even eligible for coverage. A new report issued by the Office of the Inspector General (OIG) admits that nearly 1.3 million Obamacare enrollees, or about 16 percent of the overall total, cannot be verified for legal status in the U.S. – in other words, most, if not all, of them are illegal immigrants rather than American citizens.

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The shocking figures can be found on page 11 of the Department of Health and Human Services (HHS) report, entitled Marketplaces Faced Early Challenges Resolving Inconsistencies with Applicant Data. According to the figures, 1,295,571 “inconsistencies” – this is a politically correct way of implying missing or fraudulent data – found on Obamacare applications involved issues of citizenship, national status or lawful presence in the U.S., meaning applicants did not or could not verify this important information.

“The Federal marketplace was generally incapable of resolving most inconsistencies,” admits the report, noting that a large percentage of these faulty applications will likely never be resolved, at least not until the eligibility verification system becomes operable. “Without the ability to resolve inconsistencies in an applicant’s eligibility data, the marketplace cannot ensure that an applicant meets each of the eligibility requirements for enrollment in a [Qualified Health Plan] and when applicable, eligibility for insurance affordability programs.”

Nearly Half Of Total Obamacare Enrollees Cannot Be Verified As Eligible

What this implies is that the entire Obamacare program is nothing but a giant free-for-all, with absolutely no checks or balances in place to ensure that abuse and fraud don’t run rampant. Between abnormalities with income, employment verification and legal status in the U.S., it appears as though the bulk of Obamacare enrollees are either criminals, deadbeats or illegal aliens who don’t even belong in the country.

Of the roughly 8 million applicants who have signed up for Obamacare as of this writing, nearly 3 million of them cannot be verified by the current system as eligible, according to the HHS. And at this point in time, there is no way to ever verify them, as admitted by the Inspector General, further proving the massive swindle that has been levied on the American people by the Usurper-in-Chief who, ironically, has his own eligibility inconsistencies.

Four State-Run Exchanges Admit They Have No Way Of Verifying If Obamacare Enrollees Are Legal Citizens

Beyond the federal debacle, at least four state-run Obamacare exchanges are also incapable of verifying applicant eligibility. The HHS report explains that four of the 15 state marketplaces – Massachusetts, Nevada, Oregon and Vermont – haven’t figure out a way to resolve their “inconsistencies,” either. Much of this is due to their enrollment systems never having been designed with the capacity to verify applicants, a major oversight (or, perhaps, a deliberate design flaw).

Three other states – Hawaii, Colorado and Minnesota – have also had problems with inconsistencies. But these states sloughed the mess onto their state Medicaid offices, which are now having to individually verify each application by hand.

“One year ago, conservatives warned that the Obama administration’s decision to use the so-called ‘honor system’ for income eligibility was merely a backdoor way to get as many individuals on the public dole as possible,” wrote Wynton Hall for Breitbart about the ongoing dilemma. “The Office of Inspector General determined that ‘the federal marketplace was generally incapable of resolving most inconsistencies.’”

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Thousands In Connecticut Dropped From Obamacare Coverage Due To Technical Glitch

Connecticut Obamacare Exchange Tech Glitch Drops Thousands From Coverage – Daily Caller

Thousands of Connecticut Obamacare customers are facing coverage uncertainty after computer glitches estimated incorrect subsidies or randomly dropped them from their health plans without warning – even though they’d paid premiums.

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About 3,900 customers of Access Health CT, the state-run Obamacare exchange that has been one of the more successful health care marketplaces thus far, were incorrectly told they qualified for Medicaid due to a computer glitch, The Hartford Courant reports. Other customers received bills from their insurance companies that displayed a different amount than they’d agreed to on the exchange website – and at least 903 customers were unceremoniously kicked off their coverage without warning.

The problems were caused by faulty 834 insurer forms, which caused significant problems at the federal exchange website HealthCare.gov as well. The forms detail the amount of premium tax credits customers qualify for. The “system error” in the 834 forms was discovered on July 1, CEO Kevin Counihan said after state Republicans inquired about customer complaints over dropped coverage.

Some of the customers received paperwork and made premium payments, but have somehow lost their coverage anyway, WTNH reports. Others were told to wait for further paperwork to fill out before their health plans could be activated, but never received the extra forms.

One customer described her frustration with trying to actually access the coverage she purchased for her son.

“Well May comes along when it was supposed to start and I start saying, ‘We don’t have a card, he needs a card, can you send us a card,’ and they still didn’t tell me there was an issue until he went to a walk-in clinic at the end of May and found out he had no coverage,” said Diane Nadeau.

The exchange said Nadeau’s son was dropped from his plan for lack of payment, but Nadeau insisted that despite repeated attempts to get a bill for the exchange plan her son signed up for, no one ever answered her.

“I’ve been calling you like 20 times to find out where the bill is, how much it is, and how we can make a payment to you,” Nadeau charged.

After finally reaching state officials, Nadeau was told that if she made a payment the very same day, her son would have coverage July 1 – two months after his health insurance was supposed to begin.

“This is going to be bumpy,” Kevin Counihan said. “There are going to be some glitches and, you know, big surprise, we got them and you know what guys, we’re going to get more.”

Counihan said the problems are temporary and that, despite customers’ reports, their coverage will be restored.

“I say temporarily with great deliberation, because they are not losing their coverage,” Counihan said.

The exchange will begin contacting customers who did not receive paperwork or were dropped from their coverage beginning July 11, according to WTNH. Officials hope to have a permanent fix to the glitch by July 18.

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Yet Another VA Backlog: Months Of Neglected Medical Records Found At Memphis VA Hospital

TheDC Uncovers Another VA Backlog: Months Of Neglected Medical Records – Daily Caller

The Memphis VA Medical Center has yet another medical records backlog, The Daily Caller has learned – this one estimated at three to five months long.

According to the whistleblower, who provided the photo of this second set of medical records piling up at the Memphis VA Medical Center, the individual responsible for scanning in these records is Carnell Clark, an employee at the facility who is currently busy helping to catch up on a backlog TheDC exposed in June.

Sandra Glover, the spokeswoman for the Veteran Integrated Services Network 9, told TheDC the records are for “Intensive Care Unit (ICU) ‘flow sheets,’ also referred to as ‘work sheets,’ which contain real-time vital sign, input/output, and other pertinent information during the time a patient is in the ICU.” Veteran Integrated Services Network 9 includes the Memphis facility.

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According to a March 2014 Office of Special Counsel (OSC) complaint filed by another employee of the Memphis VA, the hospital has known about this problem – and an alleged cover-up – since at least that time.

“Two and a half months of inpatient stay flow sheets are missing and so far unaccounted for,” the complaint reads. “There are investigations going on and people are grouping up against each other. Even cover-ups are happening.”

In another portion of the OSC complaint, the employee accuses Clark of routinely not showing up for work, and accused then-head of Medical Records Department Brenda Jackson and her boss, David Huhman, of looking the other way.

“The employees have reported the allegation of theft of time (by Mr. Carnell Clark) to the business office chief Mr. David Huhman and the supervisor Brenda Jackson” The complaint reads. “The two allegations are serious, and it appears that nothing is going to be done about it.”

According to the whistleblower who supplied the photo, Jackson was replaced as head of the Medical Records Department at around that time. She was replaced because of an unrelated Equal Employment Opportunity complaint that was filed against her.

Jackson now works in a different department in the hospital, the whistleblower said.

In June, TheDC was supplied with a photo of another medical records backlog – that one was of medical records for outsourced medical procedures.

The new supervisor of the Medical Records Department is Rebecca England, and according to the whistleblower, England has approved overtime for Clark so he could help catch the department up on the other backlog.

According to the whistleblower, England took over after her position as the compliance officer was phased out.

The whistleblower said that England hasn’t been certified in medical records, and has no prior experience in medical records.

Glover said she hasn’t seen the OSC complaint, and said the records in question were for historical documentation purposes and didn’t affect patient care.

“Upon discharge from the ICU, the hard copy flow sheets are removed from the unit, taken to the appropriate file room, and scanned into the patient record for historical documentation purposes,” Glover said. “At no point do flow sheets have any impact on future or follow up care. They are used to aid in a patient’s care while still active on the Intensive Care Unit. Registered nurses enter summary data from the flow sheets into each patient’s computerized patient record system (CPRS) daily at the end of their shift while the patient is still on the unit.”

Glover said that the full patient history is available to any doctor upon request, if it hasn’t already been scanned into the system.

“The scanning process essentially duplicates the information with the actual forms that the nurse has already summarized and entered.”

TheDC’s whistleblower says Glover’s suggestion that the backlog isn’t affecting future patient care is spin, because doctors routinely rely on a patient’s entire medical history, including medical history generated in the ICU.

The whistleblower estimated that this backlog is three to five months.

A recent Veteran Administration Office of Inspector General report found that average wait times for initial appointments at the Memphis VA Medical Center are among the worst in the country, at more than fifty days.

TheDC also exposed that the same facility closed down an aqua therapy pool in 2011 – months after approving more than $1 million in bonuses.

The whistleblower asked to remain anonymous because they remain employed by the facility. TheDC’s whistleblower is the individual responsible for initially tipping TheDC off to the previous stories, both of which were eventually independently verified by the Memphis VA Medical Center.

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Obama: Treacherous Or Incompetent? (Lawrence Sellin PhD)

Obama: Treacherous Or Incompetent? – Lawrence Sellin PhD

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For many, it is difficult to decide whether Barack Obama is intentionally trying to destroy the United States or that he is doing so as a consequence of some type of ideology-induced stupidity.

The damage wrought through the implementation of his absurd and impractical liberal “solutions” to national problems is readily evident.

When Barack Obama was inaugurated on January 20, 2009 the national debt of the United States was $10,626,877,048,913. As of Jun 26, 2014, the debt was $17,512,592,730,102.

According to the Bureau of Labor Statistics (BLS), in 2007 on the eve of the recession, there were 146.6 million Americans working. Today, after six years of the Obama Administration, there are 145.8 million Americans in jobs, 800,000 below the previous peak. Since Obama came into office in 2009, 7.2 million people have left the workforce, making the true unemployment rate 8.3 percent, not 6.1 percent. Median household income is down almost $2,300 from what it was when Obama took office. Real wages are lower than they were in 1999. Growth in the first quarter of this year was a negative 2.9%, the biggest downward revision from the agency’s second GDP estimate since records began in 1976.

In April, prior to the present massive and growing surge in illegal minor immigration, Sen. Jeff Sessions (R-Ala.) said Obama has created an “open borders” situation by failing to enforce U.S. immigration law. One could fairly conclude that the current crisis was a deliberate policy decision because the Obama indicated that he would expand Deferred Action for Childhood Arrivals (DACA), a program that offers amnesty for illegal immigrant children and provides an incentive for exactly the type of mass illegal invasion we are witnessing on our southern border.

There should be little doubt that Obama’s open borders policy is meant to fundamentally transform the country’s demographics, produce millions of additional Democratic voters and welfare recipients and permanently undermine the national security of the United States.

The ATF “Fast and Furious” scheme, likely designed to erode Second Amendment rights, allowed weapons from the U.S. to “walk” across the border into the hands of Mexican drug dealers. The ATF lost track of hundreds of firearms, many of which were used in crimes, including the December 2010 killing of Border Patrol Agent Brian Terry.

Obama’s IRS targeted his perceived political enemies, conservative and pro-Israel groups, prior to the 2012 election. Questions are being raised about why this occurred, who ordered it, whether there was any White House involvement and whether there was an initial effort to hide who knew about the targeting and when. Obama apparently lied when he told Fox News’ Bill O’Reilly that there was “not even a smidgen of corruption” in IRS activities.

The Obama administration knew about allegations of secret waiting lists at the Department of Veterans Affairs (VA) as early as 2010, although, on May 19, 2014, White House spokesman claimed Obama learned about the scandal only recently through press reports.

The unfolding sectarian violence in Iraq is just the latest crisis where the Obama administration seemingly has been caught off guard. From the Veterans Affairs scandal to Russia’s swift annexation of Crimea, news of the world somehow keeps taking Obama and his team by surprise. Or are they just lying to camouflage flawed or failed policies, which have harmed the United States?

The attack on our “consulate” in Benghazi on September 11, 2012 was perhaps the most egregious of Obama’s many foreign policy failures because four Americans needlessly died due to a failure to provide adequate protection both before and during the attack.

Obama falsely blamed an internet video as the cause of the attack to hide the truth: the resurgence of jihadists in Muslim Brotherhood-governed Egypt, the continuing demand for the Blind Sheikh’s release (which underscored the jihadists’ influence), and the very real danger that jihadists would attack the embassy (which demonstrated that al-Qaeda was anything but “decimated”).

It is likely that a clandestine operation supplying weapons through Turkey to the Syrian rebels was being run out of Benghazi. Efforts were made not to draw attention to what was happening there. That could explain why local militias were paid to provide security, why requests for increased security were denied and why the US military was either unprepared to respond or told not to do so.

A Benghazi cover-up may have also prevented a thorough examination of the possible passivity or complicity of the Egyptian Muslim Brotherhood government in the attacks in Cairo and Benghazi and the potentially dangerous consequences of arming Islamic factions in Syria over which the US has little control, where the weapons we supplied may someday be used against us.

It should be obvious that Obama lied about Benghazi, he lied about Obamacare, the IRS, the VA scandal and in countless other instances.

Nevertheless, the liberal media remain willfully ignorant, will not report the truth and continue to protect Obama, regardless of the costs to the country.

Obama will survive in office until public awareness of his administration’s treachery matches its level of incompetence and exceeds the media’s capacity to tolerate corruption.

Jimmy Carter made mistakes. Barack Obama, a creator of crises, practices deceit and the willful betrayal of trust.

It does matter whether the damage inflicted upon our country results from ineptitude or premeditation.

It is ideology-induced treachery.

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ObamaCare failure #367

Longer, and I mean LOOONNNGGER waits in the emergency room. Via Fritz

Hey, this wasn’t supposed to happen! Long wait times in ERs due to ObamaCare

Wait times for seeing doctors have become an issue even outside the VA, which was a totally predictable outcome of ObamaCare. What wasn’t predicted was that the impact on wait times would be seen in emergency rooms, since one of the arguments for ObamaCare was to shift patients out of ERs and into clinics with an expansion of coverage. One California television station reported on lengthening ER waits, and notes that the trade group for ER providers lays the blame on the new health-insurance system:

I guess we are all vets now, waiting, and waiting for medical care

Pennsylvania Woman Posed As Doctor To Perform Medical Exams On Truckers

Woman Posed As Doctor To Carry Out Medicals On Men – Bizarre World News

A woman was arrested for posing as a doctor and carrying out physical exams on men in her own home.

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Investigators claim Joann Elizabeth Wingate, 56, advertised her services to truckers who needed to have updated physicals to keep up their commercial driver’s license.

Wingate examined one driver who spotted a sign she posted at a truck wash.

But he got suspicious after being told there was a problem with her forms.

The trucker told cops that “Dr. Wingate” performed a complete exam, and even had him provide her with a urine sample.

Wingate, of Cumberland County, Pennsylvania, was arrested on charges of forgery, fraud and identity theft. She is being held in lieu of $10,000 bail.

State Police officials report that Wingate, who charged $65 for an exam, displayed a bogus medical certificate that contained information corresponding with the license of Dr. Barbara Wingate, a Philadelphia-area psychiatrist.

The trucker told cops that “Dr. Wingate” picked him up in and old car and drove him to her “office.”

He thought it was odd the office was inside her home but ‘Dr. Wingate’ did “everything that a doctor would normally do during a physical.”

Investigators believe at least 16 drivers had physical exams conducted by the bogus doc this year.

During a search of Wingate’s home, police seized items used to conduct physical exams and urine tests and a large quantity of medical documents and advertising brochures.

They also found marijuana and narcotics paraphernalia in her home Wingate is scheduled for a July 16 preliminary hearing.

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Statist Disaster Update: Hundreds Of Thousands Of VA Electronic Disability Claims Go Unprocessed

Hundreds Of Thousands Of VA Electronic Disability Claims Not Processed – Nextgov

Hundreds of thousands of disability claims filed with the Department of Veterans Affairs’ eBenefits portal launched in February 2013 are incomplete and could start to expire this month, Nextgov has learned.

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VA Undersecretary for Benefits Allison Hickey touted the new portal in June 2013 as simple as filing taxes online and a way to whittle down the claims backlog.

“Veterans can now file their claims online through eBenefits like they might do their taxes online,” she said, including the documentation needed for a fully developed claim in cooperation with Veterans Service Organizations, or VSOs, such as the American Legion or Veterans of Foreign Wars.

Gerald Manar, deputy director of the National Veterans Service at VFW, told Nextgov the Veterans Benefits Administration on June 26 briefed VSOs on problems with the eBenefits portal, including the fact that only 72,000 claims filed through eBenefits have been completed and approved since last June, with another 228,000 incomplete.

VA spokeswoman Meagan Lutz said since February 2013, just over 445,000 online applications have been initiated. Of those, approximately 70,000 compensation claims have been submitted and another 70,000 nonrating (add a dependent, etc.) have been submitted, leaving a total of 300,000 incomplete claims. Because a number of claims started are more than 365 days old, they have now expired, totaling an estimated 230,000 unprocessed claims.

Manar said he still is trying to understand why so many vets did not complete their online claims and whether they opted to file a paper claim. Lutz said an important element of the electronic claim submission process is the ability for veterans to start a claim online with limited information to hold a date of claim, while simultaneously providing 365 days to collect data, treatment records and other related information.

Lutz said a veteran simply hits “save” and any information provided is saved in temporary tables. During that 365-day period, a veteran may add additional data or upload documents associated with that specific claim. At any point during that timeframe, a veteran can hit the “submit” button and a claim will be automatically established within the Veterans Benefits Management System, designed to entirely automate claims processing by next year, and documents will be uploaded to the veteran’s e-folder.

Claims submitted in eBenefits may be incomplete because “many users can potentially start a claim as part of their exploration of the system… The VA eBenefits team has no way of actually knowing which claims that might be started within eBenefits are valid and or have been abandoned for any number of reasons

After 365 days, Lutz said, the data is made inaccessible and the initiated claim date is removed from the system. The system was designed to provide the veteran as much flexibility as possible in preserving that start date as well as support the Fully Developed Claim initiative, which gives the veteran the opportunity to accrue additional benefits for providing all the data needed to rate the claim.

Lutz said if vets try to submit electronically hundreds of documents, such as PDFs of medical records, “that volume of documents makes electronic submission very difficult, and we always recommend that they work with a Veterans Service Organization, as the VSOs have the expertise to ensure that the right information is gathered and submitted.”

VSOs have little visibility into the claims filed to date through the eBenefits portal because of design problems with the information technology system set up, the Stakeholder Enterprise Portal, Manar said. That portal only allows for broad searches for claims at the state and the VBA regional office level, and limits any search to 1,000 claims. If the search results in more than 1,000 records, SEP returns a message that the system is not available, rather than the search went over the 1,000 file limit, Manar said.

SEP is also not set up to notify VSOs when a claim is filed through eBenefits, nor does it provide alerts when claims are due to expire, Manar said and urged VA to fix SEP to provide such notifications.

SEP, Manar said, was not “well thought-out” when fielded and “the whole system was not ready for prime time.”

Lutz said VA SEP design team is working as quickly as possible to help VSOs to review more than 1,000 files in SEP without getting an incorrect error message.

She said VA plans a new release of SEP this month to VSOs, which will allow VSOs to submit claims directly to VBMS for veterans who hold power of attorney. This update would eliminate the need for the veteran to submit from the eBenefits portal.

“This, we believe, will be a major milestone in the VSO community that will accelerate acceptance of the electronic process,” Lutz said.

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Camp Doctors Warned To Keep Mouths Shut About Contagion Threat Of Illegals Or Face Arrest

Medical Staff Warned: Keep Your Mouths Shut About Illegal Immigrants Or Face Arrest – Fox News

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A government-contracted security force threatened to arrest doctors and nurses if they divulged any information about the contagion threat at a refugee camp housing illegal alien children at Lackland Air Force Base in San Antonio, Texas, sources say.

In spite of the threat, several former camp workers broke their confidentiality agreements and shared exclusive details with me about the dangerous conditions at the camp. They said taxpayers deserve to know about the contagious diseases and the risks the children pose to Americans. I have agreed to not to disclose their identities because they fear retaliation and prosecution.

“There were several of us who wanted to talk about the camps, but the agents made it clear we would be arrested,” a psychiatric counselor told me. “We were under orders not to say anything.”

The sources said workers were guarded by a security force from the Baptist Family & Children’s Services, which the Department of Health and Human Services hired to run the Lackland Camp.

The sources say security forces called themselves the “Brown Shirts.”

“It was a very submissive atmosphere,” the counselor said. “Once you stepped onto the grounds, you abided by their laws – the Brown Shirt laws.”

She said the workers were stripped of their cellphones and other communication devices. Anyone caught with a phone was immediately fired.

“Everyone was paranoid,” she said. “The children had more rights than the workers.”

She said children in the camp had measles, scabies, chicken pox and strep throat as well as mental and emotional issues.

“It was not a good atmosphere in terms of health,” she said. “I would be talking to children and lice would just be climbing down their hair.”

A former nurse at the camp told me she was horrified by what she saw.

“We have so many kids coming in that there was no way to control all of the sickness – all this stuff coming into the country,” she said. “We were very concerned at one point about strep going around the base.”

Both the counselor and the nurse said their superiors tried to cover up the extent of the illnesses.

“When they found out the kids had scabies, the charge nurse was adamant – ‘Don’t mention that. Don’t say scabies,’” the nurse recounted. “But everybody knew they had scabies. Some of the workers were very concerned about touching things and picking things up. They asked if they should be concerned, but they were told don’t worry about it.”

The nurse said the lice issue was epidemic – but everything was kept “hush-hush.”

“You could see the bugs crawling through their hair,” she said. “After we would rinse out their hair, the sink would be loaded with black bugs.”

The nurse told me she became especially alarmed because their files indicated the children had been transported to Lackland on domestic charter buses and airplanes.

“That’s what alerted me,” she said. “Oh, my God. They’re flying these kids around. Nobody knows that these children have scabies and lice. To tell you the truth, there’s no way to control it.”

I don’t mean to upset anyone’s Independence Day vacation plans, but were these kids transported to the camps before or after they were deloused? Anyone who flies the friendly skies could be facing a public health concern.

The counselor told me the refugee camp resembled a giant emergency room – off limits to the public.

“They did not want the community to know,” she said. “I initially spoke out at Lackland because I had a concern the children’s mental health care was not being taken care of.”

She said the breaking point came when camp officials refused to hospitalize several children who were suicidal.

“I made a recommendation that a child needed to be sent to a psychiatric unit,” the counselor told me. “He was reaching psychosis. He was suicidal. Instead of treating him, they sent him off to a family in the United States.”

She said she filed a Child Protective Services report and quit her job.

“I didn’t want to lose my license if this kid committed suicide,” she told me. “I was done.”

The counselor kept a detailed journal about what happened during her tenure at the facility.

“When people read that journal they are going to be astonished,” she said. ‘I don’t think they will believe what is going on in America.”

So it was not a great surprise, she said, when she received a call from federal agents demanding that she return to the military base and hand over her journal.

She said she declined to do so.

“I didn’t go back to Lackland,” she said.

Both workers told me while they have no regrets, they want to remain anonymous for fear of reprisals.

“They’re going to crush the system,” the nurse told me. “We can’t sustain this. They are overwhelming the system and I think it’s a travesty.”

Baptist Children’s and Family Services spokeswoman Krista Piferrer tells me the agency takes “any allegation of malfeasance or inappropriate care of a child very seriously.”

“There are a number of checks and balances to ensure children are receiving appropriate and adequate mental health care,” she said.

Piferrer said the clinicians are supervised by a federal field specialist from HHS’s Office of Refugee Resettlement. She also said BCFS have 58 medical professionals serving at Lackland.

“Every illness, whether it is a headache or something more serious, is recorded in a child’s electronic medical record and posted on WebEOC – a real-time, web-based platform that is visible to not only BCFS but the U.S. Department of Health and Human Services,” she said.

As for those brown shirts, the BCFS said they are “incident management team personnel” – who happen to wear tan shirts.

My sources say Americans should be very concerned about the secrecy of the government camps.

“This is just the beginning,” one source told me. “It is a long-term financial responsibility.”

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HHS Inspector General: 1,295,571 Obamacare Enrollees May Or May Not Be Legal Citizens

HHS Report: 1,295,571 Obamacare Enrollees May Or May Not Be Legal Citizens – Big Government

A devastating new Health and Human Services (HHS) Inspector General report released on Tuesday reveals that the Obama administration has yet to determine whether 1,295,571 of the over 8 million Obamacare enrollees are U.S. citizens lawfully in the country.

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The finding, located on page 11 of the report, states that 44% of the remaining 2,611,780 application “inconsistencies” are related to verifying “Citizenship/national status/lawful presence.” Another 960,492 application inconsistencies were related to verifying whether subsidy applicants provided accurate income information.

Moreover, the Inspector General report only covered the federal Obamacare exchanges to determine how the Obama administration resolved verification problems through December 2013. As for the 15 state-run Obamacare exchanges, the report says four–Oregon, Nevada, Vermont, and Massachusetts–are simply “unable to resolve inconsistencies.”

As the Washington Post reported in May, as many as one million Obamacare enrollees may be receiving incorrect taxpayer-funded subsidies due to Obamacare’s continued technical failures and inability to properly verify income and citizenship eligibility.

One year ago, conservatives warned that the Obama administration’s decision to use the so-called “honor system” for income eligibility was merely a backdoor way to get as many individuals on the public dole as possible.

The Office of Inspector General determined that “the federal marketplace was generally incapable of resolving most inconsistencies.”

Obamacare will cost U.S. taxpayers $2.6 trillion over the next ten years.

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Related article:

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HHS Inspector General Reports Millions Of Data Inconsistencies In Obamacare Applications – Washington Examiner

Applications for insurance coverage through President Obama’s health care law submitted in the final three months of 2013 contained millions of inconsistencies in which information such as income and immigration status could not be independently verified by the federal government, according to a June report from the inspector general of the Department of Health and Human Services.

The inconsistencies may have resulted in individuals receiving an improper amount of subsidies, or subsidies that they shouldn’t have been eligible for in the first place – something that could require them to repay the money in future tax bills.

In other cases, inconsistencies led to bizarre outcomes. According to the report, “one marketplace cited situations in which infants and young children included on applications were erroneously identified as incarcerated.”

At issue is the information that individuals are asked to submit when they apply for coverage, such as income, citizenship status, Social Security number, or incarceration status. In theory, once data are submitted, they are supposed to be checked in a massive storage database known as the “hub,” which gathers data from multiple federal agencies.

“In some circumstances, the marketplace cannot verify an applicant’s information through available data sources,” the report explained. “When this happens, it is referred to as an inconsistency. This may arise when Federal data available through the Data Hub or data from other sources are unavailable or do not exist, or because the information on the application does not match the data received through the Data Hub or from other data sources.”

According to the HHS inspector general, applications submitted to the federal exchange in the opening months of Obamacare – October 2013 through December 2013 – contained over 2.9 million inconsistencies, of which more than 2.6 million, or 89 percent, remained unresolved as of Feb. 23, 2014.

To be clear, this does not mean that 2.9 million separate individual applications contained inconsistencies. Every applicant is prompted to answer a series of questions, and thus any given application can contain multiple inconsistencies. HHS could not provide data on the number of applications that included at least one, so there’s no way of saying what percentage of the total number of applications were affected. An inconsistency also doesn’t necessarily mean information is inaccurate, either, it just means it can’t be matched with available data.

The federal government has had an easier time resolving discrepancies related to Social Security numbers, while income and citizenship or lawful presence status have proven more challenging.

These numbers pertain only to the federal exchange that serve residents of 36 states, not the 15 states running their own exchanges.

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The HHS inspector general also received reports from 11 states running their own exchanges disclosing an additional 1.2 million inconsistencies, though the states could be counting differently and thus the federal and state numbers cannot be easily combined.

“During our review, 4 of the 15 State marketplaces reported that they were unable to resolve inconsistencies (Massachusetts, Nevada, Oregon, and Vermont),” the report read. “They attributed this inability to failures in their information technology systems.”

While the government is awaiting more documentation from individuals to resolve inconsistencies, those individuals are allowed to receive benefits for 90 days. However, according to the report, “because of the Federal marketplace’s inability to resolve most inconsistencies, we were unable to determine the number of applicants who may have exceeded the 90-day inconsistency period or for whom the inconsistency period was extended by the Federal marketplace because the applicant demonstrated a good-faith effort in obtaining satisfactory documentation.”

In a response, the Centers for Medicare and Medicaid Services said that most inconsistencies are still within the 90-day window, but that Obamacare gives the authority to the Secretary of HHS “to extend the 90-day inconsistency period for applications for coverage for 2014.”

The inspector general noted that resolving inconsistencies was considered a lower priority in the early months of the Obamacare rollout due to the pressing technical problems facing the website. But the report concluded that, “marketplaces must resolve inconsistencies to ensure that eligibility determinations for enrollment in (qualified health plans) and for insurance affordability programs are accurate.”

The report recommended that CMS “develop and make public a plan on how and by what date the Federal marketplace will resolve inconsistencies” and bolster oversight of state-based exchanges.

In its response, CMS said that the inconsistencies were to be expected.

“It is not surprising that there are inconsistencies between some information provided by application filers and the electronic data sources, and, in fact, this issue is addressed in the Affordable Care Act,” CMS wrote. “This is the first year that consumers have applied for coverage through the Marketplaces. Therefore, consumers are inexperienced with the eligibility process, which could lead to application mistakes.”

Some of the issues could be explained because different data is available, CMS said. “For example, the Internal Revenue Service’s (IRS) tax data is generally two years old (i.e., tax return information for 2012 is used to verify income attestations for coverage for 2014.),” according to CMS.

The few million inconsistencies represents a “small number” compared to the “hundreds of millions of possible data inconsistencies,” given that any application can contain over 20 different pieces of data.

CMS said it agreed with the inspector general’s recommendations and was continuing to resolve the inconsistencies – manually, at first, until it develops an automated system later in the summer.

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*VIDEOS* Ed’s Executive Branch Dream Team


PART 1
Ted Cruz
Scott Walker
Mark Levin
Trey Gowdy
Frank Gaffney
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PART 2
Stanley McChrystal
Keith Alexander
John Bolton
Mark Thornton
Thomas Sowell
Newt Gingrich
Rex Tillerson
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PART 3
Sarah Palin
Allen West
Terry Miller
Joe Arpaio
Ben Carson
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PART 4
Ted Houghton
Pamela Paulk
Bill Whittle
Arthur Brooks
Thomas Schatz
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That magical moment when Liberal “elites” realize they have to live under Socialized medicine too

Everyone say AWWWWWWW

Schadenfreude … After years of singing the praises of universal health care, college professors are now shocked at how badly it has turned out — for them. Adjunct professors are steamed at the way their employers are interpreting the Affordable Care Act’s employer mandate, which forces them to cover full-time but not part-time workers. Typical of liberals, they blame their employers instead of the job-killing law they supported. Starting Jan. 1, ObamaCare makes employers offer all full-time workers health insurance or pay a fine. In response, hundreds of colleges have simply cut instructors’ course loads to dodge coverage. Others are thinking about laying off untenured faculty by the thousands. Take the University of North Carolina state system. Faced with $47 million-a-year unfunded ObamaCare liability, the 17-campus system has asked the state for the OK to create its own health program. It says it can’t afford to pay its 8,586 non-permanent workers ObamaCare’s essential benefits package, at $5,400 a pop. The jobs of graduate and teaching assistants, visiting professors and student employees are on the block. The other option is raising tuition, but President Obama is cracking down on colleges over student debt. “This is an unfunded mandate that’s coming down on us,” UNC System COO Charlie Perusse complained. 

Be careful what you ask for…………

VA Scandal Update: Deceased Veterans Reclassified As Alive, At Least 1,000 Really Dead (Video)

VA Bombshell: Deceased Veterans Reclassified As Alive, At Least 1,000 Really Dead – Mr. Conservative

Obama has been dodging the VA scandal from the get go, and as it seems that he’s tried to distract Americans with other “good news” (i.e. Bergdahl trade) that has only blown up in his face, it seems that the current administration is literally falling apart. Most recently, it appears the scandal has recently blown wide open with another bombshell accusation regarding the number of veterans that has actually died.

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Now when the first reports of the VA scandal broke, numbers were around 40 veterans that had died due to delayed treatment with numbers as high as 120. Currently though, it appears that yet again, Americans have been lied to, this time to the extent of covering up over the actual 1,000 veterans that actually died.

If you were still unaware of the scandal, the VA created a secret list in which veterans were placed in order to delay them treatment and give the facility the false appearance that they were more effective than they really were. Unfortunately for those veterans – some of which were in dire need of critical treatment – they’re requests were thrown in the trash and forgotten about.

All of a sudden, people started dying because of the VA’s incompetence and secretive policy of abandoning our veterans.

Now, a scheduling clerk at the Phoenix VA, Pauline DeWenter, has come forward to share an even more shocking discovery. While working there, she noticed VA administration “reclassifying” deceased veterans as “alive” to make the number of the dead appear much lower.

Once again, in a shocking discovery, the VA is proving its incompetence and that its malicious acts know no bounds when it comes to self-preservation. Furthermore, Sen. Tom Coburn has recently come forward to say:

“Over the past decade, more than 1,000 veterans may have died as a result of VA malfeasance. Poor management is costing the department billions of dollars more and compromising veterans’ access to medical care.”

These two shocking admissions has not only blow the VA scandal wide open, but has left a gaping wound in the confidence this nation has in its government. Surely now, with that many dead due to nothing more than incompetence and laziness, the American people will demand justice.

For America to turn its backs on those that have honorably served this country, is not only despicable, but nauseating.

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Look, Another VA Medical Center Scandal!

VA Medical Center Scandal – Daily Caller

A failure to scan outsourced medical records has caused an approximate three- to five-month backlog at the Memphis Veteran Administration Medical Center, The Daily Caller has learned.

TheDC was exclusively given a photo snapped of the medical records room on June 12, 2014. In the photo, hundreds of unprocessed medical records sit idly, causing delays of up to five months.

According to a whistle-blower who wished to remain anonymous because they are still employed by the Memphis VA Medical Center, the medical records room is for entering test results and other medical data that occurs after a patient is outsourced for medical tests or procedures.

A recent audit by the VA found the Memphis VA Medical Center had an average wait time for the initial appointment of fifty days, which flagged this facility for extra inspections.

The medical records shown in the photo are generated when the VA refers a patient to another hospital for further medical procedures. Medical tests like colonoscopies, Magnetic Resonance Imaging (MRI), and X-rays, are among the tests that can be performed by an outside hospital, said the whistle-blower.

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The outside hospital then sends their results back to the Memphis VA Medical Center, and those results are supposed to be scanned into the VA system.

Instead of being scanned in, the results are piling up, said the whistle-blower, causing further delays beyond the initial wait times.

“If you’re waiting for the results of a colonoscopy, [the added wait time is] the difference between life and death,” the whistle-blower told TheDC.

According to this whistle-blower, about an hour after TheDC sent VA communications officer Sandra Glover an email listing these charges, the medical records were moved from the medical records room and into the office of Rebecca England, the chief of Medical Records. Glover is a communications officer for the Veteran Integrated Services Network 9, which includes the Memphis VA Medical Center.

The Memphis VA Medical Center is now scrambling, asking dozens to work over-time in order to clear up the back log, and the VA police are investigating the source of the leak to TheDC, the whistle-blower noted.

TheDC sent a follow-up email to to Ms. Glover and she confirmed much of this story:

The Memphis VA Medical Center cares deeply for every veteran we are privileged to serve. Our goal is to provide the best quality care in a safe environment, as quickly and effectively as we can. After receiving the photograph you sent, we checked with the Memphis VA Medical Center to determine its validity and, if warranted, what actions could be taken to process those medical records as quickly as possible.

It was determined that the record – forwarded from the facility’s outpatient clinics – should have been processed, and subsequently the facility took the appropriate actions to scan them in to the electronic patient record. Memphis VA Medical Center hired a new supervisor two months ago in the patient records area and the consult process has been redesigned to better monitor timeliness. We continue to take action to strengthen oversight mechanisms to prevent delays.

While we regret that the files weren’t processed in a more timely fashion, this is an administrative function that did not impact patient outcomes. Critical clinical information was previously communicated with treating clinicians. In the end, these files have been addressed – which is what we want for the sake of all our patients. Thank you for your concern for our nation’s veterans and for bringing this to our attention.

TheDC spoke with a veteran who was likely affected by this backlog. Jesse Blakely served in the military in the early 1970s.

In November 2013, he walked into the Memphis VA Medical Center complaining of chest pains. After waiting several hours in the emergency room with no help, Blakely left and was treated at nearby Methodist Hospital.

Blakely said Methodist Hospital ran several tests as part of his treatment, but his follow-up appointment at the Memphis VA Medical Center didn’t occur until the beginning of June – more than six months later.

Blakely told TheDC that to add insult to injury, even though he was initially assured by the VA that his medical bills would be covered, he’s since been charged for his trip to the Methodist Hospital emergency room.

Earlier in June, TheDC broke exclusively that in 2010, the same Memphis VA Medical Center approved over $1 million in bonuses while closing a therapy pool just a few months later citing a lack of funds. Bill O’Reilly used that report as the basis of his “Is it Legal” segment the next day.

A staffer at the House Veteran Affairs Committee told TheDC the committee was unaware of any other VA hospitals where outsourced medical tests were causing back logs.

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