Woman With Rare And Dangerous Form Of TB May Have Exposed Hundreds In Three U.S. States

Report: Patient With Rare & Dangerous Form Of TB Sent To NIH, May Have Exposed Hundreds In 3 States – Big Government

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An unidentified female patient with an extremely rare and drug-resistant form of tuberculosis is being treated at the National Institutes of Health (NIH), and authorities are reportedly attempting to track down hundreds of people who may have been in contact with her and exposed to the dangerous form tuberculosis.

According to an NBC report, the unidentified woman flew from India to the United States and “traveled to at least three states before she sought treatment from a U.S. doctor.” The patient was reportedly “isolated in a suburban Chicago hospital before she was sent to the NIH.”

“The patient traveled in April from India to the United States through Chicago O’Hare airport,” the CDC said in a statement to NBC. “The patient also spent time in Missouri and Tennessee. Seven weeks after arriving in the United States, the patient sought treatment for and was diagnosed with active TB.”

The CDC said it “will obtain the passenger manifest for that flight from the airline and will begin a contact investigation.” The agency said that though “the risk of getting a contagious disease on an airplane is low, public health officers sometimes need to find and alert travelers who may have been exposed to an ill passenger.”

But the unidentified woman does not have a normal case of tuberculosis.

She has what is known as XDR-TB (extensively drug-resistant tuberculosis), which is so rare and dangerous that the CDC reportedly “got reports of 63 cases between 1993 and 2011″ and “only about a third to half of cases can even be cured.”

Though ordinary TB is “hard to treat and requires, at a minimum, weeks of antibiotics,” XDR-TB “resists the effects of almost all the known TB drugs” and patients sometimes “have to have pockets of infection surgically removed.” In fact, XDR-TB is reportedly “so dangerous that health officials will have to make a concerted effort to warn anyone who may be at risk.”

According to the CDC, “TB bacteria are put into the air when a person with TB disease of the lungs or throat coughs, sneezes, shouts, or sings,” and “these bacteria can float in the air for several hours, depending on the environment. Persons who breathe in the air containing these TB bacteria can become infected.”

The NIH said that “the patient was transferred to the NIA via special air and ground ambulances” and is staying in an isolation room that is “specifically designed for handling patients with respiratory infections, including XDR-TB.” The special isolation rooms reportedly “control air flow to prevent germs from escaping into the rest of the hospital or outside.”

The woman reportedly “may face months or even years of treatment,” and, according to NBC, “the average cost of treating multidrug-resistant TB is $134,000, compared to $17,000 for a normal case.” The cost can even “shoot up to $430,000 for an extensively resistant case.” NBC noted that it is not yet clear at the moment who will pay for the patient’s extensive treatment.

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2015 – The Year In Obamunism So Far


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President Asshat Promises To Keep Doing Everything He Can For Illegal Aliens

Thanks Barack… Obama Regime Released 3,700 ‘Threat Level 1’ Criminal Immigrants Last Year

Obama Lackeys Defend Iran Over Alleged Nuclear Violations

IRS Commissioner Admits Illegal Aliens Can Get Back Taxes Under Obama’s Executive Amnesty

President Asshat To Release 10 More Gitmo Terrorists This Month

George W. Bush Outpolls President Asshat

OSHA Retards Publish Guide Telling Workers To Use Restrooms Of Their ‘Gender Identity’

Obamaconomy Update: Factory Orders Scream Recession, Drop 6% From Year Ago

Obamanomics Update: Economy Shrinks By 0.7% In First Quarter

Emails Show Hitlery Wanted To Arm Libyan Rebels Using Private Security Contractors Despite Prohibitions

Federal Court Deals Blow To President Asshat’s Executive Amnesty Scheme

Ready For Another Obamacare Price Hike? (David Catron)

Thanks Barack… U.S. Welfare Rolls Explode Under Obamacare

Your Daley Gator Hitlery Clinton News Roundup

As Iran And Saudi Arabia Seek To Acquire Nukes, Obama Regime Pressing Israelis To Lose Theirs

Thanks Barack… Regime Granted Amnesty To Accused Child-Sex Criminal

So, How Come Hitlery Isn’t In Jail Right Now?

*VIDEO* Obama Lied About Benghazi Terrorist Attacks – Weapons Moved Through Benghazi To Syria

As A Reaction To Obama’s Iran Deal, Saudis Trying To Buy Nuclear Bombs From Pakistan

Hitlery Personally Took Money From Companies That Sought To Influence Her

Obama DHS Blames ‘Technical Glitch’ For Continuing To Approve Amnesty Applications Despite Judge’s Order

Thanks Barack… Taliban Terrorists Exhanged For Deserter Bergdahl To Be Freed By Qatar In 2 Weeks

Obama VA Illegally Spending $6 Billion A Year

Leftist Nightmare Update: Hawaii Shutting Down $205 Million Obamacare Exchange (Video)

Thanks Barack… Illegals Charged With 200 Counts Of Sexual Assault Against NC Children In March

Email-gate Update: Federal Judge Reopens Case Against Hitlery

Thanks Barack… Federal Regulation Cost American Businesses And Consumers $1.88 Trillion In 2014

Regime Lawyers Finally Admit Obama Violated Federal Injunction By Approving 2,000 Amnesty Applications

The IRS Hates Tax Cheats… Unless They Work For The IRS

Contrary To Democrats’ Promises, Emergency Room Visits Surge Under Obamacare

Infernal Revenue Service Wasted $5.6 Billion On Bogus Obama Stimulus Tax Credits

Obamanomics: Major U.S. Retail Chains Closing 6,000 Stores

U.S. Economy Slows To A Crawl As GDP Grows A Scant 0.2% In First Quarter

Leftist Corruption Update: IRS Watchdog Recovers Thousands Of Missing Lois Lerner Emails

Thanks Barack… ‘Dreamer’ Accused Of Multiple Murders Was Spared Deportation By Obama

Leftist Corruption Update: Multiple Clinton Charity Donors Got State Department Awards Under Hillary

Obama-Backed Islamist Mohamed Morsi Sentenced To 20 Years In Prison For Torturing Protesters

Shocker! California’s Obamacare Exchange Plagued By Incompetence, Mismanagement

USSC Shuts Down Obama’s Attempt To Force Christian Groups To Pay For Their Employees’ Abortion-Inducing Drugs

FL Governor: Obama Resorting To Extortion In Attempt To Force State Further Into Obamacare

Thanks Barack… Over Half A Million Illegals Have Received Social Security Numbers Since 2012 Executive Order

Hillary Deleted Emails After Congressman Issa Asked Her About Private Email Addresses In 2012

AZ Sheriff Says He Can’t Get The Names Of 500 Criminal Illegal Aliens Released In His County By Obama

VA Officials Illegally Accessing Medical Records Of Whistleblowers In Order To Harass And Discredit Them

Obama’s Insane Nuke Deal Causes Russians To Lift Ban On Missile Sales To Iran – Israelis Not Happy Campers

Amazing Douchebaggery: Defense Dept. Claims Bible, Constitution And Declaration Of Independence Perpetuate Sexism

Federal Judge Slaps Down Obama Regime’s Request To Let Executive Amnesty Move Forward

Tehran Will Start Using Fastest Centrifuges On Day Obama Nuke Deal Takes Effect

Social Security Administration Approved Disability Benefits For Puerto Ricans Because They Can’t Speak English

The Bats And The Bees: Obama’s Easter Sunday Nightmare (Video)

Just Hours After Obama Boasts About Historic Nuke Agreement, Iran’s Lead Negotiator Calls Him A Liar

Leftist Incompetence Update: Obama Regime Capitulates To Nearly All Iranian Demands In Nuke Deal

Impeachable Offenses Update: Obama Using Taxpayer Money To Fly Central American Minors To U.S.

Timeline Puts Lie To President Asshat’s Story About Bowe Bergdahl

Infernal Revenue Service Ignoring Over 60% Of Taxpayer Phone Calls

Maryland Obamacare Exchange Wrongly Billed U.S. Taxpayers $28M

Clinton Crime Update: Private Emails Reveal Ex-Hillary Aide’s Secret Spy Network

*VIDEO* General Michael Flynn: Obama Has A “Policy Of Willful Ignorance” Regarding The Middle East

Clinton Crime Update: Hillary Scrubbed Email Server Clean After Being Subpoenaed To Turn Over Emails

Even NBC Thinks Obama Is Completely Incompetent When It Comes To Middle East Policy (Video)

Obama Regime Declassifies Top-Secret Document That Reveals Israel’s Nuclear Secrets

About Freakin’ Time! Obama’s Favorite Army Deserter To Be Court-Martialed

Republicans Verbally Bitchslap FDIC Chairman Over Despicable ‘Operartion Choke Point’ (Videos)

Over 100,000 Federal Employees Owe Back Taxes Totaling $1.4 Billion

State Department Had No Permanent Inspector General During Entirety Of Hillary Clinton’s Tenure

Leftist Corruption Update: Hillary’s Aides Emailed Her About Benghazi From Their Private Email Accounts

Border Patrol Agent To Congress: We Are Punished If We Report Too Many Illegals (Videos)

President Asshat Enjoys Women’s College Basketball Game As U.S. Troops Flee Yemen

A Complete Timeline Of Obama’s Anti-Israel Hatred (Ben Shapiro)

Supreme Leader Of Iran Calls For ‘Death To America’ As Traitor John Kerry Hails Progress On Nuke Deal

Half A Billion Dollars Worth Of American Weapons Fall Into The Hands Of Islamo-Nazis… Again

Veterans Still Struggling To Get Medical Treatment As Obama Regime Continues To Lie To Congress

Your Daley Gator Obama-Is-Pure-Evil Diplomatic Catastrophe Update (Videos)

Federal Judge Not A Happy Camper After Being Lied To About Excutive Amnesty By Obama Regime

President Asshat Humiliated As Allies Rush To Join China’s New Bank

Thanks Barack… 167,527 Illegal Alien Murderers, Rapists And Child Molesters Loose In The U.S. (Video)

Federal Government Shelled Out $125B In Bogus Payments Last Year

Iran Nuke Deal Update: Obama Regime Goes Full-Blown Batshit Crazy

U.S. State Department Uses British IslamoNazi’s Pro-Sharia Law Photograph To Promote Free Speech (video)

In 2008, Candidate Obama Sent Secret Emissary To Iran Telling Them Not To Negotiate With Bush (Video)

Your Daley Gator Hillary Email Shenanigans Update

Obama’s FCC Nazis: The First Amendment Does Not Apply To Internet Providers

Ferguson: A Murderous Mob Incited By Holder And Obama (Joel B. Pollak)

Corruption Update: Hillary’s Top State Department Aides Used Private Emails Too (Video)

Traitor John Kerry Now Says Obama Regime “Not Negotiating A Legally Binding Plan” With Iran

Obama’s ATF Backs Down (For Now) On AR-15 Ammo Ban, Acknowledging Massive Public Outcry

Obama Caught Lying About Hillary’s Illegal Emails (Videos)

Obama Regime Ordered Back To Federal Court To Explain Why It Lied About Executive Amnesty

National Intelligence Director Clapper Admits Obama Arming Terrorists But Calling Them ‘Moderates’ (Video)

Inspector General: 6.5M Dead People Have Active Social Security Numbers

Hallelujah! Unemployment Plunges Due To 354,000 Americans Leaving The Workforce (James Quinn)

26 States Call For Investigation Of Obama’s Executive Amnesty Scheme And Federal Court Perjury

*VIDEO* Obama Comments On Netanyahu’s Address To Congress

Hillary Clinton Exclusively Used Private Email Account To Conduct Official Business As Secretary Of State

Corruption Update: DOJ Shut Down Search For Lois Lerner’s Emails; First IRS Tech Inspector Legally Blind

IRS Inspector General Now Undertaking Criminal Investigation Into Lois Lerner’s “Missing” Emails

Documents Reveal Top Hillary Clinton Advisers Knew Immediately That Benghazi Assault Was Terrorist Attack

Lawless Leftist Update: Obama Attempting To Ban AR-15 Ammo

ObamaNazis At FCC Approve Net “Neutrality” Rules

President Asshat Makes Japanese Internment Camp A National Monument In Attempt To Vilify America

Obama Regime Summit On Violent Extremism Opens With A… Wait For It… Muslim Prayer

*VIDEO* Joe Biden: Our Creepy, Gropey, Pervy, Leftist Vice President

*VIDEOS* Pajama’s Media: Trifecta – Obama’s Insanely Idiotic, Bullshit-Leftist, Anti-War War On ISIS

Federal Judge Slams The Brakes On President Asshat’s Executive Amnesty Scheme

Leftist Politicians Beg Obama To Illegally Change Obamacare Rules So Their Constituents Can Avoid New Tax Penalties

Undocumented Democrats Update: Obama’s Executive Amnesty Creates Easy Loophole For Illegals To Vote

IRS Thanks Iraq War Veteran By Seizing Nealy $1 Million From His Legal Gun Business’ Bank Account (Video)

President Asshat Attempts Internet Power Grab… Again

Obama Regime Continues To Stonewall On IRS Targeting Scandal (Video)

Eco-Nazis At EPA Caught Concealing Controversial Scientific Data, Trying To Silence Skeptics

Buried In The Numbers: Obamacare’s Costs Are Climbing, Not Receding (Sally Pipes)

*VIDEO* The Trillion-Dollar Obamacare Tax Tsunami Is Upon Us

Arizona Sheriff To House Judiciary Committee: Only 44% Of Southern Border Under Operational Control

Thanks Barack… Student Loan Forgiveness Program To Cost Taxpayers $21.8 Billion

The New York Post’s Editorial Board Asks Us A Really Good Question About Obama

Attorney General Nominee Loretta Lynch Tied To Massive Obama Money-Laundering Cover-Up

Obama “Dreamers” To Get Retroactive IRS Refunds For Money They Earned While Working Illegally

Secret White House Muslim Meeting Guest List Won’t Be Released – What Could Be The Reason For That? (Rick Wells)

Two-Thirds Of Reporters Say Obama Regime Spies On Them

President Asshat Equates Muslim Terrorists To Christians During National Prayer Breakfast (Video)

Obamaconomy Update: Number Of Full-Time Jobs As Percentage Of Population Lowest It’s Ever Been

Obama Regime Unlawfully Issued Work Permits To Nearly A Million Illegals; Green Cards To 5.5 Million More

47 Inspectors General Accuse Obama Regime Of Stonewalling In Variety Of Scandal Investigations (Video)

Thanks Barack… Terrorist Mastermind Traded For Bergdahl Is Back At Work

Ted Cruz’s List Of 76 Abuses Of Power And Lawless Actions By The Obama Administration (Ed Brown)

Obama Props Up Muslim Brotherhood In Egypt While Simultaneously Attempting To Oust Netanyahu In Israel

Nevada And Tennessee Join 24 Other States Suing To Stop Obama’s Executive Amnesty

Obama Regime Forced To Pay $570,000 To Pro-Life Legal Group Over Abortion Pill Mandate

Obama Foreign Policy Collapse: Yemen President, Prime Minister Resign After Muslim Terrorists Overrun Government

Day After Obama Mentions eBay As Example Of Booming Economy In SOTU, Company Lays Off 2,400 People

Company Fired By HHS Over Botched Healthcare.Gov Rehired By IRS To Provide Support For Obamacare Tax Program

*VIDEO* Pissed Off Black Folks From Chicago Verbally Bitchslap Obama After 2015 SOTU Address

President Asshat Refered To Himself 75 Times During SOTU Address Few People Watched

*VIDEOS* Even Noted Leftist Douchebags Agree That Obama’s SOTU Foreign Policy Claims Were Bogus

House Democrats Unanimously Agree That Obama Should Be A Dictator

Obama Regime Blows Off Largest Anti-Terrorism Rally In The History Of France (Video)

Leftist Corruption Update: 3.4M Obamacare Subsidy Recipients May Owe Refunds To The IRS

2014 Federal Register: A 26-Foot-Tall Stack Of Neo-Fascist Regulations

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*VIDEO* Pajamas Media: Trifecta – Fraud On A Grand Scale! Is Congress A Small Business?


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Ready For Another Obamacare Price Hike? (David Catron)

Ready For Another Obamacare Price Hike? – David Catron

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In July of 2009, as the Obamacare debate was heating up, Gallup published a survey indicating that 83 percent of Americans wanted health care reform to make their health insurance more affordable. Now, more than five years after the President’s “signature domestic achievement” was passed, health insurance premiums are higher than ever. And it’s obvious that Obamacare is a major driver of the increase. The Wall Street Journal reports that insurers are proposing rate increases ranging from 25 to 51 percent for 2016. Why? “All of them cite high medical costs incurred by people newly enrolled under the Affordable Care Act.”

Obamacare apologists suggest different causes, of course. Jonathan Cohn writes, “One reason could be the normal and predictable competition among insurance plans jostling for market share.” Cohn’s grasp of economics is so tenuous that he doesn’t know insurers compete for market share by reducing premiums. He also connects the increases to anxiety about that bête noire of Obamacarians everywhere, King v. Burwell: “If the court rules in favor of the plaintiffs… millions will drop their coverage because they will no longer be able to afford it.” Cohn evidently thinks insurers will respond by making insurance even less affordable.

The real reason for the proposed increases is that insurers now have real data on real Obamacare enrollees rather than implausible projections from the Obama administration. And this new information makes it clear that they’ll lose their shirts if they sell coverage at anything resembling 2015 rates. Many young, healthy individuals have refused to buy pricy Obamacare coverage, leaving insurance carriers with sluggish premium streams out of which to pay the large dollar claims coming in from seriously ill patients willing to buy coverage regardless of cost. This dynamic has already caused a number of health insurers to incur huge losses.

Obviously, not even an evil insurance company can stay in business if it consistently loses large amounts of money. Earlier this month, Assurant Health announced that losses related to Obamacare are causing it to close its doors. Western Journalism reports, “The company and industry watchers blamed its losses directly on the impact of Obamacare… Assurant lost $63.7 million in 2014. The insurer raised its rates by 20 percent in 2015, in hopes of returning to profitability, but lost between $80 to $90 million during the first quarter of this year.” The company has been in business for 123 years and provides coverage for 1 million people.

Assurant is based in Wisconsin, but insurers all across the country are attempting to survive the same perverse incentives that finally undid that venerable company. The Journal lists proposed increases by companies offering plans through exchanges in Connecticut, Indiana, Maryland, Michigan, New Mexico, Oregon, Tennessee, Vermont, Virginia, and Washington state. And many of these companies are already losing huge amounts of money: “BlueCross BlueShield of Tennessee… lost $141 million from exchange-sold plans, stemming largely from a small number of sick enrollees.” It is asking for a 36.3 percent rate increase.

All of which suggests that the “premium stabilization” safeguards ostensibly meant to prevent Obamacare from sending the health insurance industry into a death spiral aren’t working. The “reinsurance program,” as Philip Klein explains at the Washington Examiner, “slaps fees on insurance policies and uses the revenue to funnel payments to insurers to compensate them for taking on individuals with a high-risk profile.” “Risk corridors” are a corporate redistribution scheme whereby the government uses the profits of some insurers to offset the losses of others. But, as Klein points out, both programs will be gone after 2016.

If disasters like Assurant and BlueCross BlueShield of Tennessee are occurring while these programs remain in place, what will happen when they’re gone? Well, we’ll have more insurers proposing hair-raising rate increases in order to avoid the fate of Assurant. But, not to worry, says Charles Gaba at HealthInsurance.org, upon whom the erstwhile “Citizen Cohn” rather desperately relies upon as the voice of reason: “These requested rate changes are being submitted to the state insurance commissioner’s office… and in most states either the commissioner or some other regulatory body has to either approve the requests or deny them.”

In other words, some state bureaucrat may simply deny the insurance company’s rate request and impose a more “appropriate” premium. This means that, in New Mexico, Health Care Service Corp. may get a mere 25 percent increase rather than the 51 percent it has proposed. In Tennessee, Blue Cross may get only 20 percent rather than the requested 36.3 percent increase. In Maryland, the state bureaucrats may decide that, instead of a 30.4 percent increase, Blue Shield may only get 18 percent. All of these outcomes have one thing in common: The rate goes up by double digits. That means you pay a higher premium no matter how it turns out.

In other words, in the best case scenario, the your health insurance premiums are going up. And this is not simply because Obamacare has been unable to accomplish the main thing most Americans wanted from health reform in first place – more affordable medical care. Barack Obama’s “signature domestic achievement” is actually making health care less affordable. Good job, Mr. President. Please use the rest of your term perfecting your chip shot.

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Thanks Barack… U.S. Welfare Rolls Explode Under Obamacare

U.S. Welfare Rolls Explode Under Obamacare – WorldNetDaily

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The Affordable Care Act, or Obamacare, has created more dependency on government and perverted the capitalist foundations of America, according to a top surgeon.

“You just can’t keep giving everything away to people without them working for it,” said Dr. Lee Hieb, former president of the Association of American Physicians and Surgeons. “It’s not capitalism when you let people who are able-bodied not contribute to society but take the spoils. I mean, that’s just not capitalism. We have too many people that don’t work to eat.”

Obamacare appears to be worsening America’s dependency issue. The Associated Press reported food-stamp enrollment increased in 11 states between January 2013 and the end of 2014, the period during which Obamacare went into effect.

Ten of those 11 states expanded Medicaid under the ACA, and six of them used new online enrollment systems that made it easy for customers to sign up for both Medicaid and food stamps at the same time. Such streamlined application systems were built specifically for the health-care overhaul.

In total, nearly 632,000 people were added to the food-stamp rolls in those 11 states during that period, at an estimated cost of almost $79 million a month to the Supplemental Nutrition Assistance Program, the food-stamp program also known as SNAP. This came at a time when the national economy was improving and food-stamp enrollment declined nationwide.

Dr. Jane Orient, executive director of the Association of American Physicians and Surgeons, sees the phenomenon as part of a government attempt to place more Americans under its thumb.

“Self-reliant Americans are being crushed by taxation and regulation, directly and indirectly, and turned into government dependents,” Orient said. “How can you resist if government can cut off your food and medicine?”

In almost all of the 16 states that didn’t expand Medicaid, food-stamp rolls have been decreasing as the economy improves.

Hieb, author of “Surviving the Medical Meltdown: Your Guide to Living Through the Disaster of Obamacare,” said Obamacare’s Medicaid expansion damaged the American medical system by dropping people from their private insurance and putting them on Medicaid.

“People think that all these people getting on Medicaid through Obamacare were uninsured,” Hieb said. “That’s not true. A number of those people had private insurance, but now, because they qualify under these new guidelines, why not have somebody else pay for your health insurance? So instead of paying for health insurance, they’re taking Medicaid.”

She continued, “So you’ve turned paying patients into nonpaying patients. It’s absolutely, clearly a failing economic model, and I don’t understand how smart people believe it. I just don’t understand how they do not see that point.”

Hieb, an orthopedic surgeon, has observed firsthand the damage Medicaid expansion has done to hospitals. She recently reached the end of a contract to perform surgery two-and-a-half days a week at a small hospital, and she is now looking for a similar arrangement. However, she says she’s found hospitals are running scared from orthopedic surgeons like her because they fear they won’t make enough money to pay the surgeons’ salaries.

According to Hieb, the hospitals are struggling to bring in money because of the increase in Medicaid patients and corresponding decrease in private-pay patients. Medicaid does not reimburse hospitals as much as private insurance does. Hospitals have also struggled to cope with Medicare provider payment cuts and increased administrative paperwork.

But while Medicaid expansion has hurt hospitals, it has been a boon to health-care consumers. In states that expand Medicaid, adults with incomes up to 138 percent of the federal poverty level must qualify, and states are allowed to set even higher thresholds. Before the ACA took effect, the median Medicaid eligibility limit for parents was 106 percent of the federal poverty level. Medicaid expansion also made adults without dependent children eligible for the first time.

Hieb said she believes Americans are smart enough to act in their own financial self-interest, and, for many who hover just above the poverty level, that involves taking advantage of the welfare system. Hieb lives among the patients she serves in rural Iowa, and she says they know how to look out for themselves.

“It’s a mistake to think that all these poor people are children who cannot navigate this very complex medical system,” Hieb asserted. “These are the people who have figured out if you don’t make $35,000 a year working, it’s not worth working because you can do that well if you know how to work the system of welfare.”

If people can cobble together enough disability payments, unemployment payments and food stamps to earn a halfway decent living, Hieb argued, they are smart enough to hitch themselves to Medicaid, even if they might be able to afford health insurance on their own.

“People act in their own economic self-interest,” Hieb said. “If you can get things for free, why pay for them?”

She answered her own question: “One, because that’s ethical, and two, medical providers cannot be in business unless somebody actually pays the bill.”

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Obama VA Illegally Spending $6 Billion A Year

Veterans Affairs Improperly Spent $6 Billion Annually, Senior Official Says – Washington Post

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The Department of Veterans Affairs has been spending at least $6 billion a year in violation of federal contracting rules to pay for medical care and supplies, wasting taxpayer money and putting veterans at risk, according to an internal memo written by the agency’s senior official for procurement.

In a 35-page document addressed to VA Secretary Robert McDonald, the official accuses other agency leaders of “gross mismanagement” and making a “mockery” of federal acquisition laws that require competitive bidding and proper contracts.

Jan R. Frye, deputy assistant secretary for acquisition and logistics, describes a culture of “lawlessness and chaos” at the Veterans Health Administration, the massive health-care system for 8.7 million veterans.

“Doors are swung wide open for fraud, waste and abuse,” he writes in the March memo, which was obtained by The Washington Post. He adds, “I can state without reservation that VA has and continues to waste millions of dollars by paying excessive prices for goods and services due to breaches of Federal laws.”

Frye describes in detail a series of practices that he says run afoul of federal rules, including the widespread use of purchase cards, which are usually meant as a convenience for minor purchases of up to $3,000, to buy billions of dollars worth of medical supplies without contracts. In one example, he says that up to $1.2 billion in prosthetics were bought using purchase cards without contracts during an 18-month period that ended last year.

He also explains how VA has failed to engage in competitive bidding or sign contracts with outside hospital and health-care providers that offer medical care for veterans that the agency cannot provide, such as specialized tests and surgeries and other procedures. Frye says VA has paid at least $5 billion in such fees, in violation of federal rules that the agency’s own general counsel has said since 2009 must be followed.

Frye alleges further violations in the agency’s purchase of billions of dollars worth of prosthetics and in the acquisition of a wide range of daily medical and surgical supplies. He says many products are bought without the competitive bidding and contracts essential to ensure quality care, effective use of tight dollars and proper government oversight.

“These unlawful acts may potentially result in serious harm or death to America’s veterans,” Frye wrote. “Collectively, I believe they serve to decay the entire VA health-care system.”

VA spokeswoman Victoria Dillon said in a statement that some of the care the agency pays for is not covered by federal acquisition law. She also said that the agency is trying to manage rapid growth in medical care administered by outside providers, with authorizations for outside medical care jumping 46 percent in the first four months of 2015 over the same period last year.

Dillon said VA officials are urging Congress to pass legislation that would allow an “expedited form of purchasing care” for veterans who need to go outside the VA system. She said the bill “would also resolve legal uncertainties that have arisen” regarding the use of purchasing agreements other than those required by federal acquisition regulations.

VA has been under intense pressure to provide adequate care to the surge of veterans returning from the wars in Iraq and Afghanistan, but Frye makes clear in his memo that the agency’s violations of purchasing law have been going on for years and that senior leaders have had many opportunities to revamp their practices.

He discloses his repeated efforts to raise his concerns with other senior officials at the agency but says he was consistently ignored. He also accuses top agency officials of deceiving Congress when they were asked about questionable practices.

VA operates one of the largest health-care systems in the country, spanning 150 hospitals and more than 800 outpatient clinics. The agency has been struggling to serve not only the veterans returning from Iraq and Afghanistan, but also a surge in veterans who served in the 1960s and 1970s.

VA has been rocked since last year by revelations about long wait times for veterans seeking treatment for health issues including cancer and post-traumatic stress disorder. McDonald’s predecessor, Eric K. Shinseki, resigned as VA secretary last year after a coverup of months-long hospital wait times became public, and Congress has given the system $10 billion in new funding to ramp up private medical care.

On Thursday, Frye will have a chance to explain his concerns directly to lawmakers. He is scheduled to testify before the House Veterans’ Affairs Committee about waste and fraud in the purchase card program.

Frye, 64, is a retired Army colonel who has overseen VA’s acquisitions and logistics programs – one of the federal government’s largest – since 2005. In his role as the agency’s senior procurement executive, he is responsible for developing and supervising VA’s practices for acquiring services and supplies, but he is not in charge of making the purchases. A former Army inspector general, he has held senior acquisition positions over 30 years in government.

Some of his concerns were previously flagged by VA’s inspector general, who has reported for years that weak contracting systems put the agency at risk of waste and abuse. Thousands of pharmaceutical purchases were made without competition or contracts in fiscal years 2012 and 2013, often by unqualified employees, investigators found. And according to documents that have not been made public, the inspector general’s office has warned VA repeatedly that its use of purchase cards needs better oversight.

For the most part, Frye does not explain why the rules are so widely flouted. But he suggests, in this discussion of purchase cards, that the reason may be laziness. He calls these payments an “easy button” way of buying things. Frye told McDonald he became aware in 2012 that government purchase cards were being used improperly by VA. About 2,000 cards had been issued to employees who were ordering products and services without contracts, Frye recounts.

He said his concerns grew after learning that a supervisor in New York had recorded more than $50 million in prosthetics purchases in increments of $24,999 – $1 under the charging limit on each card. In a response to a member of Congress who inquired about the purchases, Shinseki had few answers. “No contract files exist” and “there is no evidence of full and open competition,” Shinseki wrote in the letter, a copy of which was obtained by The Post.

Purchase cards, Frye says in his memo, can be a sufficient means of acquiring goods and services for “micro-purchases” up to $3,000. Above that limit, the cards can be used for payment only if there is a certified invoice linked to a properly awarded contract.

Frye’s concerns about payments for outside medical services are rooted in the reality that VA hospitals do not have the resources or specialists to provide all the treatment veterans require, such as obstetrics and joint replacements. For these services, VA normally refers veterans to a list of doctors or labs in their area.

The agency, Frye says, is required to identify providers through a competitive process and contract with them to ensure that the government pays reasonable prices and gets the best value and quality. And contracts help ensure veterans are legally protected if they get poor care or if a medical procedure goes wrong.

But according to Frye’s account, VA spent about $5 billion on outside medical care in both 2013 and 2014 in the absence of contracts, and such practices “extend back many years.” “Based on my inquiry in January 2013, [the Office of the General Counsel] confirmed in writing the fact VHA was violating the law,” Frye says.

Large medical systems similar to VA order many supplies in bulk through a list of approved vendors, identified through a competitive process, to ensure quick delivery for the best price. But VA’s system for these “just-in-time” purchases is deeply flawed, and this is yet another way that the agency wastes money, Frye says.

He writes that there are many types of supplies that are not covered by these arrangements. Instead, they are ordered off the shelf, without competition and for higher prices, from a “shopping list” containing 400,000 items, “indiscriminately and not in accordance” with acquisition laws.

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Leftist Nightmare Update: Hawaii Shutting Down $205 Million Obamacare Exchange (Video)

Hawaii’s $205 Million Obamacare Exchange Shutting Down – TPNN

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Hawaii’s state legislature rejected legislation giving a $28-million cash infusion to its troubled Obamacare insurance exchange, making it impossible for the website to operate after this year.

The exchange will stop taking new enrollees on Friday.

Hawaii’s Connector Exchange released a statement saying:

“Now that it is clear that the state will not provide sufficient support for the Hawaii Health Connector’s operations through fiscal year 2016 (ending June 30, 2016), the Connector can no longer operate in a manner that would cause it to incur additional debts or other obligations for which it is unable to pay.”

“Staff reductions will commence immediately, with the executive director ( Jeff Kissel) exiting once the bulk of operational activities end.” The statement continued saying: “If the state cannot facilitate an orderly transition, the Connector’s operations will abruptly end, as the Connector does not have the resources to continue operations.”

According to Americanthinker, more states, including: Minnesota, Maryland, Massachusetts, Vermont, and Oregon – are having massive problems with their Obamacare websites, and are expected to close also. The cost? Almost a Billion dollars more of our money flushed down the drain.

Can any state exchanges continue to exist? With 36 states refusing to open their own exchanges and the Supreme Court ready to deal the death blow to subsidies, the future of the Obamacare exchanges appears uncertain at best.

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