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Vic Smith October 26th 09 08:53 PM

Delicious...
 
On Mon, 26 Oct 2009 14:49:43 -0400, John H.
wrote:

On Mon, 26 Oct 2009 04:37:46 -0600, Vic Smith
wrote:

On Mon, 26 Oct 2009 06:28:30 -0400, H the K
wrote:

On 10/26/09 6:22 AM, Vic Smith wrote:
On Mon, 26 Oct 2009 00:55:30 -0400, wrote:


Besides, that article has some other gems, such as the there's no
evidence the private insurers do any better with fraud than does
Medicare.


Did you see 60 Minutes tonight? They are talking about billions in
medicare fraud.

No, missed that. But see above. Maybe you missed it.
Somehow the Medicare fraud doesn't bother me as much after seeing
that.
After all, we're paying almost 10 times more to Aetna than to
Medicare.
So for every buck of mine going to a crook cheating Medicare, there's
nearly a sawbuck of mine going to the crook cheating Aetna.
Great system. Pretty equitable for the crooks percentage wise.
Lucky I can afford it. Good luck to those who can't.
They'll need it.

--Vic


Note that the medicare fraud on display in 60 minutes last night was not
being committed by the government, but by private-sector, for-profit
individuals.


Yep. Health care providers all.
Somebody's got to pay for that Mercedes.

--Vic


You missed the point. It's a government run system riddled with fraud.
Now the government is trying to institute a *bigger* government run
system, which will still be administered by individuals. You don't
think the fraud will increase likewise?


Nope, you're missing it. Maybe you missed where private insurance
companies are doing the Medicare billing, and that private health
insurance providers are committing the fraud.
BTW, I never saw anybody in the Navy caught or convicted of fraud, and
I bet you didn't tolerate financially scamming the public in your Army
career. Outside of letting a skater slide now and then.
Interestingly enough, I witnessed a couple accountants "disappearing"
while in private industry. Caught defrauding. Not prosecuted though,
because it "wouldn't look good." Gets hushed up.
And I wasn't even in a position to know the depth of those kind of
problems. Just friendly with a couple of those who did know.
Of course we know fraud happens in government.
We hardly know squat about what goes on in "private enterprise."

--Vic

Bill McKee October 26th 09 09:01 PM

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"nom=de=plume" wrote in message
...
"Bill McKee" wrote in message
m...

"nom=de=plume" wrote in message
...
"Bill McKee" wrote in message
...

"jps" wrote in message
...
On Sat, 24 Oct 2009 21:24:31 -0700, "Bill McKee"
wrote:


"jps" wrote in message
news:eb65e51msrrr45mfaoea21i9f5u5qfbpsb@4ax. com...
On Fri, 23 Oct 2009 22:37:36 -0700, "Bill McKee"
wrote:


"nom=de=plume" wrote in message
...
"Jim" wrote in message
...
nom=de=plume wrote:
"Bill McKee" wrote in message
m...
"nom=de=plume" wrote in message
...
"Tosk" wrote in message
...
In article ,
says...
"Tosk" wrote in message
...
In article
,
says...
On Thu, 22 Oct 2009 19:51:29 -0400, Tosk wrote:


After all, how can a for profit org compete with a public
funded not for profit?
Huh? I thought "privatization" was the cost cutting
mantra of
the
Right. You know, how a lean mean corporation was more
efficient
than a
bloated government agency. So, does this mean that if we
eliminate
private health insurance companies, and go with a single
payer
public
option, our health cost would go down? Damn, you're
turning
into
a
Liberal.
Not really, look at the success record of govt "not for
profit"
organizations. I would rather pay for something that works,
than
pay
double for something that doesn't.
Yup. Medicare and the VA don't work. Bummer.
Well, I guess it depends on who is in office at the time.
When it
was
Bush they sure didn't, that is if you listen to the
chattering
class.
Now miraculously a 10% unemployment rate is a recovery...

You really need to review the facts about the VA, for example,
before
you make statements like this. Check out the person who's in
charge
of
the VA.

There is a technical recovery in process. Jobs are still a
problem
and
will continue to be for quite a while. What's your point?

--
Nom=de=Plume

Where is the recovery? The lead in the Dow rise is
financials. And
they are going up because of the huge amounts of money the Fed
is
tossing at them. The job outlook is bad, the retail outlook
is bad,
as those 20%+ without a job are not spending. The housing
sales
increase, but the price decreased, and the $8k gift from the
Fed just
accelerated the purchases and seems as if they are looking at
$500
million if fraud with the program. Look for the Dow to pull
back
10-15%
shortly. Put stops on your stocks.

Look it up. It's been all over the news. So far, you haven't
said
anything revealing about the recovery or lack thereof.

The recovery hasn't started yet. And it won't until REAL jobs are
created
and REAL workers have money to spend on REAL goods and services,
which
of
course will be provided by REAL people doing REAL work. The way
your
party is handling the situation is UNREAL. You should be ashamed
of
yourself for supporting The king and his court in their
underhanded
activities.


You should be ashamed of your intellectual dishonestly.

http://www.recovery.gov


--
Nom=de=Plume


Actually it is you with the intellectual dishonesty. The government
spent
tons of money in the wrong place for one thing. Sent it to their
cronies
on
Wall Street. Want a better recovery, put 50% of that money spent
in to
SBA
loans. And not spend the other 50%. Let Goldmansackus and the
other
"investment" banks fail. The recovery act has not created jobs.
Other
than
a few paving and infrastucture jobs that needed to be done anyway.
When
that paving job is done. Where is the next job for the worker.
Govenment
does not creat wealth by borrowing and spending.

Hank Paulson and George Bush got that ball rolling.

Goldman Sachs strikes again...

Hell, Bush was just continuing rolling the Clinton ball. Clinton and
his
administration caused the dot.com bubble, set the stage for the
housing
bubble and Bush just continuing the screw ups.

Oh yeah, it was Clinton who caused the bubble.

I don't think you want to know the reason why Bill. It was for lack
of regulation and control of the greedy assholes who run Wall Street.

When you give control of the economy to folks who'd have you investing
in tulip bulbs, you've given them too much control.

Deregulation was a Republican mantra that the Democrats bought. We
also bought supply side economics.

Both ideas suck and they're still trying to repackage them every time
we turn around.

Get a clue. Even if you have to pay for it. Clinton pushed for the
easy loans, named the first black leader of Fannie Mae. Franklin
Raines. Was Clinton Justice Department that made a deal to settle for
10 million and they dropped the fraud charges. He lied about FM's
profits while buying all the subprime loans and pocket $100 million in
bonus money. He should have had to pay back all the bonus money plus
all the costs of the investigation at the minimum and at the maximum,
spent time in the stony lonesome. Clinton led the subprime lending,
deregulation of Delimitative. Bush did not correct the problems and
kept Greenspan on as the Fed Man.

Just curious, but what does the color of skin have to do with whether or
not he acted inappropriately?

I think I know the answer, but do tell.
--
Nom=de=Plume


His color was brought up when he got the job. And he was probably
protected by the Executive branch for both being appointed by the branch,
and because of his color.


By whom? Seems to me, you just brought it up for no reason, unless you're
claiming you copied and pasted your paragraph from somewhere.

--
Nom=de=Plume


Do some basic research on Mr. Raines.



H the K[_2_] October 26th 09 09:02 PM

Delicious...
 
On 10/26/09 4:53 PM, Vic Smith wrote:
On Mon, 26 Oct 2009 14:49:43 -0400, John H.
wrote:

On Mon, 26 Oct 2009 04:37:46 -0600, Vic Smith
wrote:

On Mon, 26 Oct 2009 06:28:30 -0400, H the K
wrote:

On 10/26/09 6:22 AM, Vic Smith wrote:
On Mon, 26 Oct 2009 00:55:30 -0400, wrote:


Besides, that article has some other gems, such as the there's no
evidence the private insurers do any better with fraud than does
Medicare.


Did you see 60 Minutes tonight? They are talking about billions in
medicare fraud.

No, missed that. But see above. Maybe you missed it.
Somehow the Medicare fraud doesn't bother me as much after seeing
that.
After all, we're paying almost 10 times more to Aetna than to
Medicare.
So for every buck of mine going to a crook cheating Medicare, there's
nearly a sawbuck of mine going to the crook cheating Aetna.
Great system. Pretty equitable for the crooks percentage wise.
Lucky I can afford it. Good luck to those who can't.
They'll need it.

--Vic


Note that the medicare fraud on display in 60 minutes last night was not
being committed by the government, but by private-sector, for-profit
individuals.

Yep. Health care providers all.
Somebody's got to pay for that Mercedes.

--Vic


You missed the point. It's a government run system riddled with fraud.
Now the government is trying to institute a *bigger* government run
system, which will still be administered by individuals. You don't
think the fraud will increase likewise?


Nope, you're missing it. Maybe you missed where private insurance
companies are doing the Medicare billing, and that private health
insurance providers are committing the fraud.
BTW, I never saw anybody in the Navy caught or convicted of fraud, and
I bet you didn't tolerate financially scamming the public in your Army
career. Outside of letting a skater slide now and then.
Interestingly enough, I witnessed a couple accountants "disappearing"
while in private industry. Caught defrauding. Not prosecuted though,
because it "wouldn't look good." Gets hushed up.
And I wasn't even in a position to know the depth of those kind of
problems. Just friendly with a couple of those who did know.
Of course we know fraud happens in government.
We hardly know squat about what goes on in "private enterprise."

--Vic


Herring "thinks" that when private, for-profit contractors screw the
government, it is the government's fault. Probably a leftover from his
army days, when he looked the other way.

Jim October 26th 09 09:10 PM

Delicious...
 
H the K wrote:
On 10/26/09 4:53 PM, Vic Smith wrote:
On Mon, 26 Oct 2009 14:49:43 -0400, John H.
wrote:

On Mon, 26 Oct 2009 04:37:46 -0600, Vic Smith
wrote:

On Mon, 26 Oct 2009 06:28:30 -0400, H the K
wrote:

On 10/26/09 6:22 AM, Vic Smith wrote:
On Mon, 26 Oct 2009 00:55:30 -0400, wrote:


Besides, that article has some other gems, such as the there's no
evidence the private insurers do any better with fraud than does
Medicare.


Did you see 60 Minutes tonight? They are talking about billions in
medicare fraud.

No, missed that. But see above. Maybe you missed it.
Somehow the Medicare fraud doesn't bother me as much after seeing
that.
After all, we're paying almost 10 times more to Aetna than to
Medicare.
So for every buck of mine going to a crook cheating Medicare, there's
nearly a sawbuck of mine going to the crook cheating Aetna.
Great system. Pretty equitable for the crooks percentage wise.
Lucky I can afford it. Good luck to those who can't.
They'll need it.

--Vic


Note that the medicare fraud on display in 60 minutes last night
was not
being committed by the government, but by private-sector, for-profit
individuals.

Yep. Health care providers all.
Somebody's got to pay for that Mercedes.

--Vic

You missed the point. It's a government run system riddled with fraud.
Now the government is trying to institute a *bigger* government run
system, which will still be administered by individuals. You don't
think the fraud will increase likewise?


Nope, you're missing it. Maybe you missed where private insurance
companies are doing the Medicare billing, and that private health
insurance providers are committing the fraud.
BTW, I never saw anybody in the Navy caught or convicted of fraud, and
I bet you didn't tolerate financially scamming the public in your Army
career. Outside of letting a skater slide now and then.
Interestingly enough, I witnessed a couple accountants "disappearing"
while in private industry. Caught defrauding. Not prosecuted though,
because it "wouldn't look good." Gets hushed up.
And I wasn't even in a position to know the depth of those kind of
problems. Just friendly with a couple of those who did know.
Of course we know fraud happens in government.
We hardly know squat about what goes on in "private enterprise."

--Vic


Herring "thinks" that when private, for-profit contractors screw the
government, it is the government's fault. Probably a leftover from his
army days, when he looked the other way.


The Govt. had the money. Then they didn't. Are you saying they got fleeced?

nom=de=plume October 26th 09 09:32 PM

Delicious...
 
"Bill McKee" wrote in message
m...

"nom=de=plume" wrote in message
...
"Bill McKee" wrote in message
m...

"nom=de=plume" wrote in message
...
"Bill McKee" wrote in message
...

"jps" wrote in message
...
On Sat, 24 Oct 2009 21:24:31 -0700, "Bill McKee"
wrote:


"jps" wrote in message
news:eb65e51msrrr45mfaoea21i9f5u5qfbpsb@4ax .com...
On Fri, 23 Oct 2009 22:37:36 -0700, "Bill McKee"
wrote:


"nom=de=plume" wrote in message
...
"Jim" wrote in message
...
nom=de=plume wrote:
"Bill McKee" wrote in message
m...
"nom=de=plume" wrote in message
...
"Tosk" wrote in message
...
In article ,
says...
"Tosk" wrote in message
...
In article
,
says...
On Thu, 22 Oct 2009 19:51:29 -0400, Tosk wrote:


After all, how can a for profit org compete with a
public
funded not for profit?
Huh? I thought "privatization" was the cost cutting
mantra of
the
Right. You know, how a lean mean corporation was more
efficient
than a
bloated government agency. So, does this mean that if we
eliminate
private health insurance companies, and go with a single
payer
public
option, our health cost would go down? Damn, you're
turning
into
a
Liberal.
Not really, look at the success record of govt "not for
profit"
organizations. I would rather pay for something that
works, than
pay
double for something that doesn't.
Yup. Medicare and the VA don't work. Bummer.
Well, I guess it depends on who is in office at the time.
When it
was
Bush they sure didn't, that is if you listen to the
chattering
class.
Now miraculously a 10% unemployment rate is a recovery...

You really need to review the facts about the VA, for
example,
before
you make statements like this. Check out the person who's in
charge
of
the VA.

There is a technical recovery in process. Jobs are still a
problem
and
will continue to be for quite a while. What's your point?

--
Nom=de=Plume

Where is the recovery? The lead in the Dow rise is
financials. And
they are going up because of the huge amounts of money the Fed
is
tossing at them. The job outlook is bad, the retail outlook
is bad,
as those 20%+ without a job are not spending. The housing
sales
increase, but the price decreased, and the $8k gift from the
Fed just
accelerated the purchases and seems as if they are looking at
$500
million if fraud with the program. Look for the Dow to pull
back
10-15%
shortly. Put stops on your stocks.

Look it up. It's been all over the news. So far, you haven't
said
anything revealing about the recovery or lack thereof.

The recovery hasn't started yet. And it won't until REAL jobs
are
created
and REAL workers have money to spend on REAL goods and services,
which
of
course will be provided by REAL people doing REAL work. The way
your
party is handling the situation is UNREAL. You should be ashamed
of
yourself for supporting The king and his court in their
underhanded
activities.


You should be ashamed of your intellectual dishonestly.

http://www.recovery.gov


--
Nom=de=Plume


Actually it is you with the intellectual dishonesty. The
government spent
tons of money in the wrong place for one thing. Sent it to their
cronies
on
Wall Street. Want a better recovery, put 50% of that money spent
in to
SBA
loans. And not spend the other 50%. Let Goldmansackus and the
other
"investment" banks fail. The recovery act has not created jobs.
Other
than
a few paving and infrastucture jobs that needed to be done anyway.
When
that paving job is done. Where is the next job for the worker.
Govenment
does not creat wealth by borrowing and spending.

Hank Paulson and George Bush got that ball rolling.

Goldman Sachs strikes again...

Hell, Bush was just continuing rolling the Clinton ball. Clinton and
his
administration caused the dot.com bubble, set the stage for the
housing
bubble and Bush just continuing the screw ups.

Oh yeah, it was Clinton who caused the bubble.

I don't think you want to know the reason why Bill. It was for lack
of regulation and control of the greedy assholes who run Wall Street.

When you give control of the economy to folks who'd have you
investing
in tulip bulbs, you've given them too much control.

Deregulation was a Republican mantra that the Democrats bought. We
also bought supply side economics.

Both ideas suck and they're still trying to repackage them every time
we turn around.

Get a clue. Even if you have to pay for it. Clinton pushed for the
easy loans, named the first black leader of Fannie Mae. Franklin
Raines. Was Clinton Justice Department that made a deal to settle for
10 million and they dropped the fraud charges. He lied about FM's
profits while buying all the subprime loans and pocket $100 million in
bonus money. He should have had to pay back all the bonus money plus
all the costs of the investigation at the minimum and at the maximum,
spent time in the stony lonesome. Clinton led the subprime lending,
deregulation of Delimitative. Bush did not correct the problems and
kept Greenspan on as the Fed Man.

Just curious, but what does the color of skin have to do with whether
or not he acted inappropriately?

I think I know the answer, but do tell.
--
Nom=de=Plume


His color was brought up when he got the job. And he was probably
protected by the Executive branch for both being appointed by the
branch, and because of his color.


By whom? Seems to me, you just brought it up for no reason, unless you're
claiming you copied and pasted your paragraph from somewhere.

--
Nom=de=Plume


Do some basic research on Mr. Raines.


Let's just assume that he's a terrible, corrupt person. Ok, so what does the
color of his skin have to do with it? You mentioned it in your paragraph, so
I think you should answer the question.

--
Nom=de=Plume



nom=de=plume October 26th 09 09:33 PM

Delicious...
 
wrote in message
...
On Mon, 26 Oct 2009 14:49:43 -0400, John H.
wrote:

You missed the point. It's a government run system riddled with fraud.
Now the government is trying to institute a *bigger* government run
system, which will still be administered by individuals. You don't
think the fraud will increase likewise?


Perhaps we should come up with some 18th century punishment for
stealing from the government or 20th century communist punishment.

After all the Soviets knew what you had to do to maintain order in a
socialist society. 20 years of genuine hard labor might slow down
these medicare scammers.



No need. The Chinese figured it out.

--
Nom=de=Plume



nom=de=plume October 26th 09 09:38 PM

Delicious...
 
wrote in message
...
On Mon, 26 Oct 2009 14:40:40 -0600, Vic Smith
wrote:

And you're both most likely wrong. As I said, the article I posted
was what seemed like a pretty good examination of Medicare and the
private insurance industry. They said they could find no evidence
that there was less fraud in private insurance than there is in
Medicare.
What is the funding of Aetna anti-fraud?
Don't know, do you?
Well, why should you? After all, 60 minutes isn't doing features
about Aetna. Taxpayers aren't squawking about Aetna.
Furthermore, where is the competitive pressure that would force them
to address it? There's a sweet little oligopoly of health carriers
here, as in most states.
Fraud costs go up? Who cares, raise the premiums.
It's easy to live with mythical assumptions, but it's a lot more fun
to examine them.


Who wrote the article you read and what was the source? I am just
basing my opinion on the amount of denials you get from insurance
companies and the hoops you have to go through to get paid. That is
not the rubber stamp you have with Medicare.
I did just go through this with Aetna and I know they wanted to see
the referrals for everything I claimed . It sure wasn't anything like
that thing 60 minutes was talking about where a storefront with no
bona fides can simply send medicare a bill for something and get paid
in a few days.



Hmmm... the funding of Aetna anti-fraud is the profit motive? Makes sense.
Of course, they do everything for the profit motive, which is the problem.
That's why it takes multiple tries to get reimbursed. I don't have Aetna,
but it's the same story... send it in, wait, nothing, send it in, repeat.
It's obvious to me that neither completely for-profit nor completely
non-profit, gov't run is the answer to stamping out fraud. I believe in
competition, but I also believe in taking the fear and worry out of medical
expense issues.

--
Nom=de=Plume



Vic Smith October 26th 09 09:51 PM

Delicious...
 
On Mon, 26 Oct 2009 17:24:19 -0400, wrote:


Who wrote the article you read and what was the source?


Not going there. One reason I bailed from any discussion of this is
depth is I'm just not going to repeat the same thing over and over.
Or argue when my links are disputed without being read.
It's in the thread. No hard feelings. Like I said, I can pay for my
insurance, and outside of mythbusting I'm not real interested right
now.

I am just
basing my opinion on the amount of denials you get from insurance
companies and the hoops you have to go through to get paid. That is
not the rubber stamp you have with Medicare.


I haven't ever been denied by my major carriers, except coding error
bull****. The provider bills, the insurer pays.
And I don't even normally see what is billed. Don't know if it's
double-billed, misbilled, or anything else. It just gets paid.
BTW, though the doc who did my recent colonoscopy said he removed 11
polyps, and will bill Aetna for that, he only took 4 pics and I can
only make out 3 polyps. But I'm not a doc, and was deep asleep when
it was done. Not suggesting anything here, of course.
The doc had just flown in from a European vacation and lack of clear
photographic evidence might be due to jet lag.

I did just go through this with Aetna and I know they wanted to see
the referrals for everything I claimed .


Aetna again, eh? You in Florida, me in Illinois. They do get around.
Bet they're bigger than Medicare. I know they are for me.
Getting almost 30% of every dollar of my wife's gross wages.

It sure wasn't anything like
that thing 60 minutes was talking about where a storefront with no
bona fides can simply send medicare a bill for something and get paid
in a few days.


Probably not. The crooks use different methods for Aetna, and are
probably different crooks. But a crook is a crook by any other name.

--Vic

John H.[_9_] October 26th 09 10:11 PM

Delicious...
 
On Mon, 26 Oct 2009 16:44:43 -0400, wrote:

On Mon, 26 Oct 2009 14:49:43 -0400, John H.
wrote:

You missed the point. It's a government run system riddled with fraud.
Now the government is trying to institute a *bigger* government run
system, which will still be administered by individuals. You don't
think the fraud will increase likewise?


Perhaps we should come up with some 18th century punishment for
stealing from the government or 20th century communist punishment.

After all the Soviets knew what you had to do to maintain order in a
socialist society. 20 years of genuine hard labor might slow down
these medicare scammers.


That idea wouldn't scare them. Most don't know what 'hard labor' (or
any other, for that matter) means.

John H.[_9_] October 26th 09 10:17 PM

Delicious...
 
On Mon, 26 Oct 2009 14:53:09 -0600, Vic Smith
wrote:

On Mon, 26 Oct 2009 14:49:43 -0400, John H.
wrote:

On Mon, 26 Oct 2009 04:37:46 -0600, Vic Smith
wrote:

On Mon, 26 Oct 2009 06:28:30 -0400, H the K
wrote:

On 10/26/09 6:22 AM, Vic Smith wrote:
On Mon, 26 Oct 2009 00:55:30 -0400, wrote:


Besides, that article has some other gems, such as the there's no
evidence the private insurers do any better with fraud than does
Medicare.


Did you see 60 Minutes tonight? They are talking about billions in
medicare fraud.

No, missed that. But see above. Maybe you missed it.
Somehow the Medicare fraud doesn't bother me as much after seeing
that.
After all, we're paying almost 10 times more to Aetna than to
Medicare.
So for every buck of mine going to a crook cheating Medicare, there's
nearly a sawbuck of mine going to the crook cheating Aetna.
Great system. Pretty equitable for the crooks percentage wise.
Lucky I can afford it. Good luck to those who can't.
They'll need it.

--Vic


Note that the medicare fraud on display in 60 minutes last night was not
being committed by the government, but by private-sector, for-profit
individuals.

Yep. Health care providers all.
Somebody's got to pay for that Mercedes.

--Vic


You missed the point. It's a government run system riddled with fraud.
Now the government is trying to institute a *bigger* government run
system, which will still be administered by individuals. You don't
think the fraud will increase likewise?


Nope, you're missing it. Maybe you missed where private insurance
companies are doing the Medicare billing, and that private health
insurance providers are committing the fraud.
BTW, I never saw anybody in the Navy caught or convicted of fraud, and
I bet you didn't tolerate financially scamming the public in your Army
career. Outside of letting a skater slide now and then.
Interestingly enough, I witnessed a couple accountants "disappearing"
while in private industry. Caught defrauding. Not prosecuted though,
because it "wouldn't look good." Gets hushed up.
And I wasn't even in a position to know the depth of those kind of
problems. Just friendly with a couple of those who did know.
Of course we know fraud happens in government.
We hardly know squat about what goes on in "private enterprise."

--Vic


My brother, a retired cop, now works as an investigator of insurance
fraud for a health insurer. So I know that the civilian firms actually
do 'something' to prevent fraud. I don't think we have any idea of the
scope of the fraud going on with Medicare. As a Medicare recipient,
I'll say that it seems like it would be very easy to do.


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