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  • Ambulatory Surgical Centers: Safe & Quality Medical Care August 27, 2014
    by Adrienne Snavely Ambulatory Surgical Centers (ASC) arrived on the scene in 1970. Physicians continue to own nearly 90% of such facilities. Physicians can conveniently schedule procedures, assemble their own teams of highly skilled staff, check over the equipment and …
  • Ralph Weber Talks About Transparency – Video August 25, 2014
    Prices for medical care can vary across town, across the state, and across the country. There may be no difference in a surgical technique or the training of the physician, yet the price can differ up to 20 times as …
  • Here’s The Thing #1: Transparency August 25, 2014
  • Here’s The Thing #2: Healthcare Pricing August 25, 2014
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  • Save Yourself from Your Desk Job – Part II August 22, 2014
    By Sue Redmond Studies have now shown that the “couch potato” lifestyle, and even a desk job where you are sitting for long periods of time, can heighten your risk of certain diseases and even age you faster. Joan Vernikos …
  • Want to Get Lean and Fit? Don’t Do Cardio August 20, 2014
    Want to Get Lean and Fit? Then Don’t Do Traditional “Cardio” Exercise by Lee Kurisko, MD For many, this is heresy but I believe that it is true. Have you ever noticed the people frequenting the ellipticals and treadmills at …
  • The Ebola Virus: Global Threat or False Alarm? August 18, 2014
    by Adrienne Snavely The Ebola virus was discovered in 1976 near the Ebola River, in what is now Congo. All 25 outbreaks of human illness or death have occurred thus far in Africa. In rural areas, people live close to …
  • Save Yourself From Your Desk Job! August 15, 2014
    by Sue Redmond Everyone knows that the couch potato “lifestyle” is unhealthy. You come home from a hard day at work and park yourself in front of the TV. Recent studies have found your desk job may be just as …
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  • Canadian Consumer Tax Index 2014 August 12, 2014
    Canadian families spend more money on taxes than on food, clothing, and shelter combined.The Fraser Institute’s Canadian Consumer Tax Index tracks the total tax bill of the average Canadian family from 1961 to 2013 by adding up the various taxes …
  • Keys to Exercise Success August 11, 2014
    by Lee Kurisko, MD I have had exercise as a regular habit for 41 years. Through all of that time, I have been analyzing what I do and trying to refine my approach always in search of a better way. …
  • MediBid in Kaiser Health News & Washington Post August 8, 2014
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  • Are We Heading Towards a Two Tiered Health Care System? August 6, 2014
    In 2013, 117 insurance plans were offered on average in each state. Only 41 plans are offered in the exchanges, and in 16 states, consumers have access to 3 or fewer insurers.  In addition, these plans have increasingly restricted networks… …
  • OMTEC 2014 – Keynote Interview with Industry Leaders (Installment 2 of 5) August 5, 2014
    Original, essential content from OMTEC. Industry leaders Michael Butler, Dirk Kuyper and Mike Matson discuss the intricacies of supplier relationships within the orthopaedic industry.
  • OMTEC 2014 – Keynote Interview with Industry Leaders (Installment 1 of 5) August 5, 2014
    Original, essential content from OMTEC. Industry leaders Michael Butler, Dirk Kuyper and Mike Matson discuss the intricacies of supplier relationships within the orthopaedic industry.
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    The first antibiotics came on the market after World War II. Bacteria continue to mutate so antibiotics cannot destroy them. Some have become so resistant that nothing is effective on them. A treatment that may have worked five years ago …
  • An Introduction to Fibroids August 1, 2014
    By Dayton Interventional Radiology What are Fibroids? Fibroids are non-cancerous growths that develop in the walls of the uterus. They can occur in bunches or alone, and can be very tiny or grow to the size of a cantaloupe. An …
  • Hopeful New Cancer Treatment System July 30, 2014
    Tumor-combatting drugs could allow melanoma patients to live much longer. Immunotherapy could revolutionize cancer treatment. New drugs can work in different types of cancer and last years. The two-year survival rate for advanced melanoma has improved from 10 to 25% …
  • Hobby Lobby wins Supreme Court case, can opt out of mandate July 23, 2014
    The Supreme Court ruled in favor of Hobby Lobby and against Obamacare mandates.  They decided that the government cannot force employers to violate their religious beliefs.  Christian corporation Hobby Lobby did not want to have to cover certain types of …

If ObamaCare Survives, Legal Battle Has Just Begun

AAPS and other groups/states still have lawsuits pending against Obamacare.  The AAPS lawsuit is based on the 5th Amendment:  The Takings Clause — that the government cannot take your property without just compensation. The limited expansion of Medicaid is “an important victory” states AAPS General Counsel Andrew Schlafly. 

Free yourself and take control of your own medical care!  MediBid provides freedom for patients AND doctors.  Patients have the freedom to pick their own doctor and pay with their own money.  Physicians are free to give quality care and accept direct payment outside the restrictions of insurance. 

If ObamaCare Survives, Legal Battle Has Just Begun

http://www.cato.org/publications/commentary/obamacare-survives-legal-battle-has-just-begun

by Jonathan H. Adler and  Michael F. Cannon

This article appeared in USA Today on June 25, 2012.

Even if the Affordable Care Act survives its first Supreme Court test — a ruling is due as early as today — the lawsuits won’t end. Citizens have already filed challenges to what critics call the law’s “death panel” and its impact on privacy rights, religious liberty and physician-owned hospitals. Still another potential lawsuit poses as great a threat to the law as the case now before the high court.

Under the guise of implementing the law, the Internal Revenue Service has announced it will impose a tax of up to $3,000 per worker on employers whom Congress has not authorized a tax. To make things more interesting: If the IRS doesn’t impose that unauthorized tax, the whole law could collapse.

The Act’s “employer mandate” taxes employers up to $3,000 per employee if they fail to offer required health benefits. But that tax kicks in only if their employees receive tax credits or subsidies to purchase a health plan through a state-run insurance “exchange.”

This 2,000-page law is complex. But in one respect the statute is clear: Credits are available only in states that create an exchange themselves. The federal government might create exchanges in states that decline, but it cannot offer credits through its own exchanges. And where there can be no credits, there is nothing to trigger that $3,000 tax.

States are so reluctant to create exchanges that Secretary of Health and Human Services Kathleen Sebelius estimates she might have to operate them for 15 to 30 states. Even if she manages that feat, the law will still collapse without the employer mandate and tax credits.

Unauthorized Tax

To prevent that from happening, on May 18 the IRS finalized a rule making credits available through federal exchanges, contrary to the express language of the statute.

Because those credits trigger penalties against employers, the IRS is literally taxing employers and spending billions without congressional authorization. Estimates by the Urban Institute indicate that had this rule been in effect in 2011, it would have cost at least $14.3 billion for HHS to run exchanges for 30 states. About 75% of that is new federal spending; the remainder is forgone tax revenue.

The IRS doesn’t have a leg to stand on here. It has not cited any express statutory authority for its decision, because there is none. The language limiting tax credits to state-established exchanges is clear and consistent with the rest of the statute. The law’s chief sponsor, Senate Finance Committee chairman Max Baucus (D-Mont.), is on record explaining creation of an exchange is among the conditions states must satisfy before credits become available. Indeed, all previous drafts of the law also withheld credits from states to push them to cooperate.

Employers can sue

Under the Congressional Review Act, Congress has 60 days from the date of issue to block the rule. Reps. Scott DesJarlais, R-Tenn., and Phil Roe, R-Tenn., have introduced a resolution. It may receive a cold reception from President Obama, but “taxation without representation” is a difficult position to defend. If that approach fails, states that have refused to establish a health insurance exchange, and large employers the IRS will hit with this unauthorized tax, could challenge the rule in court.

The authors of the Affordable Care Act wrongly assumed states would be eager to implement it. If saving the law from that miscalculation requires letting the IRS tax Americans without authorization, then it is not worth saving.



At MediBid, we restore market forces to medical care. Doctors get to set their own rates based on their training, experience, and outcomes, and patients get to shop for medical care across state lines and international borders. Many times with MediBid, you will find procedures that are more effective than procedures allowed, or covered by health plans. Transparency and competition are the only way to achieve reasonable costs. Many of our employer clients offering group health insurance through MediBid save $5,000 per employee per year. Those are substantial savings. Patients are saving an average of 48% vs. insurance discounted rates, or 80% vs. retail. Contact us for more information.
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